Permit /r,11v e, 70;0 3 /7 /U S''' Arkb-e -{ L/ Qi2wol C, ✓ - 14 / 7
CITY O F TIGARD S c, 5Ci✓� ELECTRICAL PERMIT
PERMIT #: ELC2008 -00094
COMMUNITY DEVELOPMENT DATE ISSUED: 2/21/2008
;TIGARDR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103AD -01500
SITE ADDRESS: 10805 SW PATHFINDER WAY ZONING: R -4.5
SUBDIVISION: PATHFINDER LOT : 006 JURISDICTION: TIG
PROJECT: POSTMA
Project Description: Changing electrical panel, installing ground rods and bonding water pipe. 3/07/08 added (4) 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 HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PL EVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC:
Owner: Contractor:
SUSAN POSTMA WINNER ELECTRIC INC
10805 SW PATHFINDER WAY 5950 SW PROSPERITY PK
TIGARD, OR 97223 TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 638 - 5028
FAX 503 - 638 -4242
FEES
Description Date Amount Reg #: ELF, 34 -150C
[UMW] ELC Permit 2/21/2008 $80.30 LIC 14794
TAXI 12% State Surchar 2/21/2008 $9.63
SUP 28255
(1LPRM'hj ELC Permit 3/7/2008 $26.60
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $119.72
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 .- _/■- i , 'ermittee Signature: -/^,2171
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.
iii ��g! CITY OF TIGARD ELECTRICAL PERMIT
n PERMIT #: ELC2008 00094
` COMMUNITY DEVELOPMENT DATE ISSUED: 2/21/2008
TIGARD', 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103AD -01500
SITE ADDRESS: 10805 SW PATHFINDER WAY ZONING: R -4.5
SUBDIVISION: PATHFINDER LOT : 006 JURISDICTION: TIG
PROJECT: POSTMA
Project Description: Changing electrical panel, installing ground rods and bonding water pipe.
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
SUSAN POSTMA WINNER ELECTRIC INC
10805 SW PATHFINDER WAY 5950 SW PROSPERITY PK
TIGARD, OR 97223 TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 638 - 5028
FAX 503 - 638 -4242
FEES
Description Date Amount Reg #: ELE 34 -150C
11 1..PRMTJ ELC Permit 2/21/2008 $80.30 1,1C 14794
ITAXJ 12% State Surchar 2/21/2008 $9.63 SUP 2825S
Total $89.93 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 952-001-010o You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
i
Issued By: � / / `/ ����� Permittee Signature: > /f� � 1
crky
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.
Electrical Permit Application r V „ i '01 2 01.I a , a . � N 3 ; )
r
• a " t C of T igard �� Date /B : ®/ v / I Permit No.: /5� . • I y
.•''t . Review
' + P lan Ri �� �'
V�+ 13125 SW Hall Blvd., Tigard, OR Phone: 503.639.4171 Fax: 503. `~': =.I — Date /By: Other Permit:
1 t`'`' t I Line: 503.639.4175 rj $ A t ' Date Ready /By: runs: ® See Page 2 for
iYTdl G A R +D C� Notified/Method: Su
,r ryR4 Internet: www.tigard- or.gov �� r 11 v��D Supplemental Information
TYPE OF WO" pp � � ;MVO" PLAN REVIEW
.�f c em e nt Please check all that apply (submit 2 sets of plans w /items checked below):
❑New construction [Addition /alterat
❑ Service or feeder 400 amps or more ❑ Building over three stones.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings .
less to ground, or exceeds 14,000 ❑ Commercial -use agncultural
l> 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
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system
❑ Addition of new motor load of ❑ "A "E "I -2 "I -_',
Job no.: Job site address: 16 oD0 ° n ,h h 100HP or more. occupancy.
(AJ PA `� Gti ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP:`�Apt. 0 ❑ Health -care facilities.
❑ Hazardous locations. ❑ Supply voltage for more than
600 volts nominal.
Suite /bldg. /apt. no.: Project name: P - i ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description ( Qrs. l Fee. l Total
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 a
DESCRIPTION OF WORK (with above sq. ft.) 7.00 _
c. A II t Limited energy, multi family
A��t £ /e. c- i(a LL pq u [.. residential (with above ski ft. ) 75.00
l ` Services or feeders installation, alteration. and /or relocation
7 0 ' OI S �vd ' ' /tom P 200 amps or less t 80.30 if-ot3b 2
PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name:
p 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: ( ) Fax: ( ' ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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 1 )
Branch circuits — new, alteration, or extension. per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee.
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee.
first branch circuit 46.35 2
Address: Each add'I branch circuit 6.65 I 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each rnanufactured or modular 1 )
dwelling, service and/or feeder )1)'90
Phone: ( ) ('ax:: ( ) - Reconnect only 66.35 2
E - mail: Pump or irrigation circle I 53 40 1 _'
CONTRACTOR 1 Sign or outline lighting 53.40 2
Business name: w :,40 eft. e f elia r '
Signal pane al r limited-
energy panel, alteration. or
Address: n g2K extension. Describe: Page 2
$ S�v s w PKoSPeZ l� I v
City /State /ZIP: —rV.a L4 'fJN e (_ q? o 6 Z Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (yam ) t 3, $ o z $ F (Sag ) 6 3'' Liz ' VZ.. Inve stigation per hour (1 hr min) 62.5
CCB Lic.: i i4 - q 4 Electrical Lic.: 34.45'0 -c__ Suprv. Lic.: a s $ s Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature. required: n,p/�_ � Subtotal: 2r 30 •
Print name: v"'"' Date: Plan review (25% of perrnit fee):
'✓� LOA IA State surcharge (12% of permit fee): q. 63
Authorized signature: TOTAL PERMIT FEE: 6 C, q 3
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
CITY OF TIGARD
BUILDING DIVISION ea
PERMIT #: ELtIlfDO:fC} zQ
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2D 112000 •
Phone: (503) 639 -4171 , . ., i , i l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 1080' SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 006 TYPE OF USE:
PROJECT NAME: PO SIMA
DESCRIPTION: Changing electrical panel, installing ground rods and bonding water pipe. 3 /07 /O8 added (4) branch
circuits.
OWNER: POST IVMA, SUSAN PHONE #:
CONTRACTOR: MINER ELECTRIC INC PHONE #: 603- 63ff•E,02B
Inspection Request Scheduled For: Date: 3/14/ 1008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
159 Electrical final 066690.01 503 -519 -2935 \ Y
Corrections /Comments /Instructions: cp \1 LR
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FAI I ; A •R INSPEt 1uN 111 ADDITIONAL FEES ASSESSED �� IN ,,,/
Inspector: �L , Date: 3 ' 4� v 4 Phone #: (503) 718 -9
CITY OF TIGARD
BUILDING DIVISION PERMIT #: CI_C2008.000 34
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1121 /2001/
Phone: (503) 639 -4171 4 ,- ', ' ,,.,ni� ,
Inspection Requests (24 Hrs.): (503) 639 -4175 .. --
' 3
INSPECTION WORKSHEET FOR DATE: 3/) 12008 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 1000; SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 006 TYPE OF USE:
PROJECT NAME: POSTIVMA
DESCRIPTION: Changing el chic &al panel, installing ground rods and bonding wafer pipe 3/0//08 added (4) branch
circuits.
OWNER: POSTMA, SUSAN PHONE #: ---------..
CONTRACTOR: WINNER. ELECTRIC INC PHONE #. 60
Inspection Request Scheduled For: Date: Pour Time: All/-
Code # Inspection Description Confirm # Contact # Message
igg C;( --'W;4, tiiiki..,672.
Corrections /Comments /Instructions: R:OV 4k 0 \ i.3
'ST : ^ . Rowcad )`ply ,A) r2,` tle 1)( .
G- 'Mg.) as G\k -- 6t eFQ eLto
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
R FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: "N M Date: l'iZ Phone #: (503) 718- 1'v
CITY OF TIGARD , .,. -
r
BUILDING DIVISION PERMIT #: RG200800034
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21/2000
Phone: (503) 639 -4171 „Zillt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/1212008 TIME:• 7:00ASM PAGE: 67
SITE ADDRESS: '10006 SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 006 . TYPE OF USE:
PROJECT NAME: POS NIA
DESCRIPTION: Changing olectric:al panel, installing ground rods and bonding water pipe. 3/07/08 added (4) branch
circuits.
OWNER: POS�TMA, SUSAN PHONE #:
CONTRACTOR: WINNER ELECTRIC INC (1X 505 /035 A/ x) PHONE #: 503 -G3B- 1028
Inspection Request Scheduled For: Date: 3/1712008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'13i.1 Electrical final 066336 -0J1 50:6313 -5028 N
Corrections /Comments /Instructions:
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I I PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
% FAIL (A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
7,.1-6P
Date: A 4tX Phone #: (503) 718-