Permit r CITY OF TIGARD ELECTRICAL PERMIT
PERMIT C2
COMMUNITY DEVELOPMENT DATE ISSUED: #: 8/1 0/2007 007 - 00561
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DA
SITE ADDRESS: 11290 SW 90TH AVE • ZONING: R -4.5
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: HARPER
Project Description: Panel change.
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: 1 W /SERVICE OR FEEDER: 1 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
REBECCA HARPER MIKE'S ELECTRIC
11290 SW 90TH AVE. 11070 SW ALLEN BLVD
TIGARD, OR 97223 BEAVERTON, OR 97005
Phone: 503 - 639 -7622 Contact #: PRI 503 - 649 -6991
FAX 503 - 641 -1902
FEES
Description Date Amount Reg #: ELE 34 -18c
[ELPRMT] ELC Permit 8/10/2007 $86.95 LIC 50209
[TAX J 8% State Surcharge 8/10/2007 $6.95 SUP 4230S
Total $93.90 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 -00 *010 thrbpgh OAR 952 - 001 -0100. a r may obtain c•p'es of these rules or direct questions to OUNC at 503.246,6699 or 1.800.332.2344.
Issued : i �/
i //if/ ��� / / Permittee Signature: �� fi � l � 1- 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.
Sent By: MIKE'S ELECTRIC; 591 7847; Aug -9 -07 11:04; Page 1/2
To'! TIGARD At: 5035981960
Electrical Permit Application Fels OFFICE USE ONLY
City of Tigard Received �U / Pemtlt -
Date/13 � �1� �• 10
13125 SW Hall Blvd.. Tigard, OR 97223 (j � �� Plan Rev iew
Phone: 503.639.4171 Fax: 503 - 598,1960
E Other
Inspection Line: 503.639,4175 : s__ a : "J Da Ready/By: El Page 2 for
• 0 't N
Internet: www.ci,tigard.or.us AUG ' etlgeyMeth.d.:
M 3npplemantAt Information
t , i Z > , Vi e:: v5. i 4 " y •"r' ''..;"r17 ': t :',,,' v . _ • • k ' i. . : `.r,.� u , , . * . t i i 1 �` v 'i , ,- ::•xv
f .
�, rY" � -
New construction � , _ .. J : T �'�'.is;, :•;; 4: s w�� }�t::. 1 � � - �'� '� � �''','.�'i'' •
i..m x'zv .d _. •
❑ ❑ Addition/tat9tMgetifigiON Please check all that apply:
❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l ❑Hazardous Eocation
,i ": 1 ''' ::;:'? •;. ,.,.,�r:;a,: 'v.li : r:::,',xY�,r ❑SCrv1ce over 320 amps rating ❑ Buildng over 10,000 sq. R.
' 1 i 1 s t:e "� Y1,�: r' .Y , : - a q ft.,
lam. � _ :.. r .., ' :.: . :`` °_:' + 1� . 1 11l.rt l 4: ,., , of 1- and 2- family dwellings 4 or more new residential
® 1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three atones ❑Feeders, 400 amps or Inure
D Multi family • p Master builder 0 Other: rr `p
❑Occupant load over 99 persons ❑Manufactured structures or
I; ;) : :(i ::? il•' Bgress/Itghung OV park
Job no,: 24277 Job site address. 11290 SW 90th Ave. DHealth -cart: facility ❑ er: _ _ ,
Submit 1, sets of plans with any of the above.
City /State/ZIP: Tigard, OR 97223 The shove are not applicable to temporary construction service.
Suite/bldg./apt PrOjeot name: :.. ; t'';..ri r.. , . > ;; .;3 ,? F.:.: ; :C : + i't. %i�ar., _
110, ' ; ,... ..:✓-:.r. .:�.., t ..,. -
- Description Qty. Fes. Total
Cross street/directions to job Site: New residential single- or mu itl- femlly dwelling un
— '"' - Includes attached garage_
1,000 sq. ft. or less 145,15 4
Subdivision: 1_ Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel 110 Limited energy, tesidential 75,00 2
[y:: ,:; : ?x.. ;s ro Limited energy, non - residential 75.00 2
.._.._ ....:. ... ... '' Each manufactured or
3' modular m
Panel change dwelling, service and /or feeder - 90.90 2
Services or feeders Installation, alteration, and /or relocation
200 amps or less 1 80.30 80. 2
, °. a 1 J + ...t.;.!.'1' , , u . , f:yd' ,;;1t.' :.v•: - - tar 201 amps to 400 amps 106.85 2
401 arrrps to 600 amps 160.60 2
Name: Rebecca Harper 601 amps to 1,000 amps 240.60 2
Address: 11290 SW 90th Ave. over t,000 seem or volts 454.65 2
Reconnect only 66,85 2
City/State/ZIP: Tigard, OR 97223 Temporary services or feeders Installation, alteration, andlo
' Phone: ( 503) 639.7622 Fax: ( ) relocation _
200 amps or less 66.85 I 1
Owner installation: This installation is being made on property that I 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 600 amps 133.75 2
Owner signature: Date: Branch circuits -• new, alteration, or extension, per panel
' ;.'': ' ;'. :- <' ;..y A, Fee for branch circuits with
.. . :.. .:............:'...:..,.;....,. .....
service or feeder each
fee, e
Business name: branch circuit 1 6.65 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address: each branch circuit 46.$5 2
Each edd'I branch circuit _ _ 6.65 2
City /State/ZIP; NIIxcellaneons (service or feeder not Included)
Phone:( ) gam. : ( ) Pump or irrigation circle l 53.40 2
— •- - Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
' ' 1 ' � a i:ai," • !∎ • P energy panel, alteration, or
• i
extension. Describe: Page 2 2
Business name: M ike is Electric — JD Miller Coast., • _Co,
Address: Each additional inspection over allowable In any of the above
11070 S W Allen B l v d. Per inspection 62.50 ,
City /StateJZI Investigation per (1 hr min 62.50
y.�.lr an 0R 97005 g p t )
Phone: (5 0 3) 6 49.6 9 91 txax: (5 0 3 6 41 . Industrial plant arbour 73.75
1902 iy ' �,iliiv '•.i 1' lit: ;,A �; W ••- ■ ,...r
CCB Lic.. 0 5 0 2 Q9 Electrical Lie.: S u Lic.. > +: ... ., ... .. F . ''i:.., k;., ;,. •zc ; y i__
14—T;71 4 2 5 Subtotal . 9
Suprv. Electrician signature, required Plan review (25% of permit fee) ijr e State surcharge (8% o f permit fee 6.
Print name; D o u :1 a s J Mill x- Date: 08.09.07
TOTAL PERMIT FEE 93.90
Authorized signature: This permit npzl
pns s k oot o within l B(1
says pl4entinn attar it e has bean accepted perrnId as compl ed
Print name: V Date: • Pee methodology set byTri- County Building Industry Service Board
'• Number of inspections per permit RD:weed.
Im inildlnePenItslaLGPm :,utApp.elor, 12rus 145.4615r( I agnico Ywen
r r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: !mil C2007 -00661
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: t110ni)t}7
Phone: (503) 639-4171 4 74,901#
Inspection Requests (24 Hrs.): (503) 639-4175 PA . :.
INSPECTION WORKSHEET FOR DATE: 8/79/2007 TIME: 7:00AM PAGE: 55
SITE ADDRESS: 11290 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HARPER
DESCRIPTION: Panel change.
OWNER: HARPER, REBECCA PHONE #: 503 - 639.7622
CONTRACTOR: MIKES ELECTRIC PHONE #: 503- 649.6991
Inspection Request Scheduled For: Date: 8/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 054786 -01 503 -649 -6991 N
Corrections /Comments /Instructions:
,7
N PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date:( g Phone #: (503) 718-