Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00356
COMMUNITY DEVELOPMENT DATE ISSUED: 5/23/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DB-05800
SITE ADDRESS: 11445 SW 94TH AVE ZONING: R -4.5
SUBDIVISION: MILLER LOT : 007 JURISDICTION: TIG
PROJECT: LABEAUX
Project Description: Service 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: 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:
DAMIAN & YUKI LABEAUX BADGER ELECTRIC INC.
11445 SW 94TH PO BOX 55446
TIGARD, OR 97223 PORTLAND, OR 97238 -5446
Phone: 808 - 385 -7694 Contact #: PRI 503 - 288 -4756
FAX 503 - 493 -7173
FEES
Description Date Amount Reg #: ELE 3-571C
[ELPRMT] ELC Permit 5/23/2007 $80.30 LIC 156851
[TAX] 8% State Surcharge 5/23/2007 $6.42 SUP 4951S
Total $86.72 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 . J L, �' ` Permittee Signature: / p! I hrY)
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.
MAY -23 -2007 01:37P FROM: BADGER ELECTRIC, INC 503- 493 -7173 TO:5035981960 P.2
4 AJ1111..Vba 11%^14• 1 Vl usu.& i sa/aJ Ki aY
City TI and EU � rpl
Received Pe nni/No.:
t}` g Dat&By: s� o'�' e L zoo CD33 (
13125 SW Hall Blvd., Tigard, OR 97223 MAY 2 3 2007 ` Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Dare/By: Other Pamir
Inspection Line: 503.639.4175 �� ++ppaa1;y! �+ -ii p��i tt �� 503.639.4175 I 1,1 '1 _i . Date Read limn' See Page 2 for
Internet: www.ei.tigard.or.us Vr'. Y L!, a rV7rN Notified!Mcthod: V Supplemental Information
Flugu hl(r r isiON .
E OF WORK PLAN REVIEW
❑ New construction Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other_ ['Service over 225 amps, comm'I ['Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
l and 2- family dwelling [] Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other ['Building over three stories ❑ Feeders, 400 amps or more
DOccupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park
lob no : Job site address: r .,1,3 A_r ❑Heat -care facility heather~. •
°� `�^ 1'[11 Subm a, sets of plans w any of the above.
City/ State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: 1 /r eFA ` FEE* SCHEDULE Qty. [
'�'''t�7"'"'° V nernipusa I Qty. 1 Fee. 1 Total 1
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision: Lot no.: Ea. add'1 500 sq, it or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
, DESCRIPTION OF WORK Each manufactured or modular
�+ � -- /► dwelling, service and/or feeder 90.90 2
r- ,, t CJ, tn3l Services or feeders Installation, alteration, and /or relocation
200 amps or less 1 ' 80.30 Cn►'r 'T 2
PROPERTY OWNER f 0 TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 'N,-1 -tz, Vu oc:t Lcdoe j �/ " 601 amps to 1,000 amps 240.60 2
Address : / Over 1,000 amps or volts 454.65 2
' Reconnect only 66.85 2
City/ State/ZIP: Temporary services or feeders installation, alteration. and /or
relocation
Phone: ( ) gp g _.3g5 —7/1)4 Fax: ( ) 200 amps or less 66.85 I
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
0 APPLICANT . 0 CONTACT PERSON A. Fee for branch circuits with •
service or lbeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'l branch circuit 6.65 2 �
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Flu[. ( ) I Pump or irrigation circle 53.40 2 1
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
Business name: ��� l ' p ,_ t� extension. Describe: Page 2 2
Address: �' O • - S L �•I�,• Each additional inspection over allowable In any of the above
Per inspection 62.50
City/ State/ZIP: `' 7C (7A An 8 investigation per hour (I hr min) 62.50
Phone: (iCjy?,) 2 2 � .1 - 1510 Fax: (> 3 ) 4C 3 —° fl3 Industrial plant per hour 73.75
CCB Lic.: e:566
�. Electrical Lie : ELECTRICAL PERMIT FEES"
1 J66$3 1 3 . ►(, Sup rv. Lie.: 4% Subtotal cf, 31)
1, ,,, d
Suprv. Electrician signature, required: Plan review (25% of permit fee) /
Print name: C '� � ICa�ate: State surcharge (8° /a of permit fee) (�
tsw TOTAL PERMIT FEE 6 iz
Authorized signature:
This permit application expires if a permit Is not obtained within IRO
days after it has been accepted as complete
Print name:
1 Date: • Fee methodology set by Tri-County Building Industry Service Board
•• Number of inspections per permit allowed.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00366
13125 SW Hall Blvd., Tigard, OR 97223 4;• DATE ISSUED: 5/23/2007
Phone: (503) 639 -4171 *spi�lp
Inspection Requests (24 Hrs.): (503) 639 -4175 �'�I I
INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 89
SITE ADDRESS: 11445 SW 94TH AVE CLASS OF WORK:
SUBDIVISION: MILLER LOT #: 007 TYPE OF USE:
PROJECT NAME: LABEAUX
DESCRIPTION: Service change.
OWNER: LABEAUX, DAMIAN & YUKI PHONE #: 808 -3(36 -7694
CONTRACTOR: BADGER ELECTRIC INC. PHONE #: 503.2138 -4756
, Inspection Request Scheduled For: Date: 6/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 050602 -01 503.888 -7360 N
1°1 t ‘ C -
Corrections /Comments /Instructions:
' V
PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
n FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: (?--- ' r`AA . Date: 6''24 • 01 Phone #: (503) 718 - 'IA 46
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2007
Phone: (503) 639 -4171 Vtit
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7:00AM PAGE: 93
SITE ADDRESS: 11445 SW 94TH AVE CLASS OF WORK:
SUBDIVISION: MILLER LOT #: 007 TYPE OF USE:
PROJECT NAME: LABEAUX
DESCRIPTION: Service change.
OWNER: LABEAUX, DAMIAN & VUKI PHONE #: 600 - 385-7604
CONTRACTOR: BADGER ELECTRIC INC. ( \ \ PHONE #: 503°288-4756
IV J
Inspection Request Scheduled For: Date: 6/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # \ Message
199 Electrical final 049946 -01 80B-385 \ Y
W Rbn
Corrections /Comments /Instructions: t\) 0M &-
CD S E AU ; (" b AN el An 2 30 ,74 1 40, - vhF5
CLLAct.41.1c FCLow, (4 .
6 . S .VItg bot3 NO' cAN
G� k kS A 5 114-u
00 p l e 2-e, 6F 2001 S
•
The electrical installation defects noted
611 O' 3" on this repnrt shall he corrected and
an inspection request made within 20
• :1 R T —r OAR 918- 271 -003n
NO ‘N 5 ON I� 51O k100
•
PASS n PARTIAL APPROVAL ❑ CANCEL / NO ACC SS
\FAIL XCALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: N vV Date: 6 ) Z 01 Phone #: (503) 718- 2 - V•