Permit CITY O F TIGARD GA R D ELECTRICAL PERMIT
T V PERMIT #: ELC2008 -00164
COMMUNITY DEVELOPMENT
A R DATE ISSUED: 3/20/2008
:Wr.rr yl 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1106A 02500
SITE ADDRESS: 14550 SW MCFARLAND BLVD ZONING: R -
SUBDIVISION: SHADOW HILLS LOT : 039 JURISDICTION: TIG
PROJECT: COLE
Project Description: Installing (6) 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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 5 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:
CHRISTINE & RICHARD COLE OWNER
14550 SW MCFARLAND BLVD
TIGARD, OR 97224
Phone: 503 - 624 -1502 Contact #:
FEES
Description Date Amount Reg #:
!f LPRM " f I EI.0 Permit 3/20/2008 $80.14
ITAX 1 12% State Surchar 3/20/2008 $9.62
Total $89.76 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 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:
�i
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.
1,lectrical Permit Application ,, Y ri ,y w y E , FOx O FI E J oN LY,� , v ' " ,
I ` ! : 4i Cl Of Tigard - �� e/By --" ' Permit No.: ,� �_ ?W.,,,hh�� � f(� y
/'
t `� 1 3125 SW Hall Blvd., Tigard, OR 97223 ece‘%4 l'a eB : ° _ g [� Plan Review
ti \ Other Permit:
1 it t Phone: 503.639.4171 Fax: 503.598.1960 n ate/By:
Inspection Line: 503.639.4175 ct l�lB Ready /By: luris: ® See Page 2 for
',Tit., D
nii' � 2
a x a•• Internet: www.tigard - or.gov Iv1AR Noti gd/Method: Supplemental lnformation
. . TYPE OF WORK , w O I,G `f 5�� 1 . ' P LAN REVIEW ; :
❑ New construction ❑ Addition /alteration/repla v� ° Please check all that apply (submit 2 sets of plans w /items checked below):
1r ° ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ 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 agricultural
❑ 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 MATION AND LOCATION ❑Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A" "E" "I -2" "I -3"
100HP or more. occupancy.
Job no.: Job site address: km. j o S \,,,,) C Ft� C. ' ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: '-s - ��` . �12� `�" "� t't . ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: �( 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 •
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. It or portion 33.40 1
Tax map /parcel no.: Limited energ
y, residential DESCRIP_ 75.00 2
TION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation _
200 amps or less 80.30 2
. ❑ PROPERTY OWNER . ❑, TENANT . 201 amps to 400 amps 106.85 2
Name: �� s- \''S Cagy-' 401 amps to 600 amps 160.60 2
t 601 amps to 1,000 amps 240.60 2
Address: V� 5.s 2, .s �S 0-\_ ,_ c � �_ � Over 1,000 amps or volts 454.65 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
v j'--� C ° 7 - relocation
Phone: (jc. (025-k _ _ ta_.) Fax: ( ) 200 amps or less 66.85 1
Owner installation: 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 599 amps 133.75 2
Branch circuits – new, alteration, or extension, per panel
Owner signature: Gym$ C�C A Date: 3 A. Fee for branch circuits wit
❑ APPLICANT'. ❑'CONTACT. PERSON above service or feeder fee, 6.65 % 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, \ 46.8 " 1p • qt 2
first branch circuit
Address:
Each add'l branch circuit S 6.65 35 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
' _ - : " CONTRACTOR CONTRACR. Sign or outline lighting 53.40 2
Business name: Signal circuit(s) or limited -
energy panel, alteration, or
Address: n extension. Describe: Page 2 2
Ci /Sta /ZIP: Each additional inspection over allowable in any of the above
n Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (I hr min) 62.50 _
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT. FEES ;
Suprv. Electrician signature, required: Subtotal: co /iot
Print name: Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): Q . (Qpi
Authorized signature: TOTAL PERMIT FEE: 7
This permit application expires if a permit is not obtained within ISO
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
l.\ Building \Permits\ELC•PermitApp.doc 05/23/06 440 -4615T(11 /05 /COM/WEB
Electrical Permit Application - City of Tigard ;.
• Page 2 - Supplemental Informatio
LIMITED ENERGY PERMIT FEES:
1, .RESIDENTIAL.WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
•
`µ COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
n H VAC
❑ I nstrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I: \Building\Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING`DIVISIOIV PERMIT #: EL.C20Q8 UO1EA
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/20/200t1
Phone: (503) 639 -4171 4 1 Z
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' I �..
INSPECTION WORKSHEET FOR DATE: 10/30/2008 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 145'50 SW MCFARLAND BLVD CLASS OF WORK:
SUBDIVISION: SHADOW HILLS LOT #: 039 TYPE OF USE:
PROJECT NAME: COLE
DESCRIPTION: Installing (8) branch circuit,:_
OWNER: COLE, CHRISTINE & RICHARD PHONE #: 503 - 1E 1 02
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10 Pour Time:
Code # Inspection Description CORE' . Contact # Message
120 Electrical rough -in 077414 -01 503 -624 -1502 N
r
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `r ev 03 Le Date: 1 01101\n, Phone #: (503) 718- *6_
CITY OF TIGARD
•
BUILDING `DIVISION PERMIT #:
EL C2008-00164
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/20/200B
Phone: (503) 639 -4171 jili
Inspection Requests (24 Hrs.): (503) 639 -4175 ,' `__..
INSPECTION WORKSHEET FOR DATE: 9/2Ei/2008 TIME: 7 :0t ?A1VI PAGE !
SITE ADDRESS: 14550 SW MCFARLAND BLVD CLASS OF WORK:
SUBDIVISION: SHADOW HILLS LOT #: 039 TYPE OF USE:
PROJECT NAME: COI _E
DESCRIPTION: Iriclailing (6) branch circuits.
OWNER: COLE, CHRIS
I'IhlE RICHARD PHONE #: 503- 624 -1502
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8172008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
• 195 Misc. inspection 075991 -01 503 -624 -1502 N
Corrections /Comments /Instructions:
.4) Pk° x) ►oirs: N M tga f CbN N
a N L k Js 1 80(1 • (41oNa R ,filk c . Aq. 1 V.") . 3(A) _
., . I -
:;act. A(.4 3 3 , 30 ,
a e L1 k 6-- viii 4 F 11 \) s pt-i(\t-1
�
, 61 a< . it 43 .
❑ PASS 21 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G . \ 68 Lt Date: q / Cji Phone #: (503) 718 - MIA
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 001E -
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: x'20/2008
Phone: (503) 639 -4171
A t
Inspection Requests (24 Hrs.): (503) 639 -4175 . . J 'f I..
INSPECTION WORKSHEET FOR DATE: 3/31 /2008 TIME: 7:01AM PAGE: 21
SITE ADDRESS: 14650 SW MCFARLAND t3LVD CLASS OF WORK:
SUBDIVISION: SHADOW (HILLS LOT #: 039 TYPE OF USE:
PROJECT NAME: COLE
DESCRIPTION: Installing (6) branch circuits:
OWNER: COLE, CHRISTINE & RICHARD PHONE #: 503 -621 -15112
CONTRACTOR: OWNER PHONE #: 5
Inspection Request Scheduled For: Date: 3/3/12008 Pour Time:
Code # Inspection Description onfirm # Contact # Message
120 Electrical rough -in 067577 -0 971- 322 -6141 N
Corrections /Comments / Instructions:
li /44(
RrQLpt c. k G ,i 4.4 15.
Nc `'o ikCtV 2-1 eearS@�1 a
ig PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G' - N 6 8 L Date: 3.31 Oi Phone #: (503) 718 - viiti,
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