Loading...
Permit " CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00771 ,.111 DEVELOPMENT SERVICES DATE ISSUED: 10/12/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103DC 05000 SITE ADDRESS: 13900 SW 115TH AVE ZONING: R - 4.5 SUBDIVISION: VIEWMOUNT LOT : 038 JURISDICTION: TIG Project Description: 5 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: 4 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: WALKER, GORDON VAND DAVID JEROME ELECTRIC SUSAN B • PO BOX 751 13900 SW 115TH HILLSBORO, OR 97123 TIGARD, OR 97223 Phone: Phone: 503 - 648 -5144 FEES Reg #: LIC 36051 tion Date Amount SUP 34 Description ELE 34 - 119C [ELPRMT] ELC Permit 10/12/200' $73.45 [TAX] 8% State Surcharge 10/12/200: $5.87 REQUIRED ITEMS AND REPORTS Total $79.32 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 -80 32- 344. Issued By: Permittee Signature: An / / _ /_ 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. ^ ' 014/30/2004 08:31 FAX 5035981960 CITY OF TIGARD 5-1(0 I Q 001 ' Electrical Permit ;+; ` ti I 0 ' FOR,I]I TiGE USE , 1' City of Tigard 'teom"ed S Date/Et IV 11 / 5 • 4 Permit No.: 4,0 p _ . 13125 SW Ball Blvd., Tigard, OR Q IT 12 2005 Plan Review Phone: 503.639.4171 Pax 503596.1960 • t ' I r I �, i,,J,' I' ,_ Date/Bz_ Other Permit' Inspection Line: 503.6394175 ,re �r C • •'' IL,% Date Readynsy; I ] El See Page 2 for • „,,i Internet: www.ci.tigard.or.us CITY Y OF TIGARD Notifled/lvienfad: 1 Supplemental InFormation r. � , J. 1, m 4 , , 2 - *r ;isr . `:a ry g .^, , .„,..�,. vt,. .ell c.r.. t.• 1 .. , _ -.4. =r —.,—.. W'"a`"tt itF;"4. a ..> : � t4 ..,..1 G.. .. U ' e , _ �"� q•. � •• N. ,Ei• Y l �G;� e'..N �157�1,'p ( ",5 'Y +•�.� �r4, O ' ' � •,.w. • ' i..v - L+,'�:•S:r ,: :.i�1'•. ...:I , -:. r �t(. �% di,;. n, �a.. i. v Ji:!'@ tik•JaM'.?�Y`"?!t5�;'�'•�''�'j�� :: New construction = • . dition/alteration/replaceizient Please check all that apply; El Demolition 0 Oth . °SC a over 225 amps, comm'l (]Hazardous location i tRE e9 - a � r r••.,,•x. M ❑Servic , e over 320 amps - rating DBui dng over 10000 yA � '' '1 sq. ft , � m,:. a r, ..,- 9•,,:r=l.r - • 'j +, i ,��a ;,,..� i" of I - and 2 - family dwellings 4 or more new residential • 1 - and 2- family dwelling 0 Commercial/industrial ❑'Accessory buiding ❑System over 600 volts nominal units in one structure 0 Multi- family 0 Master builder ❑ Other: ❑Building over three stories [3Pceders, 400 amps or more , Yy Yn >� m r� r , � a +�yr •i, v w •;�; r a a c n . �Z tg � ,� !' ^� i ❑ load over a9 persons ❑Menufacturcd structures or Rig ?, , -,, E F li � i. i ,•!.r�.1.k, O:t;!'I�i ,,, / . 'i1 . ?,, ,,,, � ie%.m #7„ o Yr ,Y i a t ” " ,� i t yt „If . ; ,1,, 1 ,, t , ! ❑Egreas/lighting plan RV park Job no.: �{� ' (health-care facility '7other: �6 Job si addre 139 )_ - i tY C 1 Submit 2 sets of plans with any of the above. City /State/ZIP; ( ( - The above are not applicable to temporary construction service. Suite /bldg. /apt.no.: Project name: " °' ' n" N in`° i�l';i;� [ i ' ,• r`; :, ;r:,. ,`''. Description I Qtr. L ` Per- 1 Total I Cross street/directions to job site: New residential stogie- or multi - family dwelling unit. Includes attached garage. , 1,000 Sq. fL or less 145.15 fl Subdivision: Lot no -: Ea. add'l 500 eq. ft, or portion 33.40 IN Tax map/parcel no Limited energy, residential 75.00 ei , . °�` e ,F1 lyh, • 4 y „� i ' e i • li1'!o " f t n s� FA a s v ' P ? � ?�"! r , � ,,.' Limited energy, nonresidential 75.00 u• '' r "" ' '- `1 -,}� � 11 -` ar.exntvtclY ..e..1 r' �� - �1_' .fIlLf ai "� l'rtLS i,M ! .. r '9.y k ! , , , Each manufactured or modular -- -- L v l es2 ,-- I dwelling, service and/or feeder ' 90,90 • Services Or feeders installation, alteration, and/or relocation 200 amps or less $0.301 2 20I l' r 1 'r�t '++ V ly . - 4+ , �,' >( ' �, t r� �'t�� , �� �. rni amps to 400 5 FT., m-I '..'• i � 1 11 ' p „ h . , i N•'i "k`' f r , l n mP amps 106.85 =MI tJ . �� ?; �.kafe 1L+td } �4i. ;t ! M1.� • .wi ac s 401 amps to 600 amps 1 1 60.60 NaMc: ti : aAI • ♦ MAI __A _601 amps to 1,000 amps 240.50 M Address: Over 1,000 amps or volts 454.65 • Reconnect only 66.85 —© City/State/ZIP - _ •r. Temporary services or feeders installation, alteration, and/or Phone: (5( 4 7 l F ax; ( ) relocation _ 200 amps or less 66.85 MEfl Owner Installation: This stailation i sbbe g made on property that I own which is not 201 amps to 400 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 600 amps III 133 -75 -MI Owner signature: • e: __ ` e y iiii Branch circuits - new, alteration, or extension, per panel iii + r � ; f ru t• i /il i: 'i : " ,T� I 13: i t 7 7+ 7 ti �'i-.1 -l'] " , 1 t'il } off, Illi�f A. Fee for branch circuits with III service or feeder fee, oath ev tiC �� 6.65 Business name: a – :�.>� branch circui Fee for branch circuits n S. Contact name: Lt Y1 ct -\)-- `� ` _c i without service or feeder fee. ( 46.85 VIA -N 2 ).____, each branch circuit Address: Hach add'1 branch circuit i ll- 6 02(, -60 2 City/State/ZIP: Miscellaneous (service or feeder not Included) Phone: ( ) Fax: : ( Pump or irrigation cir 53.40 2 —. Sign or outline lighting. 53.40 2 E _ Signal'eireuit(s) -, - l .)- rvT'ii }.; Y.:J,1S1,y - D iV,f i;^r �� energy panel, alteration, or . ^Si /4 w r "'IY r `Ti` Y7 , � C's ��w41d3�..A���� � tl. , ext pescnbe: Page 2 2 Business name: Jerome Electric Inc . Address: PO Box 751 Each additional inspection over allowable in any of the above • Per inspection 62.50 :,- , / • 7: ,f�t , • �: .City, 3tate/ZIP••;S�H;i l�l�s : o r - ��,O.R 9,]. -1 -2 3 = ,, _Investigation er i - hr nia) • 62.50 hour .�^•� : b no-,: ., �_,, : °e:•:..•x•.n= .' ° °,:�tv,i- = r,., =v �, - P ( . : ,A . t: �,e;;,. ,, 4 : f - M .,,, - ' 1;- .,d''•mt;C • ;gi,.:Poi . .3. G t , .',4 `'{'„d -y4, • "s,at,. ¢,� 1 q t r a , 1 r ' ?b ode , ` '• ;;a s oR ', I+aX • w • , ? { , t ;I i }ilFlxlt pG�ltOUrir ' 1ud ;: 1 ., ' 73:Z•5 r ..r, , • -il A 5a3 ) 6 48:-•5N1 4. 4 . ,::x, - ,. r X5'0 "64:8- -97 234 : .art" ;+ , - r. ,, ,���•:;,, 58119 � ` , ' 1 � .. :.0 •...� '���`,`� CCs Lioat Electrical Lic.:3 4 –119 c Suprv. Lie.: 2 8 7 7 s •`.In 'fit a '- t �t.,_c.��c�c. ;.,:�L; – Subtotal J - Lt '�. 3uprv. Electrician signature, required: _At .../ Plan review (25% of permit fec) Print name: David A Jerome bate:/ 0 State surcharge (8% of perrnit tee) S - �7 l 1 �1 j TOTAL PERMIT PEE 7 q 3 ,,, Authorized signature: This permit appueatioo expires if a permit Is not on aired within 180 days atter it has been accepted as complete Print name: Date: • Fee methodology set by Tri•County Building Industry Service Board •• Number of inspections per permit allowed, - i;%awidinaVamfuIELGPcmotApp.doc 12/03 440•61Sr(10102/cOMIwSB CITY OF TIGARD -- BUILDING DIVISION PERMIT #: ELC2005- 00771 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101/2/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 „_,t4 g :_.. INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 104 SITE ADDRESS: 13900 SW 115TH AVE CLASS OF WORK: SUBDIVISION: VIEWMOUNT LOT #: 038 TYPE OF USE: PROJECT NAME: WALKER DESCRIPTION: (branch eircUlts. OWNER: WALKER, GORDON V AND, PHONE #: CONTRACTOR: JEROME ELECTRIC, DAVID PHONE #: 503 - 548-5144 Inspection Request Scheduled For: Date: 11/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199k Electrical final 021816-01 503 -&4B- 5141 Corrections/Comments/Instructions: • C/ • PASS I PARTIAL APPROVAL ❑ CANCEL ( 1 NO ACCESS FAIL\ ` - fI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /7/ Inspecto Date: �� Phone #: (503) 718 - CITY. TIGARD - , BUILDING G DIVISION PERMIT #: ELC2005 -00771 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 10/12/2005 Phone: (503) 639 -4171 v �ey W ,� ii f( Inspection Requests (24 Hrs.): (503) 639 -4175 ,. ' W `:_.. INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:10AM PAGE: 72 SITE ADDRESS: 13900 SW 115TH AVE CLASS OF WORK: SUBDIVISION: VIEWIVIOUNT LOT #: 038 TYPE OF USE: PROJECT NAME: WALKER DESCRIPTION: 5 branch circuits. OWNER: WALKER, GORDON V AND, PHONE #: CONTRACTOR: JEROME ELECTRIC, DAVID PHONE #: 503- 648 -5144 Inspection Request Scheduled For: Date: 10/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 019214 -01 503-648-5144 Y Corrections/Comments/Instructions: SZi Z 0 4h\ 1 k k, IV PASS . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: 1 C Phone #: (503) 718 -14 I CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200&00771 j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/12/2005 Phone: (503) 639 -4171 imintiPti ll Inspection Requests (24 Hrs.): (503) 639 -4175 `_i. INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7:09AM PAGE: 88 SITE ADDRESS: 13900 SW 115TH AVE CLASS OF WORK: SUBDIVISION: VIEWNOUNT LOT #: 038 TYPE OF USE: PROJECT NAME: WALKER DESCRIPTION: 5 branch circuits. OWNER: WALKER, GORDON V AND, PHONE #: CONTRACTOR: JEROMIE ELECTRIC, DAVID PHONE #: 503 - 648 -5144 Inspection Request Scheduled For: Date: 10/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 018793 -01 503. 648-5144 N • Corrections/Comments/Instructions: Q I_Jike, Vol - 1‘ ,& e'lr Low tr o l 2 L'1 o k Us P r Dole a G`: tr e CL c c tole. e cal AiSit L — I I PASS ARTIAL APPROVAL n CANCEL I I NO ACCESS n FAIL I I CALL FOR INSPECTION / n ADDITIONAL FEES ASSESSED p i 4 Inspector: P r ' """ .-- Date: O' Phone #: (503) 718- CITY OF TIGARD - . , . BUILDING DIVISION PERMIT #: ELC3005.00771 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/12/2005 Phone: (503) 639 -417,1 A Inspection Requests (24 Hrs.): (503) 639 -4175 ..:' IL. INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7 :03AM PAGE: 76 SITE ADDRESS: 13900 SW 115TH AVE CLASS OF WORK: SUBDIVISION: VIEWMOUNT LOT #: 038 j TYPE OF USE: PROJECT NAME: WALKER DESCRIPTION: 5 branch circuits. L OWNER: WALKER, GORDON V AND, GO PHONE #: CONTRACTOR: JEROME ELECTRIC, DAVID PHONE #: 503 Inspection Request Scheduled For: Date: 10/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 191 Misc. inspection 018658 -01 50 - 648.5144 Y Corrections /Comments /Instructions: 4,1\ 'OA VIVO -Cp1,/ ttki-., \/\\ r - ,\ , \( d`>Z LAW Lc\ 0-Nii c`OT)-- CA . 1141‘/4 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / . / , - Date: // l Phone #: (503) 718-