Permit CITY-40F 9 IGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00374
° COMMUNITY DEVELOPMENT DATE ISSUED: 6/26/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125DA-00200
SRTE ADDRESS: 09070 SW 66TH AVE ZONING: R -4.5
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: WHALEN
Project Description: Replace porch lights
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: 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:
JOHN & VALERIE WHALEN SQUIRES ELECTRIC
9070 SW 66TH AVE PO BOX 16851
TIGARD, OR 97223 PORTLAND, OR 97292
Phone: 503 - 245 -7545 Contact #: PRI 503 - 252 -1609
FAX 503 - 253 -5831
FEES
Description Date Amount Reg #: ELE 26 -1101C
[ELPRMT] ELC Permit 6/26/2008 $46.85 LIC 135085
[TAX] 12% State 6/26/2008 $5.62 SUP 4882S
Total $52.47 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246.6699 or 1.800.332.2344. .
Issued By: Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
7
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Electrical Permit Application RECEIVED FOR OFFJC1: ( oNi.V
City of Tigard Date/By: . 'PermitNo.: 0 03 7
fa 13125 SW Hall Blvd., Ti Olt 97223 JUN 2 5 2008 Plan Revie
C .. ' Phone: 503. 639.4171 Fax: 503.598.1960 Dart/By:, Other Permit; a00$ —C�DD
TIC, A 1< n In etion : 503.639.4175 DateRand /B : Aids: Internet: www.tigarLined- or.gov CITY OF Notifi EI See Page 2 tar Supplemental Inforrr.atio
,
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...: <,. X) .y} S WA01 ` f£tf t< f ?. t. . y a.''@t S f4E 5 .......<.<
.. •, :, ::: F .. ?i ",' Z <. ' "': EY !` r , S'•':' s- A :1 n, •" - :: < ? : ., f . < ,.. » ; ,.. Q f k a l l ) t hat a , apply (submit l sets r, /items checked 2
0 New construction 0 Addttlou/Slteration/replacement Plea check all that apply (submit 2 sots of plans w /items checked below
❑ Service or feeder 400 amps or mote ❑ Building ever three stance.
❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards,
"ww -" " -' " '''
''.t..'.f;r: r, ^.'''"Y > " :, %''''''':''''''' ":''�r ..... ,:'''''. .f:':S: '•:<CY �::;K "iCY,f:
it t r5 Ott '.s I�li'��f r� � < t "tfo. .< i� ,Y:'. less to CXCeedsl0 > 0(c0 flmpa 8t15t)VO1[s0I ❑ 1�loatmgl7mldinga.
. ........ ,, r ,<. ..... .. . < . Y. >. < ..< .<.< <. ..< ... ground, or exae6ds 14.000 ❑ Commercial-use agriculture
:4 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings,
El Multi-family ❑ Master builder ❑ Other: ❑ Fire pump Installation of 75 KVA or
�y y, .; ,,, r > > W > Y > c ct < c Etnargeney system. larger separately derived sy
'Y. t` x. AT0It N f 9', fins ? i7 t s i t :i ,, <f,
'r:. >, f• s. >. • �*.. .�:!gl.���r ��;�,.� ... ,., ;�:.....s.. ... <.;.,<; ❑ Addition or new motor load of ❑... .•E.. •.1.2 ", <:1_3„
Job no.: Job site address: geOb 0 u) (e�� mo occu
❑ Six or more residential units. 0 Recreational vehicle parka.
City /State/ZIP, ' Sail t ❑ Health facilities. ❑ Supply voltage for . CneIC thA
t 0 Hazardous locations. 600 volts nominal.
Suitembdg•/apt, no.: Project name: e( ; t^ 0it ❑ Service or feeder 60o amps or mote,
.......,.- ':fila r ' -+:' ,�'.' r {°i r. �j,,� distil ; "r ;g :',i:
%
f`. :'.:. >'.'' fl- 3 - �< t,.<.<t�K+�� t > >fi _' s', >'
Cross street/directions to job site: nerarpme i I Pea 1 Twat 1
New residential single- or multi - family dwelling unit.
_.—_ Includes attached garage.
Subdivision: Lot no.: 1.000 sq. R. or leas 145.15
Ea. add'I 500 sq. ft. or portion 33.40
Tax Map/parcel no.: united energy, residential
i. <t s :.. s :D:$: <.:2 .<.o•: >tso' < 's -> 'o tx >r t 3 73.00
f t c> -., .., ; �:':�' < `tr < i o i l t S 5 t 5� r t s> ..tt < s (wlL}l dboVe aQ. 1
.< - t ! :'.t Y,. .:,5, Y> ts' „n,, ...< ... r.'.. .'.....'....:'. ..... ., *,:.:kY ,
L
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i m i ted energy, rnu tt- roily 75.00
jc�,ee_.. —117p y"�� k Is L residential (with above sq. R)
l Services or feeders lrratallation on, and/or relocation
200 amps or lees 80.30
> >
�Y t 'fr r t<<x) f
�; 1� *. *. `'S? fit': t o 1 t .. : far ;:.: .. 201 amp'to400 amps 106.85
Name 401 amps to 600 amps 160.60
l � 601 amps to 1,000 amps 240.60
Address: CI' v 7 _./ li (v 1111"e_ Over 1,000 amps or volts -, 454.65
City /State/ZIP, Temporary services or feeders installation, alteration, and/o
relocation _
Phone; 200 amps or leas 66.85
() � � y s FaX ( 2oi amps to ao4 amps 100.30
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 • 401 amps to 599 amps I 133.75
Owner signature: Date: Branch circuits — new alteration, or exte . r panel
A. Fee for branch circuits with
<'. ,,yy ' <. ' < � < s < - < 2 , t > f't above service or feeder fe9,
...:'.,t t . 4 ,?t' ? i > ,.'.!� s '. ... r'.Y >.:' > ; 6.65
s ' each branch circuit _
Business name: B. Foe for branch circuits
Contact name: without service or feeder fee, i 46.85 gl
first branch circuit
Address: _ Each add'I branch circuit 6.65
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
.. _ dwelling, service and/or feeder 90.90
Phone: ( ) Fax :: ( ) Reconnect only 66.83
E -mail: Pump or irrigation circle 53.40
�r Ya�c tc
tt ; f' , t > r t > );.,< g s x> a c s :.r. . ... s .. < < Sign l Outline lighting 53.44
Business name: ` Signal i or limited -
�9i'l,l re. y F jQ. Yf e- N-'E- energy panel, alteration, or
Address:' D x ( g 5( extension. Describe: Page 2
City/State/ZIP7P fy, \ y � t g r Each additional inspection ever allowable In ant_of the ahoy
i_— Per inspection 62.50
Phone: ,7) 5� p Ijq Fax: ( ) „25 3/ w
Investigation per hour (1 hr min) 62.50
CCB Lic.: 135 D g5 Electrical Lic. . t� i C Suprv. Lic.: Li g g� Industrial plant per hbur 73.76
. S: Y.;>';�;lt:�: <).. r. #t. f. f. ,.o.: L X. "r r �f v
Suprv. Electrician signature, requite Subtotal: /`r6
Print name :� , , 91 Y« Date: 4g /6g State surcharge (12%ofpermit fee): .J .( .,..
Authorized signature: TOTAL PEIZAf1T FEE! . a, All
Print name: Date: This permit application expires If a permit Is not obtained within 18
days after It has been accepted as complete-
- .. ,
* Number of inspections allowed par permit.
l:1 BuildineWormita \6LC- PcmutApp.doc 05/23 /06 440- 4615T(ll /05/COMIVJEB
ZO/ZO 3017d 0I610313 S36lflt7S IE8SESZE05 9E :9Z 800Z/SZ/90
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� t : � �c e . ' a.i ,, .,.t r ._.,4 fi s yt; Vii% • ` PERMIT #: Per G I '/'001,? 04:099
w I 13125 SW Hall Blvd., Tigard, OR 97223 DATE
' 503 . Phone: ,b
( ) 639 -4171 fi n Nmli�li(��
:� 700
:: Ir �� {.� C
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Inspection Requests (24 Hrs.): (503) 639 -4175 ti, ti C
INSPECTION WORKSHEET FOR D ATE: 22/20O1/ T A M
I, TIME: t1 t PAGE:
e SITE ADDRESS: 090J0 t (51 AVi=
CLASS OF WORK:
SUBDIVISION: AV
PROJECT NAME: ?VI 1ALEN LOT #: TYPE OF USE:
DESCRIPTION: E:xi. -rid iroot 2nd ,Itory der:' and �,_ red
p z �•. ;.r��. lcr�u�.� covered Is
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OWNER: WI !ALEN, .10I-IN & VAl Iu'°;1 IF:
a PHONE #: tAI3 ).46-7f..:4!)
CONTRACTOR: ii i REMODELING INC PHONE #: I, - -,.6, ?,3 6
° Inspection Request Scheduled For: Date: + r.. r�, = 3tt �0
r +. Pour Time:
Code # Inspection Description Confirm # Contact # Message I (VA) W"
1 199 I: final .r-- . 603 -t ?!3- x6i 0 0-1/ vsay
Corrections /Comments /Instructions. og o @ I,
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PASS SS ❑ , RTIA `' PPRSVAL ❑ CANCEL
❑ FAIL ) +R 1 PECTIO►
,� ❑ADDITION L FE S ASSESSED ❑ NO ACCESS
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Inspector: : �7�
Date: Phone #: (503) 7W- '. 7.___-- - _
CITY OF TIGAR®
BUILDING DIVISION PERMIT # • ELC2008.00374
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6126f2008
Phone: (503) 639 - 4171' . „1
Inspection Requests (24 Hrs.): (503) 639 -4175 °_4
INSPECTION WORKSHEET FOR DATE 802008 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 09070 SW 66TH AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WHALEN
DESCRIPTION: Replace. porch lights
OWNER: WHALEN, JOHN & VALERIE PHONE #: 503- 245 -7545
CONTRACTOR: SQUIRES ELECTRIC PHONE #: 503.25 -1609
Inspection Request Scheduled For: Date 80872008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
��
199 Electrical final 073964 -01 503 - 869 -8356 `}[
Corrections /Comments /Instructions:
11 ; c V 1 i C� - II . t� ' G,ri. .;r:
•
n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
40_FAI "CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: e/6/96 Phone #: (503).718- 24
CITY OF TIGARD
BUILDING DIVI PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6:4°3-06)
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 "_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: q07,0 6 6 %h 0' v CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 7-3.— 6 S Pour Time:
Code # Inspection Description Confirm # Contact # Message
>a< 0 or73.3: 1601
Corrections /Comments / Instructions:
,L�/ P PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL w CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Date-:.? 3 ,vg Phone #: (503) 718- 06-44