Permit . tom C CITY OF TIGARD
ELECTRICAL PERMIT
,V " PERMIT #: ELC2006 -00727
COMMUNI DEVELOPMENT
« . V DATE ISSUED: 12/22/2006
fT,IFGlARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 DD -02600 .
SITE ADDRESS: 08870 SW HAMLET ST ZONING: R -4.5
SUBDIVISION: STRATFORD LOT : 032 JURISDICTION: TIG
Project Description: (5) branch circuits for kitchen /bath remodel.
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: 4 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:
GRAHAM JACOBS GARY'S ELECTRIC CO
8870 SW HAMLET 1401 SW WALLULA DR
TIGARD, OR 97223 GRESHAM, OR 97080
Phone: 503 - 254 - 4731 Contact #: PRI 503 - 465 -8145
FAX 503 - 465 -8517
FEES
Description Date Amount Reg #: ELE 26 -1 196C
[ELPRMT] ELC Permit 12/22/200( $73.45 LIC 158196
[TAX] 8% State Surcharge 12/22/200( $5.88 SUP 48575
Total $79.33 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: ---- " 1 �� 4 Permittee Signature: I Vt% I , �� i(i"U '/
'J
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.
cn C t ` z x :7R u4S tii Ne y �l trt�x� 1 ,., , :Electrical Permit Applicati ;; ,'",a , ta:l�l,lct l c c'�
- l i 44'M0 _, Recei 7
City of Tigard Date/B '' � Permit No.: L? s I f, `,v 4
Iii. ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review D r 1EC 2 2 2006 Other Permit:
- � Phone: 503.639.4171 Fax: 503.598.196 Date/By.
• ' Inspection Line: 503.639.4175 Date Ready/By: Icd ® See Page 2 for
ofl I' C'A∎R'D
rsi gtiieWti Internet: www.tigard- or.gov ' Notified/Method: Supplemental Information
l YUtli t
TYPE ' u^ .. PLAN REVIEW
�
12 New construction IA Addition/alterati a P - Tin
12 Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CAT OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
J OB' SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
• ❑ Addition of new motor load of ❑ "A" "E" "I -2" "1 -3"
Job no.: Job site address: (
O %7 W c � q t 100HPormore. occupancy.
❑
d J 1141 ❑ Six or more residential units. Recreational vehicle parks.
City /State/ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
. ' . ' FEE SCHEDULE •
Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
" DESCRIPTION OF WORK, . - _ ' .' (with above sq. ft.)
h`tCLlt.� ��d r ctt` re� Limited residential (with multi-family
above sq. 6.) 75.00 2
'1 resitial (o
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER 0 TENANT 201 amps to 400 amps 106.85 2
Name: � ,c) C n o ,1 C,., C\ \ _ N �,� 401 amps to 600 amps 160.60 2
'��S 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) ,'.'Y — V 7,7 / Fax: ( ) 200 amps or Tess 66.85 I
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 circuits with
. ❑ A PPL IC ANT - ❑ CONTACT PERSON above service or feeder fee 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 l r i 2
first branch circuit
. Address: Each add'l branch circ t 6.65 .. % , 6 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
• dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2 • CONTRACTOR Sign or outline lighting 53.40 2
Business name: Signal circuit(s) or limited -
q Y� S E 1e�fi�t c Co energy panel, alteration, or
. Address: j 14 ) f S VJq (�a iq Q extension. Describe: Page 2 2
City /State/ZIP: G c es h 14/1 0 R 17 d8° Each additional inspection over allowable in any of the above
Q .� '7 Per inspection 62.50
Phone: (,a C3) L.1(3 - OI Li S
Fax: (SC A) i (O�' � ' / Investigation per hour (1 hr min) 62.50
'\ CCB Lic.: /51. `y ( Electrical Lic.: a 6°/iyt C Suprv. Lic.: Lj ( s Industrial plant per hour 73.75
I j . ELECTRICAL: P ERMIT FEES .
. N Suprv. Electrician signature, required: ' A ' Subtotal: .? 3r "
Print name: ( (� Plan review (25% of permit fee):
� � " Da te: ZZ State surcharge (8% of permit fee): ,Y?
Authorized signature: TOTAL PERMIT FEE: 7, 33
. This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PerrnitApp.doc 05/23/06 440- 4615T(11/05 /COM/WEB
Electrical Permit Application - City of Tigard, • -
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
•
RESIDENTIAL WOR ONLY: - ._ . ._ M ;
K ::.
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other.
COMMERCIAL'WORS ONLY:.
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building \Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: Et-ta 00& 807;27
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2212006
Phone: (503) 639 -4171 if�l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/2ap007 TIME: 7:07AM PAGE: 56
SITE ADDRESS: 08870 SW HAtvyl_.ET ST CLASS OF WORK:
SUBDIVISION: STRA'TFORD LOT #: ()37 TYPE OF USE:
PROJECT NAME: JACOBS
DESCRIPTION: (5) branch ci rcuits for kitchen/bath remodel.
OWNER: JACOBS, GRAHAM PHONE #: 503-2E4-4731
CONTRACTOR: GARY'S ELECTRIC CO PHONE #: 503. 465 - 0145
Inspection Request Scheduled For: Date: 7J28 /2007 Pour Time:
Code # Inspection Description C nrr- Contact # Message
199 Eli :acia al final N14Q57 -01 503 46Er8'145 N
Corrections /Comments /Instructions:
- 1\45 • ,as�� r1 �o� r7 \1►6LKfi
6 614AA-i<1 6 41 a 0 41 to 65
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N Cam' Date: 2 ' 2$ 01 Phone #: (503) 718 - 141115
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FLC200600727
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2212006+
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2122121007 TIME: :02AM PAGE: 40
SITE ADDRESS: 118870 SW HAMLET ST CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 031 TYPE OF USE:
PROJECT NAME: ,bs,coD
DESCRIPTION: (5) bunch circuits for ldatchern /'bath remodel.
OWNER: JAC013'S�, GRAHAM PHONE #: 503 -2 54 -4731
CONTRACTOR: GARY", ELECTRIC CO PHONE #: 503 - 465 -6145
Inspection Request Scheduled For: Date: 2 y rj Pour Time:
Code # Inspection Description Confirm # Contact # Message
'109 Electrical final 043741 -01 503 - 465.11145 Ile
Corrections /Comments/ Instructions:
ALL o ‘51' I...ti 5 IN( . S1 \ t oN
1L� es) •)131%A. oVS
=v : cam' s A (L N vv •
PfZA VIZtir CAIIN f UCV E F
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N1\ONI
The electrical installation defects noted Z 71- 01 / Z: 9S yo‘,.
on this report shall be corrected and
an inspection request made within 20
caen•ar •ays per • - • . - -1 •
•
PASS PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
FAIL YrALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ' "� 6 '6 L Date: V 2 7- C) ) Phone #: (503) 718 - _4I41i0
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC900G-00727
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J22/2006
Phone: (503) 639-4171 dio
„.4"41 -
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12r2712006 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 08070 svg HAMLET ST CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 032 TYPE OF USE:
PROJECT NAME: JACOBS
DESCRIPTION: (5) blanch circuits [ o h rer0 Odd
OWNER: JACOBS, GRAHAM PHONE #: 503
CONTRACTOR: GARY'S ELECTRIC CO PHONE #: 503-465-8145
Inspection Request Scheduled For: Date: 12121/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 041521-01 503-675-5367
Corrections /Comments/ Instructions:
E ck (.5 C-:1 g$ i 6 6. c.,LV
Yvv c-&.13 k , %1 To c_ACV:INJ
cm. "V G K-E.k7 (L04/
PASS PARTIAL APPROVAL Eli CANCEL I I NO ACCESS
7 FAIL 7 CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: n, N6 g Date: 1-1(042 Phone #: (503) 718- 7j.
•
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