Permit CITY OF TIGARD ELECTRICAL PERMIT
m` = PERMIT #: ELC2005 -00200
DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005
::.. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103DB
SITE ADDRESS: 13460 SW GENESIS LP ZONING: R -4.5
SUBDIVISION: GENESIS LOT : 002 JURISDICTION: TIG
Project Description: Alteration of existing 120 volt service. Job #TG1594.
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
LEINBERGER, DAVID DRYER ELECTRIC INC
13460 SW GENESIS LP 9409 NE COLFAX ST
TIGARD, OR 97223 PORTLAND, OR 97220
Phone: 503 - 684 - 1168 Phone: 503 - 771 - 5667
FEES Reg #: ELE 26-1142C
Description Date Amount LIC 153466
SUP 2876S
[ELPRMT] ELC Permit 4/1/2005 $80.30
[TAX] 8% State Surcharge 4/1/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86
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- 800 - 332 -2344.
Issued By: y � ems— Permittee Signature:
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.
03-30-2005 13:51 FROM- T-933 P 026/043 F-594
-/ 01/2005 15:12 FAX 5 0 3 59 8 1 9 00 t...1.11 ur Als..us.r.....
Electrical L'el,RARelication .
City of T ig:ird
/Ago \ - eceived .-,._. -, 54 )K 'II 1' 1:: 1 ISE OM V •
Dal ,yii. ' j a - _- Petreit No. cf,,,,,203- 0,46
Vazateviow _
1 1. 2 SW Kai 115 lvd.., Tigard, OR. 9722,7.
)he: 503_6:9.4 171 Fax: 503.598.1950 • Dassin : o thus Perasie
Lin r . 503.639-4175 ..-41L.Alik "1.!..„, Age ReaciyiBy: —__
Ism. 53 Sec Page 2 for
:12terrIzt: wwv:to, rigardor.us Netified/ „.... Merhads tr st.apptr.,..,t Lnfortnatio. j
— —,--___
, 71, r -,:- .. ... r.„ .. ,.. , .. 7 1:','; 7 7 - ' 1 7;:: r . i) 7 ;.,' :.'t'' ,.,,'.;:, :i711TX7:1:1 IT pomp .,'r,fig,.: ...',..•:. ;.-:,e„;; .•
r- i New ogalttuotion 0 Addition/alteration/replaconaent Please check ell dm FLpply
OServict ryes 225 alum:, comrn•l pliagardcu4 1ocaciou
Domolitic a rj Other: CI service ovt:32.:. arops - r.stng Olauildng oloer 10.000 se,. ft.,
•" ''** :'''' ' "7 -... ' • :' - : : 7.: ': :'''''r 7i
.
i i. . 21 ,,,,,„ _.:„. , . i .. . . ....,.. :.,::,,,....:,‘,..... ,:,..,,, 0:2 ILI tm ..:. Q' 1 and 2 family dwrllings 4 or more !new resIder.no.1
A-1- and 2,inr ily dwelling. 7 Connzercialith.dastrial II Accessory Inxiltling . EDystarn aver 600 -volts 'nominal US it Laid SML.teturc
0 Bllilding ON CT dace =its DF;caer5, too amp or rrxrc
/ Multi • , ,. 014laster builder _ 0
. . ..,„,..„., DOccupent lost. srvet 99porsons plvlanufacnired Struce_tres or
,
RV perk
141 1i;' ' ''' . -.'? -• :..., I ':::.*,' ", 4 •••* ; : ' 1 '.'.'`.... , ',*`•*,'...r.,,'-•':'''s_::..:.-....1..., ..-1,..:,,,,.. ... .., ;,„ eyligb;in ;; y4aT,
‹) fob no.: Job site : i drea! difiti 04grss
_ - • eal
, pt fi
e at.iity
ErOther:
eitO 0 ., A liTs id 41 1/ 2 set of with any of the above.
•.'iry/Stats/21 4 4 Wail I kl I 0 1111 ILO al
- - - 100 Tbo abovs aro nor a2plicable to temporary cons. pun service.
Inlin ite/bldg./pt. o
littFti,-...7 Fr''.31 ' : ,..art-.. , i.r. • , .. ,-.- , :
ls s.; illi P .jec t name: -I i:i:■.1',:':'...L......:. -1:.'' await ''',V.-3:4■7.::: ..:e 91 .
Desseirition , Rsi , rcs. 'T TULD1
II '----------- '
ross street/cirt ctions to job sits; New resident - aisingli , or multi-fismily dwesoin it urs it 1
— — Includes attaubsd nal age.
1,000
________ sq. ft, or leis 145.15I r 1 41
_
-.:„Lbdivisiou: j Lot no.: Ea_ ad 0 portion d'l 50 sq. ft, or
33.40
I 1
Limited enerfc(, le:lido:anal 75.041 2
lax ritap/parc el ria.: , Lmited ege, n ridnal 700
iter -eseti .
...-•, • 2
''.:.:g '' •• -....1:! ::: go ' :. :..1._ . : : . ": ' • ,.1 ,.- ..',... :-.., . ,,... 2 , , :...,%.,- ... , j ,...„. : ,•. .,,,• _•,,, .,, .,,,.■., ,,,,,,.-_' ,,,,j, -.,.. manufac aired .u! modular
•
# intea , WiTiga _ ciw servLot andfor feeder , 90.90,, 7 _
_ , Services or feecid.rs lastallationx alt-ratiou, eosins( relocation .
- -
ilts , . Mlle- iillEartord 200 amps or less
----- VI s o . 01
-
. _ . - ,. . . , . - . , - - - - - •P r ' ' - ' ' - - 201 amps to 400 amp!, 106.85; 2
?;;;!:' •''' ' ' -: '! - . • .4•.'"%sli - •....1* ** ', ...' '-. • * s ' . .11 :*' , :•:. '***. •• ','. Y ;i:4;'".';'; '.1 ,:',,,':., IIIIII 160.6d! 2
T lCC k n
- 601 amps to 1,000 alto 240.6U• f 2
ats
o. (AD att..)t.bt OYC 1 000 airps or ve
454.651
, 2
--------,, Reconneet only 66.85,
ary/State/ZE e
': 0 _ 9 7 ? Tempora
)
ry i pr feeders installation, altektion, a ud/or
— ---
••istme:(503) le Sq /40 1 Pax' ( reio cation
200 amps or less 66.851 I
_,,
Owner Instalra low This installation is being made Ott property that I own which is not 2C0 amps to 400 amps 100.301 2 j
aterided for a all:, leasc, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps co 600 amps 111111 133.751 2
lwner siigMt alit n , Date: Branch circuits - now, alteration, or extension, per panel
-.0 -.•••••..*::::• , " - I •-•.:;.-' -.' -,: - ...,* ""- -"•• " 7:1 - •Tri . • .. • I.:.:1- f... •,•....:,,I.: :.,;;,- f .!..,,,f. ;., . :,. .. ..., .. k Pee Ibr bra I Mb circuits wah - 1
service or iced er l'et, each 6.65 2
usittess am le: branch circ
-- ' II Fee for brand: cii ciiits
oat.= nacrw.: lviihour CMG.: o .!sseder fee, 46.85 2
soda branch circ!,,11 _
‘J,dress: , —_—_ _
Each add'i brine li c .re sit -. I
— __..---,------- • - .
-- ,, ,,
•ity/State/Z1?: lqiseellaneoun (4rer flee or feeder pot inoluigen) 1
•■•••••■•■■•••■•■■• -' ....^- Pump co irrigetien circle 53.40 I 2
none: ( ) Fa: : ( )
, Sign or oetlina lig1-.A.,..-.,i. 53 44 7
-snail: Sigial circuiL().3rTrtritnr1- --:
II 7777: '' - ..1MT - - "V energy panel, altorithou. or
'''......- . - * * *''' - ` ' extension, Describe: Page 2 2
- usiness nen Le 10 p
. ....
-- - /or
'-' • 1 kirrilt_IP.... s. a
etrit r
.. East additional insps,ctlon over allowable in isay of the above
— WA ------- Per inspection 1 1 62.5C• 1
ity/Star.elZ1? ' 1 IDIVIIIM tiliffErk7A.- 1111
' inve,stigatior per I.it(1 Kr raja) 1 I 525C ,
-
bane: ) _ rt!-- Industrial •Iant Per ling ' 73.751
Clia.MAr 1/ ---( - 0 r.,1•. ' .' :•-•-•; ! li• T.:: NIVIEi' i.i*);"lill'',7•ti; t - ..,s,. ; 1 24 7 ??PelT:-.'*.
13 I.4c.: --- i Suprv. Lic.: . A b dIfigpM 0
I j . s, ■ Zwal 40 IF
lectricat _______,. sutotal
- Aprv. Electrician sip= ire, required: •
, p ban re.wiew (25% of perrnit fte)
5 taie 31c-charge (8% of pinrnit fen)
..
.&, g
., TOTAL PERMIT FEE Ate --
4 jd .......
L -
-., utborized a .gi iature: This permit uppiknil*a expires if 9 permie Li not Ohhil MG • withi I !0
----.■••••■• ....•••------ -- duys es :um It has hew accepted as complete
'•-int namo; LDate: ' Re elethesie Ies- ettly - rrI-Coisocy nizisurils hyausoyi .cl 3oard —
— ''' Number as 1051) per permit allowed.
,P.slin\Pansia■ZI.CPternithrp.dgc VA/03 44C ..Sisr(IsvovcolvowErs
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00200
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/05
Phone: (503) 639 -4171 .�mna�INuypMltl4 i '
Inspection Requests (24 Hrs.): (503) 639 -4175 L.
__...
INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 25
SITE ADDRESS: 13460 SW GENESIS LP CLASS OF WORK:
SUBDIVISION: GENESIS LOT #: 002 TYPE OF USE:
PROJECT NAME: COMCAST
DESCRIPTION: Alteration of existing 120 volt service. Job #TG1594.
OWNER: LEINDERGF_R, DAVID, PHONE #: 503.614 -1168
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503 -771 -5667
Inspection Request Scheduled For: Date: 4/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 004118 -21 603 516 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: �� ®$ Phone #: (503) 718-