Permit •1,' I
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00009
COMMUNITY DEVELOPMENT
DATE ISSUED: 1/4/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110AB -01900
SITE ADDRESS: 14292 SW 114TH AVE ZONING: R -4.5
SUBDIVISION: COLE'S ACRES LOT : 006 JURISDICTION: TIG
Project Description: 1 service, 6 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 HMI SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 6 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:
LARRY HENRY WILLAMETTE ELECTRIC INC
14292 SW 114TH AVE. PO BOX 230547
TIGARD, OR 97224 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 624 - 3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 1/4/2007 $120.20 LIC 75059
[TAX] 8% State Surcharge 1/4/2007 $9.62 SUP 1965S
Total $129.82 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 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: en.--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.
JAM '04 8:38AM WILLAMETTE ELECTRIC 5036242938 p.2
e : : r° xfk a s o o r r 3CEUSEO LY v ":
et :10( .
Lt rEii E FxIlIIQ. I T IAA .t > �tI➢lf ® , , a.. ,:i; , o r s z.r,_ - . ' . �s, . -. -
' E , Ra:c+t y: R / h j f Pcnm l No. 7: ✓000Ci 13 (t_,t'}� a`li.i lti'A�!N" c.. " � _ Gatc;by: 1 V -- `— Phone: 503.639.4171 Fax: 503.598.1960 12 5 SW Hall Blvd., Tigard, d, OR +)7223 WECRV
1,.1_ Plan Review Other Penu:r
ZO0 �Dalc/8y:
AN r I u ?J Dale Ready; Fay: ) Other Sec Purge 2 rot
Inspection Line: 503.619.4175 i Su pp Bnfcrmation
Y ® v � r Notified /Method: pp --
lntentet: ww,v.ci.tigard.or.us �,'� - . tf'Ya . _3 ^
i y�7
. Y' t.e ,,t:. - - :, "i bL�Y'k =S 1�, -.'
_ • _ --11:.:,--:',.... •• • -' --�" Please check all that apply: •- �
EiSenv ice over 225 amps, Li New construction Addition alteration /replacement
� n . .;. :. �
❑ Other: ❑Set vice over 320 amps - c�mng l ❑Buildn over 10 sc. ft.,
11] Demolition - - �' 1 !`? _ Lj «.:�� _::. • :,,.:_..:,;; :.__,•.,!i; :' ::: ' ,e ::; ,::::.. �:.::: . of 1- and 2-family dwellings 4 or more new residential
tY��? Vl. �1;%>�e l ei. , ':: •r....if. �, �':_:. ..,
❑System over 600 volts nominal units in one SU'ucture
X t, 1 -and 2- family dwelling ❑ Commercial /industrial ❑Accessory building []Building over three stories ❑ Feeders, 400 amps or more
Master builder ❑Deco nt load o ver 99 persons ❑M ued structures or
❑ Multi-family ❑ _ ❑ Other: _ anutach
sr, �:..:::,� ,::: RV park
sr = "= _ rte..; °, •.: "'' "u.i==r:; airg'_ = ❑ /h
��a ?- 'Cg.�:" 'Y %.< :� - • -•i 3. g ' ± ' -9 t' d � ,.F., kw r:k:_
_^=_ -- -, �..,- .r a:- • , <..,.._ hilt.::,,• h.- ,. ' ❑Other:
. ;,. _ � ❑Health -care facility
Job no.: , / � < 9 / ,. _ Job site address: / / �� 56e{ fi t/ l� �i Submit 2 sets of plans with any of the above.
i qG / The above are not applicable to temporary construction service.
C /State Z[P 6jiL/ ! [i 1 - :s> =. .-. .. _ •,' - - ..,- . � r.,.v, :r,.. ..
try / / / :4 151-c.. F F'�a, ' . ;:Mili"a` is #r Q 3 � to ,1 - • < t :' ; ' : :
- �
Suite /bldg. /apt. no.: Project name: l„ 4,,,e 041 ii Description I Qtr. n I Fen Total
`� New residential single- or multi- family dwelling unit.
Cross street/directions to job site: Includes attached garage.
1,000 sq. ft- or less 145.15 4
Lot no.:
Ea. add'l 500 sq. ft. or portion 33.40 1
Subdivision:. Limited energy, residential 75.00 2
Tax map /parcel no.:
•
75 00 2
1 turned energy, non-residential
•: ". ; ; M i fila , x ^1/'=• A ll •^ Each manufactured or modular •
- - =',' ` • r•= ; S � dwelling, service and /or feeder 90.90
P AM a f ____ �__,i' / f r4 t! Services or feeders instsiliation, alteration, and/or relocation
• 200 amps or less _ I j 80.30 OQ .50
i ; t 201 amps to 400 amps 106.85 Z
:d: .y y:i ",il::..'�- `:^ '�_.( p'. z c 1i '.X� •.it!: - 2
t o ;i:ti;i s:t ;,i� y `' `: a s to 600 a s 160.60
h�� ��: •:, ��r -_...�:.'tr 'r5:�:� t :;�;=._. 401 mp mP
� am 601 amps to 1,000 amps 240.60 2
Name: ( .r.� JB.tr� --- 454.65 2
U t (� Over 1,000 amps or volts
Address: Reconnect only
66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
/ �/ 4, relocation
Q�
Phone: ( - 4 ti I Fax: ( ) 200 amps or less 66.85 i
100.30 2
Owner installation: This installation is being made on property that I own which is not 201 amps to 4 00 a mps
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
• Fee for
�� sr. " ;*--t4 A. branch circuits with
-f5 : i t”`1. q r _, e�a� a} "�- yrtr«. •
t rtrX '.-A - "'i. i ,,_� + ..t dttiva , r,c j: service or feeder fee, each S 2
6.6_
branch circuit .
Business name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: .
Each add'l branch circuit (/ 6.65 5 9.t3O I 2
Miscellaneous (service or feeder not Included)
City/State/ZIP: Pump of irrigation circle 53.40 2
Phone: ( )
F ax:: ( ) Sign or outline lighting 53.40 2
•
Signal circuit(s) or limited -
E-mail: - :,: i i-
h r alteration, or 2
.mac,, a - i :: i • G, _5s_:ri' : ;-,a`,T."; energy panel, a! Page zr:- }i .t+ -;:z =':i = r;C ?,r' - 'e' - �? ® t = 'a :t3i`E «?,,. ; lit: sf: =?''S:rasw P e 2
-,.r ,p.- rY:i 6: A,m l .- _.;..._ „ : '::`. ... -.0-a a.xt... extension. Describe: g
Business name: til r JI<l,n et &e &! ec t - ,., r.., r:
Each additional inspection over allowable in any of the above
Address: p O 6 c7 a `/ , Per inspection i 62.50
r i 2 . i Investigation per hour (I hr min) 62.50
City/State/ZIP: t g �r .) ✓ 6 Industrial plant per hour t 73. ?5
Fax Fax: (3 : ) 6 r,J -- a J'� aIn Industrial L_ nt pe n
Phone: (5A. ) �`Y -- ! , I .-ate.; !�=h;``:a'i.y«*.; +__,.. �y�_. g -, . ' l''
• c. Electrical Lic.: ,3 �i -z e..3 Suprv. Lie.: Z Z d .S'' Subtotal :ZO . Z D
Suprv. Electrician signature, required Plan review (25% of permit fee)
^" �� °" " - "`� surcharge ( (8 %ofpermitfee) 9. 4
PERMIT *el I Date: !/..- /� p i z
TOTA
TOTAL PEE Print name: 0 a z. ' j" i A"
This permit application expires it a permit is not obtained within IS()
Authorized signature: days after it has been accepted as complete
1 Date: • Fee methodology set by Tri County Building Industry Service Board
Print name 111 "" Number of inspections per permit allowed.
440 -461 ST(10:02JCOM /WEB
is UluildinglVermit5 \El- C- Pe+mitApp doe .J03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00009
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007
Phone: (503) 639-4171 ipmesip
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/9/2007 TIME: 7:04AM PAGE: 27
SITE ADDRESS: 14292 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: COLE'S ACRES LOT #: 006 TYPE OF USE:
PROJECT NAME: LARRY HENRY
DESCRIPTION: 1 service, 6 branch circuits. gli'414C
OWNER: PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3531
Inspection Request Scheduled For: Date: 2/912007 Pour Time:
V
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 04319&01 503 Y 4414 640
ffr Corrections/Comments/Instructions:
7 7)
Ic' El PARTIAL APPROVAL 0 CANCEL n NO ACCESS
FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 6 0 Date: (- Phone #: (503) 718-