Permit CITY O F TIGARD
ELECTRICAL PERMIT
PERMIT #: ELC2005 -00969
DEVELOPMENT SERVICES DATE ISSUED: 12/20/2005
-i6, 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S125DB-03200
SITE ADDRESS: 09340 SW 74TH AVE ZONING: R - 4.5
SUBDIVISION: BOULEVARD HEIGHTS LOT : 015 JURISDICTION: TIG
Project Description: (2) branch circuits for air handler /heat pump reconnect.
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:
TOM DENNY SOHLER ELECTRICAL CONSTRUCTION
9340 SW 74TH AVE 41131 SW BURGARSKY RD
TIGARD, OR 97223 GASTON, OR 97119
Phone: 503 - 246 - 1063 Contact #: PRI 971 - 832 -0807
FAX 503 - 214 -6246
FEES
Description Date Amount Reg #: LIC 158285
[ELPRMT] ELC Permit 12/20/200' $53.50 ELE 34 -667C
[TAX] 8% State Surcharge 12/20/200' $4.28 SUP 594S
Total $57.78 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 se = :' r. 952 - 101 -0e 0 through OAR 952 - 001 -0100. You may obtain copies of these or direct questions to O11NC at
503 -24. .699 or 1 -800 -3 - 34;, •
lss ed By: , � �� Permittee Signatur - , ��I�� �� -�-
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. ELECT T / l DATE:
LICENSE NO: g / y5
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.
1 _
,,,,
.„
.._...........0...........6 .21. , L411. Z.:- 4 ,?...17 ut..zas 2.5ill.ni: - .:7 , , : -IS' :.:1-
City of Tigard \ . .
Received ' ,.• „.'' '4' :••••?...... : .7 -; .., - '.■.:•::';''' i. 44 : ij , ,:si.,:.; ,-;
twee . e I 1,.Y l'etrut N°.' ek . •
eview
13125 SW Hall Blvd, Tigard. OR 97223 Pt= R
Phone: 503.639.4171 Fax: 503.598.1960 4re:it-AL it Date/By: Other Permit:
Insp Li
ection nc 503.639.4175 -illX
:
.‘,..._..., ...........„ Dote R=uly/Ity= r - - . „. et se. p. 2 f a r
Intern.r_t wvror_ci.tigard.or-us 14nritied/Medrodr. /C..0. Sup vicrmeca inninanant
4.yro :.- .-:: • ..,,. .•-.-' ..-_-.- '1-.. ':::-.;:-: .: .:: .--.* f!tisig REVEEW .
El New construction 13 Addition/alteration/replacement Please check all that apply:
°Service over 225 amps. comm'l 0 1-1 locaiinn
0 Demolition 0 Other °Service over 320 amps - rating 0Buildng over l0.000 s
• - - , CATEGORY - OF.-:".ollsrizucTION . , • -:* - 7 ' - • - '. ' of 1- and 2-family dwellings 4 or more new residen
sri I- and 2-family dwelling El Corrarterciab 0 Accessory buildin ,g °System over 600 volts nominal units in one srructurc
°Building over three stories oFeedcrs, 400 amps or:
0 Multi-family 0 Master builder 0 Other: DOceamantload over 99 persons Olvianufacturcd structur
JOB *S1TB INFOWIJIATEOPT 1119 - : • _. •: , .- :7;- :-.:* DEgress/lighting plan RV park
Job no.: 1 Job site address: C I 3 'o 5 vV 7 V 122 og Ve--r °Health-care facility OCultet:
Submit 2 sets of plans with any or the above.
City/StairJZIP: Ti ir /4 l< 0 9 7 (2,2? The above are not applicable to temporary construerion servic, •r .:.:. .....i:. c.. ...:::- : .. ::.- FEE s.crrEpuLE
Stritc/bIdgJapt_ no.: 1 Project 1121TO D - 6/ At y
Descdpdan 1 Qty. I Pr. 1 Teta1
Cross street/directions to job site New re:rides:idol single or multi dwelling unit
Inchicles attached garage.
1,000 sq. ft. or less - 1 L 145.15
Subdivision: 1 Lot no: Ea. addl 500 sq.. ft_ or portion 33.40
Limite =erg), residential 75.00
Tax. niap/parcel no.:
or feeders installation, nite
i C. 0 (I
Lialir.c mere!". non-residential 75.00
1. : • 7 - .. :":::-. .-. - - - : 1-- '0tS. 5 . 14 t•OiO 3 jW . *" : " * ' : : :' ':•-•'-;:- ::..:'..... .. 7 ' ; '-' --7 ' .: : ;: . - ' F..-11rnanuracalred or modular
rIling. service and/or feeder 90.90
/I 1 R 14 A NM- ER / 1-1. A J. dw
e_ 1., ac - Services ra ion , and/or relotior
ca
200 arups or less 80.30
i'' '- icifitittv sii*Nitar .: ;' .:- ' -- 1::':r.'...:.:- : • -:, 7" - CLIWAAi.h : . ' ...... - . 201 amps 10400 amps 106.85
401 amps to 600 amps 160_60
Name:
) 6 r.A. Q-E Ivni ;' 601 amps to 1.000 amps 240.60
Address 9 3 y o 5 -- (fit -. /1 , e
- 7 1/4/ 4- - i Over 1.000 arops or voila 54.65
Reconnect only 66.85
Ciry/StatrJZIP: ./ ( 0 9 7 .2 a 3 Temporary services or feeders installation, alteration, and/o
Phoc (5 ) ...„2 Li 6 .- / O ( 3 I relocation
Fax: ( )
ti
200 maps or Itss 66.85
Owner installation: This installation is being made on property that 1 own which s not 201 amps 80 400 amps 100.30
intended for sale, lease, rent, or exrliange, according to ORS 447,449, 670, and 701_ 401 anips 10 600 amps 1 133.75
! Owner signature: Dat= Branch circuits- new, alteration, or extension. per panel
• •'. • : •••• . . T' i' ...::...: . -, .:::::::-:::ir:-:;.:';‘'•77-ync-of,fei.kei----ig:k4t: - . . . -. §66i.:•'-,::"... - -. A. Fee for branch circuits with
. . . . . .
service or feeder fee, eacb
6.65
Business name: 5 a I 1
F.7 e .c...i -r-z t e.....0 ....., 5- 4 branch circuit
B. Fee for branch circuits
Contact name:
In - wirhara service or feeder rec. 1
46.85
each breach circuit
Address: 4- sm.„-- e. r e .4.1 .k -.-f (Z. 1? / ' Each arkIl branch ciraM / 6.65
City/State/ZIP: U a' 1 9 7 l I Mi.. ....
1. (service or feeder not included)
C-r-C, ci yt_i 7
Pump or 'irrigation circle 53.40
Phone: ( 171 ) ( 9?g - 0 Fi 0 - 7 1 Fax: : (5 ) ..2 1 --/ - 6,,..) 4 Sign or outline righting 53.40
E-mail: - Signal circuit(s) or limited-
extension_ Describe-: Page 2
Business name Co Li le.ez E)€ c.4-,- , ft..e. 1
Ends 2dditiona1 Inspection over allowable in any ortbe abo
Address: P pac 1 62_50 1
City/Starr/ZIP: Invesdgation per hour (t br tnin) 62.50
Pilo= ( ) 1 Fax: ( ) industrial plant pa-boor 73.75
;:" "."'•-•. - ; ..-. •-•' - ' - 'ET.t - BilICAl. 1.?EitivlIT EES
CC.13 Lie.: I s -- Electrical Li '. Li a 7d supry: Li&-: 5-9-Xf ' -5 Subrom.1
. ___. . , /
Suprv. Electrician signature, requireciV. Ara .‘ 3 4 ....
_d. Plan review (25% of permit foe)
0 , yr
rl /1 r C S
.......- - r
Date:. State surcharge (8% of penult f=) I 2 8
Print name: IL/ .
.----
TOTAL PERMIT FEE ._) 7,
Authorized signature: This permit application expires lin permit is not obtained ithin ll
1 . .111(;!4 4 .... days miler It has been accepted as complet:
Print name: 5 . 1 S O L... Le- Date: . Fce noctbodolomr set hy Tri-Couuty Building industry scrvicc Board
1
-- 14ornber of inspnctions per p=rnit allawc4.
113aildiagiPanaladEL.C-enteitAaatlee 12/03 asn Crr onancror,
T d BLOT - S86 -EOS -.I a I Li 0 S aor
d6T:TO SO oz oaG
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00969
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/20/2005
Phone: (503) 639 -4171 .0a��r�u� y �1
Inspection Requests (24 Hrs.): (503) 639 -4175 ��
INSPECTION WORKSHEET FOR DATE: 12/21/2005 TIME: 7:01AM PAGE: 57
SITE ADDRESS: 09340 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 015 TYPE OF USE:
PROJECT NAME: DENNY
DESCRIPTION: (2) branch circuits for air handier /heat pump reconnect.
OWNER: DENNY, TOM PHONE #: 503- 24&1063
CONTRACTOR: •SOHLER ELECTRICAL CONSTRUCTION PHONE #: 971 -832 -0807
Inspection Request Scheduled For: Date: 12/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 023839 -01 971 -832 -0807 Y II
Corrections/Comments/Instructions:
H- 4P F 0 Ti 4)( �i�' /frAP
, 6 0_
m y,
Amectib
►� PASS • •ARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL % OR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ` Date: g Z7 Phone #: (503) 718-