Permit
1N,~),~:)(-S-)-.~e-pwc (-~CtQP-L.,l-tS / ei5ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT ELC2007-00719
COMMUNITY DEVELOPMENT DATE ISSUED: 11/28/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102BC-06600
SITE ADDRESS: 10660 SW PATHFINDER WAY ZONING: R-4.5
SUBDIVISION: YOLO ESTATES LOT : 015 JURISDICTION: TIG
PROJECT: MCEUEN
Project Description: 3 branch circuits for patio enclosure. !11/28/2007 ADD (5) 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: 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: 7 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:
MCEUEN, DANNIEL P + JUDY A JARMER ELECTRIC INC
10660 SW PATHFINDER 5105 SW 45TH AVE
TIGARD, OR 97223 PORTLAND, OR 97221
Phone: 503-624-8625 Contact PRI 503-246-5381
PAX 503-244-8037
FEES
Description Date Amount Reg ELE 26-144C.
[ELPRMT] ELC Permit 10/19/200' $60.15 LIC 6924
["TAX] 8% State Surcharge 10/19/200' $4.81 SUP 4044S
[ELPRMT] ELC Permit 11/28/200' $33.25
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $100.87
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:~ ~J Permittee Signature:
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.
CITY OF TIGARD �.
BUILDING DIVISION PERMIT #: ELC2007. 00719
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2007
Phone: (503) 639 -4171 40,400
Inspection Requests (24 Hrs.): (503) 639 -4175 . - "__.,
INSPECTION WORKSHEET FOR DATE: 11/19/2007 TIME: 7 :01AM PAGE: 47
' SITE ADDRESS: 10560 SW PATHFINDER WAY CLASS OF WORK:
. , SUBDIVISION: YOLU ESTATES LOT #: 015 TYPE OF USE: •
PROJECT NAME: MCEUEN
DESCRIPTION: 3 branch circuits for patio enclosure.
OWNER: MCFUEN, DANNIEL P + JUDY A, PHONE #: 503- 624 -8625
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 503 746 -5381
Inspection Request Scheduled For: Date: 11/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 059849-01 503-246-5381 N
Corrections /Comments/ Instructions:
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PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
'❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: v � I C� C' Phone #: (503) 718 - , t 7
: 1 A _; q, CITY OF TIGARD ELECTRICAL PERMIT
I PERMIT #: ELC2007 -00719
COMMUNITY DEVELOPMENT DATE ISSUED: 10/19/2007
TIGARDI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102 BC -06600
SITE ADDRESS: 10660 SW PATHFINDER WAY ZONING: R -4.5
SUBDIVISION: YOLO ESTATES LOT : 015 JURISDICTION: TIG
PROJECT: MCEUEN
Project Description: 3 branch circuits for patio enclosure.
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: SIGNALIPANEL:
MANF HMI SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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:
MCEUEN, DANNIEL P + JUDY A JARMER ELECTRIC INC
10660 SW PATHFINDER 5105 SW 45TH AVE
TIGARD, OR 97223 PORTLAND, OR 97221
Phone: 503 - 624 - 8625 Contact #: PRI 503 - 246 -5381
FAX 503 - 244 -8037
FEES
Description Date Amount Reg #: ELE 26 -I44C
I LPRM"I I I:LC Permit 10/19/200' $60.15 LIC 6924
I
ITAXI 8% State Surcharge 10/19/200' $4.81 SUP 4044S
Total $64.96 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: ►, J /. j / l�f, Permittee Signature: J( crffitr Aii
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 Application ' FOR OFFICE USE ONLY
City Of Tigard' _��% Received Permit N o _ � �/
13125 SW Hall Blvd., Tigard, OR 97223 v� Plan R : w Q ; r . 1,0 Phone: 503.639.4171 Fax: ({ 3' 98.14,60 C oo ` ( /cs„ } t ,.p Plan Review Other P
Inspection Line: 503.639.4175 F' Date Ready/By: turn See Page 2 for
Internet: www.ci.ti r use y - u ,o �, ,■. Notified/Method: Supplemental Information
li , - -" '' 'YP:E ..WORK PLAN REVIEW
❑ New constrt Y �" Add /alterat Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
K l - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi family ❑Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
W � / / /_ 5 / , i 4 , �f 1 / / / ❑Health -care facility ['Other: Job no.: rj Job site address: 0(Or W / /i� (�f
�� Submit 2 sets of plans with any of the above.
City/State/ZIP: -----77j J ai d ' 1)_ L 3 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE
DeacAptlon 1 Qty. I Fee. 1 Total 1 ••
Cross street/directions to job site: 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'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder _ 90.90 2
Services or feeders installation, alteration, and/or relocation
�Y `e-/.e L _.c 200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: / Fax: ( ) relocation
6Af . -4Z a 200 amps or less 66.85 1
Owner nstallation: 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
❑ APPLICANT 1 ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, / 46.85 7 �s J 2
Address: each branch circuit
Each add'I branch circuit a ( 6.65 1 /3, 30 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: A TM M E 2 E — EC. ; r`r c'_ , Ili C, -
Address: 5/ 0 6-� 4.1 S Sn LU Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: / 7-» A) 11 Q 2 ' 7 2 2 / Investigation per hour (1 hr min) 62.50
Phone: (SQ3) 2 4/ ( - (5 E/ Fax: (S viii- eo 3 7 industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: /p 9 ti Electrical Lic.: 26.- / c/t/C_ Suprv. Lic.: 1/01/y Subtotal 60 /.S
Suprv. Electrician signature, required: ." /( - Plan review (25% of permit fee)
Print name: S5-2.1 A 2 ,,,--;;,_, ate: /a .../ 77_6 State surcharge (8% of permit fee) ��
TOTAL PERMIT FEE 6 e,k y SP
��/ UUU��� /
Authorized signature: �f T his permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: �0 6- � ! Date: lQ / , � • Fee methodology set by Tri-County Building Industry Service Board
/9 � •• Number of inspections per permit allowed.
is\ Building WetntitakELC- PermitApp 12/03 440- 4615T(10 /02/COM/WEB