Permit CITY OF TIGARD ELECTRICAL PERMIT
tl' J V PERMIT #: ELC2008 -00296
COMMUNITY DEVELOPMENT
DATE ISSUED: 5/27/2008
T1GA 'D; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 AC -00600
SITE ADDRESS: 12600 SW 72ND AVE 100 ZONING: MUE
SUBDIVISION: BEVELAND NO. 2 LOT : 012 JURISDICTION: TIG
PROJECT: NUTECH
Project Description: Installing (1) service and (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: 4 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:
JACOB & THERESA ROTH ENDERS ELECTRIC
12600 SW 72ND AVE PO BOX 1661
TIGARD, OR 97223 BEAVERTON, OR 97075
Phone: Contact #: PRI 503 - 626 -4813
FAX 503 - 646 -3871
FEES
Description Date Amount Reg #: ELE 34 -265C
[ELPRMT] ELC Permit 5/27/2008 $106.90 LIC 26728
[TAX] 12% State Surchar 5/27/2008 $12.83 SUP 4685S
Total $119.73 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.
t r '�
Issued By: - imp Permittee Signature: � T ' %� ��7Sd — t/
OWNER INSTALLATION ONLY
The installation is being made on property 1 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.
May 27 08 08:31a ENDERS ELECTRIC 503 -846 -3871 p. 2
ik electrical Permit Application ', FOR OFFICE USE ONLY'
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City of Tigard �� Date; By: �7 ‘377 Permit No. :
a 13125 SW Hall Blvd., Tigard, OR fi. q e � p Plan Review Other Permit. ���� '�'(�J��
1 2 Phone: 503.639.4171 Fax: 503.598.1960 1 0 l ® DatelB
late Ready / By: h1115 0 See Page 2 for
I n t ernet: ww 503 t9, �� nation
TIGARD Internet: wwwtigard- or. r o edlMetho Tr'. pp l e �r}ntdln fon
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Please check all that apply (suhn i sets of piaua „ nuns checked below):
❑ New construction z Addition /altera ` aee ❑ Service or feeder 400 amps or more ❑ Building uvzr three ice.
❑ Demolition ❑ Other where to available tau It cw rent ❑ Marino and boatyards
,� - r r n l i d. a } r r t,, exceeds 10.000 amps at 150 volts or CI Floating buildings
r, t.r "+ ,a r ! A ' C(9 ,4 r i P: r ¢ + c
• e.i• t..t+�r; t " ��(P�;t< � .,� �� e..: t, , :,, , t r• z „} � � . less to ground. or exceeds Id.OnU CI C muune :cial ux agna,hural
❑ 1- and 2- tamely dwelling ® Commercial/industrial ❑ Accessory building s amps for an other installations buildings.
❑ Fire p ump . ❑ Installation ut'r 5 ti \'A or
❑ Multi tamely ❑Master builder ❑ Other: larger separately derived system
�r
" i� t u7' fs n t ar y' " P �s ti 46 i( , Hr P �;r? .'4 ,•,,,,,,t, ri ❑ A tiou of new motor load of
, ;;4;:.q";,. ❑ A�, L .
'r { f , 1,S :, i.":' ' T ),; r,. e ! et' P t I�e •
I ( OOHP or more. occupancy
Job no.: I Job site address: 12600 SW 72"a ❑ Recrrtuon:d vehicle parks.
❑Six or more residential units.
- ❑ Heahh -care facilities. ❑ Supply voltage fix more than
City /State /ZIP: Tiagrd OR ❑ Hazardous locations. n00 olts nominal
El S or feeder 600 amps or mole
Suite /bldg. /apt. no.: k � Project name: NuTech Software 't ' 0*.'$.rl1F U1.
Cross street directions to job site:
nes t o I oty I _ • ITotal 1
New residential single - or multi family dwelling unit.
includes attached garage.
Subdivision: 1 Lot no.:
_1,000 S. ft. of less 145. 4
Ea. add•l 500 sq. 11. or portion 33 40 I
Tax map /parcel no Limited energy, residential 5 OQ "
"� + x + a .., r t 4 '' 2 4+, ; r ' ' t`tiiq s �zi - ,hp`
r � .. ., (with above sq' ft) nor 5 \
, L r{ . . l fr a n' I g r i r, 1 'Q Q1c6K t ,.
, .- ., -- ,, el -� r ^t N ''' a . . ' ' ' , 1:.' trom9 - •,., Limited energy, multi- family 75.00
Generator wiring and branch circuits residential (with above sq. ti.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 1 80.30 80.30 2
4 y � } '� 0 il''''it';''"' r �74It 1 3 4 ;' ; 201 amps to 400 amps 106.85 2
t . a n t - '4 }rY;v r ? ,i , '`; rqi tl,a. ?� i < . . -4 , ,t.+' ; :•.4 cg ir ,r: i d �� h 0 ' -
401 amps to 600 amps 160.60
Name: Raven Winter /NuTech Software Solutions 601 amp, to 1.000 amps 240.60
Address: 12600 SW 72nd Over 1,000 amps or volts 454.65 2
Temporary services or feeders installation, alteration, and /or
City /State/ZIP: Tigard relocation -
Phone: (503)804.7643 Fax: ( ) 200 amps or less 66.35
201 amps to 400 amps 100.30 2
Owner installation: This installation is being made on property that 1 own which is not 3s 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 4 01 amps to 590 amps 1 33.75
Branch circuits - new, alteration, or extension. per panel
Owner signatures Date A. Fee for blanch circuits with
a t r � i A 3 •air r S� + P t ° +u b service 0
above Se' tfeeder fee, 4 26.611
,•e S t x A i do "`r"t„ .� r - c 6.65
r� a 7 t } j t�� t x I, o t # "'txzYrl`},�.t} „
„t�!,�)�t.`; �,h �, � :i ..:���� � '� -+.. each branch circuit
r
Business name: Enders Electric 8. Fee for branch circuits
without service or feeder fee, 16.85
Contact name: Allen G Robertson first branch circuit 2
Each add'1 branch circuit 6.65 2
Address: PO Box 1661 Each
(service or feeder not included)
City /State /ZIP. Beaverton OR 97075 Each manufactured or modular ` 90.90
, dwelling, service and /or feeder
Phone: (503 ) 626.4813 Fax: : (503) 646.3871 Reconnect only 66.85 2
E Pump or irrigation circle 53.40
t 'r 'P.> O P3 - -g N , Y'a , , , ;;.t41, ; Sign or out line lighting 53.40 2
Signal circuit(s) or limited -
Business name: Enders Electric energy panel, alteration, or
Address: PO Box 1661 extension. Describe: Page 2 2
City /State/ZIP: Beaverton OR 97075 Each additional inspe over allow in auy of the above _
Per inspection 622.50
Phone: (503) 626.4813 Fax: (503) 646.3871 Investigation pct hour (Y hr min) 62.50
CCB Lic.: 26728 Electrical Lic.: 34 - 265C Sultry. Lic.: 4685S Industrial plant per hour 73.75
Suprv. Electrician signature, required : :iCa Subtotal 106.90
Plan review (25 % of permit fee).
Print name: Allen G Robertson Date: 05/27/2006 -
State surcharge (12% of permit fee): 12. 83
Authorized signature: TOTAL PERMIT FEE: 119.73
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.
1 , BuiUding•PCnnits\ELC- PCnniiApp.doc 05/23,06 440 - 46151( 1'05•COSVWI1B
CITY OFTIGARD
BUILDING DIVISION PERMIT #: EL t 2009.011296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1,/27/200+
Phone: (503) 639 -4171 .�' ;r''�I
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 6/11/2008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 12600 SW 72ND AVE 100 CLASS OF WORK:
SUBDIVISION: BEVELAND NO. 2 LOT #: 012 TYPE OF USE:
PROJECT NAME: NUTECH
DESCRIPTION: Installing (1) service and (4) branch circuits.
OWNER: ROTH, JACOB & THERESA PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE #: 503626.1813
Inspection Request Scheduled For: Date = 6/11/2008 Pour Time:
Code # Inspection Description rim # Contact # _ Message
199 Iectiical final 071213 -01 5034304 -7642 \
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Corrections /Comments /Instructions:
' lO''
N ,
, 1
\i .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL �I NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: l7 h ` \) Date: 6I l i Phone #: (503) 718- 14%-
CITY OF TIGARD _ =� _ .
BUILDING DIVISION PERMIT #: ELC2008-00296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/27/2000
Phone: (503) 639 -4171 °,, „,,,Pf�l�,
Inspection Requests (24 Hrs.): (503) 639 -4175 s ki
INSPECTION WORKSHEET FOR DATE: 6/6/2008 TIME: 7:01AM PAGE: 44
SITE ADDRESS: 12.600 SW 721 AVE 100 CLASS OF WORK:
SUBDIVISION: BEVELAND NO. 2 LOT #: 012 TYPE OF USE:
PROJECT NAME: NUTFCH
DESCRIPTION: Installing (1) service and (4) branch circuits.
OWNER: ROTH, JACOB & THERESA PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE #: 503-626-4813
Inspection Request Scheduled For: Date: 6/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 070979.01 503-793-2037 Y
Corrections /Comments /Instructions: 7 ` �) 5
`�. r o a A <. t- 5 S
zi 3s° LTA•
.-- ►' s ® .
NO 6 �; 1 6 Q%.---5 _
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL p CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:' N08 ► Date: ‘ v' CI Phone #: (503) 718- I-T { D