Permit ELECTRICAL PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT PERMIT #: ELC2008 -00359
' DATE ISSUED: 6/20/2008
TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S1 36C6 06000
SITE ADDRESS: 11200 SW 83RD AVE ZONING: R -4.5
SUBDIVISION: STEVE + HUGHIE'S PLACE LOT : 032 JURISDICTION: TIG
PROJECT: SCHAFER
Project Description: 2 branch circuits. Job No. J39893
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: SIGNAUPANEL:
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: 1 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:
STEVEN SCHAFER WEST SIDE ELECTRIC CO INC
11200 SW 83RD AVE 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 503 - 539 -4760 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 6/20/2008 $53.50 LIC 13306
[TAX] 12% State 6/20/2008 $6.42 SUP 4654S
Total $59.92 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 a : o in • • R 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of hese rules or direct questions to OUNC at
503.246.6• 9 or 1.800.
Issued =, : // ( Permittee Si natur- i, ,e74
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:
TRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: T' -:: �� �1e)—c - 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.
5 032319987 23:00:07 06-19-2008 2 /2
2 Electrical Permit Application_ � S >< a •`; ' x U ° °'�° ,,,. t r l r
•,lt+c xw rr a r s s i
7 :i. ,;, , FOR OFFICE USE ONLY "
`h > &-T! City ! ' p ";
of ,1l ill'L� O � * Received � �i/ *•- 1.,::
i.' .t 13125 SW Hall Blvd., Tigard, OR 97223 U Date/F3 . rip, Permit No.: , i,,,, �
Phone: 503.63'1.4 i 71 Fax: 503.593.19��N Plan Review O� V%
'tc,•:•,,;` Date /liv: Ocher Permit:
• ^ t t O R �• lnspecuon Line- 503.fi39.4175 �� es� 1 N R � tgli _ Interne!: wtvtr oegot. o Date Ready/By:
l� Sec Page? for
NotilictUMctlwd: Supplemental
TY OE WO %1".
REVIEW
❑ New construction k A dditiolt /altera4tbn /1'eplacement Please cheek all that apply
(submit sets of plate w /imnu checked below):
❑ Demolition Other: ❑ Serv;ee or feeder 400 amps or more 0 Building over three stories.
I..
where lite available limit current
CATEGORY or CONSTRUCTION .. ,
_g exceeds 10000 amps al (50 oohs or ❑ Marinas and b s. Js.
• �. � _. 1 ❑ Floating buildins.
and 2 - family dwelling 0 Commercial /industrial less to ground, or exceeds 14,000 ❑ Commercial-use agricultural Accessory building amps for all other installations. buildings.
Multi family ❑ Master builder
• ❑ Other: ❑ fire pump, ❑ Installation of 75 KVA or
3013 SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived *swill.
❑ Addition of new motor load of
3
■ ., 7 ci 4 Job site address: 't Z j� 3 . i e 100111' or ntw's. uceup:utey.
�' g 7 - ❑ Six or more residential unit,, ❑ Recreational vehicle parks.
ii,,,
City /State /ZIP: c Il ❑He caret�eililics.
5 cu• C� 0 Supply voltage for more than
- ❑ I •lazauiuus locations. 0 volts nominal.
l'u_ b /apt. no.: Project name: S'
- 2,2.1 / /CJ r ❑ Service or feeder 600 antes or more.
Cross street/directions to job site: FEE SC11L n.
"—' `= L! •� *. Ucvn
cntluo � .n•. rec. cc. �
// Tmal •
New residential single - or multi - fancily dwelling unit. -
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15
Tax map /parcel no.: Ea. add'I 500 sq. R. or portion 33.10 I
- _ Limited energy, residential
DESCRIPTION OF WORK .. (with above sq. ll.) 75.00 2
Limited energy, multi - fancily
L . " nr in� a..•_ ' ;,-a�er��� ∎J residential (with above sq. ft.) 75.00 I
�
( _ _ Services or feeders installation, ahcratiuu, and /or relot atiuu �
�� t f 200 amps or less 1
I} 80.30 I 2
PROI'ERT1' OWNER 0. TENANT • 201 amps to 400 amps 106.85 • 2
Nance: 1 P ���> 401 amps to 600 amps 160.60
Address: 601 amps to 1,000 amps 240.60 2
C?C f ` Over 1,000 amps or oohs _ 454.65 2 ' f
City/State /LIP: Temporary services or feeders iastauation, alteration, and/or
relocation
Phone:
(5,L S) c -�t?.+ 7 t-.0 Fax: (- ) 200 amps or less 66.S5 1 1
Owner installation: This installation is being trade on property that 1 own which is not 201 amps to 400 amps 100.30 1 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 ( � �
Owner signature: — Date: Branch circuits - new, alteratimt, or extensiun, perj aiiel ' \
— — — — A. Fee for branch circuits with
... . APPLICAN'T [] CON'T'ACT PERSON above service or feeder fee,
Business name: WEST SIDE ELECTRIC CO.
6.65 2
each brunch circuit
13. Fee for branch circuits
Contact name: GLENN GROSSMAN without service Of feeder fee, l 4G 85 ; >f'` O
first branch circuit ��K , ) � � 4
Address: 1834 SE 8'" ,wr, _ Each add'I branch circuit /I 6.65
Miscellaneous (service or feeder not included)
City /State /ZIP: PORTLAND, OR 97214 _ Each manufactured or modular
Phone: (503) 231 - 1548 Fax: : (503) 736 -0677 dwelling service and /or feeder
90.90 2
Reconnect only 66.85 2
E-mail: GLENNG @WESTSIDEELECTR1C.COR'I Pump or irrigation circle 53.40 2
'� ,CONTRACTOR �:
Sign or outline lighting 53.40 • 2
•
Business name: NEST SIDE ELECTRIC CO. Signal circuit(s) or limited-
energy panel, alteration, or
Address: 1834 SE 8 AVE. extension. Describe: Page 2
City /State /ZIP: PORTLAND, OR 97214 Each additional inspection over allowable in auv ol'the above
Phone: (503) 231 -1548 1 Fax: (503) 736-0677 Per inspection 62.50
T Investigation per hour (1 hr min) 1 62.50
CCl3 Lic.: 13306 Electrical Lic.: 26 -135c Suprv. Lic 4654S Industrial plant per hour 73.75 --
Suprv. Electrician signature, required:
j - .. 2.%2.%,_ • ELECTRICAL PER ubtotal � FEESI .7
j , d�
n
t,G = L /iti
Print name: RANDALL ROBERTS Date: NJ / G C) / ?) Plan review (25% of permit fee): 1 �.
` State surcharge (12% of permit fee): s t7 •
Authorized signature: - TOTAL PERMIT FEE: �A `Y
This permit application expires if a permit is not ubuiined t,itlijif 180 J
Print name: Date: I i
• ___ .• : ) days after it has been occupied as complete.,
• Number of inspections allowed per permit. '''.,..---'
aildiug5 rnuitet1SLC•rcrniitApp. 05123/06 - 140 - 4615
TO 'r(I I!OSCOM/WEB � --
CITY OF TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2008 -00359
°
•
COMMUNITY DEVELOPMENT DATE ISSUED: 6 /20 /2008
'TICARC; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136CB -06000 .
SITE ADDRESS: 11200 SW 83RD AVE ZONING: R -4.5
SUBDIVISION: STEVE + HUGHIE'S PLACE LOT : 032 JURISDICTION: TIG
PROJECT: SCHAFER
Project Description: 2 branch circuits. Job No. J39893 •
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: 1 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:
STEVEN SCHAFER WEST SIDE ELECTRIC CO INC
11200SW83RDAVE 1834SE8THAVE
TIGARD, OR 97223 • PORTLAND, OR 97214 • •
Phone: 503 - 539 -4760 Contact #: FAX 503-736-0677
PRI 503 - 231 -1548
•
FEES
Description Date Amount Reg #: ELE 26 -135c •
•
[ELPRMT] ELC Permit 6/20/2008 $53.50 LIC 13306
[TAX] 12% State 6/20/2008 $6.42 SUP 4654S
•
Total $59.92 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 a o in • 'R 952 - 001 -0010 through OAR 952-001-0100. You may obtain copies of hese rules or direct questions to OUNC at
503.246.6 9 or 1.800. • .2
Issued Permittee �
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
T
SIGNATURE OF SUPR. ELEC'N: � _ .� �„� ��� v�l�l -- � � 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.
•
• ^
• INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: EAL'app 359 REQUIRED ON GREEN INSPECTION CARD.
1 ✓ Code Inspection Description I PASS Date By ✓ Code ' Inspection Description • PASS Date By
BUP - Building Permit ELC - Electrical Permit •
•
405 • . Excavation 105 , Underground /slab cover , ., •
410 Fill 110 ' Temporary electrical service
' 415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in •
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab • 140 Sign installation
310 Crawl drain • 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 ' Misc. inspection:
235 Shear walls /anchors / 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 . Misc. inspection:
265 Masonry • 199 Electrical final •
270 Reinforcing steel (rebar)
275 Framing •
•
810 MFG- Structure set -up . MEC - Mechanical Permit
280 Insulation • 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in .
•
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection 'System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
• 910 Sprinkler rough -in
915 Fire alarm rough -in • 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing-rough-in
999 S rinkler final 322 Shower pan
P 330 Water service
• 335 Rain drain
•
340 Storm drain
SIT - Site Work Permit . 505 Sanitary sewer
405 Excavation 345 ' Culvert/catch basin • -
410 Fill 350 Septic tank-
.
415 . Grading 395 Misc. inspection: .
• 205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain - .
420 Sprinkler supply lines _ SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I:\ Building \Forms \InspCazd- AOP- B1ankdoc 02/02/07