Permit CITY OF TIGARD ELECTRICAL PERMIT
Irr . COMMUNITY DEVELOPMENT Permit #: ELC2007 -00647
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/14/2007
Parcel: 25110BB01100
Jurisdiction: TIG
Site address: 12408 SW DUCHILLY CT
Project: REDDICKS Subdivision: Lot:
Project Description: (3) branch circuits to finish off bedroom addition. 3/31/11, reprinted to grant extension of this permit for final
inspections.
Contractor: TEAM ELECTRIC CO Owner: REDDICKS, JEFFERY E +
9400 SE CLACKAMAS RD KATHY L
CLACKAMAS, OR 97015 12408 SW DUCHILLY CT
TIGARD, OR 97224
PHONE: 503 - 557 -7180 PHONE: 503 - 524 -2408
FAX: 503 - 557 -8201
FEES
Quantity Description Date Amount
1 [ELPRMT] ELC Permit 09/14/2007 $60.15
Specifics:
1 [TAX] 8% State Surcharge 09/14/2007 $4.81
Type of Use: SF 1 hr Hourly Electrical Rate 03/31/2011 $90.00
Class of Work: 1 ea Hourly Electrical 12% 03/31/2011 $10.80
Surcharge
Type of Const:
Occupancy Grp:
Total $165.76
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTIO • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 rough 0 R 95 01 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 0/YA44 ALA a Permittee Signature: T Lt i
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
CITY OF TIGARD
BUILDING DIVISION ,040144 PERMIT #: ELC2007- 00647
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9//412007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' 1I..
INSPECTION WORKSHEET FOR DATE: 9/18/2007 TIME: 7:OOAM PAGE: 48
SITE ADDRESS: 12408 SW DUCHILLY CT CLASS OF WORK:
SUBDIVISION: AMES ORCHARD LOT #: 014 TYPE OF USE:
PROJECT NAME: REDDICKS
DESCRIPTION: (3) branch circuits to finish off bedroom addition.
OWNER: REDDICKS, JEFFERY E +, PHONE #: 503- 524 -2408
CONTRACTOR: TEAM ELECTRIC CO PHONE #: 503.567 -7180
Inspection Request Scheduled For: Date: 9/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 055849 -01 503 -504 -0240 Y a, pi; G/
Corrections /Comments /Instructions:
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PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
'Inspector: Or Alr Date: Phone #: (503) 718-;? V k
7 .70, - - - - -- J i r ' F>M: rttt:: rz °r , s.n , ra %
. q. ' icalPermit Application ,' �`' ' 1iYt. tit i �
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4 . a � ,r City of Tigard �j E'V D D °.:: i'; ® a emu Permit No.: E _, „i 6 � '' °I 13125 SW Mall Blvd., Tigard, OR Pion Review
L =s1 in Phone: 503.639.4171 Fax: 503.598.1960. . . . 7 Date/By. ta Ready/By: O7 �
El Sec Page 2 foi
Inspection Line: 503.639.4175 Au 6 r3 i. 2001 -
Y ` ` er Y ai �? Notited/Method: l f (� Supplemental Information
�*+•�-�'�? Internet: wwa.tigard�r.gov t�Y r. r .. : r - - _ - -
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❑ New construction ❑ Addition /al rr ii .n replacement Please check all that apply (submit 2 sets of plant w/itans chocked below):
Q Servlee or ilseder 400 amps or more ❑ Building over three stories.
❑ Demolition 0 Other:.. whore the available fault current ❑ Marinas and boatyards.
I { .' i ,..D.: '. `. I ° ..., y , • i.,V i 0 ' , . , , `9!P' ,! 9 , 14 ' . • • , accede 10,000 amps at 150 volts or In Floating buildings.
.j,. . ' �'r :1 YY• , �::. •.,, 1 " 1 » . i`• , r :r9:1 L Y . , leas to ground, or exceeds 14,000 ❑ Commercial.
vas agricultural
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other insrallations. buildings.
® Multi- family 0 Master builder 0 Other. ❑ Fitt pump. ❑ instal lotion of 75 KVA or
u u.t iaru +n I w t ' ❑ Emergency system. form ac nrstely derived system.
:�� .,' j���ttt�777�gq,111� I U t �l i, �i, { r i�� . ,. " n
��� ° � �' t r t' Y l ' i frt��llMrr����tiiiFNtutUl111au1� � � � ''t�*'ti+`► I � , ; .. , . ❑ Addition of now motor load of ❑ " 1-3 .
Job no.: Job site address. 12408 SW DuchIlly Ct. toolfP or more. 000upaaey'
❑ Six or more residential units. ❑ Reeroati000l vehicle parks.
City/State /ZIP: 97224 ❑ Health -care facilities, ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suit /bldg, /apt no,: 1 Project name: ❑ Service or feeder 600 amps or more.
Cross street/directions t/directions to job site: _Dnaiption Qty. r ee ° t Total •
New residential single- or multifamily dwelling unit
Includes attached garage.
Subdivision: 1 Lot no.: 1 ,000 sq. !t. or Icss 145.15 4
Ea. add'I 500 sq. ft or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
r yy" y i�.i `. u u 75.00 2
r ',: �' .�� "� (with obOve sq. R)
+I„tv,1Mi8iL s�,
Bedroom Addition Limited energy, multi- family 75.00 2
residential (with above sq. ft.)
Services or feeders lnstallotlon, alteration, and/or relocation
200 amps or lass 80.30 2
Itaint-37=1=0111111111111111MEM=MIEBBI 201 amps to 400 amps 106.85 2
Name: Kathy Roddleks 401 amps to 600 amps 160.60 2
) 601 amps to 1,000 amps 240.60 2
r Address: 12408 SW Duchilly Ct. Over 1,000 amps or volts 454.65 . 2
6 City /State/ZIP: Tigard, OR 97224 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) 1 Fax: ( ) 200 amps or lass 66.85 1
r 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, per panel
Owner signature: Date: A. Fee for branch circvits with
' 1 ;MLZt� `� ii. ., " '" ,S1 + .. above service or feeder fee, 6.65 1,,,D 2
7 -' each branch circuit
Business name: Team Electric Co. ' B. Fee for branch circuits
Contact name: Mike Trusheim wither/ service or Reader fee, 1 46,85 410,% 2
first branch circuit
Address: 9400 SE Clackamas Rd. - Each udd'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
J City /State/ZIP: Clackamas, OR 97015 Each menuffcturvd or modular 90.90 2
Phone: 503 5 57 -7180 1 F ax :: (503) 557 -8201 Reconnect ne, so nnect on l y A and /or feeder
( ) ) Reconny 66.85 2
L E -mail: miket@teamelectrieeo.com Pump or irrigation circle 53.40 2
d fifra ; '1gi;M 1 Sign or outline lighting _ 53.40 2
Business name: Team Electric Co. Signal cirovit(s) or limited-
energy panel, alteration, or
Address: 9400 SE Clackamas Rd. mansion. Describe: Page 2 2
City /State /ZIP: Clackamas, OR 97015 Each additional inspection over allowable in any of the above
Per inspection 62.50
9 Phone: (503) 557 -7180 Fax: (503) 557- Z z 0 I Investigation per hour (1 hr min) 62.50
CCB Lic.: 173043 Electrical Lic.: 3 -225C Suprv. Lic.: 6 Industrial plant per hour 73,75
Suprv. Electrician signature, required: le / Subtotal: r l t 1
Print name: Michael rlrushoim I Date: 08/31/07 Plan review (25% of permit fee):
r+ State surcharge (8% ofpermit foe): , Cb*
Authorized signature: 1 I/ / f ..., °" TOTAL PERMIT FEE: i O (0
Print name: Michael TYushelm Date: 8/31/07 This permit application ezpirea ifs permit Is not obtained within 180
days offer it has been ncccpted as complete.
• Number of impactions allowed per permit.
L∎BuildingP mit,lBLGPerm App.doc 05/23/06 440.46151 1 /0 /C0M/WEe