Permit CITY OF TIGARD
ELECTRICAL PERMIT
PERMIT #: ELC2005 - 00322
,,)j Blvd., Tiga SERVICES DATE ISSUED: 5/16/2005 Hall 13125 CES 503 - 639 - 4171
PARCEL: 2S 109AB - 09500
SITE ADDRESS: 14258 SW 132ND PL ZONING: R -
SUBDIVISION: RAVEN RIDGE LOT : 024 JURISDICTION: TIG
Project Description: 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:
MARK KUNITZ SOHLER ELECTRICAL CONSTRUCTION
14258 SW 132ND AVE 41131 SW BURGARSKY RD
TIGARD, OR 97224 GASTON, OR 97119
Phone: 503 - 590 -4700 Phone: 971- 832 -0807
FEES Reg #: LIC 158285
ELE 34 -667C
Description Date Amount SUP 594S
[ELPRMT] ELC Permit 5/16/2005 $53.50
[TAX] 8% State Surcharge 5/16/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. SpedaltyCodes 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.•AR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -6699 or 1 -8Se 32- 344.
Issued By: 1 ;,/ / / Permittee Signature: Vii_
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 Ap 1 -0....-
'''-iNID _ _
FOR OFFICE USE ONLY
r . :, : . .... ',-- Received ,
City of Tigard
Date/By: lo/o 0,6 Permit No.:g 6 s l a ,/ .. 2_,
13125 SW Hall Blvd.., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 MAY 1 6 20h ,A,,.,t,,, Da EdBY: Other remit
Inspection Line: 503.6394 1 75 .r ,.-t....,, ii, p., • '-..• • ' ' Date Fteady/By: 2 63 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: / / 6.1 Supplemental Information
7 .TY Cf. TKIAIID .• . • • - .... •,.-:. ,.,-2 ...... - - ., - ,-.. ,., . - , .._ _ . , _ . _ _ _ . ._ ... .
T A tOttnIftfisioo . • .• _ - . • _ - -- . ... PLAN REVIEW
0 - New construction A .. 1 io a teration/replacement Please check all that apply:
['Service over 225 amps, comm'l EIHazardous location
0 Demolition Other
OService over 320 amps- rating DBuildng over 10,000 sq. ft.
CATEGORY 0}7:C 4**.P12 -- 161" -, (: - ; •-:.',...--.:':: ": --.;- .. . ;:•":: ....-.' of 1- and 2-family dwellings 4 or more new residential
. _
1_ and 2-family dwelling 0 Commercial/industrial 0 Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or mat
El multi-famil 0 Master builder 0 Other:
' . 00ccupant load over 99 persons OManufactured structures ca
JOB SITE INFORMATION' l ---..; ... : ''..: ' : -:-' DEgresalighting plan RV park
lob no.: Job site address: I/4 0. 5 - 1 B 5 w -%'''- A ■ Ke-- Submit 2 sets &plans with any of the above.
City/State/ZIP: -1 (.. h . gril i 0 a- -1 - 7,11c/ The above arc not applicable to temporary construction service.
if :.; Xg "-
Suite/bldg./apt. no.: Project name: A C___
1k:seri:prim . Qty. 1 Fee 1 Toni L -
(
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 I 4
Subdivision: I Lot no.: Ea_ addi 500 sq. IL or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.:
. .,., Limited energy, non-residential 75.00 2
• • - D T - -5C 1.1.I P.t.ION - " , !: 2 1?"-WO.** : . --:: :. '. ::- : 7 : : 7' ''-':::" . F.ach manufactured or modular
p i - c d 1 P (2,.!2.L1 dwelling, service ancVor feeder 90.90
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
. . . .
- ,.. . - .- 201 amps to 400 amps' 106_85 2
NI"ROPERTY OWNER : ' - . ."..- = : . 1' . -. ': .0_ irEibiliat
401 amps to 600 amps 160.60 2
Jame: pi A i ( K u Iv I rz. 601 amps to 1,000 amps 240.60 2
ekddress: i LI D 8 5 vV ) 3). 0- A vi Over 1,000 amps or volts 454.65 2
Reconnect tmly 66.85 2
:3ity./S tate/ZIP: Ti C IZ 0 i 0g. q70 Temporary services or feeders installation, alteration, and/ o
( relocation
'hone: 5 ) 5- 0 _ . L(700 Fax ( )
200 amps or less 66.85 1 . .
)wner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
mended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 600 amps 133.75 2
?wrier signature: Date: Branch circuits - new, alteration, or extension, per panel
APPLICANT • : - "rt . • ..:- , :110Ziii , itelei - 4..OitSciti:::"..."" --- :" -:.::.-' . A. Fee for branch circuits with
service or feeder fee, each
6.65 2
3usiness name: 5" 0 I, L e...4
Fie ..c....4-r t C-C4 i e--.0 r‘...) 5" 4-. branch circuit
B. Fee for branch circuits
ontact name:
T.ch R..- cc': (.e.2 without service or feeder fee, :') 46.85 /2/4 u 2
each branch circuit
k.ddress: L- / t f 3 ( s (?.., c 4..," )( "V 1('-' ii Each add l branch circuit L 6.65 6,65- 2
"..
- .1 U az ' 9 7 / il Miscellaneous (service or feeder not included)
1 -
Pump or irrigation circle 53.40 2
'hone: ( c i 7/ ) g _ o _ Fax: : (5 ) .78 5-- / 0 7 6
Sign or outline lighting 53.40 2
E-mail: - Signal circuit(s) or limited-
..
. • : , cir,rtgActfoR . : - .,. - .:, --:,.::: ;...:-:- :., --:,. .-:-,:-.:, • . - : - .. 1 -, . : energy panel, alteration, or
. .
extension. Describe: Page 2 2
lusiness name: S L te_a Eled-r; c.e. ( c_, r., s 1-,
isidress: Each additional inspection over allowable in any of the above
Per inspection 62.50
:ity/State/ZIP:
Investigation per hour (1 hr nen) 6230
'hone: ( ) Fax: ( ) Industrial plant per hour 73.75
) . Industrial
'-"..." - -::- -.''-E1,-.Vt'l'itfekt, - tERMii.:*.TE:S 4 ' - : - -
:CB Lie.: / c 928 S --- • Electrical Lic.,"3 Lt._ a 7c Suprv: Lie.: 5 : _
Subtotal 5- 3, 5-e,
:uprv. Electrician signature, requiredv I . , , ' i • Plan review (25% of permit fee)
1 ' if Am. ■
'tint name: /V 14 -
t 0 Date: -A
State surcharge (8% of permit fee) ,,e4
, ,--/ is) ,s .......-
TOTAL PERMIT FEE 5- - 7 1 0
Luthorized signature:
/b-e- 4A4 This permit application expires if a permit is not obtained within um
days after It has Datum:erred as complete
'tint name: 3 / f‘ , S O ik Lt. Date: $ 0, -; • Fee methodology set by Tri Building Industry Service Board
,
" Number of inspections per pen:nit 2 flowed.
n ildiniacrmiuNELC • Permit Am, Joe 12/53 6..1,41 ry
a - cl BLOT -S88-EOS - laILIOS a 0 C eGI:9B SO 9T ReW
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ' ELC2005 -00322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2005
Phone: (503) 639 -4171 /oomntmollei'\
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 7/20/2005 TIME: 7:11AM PAGE: 69
SITE ADDRESS: 14258 SW 132ND PL CLASS OF WORK:
SUBDIVISION: RAVEN RIDGE LOT #: 024 TYPE OF USE:
PROJECT NAME: KUNITZ
DESCRIPTION: 2 branch circuits.
OWNER: KUNITZ, MARK PHONE #: 503.590.4700
CONTRACTOR: SOHLER ELECTRICAL CONSTRUCTION PHONE #: 971_832_Q807
Inspection Request Scheduled For: Date: 7/2W2005 Pour Time:
Code # - Inspection Description Confirm # Contact # Message
199 Electrical final 011643 -02 503-640-3607 Y
Correcti s /Comments /Instructions:
A (._,_ .14K -() A_Lms
e N sc-o1/A/g L Q ASP Fu SG�
4 1
ra -ASS I' PARTIAL APPROVAL El CANCEL ❑ NO ACCESS *
FAIL I/, L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
2-6) C�
Inspector: ® Date: ° v Phone #: (503) 718 -