Permit A -CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00336
r r DEVELOPMENT SERVICES DATE ISSUED: 6/10/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 110 BA -06300
SITE ADDRESS: 14227 SW VISTA VIEW CT
SUBDIVISION: SHADOW HILLS NO.2 ZONING: R -2
BLOCK: LOT : 046 JURISDICTION: TIG
Project Description: 200 amp feeder with 5 branch circuits.
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: 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:
BROWN, KEVIN R AND MARY E DRYER ELECTRIC INC
14227 SW VISTA VIEW CT PO BOX 86369
TIGARD, OR 97224 PORTLAND, OR 97286
Phone: Phone: 503 - 771 -5667
Reg #: ELE 26 -1142C
LIC 153466
FEES SUP 2876S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/10/2004 $113.55
[TAX] 8% State Surcharge 6/10/2004 $10.68 Rough -
Elect'I Service
Total $124.23 Elect'I Final
4 t-: tom) t N G
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 threlciles or .irect questions to OUNC at (503)
246 -6699 or 1 -800-3, -2344
Issued By: /, �. i -fir ,t� Permit Signature: ` — i 40
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
. -
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Electrical Permit Applic . p i‘ ,i :
F0 ICE CSE 0 NIA
Received/, 14, OFF
opal Eknic.1 •
-- %,0 Mien; Y CO / .P.IM PermitNo. 20 - PO -00 '`. -
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' City of Tigard • 1 1 V c •
u
13125 SW Hall Blvd. d. ' O'' -. Pemt No.:
Tigard, Oregon 97223 -S\ ffill111111.1 °tha
Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 ,. . 41, Post-Review Land Use
--•:•,.., ,-
Internet: www.cLtigard.or.us _Ig._ TA I i contact • ._•71 See Page 2 for
24-hour Inspection Request 503-639-4175 ----- ' Name/Method: KirM Su . lemental Information.
- -
_ inn 051WORIC 1 :;::::: *.j.:.!:.. i:PIAREMY_Iabitiallithat. 6,2 -..!!1-.::
-n bi
ew construction 0 Demolition : T t over 225 lle,d iity
1
commercial 0 Hazardous lomtion
IV: Addition/alteraticnikeplacement 0 Other: _ 0 scrvice over 320 amps-nein of 1:1 Building over 10,000 square feet,
'.. 1 & 2 fannly dwellings four or more redden:id units in
2-Family dwelling al Commercial/Industrial 1:1 System ova 600 volts nominal one attutture
R Building over three stories 0 Feeders, 400 amps ammo
Accessory Building 0 Multi-Family In occupant load over 99 persons 0 Mamifactured =cans or AV pit
Master Builder 0 Other: 0 EllresdlighlillS Plan 0 Other:
', 14.V.1 i:481BSPIEDIEURNAUOK itlittlgleaKl_N . i )_ Submit acts of plans with any of this above.
The above are not applicable to temporary constroctioo service.
Job.site address: 2,2.. :- u..) ' irt ou \ii tio et : - - - - - - - -
Suite #: - BldgiApt.#: - : .. Number of inspections per permit gloved J ' .
Project Name: -br... (n O Description oty 14.0:0 Taut
New residential.elngle or maiti.faundy per
Cross street/Directions to job site: dwelling unit. It:dudes =Med garage.
Service includedi .
1000 sq. ft. or len • 145.15 4
. • . Each additional 500 sq. ti. or portion thereof I 33.40 1
75
Li=ted ergy. u
en Mkalla! 75.00 2
Subdivision: . I Lot .u. Limited enemy. non resident:lid I 75.00 2
Tax man/parcel #: Each manufamirred home or !nodular dwelling •
i 1)ESCRIPRON °MORK service andfer feeder 90.90 2
Services or feeders - Installation,
- 7>al_. irt c; n c - I 4- cm, - alteration or relocation: l
200 60.3e.
VY vy-ci amps ar as I 800 2
.3
i 201 amps to 400 emus 10615 2
401 amid to 600 amps • • 16a60 2
171 OVRIER ..: '. :".:. ! EillIEMOr 601 amps to 1000 amps 240.60 2
Over 1000 amps or yobs I 454.65 2
Name: h10,)/q ycylfe i n , I Retaamect only 66.85 2
Address: 1(-1 ZZ_4- 1/4 4 is-k, \A W N ai 7empo . ra o ryse services or feeders - installation,
CitY/StatealPfl ‘ ( 9 g_, cri 2-1.)4 1 200 =m l o eis oeetzoia 66.85 I
Phone: (a./•,) ( 9, .1 ax: 201 amps to 400 aums 10030 I 2
401 to 600 amps 133.75 I 2
Lizir,ieruemre .;!I El 'CONTACT PERSON _ Branch circuits - am, alteration, or
Name: :anion per panel:
A. Fee for branch alveoli! with purchase of 1.$
Address: service ar feeder fee. etch blench circuit g 6.65 33 - 2.
-
City/State/Zip: S. Fee far Mitch circuits without purchase of
service or feeder fee. firs branch circuit 46.85 2
Phone: I Fax: Each additional Winch circuit 6.65 - - 2
. .
E-mail: hilsc.(Service or feeder not included): ... •
Each pump or irrigation circlet 53.40 2
cOMTBACTQA
- - -. _ _. . _ Each sim or outline Seising • - - --' - - • - - - 53.40 - - -- 2 - • - -
Job No: . .. Signal circuids) or a limited enagy panel.
' "2
Business Name: DRYER ELECTRIC dhe ROgRI 12rfclur. merisi°12
Address: on Page 2
NE CULLY BLVD CITY
- City/State/Zip: YOKTLAND , OR 9 7 2.1. 3 Each additional inspeedon over the allowable In an of the above:
- IV lanzetion per hour (min. 1 hout 62.50
Phone: 503 28 6214Faa32a2 ja6 Investigation fee .
CCB r.&2_6_1#:153466 Lic. #: - - 1 LLZ Othec --- tailtdmStallge" S'S
Supervising electrician Subtotal 1 ( I -
signature required: iej,L-04."--------
Plan Review (25% ofPenoit Fee) $ Llif
Print Name: RD 615.:014 L I Lic. #: Q870.5 Stale Surcharge (8% ofl'etatit Fee) $ LO -
TOTAL PERMIT FEE S I
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: Date 180 days at It has been accepted as complete.
*Fee methodology set by Tri Building industry Service Board.
.. .
(Please print name)
it1.13sts1Permit FermskEleamitAtp.ded 01/03 „
CITY OF TIGARD 24- Hour
f
BUILDING Inspection Lin (503) 639 -4175
INSPECTION DIVISION Business - Lin (503) 639 -4171 MST
Received Date Requested D AM PM BUP _
Location _ _ . � Suite 0 ' 9 -e)0 3‘0,
Contact Person Ph ( ) PLM
Contrac or Ph ( )
B 161 G Tenant/0 �� LC 0,l' `i . 3.
Footing 6 3 J - 7" o_7 ELC
Foundation Access:
Ftg Drain (?- /�
D 1 e ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm .
Susp'd Ceiling 6a
Roof
Oth
PASS PART FAIL ,,.
. ' :ING -
''� -
•
Post & Beam f
Under Slab
Rough -In 'ff■III-- .....- {
Water Service =
Sanitary Sewer
Rain Drains
Catch Basin / Manhole -� <`
Storm Drain
Shower Pan
Other:
Final
P: �;{; FAIL
' Lp S `
Pos ; :ea �W �C°
Rough -In
Gas Line 04
Smoke Dampers
\
(lam RT FAIL
4 AL
Service 6 V
Rough -In
UG /Slab ((,
Low Voltage l,_ Fire Alarm ire I� (
i+� Reinspection fee of $ required before ne 1 ' s ection. Pay at City Hall, 13125 SW Hall Blvd.
'- :- PART FAIL p q p y ry
SITE ID Please call for reinspection E 1=1 Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date 0 Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record fro the job site.
PASS PART FAIL