Permit C ITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES P ERMIT #: EL /16/20 -00582
c ��ll j c" DATE ISSUED: 10/16/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S112CD -12800
SITE ADDRESS: 07706 SW CYPRESS LN ZONING: R -12
SUBDIVISION: HAMBACH GROVE LOT : 026 JURISDICTION: TIG
Project Description: (1) branch circuit for a/c installation.
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: 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:
DAN COWLEY OWNER
7706 SW CYPRESS
TIGARD, OR 97224
Phone: 503 - 922 -2941 Contact #:
FEES
Description Date Amount Reg #:
[TAX] 8% State Surcharge l0/16/200( $3.75
[ELPRMT] ELC Permit • 10/16/200( $46.85
Total $50.60 REQUIRED ITEMS AND REPORTS
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 rmore -than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules a set forth in *95 1 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to,OUNC at
503 -24 -6699 or 1- 800 -33 -234 -
Issue y: I r , . ) P vud__,),uc Permittee
OWNER INSTALLATION ONLY
The installation is being made on perty I own which is not.intended for sale, lease, or rent.
OWNER'S SIGNATURE:` = )11/Mr> DATE: /c/1' 6
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.
10/13/ 2006 FRI 14: 10 FAX 5035878766 RDA c6870 2003/0O3
~ *
`� -- `,.. �
dQ
Electrical Permit ��|� �.M �� H_ /
' »p~.0 ���_V 47, �
City of Tigard ueceived /m /3 /0 te '1 K e , e ,
/zm5nx/ Ran mwo, Tigard, ox vn2» � n" m°�` --'
vuwe:nomoxxv/ Fax: OCT �� 1),a0/1.31 =" other Permit:
___
� � � � w�x �w � N _--_� ' _-
Inspection 503.639.4175 _� 0�@� �� �� gezfor
/ummu:°°°uxiunm.or.m' xmuieo/A•ubod: ita. / Supplemental Information
___
- _
PLAN REVIEW
�p. ----� -��^ cheek ---- ---
[� New cvu*ruuxim` ��....6vn�\��t8'�e' »u`^ apply:
[]u=vi= over xu5 amps, =w°'l []n==am"/^*oim
LJ D�xu'`Ukm,
' _ []*'v/m over 3uoamps • 'm`iox []ao/mox over 1u sq. o..
CATEGORY OE CONSTRUCTION ^r/- and x'thmi\/dwellings * more new residential
I' and 2'|�o`ilydwc}�=" O
Commercial
/industrial [] Accessory building ------ []xrmmn over ono volts nominal units a one structure
[] Building over three stories U Feeders, ^uo amps or/von
0 Multi-family [] Master builder [] Other:
_-___'_______- []ocu.px load over 99 persons []mm*o"wnu structures "'
.,anozza /mxouxmATurn �mn�.o��o�0N [] |�mnsw|iumuu»u^ RV park
����� []aoxxo'�o /�"m`r L]wx*r:
Submit 2 sets v/nu= with any " the above.
City/State/ZIP: - ` nm^xvv �e/xon`|�mmuwu.`pmm,r
Suite/bldg./apt ov � I.
y/nju�»nnc '_ ` FEE* SCHEDULE L Description | o* | f Total l L
Cm,x�rux/dbeoivuxm job �w: ^m '/. ---
Includes attached ="c garage.
).000 sq. o.o,less ----'_
Snhdi,ioio/: _�. am'|�m sq. ��,vmxiw` _
���----- -- ---------� Limited a^ � �u �/ / 75.00 2
/os �nuy/yx,��xv�� - - ----------
-- l.. energy, non-residential 75.00 2
zneayaIxrIomw/'�vwmK - ��m,omm.muo/xo^,m^�Jar ---- ------- � -----------
--'-- -- — _ dwellin�� aand/or ��=
service oo ov z
Aircon.|ihooiug bnpbezu,u,knwirhm`kwy --- ----'----
o,=u�*�,�m /""t"o"u"o :Iteration, and/or
__������-_______-_____'_____ ___ __ __�_� . . _
200 snips 80,30 2
----'_-_-___--_'
201 amps 106.85 �
&U nmmn�uzr OWNER [] TENANT - --- -- ------- ---'
� �o/m` t 600 160.60 z
�-------- ---- --- ----' -�L��� ^ �`� �
Num�� Daniel Cowley 1,000 ---- --- 2^o.6m ------' � —
Address: 7706 SW Cypress LN over 1,000 amps or volts *54.65 2 _.
--------' ---- ----- Reconnect onl 66x5 2
City/State/ZIP: Portland OR 97224 Temporary services vrfeeders si fflatlon, alto at n, and/or
Mime: (503)922-2941 } las�(5O�)922-%Y4l ����v» ------- -- ------------
� ! � _200 amps less 66x5 1
- » 2�� _--- --'-_-__��______'-
owner '''~'^^'^ 201 amps to 400 amps 'oo.m 2
lease, /no` or -- ----�-------�----� ---'- '
intended / -----
' *o/ o , mm /as�� z
Owner llranch circuits alt*atm extension,
'I " 0 CONTACT PERSON " A. Fee for branch circuits with
service or feeder rec,, each
Business name: / - branch circuit 6.65 2
Contact name: / 13. Fee for branch circuits
without service or feeder fee,
- t first branch circuit
Address:
Each addl branch circuit 6
City/State/ZIP: ��ce,.�mm (service or
_
Pump ini i circle o*v 2
Phone: ( ) )'oz F a x : : ( ) � � ' �
Sign outline 53.40 2
. E-mail: -���7��"/`(��7���' - ---------
'x»prmAczOu "nergr panel, alteration, *
----------
extension. Describe: Page 2
--_____-_ _-__--__ _---___-__--__ ---_.-__________-. __- -_ __---_ _--- __ -_'-
xdd,xoo: Each additional »^inspect over inspection
/"m`r"f the above
Per inspection
Cky/Suu,/�lP: ---- --------' --'-------�
_—___�___ '____—_ — .
Phone: _____— ___
mm'm: ( ) )ax:( ) -n��� ^ ''~"''~ '~ 73.75 - ---------
• ELECTRICAL PERMIT PEES*
CCB \.i^ ' / | Electrical - io ' � | 8`9rv. / i:.� — ---
� �� x"m*"l ___
G`,,, Electrician signature, required: Plan review (25wvr permit fee) .~,..
--- ------------------'---------- -----------------' m"'"surcharge (mw"/' u- �.
Print name: | Date: ----�-- ----------_�—'_----- ' ~��� ----'
TOTAL ,°""^^^"x^
AoAm,izu� � wit 18
------- -----�----------� ------------- ^ n=°^/ as complete /=n""a
` '--� -------�--' ---- -�--� ----- ---- °w..* Permit m'^"`^
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC7006.00552
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /0/16/2006
Phone: (503) 639 -4171 /npm
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1!1 "2/7007 TIME: 7 :04AM PAGE: 39
SITE ADDRESS: 0770$ SW CYPRESS LN CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 026 TYPE OF USE:
PROJECT NAME: come(
DESCRIPTION: (1) branch circuit for a/c installation.
OWNER: COWLEY, DAN PHONE #: 503-922-2941
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 1/1200N Pour Time: Y
Code # Inspection Description Confirm # Contact # Message
'14 5 A/C or heating unit circuit 042031 -01 503-841-8361 N i
Corrections /Comments /Instructions:
In PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r:f -t Date: / /Z a Phone #: (503) 718- Z6yY