Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00223
DEVELOPMENT SERVICES DATE ISSUED: 4/26/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S134AD-08000
SITE ADDRESS: 10606 SW WINDSOR CT ZONING: R -7
SUBDIVISION: WINDSOR PLACE LOT: 017 JURISDICTION: TIG
Project Description: (3) branch circuits for NC, furnace & receptacle.
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: 2 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:
LENNY LOGAN OREGON INTERGRATED CONTRACTING INC
10606 SW WINDSOR CT 19239 MERCANT PL
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone: 503 - 639 -1928 Contact #: PRI 503- 880 -8649
FEES
Description Date Amount Reg #: ELE 3 -534C
[ELPRMT] ELC Permit 4/26/2006 $60.15 LIC 158482
[TAX] 8% State Surcharge 4/26/2006 $4.81 SUP 3853S
Total $64.96 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 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: J2, Permittee Signature: ,L
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
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SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 6394175 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.
Electrical Permit A���
���' FOR OFFICE USE ONLY
Id- City of Tigard APR tZ 2006 R Dat te e /B y, .( p( �t Permit No.: (, �( - 65 0 423
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 AD �f � ' ' � Date/By: Other Permit.
Inspection Line: 503.639.4175 Y �F TIGA _ •! �� Date Ready/By. T( Juris ® See Page 2 for
Internet: www.ci.tigard.or.us C Drf IS1 -- Notified/Method. ! 1 Supplemental information '
B — DIN G
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply.
C:1 Demolition ❑Other: ['Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of I - and 2- family dwellings 4 or more new residential
® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi-family ❑Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: BHC 0601 Job site address: 10606 SW Windsor Ct ❑Health -care facility Daher: Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE
Description I Qty. I Pee. I Total I '•
Cross street/directions to job site: • New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
AC circuit, furnace reconnect, receptacle dwelling service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps 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, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
. B. Fee for branch circuits
Contact name: rarthout service or feeder fee, J
Address:
first branch circuit / 46.85 2
Each add'I branch circuit Z- 6.65 2
City/State/ZIP: . Miscellaneous (service or feeder not included)
Phone: ( ) F es:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: OIC
Address: 19239 Merchant pl Each additional inspection over allowable in any of the above
. Per inspection 62.50
City/State /ZIP: Oregon City, OR 97045 Investigation per hour (I hr min) 62.50
Phone: (503) 880 -8649 Fax: (000) 0000000 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 158482 Electrical Lic.: 3 -534c Suprv. Lic.: 3853s Subtotal l a /.'
Suprv. Electrician signature, required: Plan review (25 %ofpermit fee)
Print name: c f tV / ,L- , Date: 4 -26-06 State surcharge (8% of permit fee) ���'
TOTAL PERMIT FEE ,( 4/ �J b
Authorized signature: � i
E- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: �� Date: 4 - 26 - 06 • Fee methodology set by Tri- County Building Industry Service Board
6 . 0 . 1
CITY OF TIGARD ,�
1
BUILDING DIVISION ti PERMIT #: ELC2006- 00223
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2006
Phone: (503) 639 -4171 4��
Inspection Requests (24 Hrs.): (503) 639 -4175 alit
I
I
INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:02AM PAGE: 69
SITE ADDRESS: 10606 SW WINDSOR CT CLASS OF WORK:
SUBDIVISION: WINDSOR PLACE LOT #: 017 TYPE OF USE:
PROJECT NAME: LOGAN
DESCRIPTION: (3) branch circuits for NC, furnace & receptacle.
•
OWNER: LOGAN, LENNY PHONE #: 503-639 -1928
CONTRACTOR: OREGON INTERGRATED CONTRACTING INC PHONE #: 503 - 8B0 - 8649
Inspection Request Scheduled For: Date: 4/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
145 NC or heating unit circuit 028936 -01 503 - 936.0736 Y
Corrections /Comments /Instructions:
N O ON . 0 i.y,
.-------------____-)
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
G F.: FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V li` ' ` 6 61 Date: 4 Zz o Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: F_LC2006 -00223
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /26120()6
Phone: (503) 639- 4171..Ptt ylill�
Inspection Requests (24 Hrs.): (503) 639 -4175 ...,__ °__..
INSPECTION WORKSHEET FOR DATE: 5/5/2006 TIME: 7:10AM PAGE: 62
SITE ADDRESS: 10606 SW WINDSOR CT CLASS OF WORK:
SUBDIVISION: WINDSOR PLACE LOT #: 017 TYPE OF USE:
PROJECT NAME: LOGAN
DESCRIPTION: (3) branch circuits for A/C, furnace & receptacle.
OWNER: LOGAN, LENNY PHONE #: 503
CONTRACTOR: OREGON INTERIRATED CONTRACTING INC PHONE #: 503080 -8&49
Inspection Request Scheduled For: Date: 5/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 029250-02 503-226 -9315 Y
Corrections /Comments /Instructions:
of 14 - . I ( / ,i.Al. d
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/lye _ 01.4 c% M, </./ 215. /-t- liD/ `(
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1 4 _ .
I , )
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL.FEES ASSESSED
Inspector: e'T P Date: -c . S- 0 t Phone #: (503) 718- ZG 1/1/