Permit 0.
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT # ELC2007 -00060
DATE ISSUED 1/25/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102BB -01802
SITE ADDRESS: 12533 SW GRANT AVE ZONING: R -4.5
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT : 018 JURISDICTION: TIG
Project Description: Replace defective meter base. Job # 8871.
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:
DUMITRU NEGREANU WILLAMETTE ELECTRIC INC
12533 SW GRANT AVE PO BOX 230547
TIGARD, OR 97223 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 624 - 3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 1/25/2007 $80.30 LIC 75059
[TAX] 8% State Surcharge 1/25/2007 $6.42 SUP 1965S
Total $86.72 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 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: " 7 )' 2 j Permittee Signature: �� { 0
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.
Je 24 2007 1: 12PM WILLAMETTE ELECTRIC INC.
: V 5555555555
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IF ctrie 21 Permit All 4 licatioEz
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I 31 n SW Hall Blvd , Tlgaid, OR g7223 Pidll Revizw
Phone 503.630.4171 Fax 503 59b.1960 .. ,llA Date/B • Othel Pei rroi
i A m n 4 I i ,Vii41:101, 1 — — -- - -
luspection Line. 50.639 4175 JMII 4 1-1 Lii.,•-t,—,.g-71,--:4A Date Ready/By. jurm 111 see Page 2 far
Internet www c .ligard ()I us NotifiediMetliod. Supplemental intormation
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0 New consirtiction 0
drilrili344).aln"Vq iTTRIVW Please check all that apply:
['Service over 225 amps, comml Hazardous location
El Demolition 0 Other:
— CielrEGW1-41-VONVIRIECrElteiN ' ['Service oi..er 320 amps -- rating oBuildn over 10,000 sq II ,
of I- and 2-family dwellings 4 or more new i esidenti al
- and 2-family dwelling El Commercial/industlial 0 Accessory building 0Sysicrn over 600 volts nominal units in one structine
D Building over three stones 0Feeders, 400 amps or mole
D multi-family 0 Master builder 1:1 Other: ,.. ['Occupant load over 99 persons ['Manufactured structures or
-,- - 7. 1:' 7 :'..'' - '; 7 : ''' 1: , ..ri 07§f4TOT, .!, *. 60*- .,' 7 : - -=•• 0 Egress/lighting plan RV park
- ' 1- ,- i. i.i. ..,.. 4.- , ...,.,g..- -17.441a=i■-'—' . vr— — ....!1;,---,-"7,,,,,,V"%:•,:,"=F:.7: i.:': '',.
Job no - 97?/ Job site address: / Zs 73 st.....-. Health-care facility 0 Other.
Submit 2 sets of plans with any of the above.
City/State/ZIP: 7' 9 a ,...,1 04 5 7 2 7 The above are not applicable to temporary construction service
-Ati.4.--525:WArrigitk-.2:1WW4' ' :4- -
S uite/bidglapt. no,: Project name: N 6't.'C' elk Description I Qty. I Fee. Total I "
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'I 500 sq. it or portion 33.40 1
Limited energy, residential 75 00 2
'Fax map/parcel no.: .,_ ,,,,, , Limited energy, non-residential 75.00 2
'-- '' ''''' " '': : 0..".g§t-_, . 12i ;OA. 11 -1401P-41 ; 'AMI'S.:' 4i .j . -! - -': 1" 4: ;. - "",,r Each man afactured or modular
dwelling, set vice and/or feeder 90.90 2
fe eroh....e do hr A ...... ri, e ,i, e , 4
aPHre Services or feeders installation, alteration, and/or relocation
200 amps or less / 80.30 ao 2 2
-':::::-.-: '','''Al'ir'1114trati.01,Waitga-a-114±114Afifati-4,1*SigatiZT6'; 2°1 amps to 400 amps 106.85 2
Name \ r\ . ‘t ..- .. p ., N _ A _ \ _ , 601 amps to 1,000 amps 240 60 2
_
Address Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
arid/or
_ -- City/State/ZIP: Temporary services or feeders installation, alteration, anrelocation
Phone: ( ) FaX ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 2.0] amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 amps 133 75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
6.65 2
Bustness name: branch circuit
- B. Fee for branch circuits
Contact name. wilhout service or feeder fee, 46.85 2
first branch circuit
Address: _ Each addi branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or in-igation circle 53 40 2
Phone: ( ) I Fax. : ( ) Sign or outline lighting ,
53 40 - 2
_
E-mail Signal circuit(s) or limited-
4:,,,,,P;.i..41,(5-;;mirmy.--4,5zpigog-§,Avark::.:2;7,,;:n7:,4,,,:y:fl-ea:4 energy panel, alter anon, or
extension Describe: Page 2 2
Business name: Lij: 1 1 a 64 eft e C./ ectr. -t 4
Each additional inspection over allowable in any of the above
Address p 0 3 OA 23 e PI ? Per inspection 62.50
City/State/ZIP: T, 00 , -1
) .,..- , Or- ri 72 ?) Investigation per hour (i hr nun) 62.50 _
Phone: (543 ) i Z 't - 3 to 1 i I Fax: (.1-1 ) 4 '` S' - 2 9 3 P Industrial plant per hour 73 75
CCB Lie • 75 9 1 Electrical Lie.: .3 V Suprv. Lie 6:24‘
—..S.- Subtotal
..-.>
Supry Elecnician signature, requireclie„ ..,. ,.....---,......- ,----. • • -- • Plan review (25% of permit fee)
State sit harge (8% of permit fee)
Print name ilr,o FiCe Date. 1—xi9.,..0 ,
TOTAL FERIVIIT FEE 1 SD6 - 1
Authorizeci signature: 'Chic permit application expires if a pew ink is nut obtained within ISO
___ --- — — days after it has been accepted as complete
Print name i Date: -' Pee methodology set by Tn Building Industry Servire Board
Number of inspections per permit allowed
i 113.1d Ins \ Ferrol 51'1 Le. Pc1110tApp doe i 21113 440-4615T(10/02/COMIWEB
_
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BUILDING DUNG DUVUSKON
PERMIT #: ELC2007 DOOGO
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2512O07
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/7/2007 TIME: 7:01AhA PAGE: 45
SITE ADDRESS: 12533 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: NO TIGARDVILLE ADDITION AMEND LOT #: 018 TYPE OF USE:
PROJECT NAME: NEGREANU
DESCRIPTION: Replace deFective meter base. Job # 8B71.
OWNER: NEGREANU, DUMITRU PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503'6343631
Inspection Request Scheduled For: Date: 2/7/3007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043070-01 503-624'3631 N
Corrections/Comments/Instructions:
•
•
PASS 7 PARTIAL APPROVAL ri CANCEL I I NO ACCESS
| | FAIL | I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
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Inspector: o�vu���^_~ Date: ��� -^� � Phone #: (503) 718- u-�~�\)