Permit CI . Y OF TIGARD ELECTRICAL PERMIT
70#7‘1,,. PERMIT #: ELC2007 -00362
COMMUNITY DEVELOPMENT
D ATE ISSUED: 5/25/2007
.4 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 103 CA -00900
SITEADDRESS: 13305 SW HOWARD DR ZONING: R -4.5
SUBDIVISION: WOODCREST LOT : 012 JURISDICTION: TIG
PROJECT: DORRANCE
Project Description: Installation of (1) service and (4) branch circuits for pool. Job No. 23895
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:
STACEY DORRANCE MIKE'S ELECTRIC
13305 SW HOWARD DR 11070 SW ALLEN BLVD
TIGARD, OR 97223 BEAVERTON, OR 97005
Phone: 503 - 704 -2078 Contact #: PRI 503 - 649 -6991
FAX 503 - 641 -1902
FEES
Description Date Amount Reg #: ELE 34 -18c
[ELPRMT] ELC Permit 5/25/2007 $106.90 LIC 50209
[TAX] 8% State Surcharge 5/25/2007 $8.55 SUP 4230S
Total $115.45 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 .. le in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspen. - • for more tha .180 da s. ATTENTION: Oregon law requires you to follow rules adopted e Oregon Utility Notification Center.
Those ules are set forth iri\,• .. ' 9 .2 -: +1 -0010 through OAR 952 -001 -0100. You may obtain c ies of these rules or direct questions to OUNC at
503.2 6.6699 o 1.800.33 344.
Issue. : y: / � 4 , Permittee Signatur• . f /�--�—
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: ( ` rJ ( t`t--- 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.
Sent ty: MIKE'S ELECTRIC; 591 7847; May -25 -07 11:49; Page 1/2
;o: TIGARD At: 5035981960
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El Perm t a inlicatio ' ? .._ "` ; r ,04 w� ' 4 µ x w "- Fg
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City of Tigard ry•- .,..,_ it;vee`,, I �I .�,(„ � ., ,..�.�� «•,�'�°'�..5a��� .
13125 SW Hall Blvd., Tigard, OR 972 A r) nait� 5 . 07
Permit No.: ZR. no
Phone: 503.639.4171 Fax: 503.598. 914 `' ' ' 2001 1 :1113 Review
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Other Permit:
Inspection Line: 503.639.4175 s „41,91:77'4 a 111 Dat Read ' y: 7 ' See Pag 2 tnr
forme
Internet: www.ci.tigard.er.us s v ). 1 1 No ttnedimethod: / ( 8u tetnar 1nlion
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El New construction ` ❑ Addition /alteration/replacement Please chec alt that apply:
0 Demolition [] Other: ❑Service over 225 amps, comm ['Hazardous location
, � Ii57 '\ 9 L, ...t.'''':.....'
, ` .' "'"' u a i " r i s . .4 ii. , (r ; " �) r.iff� l: ,c" , font° s ffr ❑Service over 320 amps - rat]nQ �Buildng ove7 10,000 sq. f1.,
_el.. _ s ,.::
. ..... ;. r ry a 1 !. � ,, s r 1r g ., of 1 and 2 family dwellings 4 or more new residential
. 2,1 - 1 -- - and 2 family dwli ❑ Co 0 Accessory building ❑System over 600 volts nominal units in one structure
Q Multi- family ❑ Master builder ❑Other. ❑Building over three stories °Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
7 • t 2t' ,. rql `� 4 1 t, v I , i . r,: rl IL f `; ' s i greaS/lighlmg plan R.Y park
❑E
o ❑Health -care facility ❑Other:
Job no.: 23895 Job site address:
1 _, 305 S W Howard Dr. submit
l, sets of plans with any of the above.
City /State/ZIP: Tigard OR 97223 The above aro not applicable to temporary construction service.
SUite/bld /a t. no.: _ ; 1 , c� : 7 E:P : s r . .�a121 u `i >w,,
g P Project name: t u : Win+ .._ _ tL r�u te.
naterltatien Qty eee...� '
Tota I '•
Cross street/directions to job site: New residential single- or multi - family d welling unit.
Includes attached garage.
— 1.000 sq. R. or less 145.15 _ 4
Subdivision: Lot no.: Ea- add'1 500 sq. ft. or portion 33.40 .., 1
Limited energy, 75.00
Tax map/parcel no.: E1 2
—
Limited energy, non- residentia! 75.00 2
y ".: q ,I.,.1:'.:!-...,:',..6:,;',;::,«-:::.4,J:. _ 1:.. rc B manufactured or modular
Pool dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200a ,.sorless 80.30 •0 1 2 J
��+ )� 201
e. .. p ^ , .1 :" } ':'`:',',":'...;"..':.L:•:".1'...7: f . tC ', N '. r : ... . . , . : .. .M1_.• -. !,: .mS, ... �,..IT a.. 1Cd.,�.,i 1 ti. omit s to 400 a s
' 40l amps to 600 amps ....
III 106.85 160.60 2 2
Name: amps 240.60 2
S �ac�ey Dorrance 601 amps t o 1,00 a
Address: 1330.1 SW HO$ward D . Over 1,000 amps or volts 454.65 2
Reconnect only 66 -85 2
City /State/ZIP: T'( and OR 97223 Temporary services or feeders Installation, alteration, and /or
Phone: (503 )704. 2078 Fax: ( ) 2 zr
2000 0 a amps or teas ___ 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, Lind 701 401 amps to 600 a s 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
7 . :r . :, ,..., : .-
d 3 - ..t ., :1 ,..„.„. 4,: ..„ . , ,:,: . ,4,. ...,...
4 Nor f t .4..2.i...:,,,..•.1,...7:, 9 " , A. Fee for branch eir>ru
i
service or fe eder fee, ity e Wtth h 6.65 26 .60 2
Business name: branch circuit
B- Fez for branch circuits
Contact name: without service or feeder fcc, 46.85 2
Address: each branch circuit
Each add'I branch circuit _ 6 -65 2
City/State /ZIP: Miscellaneous (service ar feeder not Included) _
Phone: ( ) Fex:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail; Signal circuit() or limited -
: ;' Ni j 1 , ' / ' ,. r e r T (4 N .1 ' ,, ' .1. :".. eenergy panel, alteration. or
,. - , .- _... r F.' , ... ._l, . � . .... .. . '- extension. Describe: Page 2 2
Business name: Mike's Electric — JD Miller Cons L . Co
Each additloual inspection over allowable in any of the above
• Address:
1 10 7 0 S W A 11 e 11 131 v Per inspection II 62.50
City /State/Z1P: Beaverton O R 9 70 0 5 _ investigation per hour (r to mht) 62.50
-
Phone: (5 0 3) 6 49 . 6 99 1 Fax - (5 0 3) 6 41.. 190 2 Industrial loot .cr hour 73.75
CCB Lic.: 4 Electrical Lic.: S Lic.: 42 ` i0S , :' :, ts. ...,.. 5a'„ 1 , I ,5� 1 . i x u�. ;: ? J ,y:r a 1 c ",y , . .
0 50 2 0 34 —1 8 Suprv. Subtotal 106.
Suprv. Electrician signature, required, . ,L f 72�i4 Plan review (25% of permit fee)
Print name: 43 Dec 04.25.07 State surcharge (8% of permit foe) 8. j5
D o u_ l a s J Miller TOTAL PERMIT FEE 115.45
Authorized signature: This permit npptleation expires If a permit i■ not obtained within 150
days after it hes been accepted al complete
Print name: Date: • Pea methodology set by Tri -County Building Industry Service Board
•• Number of inspections per permit allowed.
\H daa 12/03 440 -4613 T(1OIULlCOM/Wtla
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2007 -00362
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5I2F1/2007
Phone: (503) 639 -4171 zoo "
Inspection Requests (24 Hrs.)': (503) 639 -4175 s..' . °`' -
INSPECTION WORKSHEET FOR DATE: 5/30/2007 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 13305 SW HOWARD DR CLASS OF WORK:
SUBDIVISION: WOODCREST LOT #:. 012 TYPE OF USE:
PROJECT NAME: DORRANCE
DESCRIPTION: Installation of (1) service and (4) branch circuits for pool. Job No. 23895
OWNER: DORRANCE, STACEY PHONE #: 503- 704 -2078
CONTRACTOR: MIKE'S ELECTRIC PHONE #: 503649.6991
Inspection Request Scheduled For: Date: 5/30 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
049224 -01 503 -649 -6991 N
%CI 5 vs 6 C.. ZpObi 0 'o'3 5 ,, 9 • `I
Corrections /Comments /Instructions: ONJ '
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❑ PASS PARTIAL APPROVAL CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ` Date: 51 '601139 Phone #: (503) 718- Sit
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