Permit •
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1r {/ / D � � � -1-c) � % � � ELE ICAL PE
C TY OF IGARD
COMMUNITY DEVELOPMENT PERMIT #: /10/2 00224
DATE ISSUED: 4/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 BC - 00500
SITE ADDRESS: 10055 SW INEZ ST ZONING: R - 3.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT : 019 JURISDICTION: TIG
PROJECT: MARSHALL
Project Description: Install sub panel and (7) branch circuits to finish basement.
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: . 7 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:
ED JOHNSON OWNER
10055 SW INEZ ST
TIGARD, OR 97223
Phone: 503 -459 -1790 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 4/10/2007 $126.85
[TAX] 8% State Surcharge 4/10/2007 $10.15
Total $137.00 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 .e .246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: '
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.
Electrical Permit Applicati' Received IVED . , FOR OFFICE USE ONLY
....
- • City of Tigard l i 'P '7All
Permit No.:
.., Date/By:
1 ,11111. " 13125 SW Hall Blvd., Tigard, OR 9722 APR 1 0 2007 Plan Revii
' ."
' m - ': Phone: 503.639.4171 Fax: 503.598.19 Date/By: Other Permit:
TIGARD
Inspection Line: 503.639.4175 CITY OF TIGARD n.s Date Ready/By: Ju: El See Page 2 for
Notified/Method: Supplemental Information
Internet: www.tigard-or.gov
BUILDING Drumm
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0 New construction 0 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition El Other: where the available fault current 0 Marinas and boatyards.
''
''' iiii
oF1'ObiUl- 014 47
iztg'e' " \tr:',---n' exceeds 10.000 amps at 150 volts or 0 Floating buildings.
';i " . ,,,.,", , A, ,..., ' ."
less to ground, or exceeds 14,000 0 Commercial-use agricultural
[S] 1- and 2-family dwelling 0 Commercial/industrial III Accessory building amps for all other installations. buildings.
El Multi-family Ill Master builder El Other: 0 Fire pump. 0 Installation of 75 KVA or
0 Emergency system.
t Tt 'S 1 4 1 14 : 46....AirP4KraAtIZON' 1 Ai46466A " relOi ' ''' 1 '' 1 ' 11 / f1 )4 4 11 ri • • larger separately derived system.
):..-1 1., , .....11,, 1 , ', ' ,,,,,, -iit,,,' -, ,,.„,,,,,,, , iii:iii :1 -, .:". Amai; . : ,-., „ Adchhon of new motor load of
Job no.: Job site address: 10055 SW Inez Street 100HP or more. occupancy.
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: Tigard, OR 0 Health-care facilities. 0 Supply voltage for inure than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: 97224 Project name: 0 Service or feeder 600 amps or more.
dr'S. 1' 4:afrFEK§00 , g:''.1-:Iii
Cross street/directions to job site: McDonald & 99W Description I Qty. I Fee. I Total I *
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. ft. or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential
IM A ,t1"41 '1 W
ieol i (with above sq. ft.) Z :' ' '''4iir' ' '':*'''''''''''''6;,-'"' 75.00 2
. A. jk ' .':i. ::', ,,, iI .',-",,......,..„ ....t.:', . ' ", "4-F ' '' '": i-- 'r
Limited energy, multi-family
New Electrical Sub in Basement with 7 circuits run. residential (with above sq. ti.) 75.00 2
Services or feeders installation, alteration, and/or rAloca4ion
, 200 amps or less / 80.30 W'v M 2
:g rpiroktifysiNfie .::'114-;161,,,'PatIfi-iiNor,, 201 amps to 400 amps 106.85 2
Name: Ed Johnson 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 10055 SW Inez Street Over 1,000 amps or volts 454.65 2
City/State/ZIP: Tigard, OR 97224 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)459-1790 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This instal1ati is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, r 1 ch e, rdin -ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new alteration, or extension, per panel
Owner signature' ,....- )
",
Date: q-oq-e9 7
- ' A. Fee for branch circuits with .._c/
1 .,, o
,
,:::3144141-1 opucAlly ---,to IS 4-:' above service or feeder fee, 7
6.65 4 .,5 -) 2
„ .
each branch circuit
Business name: OWNER , B. Fee for branch circuits
without service or feeder fee.
Contact name: 46.85 2
first branch circuit
- M Address: Each add'l branch circuit 6.65 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 inigation circle 53.40 2
lig,;y 1 '::07,(57. ':' 'laic J.. :.- si or outline lighting 53.40 2
Signal circuit(s) or limited-
Business name: OWNER
energy panel, alteration, or
Address: '........____-- extension. Describe: Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
MP itTaWiWAc'ft*Aiqtfr:„,KCEW„:;t:,;:::kp,MN'
Suprv. Electrician signature, required: Subtotal: /A Cf • pia
Plan review (25% of permit fee):
• Print name: Date:
State surcharge (8% of permit fee): / 0 '
Authorized signature: TOTAL PERMIT FEE: jz 7,00
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I: \Building \Permits \ ELC-PermitApp doc 05/23/06 440-461ST( II /05/COM/WEB
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2007 -00224
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10/2007
Phone: (503) 639 -4171 ..� ttu
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ,.. IL
INSPECTION WORKSHEET FOR DATE: 4/11/2007 TIME: 7:00AM • PAGE: 29
SITE ADDRESS: 10055 SW INEZ ST CLASS OF WORK: .
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 019 TYPE OF USE:
PROJECT NAME: MARSHALL
DESCRIPTION: Install sub panel and (7) branch circuits to finish basement..
OWNER: JOHNSON, ED PHONE #: 503. 459.1790
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/11/2007 Pour Time:
Code # • Inspection Description Confirm # Contact # M
A ,.. E . T . 1
120 Electrical rough -in 046305 -01 503 -459 -1790 Y I I vo
Corrections /Comments /Instructions:
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PASS r; PARTIAL APPROVAL ❑. CANCEL ❑ NO ACCESS
'FAIL ',ALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
AddillP Inspector Date: 4/ ////6 7 Phone #: (503) 718 - 2.-Cf