Permit CITY .TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00516
DEVELOPMENT SERVICES DATE ISSUED: 7/22/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S102CD -04100
SITE ADDRESS: 13795 SW COWLES CT ZONING: R - 4.5
SUBDIVISION: LYNZ COURT LOT : 002 JURISDICTION: TIG
Project Description: 2 branch circuits.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
GRAVES, MICHAEL GRF ELECTRIC
13795 SW COWLES CT 15460 SE PARADISE LN
TIGARD, OR 97223 MULINO, OR 97042
Phone: 503 - 518 -8888 Phone: 503 - 829 -4146
FEES Reg #: LIC 76751
SUP 1655S
Description Date Amount ELE 3 - 484C
[ELPRMT] ELC Permit 7/22/2005 $53.50
[TAX] 8% State Surcharge 7/22/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -6699 or 1 - =•-33 -2344. /
Issued By: , , „ �l /� Permittee Signature: jag i j/ _
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
(y Jt. l 2 1 05 01 : 49p GRF Electric 5038295747 p. 1
FOR OFFICE USE ONLY Permit Application Received h Electrical _
Date/By: / 1, /G� J 6 Permit No�-- C�,�,�6 ./
®� �+ F�� Planning proval Ste City of Tigard [� V9 `�' Date/By: Permit No.:
. 13I25 Hall alvd. 9 Plan Review Other .
Tigard, Oregon 97223 • ��� Date/By: Permit No.:
Phone: 503- 639 -4171 Fax:3 (13 -58 115 Post- Review Land Use
T Y OF TIGARD . :440:11141:41.1';i' l Contact Case No.:
®
Internet: WWW.Ci.tigard,Or.0 s J L t - Contact Juris.: See Page 2 for
. 24 -hour Inspection Request S I Uill94 r ' ISM i Name/Method: 7 9 Supplemental Information.
•
,.' i,. i`•.:? t: ,•., c,;-•,P,ig'` l??p" i»' 1'?'{': �' Ek, Q. FtWU,RIC':.... ;,::" 4 : ,. ::: , ` PIANREVIEW. (Weise check all that apply)
New construction ❑ Demolition El Service over 225 amps- El Health -care facility
commercial ❑ Hazardous location
Addition/alteration/replacement
El El Service over 320 amps - rating of El Building over 10,000 square feet,
'�r,.�.- 4H?^su.'�3!`''ti?1f�Q;!� `(. *Q,�'$,1ili;JCT�QN '''•'•" 1 & 2 family dwellings four or more residential units in
& 2- Family dwelling Commercial/Industrial
0 System over 600 volts nominal one structure
El Building over three stories
El Feeders, 400 amps or more
Acc essory Building Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park
Mas ter Builder Other: ❑ Egress lighting plan ❑ Other:
@ r * "' = "` Submit sets of plans with any of the above.
rin The above arc not applicable to temporary con`s'truction service.
Job site address: 1 ?, 7 �i C s l� - D ' IA) 1 e-5 C ' !FEEt ; SCHEDULES : :..: ]:' �. .. ; .
Suite #: � 1 Bldg. /Apt. #: Number of inspections per permit allowed
V
Project Name: YW ✓ eS ' Dcsvriptlou t Qty Fee (ea.) Total J 1
New residential - single or multi - family per
Cross street/Directions to job site: • dwelling unit. Includes attached garage. -
Service included:
1000 sq. 11. or less 145.15 c
Each additional 500 sq. ft. or portion thereof 33.40 !
Subdivision: i Lot #: Limited energy residential 75.00
Limited enerjy, non residential 75.00
.gggg ma arcel #: Each manufactured home or modular dwelling
, 5ORIP411.0b 1 3) -WORK :: ' OrY134aj service andkw feeder 90.90 ♦ .
Services or feeders - installation,
2- Lam " ' alteration or relocation:
r G `�' — i ,;1 200 amps or less 80.30 .
201 amps to 400 amps 106.85
. 401 amps to 600 amps 160.60
'T 3 tt't:, B1t &`'e:M.., i' } y:.'. i Y'! ;. 11/30' DIAT '`,r`i'.'''.,, : : .;t : '<.' : ,,,.f= ::c.,: jk ,°� :d 601 amps to 1000 amps 24060 _
?, u
Over 1000 amps or volts 454.65 •
Name: / 1 k-e- () ri, v &3 Reconnect only 66.85 ,
Address: , , 7 4 \ S (A ) t A7 t .,‘ 1 eC* ,s � , Temporary services or feeders - installation,
alteration, or relocation:
_
City /State/Zip: I , • ,,i er r . / Olt— 7 L 200 amps or less 66.85
Phone: 3 r , � 201 amps to 400 amps 100.30
" - 3 t Fax . o- 401 to 600 amps 133.75
?r ''i't.: o :. ,, ft 4.7;, `a { 4 t'i ;y;;i;!;? ;; Ir ..GAN.�'t?1C`t?, PE'R,SOI'tl „s„ ^ : a :: , Branch circuits - new, alteration, or
Name: • extension per panel:
A. Fee for branch circuits with purchase of
• Address: service or feeder fee, each branch circuit 6.65
City/State/Zip: B. Fee for branch circuits without purchase of II -
service or feeder fee, first branch circuit 1 46.85 "r( t
Phone: . I Fax: Each additional branch circuit 6.65
E-mail: Misc.(5ervice or feeder not included): ' �' v�
r` 'i `.� 'l1 Ir a a t Each pump or irrigation circle 53,40
'''?':. w.rt.74.' �t. _ .. ,t.�.,'+:...,..:.:....,,�. Each • sign •
or outline Iighting 53.40
Job No: Signal circuit(s) or a limited energy panel,
• alteration, or extension Page 2
Business Name: G el e Y ! r. Description:
Address: ' -`/j O F'. ( 1 I x r
' Each additional inspection over the allowable in any of the above:
City /State/Zlp: A4 i ` t j ,_ 0 f-_. q 17 L! Per inspection per hour (min. 1 hour) 62.50
Phone:50 • QM •- et) t Fax: 5)3 - 8 Z.9 ^ 5 ?41-'3 Investigation fee:
S1 L i c. #: 3 - L . t y- C ._ .z other
CCB Lic. #: �l�•.- .:1, :.e.:!* : :a ..
jp N �- ::;:,,,,: :�; �El ricalYeriilit'Fe *�,: . t;
Supervising electrician 1
signature required: Subtotal S 5 , 5 0
� 1
� � 7 i k o J P lan R eview (25% of Permit Fee) 5'
Print Name: \Ai fl ); A (fry, , Lic. #: / j , .5 c $ State Surchar (8% of Permit Fee) S A_
� 1 l TOTAL PERMIT FEE _
Authorized Notice: This permit application expires if a permit is not obtained within
Sig c: Date: 180 days after It.bas been accepted as complete.
'Fee methodology set.by Trl -County Building Industry Service Board.
').' . • ' ` ' (Please print name)
• .1` ` • i ADsts\Pennit Forms\ElcPcmtitApp.doc 01/03 . •
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2005-00516
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005
Phone: (503) 639 -4171 *merN l�ii i lli
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/4/2006 TIME: 7 :08AM PAGE: 70
SITE ADDRESS: 13795 SW COWLES CT CLASS OF WORK:
SUBDIVISION: LYNZ COURT LOT #: 002 TYPE OF USE:
PROJECT NAME: GRAVES
DESCRIPTION: 2 branch circuits. Wo., —
OWNER: GRAVES, MICHAEL, PHONE #: 503 - 618.8888
CONTRACTOR: GRF ELECTRIC PHONE #: 503 - 829 -4146
Inspection Request Scheduled For: Date: 8/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # ii - ssage
199 Electrical final 012801 - 01 603. 969.01 `',/ N
Corrections /Comments /Instructions: • •
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PASS ❑ PART ' L APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL • /' FOR IN r: e El ADDITIO L FEES ASSESSED
Inspector: Aate: 1) C Phone #: (503) 718 -