Permit " x ELECTRICAL PERMIT
Piderk CITY OF TIGARD
COMMUNITY DEVELOPMENT PERMIT #: ELC2008 00029
= DATE ISSUED: 1/14/2008
`:TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112CD -15900
SITE ADDRESS: 07981 SW KELSO CT ZONING: R -12
SUBDIVISION: CHURCHILL WOODS LOT : 010 JURISDICTION: TIG
PROJECT: CHURCHILL WOODS
Project Description: Alter two circuits in garage for storage loft
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 HMI 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:
HOWARD BOYTE WEBER ELECTRIC INC
15485 SW SCHOLLS DR. PO BOX 231154
SHERWOOD, OR 97140 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 620 -1906
FAX 503 - 620 -6819
FEES
Description Date Amount Reg #: ELE 34 -442c
�ILPRMT) ELC Permit 1/14/2008 $53.50 1,1C 44087
(TAXI 12% State Surchar 1/14/2008 $6.42 SUP 40285
Total $59.92 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: ,��/1G ��- Permittee Signature: ', / a
,
�
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.
Jan 14 08 07:40a Weber Electric, Inc. 503 620 6819 p.l
Electrical Permit Application FOR OFFICE U ONLY ,.
City of Tigard ED RECE� �/ Dtte/B a d ir 8 PemutNo. C /, 0, I _
13125 SW Hall Blvd., Tigard, O E Y .7c+/ pl Review
Phone: 503.639.4171 Fax: 503.598j�¢Qt 4 LUU� ra��I "B ; Other Permit:��Ca� ����j/
Inspection Line. 503.639.4175 {{�� �IVV a,_ • Date Ready/By: 1101 Br See Page 2 for
Internet www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY Orr J
❑ New construction 4 A th alteration replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location
❑Service over 320 amps - rating ❑Bulking over 10,000 sq. ft.,
• '. CATEGORY • OF. CONSTRUCTION ' `'`7:,' • + r of 1- and 2- family dwellings 4 or more new residential
gi j- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one structure
El Multi family ❑ Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more
['Occupant
SITE INFORMATION AND LOCATION Occupant load over 99 persons ❑RV ufak r structures or
. ❑Egress/lighting plan park
no.: Job site address: x i, 8 / SGJ 1? �L sd .- ❑Health -care facility ❑Other.
Submit 2 sets of plans with any of the above.
City /State/ZIP: Ti J G ( i ` j 1'7 2-2 Q The above are not applicable to temporary construction service.
Suite/bldg. /apt. no,: Project name: FEE* SCHEDULE
Desolation I Qty. t Pee. I Total I .•
Cross street/directions to job site: yl,e 79. Z r OV f i A rrt 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? 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
�
r dwelling, service and/or feeder 90.90 2
jz2_. - er 2 C I r C LA,,, (Yl 9 GO' GI- _ Services or feeders iastaltatioa, alteration, and/or relocation
Av. 5 1 c7 !.. Le f 200 amps or teas 80.30 _ 2 • 'PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 -85 2
2 401 amps to 600 amps 1 60.60 2
Name: l>�oy.-$ -_P 601 amps to 1,000 amps 240.60 2
Address: ' Ci A ) s � Q (Is O " Over 1,000 amps or volts 454.65 2
1 �X Reconnect only 66.85 2
City / State/ZIP: 5(6e.n . ter„ / U CI "? l �t0 Temporary services or feeders installation, alteration, and/or
Phone: ()3) , Q( g---7
7 Fax: ( )
relocation
,
200 amps or less 66.85 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
•
• • R- iPPLLCANT f ' - ®' CONTACT 'PERSON A. Fee for branch circuits with
service or der fee, each
m1 (12A) ( �tM ( 14;tot/ 1,1 S t�- branch circuit 6.65 2
Business name:
Contact name: B. Fee for branch circuits
,,, 1 'R without service or feeder fee, f 46.85 2
each branch circuit 4 (o,g5
Address: (3015 IV.) r r ,Netwn/ Each add'l branch circuit ( 6.65 6 , ( 2
City/ State/ZIP: et i aZw 0 Miscellaneous (service or feeder not Included)
Q Pump or irrigation circle 53.40 2
Phone: (5v ) s � l -7 Fax :: ( 3) ' t ^ 00 (to
�� Sign or outline lighting 53.40 2
E -mail: 1 1 1 1 CnuMCa Signal circuit(s) or limited-
energy nel, alteration, or
' _C - gY Pa
extension. Describe: Page 2 2
Business name: ', , - Tt '
Address: . : r � Each additional inspection over allowable in any of the above
'' ,- , ,.--,‘,,.:;--7
Per inspection 62.50
City/State/ZIP: -
tY , . ,.._ = % i •f /•- . i' , ,: Investigation per hour (1 hr min) 62.50
Phone ( ) Fax' (a r _ ? = - -i industrial plant per hour 73.75
:,:J — t :: ,_„ , .� :.. ELECTRICAL PERMIT FEES*
CCB Lic. :. -' , -.) • 1 Electrical Lic.ia.: ' f -I Suprv. Lic.: ,_ ,f; 5
Subtotal c
Suprv. Electrician signature, required: ; '!/7 . , i • Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: - J �, `,,, ,, - Date: / .. ( , 0 TOTAL PERMIT FEE 5 7, 7 a'
Authorized signature: This permit application expires If a permit is not obtained within 180
days after It has been accepted as complete
Print name: } Date: • Fee methodology set by Tri- County Budding Industry Service Board
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008.00029
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/141/200f;
Phone: (503) 639 -4171 II 0 I� III
Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7J I20Of3 TIME: 7:01AM PAGE: 6
SITE ADDRESS: 07981 SW KELSO CT CLASS OF WORK:
SUBDIVISION: CHURCHILL WOODS S LOT #: 010 TYPE OF USE:
PROJECT NAME: CHURCHILL 1 000S
DESCRIPTION: Aker two circuits in garage for storage loft
OWNER: BOYTE, HOWARD PHONE #:
CONTRACTOR: WEBER J ELECTRIC INC PHONE #: 503 - 620.1906
Inspection Request Scheduled For: Date: 2/512008 Pour Time:
Code # Inspection Description - Confirm # Contact # Message
120 Electrical rough 064541 -01 503.818 -7380 N
Corrections Comments /Instructio
4 , 1 i /..1 al# f i i i 93 D! 1.70/
. .
2 del a le // _
//, ."
)4Ass n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
21 i ge
Inspector:
"C--61°
Date: Phone #: (503) 718-