Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00342
COMMUNITY DEVELOPMENT DATE ISSUED: 6/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 DD -06800
SITE ADDRESS: 15735 SW 88TH AVE ZONING: R -4.5
SUBDIVISION: STRATFORD LOT : 065 JURISDICTION: TIG
PROJECT: RUBOTTOM
Project Description: Installing (4) branch circuits for bathroom remodel.
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: 3 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:
GRAYDEN & DEBORAH RUBOTTOM 205 ELECTRIC
15735 SW 88TH AVE 7831 SE JOHNSON CK BLVD
TIGARD, OR 97224 PORTLAND, OR 97206
Phone: Contact #: PRI 503 - 771 -5491
FAX 503 - 771 -5491
FEES
Description Date Amount Reg #: ELE 3 -452C
[ELPRMT] ELC Permit 6/16/2008 $66.80 LIC 34255
[TAX] 12% State Surchar 6/16/2008 $8.02 SUP 3805S
Total $74.82 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 503.246.66999 or 1.800.332.2344.
Issued By: A : .1� 5sr�ir� Permittee Signature: �PP /Ce
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.
Jun -13 -2008 02:52 PM Walker Interior Remodeling 503 - 244 -4667 2/3
Electrical Permit Application FOR OFFI E
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City rd ltl:
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A 10 , Plan Review
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",. , Phunc: 503.639 ' 1171 Fax 13125 SW Ilan Blvd.. Tigard OR 97223
' 503.598.1960 JUN 1 3 200 Dote/By: Other Permit
' 14 ' - 1 Inspection Line: 50.3.639.4175 Date Rcad /0 1 s 2 for
cM Y Y a Sec Page -
n,•a ^ Internet, www.iigard- nr.gov ( OFTIr ARD Notified/method: ) Supplemental Information
TYPE OF.1vp ING.ntVISlt�N. ,.L PLAN REVIEW
❑ New construction Addition /altera i replacement Please check all that apply (submit 2 sets of plans w /irons checked below). i
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑ Other:
where the available flush current ❑ Marinas and boatyards
rF �. w G_ S ' �' exceeds 10,000 amps nt f 50 volts or ❑ Floating buildin '
CATEGORY OF CONST RUCT ION :. f4 r - 1 r ,. `.r: • r i g is
less to ground, or exceeds 14.000 ❑ Commercial -use agncuhural
I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory bu ildin g amps for all other installations. buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation or75 KVA or
JOB SITE INFORMATION ION AND LOCr1'f ION ❑ Emergency system Larger separately derived system j
0 Addition of new motor load of ❑ "A "' "L.. "I -2" ' I -3"
.lob 110.: 110h site address: ` 5 435 S kA\ Cy /] ix o i nure = Recreational 1111 T � l A t N.n v i P ❑ Six or more rasidunual units ❑ Itccrcmhannl vclncic parks
City/State/ZIP: �0.� ❑ tienhh -eusl cat ❑ Supply voltage for more than j
t n YL t Z'Z ❑ Hazardous locahmts, 60t1 volts nominal.
Suite /bldg. /apt. no.: Project name: 2 �..t b 0 Dyy ❑ Service or feeder 600 amps or more.
z ,44,- .E. i1. ' ' FCC SCIiCD,ULE
Cross street /directions to job site: -�u J VAC,. , Description I Qty. I Far. 1 Total I
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Unknown Lot no.: ? 1,000 sq. R. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 I
1'a:\ map /parcel no.: Unknown Limited energy, residential
DESCRIPTION OF WORK s ' '`',' t ;i , 4 { 7 ' (with (with abovesq, ft.) 75.0U 2
Limited energy, multi - family - 75.00 2
`�'` v -oovv, Y r•v,,,nd Q residential (with above sq. li.) {
Services or feeders installation, alteration, and /or relocation -+
200 amps or less 80.30 2
® PROPERTY OWNER '.;,1,_y .`'4'❑7TcNI - 1' :V' :s.•tx 201 amps to400 amps 106.85 2
Name; Qr'6 4vi s N 6 y 4 401 amps to 600 amps 160,60 3
601 amps to 1.000 amps 240.60 2
Address: ' r,a. , _.c 0.4\ ekj_ Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( )None 200 amps or less 66.85 I
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
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, alteration, or extension, per panel
A. Fee for branch circuits with
® APPLICANT ` ;tn 718 ® CONINE1 JRSON; ;, L l above service or feeder fee, 6.65 2
each branch circuit
Business name: Walker Interior Remodeling, Inc. B. Fee for branch circuits
f
d
f
l service or feeder fee, Gr
Contact name: R.V1't2lC� G tr .�,On t 46.85 '5 2
first branch circuit L
Address: 6775 SW 1 11 Avenue, Suite 201 Each add'I branch circuit 3 6.65 /9 G5" 2
-- Miscellaneous (service or feeder not included)
City /State / %IP: Beaverton, Oregon 97008 Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: (503) - 4S(P }(vat I Fax: : (503) 244.4667 Reconnect only 66.85 3
E-mail: None Pump or irrigation circle 53.40 2
CONTRACTOR .i %! as' i' Z5, :i'skt2P ''" Sign or outline lighting > 2
3.•10
Business name: 205 Electric Signal circuit(s) or limited -
energy panel, ;iteration, or
Address: 7831 SE Johnson Creek Blvd. extension. Describe' Page 2 2
City /Stale /ZIP: Portland, Oregon 97206 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 771.5491 Fax: (503) 771.5491
Investigation per hour (I hr muU 62.50
CC13 Lie.: 34255 Electrical Lie.: 3 -4452C Suprv. Lie.: 38055 Industrial plant per hour 73.75
" ^ ''' r' 1?:if - :! ..-.r ' ELECTRICAL PERMIT FEES
Suprv. Electrician signature, re d, Subtotal: (.0(..e. q0 '
Print name: Robert Caron D Plan review (25 %o1'permit fee): .00
State surcharge (/o of permit tee): �L 8.O1�
Authorized signature: ��-t� � "'
TOTAL PERMIT' FEE: T l f3a
This permit application expires if a permit is not obtained within ISO
Print name: Robert Caron Date: days after it has been accepted as complete.
' Number of inspections allowed per permit
I ] nuitding 1Permihse.C- 1'ctmitnpp.day 05P_3/116 445 - 1ISr(11/a5 /COMAveo
1
CITY OF TIGARD
BUILDING DIVISIO PERMIT #: El .C2008.00342
13125 SW Hall Blvd Tigard OR 97223 DATE ISSUED: (416/200t1
Phone: (503) 639 -4171 / A O IPS I .
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 70912008 TIME: 7 :01AM PAGE: .17
SITE ADDRESS: 15735 SW NTH AVE CLASS OF WORK:
SUBDIVISION: S;TRATFORD LOT #: 065 TYPE OF USE:
PROJECT NAME: RuBOTTOM
DESCRIPTION: Installing (4) branch circuits for bathroom remodel.
OWNER: Rl.1BOTTOM, GRAYDEN & DEBORAH PHONE #:
CONTRACTOR: 205 ELEC I RIC PHONE #: 503-771-5491
Inspection Request Scheduled For: Date: 7/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073373.01 503- 452 -1383 N
Corrections /Comments/ Instructions:
1
3
i
►2 ' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
- L n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N L1 Date: it 151 al Phone #: (503) 718 - Sfit
CITY OF TIGARD
BUILDING DIVISION PERMIT #: [LC2008 00342
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/
Phone: (503) 639 -4171 ;ll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7 :00AM PAGE: 30
SITE ADDRESS: 15735 SW 88TH AVE CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 065 TYPE OF USE:
PROJECT NAME: RUI3OTTOM
DESCRIPTION: Installing (4) branch circuits for bathroom remodel.
OWNER: RUBOTTOM, GRAYDEN & DEBORAH PHONE #:
CONTRACTOR: 205 ELECTRIC PHONE #: 503- 771 -M91
- (
Inspection Request Scheduled For: Date: 7/16/2008 Pour Time:
p q
Code # Inspection Description Confirm # Contact # Message Q.\ a)' 7
120 ElectiicJal rough•-in 072714 -01 503 -810 -2292 Y V
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W v
Corrections /Comments /Instructions: \`D
; 44
# --- 7
PASS El PA-i IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL / • ALL FO' INS: CTION ❑ ADDITIO AL FEES ASSESSE
7
Inspector: I / Datt /"'" Phone #: (503) 7
CITY OF ��mn n n�'o nm���mmm�p
BUILDING DIVISION ' '
~°~°"~~~°""~~= ~°"°"~°"~~"~ PERMIT ELC200MO0343
| #:
| 131268VV Hall Bhd, Tigard, DRQ7223 DATE ISSUED: tD16/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639'4175 ..,4 - 7L.
INSPECTION WORKSHEET FOR DATE: 6/20/2008 TIME: 7:02AM PAGE: 15
SITE ADDRESS: 1573SfW08THAVE CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 065 TYPE OF USE:
PROJECT NAME: RUBOTTOM
DESCRIPTION: Installing (4) branch circuits for bathroom remodel.
OWNER: RUBOTTOM, GRAYDEN & DEBORAH PHONE #:
CONTRACTOR: 205 ELECTRIC PHONE #: 503- /71-5481
�
Inspection Request Scheduled For: Date: 6/20K2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 071650-01 6O3-756-7691 N
Corrections/Comments/Instructions:
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A r. . . : . . . ■ P g 4 I _.... # N - - - % 2 r - - I e - i
All 1 -12
'
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X SS El PART|A - ~PROVAL El CANCEL 0 NO ACCESS
^ ^| FA|L | | CA / OR I ��c N EO
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Inspector: :/____IW. _ Date4 2 /),,_