Permit I Ill CITY OF TIGARD ELECTRICALPERMIT
PERMIT #:
7 E / L 1 00401
COMMUNITY DEVELOPMENT . DATE ISSUED: 6/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL.: 2S111BC -04200
SITE ADDRESS: 14563 SW 100TH AVE ZONING: R -3.5
SUBDIVISION: PP1992 -077 LOT : 002 JURISDICTION: TIG
PROJECT: YOKE
Project Description: Installing (2) branch circuits.
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:
NICK & KATHY YOKE OWNER
14563 SW 100TH AVE
TIGARD, OR 97224
Phone: 503 - 603 -0993 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 7/16/2008 $53.50
[TAX] 12% State Surchar 7/16/2008 $6.42
Total $59.92 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! UNC at • .246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: j
OWNER INSTAL ONLY / r /
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 Application �O FOR OFFICE USE ONLY
City of Tigard V Q Receiv d i P ermit No.: 13125 SW Hall Blvd., Tigard, OR 9 .6 G O D Plan Review
" ''� `
• Phone: 503.639.4171 Fax: 503. S r . ' 6� , Date/By: Other Permit: fim���,, .�
I i �; : \ It n Inspection Line: 503.639.4175 ````�1 `. e Ready /By: Juris: ® See Page 2 for
Internet: www.tigard or.gov Jv .(� „ • r 'fled/Method: ", Supplemental Information
,
1:1 New construction '7 Addition/alteratio '\ .0 \ t 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.
�� t t, .tiA , s p� -' exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
1- 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
❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "13 ",
Job no.: Job site address: / 4 56 51 1 DO Six or or more. occupanc
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tt a G d 0 2 q 1 2 - Z ii ❑ Health -care facilities. 0 Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
�, S he/bldg./apt. no.: Project name: ❑ Service or feeder 600 amps or more.
�� to �.;..
Cr OSS street/directions t0 job site: Description Qty. Fee. Total •
, New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: ,... Limited energy, residential
75.00 2
Ot t ri : £' , : ' - (with above sq. ft.)
• 'LIT t I T 1. a • ,O cp.U/I 0.- eTh 9--S L energy, mu f 75.00 2
FfW / .st L d + CQ V ' residential (with above sq. ft.)
f/At^(I y j R� A�1ti S l L -- / 6 / is e o Services or feeders ins alteration, and/or relocation
1 a 200 amps or less 80.30 2
�° 1 7 201 amps to 400 amps 106.85 2
Name: p ' 1 { � 401 amps to 600 amps 160.60 2
It "-� b '- nn ,, 0o 601 amps to 1,000 amps 240.60 2
Address: 1 t kC� , -)1 4 ) 1 lib ITS Over 1,000 amps or volts 454.65 2
City/State /ZIP: '>t' U 2 7 l Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( 9") b0 J7 0lC Fax: (95) 6.20 9 7 350 200 amps or less 66.85 I
Owner installation: Thi • • .. 1. • ' s s being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, le , e , o A l ge, according to ORS 447, 449, 670, . d 711 401 amps to 599 amps 133.75 2
Owner signatu Date: �rj Branch circuits — new, alteration, or extension, per panel
.
A. Fee for branch circuits with
v �. a ,' ° - ;: above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: first branch circuit 46.85 ( HO . 3--
I 2
Address: i 4 510 . 5 w i 0d 1 -' /6 ) . e...... Each add'I branch circuit t 6.65 �.h. 2
J Miscellaneous (service or feeder not included)
City/State /ZIP: ‘ „_CA co 2- 't 7zlLt Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: (SD5j) 60 • ejq Fax: (5b G
1 7 � Z o `l 35 0 Reconnect only 66.85 2
E -mail: ,2k4- • 400 Cpyv\ Pump or irrigation circle 53.40 2
z , t . ' r . f : Sign or outline lighting 53.40 2
Business name: Signal circuit(s) or limited -
energy panel, alteration, or
Address: extension. Describe: Page 2 2
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (I br min) 62.50
CCB Lie.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
Suprv. Electrician signature, required: t�
Subtotal: 5- •
Print name: Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): (., Li .
Authorized signature: TOTAL PERMIT FEE: ' Z
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
t:\ Building \Permits\ELC- PermitAppdoc 05/23 /06 440- 4615T(1l /05 /COM/WEB
CITY OF:-T:IGARD
BUILDING DIVISION PERMIT #: ELC2006- 030101
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15/200
Phone: (503) 639 -4171 koillil e
Inspection Requests (24 Hrs.): (503) 639 - 4175__..
INSPECTION WORKSHEET FOR DATE: 12/1/2008 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 14663 SW 100TH AVE CLASS OF WORK:
SUBDIVISION: PP1992 077 LOT #: 002 TYPE OF USE:
PROJECT NAME: YOKE
DESCRIPTION: Installing (2) branch circuits.
OWNER: YOKE, NICK & KATHY PHONE #: 503. 603 -0993
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 12//12008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 078609.04 503-603-0993 Y
Corrections /Comments/ Instructions:
( \
Yt / \
j /1 PASS fl PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: tV Date: . I lit Phone #: (503) 718- 2.41-140•
CITY OF TIOARD
v; ..
BUILDING DIVISION
- PERMIT #:
0-C200B-00401
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7116/2008
Phone: (503) 639-4171 hopillii'\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/812008 TIME: 7:00AM PAGE:
6
SITE ADDRESS: 14563 SW 100TH AVE CLASS OF WORK:
SUBDIVISION:
PP1992 LOT #: 002 TYPE OF USE:
PROJECT NAME: YOKE
DESCRIPTION: Installing (2) branch circuits.
OWNER: YOKE, NICK & KATHY PHONE #: 503
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/8/2008 Pour Time:
Code # Inspection Description r eo. fito # Contact # Message
195 Misc. inspection 0, 6432-01 503-603-0993 N
Corrections/Comments/Instructions: /
C(175 \> ND 'i tool
--------___)
7''N,PASS El PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I ' 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector. . ■.) Date: 1 Phone #: (503) 718- ___________
CITY OF_T.ICARD ..
BUILDING DIVISION PERMIT #: ELC200B -00401
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7t1fni o
Phone: (503) 639 -4171 ko ip@v" 1
Inspection Requests (24 Hrs.): (503) 639 -4175 Al
INSPECTION WORKSHEET FOR DATE: 8110/2008 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 14563 SW 100TH AVE CLASS OF WORK:
SUBDIVISION: PP1892 - 077 LOT #: 002 TYPE OF USE: •
PROJECT NAME: YOKE
DESCRIPTION: Installing (2) branch circuits.
OWNER: YOKE. NICK & KATHY PHONE #: 603.603„0963
CONTRACTOR: O1A"NCFt PHONE #:
Inspection Request Scheduled For: Date: 81191.000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 074334 -01 503 - 603 -0993 N. Y
Corrections /Comments /Instructions:
t Irk�c.� G-itz v ` ��� • oN 00 f d O PA .
(
I . PASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: G 1 " Date: 1 } I ' Phone #: (503) 718- I1416
CITY OF TI9ARD
.
BUILDING 'DIVISION 0 • PERMIT #:
• ELC2008-00401
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/16/2009
Phone: (503) 639-4171 'til
Inspection Requests (24 Hrs.): (503) 639-4175 ,...„..W - l --..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
BM 812008 7:00AM 9
SITE ADDRESS: 14563 sw 100TH AVE CLASS OF WORK:
SUBDIVISION: PP1992-077 002 LOT #: TYPE OF USE:
PROJECT NAME: YOKE
DESCRIPTION: Installing (2) branch circuits,
OWNER: PHONE #:
YOKE, NICK & KATHY 503-603.0993
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
8/18/2008
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 074298-01 \ 503.603-0993 V
V
Corrections/Comments/Instructions:
7■ENNE■
qm, NO Cr QNC:7) . ■ C80 A 5 (LE • IN q, . \
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a PAN • No CAq 6 - 1 €''oi 1_,C tf CO 00 1/44 tat5 •
n PASS I 1 PARTIAL APPROVAL 0 CANCEL I NO ACCESS
X FAIL X CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G ---- . ObP:A..-e Date: %"*11 Phone #: (503) 718- Pii46
CITY OF.TI RD
BUILDING 'DIVISION PERMIT #: EL C•2008" 3 + ki6)
61
13125 SW Hall Blvd., Tigard, OR 97223 r DATE ISSUED: 7116/26508
Phone: (503) 639 -4171 "IAA /
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' `._..
INSPECTION WORKSHEET FOR DATE: 7/29/2008 TIME: 7:01AM PAGE: 30
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 1�1 �6 SW iC)Q'I } i AVE LOT #: TYPE OF USE:
PROJECT NAME: PP1392 - 077 002
YOKE DESCRIPTION:
Installing (2) branch circuits.
OWNER: YOKE, NICK & KATHY PHONE #: 503 - 603.0993
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7f29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 073366 -01 503 - 603-0993 N
Corrections /Comments /Instructions:
411 R- ,
1 ii.kfriell
•
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL rA CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: C ' — ' • Nte La
a Date: /1 Phone #: (503) 718 -2 fLN