Permit CITY OF TIGARD ELECTRICAL PERMIT
"1a ° PERMIT #: ELC2007 -00348
COMMUNITY DEVELOPMENT DATE ISSUED: 5/22/2007
T�IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S134DB - 11400
SITE ADDRESS: 11008 SW BRENDEN LN ZONING: R - 4.5
SUBDIVISION: DAKOTA GLEN LOT : 016 JURISDICTION: TIG
PROJECT: STEPHENS
Project Description: (1) Panel and (4) branch circuits with service for new pool.
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:
MICHAEL STEPHENS ALL PRO ELECTRIC INC
11008 SW BRENDEN LN. PO BOX 280
TIGARD, OR 97223 6327 -C SW CAPITOL HWY
PORTLAND, OR 97239
Phone: 503 - 358 - 6874 Contact #: PRI 503 - 246 - 0361
FAX 503 - 246 -0406
FEES
Description Date Amount Reg #: ELE 26 -1099C
[ELPRMT] ELC Permit 5/22/2007 $106.90 LIC 148108
[TAX] 8% State Surcharge 5/22/2007 $8.55 SUP 4630S
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 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 B �� ���� / / Permittee Signature: SeL.- 414r.ig-17Gri?
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.
May 22 07 10:53a All Pro Electric, Inc. 503 - 246 -0406 p.1
pIication -, e a ^"+ r o• A : t ,
�lVcP,i 1 PermitA,p a- " *xx �H O kcii i ' It`t15i o� i � Y 1 �
: i Tr: �! � A .„ .,,() ; a..rrt I .gyn t ) ;: , ' , e
-• City o f Tigard 'G t r try ' ° + Received G _` • �' Date/Bv: 5 2"L �- !JL-t" Permit No-. ( _ 2� _
II
r 13125 SW W Hall Blvd., T OR 97223 -cow'
Plan Review
f € ri A Phone: 503.639.4171 Fax: 50l.n ,1960 Date/By: Other Permit: feli p2a53.. - 002.3'Z
x r ' Inspection Line: 503.639.4175 MAT 2 2 2007 Date Read Ey: e ons:
T 1 e, R n' Y/ 21' See Page 2 for
t''}- -J Internet: www.tigard- or.gov Notified/Method. GT Supplemental Information
t`YM OFWoilK r. 'UMW PLAN REVIEW
z; r.
❑ New construction E &I 8ition /altetdtlapr*Cligrtern ji,' Please check all that apply (submit Z sets of plans w /items checked below)•
0 Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition 0 Other:
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
® I - and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building cuss to ground, of er installations. exceeds ons. 0 ❑ Commercial -use agricultural
h' b` amps far all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other. 0 Fire pump, 0 Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived systen
❑ Addition of new motor load of ❑ "A ", "E ", "I -2", "1 -3 ",
Job no.: 07 -3716 Job site address: 11008 SW Brenden Lane 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /Slate/ZIP: Tigard, OR 0 Healthcare facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal
Suite/bldg. /apt. no.: Project name: w T ' J
ie n c 0 Service or feeder 600 amps or more.
Cross streevldrrections to job site: Description FEE SCHEDULE
1 on. 1 Fee. 1 root_ I
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: I 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. f . or portion 33__40 1
Tax map/parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Pool panel, bonding, pump, light, and cover Limited energy, multi- sq 75 00 2
residential (with above a sq. ft 11.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 1 80.30 80.30 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
,
Name: Mike Stevens �1" S 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 1008 SW Brenden Lane Over 1,000 amps or volts I 454.65 2
City/State /ZIP: Tigard, OR Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less I 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 1 00.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps t 133.75 2
Branch circuits- new, alteration, or extension, per panel _
Owner signature: Date: A. Fee for branch circuits (rich
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 4 6.65 26.60 2
each branch circuit _
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: first branch circuit 46.85 2
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
Cit} /State!ZIP: Each manufactured or modular 1
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 Sign or outline lighting 53.40 2
Business name: All Pro Electric, Inc. Signal circuits) or limited-
energy panel, alteration, or
Address: PMB 280, 6327 -C SW Capitol Hwy extension. Describe: Page 2 2
City /State/ZIP: Portland, OR 97239 Each additional inspection over allowable in any of the above
Per
Phone: {503) 246 -0361 Fax: (503) 246 -0406 inspection 62.
Investigation per hour (1 hr min) 62.50 50
CCB Lic.: 148108 Electrical Lic.: 26 -1099C Suprv. Lic.: 4630S Industrial plant per hour 73.75
Suprv. Electrician signature, ELECTRICAL PERMIT FEES
Su
p gn required: X-;;„.--___,K--E__. S 106.90
Print name: Kevin E Poole Date: 05/22/07 Plan revi (25% of permit Tae): 0.00
State surc (8% of permit fee): 8.55
Authorized signattue• ' t / 42,6 TOTAL PERMIT FEE: 115.45
Print name: Sherri G Poole Date: 05/22/07 This permit application expires if a permit es not obtained within 180
days after it has been accepted as complete.
Number of inspections allowed per permit.
I: lnuildinglt'ermiu \ELC-PemeitApp.doc 05/23/06 440- 4615T(I1/05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION " PERMIT #: ELC2007-00348 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/2007
Phone: (503) 639 -4171 11y��
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:'!� -
INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7:00AM PAGE: 84
SITE ADDRESS: 11008 SW BRENDEN LN CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 016 TYPE OF USE:
PROJECT NAME: STEPHENS
DESCRIPTION: (1) Panel and (4) branch circuits with service for new pool.
OWNER: STEPHENS, MICHAEL PHONE #: 503 -358 -6874
CONTRACTOR: ALL PRO ELECTRIC INC PHONE #: 503 -2445 -0361
Inspection Request Scheduled For: Date: 6/12J2007 Pour Time: .
c
Code # Inspection Description Confirm # Contact # Message ,t
ry 150 a/ ool 050003 -01 5503- 805.4747 Y
orrections /Comments Instr - ions:
/0 Ar b; *41 10.
F;NrAL, k - 1kc 90.L1
(-11/
G-. , /.8 % e
et
/A PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL ❑ a LL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Ins ector: ' Date: Wi Phone #: 503 718 -
p 1- ( )
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2007- 00348
I 13125 SW Hall Blvd., Tigard, OR 97223 y ' DATE ISSUED: 5/22/2007
Phone: (503) 639 -4171 m� i� f�
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' __..
INSPECTION WORKSHEET FOR DATE: 6/7/2007 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 11008 SW BRENDEN LW CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 016 TYPE OF USE:
PROJECT NAME: STEPHENS
DESCRIPTION: (1) Panel and (4) branch circuits with service for new pool.
OWNER: STEPHENS, MICHAEL PHONE #: 503 -358 -6874
CONTRACTOR: ALL PRO ELECTRIC INC PHONE #: 503 -216 -0361
Inspection Request Scheduled For: Date: 6/7/2007 Pour Time:
Code # Inspection Description i Confirm # Contact # Message
105 Underground/slab cover 049802 -01 503- 516.7635 N
Corrections /Comments /Instructions:
p
•
kt PASS ❑ PARTIAL APPROVAL I f CANCEL I I NO ACCESS
FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. ' r
I nspector: �f Date: / 777 Phone #: (503) 718-
i
(f .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -0034B
13125 SW Hall Blvd., Tigard, OR 97223 -- ' DATE ISSUED: 5/22/2007
Phone: (503) 639 -4171 Rowill
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7:00AM PAGE: 41
SITE ADDRESS: 11008 SW BRENDEN LN CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 016 TYPE OF USE:
PROJECT NAME: STEPHENS
DESCRIPTION: (1) Panel and (4) branch circuits with service for new pool.
OWNER: STEPHENS, MICHAEL PHONE #: 503 - 358 -6874
CONTRACTOR: ALL PRO ELECTRIC INC PHONE #: 603-246-0361
Inspection Request Scheduled For: Date: 5/23/2007 Pour Time: I
Code # Inspection Description - •l . • __#__ Contact # Message
'150 Hot tub/spa/pool 048899.01 503. 516.7635 Y
— BONb - -
Krv IN
Corrections /Comments /Instructions: 2-46 ewi 6I
"Poo L ---- 80out N t ._,_ siA141-_ 1-0w 12:c B04& J ..
1
-4441 ■MI/
1 I PASS 1 2 PARTIAL APPROVA ❑ CANCEL n NO ACCESS
I I FAIL .i. - ' : ' 1 PECTION n ADDITIONAL FEES ASSESSED
Inspector: (' 0 68 Date: 2 '� Phone #: (503) 718 - 1-411°