Permit CITY OF TIGAR® ELECTRICAL PERMIT
P ERMIT #: C2006 -00649
COMMUNITY DEVELOPMENT DATE ISSUED: EL 11/13/2006
'I'IOAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103D6 - 05300
SITE ADDRESS: 13330 SW GENESIS LP ZONING: R -4.5
SUBDIVISION: GENESIS NO. 2 LOT : 050 JURISDICTION: TIG
Project Description: 2 branch circuits AC. EXPIRED
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:
CARL VOSTN OREGON ELECTRIC GROUP EOM }�
li F#) E l
13330 SW GENESIS LOOP 1010 SE 11TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214 1/4 •0
Phone: 503 - 234 -9900 Contact #: FAX 503 - 535 - 2763 GA)
pRl 503 - 234 -9900
FEES
. Description Date Amount Reg #: ELE 26 -95C
[ELPRT] ELC Permit 11/13/200( $53.50 LIC 203
VI 6
[TAX] 8% State Surcharge 11/13/200( $4.28 SUP 44605 '
Total $57,78 REQUIRED ITEMS AND REPORTS 0
.0
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: _ .6ut- lU Permittee Signature: �7-1 p,�,a� /
Y
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 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.
1
i•
INSPECTOR'S•SIGNATURES ARE NOT
Inspections Required for: ELC2006 -00649 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description I PASS Date I By I ✓ Code I Inspection Description I PASS Date I By I
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing X 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors X 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing MEC - Mechanical Permit
810 MFG - Structure set -up 605 Post/beam mechanical
280 Insulation 610 Gas line
285 Drywall nailing 615 Mechanical rough -in
287 Suspended ceiling 620 Hydronic piping
295 Misc. inspection: 625 Duct work
899 MFG - Structure final 630 Fire damper
498 Grading final 635 Smoke detector shutdown
299 Final inspection 640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbin rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
1: \Building \Inspection Cards \Forms\AOP- InspCard- Blank.doc 12/09/2005
I 1- v PERMIT
PERMIT
006 00649
y CITY OF TIGARD
COMMUNITY DEVELOPMENT DATE ISSUED: 11/13/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 103 D 6 -05300
SITE ADDRESS: 13330 SW GENESIS LP ZONING: R - 4.5
SUBDIVISION: GENESIS NO. 2 LOT : 050 JURISDICTION: TIG
Project Description: 2 branch circuits AC.
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:
CARL VOSTN OREGON ELECTRIC GROUP
13330 SW GENESIS LOOP 1010 SE 11TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 503 - 234 -9900 Contact #: FAX 503 - 535 -2763
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit I (/13/200( $53.50 LIC 203
[TAX] 8% State Surcharge 1 1/13/200( $4.28 SUP 44605
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 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: Permittee 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 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.
NOV -10 -2006 10:39AM FROM -OR ELECTRIC SVC 5035352763 T -379 P.001 /002 F -481
.' 1ecLrlcul rermlt tippucutlun •
City of'1figard G' ft E® o/B 11 I'5 OCo Pemil[NG.; / / �
13125 SW Hall Blvd., Tiprd, OR Plan Review � q
Phone: 503.639.4171 Fax: 501598.1960 4+ .. t' I r '' DaWL3 Other Permit;
Inspection Line; 503,639,4175 NOV 3 2006 ' ±
y Oeto >teaQy /By. hair. 4 See Page 2 for
Internet www.ci.tigarctor.us ,t1 tl us 1 J Notified/Mothoa ! Supplemental Information
litAYdihhkiitikRD
❑ New construction ' Mc�ement Please check all that apply; REVIEW
❑ Demolition ❑ p�� ['Service over 225 amps, comm'I ❑Ilarardous location
❑Service over 320 amps - rating ❑ Buldng over 10,000 sq. (L,
CATEGORY OF CONSTRUCTION of 1 -and 2 -family dwellings 4 or more new residential
21 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑Systan over 600 volts nominal twits in one structure
❑ Multi- family ❑ Master builder ❑ Other ❑Bw three Building over thr stories [Feeders, 400 amps or more
❑Occup mt load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION • ❑Egressnighting plan RV park
Job no.: 24819 Job site address: 13330 SW GENESIS LOOP C11-Icalth -care facility DOther:
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.: I Project name: VOSTN RESIDENCE FEE" SCHEDULE
Desrtictlon I Qty. 1 Fee F Tmet I "
Cross street/directions to job site: New residential single- or amid- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.; Ea. add'I 500 sq. IL or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.: _ Limited energy, non- residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
WIRE OUTDOOR UNIT 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: CARL VOSTN 601 amps to 1,000 amps 240.60 2
Address: 13330 SW GENESIS LOOP Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/Statc/ZIP: TIGARD, OR 97223 Temporary services or feeders installation, alteration, and/or -
Phone: ( ) I Fax: ( ) relocation
200 amps or less 66.85 I 1
Owner installation: This installation is being made on property that I own which is not ' 201 amps to 400 amps 100.30 2
intended for sale, lone, 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 1 ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without savicc or feeder fee, \ 4615 4 to• Q v 5 2
Address: each branch circuit
Each add'l branch circuit t 6.65 No .IDS f 2
City/State/Z1P: Miscellaneous (service or feeder not included)
Pump or irrigation cir 53. j 2
Phone: -
( ) I Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: Sisal cireuit(s) or limited-
• • CONTRACTOR energy panel, alteration, or
extension. Describe Page 2 2
Business name: Oregon Electric Group _
Address: 1010 SE 11th Ave Each additional Inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Portland, OR 97214 Investigation per hour (1 hr min) 62.50
Phone: (503) 234 -9900 I FaX: (503) 535-2763 - • Industrial plant per hour 73.75
'ELECTRICAL PERMIT FEES*
CCB Lie.: 203 I Electrical Lic.: 26-95C I Suprv. Lic.: 4549S Subtotal 53 .50
Suprv. Electrician signature, i S. Plan review (25% of permit fee)
Print name: R: C ■n O. r d (� c 6 l l 1 t , �` I Date: 11/10/06 State surcharge (R% of permit fee) Li, a 8
TOTAL PERMIT FEE 57, 7 g
Authorized signature: •
go • ^ This permit appGmeno• expires If a permit Is not obtained within 180
l� days after it hm been accepted at complete
Print name: ' • CVI a r Date: 11/10/06 • Fee metbodolou set byTri Building Industry Service Board
•• Number of inspections per permit allowed,
lMoild 'm8WermicnntC- Permnapp.dac 12/03 4404615T(I COMNVEB
CITY OF TIGARD
BUILDING DIVISION VS • PERMIT #: ELC2006 -00649
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 11/1312006
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 ^'I � ..
INSPECTION WORKSHEET FOR DATE: 11/21/2006 TIME: 7:00AM PAGE: 21
•
SITE ADDRESS: 13330 SW GENESIS LP CLASS OF WORK:
SUBDIVISION: GENESIS NO. 2 LOT #: 050 TYPE OF USE:
PROJECT NAME: VOSTN
DESCRIPTION: 2 branch circuits AC. .
OWNER: VOSTN, CARL PHONE #: 503 - 234 - 9900
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503. 2349900
Inspection Request Scheduled For: Date: 'I1/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Messa• -
199 Electrical final 040110 -01 503 - 849. 2435 -4-1"/
Corrections /Comments /Instructions:
Oil ITC— @ -. c- . vcv ,g -
- A5 •_ _. C 4 c2 -Z NJS 0,
"" ❑ PARTIAL APPROVAL El CANCEL p4Q ACCESS
(FAIL *ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CA1 Date: Phone #: (503) 718- ___ZLIV-