Permit , CITY OF TIGARD f ELECTRICAL PERMIT
PERMIT #: ELC2007 -00116
COMMUNITY DEVELOPMENT DATE ISSUED: 2/22/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S133DD-13800
SITE ADDRESS: 11952 SW 127TH PL ZONING: R-4.5
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT : 175 JURISDICTION: TIG
PROJECT: SCHMITT
Project Description: (8) branch circuits for kitchen remodel.
RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 7 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:
LORI SCHMITT COHO ELECTRIC INC
11952 SW 127TH PL PO BOX 40
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503 - 582 -9774
FAX 503 - 582 -9840
FEES
Description Date Amount Reg #: ELE 3 -575C
[ELPRMT] ELC Permit 2/22/2007 $93.40 LIC 157169
[TAX] 8% State Surcharge 2/22/2007 $7.47 SUP 1781S
Total $100.87 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: ' 1 L Permittee Signature: _3 ' _- 9A�
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.
FROM :COHO ELECtRIC FAX N0. :5035829840 Feb. 22 2007 07:57AM P1
E lectrical Permit Applicat N t, FOR OFFICE USE ONLY
Wt J')--9. t t eeeivee l r
City of Tigard �"� e ive J L / . , Perrnit No, � 700 l��
Dat
131 SW Hall l3lvd,, Tigard, OR 97223 r y 21411111111■ Review
w Other Permit;
Phone: SO3.639.4171 Fax SO1598.1960 F C 1r,:isial ji;tlli�lf��,i+i11;\ Date/B'; �� ._ —
Inspection Line: 503,639.4175 ;.I�l� Ready /By; surfs: GI Sc e Papa 2 for
�Q� Date Rand /B
v�. I tL":.;�'„ ".� • Supplemental information
�d` Ci1Ltl�t "' Notif ad/Mcthod; 9 u IemBntai In z
Internet; www.ci.tigard,or,us nN -
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Please check all that apply.
❑ New construction i► Addition /alteration /replacement ❑Service over 225 snips, cotnnt'1 ❑Ila7ardous location
❑ Demolition 0 Other . • , over 320 amps – rating OBuildng over 10,000 sq. ll.,
a1 . ,r pt to p t!. II 1 , r I .l , .rcz;ea'reap,.:. , : r,r111 T{ Tit i' I; ; r. 1t 1� t11 ';;;i 1. It �lr °1. f 11', I, ` of t - and 2 fantity dwellings 4 or more new residential
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�rii
❑$yatem over 600 volts nominal units in one structure
/': I- and 2- family dwelling {] Commercial /industrial ❑ Accessory building ❑Building over three stories [Weeders, 400 amps nr more
0 Multi- faniily ❑ Master builder ❑ Other [] Manufactured structures or
❑OccupttnC l oad over 99 p ersona
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iiiili =ig? �l M1tb t n1 ' �'��i n WiQ n�r i �v , } �.l pU t l I`�1iTr , 1(�17[I , ��I�q g � , ?t{ l I ` i ; 1 DE -eea /{ighting plan RV park
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` � S\) \ a ❑H nit 2 -cars ofp
Job no.: \a---1 ` � Job site address: ''t Submit 2 sets of plans with any of t11c above,
PL-44-f- I370 above tiro not applicable 10 temporary construction service,
City /State /ZIP: Q ;� � ryp � 1 �{ s � I � x� p , con 1 ,, , '..
no r • o ♦ Project p V .. s 1' "yt. !�III!'<! elf' 1i(d +1il -
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'',`�.li�,nlrii�li' :I�t' �I�I I�u,'. �r "'���� nl ,.. ..�.�:
11c,i
Suite/bldg./apt. me. 1 — , DesarlptEan
Fee. I .. Total L••—
Cross street/directions to job site: i sfew resident single- or multi- family dwelling I'nit.
. Includes attached garage..
_ 1,000 sq, ft. or less - 145.15 4
Subdivision: [ Lot no.: Ea. add'1 5OO sq. ft. or portion 33,40 _ 1
„. Limited energy, residential 75.00 2
Tax map/parcel no.; • Limited energy, non - residential 75.00 • 2
111;, lF rc'I'f }'t ti 1.7 +il r •'i rSi+ I';illitr r: t7t1(41'1 n41�m +q,, P1 I,lr'f;. 1F'.' 9Yp %ilt l}� yIC D ," . _ It o I lrl tit T)iF }(' {Ll
' y , It tir.o.f8� 4a11 ll° , y! 1 F 1 nla i91 a rt P h N1 r la'iM Ilil l ' n ! } l pack manu or modular
1,4, `, ..i t emit}'i8' i /i4 ; ;,:�„ Sl�(ftilii ,tl � „,1( /4j6,,1 %. B ;i r..t.! 0 Al , a,Ati. it i ,i "irt ekt4. .. Ili rt# i(iru(IPBV� , I a ,, ', it ' 90.90 2
�, 4i ) e dwellin , service and/or ,feeder ,_
v e_Y■L} e n 4 ,(�1 aY � Servlce8 o
l l or feeders Installation, alteration, And/or rciotptlon
� 1R_7l 200 amps or less 80.30 2.
0 1:ifo 'a ",�,C�} '� I;Itf, ^ �^al¢t I,iilri�t�ll�;�'�IT R {��g�ioity itB ,,. lr , t�, ppp s tlfu��n�ll�Wltl��rl�l4i'; t y t if p , �.�',' r 201 amps Co 40 amps ... ldti,BS 2
lit l i ,�1. t •
I I :Alit i 1' ^' 1I ligi'711 ld0 cl 'Iy�klitaii NDll) lteA11:0N'l. . • 112118 `r,.41 i .j
t31`.,G11lI�W!;ii�(r� , t I.� iUli,inia , U 1N!,u a.�ita allnlllG u rNGfar1 401, amps l0 600 slops IGO 60 2 --
Name: , 601 amps to 1.000 amps - 240.60 2
' Over 1,000 snips or volts 454.65 2
Address: ��� � -5\1\) � � ,. Reconnect only 66.85 - 2
City /State /ZIP: �\ • ,- d Q(k �•'1 a: Temporary services or feeders Installation, alteration, and/or
relocation
Phone: (moo` -1 Q 5(?_" 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. 8 01 amps to 600 amps 133.75 2
OWtter signature: • Date: - extension, panel
a Branch circuits new, alteration or ext n per pa
'•r :; ? §r l u: ? ; •, row -. r,1 ;'ll' i}':c(n 'r ^s r' ''v,l''i' {I +7 ' r;: :wr' yr .rrg ��li< m: r; yr „�1`�'x'� +' %'p �y.1 4 I A. Nee fur branc
' '� branch circuits with
� tfS R ., .•yS %I l 1 `in 1 ' , :, i 4. {l.!` 1 f��rhlp •Cl t ra4p It � (; { lJ t fl l l 4 �” 1:U •d.'l 1IRF u
, !k ' "sal rdt l 1 ! i :I.,i. (� 'I ( �49 1 i a ) / #411 � 7 1 1 1 u t }� r )' i `il y ! l 11i 9101..' 4;"6•441066:1111';3 1
n,,Jn dtlilly,3a, .I ua an b_ +1t!r� •Ybtmfi ,ul hn!I •lttt, r,'a:1 f tit .3 �I:ea l l��p)rel .:I nllhlf9 itlr 1 �, 1 1nArltr 4rlv,:r It "ill S. $CTVICC UY feeder tee, each
6.65 2
Business Warne:
_branch circuit
- - -' " B. Fcc for branch circuits
Contact name: without service or feeder fee, ; 2
"' ` _
each branch circuit
46,85 w� �---
Address; Each add'l branch circuit .' 6.65 L + 55 2
City /State /ZIP: Miscellaneous (service or feeder not included) _
Pump or irrigation cit'cic 53. 2
Phone; ( ) Fax ( ) ,. Sign or outline lighting � 53.40 2
E -mail: Signal circuit(s) or li limited -
Oi M rl it , t D I �'`, il.0 11; ,,l i'” it Id }ii9); t t ,r.g e.i ., 1 + ii d �'7l rr 1 p ty , e + @u ll 'lt rn t' panel, alteration, or
' 4 ? iti 1 ll 'ihllln r410,,,I ',�� q�1.1 , L ,,,.ilfih��..1) I Es' 1. s.; ,3 N�� l l r ene extension. Describe: Page 2 2
Business name: .
Address: 0G c.,, Each additional inspection over allowable in any of the above
Per inspec 62.50
City /State/ZIP: k.,_, i (1 V
1`cj� -�•vt 1, , CIO. C-.—.1(... ' 0 investigation per hour' hr min) 62.50 _
�' y " - Industrial plant per hour 73.75
Phone; (5c):..5) . :•.�v1- ` -- - � Fax: ( ) , J ex :.- ` • ' L) L )' t'7i i 7i r S� n'I n, +n, !'N t( [ Ri« i4; ?. }' li?I
'�i I�} 1 Il4' �' ,u Lr, FA �t J i i;.:
..,.� :�3' ifs( t���I s�r�la�o���Ild�h ji�i�l. •'trx .lfnw�'�d��drt�l . ,�,:;,��,;. ;
CCB Lie.: V15 (IR Electrical 'e,:'? �- r" Sl[prv. Lie.: :'"' '- C��j Subtotal y rJ
Jt
Suprv. Electrician signature, 'required: . ' .. - t 'lalt review (25 or point fee)
State surcharge (8% of permit fee) "1 L A 7
Print name: j 4. ' t t • r' Date: "D, - 3 - Z TOTAL PERMIT PEE 1 Qq , 7
Authorized signature: .A %MN% _ ['his petrol appl expires it a permit Is not obtained within 180
— days after It hai been Accepted se complete
Print name: ' 1 N. JP Date: + _ aa—Q Pee methodology set by Tri- County Building Industry Service Hoard
t - - •" Number of inspections per pursuit allowed.
laauliding \Permits \2LC- PermitApp.doe 12/03 440.4•15T(10/0'I ICON /W8i'0
d
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00116
13125 SW Hall Blvd., Tigard, OR 97223 v DATE ISSUED: 2/22/2007
Phone: (503) 639 -4171 , A 4n if
Inspection Requests (24 Hrs.): (503) 639 -4175 „Jai .. I
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 39
SITE ADDRESS: 11952 SW 127TH PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 175 TYPE OF USE:
PROJECT NAME: SCHMITT
DESCRIPTION: (8) branch circuits for kitchen remodel.
OWNER: SCHMITT, LORI PHONE #:
CONTRACTOR: COHO ELECTRIC INC N ` PHONE #: 503 -592 -3774
Inspection Request Scheduled For: Date: 7/31/2007 Pour Time:
Code # Inspection Description - Confer Contact # Message
Electrical final 053074 -01 503.582 -9774 Y
Corrections /Comments /Instructions: ,Q ,±7.\ - A - , ...
----:--- \
d/
PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ( • • N ai L� Date: 1( ii( 09 Phone #: (503) 718- 2 4D.
CITY OF TIGARD��
BUILDING DIVISION (` 1/
I 1 PERMIT #: ELC2007 -00116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2007
Phone: (503) 639 -4171 / 11/1 ° 1
Inspection Requests (24 Hrs.): (503) 639 - 417` n 2 ' �..
INSPECTION WORKSHEET FOR DATE: 6127 /2007 • TIME: 7:00AM PAGE: 11
SITE ADDRESS: 11952 SW 127TH PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 175 TYPE OF USE:
PROJECT NAME: SCHMITT
DESCRIPTION: (8) branch circuits for kitchen remodel.
OWNER: SCHMITT, LORI _ PHONE #:
CONTRACTOR: COHO ELECTRIC INC - PHONE #: 503•582-1:1774
Inspection Request Scheduled For: Date: 6/27/2007 - Pour Time:
Code # Inspection Description Confirm # / . tact # Message
135 Misc. inspection 051043 -02 / 503 -733 -2621 N
Corrections /Comments /Instructions:
()J ' I
❑ PASS ❑ PARTIAL APPROVAL CANCEL El NO ACCESS
El FAIL I f CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
. CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2007
Phone: (503) 639 -4171 /m�rgeu �i��t
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' W `'I L�
INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 11952 SW 127TH PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 175 TYPE OF USE:
PROJECT NAME: SCHMITT
DESCRIPTION: (8) branch circuits for kitchen remodel.
OWNER: SCHMITT, LORI PHONE #:
CONTRACTOR: COHO ELECTRIC INC PHONE #: 503 -582 -9774
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 061043 -03 503 - 793 -2621 N
Corrections /Comments /Instructions:
I PASS ❑ PARTIAL APPROVAL IE CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION / , DDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007- 00116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/8/2007 TIME: 7:03AM PAGE: 32
SITE ADDRESS: 11952 SW 127TH PL CLASS OF WORK:
SUBDIVISION: VILLAGE Al SUMMER LAKE PARK 4 LOT #: 175 TYPE OF USE:
PROJECT NAME: SCHMITI
DESCRIPTION: (8) branch circuits for kitchen remodel.
OWNER: SCHMITT, LORI PHONE #:
CONTRACTOR: COHO ELECTRIC INC PHONE #: 503- 592-9774
Inspection Request Scheduled For: Date: 5/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 047853 -02 503- 793.2821 N
Corrections /Comments /Instructions:
P■011` Is
I I PASS n PARTIAL APPROVAL CANCEL n NO ACCESS
I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ` N z(l4 Date: A- 01 Phone #: (503) 718- 1-44410
CITY FTI ARD ��
CI OF G grr--
BUILDING DIVISION r 14/vo y k' 1 ,. PERMIT #: ELC2007 -00115
13125 SW Hall Blvd., Tigard, OR 97223 + DATE ISSUED: 2122/2007
Phone: (503) 639 -4171 /Z 7 � 1 !„,u4 ii " .
Inspection Requests (24 Hrs.): (503) 639 -4175 ..„....„!.41 • I ..
INSPECTION WORKSHEET FOR DATE: 212812007 TIME: 7 :02AM PAGE: 58
SITE ADDRESS: 11952 SW 127TH PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 175 TYPE OF USE:
PROJECT NAME: SCHMITT
DESCRIPTION: (8) branch circuits for kitchen remodel.
OWNER: SCHMITT, LORI PHONE #:
CONTRACTOR: COHO ELECTRIC INC PHONE #: 503 - 582 -9774
Inspection Request Scheduled For: Date: 212812007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 044051 -01 503-582 -9774 N
CO C211
Corrections /Comments /Instructions: 78 ( f -- 56,P .
a007 00 0 95:2
- e l 0_,e3u24 y,... Iv\ f o <,e--„,
i ( ) ,, b-A 4 ,40-,e..,-,,,9
•
r i '` 1 . %1 . ur , / 101' & _..,,7
_ 6/(c.,/t 4,(,,s- v4,,,,,
/ d-g-1-4- 6
A .all
MTIPProl
(PASS PARTIAL APPROVAL n CANCEL NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 72/d7 Phone #: (503) 718 -2V/67
CITY ������U��������
��um n OF mn�m��nu�� •
BUILDING DUNG DUVUSUON PERMIT #: ELC2007-00116
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 2/22/2007
Phone: (503) 639-4171
Inspection Requests (24Hmj:(503)639'4175 'till J�
INSPECTION WORKSHEET FOR DATE: 2/27y3007 TIME: 7:01AhH PAGE: 57
SITE ADDRESS: 11962EW127THpL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 178 TYPE OF USE:
PROJECT NAME: sCHAH|TT
DESCRIPTION: (8) branch circuits for kitchen remodel.
OWNER: SCHK8|TT PHONE #:
CONTRACTOR: C#H{) ELECTRIC INC PHONE #: 503-582-9774
Inspection Request Scheduled For: Date: w77/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 E]motbcaAmou@h'in 503'582-8774 N
Corrections/Comments/Instructions: ------
pJS ()bit
hJ � �� � N���
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� � �� c� ^ \ ��" C� ����
. ,,'�� ^ �,�^w`/
PASS PARTIAL APPROVAL Ft XN0
L CANCEL ACCE8S
�]
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: »�---/ q 0E5( Date: 2-' . (Y1 Phone #: (503)718'~1144