Permit C ITY OF TIGARD #{ f' ELECTRICAL PERMIT
1 ! PERMIT #: ELC2006 -00372
�V
DEVELOPMENT SERVICES DATE ISSUED: 7/12/2006
'' { �I 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 1S136CA -01600
SITE ADDRESS: 11655 SW PACIFIC HWY ZONING: R -12
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Replace main service. Job No. 06 -4329
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: 2. 0 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: 1 PLAN REVIEW SECTION
1000+ amp/volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
HALL, DONALD W + GRACE L AND ZAPP ELECTRIC INC
HALL, JOHN G + PARKER, CAROL J 8821 NE SANDY BLVD
Uo AMAN, WALTER S + AMAN, WAL PORTLAND, OR 97220
PORTLAND, OR 97216
Phone: Contact #: PRI 253 -9288
FAX 503 - 256 -1827
FEES
Description Date Amount Reg #: ELE 26 -483C
[ELPRMT] ELC Permit 7/7/2006 $240.60 LIC 56408
[TAX] 8% State Surcharge 7/7/2006 $19.25 SUP 14485
[ELPLCK] ELC Pln Rev 7/7/2006 $60.15
REQUIRED ITEMS AND REPORTS
Total $320.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: / Permittee Signature: i h.
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
El6Orical Permit A • ion FOR OFFICE USE ONLY
/
City of Tigard VED Received
Date/By: -7 7 0 0 ,,,,,,a9 PermitNo.: E 11�v10„ 3 7L
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review (/U
Phone: 503.639.4171 Fax: 503.598. l L V 7 2006 Other Permit:
!ili' Da te/By:
Inspection Line: 503.639.4175 Date ReadyBy: to El See Page 2 for
CITY OF TIGAF r r Supplemental Information
TYPE OF
Internet: Line: 503.639.4175 N otified/Method:
BUILDING [�
N PLAN REVIEW
❑ New construction Cg Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑ Other: I$ Service over 225 amps, comm'I ['Hazardous location
['Service over 320 amps – rating DBuildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1 and 2 family dwellings 4 or more new residential
❑ 1 - and 2- family dwelling g Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑ Other: 0 Building over three stories 0 Feeders, 400 amps or more
['Occupant load over 99 persons ❑ Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park
er: �, j 9 Job site addre es$" 5 co p c ,e,' a Ice./ . ❑Health -care facility ['Other:
Submit 2 sets of plans with any of the above.
City/State /ZIP: 7 / 5 eY� ?72, 23 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: / Project name: FEE* SCHEDULE
Description I Qty. I Fee. I Total
Cross street/directions to job site: i u / 9 , 9 c , e a ` e / ' '' New residential single - or multi - family dwelling unit.
Includes attached garage.
Ai, L NA., 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
FelDiz/9Ce DAD " Se m� Sidlee. Serv sr ,and 2
Services or fe installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps ( 240.60 AVM() 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( )
200 amps or less 66.85 I
Owner installation: 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 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
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
Address: first branch circuit
Each add'l branch circuit 6.65 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax::( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: ZAPP ELECTRIC
8821 N.t. SANDY BLVD. Each additional inspection over allowable in any of the above
Address: PORTLAND, OR 97720 Per inspection 62.50
City /State /ZIP: 503/253 -9288 Investigation per hour (I hr min) 62.50
Phone: ( ) Fax: (303 )„2,5 — ErZ 7 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lie.: 6-4, 0 q r � Electricai�' .. �3 e Suprv. Lic.: /c /Ve_s Subtotal a b° Suprv. Electrician sen tirZ required: 7f1 /a• i0 " / – 01 Plan review (25% of permit fee) �Q- /S'
Print name: vG ,�e 5 Date: 7 -- 7_pG State surcharge (8 % of permit fee) / 9+ 6-- S
TOTAL PERMIT FEE 3
Authorized signature:/. Thi permit application expires if a permit is not obtained with' }} • +
/ days after it has been accepted as complete 11
Print name: -I Date: • Fee methodology set by Tri -County Building Industry Service Bo. r
*
Number of inspections per permit allowed. 1 A
i:\Building \Permits \ELC- PermitApp.doc 12/03 440 -161 ST(l0 /07JCOM/WEB ( /
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006•00372
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1272006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 F.
INSPECTION WORKSHEET FOR DATE: 9/13/2006 TIME: 7 :02AM PAGE: 24
SITE ADDRESS: 11655 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: RAZ TRANSPORTATION
DESCRIPTION: Replace main service. Job No. 06-4329
OWNER: HALL, DONALD W + GRACE L AND, PHONE #:
CONTRACTOR: ZAPP ELECTRIC INC PHONE #: 253-92813
Inspection Request Scheduled For: Date: 9/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
116 Electrical service 036461 -01 603-997 -8821 N
Corrections /Comments /Instructions:
2� JdQ A • S V1 c� j d b■\ •
- .x PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FA L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G• N L.>G Date: q •1 1'07 Phone #: (503) 718-1416
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC200S-00372
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2006
Phone: (503) 639 -4171 r k .
Inspection Requests (24 Hrs.): (503) 639 -4175 �:_..
INSPECTION WORKSHEET FOR DATE: 11/8/2006 TIME: 7:03AM PAGE: 14
SITE ADDRESS: 55
116.,,, SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: RAZ TRANSPORTATION
DESCRIPTION: Replace main service. Job No. 06 -4329
OWNER: HALL, DONALD W + GRACE L AND, PHONE #:
CONTRACTOR: ZAPP ELECTRIC INC PHONE #: 253 -9288
Inspection Request Scheduled For: Date: 11/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message_ — 46
199 Electrical final 039457 -01 503-997-8821 Y
Corrections /Comments/ Instructions:
t
/4dOt 6 .f ¢� vl.D c a n c.
4-0 cy-A,42-
r „A.
PASS , ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /10-444....A Date: JI `A0 O 6 Phone #: (503) 718-
CITY OF TIGARD V■
BUILDING DIVISION PERMIT #: ELC2006.00372
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2006
Phone: (503) 639 -4171 1iV iIil
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/28 /2006 TIME: 7 :00AM PAGE: 7
SITE ADDRESS: 11655 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: RAZ TRANSPORTATION
DESCRIPTION: Replace main service. Job No. 06-4329
OWNER: HALL, DONALD W + GRACE L AND, PHONE #:
CONTRACTOR: ZAPP ELECTRIC INC PHONE #: 263 -9288
Inspection Request Scheduled For: Date: 8/28 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Temporary electrical service 035667 -01 503 - 997 -8821 Y
Corrections /Comments /Instructions: qref... `O
a ? Rov 1 D wMA Iw s v i I3aok) t � 'v ' C
e Nip Z-5 16 2 (A)
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
0 FAIL N p f .1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G . N 6A L Date: 4 1) 1. 2-*Oko Phone #: (503) 718- ' 1 `IL