Permit C ITY OF TIGARD ELECTRICAL PERMIT
,•.`" PERMIT #: ELC2005 -00281
DEVELOPMENT SERVICES DATE ISSUED: 4/25/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S125DD-03900
SITE ADDRESS: 09855 SW VENTURA CT ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 LOT : 047 JURISDICTION: TIG
Project Description: (2) branch circuits for kitchen remodel. Job No. E 317
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:
DON LOVE S &A ELECTRIC, INC
9855 SW VENTURA CT PO BOX 218
TIGARD, OR 97223 BORING, OR 97009
Phone: 503 - 452 -1788 Phone: 503 - 658 -5368
FEES Reg #: ELE 3 -520C
LIP 148014
Description Date Amount
SUP 4833S
[ELPRMT] ELC Permit 4/25/2005 $53.50
[TAX] 8% State Surcharge 4/25/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
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 a re set • • • OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 :.99 or 1 -801 33 tiAA Issue By: , A _if Permittee Signatu
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:
NTRACTOR IN TALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: ( DATE:
LICENSE NO: 5 5
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.
Apr 25 05 05:42a p.2
' jlettricai Permit Appli FOR OFFICE USE ONLY .
Rrccived QQ Elet•trieal
Datc/B ; O 6 1 1 Pem t No / —,)OUS 2,/
City of Tigard �,�S� Planning A•p oval sib„
13125 SW 11411 Blv � j Date/1•3 Permit No.:
Plan Review Other
Tigard, Oregon 9722 ((�� 0 T Dale/H Polmtl --
Phone: 503 -639 -4171 F • Q9,5 9b POSI•RCYIL'W hand We
Ph —_
tC' l ,r,_ . 0'.:
rard.Or. s �® 1 Datc/B •
'
Internet. www,ci.tt
R � Contact
tuns.
24 - hour Inspection Requey c - 03 Q % p l c Page 2 for
L ® ��1 �{v Namc/Melhod Supplemental information.
—
_ TYPE OF WORK _ . PUAN REVIEW Please check all ttl it a 11
❑ New construction d Demolition - P► Y)
■ S ervice ouch 225 amps Health -care 1;rcdNy
n Addition/alteration/replacement 0 other: commercial rl I►4ta,rl,„ is l,„ nlrn„
❑ Service over 320 amps- rating of ❑ Building over 10,000 square lest,
CATEGORY OF CONSTRUCTION ' ' S.:2 e y
1 f amily dwellings four or more residential units in
•
1 & 2 l,'amily dwelling 0 Commercial/Industrial CI system over 600 volts nominal one structure
0 .4 rcessory Building E Multi-Family over three stories ❑Fcedcre, more
❑ Occupant load over 99 persons ❑ Manufactured sa'uctules or 1W part,
❑ Master Builder n Other: ❑ Egress/lighting plan ❑ Other
JOB Sfl 'E•INFORMATJON:'and'LOCATION..' • • Submit . sets of plans with any of the above. l
Job site address: `-? ; ``: _' ".e \ V la.�R ` t cr"t; C ?'":1.- - The an! are nut applicable to ecntl>urory eo,lau uctiun Service,
— ..
;;': ';IiEE*CIiEDUX)v
Suite # Bldg Number of i tl12ectiolts :A
Let' hermit allowed
P e N ame; �t^,•'.,`.h„�: - Description -I t?ty l Total II
Cross street/Directions to fob site: New residential-single or muUl f.unily per dwelling unit. includes attached garage. v
Service included -
1000 5'y, It or less 145,15 a
--.. Lace additional 500 sq I. or pnnion thereof 33.-10
Subdivision: Lot �� :
-• Limited cnell;y, residential 75.00 _
-. Limited energy. non tesidentr'l 75 0
lax map/parcel #: Each manufactured home or modular dwelling
'. DFSCRII',IION ON,' WORK ' , service antVor feeder 90 90 2
•' r , T 't Scr%tees or feeders - tnstaItation, Th .,, - e. alteration or relocation:
�`. 1 _4` r :.� r 7 <_ = ;' C � °. C. -v=." 1 �; 200 amps or less _ 50 10 2
1 ( , J , 7 01 amps to 400 amps too 85 2
1' .9.4',;(.4. .,Ow_ oL ^ 401 amps to 600 Mips PROI Llt'f•1.OWNk It :l ,. TEN AI'f T,,i .. , _ 601 am ps t l 1 ( ste 2411,50 2
Marne' �,� - -- t �;� Over 1000 amps or volts 45 2
Reconnect only 6G.$S
Address: ,.-Art - _ - -- ,e � Temporary services or leaders - installation,
7 r • alteration, or relocation;
City /State /Zip. •. 200 amps or Icsc 66 55
PhO Ie5-(j:el _ 5 )- . 7Si Fax: 201 amps to 400 amps _
401 to 600 amps 1.1 2
, Mil'CONTACT:'I ERSO , . P 1.13.75 )
❑ APPLICANT
Branch circuits - new, alteration, Or
Name: Oktension poi- punch
Address: A. Fee for branch circuits with put chase of
_ service or Iceder fee, each branch circuit 6.65 2
Ci /State /Zin- B. Fcc for branch citcults without purchase of "
_ service or feeder fee, first branch circuit 4 t -' v �� •
Photlei F ax: f o.ss
Each additional branch circuit
E-mail. r 6 . ,. ,
Misc.(Scrvice or fccdct not included).
CONTRACTOR Each ettp or irrigation crrt.le _ 53.40 _ 2
� '-' F r s � Cache or outlinc j lriml _ 53,40 2
Yi Job No : Signal circuit(s) ur a limited energy panel,
Business Name: J p � t C � ; alteration, or extension :OA()
2 2
( Description
Address• PC ' -I R
City /State /Zip: app 1 C n }.....
97oc� Each additional inspection over the allowable in any of the abou
/r t f \ � J ' _ Per inspection per hour (min I hour) 62.50 K—
Phonc:2 �� J�ic'XJ (Fax: 7 Investigation tee:
GCB Lie. #: L `i' )1 Li Lie. #: 3 --;,..2C Diner' -
� /' .. . 4: '1!1' • F,.; „” r; 'Electrical'iPet:niit,h *. - .,. `• . ,,, :,;z ;-
Supervising c lectrtcian % � %Z
Subtotal F '''' `: •
signature required: .� f Ate_ Plan Review (25 ot•1'ermtt Fee) :6
_ -
�� iv
Print Nalne: (6.,,r�.417(5 / 4e<Llrir #: 9633 5 State Surcharge (8% of Permit Fcc) 5 t- "` - '
TOTAL P FEE S `, t' -
Authorized t e
Signature' � ^C p m r ' - Notice: This permit application expires if a permit is nor - obtained .viilrin
��j ∎c ∎� _ Dater 1 :. � - C - 180 days alter It has been accepted as complete.
` , l ` "tree methodology set by Tri- County Building Industry Service goal d.
(Please pnnt name)
r' \I)sis \Pemmit Forms \Lie crmltApp doe 01/03
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2005 -00281
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005
Phone: (503) 639 -4171 ° ghli
Inspection Requests (24 Hrs.): (503) 639 -4175 .....,%,
INSPECTION WORKSHEET FOR DATE: 4/26/2005 TI ME: 7 PAGE:
SITE ADDRESS: 09855 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO. :LOT #: 047 TYPE OF USE:
PROJECT NAME: LOVE
DESCRIPTION: ( branch circuits for kitchen remodel. Job No. E 317
OWNER: LOVE, DON PHONE #: 503-452 -1788
CONTRACTOR: S & A ELECTRIC, INC. PHONE #: 503-658 -5368
Inspection Request Scheduled For: Date: 4/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 005532 -02 503452 -1788 Y
Corrections /Comments /Instructions:
_CL _ S S e_ m (/ G- 64-77 l■-( & t 1 -- ) <3 ITC_ - 124.-T
s'3 , c C U r te! ( 1 UA7 iKTC)R dVE7 %'J K. /1 IS ti- r It
/ Z Z Lo n.r c--- ®2 S F3 -I- I = l X ,Z ,2 2
o X = �� .
Z cc/ix(
❑ PASS & ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
(FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /_ L i 2 g .
Date: `g 0 - )Phone #: (503) 718 -
CITY OF TIGARD I • ,
' gl
BUILDING DIVISION PERMIT #: ELC2005.00281
13125 SW Hall Blvd., Tigard, OR i.97223 DATE ISSUED: 4!2512005
Phone: (503) 639 -4171 c
Inspection Requests (24 Hrs.): (503) 639 -4175 '' I..
INSPECTION WORKSHEET FOR DATE: 4/29/2006 TIME: 7:i MN! PAGE: 76
SITE ADDRESS: 09866 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.`LOT #: 047 TYPE OF USE:
PROJECT NAME: LOVE
DESCRIPTION: ( branch circuits for kitchen remodel. Job No. E 317
OWNER: LOVE, DON PHONE #: 503 -452 -1788
CONTRACTOR: S & A ELECTRIC, INC. PHONE #: 503 -658 -5368
Inspection Request Scheduled For: Date: 4/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 005648 -01 503 - 452 -1788 Y
Corrections /Comments /Instructions:
_6t cj�J L " .Zi- O C� 5 v L
�- .• PL , --
IQ ' Ss , PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL in C ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. L779 O ) --- •
Inspector: Date: o ne #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: F C20fl56 = -f .i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005
Phone. (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639-4175
AA INSPECTION WORKSHEET FOR DATE: 1/25/2006; TIME: 7:03AM PAGE: 73
SITE ADDRESS: 09066 / VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE: E;STATFS NO.:, LOT #: 0e17 7 TYPE OF USE
PROJECT NAME: LOVE \
DESCRIPTION: (2) branch cir r ots for kitchen remodel. Job No. E 317
()3- Ei52 - 11" O
OWNER: LOVE, DON PHONE #: 5
\
CONTRACTOR: S & A ELECTRIC, INS`. PHONE #: ? 03.64,1. 0
Inspection Request Scheduled For: \ Date: I /26nom Pour Time:
Code # Inspection Description \ Confirm # Contact # Message
199 Electrical final
\T26653- 01 (,:inzi52-1700
Corrections /Comments /Instructions:
F1 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v 1 v) L Date: V i 2 A 0 Phone #: (503) 718- 2 - 1 '.