Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00118
i +� DEVELOPMENT SERVICES DATE ISSUED: 3/16/04
.414- 6: �I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S125DD-07600
SITE ADDRESS: 09665 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 ZONING: R-4.5
BLOCK: LOT : 084 JURISDICTION: TIG
Project Description: Replace 200 amp panel, install new circuit to upstairs room
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: 1 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 0 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:
PAUL TRINCHRO PARKIN ELECTRIC INC
9665 SW VENTURA CT 14001 FIR STREET
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone: 503 521 - 0875 Phone: 503 - 657 - 4959
Reg #: SUP 4241S
LIC 35151
FEES ELE 34 -4C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 3/16/04 $86.95
[TAX] 8% State Surcharge 3/16/04 $6.95 Wall Cover
Elect'I Service
Total $93.90
•
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: Permit Signature:
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 639 -4175 by 7:00pm for an inspection the next business day
03/11/2004 22:52 FAX 5036574958 ��rr PARKIN ELECTRIC I ]002
Electrical Permit At, licaggP V t ' FOR OFFICE JS ONLY
MAR 12 2 `t Permit N. / aOP —17) ;
City of Tigard t . - Permit No.:
13125 SW Hall Blvd. C OF TIG ' ' ~~ Other
Tigard, Oregon 97223 B , ILDI G DIVI'r A r >e: Permit No.:
Phone: 503 - 639-4171 Fax: 503 -598 -1960 Post - Review Land Use
Li;.fi! : }�I�r� Datc/B : Case No..
Internet: www.ci.tigard.or.us �• I Contact Juris.: 0 Sec Page 2 for
24 -hour Inspection Request: 503 -639 - 4175 '
A.
Name/Method: Su lcmcntitllnformatian.
, `TYPE OE :WORK .. _' I :. `st 1LANI2EVIEWi '.lease eh'eeivall :tliat'i, - .1 • ' •
New construction ❑ Demolition ■ Service over 225 amps- ❑ Health-care facility
• commercial ❑ Hazardous location
Addition /alteration/replacement Other: ❑ Service over 320 amps - rating of . ❑ Building over 10,000 square feet,
' ' ,- , ' CATEGORY: OF: C'ONSTI XJCTION''_ :':';.-7 -•.. -.. -, . , = 1 & 2 family dwellings four or more residential units in
[21 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure
A CCeS50 ❑ Building over three stones ❑ Feeders, 400 amps or more
Iy Building ❑ Multi-Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park
Master Builder ❑ Other: ❑ Egress/lighting plan p Other: _
' JOB: SITE- INtORiVIA`T.Itigiiii LO'C ' ORI. Submit _ sets of plans with any of the above.
1 � The above arc not applicable to temporary construction service -
Job site address: 94.4k5 lei' , ra C iu...l . _T sw.•. - ., - -- '``:;a' =}--"• : -ec&CHEDIk1:E: ; .
Suite #: I Bldg. /Apt. #: y Number of inspections per permit allowed
Project Name: Description Qty Fee (ea.) Total T
Cross StreetlDirectl0 S to job site: New residential- single or multi family per i t
dwelling unit. Includes attached garage.
S VI , / Service included:
(� Vv 10009. R or less 145.15 a
Each additional 500 sq. ft. or portion thereof 33.40 I _
Subdivision: Lot #: Limited energy, residential 75.00 2
. - Limited energy, non residential - 75.00 2
Tax map /parcel #: Each manufactured home or modular dwelling
�"'� OIL : . service and/or feeder _ 90.90 2
. .-.: � ` " ; �ESCitII'EiON :,, 5 crv i tes or feeders - insta
_ • 1 / ; ., is 1 Q I / / . , / alteration or relocation:
• l ei 200 amps or less / 80.30 = 2
. .0 t I 0 - _ ��/ VIENM-••• 201 amps to 400 amps 106,85 2
A Jr ' -' ors 401 amps to 600 amps - 160.60 2
j, OrpRO ERTY' O V NER;'- . _;tiff,' , -. -TE — t' "" "Ti :'!;? 601 amps to 1000 amps ,_ k 240.60 2
Al T' ' Over 1000 aryl sp_or volts 454.65 --
Name: 7-- ra / 7 nr Reconnect only 66.85 2
Address: s /nt� Temporary services or feeders -installation,
alteration, or relocation:
City/State/Zip: 200 amps or less 66.85 I
201 amps to 400 amgs 100.30
Phone: 0'2./ O S'�� Fax: 401 to 600 amps 133.75 2
:0 APPLICANT. ,,, 7 ; i .. _ : AA t O NT R f l?ERS = '':;
A p Branch circuits - - new, alteration, or
Name: extension per panel:
A. Fee for branch circuits with purchase of
Address: _ Service or feeder fee, each branch circuit / 6.65 6 . 405
City /State /zip: B. Fee for branch circuits without purchase of
service or feeder fee, feat branch circuit 46.85 2
Phone: I Fax: Each additional branch circuit T 6.65 2
E -mail: Misc.(Service or feeder not included):
— Each pump or irrigation circle 53.40 2
Parkin Electric, Inc. 14001 Fir Street Each sign or outline lighting - 53,40 2
Oregon City, OR. 97045 503 - 657 -4958 fax: 557 -1059 Signal circuit(s) or a limited energy panel,
Contractors License #: 34 -4C exp. 10 -01 -03 alteration or extension Page 2 2
Description:
Supervisor: 4241 -S exp. 10 - -
Contractors Board Reg #: 35151 exp. 10 Each additional Inspection over the allowable in any of the above:
Metro # 2416 exp 1 1 -01 -03 Per inspection per hour (min. 1 hour) 62.50 _
Owner: investigation fee'
Other:
r . :: t: : •Electl"l "1P rinit3Eees* - ,
Sup ervisin electrician Subtotal $ ?Lo .417„,_ _
si attire r quired: O�-'%�J Plan Review (25% of Permit Fee) $
Print Name: I Lic. #: State Surcharg (8% of Permit Fee) $ 4 -
- - TOTAL PERMIT FEE $ .-
Authorized Notice: This permit application expires if a permit is not obi 'red wi
Signature' Date: 180 days after it has been accepted as complete. ,,�, 7[J
*Fee methodology set by Trl -County Building Industry Scry ce Bea,'d•
(Please print name)
is \Dsts\Permit Forms \ElcPcrrnitApp,doc 01/03
CITY OF TIGARD 24 -Hour ;
BUILDING Inspectioe: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
--,BUP
Received Date Requested 7— /9 AM _d BUP
Location 9 i to (O 5 V P""4 ✓ R 3 ' Suite MEC
Contact Person f �A-� — Ph ( ) D._ — /5 PLM
Contractor Ph ( ) SWR
6UILDING Tenant/Owner ELLC /'�
43 213 04- 00 `/
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Post & Beam Inspection Notes: ie�se Cc. U `I' v s4- - t'p rv`o.1�e> SIT
Sr Anchors
Ext n
Ext Sheath/Shear �
Shear e � ("4 o v� is I,° ^^ t_ PM b - •`in Q t :oc
Int Sheath/Shear c- C 1 44-e-f I ' O o p M
-
Framing l— (
Insulation _ -
Drywall Nailing _ _—• - -- Firewall N bi- (Z-Q.. °LAM I /e •
gror
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof .�/
Other: '''' e/
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: '
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
- P FAIL
ELECT ICA
Service
Rough -In
UG/Slab
Low Voltage
F• larm
al ❑ Reinspection fee of $ required before next inspect'on. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE ❑ Please call for reinspection RE: El U t• 1 spect - no access
Fire Supply Line
ADA / / Ext
Approach/Sidewalk Date • I Inspector
Other:
Final DO NOT REMOVE this inspection r rd from the job site..
PASS PART FAIL
i
-
r 1 I .
a I 4u
1 • _
7 - 1
i . , . .
, .
. . , .
, ,
. .
.•
.,
_ ___
. .
._ . .
. ,
. .
_.
. .
. ..
._. ,
..,_ , . .
. ... ,
..,... .
..
. , ,
_ .. .
,, • ..
„.......,.
., .
. .. , ,
......
, .
. . ,
...
, . . . ,
. . , , ...„ ,, .
.„.... .
. . , ..,,
• ..., . . . . . ,.. •
,.
. i ' . ✓ .... , .
✓ `
s r
f
- /
�
o
•
•