Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00428
COMMUNITY DEVELOPMENT
DATE ISSUED: 6/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112BA -08500
SITE ADDRESS: 07850 SW BROOKLINE LN ZONING: R -12
SUBDIVISION: BONITA TOWNHOMES LOT : 021 JURISDICTION: TIG
PROJECT: WATSON
Project Description: (1) branch circuit for wiring new unit from existing disconnect.
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:
STEVE WATSON OREGON ELECTRIC CONSTRUCTION INC
7850 SW BROOLINE LN 1010 SE 11TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: 503 - 620 -4195 Contact #: PRI 503 - 234 -9900
FAX 503 - 535 -2763
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit 6/21/2007 $46.85 LIC 203
[TAX] 8% State Surcharge 6/21/2007 $3.75 SUP 45495
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 t OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: / / -// Permittee Signature: OACAliar2
OWNER INSTALLATION ONLY
The ins - tati: .eing 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.
JUN -20 -2007 04:03PM FROM -OR ELECTRIC SVC 5035352763 T -754 P.001 /002 F -258
..1C4LriVai rya lam. ra.t,E„el........__
•y Date/By: Received
e : civ to -f ' Permit No.: . (_,c2(::073- -0 22
114. City of Tigard �
't 13125 SW Hall Mvd.. Tigard, O1 7223n ' Plan Review ptlhcr Permit G2�6� X03 �p
Phone 503.639 -x+171 Fax; 503_59� Y' 1 Sec rage 2 for
Inspection Line: 503.639.4175 DDam Ready /By:
TIGARD p JUN n �. 0' t/"� Notified /Method: , 71 u Supplementalrnformauoe
I nternet: www. or. gOV —
. . - TYPE 01■ VQRICOF ■ I4j!?a I PLAN REVIEW
ty �„,, g p ,i i �.�v I' ICase chock all that apply (suhmit2 sets al' Lane /itcros checked bolnw):
❑ New construction !BI Addition /alutlatofP /�eplaCl ❑ $crvice or feeder 400 amp or more ❑ Building over three stories.
❑ Demolition ❑ Other: _ where the available fauk current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ID Floating buildings.
less to ground, or exceed 14,000 ❑ Commercial -use agricultural
® 1- and 2- family dwelling ❑ Commercial /industrial 0 Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other: ❑ Fins p ump. ❑ Installation of 15 KVA or
ID Emergency system. larger scparnuly derived system.
i „JOB SITE INFORMATION AND LOCATION . • 0 Addition of new motor load of ❑ "A ", "8". "1-2..., `1 -3 ",
10011P or shore. occupancy.
Job no.: 21359 I Job site address: 7850 SW BROOKLINE LANE 0 six or more residential units, ❑ Rccretttional vehicle parks.
❑ Health-care facilities, ❑ Supply vntrage for more than
City /State/ZIP: TIGARD, OR 97224 ❑ Hazardous locations. 600 volts nominal,
CI Service or feeder 600 amps or more. .
Suite /bldg. /apt. no.: Project name:. ' • - II tw ' '; FEE mor e. ULE
Cross street/directions to job site: NORTH OF (SW BONITA RD) EAST FROM 'D¢6cNPUon 1 Qtr- 1 rec. 1 Total 1
New residential single- or multi - family dwelling unit.
SW FANNO CREEK & SW WEAVER WAY Include attached garage.
1,000 sq. ft. or less 145,15 4
Subdivision: Lot no.: 1
Ea. add'1500 sq. ft. or portion 33.40
Tax map /parcel no.: Limircd energy, residential 75.00 2
DESCRIPTION OF WORK ° (w ith ab ove sq. it)
L imited energy, multi - family 75.00 2
WIRE NEW UNIT FROM EXISTING DISCONNECT. residential (with nbovo sq. ft.) .
Services or feeders installation alteration and/or relocation
200 amps or less 8 2
® PROPERTY. OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 •
401 amps to 600 amps 160.60 2
Name: STEVE WATSON 601 amps to 1.000 amps 240.60 2
Address: 7850 SW BROOKLINE LANE _ Over 1,000 amps or volts _ 454.65 2
Temporary services or feeders installation, alteration, and/or
Ciry /Sta[e/ZIP: TIGARD, OR 97224 relocation -
Phonc: ( ) I Fax: ( ) 200 amps or less 66.85 1
201 amps to 400 amps 100.30 2
Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps ,. 133.75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension. per panel
Owner signature: Date: — A. Fcc for branch circuits with
' ® APPLICANT I- ❑ CONTACT PERSON ' above service or feeder fee, 6.65 • 2
each branch circuit
Business name: OREGON CONSTRUCTION, INC. B. Fee for branch circuits
without service or feeder fee, 1 4G 85 46.85 2
Contact name: RICK MCL`LLIOTT first branch circuit
Each add'I branch circuit 6.65 2
Address: 1010 SE ll� AVE Miscellaneous (service or feeder not induded)
City /State/ZIP: PORTLAND, OR 97214 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 234 Fax; : (503) 535 - .
Reconnect only 66.85 2
E -mail: RICK.M@OREGON- ELECTRIC.COM Pump or irrigation circle 53.40 2
' CONTRACTOR Sign or outline lighting 53.40 2
Business name_ OREGON CONSTRUCTION INC. Signal circuit(s) or limited-
energy panel, alteration, or
Address: 1010 SE 11 AVE extension, Describe: Page 2 2
City/Statc/ZIP: PORTLAND, OR 97214 Each additional inspection ever auownble in any of the above
Per inspection 62.50
Phone: (503) 234 -9900 Fax: (503) 535 -2763 Investigation per hour (1 hr min) 62.50
CCB Lic.: 203 Electrical Lic.: 26 Suprv. Lic.: 4549S (c /1/0 Industrial plant per hour 73.75
` _ ; 146 ' — ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ' • � L Subtotal: 46.85
Print name: RICK MCELLIOTT Date: 6/20/07 Plan review (25% of permit fee):
State surcharge (8% of permit fee): 3,75
Authorizcd sigtla[ure: C- _ TOTAL PERMIT FEE: 50.60
Print name: RICK MCELLIOTT Date: 6/20/07 This permit application expires W a permit is not obtained within 180
days after 11 has been accepted as complete.
• Number of inspections allowed per permit
I: uBUa. lluglPcnnlce�ELC•IMrmSCl,pr.Uac 0523/06 440.4615Tc •
11/0520M/1Vn6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 004213
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 47
SITE ADDRESS: 07850 SW BROOKLINE LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 021 TYPE OF USE:
PROJECT NAME: WATSON
DESCRIPTION: (1) branch circuit for wiring new unit from existing disconnect.
OWNER: WATSON, STEVE_ PHONE #: 503 -620 -4195
CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INC LPv,Rp PHONE #: 503 - 2349900
Inspection Request Scheduled For: Date: 7/6/2007 Pour Time:
Code # Inspection Description Con •• Contact # Message
199 Electrical final 051376 -01 503 - 3574013 Y
Corrections /Comments /Instructions: 3,111-0-3
RI (\6/\.
/1
pr„ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT N crie Date: ' b 01 Phone #: (503) 718 - 1 1 1L'