Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00212
COMMUNITY DEVELOPMENT DATE ISSUED: 4/6/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S105DD 07400
SITE ADDRESS: 13835 SW SANDRIDGE DR ZONING: R - 7
SUBDIVISION: COSTIUC PARTITION LOT : 001 JURISDICTION: TIG
PROJECT: VERDADERE
Project Description: Circuit to hot tub.
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: 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:
DAVID VERDADERE CONDUIT ELECTRIC
13835 SW SANDRIDGE DR. 19461 SW 89TH AVE
TIGARD, OR 97223 TUALATIN, OR 97062
Phone: 503 - 506 -2960 Contact #: PRI 503 - 692 -1428
FAX 503 - 692 -3652
FEES
Description Date Amount Reg #: ELE 26 -905C
[ELPRMT] ELC Permit 4/6/2007 $46.85 LIC 109669
[TAX] 8% State Surcharge 4/6/2007 $3.75 SUP 4501 S
Total $50.60 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: ` %( Permittee Signature: 75 "z /J %' ' —
OWNER INSTALLATION ONLY 7"
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.
2007 /APR /06 /FRI 10:11 AM Conduit Electric FAX No, 5036923652 P, 001
Electrical Permit .A l icat iv FOR OFFICE USE ()NL.\ •
Received
City of Tigard APR - } 200 ' Datal3 . ,, ' 6 MI Permit No. :� �f—o g ,
13125 SW Hall Blvd., Tigard, OR 97223 ' p Plan Revie Other Permit:
Phone: 503.639.4171 Pax: 503398.1960 ' '' ° Y D /BY
Inspection Line: 503 639.4175 CITY ° 7,..1.,.c..'
,.. ' • ' :11. t., Dare liaady/By. " See Page 2 for
Internet; www.cLtigard.or.us 8U1LD1a . , • 1 • . e 1 NoIISed/Metliod: w� Supplemental Information
. . .. ....:,: ,. . � , ,,:.: • . . . ,... ti,( '�1 }I` " 1, 'DV "' � .a : ;:; r- 'y,: s • .. ... ,, r. ... ... ... .,� • 3 .:.:. .. ,. .. A. ?., , . _ . r .,,�.� . .. ; .'' t `:.N ', � h '.�;-� .-YGA..�... \
Please check all that apply:
❑ New construction Addition/alteration /replacement
❑Service over 225 amps, comm'1 InIlazardous location
❑ Demolition ❑ Other: _ ['Service over 320 amps – rating ❑ Buildng over 10,000 sq, ft.
.' , w• mil dwellings 4 or more new residential
<;. �,; �. y.>:..; t: �;;' :�q` ofl- flrid2 -1'a Y SS
• � : ,,t` 1 +G0 `. , - •• 'ii, -.' ' � L`T�A ', ;ri = g S; ' `.;_
1:3 System over 600 volts nominal units in one structure
1 and 2- family dwelling ❑ Maste r builder ld ❑Other: ustrial ❑ Accessory building ❑Building over three stories ❑Feeders, 400 amps or more
Multi - family ❑Maste blder El Occupant load over 99 persons ❑Manufactured structures or
,.,,.., ,.. '' . ":�r'ir••' - 1..i. park
:, 'r �;3' ; '* ,.'p `��XON::AND�T•OC4�OA7�r:: > ..... ❑l3gress/lighting
f.]1-lealth -care facility 0 Other:
Job no.: Job site address: ( 1 _ ` ... • a* t . - I Submit 2 sets of plans with any of the above.
1 f n i o 5 The above are not applicable to temporary construction service.
City /State /11P Q "1 : J M �.t ,:R .::. . C
`'Q`n �so A ;.w.r,V4i.k= R tis §6 1.3,�'�:401: V.P::':
Suite/bldg./apt- no.: Project name:. �Ie -rt o,._ dS-�r� t'11a. Description Qty. Fee Total
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
• 1.000 sg It or less 145.15 4
Lot no.: Ea. add'l 500 sq. f . or portion 33,40 1
S Limited energy, residential 75.00 2
Tax map /parcel no.: • Limited energy, non -rest 75.00 • 2
;,;.. r;.: ;.,;, •; ,�:.,. „ ' '° : ` �> "!;., v
� , � " , �r< a ; h: v, . � r t''. � �.�. �.�,� < . � � ` . , : �
,, Each Manufactured or modular
dwelling, service and/or feeder , 90.90 2
ICS �� , _ - Services or f installation, alteration, and/or relocation
200 amps or less • 80.30 2
..: > ,
:,:>:. �:, � - .F - ^ ! , � , r: � .: ''�: ^'s =` i�i�H . 1`!";t {z2�� . _ r: •tart "•.� +��: ( F 'i;; ".: _ � ✓ 201 amps to 400 amps 106.85 2
•: r.. ' ,� {{ •,;:cp6 4 ;8 � : �a Y .. . .:..: ��. y�;.r.r.�f.
�C7 :_ ; ,. • �'t>� .�... .,.�....... , ....� .'�a. , . 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240,60 2
Over 1,000 amps or volts 454.65 2
•
Address: Reconnect only 66.85 2
City /StateIZ)P: Temporary services or feeders installation, alteration, and/or
- relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner in This installation is being made on property that 1 own, which IS not 201 amps to 400 amps 10030 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
' ;+ . •.r / �!�: /r - mp" : _ N;' .� r , � s ;; A„ Fee for branch circuits with
• ,�,,,, ; ^ ;iq - ' 7 �' �Ar v.'. �. "i\•,. . '' 't''j'M7 1 ''i'.' n'V1.4''' If'W . \.'ti .w...,. _
•'r
`
:,C1 �e,Er � ... ,. ..� ::i : , : � .,. ... , , then n circuit feeder fee, each 6.65 2
Business name:
B. Fee for branch circuits
Contact name: • . lvithout service or feeder fee. 46.85 2
eac b ranch circuit
.Address:....... . .. .... .... .. .. : ... . _ Eachadd'.1 branch circcuit...... -- L. 6.65: ... . 2.. .
City /State/ZIP: Miscellaneous (service or feeder not included)
■ • Pump or irrigation circle 53-40 2
Phone: ( ) . Fax: ( ) Sign or outline lighting 53.40' • 2
E - mail: . • Signal circuit(s) or limited -
l :.': . y: . . ,; - r_ - . energy panel, alteration, or
— , " ??'�'�4 '^ - extension: Describe: Page 2 2
Business name: , d / F I r -( 7( x
� j- ' Each additional inspection over allowable In an of the above
Address: Gf • s _ -
Per ins. action 62.50 1
City /State/ZIP: / / . ` ` / ■ . Investigation per hour (1 hr min) MI 62.50
Industrial plant per hour M 73.75
W
. Phone: (SO ) d - 1 P'a /r •'— A. 3r.Ii cFI.ECT`RICA7�: ,E tit:EFS +,:' ;:r-;;.. ,.., ::,-;,
CCB Lic.: /eyqb/A Electrical Lie:: A0 il •rv. Lie_: ' 41S(1.5 Subtotal .14 (O '
� Plan review (25% of permit fee) Suprv..Electrician signature, required: „ "T
�I f /� State snrcha'rge (8% of permit fee)
Print name: ( pt.-Alb. r Date: � b 1C� 5 0 •
TOTAL A L P>CRMITlE
Authorized signature' ibis permit application empires if a permit is not obtained within 180
days otter it has been accepted as complete •
Date- • Fee methodology set by Tri-County. Building Industry Service l3oard
Print flame: •• Number of inspections per poturit allowed. . .
•
IABuildinr Permits1F1.C•PamitApp.doc 12/03 440- 1515'r(70/02/COMIWl?A
\
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00212
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007
Phone: (503) 639 -4171 �' . ' , i o , : '' 1
Inspection Requests (24 Hrs.): (503) 639 -4175 �i` "'� ..
INSPECTION WORKSHEET FOR DATE: 4/1312007 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 13835 SW SANDRIDGE DR CLASS OF WORK:
SUBDIVISION: COSTIUC PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: VERDADERE
DESCRIPTION: Circuit to hot tub.
OWNER: VERDADERE, DAVID PHONE #: 503 - 50&296()
CONTRACTOR: CONDUIT ELECTRIC PHONE #: 503.692 -14213
Inspection Request Scheduled For: Date: 41/312007 Pour Time:
Code # Inspection Description Confir -i Contact # Message
199 Electrical final 046450-01 503- 692 -1428 N
Corrections /Comments / Instructions:
/ ( ... Z .
0
•
PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
A:ASS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. Inspector: N 6e3 �-"-- Date: 3 Phone #: (503) 718- 2-Lk