Permit • 11 CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00444
�L4i1 DEVELOPMENT SERVICES DATE ISSUED: 8/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CA -06800
SITE ADDRESS: 15374 SW THURSTON LN ZONING: R -7
SUBDIVISION: ASHFORD OAKS LOT : 022 JURISDICTION: TIG
Project Description: (2) branch circuits for a/c & outlet.
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:
MARC & KRI DANA GRF ELECTRIC
15374 SWTHURSTON LN 15460 S PARADISE LN
TIGARD, OR 97224 MULINO, OR 97042
Phone: 503 - 968 -5493 Contact #: PRI 503- 829 -4146
FAX 503 - 829 -5747
FEES
Description Date Amount Reg #: ELE 3 -484C
[ELPRMT] ELC Permit 8/9/2006 $53.50 LIC 76751
[TAX] 8% State Surcharge 8/9/2006 $4.28 SUP 1655S
Total $57.78 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 d s. ATTENTION: Oregon law requires you to follow rules adopted by- the - Oregon Utility Notification Center. Those
rules are 'set forth in OAR.9 -00 .0. • through OAR 952 - 001 -0100. You may obtain copies ofthese.rules or direct quesfons to OUNC at
503 46 -6699 or 1 -800- 2 -2 . _ i ir Perm ittee 5i nature: -
Iss ed By: k_ / / � /1 1�' g L, '� ii/ ��
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 IN TALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: -- -- . - er.. -° — DATE: (
LICENSE NO: ///5c ' i
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.
Aug 08 06"02:48p Grf Electric 503 -829 -5747 p.1
- ,- it
Electrical Permit A li ation FOR OFFICE USE ONLY
Received 0 Electrical 60 6 ...66 '/
. Re e Received
0 s 6 Pent* No.: ��7
C
Cl of Ti ard* P Planning Approval Sign
\ g VuCj)._ Date /By: Pemrit No.:
13125 SW Hall Blvd. ✓ ,. ` ' Plan Review Other
Tigard, Oregon 97223 A � 3 U r L Date/By: Permit No.:
Phone: 503- 639 -4171 • Fax: V'�� -98 -1960. . Post- Review Land Use
Internet: www.ci.tigard.or.us , .. ,�, ,, y j � C tact Case No.:
, � ,1 �- e l � Contact J El See Page 2 for
24 -hour Inspection Request: \\5154619 Name/Method: • _ Supplemental Information.
' . TYPE OF'WORI ;:: :: " : , : PLAN REVIEW (Please check all that apply)'` " • •
❑ New construction • Demolition ❑ Service over 225 amps- ❑ Health -care facility
commercial ❑ Hazardous location
,Addition/alteration/replacement in Other: ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet,
:' CATEGORY OF :CONSTRUCTION I & 2 family dwellings four or more residential units in
EA & 2- Family dwelling 0 Commercial/Industrial ❑ System over 600 volts nominal one structure
EI Accessory Building Multi-Family ❑ Building over three stories ❑ Feeders, 400 amps or more
ry g y ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park
❑ Master Builder 31 Other: ❑ Egressdiighting plan ❑ Other.
Submit sets of plans with any of the above.
JOB SITE INFORiVIATIbN ani3:LOCATJON • The above are not applicable to temporary construction service.
Job site address: 15 3 1 `-( Sf,tJ T.,,a trs n . . . ':FEEf SCI Di1LE .. . :
Suite #: I Bldg. /Apt. #: Lv► • Number of Inspections per permit allowed
Project Name: b n bcr 1pdou r Qty Fee (ea.) Total I
��� ,�/ New residential - single or mull - family per
Cross street/Directions to job site: dwelling unit. Includes attached garage.
Service Included:
1000 sq. tt or less 145.15 4
Each additional 500 sq. ft. or portion thereof 33.40 1
Limited energy, residential 75.00 2
Subdivision: 1 Lot #: Limited energy, non residential 75.00 2
Tax map /parcel #• Each manufactured home or modular dwelling
,: r . service andlor feeder 90.90 2
DFSLRIPT :OF WORK:-:: .....
' ' - ' : Servkes or feeders - installation,
alteration or relocation:
C t -t / yl o rf' -- 200 amps or less _ 80.30 2
(� i ( I f L/t 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
R O n R T X -- . n 1 Y l i a ' " : :;;::C T . E N A N T : , ?•'r `'. .. • all amps 1000 amps 240.60 2
Over 1000 amps or volts 454.65 2
Name: )(---it S t O ck 0 a / Recormect only 66.85 2
Address: 1 5 3 - S tti IA — , ,VI Temporary services ior feeders - installation,
alt o r relocatin:
City /State/Zlp: , r ,_,,, / c 7 ?A- 200 amps or Less 66.85 t
201 amps to 400 amps 10030 2
Phone: e) ( — 4) 3 Fax 401 to 600 amps 133.75 2
�] 'A
. r:`:
'APPLICANT. .,^ i; '. 13 CONTACTEItSON Branc circuits - new, alteration, or
Name: extension per panel:
A. Fee for branch circuits with purchase of
Address: J service or feeder fee, each branch circuit 6.65 2
B. Fee for branch circuits without purchase of
City /State/Zip: service or feeder fee, first branch circuit 1 46 85 1 { I�'- D � 2
Phone: j Fax: Each additionsl branch circuit /-
ircuit ( 6.65 G (1l, -
E -mail' Misc.(Service or feeder not Mewled):
_., r. ) to a:.,.r • - n-. . ,,r •' rt 4 .... c s ; i; '. Each munp or irrigation circle 53.40 2
^. . ..,. , " tvO1V l CTOI2 ..;; . ,. < ` - Each sign or outline lighting 53.40 2 •
Job No: Signal circuit(s) or a limited energy panel,
alteration, or extension Page 2 2
Business Name: eiLF 0 e ..4- — r, Description:
Address: 1 -jp {) S. P Yl c!'4,1 ,
City/ State/Zip: /� Each additional Inspection over the allowable In an of the above:
Cl
ty p: / t � ILA / I �, /� 1c.. y "7 i7 L I Per inspection per how (min I hour) 62.50
Phone: 5113 Gl - Y r yt Fax: 5b 3 - !f - S '74-'7 Investigation fee: -
CCB Lic. #: 7 /2 Gl Lic. #: 3 - .. J 4 C Other ' ^ ":; eetrlcalJPeriidlf Fetes* •
Supervising electrician —1 — ^` , pp Subtotal $ S 3 SO
signature required: � O, I 0 Ii Plan Review (25% of Permit Fee) $
Print Name: w 1 j, G,.,,, Lic #: I (�,� 5 State Surcharge (8% of Permit Fee) $
� �
TOTAL PERMIT FEE $ - �1. '� V
Authorized Notice: This permit application expires it a permit Is not obtalnedw thla
Signature: Date: 180 days after It.has been accepted as complete.
*Fee methodology set.by Trl- County Building Industry Service Board.
•
(Please print name) •
i:1Dsu\Pcmtit FormssElcPermitApp.doc 01/03
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: ELG2006 00444
-13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2006
Phone: (503) 639 -4171 �iM
Inspection Requests (24 Hrs.): (503) 639 -4175 s I I..
INSPECTION WORKSHEET FOR DATE: 5/3/2007 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 15374 SW THURSTON LN CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS LOT #: 022 TYPE OF USE:
PROJECT NAME: DANA
DESCRIPTION: (2) branch circuits for a/c & outlet.
OWNER: DANA, MARC & KRISTEN PHONE #: 503-968-5493
CONTRACTOR: GRF ELECTRIC PHONE #: 503829 - 4146
Inspection Request Scheduled For: Date: 5/3 /2007 Pour Time:
Code # Inspection Description Confir # Contact # Message
199 Electrical final 047576 -02 503- 968 -5493 N
Corrections /Comments /Instructions:
N� Cce b o
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a 66 Le Date: 6 On Phone #: (503) 718- 2 L-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200E -00444
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2006
Phone: (503) 639 - 4171 . 1'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/2/2007 TIME: 7:01AM PAGE: 96
SITE ADDRESS: 15374 SW THURSTON LN CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS LOT #: 022 TYPE OF USE:
PROJECT NAME: DANA
DESCRIPTION: (2) branch circuits for a/c & outlet.
OWNER: DANA, MARC & KRISTEN PHONE #: 503958 -M93
CONTRACTOR: GRF ELECTRIC PHONE #: 503 - 823.4146
Inspection Request Scheduled For: Date: 5/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 047438 -02 503.968 -5493 N
Corrections /Comments /Instructions:
4 .100 a -
(� ?OA I bg . O V UQ, c)j L 2 3T 1;1 i a tl 4C�
3 Ac,r►eik . uNn l.q, .
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G' 661-E Date: 61 01 Phone #: (503) 718- Z