Permit CITYCITY TIGARD ELECTRICAL PERMIT
TIGARD #: ELC2007 -00738
{ COMMUNITY DEVELOPMENT DATE ISSUED: 11/1/2007
T1cnR.P 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111CA 02200
SrTE ADDRESS: 15477 SW SUMMERFIELD LN ZONING: R -
SUBDIVISION: SUMMERFIELD NO.7 LOT : 331 JURISDICTION: TIG
PROJECT: CASSELLINI
Project Description: (2) branch circuits for sunroom addition.
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: SIGNAUPANEL:
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:
NICK CASSELINI CARR ELECTRICAL TECHNOLOGY INC
15477 SW SUMMERFIELD LANE 2240 NE GRIFFIN OAKS
TIGARD, OR 97224 HILLSBORO, OR 97124
Phone: 503 - 684 -1326 Contact #: PRI 503 - 640 -4326
FAX 503 - 640 -6547
• FEES
Description Date Amount Reg #: ELE 97 -905C
IELPRMTI EEC Permit 11/1/2007 $53.50 LIC 144433
TAX] 8% State Surcharge 11/1/2007 $4.28 SUP 4482S
Total $57.78 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspende• •r more •an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those es are set forth it ` • R 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies •f these rules or direct questions to OUNC at
503. • 6.6699 or 1.800. 2.2 ' .
Iss ed By: ( _ 4 Permittee Signa re:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
'CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: �I' ' DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Oct,31. 2007 1:18PM Biton Landscaping No 0683 P 1
EYecfrlrical Permit Application , , H i 61 ►r l l( - r - t l ` ' ' ' ,r
'` City of Tigard Received J
T g t DateB . /o J'/ 07 VA Permit No.. £Le,?oe -6073 S
13125 SW Hall Blvd., Tigard, O' 9 c2" (�f 1 / Plea s
=' ' ., Phone: 503.639.4171 Fax 503.5980 `3 DatdB : Other Permit
; T a •r i- T.a tion Line: 503,639.4175 "" ' � Date Rcady ®see Page z for
'•.:, .. ::, Internet. www.tigard-or.gov CV YO 11 `IN Notified/Method: SupplemeotalInformation
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ic :E:�2 ..» .W.�ls f l'il�$ •' � � �m� ..�:uYr.,.,.U„Sl`'�t � �1��, � pfd_, � ra ,._.___� -�' "- a. ..___
= �clrt::a��:c- ;'aF:::: : �fi. �.�: °:�:r=u��:,il<:�u.i.;. =- ,..:,.w,._:..�: <- _= .- .- ::._,!c5 t.....: ti::;. - - -s`• s t @
❑ Please check all tha submit 2 sets or
0 Ncw construction � Addition/alteration/replacement apply ( pleas wfitema checked below ):
LJ Dem0I1ti0II ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories .
where the available fault current ❑ Marinas and boatyards.
7^.C_•- t7. J4,,: ::;:�.�: --,-, w{ e.ti-, fi S :.iii.. �
' = x41 - 210& F ..,- f... 2 N r_ 3 rAtt . U? tail.. 3,i�'! '�. :a`aa1 raliit�% ?s$ , kus to s 10.000 carpe at s 1 volts or ❑ Floating ui a
less m ground, or exceeds 14,000 ❑ Commercia - sec agricultural
IN 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 7s K VA or
rT Fi ?i aS l �S T4 y �� � 5 a i t jut s y w d err. ![ .- € '' s 11*, t - . ❑ Emergency system. larger separately derived system.
... w:9.,.lsai::cl11,.. ,- teti a, „r . tleJi /V. �?.r:u.MF ticaL.::.ii. ,. ,. %.t +'-, ■ i' .4e.. tr ,1, i ly . ,'- �` = ['Additi of sew motor load of A >, •E ul -1 • 1
Job no.: Job site address: i, [f 7 1 10011P or more. occupancy.
i �� SE r T r I. ❑Sit or more residential units. ❑ Recreational vebicle parks.
City /State /ZIP: 1)6 t A.1044 0 Q. q 1 7.2-ii ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: a CI or fwder 600 amps or more.
Cross street/directions to job site: t,,,, r 1 t . . T'r ;
' t i ' l.,._ il l w r e-. r.ek 4 � .7 .771 -k N,:....». : - ..f...c'� i
Descript qt,. Fee Total •
New residential single- or multifamily dwelling unit.
Includes attached garage.
Subdivision: Lot no,: 1.000 sq. R or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no Limited energy, residential -
n -"- r T* 1{ Iz t yTAP 6 n w K P a x::s#r i l l �.Iz 75.0{) 2
�' ' tit Tar hti . F rr,S :. 7:'ff 4t fr" " �J n " ,i , s r� s �' {: :
., s..... u�. i..,:> r ..:..t >�r.:�a7�`i.:. _ .' �s,.w�r,�rie�svJbri;ir �.- .e�.s:': "rc cc.:st (with above sq. $.)
Limited energy, multifamily 75.00 2
residential (with above sq. ft.)
(L n Services or f eeders installation alteration, and/or relocation
S 200 amps or less 80.30 2
s rr., . d:r Jl. :r ' >d .1 ° , r ! ! 1 I 11 / cF:1•..2'ri Yt I�p. t"�e, , ;3.�•�. .tk, ,.c= ? :.v:s.....q:.., :
= x = iv,-- iimmsi :So :-
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a
xts:a> Al lt.•i . - rFxa;u cn �,.:wtt,..�i 201 amps to 400 amps 106, 85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts _ 454.65 2
City /Statc/ZIP: Temporary aervitcs or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 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, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, cr panel
Owner signature: Date: A. Fee for branch circuits with
r n.'E'� .ter , r y� 1+ •ro ..rr x 77 �x�. .
. 1 rl� hrr, �? a � i"1TlIfBw ' z i 'w' y i y 4f 11 Yf) f 4 ":1 ,7� ... ,4r " -' ∎lit jai "1,"f Yriei above service or feeder fee //
/,
as _..r_ 3..ItL, ,y, y- :- .., .. ,...k..r.?t:. .iihtlr...iz ...4- . y, {- -..• 1 x :1 . Al , i 6.65 6 2
x° l ` iss" x each branch circuit
Business name: /�t
' +�
rr G�,� +Z 1 , v i, r , o l pr Kry .r B. Fee for branch circuits
Contact name: ?acs 1 1 , L ;1 ,tat branch circuit der fee, 1 46.85 y`,8, 2
Address: Each add'! branch circuit 1 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90,90 2
Phone: (3) 94c _ 3 4110 Fax:: ( ) dwelling, service and/or feeder
Reconnect only 66.85 2
Email • a 1 4' , • 1 S 4. Pump or irrigation circle 53.40 2 1 }
E : °'�Fv�_ i aki?t fi� w.,,.., G• rggi Zq y tl , , .3r�-�• :ti � : - sue ° ; : y Sign or outline lighting • 53.40 2
Business name: ( L 7 signal circuit(s) or limited
I energy panel, alteration, or
Address: 2,7, g o Iv 6 (r ,.,' t //'��� 'F 11„ L$.4 E4 extension. !)ascribe: Page 2
City /State/ZIP: i I ( • r • a 1 , vi Each additional inspection over allowable in an of the above
Phone: ON ) 41{0 Fax: (50 ) Per inspection 62.50
3 G y0 ,. (0 5'17 Investigation per hour (I hr min) 62.50
CCB Lic.: 1 111133 Electrical Lie.: 3 7.. 0 5 Suprv. Lic.: lit 2 S Industrial plant per hour 7175
Rl� o signature, required: / p . ! rv y r T�^.�-^�� r 1 �.'1.+Y +? 2 Ls
'tc3
/0 r
Suprv. Ele =s - x °! - 4 _ _. -._
Subtotal: 5 LSO
Print name: L!� /G N I Date: /D3 Plan review (25% of permit fee):
State surcharge (8% of pemrit fee): 1 U
Authorized signature. r` ,1 - TOTAL PERMIT FEE: 1 1 . .1a
Print name: Bate: This permit application expires if a permit is not obtained within ISO
i�it recu 4� 10 1 7 ? ( days after it has been accepted as complete.
1:1BuildirglPermitslELC.pertnit • Number of inspections allowed per permit.
App.dnc 05/23t06 440.4615T(II/05/ cM /WEn
CITY OF TIGARD 4' �5 Pi
BUILDING DIVISION ' � PERMIT #: ELC2007- 00138
13125 SW Hall Blvd., Tigard, OR 97223 k DATE ISSUED: 11/1/2007
Phone: (503) 639 -4171 /aaat'q ;,:16 � A,
Inspection Requests (24 Hrs.): (503) 639 -4175 - R'I�I
INSPECTION WORKSHEET FOR DATE: 12/27/2007 TIME: 7 :O AM PAGE: 30
SITE ADDRESS: 15477 SW SUMMERFIELD LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.7 LOT #: i31 TYPE OF USE:
PROJECT NAME: CASSELLIIVJ
DESCRIPTION: (2) branch circuits for sunror m addition.
OWNER: CASSELINI, NICK PHONE #: 5:03 -6847 -1326
CONTRACTOR: CARR ELECTRICAL. TECHNOLOGY INC PHONE #: 503-640-4326
Inspection Request Scheduled For: Date: 12/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 062190-01 503-332-0038 N
Corrections /Comments/ Instructions:
Oa,n 14414.k. t '
❑ PASS PARTIAL APPROVAL ❑ CANCEL 'NO ACCESS
FAIL Il R INSPECTION ❑ ADDITIONAL FE ASSESSED
p ,- Z Z�
Inspector: Date Phone #: (503) 718 -