Permit F,, CITY OF TIGARD ELECTRICAL PERMIT
Ii
PERMIT #: ELC2007 -00263
COMMUNITY DEVELOPMENT DATE ISSUED: 4/23/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S111BA - 03200
SITE ADDRESS: 14125 SW 98TH CT ZONING: R - 4.5
SUBDIVISION: MCDONALD ACRES LOT : 007 JURISDICTION: TIG
PROJECT: DAVIS
Project Description: 6 branch circuits. Kitchen 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: 5 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:
DAVIS, LINDA A LAUGHLIN ELECTRIC LLC
14125 SW 98TH CT 3 MONROE PARKWAY STE. P PMB205
PORTLAND, OR 97224 LAKE OSWEGO, OR 97035
Phone: Contact #: PR1 503 - 449 - 7389
FAX 503- 639 -0077
FEES
Description Date Amount Reg #: ELE C86
[ELPRMT] ELC Permit 4/23/2007 $80.10 LIC 165763
[TAX] 8% State Surcharge 4/23/2007 $6.41 SUP 5097S
Total $86.51 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: � I Permittee Signature: ,j J . .1 ,//j 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.
±`✓
Electrical Permit A . Plic n
is FOR OFFICE ESE ONLY -
City of Tigard Date/B Received 1315 0.7 � I Permit , # - - • •
° 13125 SW Hall Blvd., Tigard, OR 9722pR 2 2007 Plan Review
' 2 , ' • Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
TI G A R D Inspection Line: 503.639.4175 ' g H@ A (� D ate Ready/By: H See Page 2 for
Internet: www.tigard- or.gov Ci 9 YU g Ag�D18 Notified/Method: Supplemental Information
TYPI F VTORK " iiri ° PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
C A_ TEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB • SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ",
Job no.: Job site address: 14125 SW 98 th Court 100HP or more. occupancy.
❑ Six or more residential units. 0 Recreational vehicle parks.
City /State /ZIP: Tigard, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Davis kitchen remodel ❑ Service or feeder 600 amps or more.
FEE SCHEDULE •
Cross street/directions to job site: Description 1 Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: • - 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Kitchen remodel Limited energy multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
P PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: DOA J if....) 401 amps to 600 amps 160.60 2
p 601 amps to 1,000 amps 240.60 2
Address: I I_1 I Z5 5w -I 0 iii cowl, Over 1,000 amps or volts 454.65 2
City /State /ZIP: - 1 - 1 � 0 ,.. O� Gi , Z� Temporary services or feeders installation, alteration, and/or
r relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 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 599 amps _ 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 • each branch circuit
Business name: Laughlin Electric, LLC B. Fee for branch circuits
Contact name: Erika M Schervem or Grant R Laughlin without service or feeder fee 1 6.85 46.85 2
first branch circuit _
Address: 3 Monroe Parkway, Suite P, #205 Each add'l branch circuit 5 6.65 _ 33.25 2
Miscellaneous (service or fee er no • eluded)
City /State /ZIP: Lake Oswego, OR 97035 Each manufactured or modular 90.90 2
Phone: (503) 449.7389 Fax: : (503) 639.0077 dwelling, service and/or feeder
Reconnect only 66.85 2
E -mail: e.schervem @comcast.net or g.laughlin @comcast.net Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: Laughlin Electric, LLC Signal p a ne t(s) or limited -
energy panel, alteration, or
Address: 3 Monroe Parkway, Suite P, #205 extension. Describe: Page 2 2
City /State /ZIP: Lake Oswego, OR 97035 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 449.7389 Fax: (503) 639.0077 Investigation per hour (1 hr min) 62.50
CCB Lic.: 165763 Electrical Lic.: C86 Suprv. Lic.: 5097S Industrial plant per hour 73.75 _
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ^ 23 Subtotal: 80.10
Print name: Grant R. Laughlin Date: 4:42007 Plan review (25% of permit fee):
State surcharge (8% of permit fee): 6.41
Authorized signature: �I V d o k -____- 2 3 TOTAL PERMIT FEE: 86.51
Print name: Erika MIS ervem - Lau hlm Date: 4.'10.2007 This permit application expires if a permit is not obtained within 180
g days after it has been accented as comniete.
.
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 00 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/23/2007
Phone: (503) 639 -4171 ' yG (1i��
Inspection Requests (24 Hrs.): (503) 639 -4175 '__ ..
INSPECTION WORKSHEET FOR DATE: 4/24/2007 TIME: 7:01AM PAGE: 9
SITE ADDRESS: 14126 SW 98TH CT CLASS OF WORK:
SUBDIVISION: MCDONALD ACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: DAVIS
DESCRIPTION: 6 branch circuits. Kitchen remodel. ,
OWNER: DAVIS, LINDA A, PHONE #:
CONTRACTOR: LAUGHLIN ELECTRIC LLC \\ "L2 LA I ) PHONE #: 503- 449-7389
Inspection Request Scheduled For: Date: 4/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in \ 047053 -01 503-449-7389 ', Y
Corrections /Comments /Instructions:
- 997_so Rr.
. . .
PASS I I PARTIAL APPROVAL n CANCEL I I NO ACCESS
❑ FAIL _ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: C" 1V ( ( Date: 4 2- (4 Phone #: (503) 718 L`fit6
_ _ _ _ ,. , , _ .
CITY OF TIGARD ivy .9
BUILDING DIVISION ,` S' q r^ to PERMIT #: ELC2007 -00263
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/23/2007
Phone: (503) 639 -4171 lov t 'iI,
Inspection Requests (24 Hrs.): (503) 639 -4175 I. ..
INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 14125 SW 98TH CT CLASS OF WORK:
SUBDIVISION: MCDONALD ACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: DAVIS
DESCRIPTION: 6 branch circuits. Kitchen remodel.
OWNER: DAVIS, LINDA A, PHONE #:
CONTRACTOR: LAUGHLIN ELECTRIC LLC PHONE #: 503 - 449 -7369
Inspection Request Scheduled For: Date: 7/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 051908 -01 503 -449 -7420 N
Corrections /Comments /Instructions:
. / . _ jI/�,- 4 �y /�\ III
I. / /. . &/. . / � . ,L� . "� ' .11 ... .art N =. / e
( 6 1 1 P 1 4ltA li )
( /. / L
. t: I 4 .. r. 1' C�1
I I PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
IY FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ■' Date: 1 / ( V01 Phone #: (503) 718- K 4
CITY OF TIGARD
BUILDING DIVISION `' PERMIT #: ELC2007 -00263
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/23/2007
Phone: (503) 639 -4171 Ilik ti l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7 :03AM PAGE: 82
SITE ADDRESS: 14125 SW 98TH CT CLASS OF WORK:
SUBDIVISION: MCDONALD ACRES LOT #: 007 TYPE OF USE:
PROJECT NAME: DAVIS
DESCRIPTION: 6 branch circuits. Kitchen remodel.
OWNER: DAVIS, LINDA A, PHONE #:
CONTRACTOR: LAUGHLIN ELECTRIC LLC PHONE #: 503 - 445.7388
Inspection Request Scheduled For: Date: 7/20/2007 Pour Time:
Code # Inspection Description - Confirm # Contact # Message
199 Electrical final 052180 -01 503-598.7428 N .
Corrections /Comments /Instructions:
PASS I I PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
I I FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ob0 1 -
CT r- Date: " • 2 Z • CS) Phone #: (503) 718- Z'4 6