Permit TIGARD ELECTRICAL PERMIT
CITY OF I �" Q '�a PERMIT #: ELC2006 -00177
DEVELOPMENT SERVICES DATE ISSUED: 4/7/2006
`"-' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102CD 01500
SITE ADDRESS: 09885 SW GARRETT ST ZONING: R - 4.5
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT : 016 JURISDICTION: TIG
Project Description: (1) branch circuit for a /c.
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:
MARY FINN GARNER ELECTRIC
9885 SW GARRETT ST 2920 SW 247TH AVE #A
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: 503 - 639 -3990 Contact #: PRI 503- 648 -4552
FAX 503 - 642 -7925
FEES
Description Date Amount Reg #: ELE 34 -305C
[ELPRMT] ELC Permit 4/7/2006 $46.85 LiC 121 159
[TAX] 8% State Surcharge 4/7/2006 $3.75 SUP 3707S
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 for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set foi • OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -66' • or 1 -8H4 . 4
Issued B • / • e� Permittee Signature 1 o e -
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.
FROM :GARNER ELECTRIC FAX NO. :5035427925 Apr. 05 2006 12:37PM P1
Electrical Permit Appblcatnan=�VED rag err u n it
City of Tigairr� n1 -
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Permit No.;(��(�� —�� /77
13125 SW Hall Blvd , Tigard, OR 97223 n J 2006 Plan Review Phone: 503.639.4171 Pax: 503,598.1960, A 1 ^yrr' i h s Date/R Other Remit; invpacgon Line: 503,639.4175 "�
Iit[esrrerc[, www,cl,Ct tird,or.ua „ �•- Data RaedyBy^ 3 )7 . 121 goo Page 2 for
TIGA u Notihn
r Ty OF ' / Q 3upplemcntul Informodon
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R r l' 'ill Yl , b if 17 f 4, it t 1 I f11��¢ a 1 O fitt 1" a r. I t i� N ,nr r
∎ 0. i .t . i t l ', r<i r, 'W? 1L.. r e ,-. ,eii n iix : aft l �`�"i�i {tt I lul ? u �1, 7. • ,:19`; i a , 114 c. 1 k � a a t
..� � i iw:: IIM�''�r� ��� �11� 7 4 i ,� 'tY'r ,,, . r,:,- , ' • .
r.] New construction ` Addition /altemtion/rcplact:me-nt Please check all that apply:
❑D Other: ❑Service over 225 amps, comrn'I El location
•'' a rrl'i} iTf H ``'�''} II{t i kl' ° i`�rt�` , p� v ;a1i Ir r VS�S Yt t ?�"< RPnT 1 CkINil6�' p` ' I ' , f , , ❑Service over 320 -amps - rating ❑Bulkin over 10 sq.
ti 7 ,, H , 4 0 u t a u. tl r.11 t ft„
,, ., , , 1 .ill,, {tll ,lul u.+$ „ .4ssf�( „. n�6, .1,•R,,,,,,:tJdss,a ,..,,,�:u::�,.„,rLL c l f! , i.. 11, ' t! . l�I,�i 1 .ny of 1- and 2- family dwellings 4 or m new residential
',.A 1- and 2- family dwelling 0 Calntnercitzllindustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
■ - family Master builder ❑Other: ['Building over three stories ❑headers, 400 amps or more
.("(.,'a' ^,'g , ' j: Ti !' ?Jl�li"fitrl'sTr ^nin:r, - .;* 1 ':::u,;:n• •,;,�;[tp uE•n- f�.•st1” 'r };� + ".vs' „�rr�: t ang. ; ,sus. e�•• ❑Opeupant.lead over 99 persons ❑Manufactured structures or
:; tgisal4 il',',4 �§IFs'll'k'i�I,:Ww. l rtiNlti #Il l::i�f( il( .ri,s {! o mi t ¢ n 1, 4 -P
alQ 64(C��i, Pi�
l'4: 1 »ILi.lii {` ;(,, , f 1 71 ;li t�tA' 1111n�,�1' +1? P
r. n.�.u,(Y „1 1 f�,l .r,. �1.14],.yie•,.,n ❑$ges%fight{ B:nlatt 13.v Job - no.: Job site address: par.
9 C, 9 / . •Iealth =care facility 0.9tbe
�{{ nn� * � � ` �W *” " �- , :.DI Submit j acts of, plans with any of the above,
City /State /Zips. , , T i 01 it.` c - 7
_ � 9 1 d "�• The above are not applicable to temporary. construction service.
Fp <t }�� ,$�
Suite/bldg. /apt. no.. ' nine: _ . 1ys1'{ fl 9l M j�4Jlk� j,Tl, ] JfLnA nr yrk`ia ' .
Project ,!. iE i l ilei1 v Y.{r&14>t li li;l; . ;� liiji•�lila tit l4 ,+,
3 - -- , :s�1J�t1„�tC.� Iva.. ''
-• ..,� neocYwee .. „� Qty. Bea Total ^ r _ '
Cross street/directions to job site New residential single - or multi=family dwelling unit.
"'- - Includes attached garage.
1,000 sq. ft. or l ess 1 45.15 4
Subdivision: L no Ba. add`l SDD sq. ft.' or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
Fi ':� ) i t " .11 6 ". +'Ip.Aij07 "l t'f�'11 .f�'ti� lit jr.t "'i,;l','1 k :F - a •'yea ; .. , • Limited energy, non
1 , 11 f .al... tr ` 1: ;i.: i; 1 , 2 trf , .'Ix 1 l 'I! , ±igf tmr,: ,l 1a 17:'�`1q'1 - ,; u;4 n il 8;3' •residential 75 2
Wlll+6 eitV1 'O a % ,l tl ,I. `r .h�Tir �4 l ,,{ J 4 , � , tt:t.i 'p ^lln r, VA L,7, l l 1p l t a'j� 11.il thi.t ,i I� �i� lf . . : ' . I ��p } �j1� v i1�1 ? € X
� �1 Je ,J, kniwF.t�. '1.,,�hi I, fl, n ...,o.,•.iular sitw,r'r %term n;.; •�x•_e6,- t3ti4ihl f e. 4 o, t. t' it, �.., uM �i�u:. la � iUw ' � Cl1f: � �1V�if�. . ,, ti 4n1Y Y ?rlr�R'.i.�li Iia ch tnanuflaetured or modular
— A 7 A / c ....... _ dwelling, servio a nd /or Feed 90.90 _.. 2
Services or feeders installation, alterat an relocation
200 amps or less 80,30 r 2
t, u•:g;'t'r�gi'd;= ; s +•'mlimlll*..sss:t:i'1ea,,.,,e ;.s;t.n r,v , Y ra 1 r;'p ; {fu , .rapt ,r r p, I � , r .`g fly . `
'i
i i lt4 „ V�tnIr gi lll� i �, i u" ,'; r °vw :lR! l .r,t a 1 rl{ !;t`;; IrtiprlliNifiEtl ia�''ti 1,�c
i T tz ;: 'I�`� oorA•1fJ!t+� 201 amps to 400 amps 106.85 2
'tUl•ampa to 600 amps 160.60 2
Name: 601 amps to 1,000 snips 240,60 2 •
Address: • Over 1,000 amps or volts 1 454,65 2
-
Reconnect only 66.55 2
City /State /ZIP: -11(„0,4,- l X !) [ - I . . Teipoiary services or feeder installation, alteration, and/or
Phone: l relocation ,
( � � ? � � Fa : ) 200 amps or less -” ...: _,. 66. 1.
Owner lnstall.atioa: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or =change, according to ORS 447; 449, 670, and 701, 401 amps to 600 amps 133.75 2
Owner signature: sigixat Llate; per .. ig a . t . ;: , ° iL11 . ..,, .,,:, r ,, r _ , U; � , Branch circuits - new, alteration, or ex-tension, per panel
Az''�i�l r �'r o IrrIi Y�lPT:Il • ∎ 1 :'t f1 1"+RI! r'V����•'f i 41 1clif(l� 1 l t � l ; i l4 j i q Mill) til SIiii i IIli U I f�V 4 15;';4 p ,,,S i y � f tti Yt i l z �,p ff , ' � °� A. Pea for brandb circuity 7dt ,
,i+rd,Cdii I •il . ig ltit1 , ..,71l r,bleat;lrA,.7�xs f�lE1`iiki,1t.; bi2iY:riflIE w1 G : 1 � 1.1.41, .,, !_S,:I )1, t9;:4 � l l''ttimi
service or feeder fee, each
6,65 2
1331isiness name: _ branch Circuit
13. Fee for branch circuits
Contact name: without service or feeder fee, FF
Address:
each branch circuit•
1 46115 � j �� 2
Each add'l branch circuit 6.65 2
City /State /ZIP: Miscellaneous Sservlce'or feeder not Included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2
E - Sign or outline lighting 53.40 2
}]�l il� �''' � +'d�1tiAtilt'µ'.'�' "d'jNa' +F! 1 ° i? }:' 1 f : d r y ` v n ,p ,, r : L ' 7 ' S • Signal cireuit(s) or limited -
..I rll:u. i'dt- rti jql' v"• 1 �1ra�(; GI' N1�' i.'' 1'. l ai l+% i 1 '' ilA; 1�� �yJ7 1 ��f. I�T ��4j�' l Il4ryL . J f l "�a " at� a ,I q: 3 �� / ., ; energy panel, Alt
mYl mi .�� kt_._ � SG7?,lr dk_'i3 Cl ,<1,}.,nirA�,rls _,,eu±lfu nCall.,tii,„_,�a,t$ :m 70 , ,Ncant%:, !.l�v:Li ?l�'SI,S!G1;H 11�� US f4,..4.', A' Ale � ;d. , SY p oration. or
extension. Describe:
Page 2 2
Business name: (�;,_ , � ►\� EFL C�_� �. �— _,._._.
Address: c ( L• "7 l l i; — I 'i'vt A A . „ 4 Each additional inspection over allowable in any of the above
r S l - Per inspection 62.50
l'F
City/State /ZIP: // . t `_ t> i� „' C:t i C' �,_ "-: 7 1 r t _) lnvcsti poi hour (1 hr aunt 62.50
Phone: ( i�.,') L, t -i :� L S - F. r ) C c,--) intlustrial plant • crhour 73 — �
�._ I i�� ^,� ENVIM rt ¢;`a 1v17f ; ii���Mfw'g +�l,9 `� .oe . ,C.1 4 : 4,n,ir,J11
CCS Lic, !• Electrical Lie. :D ” r lc, ,
c . I L» i r k - S .?_ ��' � e
') Subtotal q c.,, ?s
Suprv. Biect ictan signature, required: / / `� Plan review (25% of permit fee)
Print Warne: ;_ � ,� � , ^ ilc-r f' Date: State surcharge (5% of permit fee) 3. 7S
_ .,.. TOTAL PFuRM7IT FTX 50 . (00
Authorized signatuIe:
'MA permit application expires if a permit Is not obtained within IRO
Print name: days after it has been accepted as complete •
-- Date '• Fcc methodology set by Tri- Cotmty Bodine Industry Service Board
— "e Number of inapaetioee per permit allowoeL
\Building■Perrnlwl5LC- Pei rnILApp,4oc 12/01 440 -441 sr( fl/MANIA.UWPo
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00177
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41712006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/19/2006 TIME: 7:02AM PAGE: 56
SITE ADDRESS: 09885 SW GARRETT ST CLASS OF WORK:
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 016 TYPE OF USE:
PROJECT NAME: FINN
DESCRIPTION: (1) branch circuit for a/c.
OWNER: FINN, MARY PHONE #: 503-639-3990
CONTRA TOR: GARNER ELEGTRIC PHONE #: 503
Inspection Request Sch- ruled For: Date: 4i19/2006 Pour Time:
Code # Inspection Desc Confirm # Contact # Message
199 Electrical final 028297-01 501648-4552
Corrections/Comments/Instructions:
NI t- V I A: 1 1 \ e s 6 e
- 11 PASS 11 PARTIAL APPROVAL CANCEL fl NO ACCESS
I I FAIL 1 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: GI\ Date: 1 -1119 _ Phone #: (503) 718- 2.414t•