Permit CITY OF TIGARD ELECTRICAL PERMIT
' PERMIT #: ELC2008 -00369
% COMMUNITY DEVELOPMENT
DATE ISSUED: 6/25/2008
r 1 c n RD! 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103RD - 09400
SITE ADDRESS: 12985 SW 116TH PL ZONING: R-4.5
SUBDIVISION: HUNTER'S WOODLAND LOT : 006 JURISDICTION: TIG
PROJECT: ROBINSON
Project Description: Installing (2) branch circuits.
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 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:
• KEVIN & KATHRYN ROBINSON SOHLER ELECTRICAL CONSTRUCTION
12985 SW 116TH PL 41131 SW BURGARSKY RD
TIGARD, OR 97223 GASTON, OR 97119
Phone: Contact #: PRI 503- 985 -0131
FAX 503 - 214 -6246
FEES •
Description Date Amount Reg #: ELE C121
[ELPRMT] ELC Permit 6/25/2008 • $53.50 LTC 16794
[TAX] 12% State Surchar 6/25/2008 $6.42 SUP 594S
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 throu• h 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: t om,► • el, '
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.
•
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: 5LC7 y REQUIRED ON GREEN INSPECTION CARD. " `
✓ • Code I Inspection Description I PASS Date I By / ✓ Code Inspection Description PASS Date By
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
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
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
915 _ Fire alarm rough -in 305 Plumbing underslab
310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection:
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
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
I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07
4 w� $ . . q
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00369
• O-.. COMMUNITY DEVELOPMENT DATE ISSUED: 6/25/2008
jil.GfiRDJ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103RD -09400
SITE ADDRESS: 12985 SW 116TH PL ZONING: R -4.5
SUBDIVISION: HUNTER'S WOODLAND LOT : 006 JURISDICTION: TIG
PROJECT: ROBINSON
Project Description: Installing (2) branch circuits.
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:
KEVIN & KATHRYN ROBINSON SOHLER ELECTRICAL CONSTRUCTION
12985 SW 116TH PL 41131 SW BURGARSKY RD
TIGARD, OR 97223 GASTON, OR 97119
Phone: Contact #: PRI 503 - 985 -0131
FAX 503 - 214 -6246
FEES
Description Date Amount Reg #: ELE C121
IELPRMT] ELC Permit 6/25/2008 $53.50 LIC 167949
[TAX] 12% State Surchar 6/25/2008 $6.42 SUP 594S
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 throu•h 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 • � j �/ Permittee Signature: -� / � ,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.
. .
. J -
Electrical Permit Application
City of Tigard UCEIVET). tr.:;', 0 is o P-iiNo-ii_e_ Rr/or-6-) a47
; . 7 13125 SW Hall Blvd., Tigastl, OR 9 Pim Review
l Phone: 503.639.4171 Fax 503.598.1960 DatelBy: Other Petmit:
Inspection Lioe: 503.639.4175 ady/By: /Mx I 0 See Page 2 lir
it .1 -... :: 0 U N 2, z.: r!..! ' Datc Re
:
interact www.tigard Notified/bActitock 77 ..a, I Sapplementid Informatleas
''.; "..:. OlgiittifittneatVaniagtag gbit tA
0 New construction @lciditicjiilif!c9f19#1,?04,: ,-,N Please thecit all that apply (subtort a sets Minims elledced below):
e 0 Service or feeder 400 amps or isms 0 Building over three ton-&
0 Demolition 0 Other where the available fault orient 0 Marinas and boatyards.
' '' '''''''''.''''. • '' '' ::141141,444fiiiii*iiiii*W:iW.-W .:W:3:::Wiii exceeds 10,000 amps at 150 volts or 0 Floating buildings.
;>.:`:;.....:;,;ki.4.:Vai..',::§01.;;:az. ,,,, .....:%:..1:.•.,,.;;A,P;,.:4-8::5:k:::.:;,:,:i len to ground. er ... IA " 0 comoac wr
1- a:nd 2-family dwelling 0 CommercialfinditstriA 0 Accessory building amps for all other installatioos. buildins.
0 Multi-family 0 Master builder 0 Other. Oros pomp. 0 installation of 75 KVA Or
:Ns. 0 ExpesSerker srlem. laiBer separately derived system
VAVE'MONS404 Alt- :,*###01( ACWKVASASSAN:W?zo a Addition anew meter kmlor 0 - E - . -1-2-. -1-r.
occupancy_
Job no.: 1 jth site address: / ,2 `) 5 5' v- ;j C 'f Pe- 0 s c'r '1"e: dentist =as. 0 Rocreaficaud vehicle parks.
City/StaieiLfP: 17 L, A f ( 0 9 r3 o ifoallb-carc facilitie.
0 Hazardous locations. 0 Supply voltage for mote than
600 volts nominal.
Suiteibldg./apt. no.: 1 Posject name: i 6 i r ,.., y G y.,..,, o Service or feeder 600 amps or mom
0?k '''''V`...M ,,, :`:' , IFc... -. '"'"Wirit4ittliti*Li s i • _140
:::,-.■;3■' ;......I.‘:*,.4 . : . . . • k•warA. ' " ' .."."':'"" ' '
Cross street/directicus to job site: ri.■tr Tor. r 116::..1 T"
N r iv reskiented single- or mottl-fasally dwelling init.
haylofts attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft or less 145.15 4
Ea. addl 500 sq. ft. or portion 33.40 i
Tax map/parcel no Limited energy, residential
75.00 2
.';F.e.5P','Ff.::,''lentl*I%G.:" - 11-MrAtIMIVMZ‘:C•,...:<:*44Z. - 4:•i3*&s3;,i With above it) -
Limited energy, multi-family 75.00 2
A j C rt- s erv) ce n 01 1.-i- residential (with above sq. 8.)
Services or feeders Installatioo, alteration, and/or relocation
200 amps or less 80.30 2
WSIV10411,6:5*(Zr; ';'::~Mal.4VOM'i;:tVaiffiiiiie:VWMV:W=i 201 amps to 400 amps 106.85 , 2
401 amps to 600 amps 160.60 2
Nam: K1. (/ i r g 0 1 , ,V fao Ai 601 amps to 1,000 antps 240.6D 2
Address: i,2c785 5 i ((,„ e Over 1,000 amps or volts 454.65 2
_
City/Statera?: 7 64). K 0 c ? ^ 7 2 ,,-7 Temporary services or fteders installation, alteration, andiror
relocation
Phone: (S 3 ) 7c 3 - 2 .)1 C I Fax: ( ) 200 amps or less 66.85 i
Owner installation: This installation is being made on property that I own which is not 201 aMP5 to 400 aMPS 100.30 1 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 70I. 401 amps to 599 amps 133.75 2
Branch circuits - oew, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits' with
MIESAM1******7 5,fakagStgMgitgtlft**APO.*: IRMA abt/vc scrvice f fee 6.65 2
Business name: R. Fee for branch circuits A t .--
without scrvice or feeder far, 0-'
46.85 t 2
Contact name: first branch circuit i -
Address: Each addi branch circuit i 6.65 6.0 _ 2
lifbeellaneous (service or feeder aid included)
City/StatelZIP: Each rommfactared or modular 90.90 2
cveiling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E Punm or irrigation circle 53.40 2
::::Zan:MIZA0agatt:V40.0tIttaOloita.VPAKAZIWANAV.gala Sign or outline lightng 5340 2
, Sigma chant(s) or limited-
Business name: ( i
J 0 IA It.. le & e---C:t e" 1 c C 0 _C? ( y-. .. 5 1- energy panel, attention, err
Address: 'ft t 3 5 i g 0 (54 r L 1 gel extension. Describe: Page 2 2
City/StateIZJP: 6-4- s TO /".i 6 g c ? 7 I 1 5 Each additional laspedion over allowable In critic above
. Per inspection 62_50
Phone: (523 ) ca s- 0 1 3 1 1Fax:(t 7 ,2 ) f %..( - C ,.;? 1 / 4 ( 6, Investigation per hour (1 br min) 6150
CCB Lic.: i(,.. 4 1 ( 1 9 I Electrical Lic.: C () ( 1 Suprv. Lic.: ii 7 . 5-5
aUle..:4140.04010.V .0tOgigOgiVtoit=::
Suprv. a ,. 1 T.' ,. 46ature, required: 17( J/1 Subtotal: <3 , 5
.
. Pbn review (25%0ft/emit fee):
Print name: Oc: IL I k s s I Date: 6p ' surcharge (12% of permit fee): 0 Mi.-
Authorized signature: /0_4_ r....1"..4..A____-------- TOTAL PERNErr FEE: cg, la
Print name: I Date: 6 /2y/oe - This permit application etqpirea Ira pertnit iv am obtained within 180
days adter ft ban been accepted as canspkte.
1 . al BLOT -S86-E0S ...iaiLios a 0 r eLE:60 80 .fra unr