Permit ;.7,..':';':1:',:F : ; ;ELECTRICAL PERMIT
:.
7 , 1 - -. �;_a CITY OF TIGARD
PERMIT #: ELC2008 -00537
° .' , COMMUNITY DEVELOPMENT DATE ISSUED: 9/17/2008
.ii cn ti D! 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DA-08902
SITE ADDRESS: 09330 SW 70TH AVE ZONING: R -4.5
SUBDIVISION: KINGS VIEW LOT : 063 JURISDICTION: TIG
PROJECT: KROPF
Project Description: (2) branch circuits.
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 HMI 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:
TRINA KROPF CANBY ELECTRIC INC
9330 SW 70TH AVE 790 S IVY
TIGARD, OR 97223 CANBY, OR 97013
Phone: Contact #: PRI 503 - 266 - 7878
FAX 503 - 266 -5543
FEES
Description Date Amount Reg #: ELE 3 -1 12C
IELPRMT] ELC Permit 9/17/2008 $53.50 LIC 26071
(TAX] 12% State Surchar 9/17/2008 $6.42 SUP 2123S
Total $59.92 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952- 001 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued B . _ _ Permittee Signature: 7 ..7 / '
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Applicaticw t- ' i
City of Tigard ��`� •
Received 9 t 7 or ..T...77::, I P:nntt i�iC�U$' ',
13125 SW 11811 Blvd.. Tigard, i Plan ((eview
• Phone: 503.039.4171 fax. 503.598,1100 % Date/13y: I Other Pe uni
T I G A R D lmper.'tion Line: 503 6+9.'1175 �. at:1U Dote Reedynsy:
` + I h0 S.Y I a;e 2 for
Internet www oi.gov " ,U `► NOtifttd/Mahod I= Supylelneut.ltulormadnn
`� ; � j J _ . '' a ;ea
rl.
U •{ '' f� 1 ^ ' •� : ,. ,. : ` Q + : ?.....- 7:.4' ••; Y "S.: {s:.• � ' PLAN REVIEW�i .'.: ; t
❑ New construction A Addition /utl tlbn/rcplarxmetlt Pkasc aleck all that apply (submit • cats Of plans uhtcros checked below):
0Savice or keder 400 amps or n.ur_ O 5 uilding over three stories. .
❑ Demolition ❑ $;'
Other: where the availably Iamlt current ❑ ta:,:uus and boatyards
ri " :•t: n°'' '�i0';'•4P ''',g..X,i,: exceeds 10,000 amps at 150 volti or ❑ I.1 .nirtg huild,o i.
c:AT_ .. or :co „..,. of . ` .;i, 017 a1F r r., :� . : • �!�
less t0 pound. or tltu:l'lli I3,r1Q(1 lJ C't,rllrll lat•IISe a�leullYral
,( 1 and.2•fa,nily dw elling ❑Commercial /industrial ❑ Accessory building ,, amps for all other »laullatiens. buildinta. .
O Multi-family U Master builder ❑ Other: . D Fire pump. 0 In'.18I:wn,nof75KVA0r
.,. ■ Emergency klel1 larger srn:rralely derived SySlei..
JOB SITE FOI LA MAO?Q :'A+ Di L I N ' � r ; l :` ^ �i 1. - .. °'''.w 0 n` y
' � +t rr. ....I:i °,. + . ' Addition of woinr Ivan at 1_)..A....1:" ••I.>., ..h_1..
t' r I OOriF' or more uyupaut.
Job no.: Job site address: 0 .]>'� - 7(1 1.1 7 �J 1�g-- 0I er eanor+a1 vehicle ks.
❑Si more retitle» nal u: »;. P�
City/State/ZIP: � 0 Keahh-eare factiitit 0 supply .cloy:c far more than .
hu
y - -- /.! p f, 97?-z-- - ❑ t IaLVdour loea :tool 0 vnh., w.»:aal.
Suitc/bldg. /apt. no.: 1 Project name: T ^ 0Service or reviles 600 amps or nurse
;i. N,,,::r I f E SCIIEDUL£; y : :v :v:,uLY, :; -; . ,
Cross street/directions injnb site: nesessotioo - -r Qry _ ter. 1 Total 1 • •
New residential single- Or multi - family dwelling unit
Includes attached garage.
Subdivision: Lot no.: 1.000 sq, ft. or less ( I 145.15 i 14 .
Ea. add'I 500 sq. 0 or purtua ; 33.40 1 .
Tax ma / arccl no.: 1 i i reaidculial Ti 7t
p p. limited led energy. l)0 2.
DESCKIPl ici$ wOF : WPA •,' t ?' "1r,' . ii`ti;; a;�.•'"' ..5, ,. s;r. (with above ^4.0.)
Limited energy, multi- family 7 2
4 A residential (with atnnve.y. ft)
1
+ Services or feeders installation. alteration, and /ur relocation
200 amps or loss I so in 2
. ❑ OWNER' NER } . • • ". : : c v:'.M' , ; :`I'E+� : • aia 1{` %T 201 amps t0 400 Lumps I 100.85 2
Name: . " r 401 amps w 600 amps I 140 60 2
601 amps to 1,000 amp 1 { 2.30.60 2
Address: Over 1,000 amp, or voles I � , 154 e,5 2
Temporary services or feeders installation, alteration. and /or
City/Statc/ZlP
relocation _
Phone: ( ) Fax: ( ) 200 amps or leis 1 76.85
h 201 amps to 400 amps I 1 100.30 1 ^ Owner installation: This installation is heing made on property that 1 own which is nut 401 amps to 599 a mp, I 133 75
intended for sole, lease. rent, or exchange. according to ORS 447, 449, 670, and 701. _.
Branch circuits - new, alteration. ur ettension. per panel
Owner signature: Date: A. Fee for branch Cn: oils 1 +
Y "s" i Nl " . above serviCC. 0 feeder (CC.
r 0•. <.. . ❑ APPLICANT .. • ` 1:.40.. *C %5i;t,i`r ■!.. s I 1 G,GS • 2
u
each branch circu _ _ __ _ _
Business name: 13. Fee for brunch ciic its I I 1
wtrhour service or teeth: fcc. I ( 4r, !eS Lek 2
Contact name: first bran circuit 1 —
Each add'I branch cu colt [ 1 0.65 2 •
Address:
_ - Misedlaneuus (se rti'iee or feeder not included)
City /StatcJZIP: Each manufactures or mtxinlar 1 uu.116.90 85 2
dwcilin, service and /or teeter i
Phone: ( ) -- fax:: ( ) Reconnect only -
Pump or irrigation circle I I 53: tU 2
2 .
-
E -
CONTRA(:TOR"i; ; ' ; a,:. , .,' ^`' "•la-1:C, i _ .. , _ Sign or outline tightinp s:,.40 2
Signal circuitls) ut 1+mned• --
Business name' CA,,..,, \Q m t . C , r � t = _ energy panel, aheratlun, in
_ extension. Pc'scrlt I 1,:,„ 2 2 1 L Address: T l C 1 U r _) . l,___ F '
QrZ � L O l Each additional ins _ ctiUr1 over altuwahle it. unyi f the above
City /Stai r. /7.51' C b � 3 Per i naPe c• t i uu � _ I'2 � • J 1
r � �- c I t-ax' ( S j ) L(o ( — S
is i4 ... Investigation per 1u:ur i I b, ,mn, : rs2 i0 L
Phone: 50,-.) 7 ( Dx7 � L G � _ I —
Industrial plant per twin I I 7 4. ]ii L C•CB Lie.. ' 1 Plecu'lipll I it: : —l1 Z G 1 Suprv. Lie,: Z l - L 3 5
_ Z ( __ NJ. � I � •� l T E LECTRI CAL l'ERMII" FF•Fti " : ' i' ''
Suprv. Elecunian v1..miltln'. ICtjUlfCrl: _... - 9 = _
- - flan rc•:.• l.'s"- n1 pirmu (• :c)•
Bate: -- --
Print name - l/
C r , ' ti , lL._ , • � -
.- . )N (0, -•I - ._ � St :m .ui h,+rt'r I I __,. , •1 1 r li: )_ I 1
Authorized <iy.n :,ulrr — . .._ - - — -
I Thi prr avph,at :all r \ r• +r., , p ernur i. nut o btained within ISO
" .. • - r , 1 ntlle 1 tin,. riir it Il h ru drr't'plCd 11 , emplane.
I Print n iunc'� jl + U C )M ro•a 11
I \IWdum : \i',�a 1 .•,.,,. \ ,' '.. ,'I4-.I.41 5 111 1 /11.(11\I'w 1 It
Ld 9 : L : LB 800E LT 'daS £bSS99EZOS : ON BNOHd JN I J I b10319 AGNUD : WOdJ
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00537
COMMUNITY DEVELOPMENT DATE ISSUED: 9/17/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DA-08902
SITE ADDRESS: 09330 SW 70TH AVE ZONING: R -4.5
SUBDIVISION: KINGS VIEW • LOT : 063 JURISDICTION: TIG
PROJECT: KROPF
Project Description: (2) branch circuits. •
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:
TRINA KROPF CANBY ELECTRIC INC
9330 SW 70TH AVE 790 S IVY
TIGARD, OR 97223 CANBY, OR 97013
Phone: Contact #: PRI 503- 266 -7878
• FAX 503 - 266 -5543
FEES
Description • Date Amount Reg #: ELE 3 - 112C
[ELPRMT] ELC Permit 9/17/2008 $53.50 LIC 26071
[TAX] 12% State Surchar 9/17/2008 $6.42 SUP 2123S
•
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 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 m
Perttee Signature: 7 .414,-
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.
•
•
•
INSPECTOR'S SIGNATURES ARE NOT - .
Inspections Required for: g/raivk- -rt)537 REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By ✓ Code I Inspection Description I PASS Date I 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 x 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
• 310 Crawl drain
920 Suppression trip test
315 Post /beam plumbing
995 Misc. inspection:
998 alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
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 \InspCard- AOP- Blank.doc 02/02/07