Permit •
CITY OF T IdARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00877
�O, OPMENT SERVICES DATE ISSUED: 11/9/2005
' '7111. 1 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 111 AD - 07900
SITE ADDRESS: 08860 SW SCHECKLA DR ZONING: R-4.5
SUBDIVISION: SCHECKLA PARK ESTATES LOT : 012 JURISDICTION: TIG
Project Description: Bathroom remodel. (2) branch circuits. 9/27/06: "THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL
INSPECTION FOR A PERIOD OF THIRTY DAYS."
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: 1 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:
TORRES, VICTOR AND BENTLEY ELECTRIC INC
LOVERSO, DIANA 41330 SW EDNA LANE
8860 SW SCHECKLA DR GASTON, OR 97229 -9625
TIGARD, OR 97224
Phone: 503 - 620 -9786 Contact #: PRI 503 - 985 -9500
FEES
Description Date Amount Reg #: ELE 2 -20C
[ELPRMT] ELC Permit 11/8/2005 $53.50 LIC 44467
[TAX] 8% State Surcharge 11/8/2005 $4.28 SUP 36355
[ ELPRMT] ELC Permit 9/27/2006 $53.50
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $115.56
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: / 1 Permittee Signature: 3_u€_ Q1.
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.
. 4
. Electrical Pe Application 1 ()k t.i.vv1(1 I , t•: O Nj•
a
City of Tigard Permit No -:UGC 2 Po5 -eV r>
13125 SW Hall Blvd., Iigtlyd, OR 97223
Photo: 503.639.4171 Fax 503.598.1960 ; i ' , %; , 7 L� ° , •.`;,, � c Other Permit:
Inspection Line: 503.639.4115 1 J4.. - •I 1 . , Data Ready/By: nuts 65 See Page 2 for • Internet; www.oi.tigotd.or.us G;, -'V d ' _ . , _. NotifieellMethod: evegremattel laformntive
• .. , .' Pt:AN, • ❑ New construction • Please check all that apply:
Q Demolition [ Other: OServiec over 225 amps. Gomel f Hnzerdous location
[]Service over 320 amps - rating DBuildng over 10,000 sq. it,
. . '.. CATEGORY VP':CONSTRUC /ON - • • of 1- and 2- family dwellings 4 or more new residential
1 - and 2- family d lling 0 Comutcrcial/indusitiel 0 Accessory building C]sysiem over 600 volts nominal units in one structure
['Building over throe otaaies []Feeders, 400 amps or more
Multi- fanny ❑ Master builder ❑ Other ['Occupant load over 99 persons OM4enufacturcd structures or
:,• tJoB - SLTE IItiFOliMATION•AND•LOC'ATION :• • °Egress/lightingplan RV park
lob no.: Job site addres �� °C �y �Heelth -care facility
Submit sets of plans with any of the above.
City /State/ZIP: ' - i 4 - .2a .. The above arc not applicable to temporary construction service.
Suite/bldg./apt no.: / •ectname: _ 'fir :;:
neuttnuoa ��� Q4� ' rR.. '' f ,, Iota I •• '
Cross street/directions to job site: Now residential single- ar mnUN t3amlIy dwelling unit.
Includes attached garage.
1,000 sq. R orlcss I 145.15 4
Subdivisi or& J4 J Iat n o.: 60/47., Ea. add'1 se,. it or Patron 33.40 1
Limited energy, residential 75.00 2
Teat map /parcel no.: -
Limited energy, non- residential 75.00 2
7 ,.." . + , .. .. DESCI11P1`ION OP •WORK .:. . • • • Eaoh manulbatured or modular
r dwelling, service and/or feeder 90.90 2
t ge ,47 / 4 0 ' / '' ' / / Services or feeders Installation, alteration, sad/or relocation
200 amps or loss 80.30 2
' '� T6NA15T • 201 amps to 400 amps 106.85 2
' `
Itxol>at'rP•psyrnat: . ..I ----
401 amps to 6 amps 160.60 2
Name: r/C / T 601 amps to 1,000 amps 240.60 ' 2
Address: 01 6,0 .S w sth /, j� Over 1.000 amps or volts 454.65 2
Rcoomicirt only City /State/ZIP: 776 , � OR 9 w 7. 4 T services or feeders Installation. alteration. and/or 2
Pho ) 4j - 77' Fax: ( )
20 re 0 ammps ps
_ bc: or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, !case, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps - 133.75 _ 2
Owner signature: Date: Branch dents – new, alteration, or extension, per panel
• `"'; in . APPL1CANT • • d ...0
' l CONTACT N ' ' A. Fee for branch tetanus witti service or feeder fee, each
Business name � a��� ,., ,t '! O _ breach circuit 6.65 v 2
B bun
. Fm for b circuits
-Contact name: without novice or feeder fee,
first branch circuit 4E85 2
Address: S^ e„..) /t5—y''
Each add'1 branch circuit 6.65 2
City/State/ZIP: r -. -4 Z 1 4 # dr Miscellaneous (service or feeder not included)
(Og p � Fax: ; / 9616 Pump or irrigation circle 53.40 2
Phone: 6403) QJ. l 003) 643 43 Sigh or outline lighting 53.40 2
E Signal circuit() or limited- • .,..'. .: a .. , '' ,' ' • '. CONTRACTOR . - eae� gy Pend alteration- or
` ; :. ' ' :.�•• �
� extension. Page 2 2
Business name: /° .l7
/ / —
Address: ¢, .30 s ex) ��� Each additional inspection over atlawablc in any of the above
I, Per inspection T52.50
City/State/MP � j >U 0 ie 7c c 9' _ Investigation per hour (1 hr min) 62.50 .
Phone• ' 13 ? 9.. Fax ( )
Industrial pleat per hour 73.75
, ;. ELECT4ICAS. PER MIT. "1,12 *: :; :' , ''ii •
CCB Lie. .. 444.4 , 7 Electrical Lie,: Z • 2,0d Su m. Lic_: (p 56 5 Subtotal
Supfv. Electrician signature, required: Plan review (25% of permit foe)
Print name: per• State surcharge (8% of permit fee)
l.__`_ TOTAL PERMIT FEZ
Authorized signature: 7idr permit spplaaon expires Ifs perm its notch Wilda 2
days otter It lum been accepted is complete
Print name: Date: • Fec methodology as by Tri County Building Industry Service Bterd
a Number of inspections per permit allowed.
.. .........._....... , ..n..a,ervennnrrn..,o,eo
0/P -d 90 /ZO'd PPP -1 919699E09 NOIS30 01N3da0S -KONd Wd9Z :E0 90- 9Z -d3S
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: ELC2005.00277
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/912005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7 :04AM PAGE: 65
SITE ADDRESS: 08860 SW SCHECKLA DR CLASS OF WORK:
SUBDIVISION: SCHECKLA PARK ESTATES LOT #: 012 TYPE OF USE:
PROJECT NAME: TORRES
DESCRIPTION: Bathroom remodel. (2) branch circuits. 9/27/06: 'THIS PERMIT IS REINSTATED FOR PURPOSE
OF FINAL INSPECTION FOR A PERIOD OF THIRTY DAYS."
OWNER: TORRES, VICTOR AND, PHONE #: 503.620 -9786
CONTRACTOR: BENTLEY ELECTRIC INC PHONE #: 503 - 985-9500
Inspection Request Scheduled For: Date: 10/23/2006 Pour Time:
Cod Inspection Des . •tion Confirm # Contact # Message
199 Electrical final 038466 -02 503-643-9602 Y
M AC Si) CIS nr
- • - tions /Comments /Ia - ions: Q
•
N
■Z PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G • U be vE Date: I b 1 3IC4 Phone #: (503) 718- ZI*
CITY OF TIGARD ,7w itiv
f ' Mti " )
BUILDING DIVISION �Ati, 6 {,i PERMIT #: ELC2005.00077
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2005
v/ ,
Phone: (503) 639-4171 44,w ,
Inspection Requests (24 Hrs.): (503) 639 -4175 '_''_
INSPECTION WORKSHEET FOR DATE: 10/4/2006 TIME: 7 :02Am PAGE: 73
SITE ADDRESS: 08860 SW SCHECKLA DR CLASS OF WORK:
SUBDIVISION: SCHECKLA PARK ESTATES LOT #: 012 TYPE OF USE:
PROJECT NAME: TORRES
DESCRIPTION: Bathroom remodel. (2) branch circuits. 9/27/06: 'THIS PERMIT IS REINSTATED FOR PURPOSE
OF FINAL INSPECTION FOR A PERIOD OF THIRTY DAYS."
OWNER: TORRES, VICTOR AND, PHONE #: 503.620 -9786
CONTRACTOR: BENTLEY ELECTRIC INC PHONE #: 503.9[35.9500
Inspection Request Scheduled For: Date: 10/4/2006 Pour Time:
Code # Inspection Description I Confirm # Contact # Message
199 Electrical final 037448 -01 503 -643 -9602 Y fiptl
Corrections/Comments/Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
[FAIL C ALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: WO 6 ' Phone #: (503) 718- V( 0