Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00734
, DEVELOPMENT SERVICES DATE ISSUED: 9/29/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S110DD - 12400
SITE ADDRESS: 10730 SW HIGHLAND DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.13 LOT : 694 JURISDICTION: TIG
Project Description: Panel change.
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:
ROBERT GRAY ENDERS ELECTRIC
10730 SW HIGHLAND WAY PO BOX 1661
TIGARD, OR 97224 BEAVERTON, OR 97075
Phone: 503 - 692 -4675 Phone: 503 - 626 -4813
503 - 646 -3871
FEES Reg #: LIC 00026728
Description Date Amount SUP 2028S
ELI; 34 -265C
[ELPRMT] ELC Permit 9/29/2005 $80.30
[TAX] 8% State Surcharge 9/29/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86.72
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: / O . . % ) Permittee Signature: e. p ( C
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.
Sep 27 05 03:18p ENDERS ELECTRIC 503 - 646 -3871 p.2
!!'!/ 7! 2005 13:38 FAX 5( RECEIVE - � OF TIGARD
' _ n l' X1 001
`t Electrical Permit A,DpItcation
City of Tigard 2 2005
SAP Received Perm No. G
1 3125 SW Ha!! Blvd., Tigard, CP. 47223
Date") : t
Phone: 503.639.4171 Ki 503.598,1960 .: r,„ 3, — J _
In Line: 503.639.4175 �` ( °
Internet: wwv ,ei.tigard onus CITY O F 1 T i ' ti R jA' ,' I1 O,hcrYtrmic
y
Mite Ready/By;
!d I Noritkcvme hod 1 See Page for
Supplemental Information • WORK ; r: Please --
❑ 1Veuv construction Addition/alterarion/re l ac . cMcnt • ' P1 ' r'l w
P check all that apply:
Service over 225 am
[ Demolition D other: amps, comer t azardous location
.. Cil)ltiGCIRY QT- Ct?NS liLtC17QN; ❑S rvice over 320 - P H
e r 0 amps rating QSuildgg over 10,000 sq, ft..
[fit- and 2- family dwelling of 1 - and 2 - family dwdilinge 4 or more new residential I i
g . 0 Cornmerci&Iia ❑ Accessory building DSystem over 600 volts nominal unite in one Structure
❑ Multi [] Master builder ❑Other: DBuilding over three stories ['Feeders, 400 amps or more
• • :JOB' SITE INFtfRMA T iON., AND L OCA,'T1 >N. ❑Occupant toad over 99 persons DManufucturcd struc or • Job no.: ❑Egress/lightint plan RV park
lob site address: 10730 SW Highland Way 1]He11eh-cere 1'atiht Qbther:
City /State /7tP: Y Submit 1_ acts ofplaos with any of the c,bove-
Tigard, OR 97224 The above are not applioeblo to temporary construction zcn ice. • Suite/bldg./apt 110.: P rOjeci Annie: FEE+ .SCHEDULE
Cross street/dircetions to job site: petedpn °" C Qo, 1 Fee: 1 sold
New residential single_ or multi - family dwelling unit.
loch:wet smelted garage.
i3O00 sq. ft. or leas 145.15 , 4
Subdivision: • E a _ ad d'I 50 0 sq
I Lot no.: sq. R or portion
33.40 I
Tax map/parcel n0.: Limited energy, residrntiai 75 00
2
': DESCRIPTION OFrWORK ` :.'' , : Limited energy, non ttSidentiat 75.0D 2 • -. - l Each manufactured or modular +
Panel Change dwclll. and /or feeder 1 90,90 2
Servitea or feeders installation, alteration, and/or relocation
200 amps or leas 1 80.30 80.31 2
RROPERTX ` OWNEB 106.85 2
�` ' ❑ T$IVAN ?' 201 amps to 400 amps
Name;
' ' 401 amps to 600 amps 160 -60 2
Robert Gray 60: amps to 1.000 amps
240.60 240,
Address: 10730 SW Highland Way 2
_ ova' 1,GOD amp o r volts 454.65 2
City/State /Zip Tigard OR 97224 Retonntct 66.85 2
Phone: (503) 6 Temporary service's or feeders installation, alteration, alid/or
92 -4675 Fax: 603 ) 692 -9292 20 0
amps
Owner installation: This installation is being made on property that I own which is not ps cc less 60 85 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 1 01
401 1 am amps to 400 amps 100.30 2
Owner 6ibmtiturt: 401 amps to 600 umps 133.75 2
.p��,1' • � " " C Date: — new, alteration, or extension per
Branch circuits
.p,0 +nr"LIAIVT : a , P Panel
1. CONTACT PERSON A, Fee for branch circuits with
Business name: service or fc - fee such I
Enders Eelctric Inc brunch circuit 6.65 2
•
Carina Dania: Allen G Robertson B. Fee for Drench circuits
without service or feeder fee,
Address: P.O. BOX ] 661 each branch circuit 46.85 2 1
Ciry/Stote/Ztp: Beaver OR 97075 each add'l branch circuit 6.G5 2
Mlscelleaeeas (servi or feeder not included) i
Phone: ( 503 626 -4813 Fax:: (503 ) 646 - 3871 _l'umpotirrigationCircle 51.ao 1 2
E -mail: - Sign or outline lighting 53.40 2
Signal circuit(s) or limited- • _ '
COT.1 RACTQR' energy Panel, attcration, or •
Business name; Same as above extension. Describe: page 2 2
Addrr5s: Each additional inspection over allowable in any oPthe above
City /StateJ2lr: Per inspection 62.50 !
Investigation per hour (I Sr nun) _ 62.50
Phone: ( ) I Fax: ( ) Industrial plant per how 73.75
GCB tile.: 26728 Electrical Lin : 24-265C • . ELECTRICAL rERMIT or • ' • �u� v.
Suprv. Electrician signature, required:
� , �N Subtotal 80.30
, a 1 ` �I Plan review (25% of permit {cc)
Print name; Allen GRobertson Date: State surcharge (8% of permit Ice) 6.42
09/27/05
Authorized aisdatur« _ TOTAL PERMIT FEE RA n
— ' — — This permit implicative expires Ira permit is nor obtain d wit lea
Print name: Date: _ day' *ft.. it ha; been accepted' ea campleit
' Fee methodology net by Tri.Couniy nuildinn indaCt '' Si Me Beard
■: 1 nuJdinglPennl ,nlfl.C- PnndtAre.aoC 12/03 ss Number ofinspeetions per permit allowed.
440.161 ST(i ariwCOM/wEB
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2006-00734
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2005
Phone: (503) 639 -4171 �n au�
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' =�
INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 78
SITE ADDRESS: 10730 SW HIGHLAND DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.13 LOT #: 694 TYPE OF USE: rJ
PROJECT NAME: GRAY 1
DESCRIPTION: Panel change.
OWNER: GRAY, ROBERT PHONE #: 503 -692 -4675
CONTRACTOR: ENDERS ELECTRIC PHONE #: 503 -626 -4813
Inspection Request Scheduled For: Date: 10/18/2005 Pour Time:
Code # Inspection Description Confirm # G.. - - . Message
199 I Electrical final 018570 -01 03 V
Corrections /Comments /Instructions:
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, --- c_kv,
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❑ PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: tz---/ 7 1-7---- 7 Date: / 0 /Y6 —
i`6- Phone #: (503) 718-