Permit v
`'� CITY OF TICAR® ELECTRICAL PERMIT
• PERMIT #: ELC2008 -00023
7 IMI COMMUNITY DEVELOPMENT DATE ISSUED: 1/10/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 1046 D -00700
SITE ADDRESS: 12660 SW 136TH CT ZONING: R -7
SUBDIVISION: OBRS HEIGHTS LOT : 009 JURISDICTION: TIG
PROJECT: JENSEN
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:
NORMAN && JUDY JENSEN WEBER ELECTRIC INC
12660 SW 136TH CT PO BOX 231154
TIGARD, OR 97223 TIGARD, OR 97281
Phone: 971 - 678 -2949 Contact #: PRI 503 - 620 -1906
FAX 503 - 620 -6819
FEES
Description Date Amount Reg #: ELE 34 -442c
[ELPRMT] ELC Permit 1/10/2008 $53.50 LIC 44087
[TAX] 12% State Surchar 1/10/2008 $6.42 SUP 4028S
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 OUNC at 503.246.6699 or 1.800.332.2344.
/
Issued By: / ∎ _ � �� ` _ Permittee Signature: 77 ji/',Q�, � �l
/
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.
'' Wednesday, January 09, 2008 10:47 AM Weber Electric, Inc, 503 620 6819 A A 00 6 3 _ s -- - p.01
Electrical Permit A lication rt FOIZ OFFICE "`F flNl:,Y Received
City of Tigard 1. Date/2 I D i Penn t No j . o p! .... s if 'i
13125 SW Hall Blvd., Ti;rard d Plan Ravi. w Other Permit: rime: 503.639.4171 Fax: 503,598p1¢0 0 `.
9 '(IJU6 'h "e I'{'+ D te/E
Inspection Line: 503.639.4175 J N 1 l I Date Ready/By: time El See Nee 2 for
Internet: wwwci.tigard onus - "( 'MAK) Notlfied/Methoi Supplemental Information
, , irrel 1 `t F t 1 ,0 I . ^ ,1 Ali'`, . � -�'� . .L . ` Mr99 . • • Ifu: "I a t al'�5 �j�Y� 7, ,t ,. � � rL
t i a�'�I' �, �c; .` ;. `
� � y �.'�� 1 l ,t' 1 n^ ' M1 ,, ... .. ' ', I .
`
d New construction ■": ddition/alteration/replacement Please check all that apply;
❑ Sorvicc over 225 amps, conun'l ['Hazardous location
❑ Demolition 0 Other: 05431-vice over 320 amps - rating ❑ Buildng over 10,000 stl, ft.,
'' .' it ys: ? `,. ^.: r li `,,r ;?j,. ipjy! ∎'+,.':',I� ;1 a i t,:',d':'Si1' � y, of 1- and 2-family dwellings 4 or more new residential
1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑system over 600 volts nominal units in one structure
QBuilding over three stories ❑Feeders, 400 amps or more
El Multi - family [] Master builder ❑ Other C3Occupar,t load over 99 eersons ❑Manufactured structures or
� r . I l' .I «. '1',1'',:' RV ark
s e' I w' ' ' � ,�T ° ';,',V r >.:' i'/li tin plan P
•4 , ;lid ;,l>: ; :,�'1�q q � . ..t ,I�:..I, �g �Wt`„ � IY'�! Ai'iC'X,�I c;: i;l, t ❑Egress gh Span
,� .li': ,`. , ' n4, +t.. ;:i'N ."is' jl' Via, r. .rll tr a? l d::,::,
' , _ :Health-care facility
Yob no.: Job site address: / x ( (,,, 0 5L) C t sub sets of p with any o f t he a b ove.
The above are not applicable to ttnmporary construction service.
Slute/bldgiapt. no.: Pr na n ascdpuon _ Qt re m. A rota
Cross street/directions to job site: New realdcotial single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less _ 145.15 4
Subdivision: Lot no.: Ea. add'I 500 so. ft, or portion r 33,40 1
Limited energy, residential 75.00 2
Tax trap /parcel no.; Limited energy, non - residential 75.00 2
A. r„ !i1 ,1.;:; tg:' ,ji l II :1➢= 1 q : r:I q ` ,,,`, illy'; 6 i a '. j. i`. Il ! r 7 r'liII,lpI Each manufactured or modular
dwelling service and/or feeder 90.90 2
- . _ Services or feeders Installation, alteration, and /or relocation
,.r ,p� '-• (,L to e5Y1 O 11 200 amps or les 80.30 2
f �' ���pp a �te.�,, 1 201 arapa to 400 n *npe 106.85 _ 2
,il,f 1 ,11 1 l'" 7 0 Y A ., :1 F ,� ' r fi ': l.tf,., i NT H..A.
pl� 1`I1 t' 4ti , 401 amps to 600 amps 160.60 2
Name: j eel 601 amps to 1,000 amps 240.60 2
^ � FA A e r ,-f- Over 1,000 unrpe or volts 454,65 _ 2
Address: �/ M11.�/�
Reconnect only 2
City /State /ZIP: 5 d 3 — G Za' & B t 7 Li y Temporary services or feeders i , nstallation, 66.65 alteration, and/or
relocation
Phone: ( ) Pax: ( ) 200 amps or less 66.55 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. 401 amps to 600 amps_ 133.75 2
Owner signature: _ Date; Branch circuits - new, alteration, or extension, per penal
p� �
� y ,, a . y. ;,. ^�.., ' , I Ir, ,,., ? ,A,K r. s I lMtn. , '' ■,! s A . Fee for branch circuits with
c,' ; . +�'1 l ' 31'1' ,''"!? : , :, ,',; :',,I I :';l " : :,sl l "+ i 4,, :11 �'t' �,^' Y ,L,'; , . ' + 0...1,'Ii ,. service of feeder fee, each 2
6.65
Business name; branch circuit _
B. Fee for branch circuits
Contact name: without service or feedcr fee, 1 46.85 each branch ciisuit t
Address: riach add'1 branch circuit ( 6.65 6 ,i,„C" 1
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) ax ( ) Su:OO or outline light 53,40 2
pp E -mail: Signal circuit(s) or limited -
IINNI 1,' ", it gi' i elan `I itiffillIMMINS , t g
energy panel, alteration, or Pa e 2 2
exten Describe:
A ' ri:' — ,' ei _ us
Each additional Inspection over allowable in any (lithe above
Address; :0 — Per inspection 62.50
City /State /ZIP: a . - 7 8/- /S . lnvestigationyerhour (1 hr min) i, 62,50
// Industrial plant per hour 73.75
Phone: (503 4 I / .. Pax O -11:0 — 6: ` f '..il l''..'. .%i-„ ' ° �' I.' iia .,: W �. 07' .. . 't ' .
CCB Lie.: 14 a ; _ Suprv. Lic.: 46,2 8 Subtotal 5 3,50 0 _ J
Suprv. Electrician signature, required: �/ Plan review (25% of permit fee)
AV Plan
- — ,
_ ,r
2■10 State surcharge oaf permit fee) , ` - f• /
Print name: - Date: j,,, _ ; ' `
r ,. . - v f. -- TOTAL PERMIT FEE
Authorized Signature; This permit evocation expires If a permit is not obtained winds 1St
(Sap after It bas been accepted as complete
Print name: Date; " Fee methodology act by Tri- County Building Industry Service Board
"r Number of tnupcerlons per pcmvt Allowed
I:1Buildo,gl?et lib .LC.Pe,+rd 12103 440-4e1S'I(1P/ti /COM!WE8
CITY OF TIGARD
BUILDING DIVISION PERMIT*: ELC2006-00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2008
Phone: (503) 639-4171 LL
Inspection Requests (24 Hrs.): (503) 639-4175 ..........7w ....
INSPECTION WORKSHEET FOR DATE: 2/29/2008 TIME: 7:03AM PAGE: 23
SITE ADDRESS: 12660 SW 136TH CT CLASS OF WORK:
SUBDIVISION: OBRS HEIGHTS LOT #: 009 TYPE OF USE:
PROJECT NAME: JENSEN
DESCRIPTION: (2) branch circuits.
OWNER: JENSEN, NORMAN && JUDY PHONE #: 971-678-294l.
CONTRACTOR: WEBER ELECTRIC INC PHONE #: 503-620-1906
Inspection Request Scheduled For: Date: 2/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
139 Electric5I final 065903-01 971-246-7038 N '
. -c---
Corrections/Comments/Instructions:
1\1 ts : vii(il NoA - 1;,a_._ s peiN,\ 1 s Ka N .
intv c) u,410.-e ‘44 F-t_boiv.m 6 k.fett..b i ts 0
Crik-t-"*1 fsba__. 1s it4 ■--
- "a(401 t Zre10.1\t-t-wva.Z1 ‘f.! - ,1_4_L.
v• kAlcuto.\ ko- f3 .kt Yk. 6 ..›.) NEL,-
q \ .
r ) \
MU
PASS I I PARTIAL APPROVAL El CANCEL n NO ACCESS
I I FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: GTh• 0 ( 6 6 1-*-.• & \ mt
Date: 1.0$ u43, v o Phone #: (503) 718- lkile '
CITY OF TIGARD ,
BUILDING DIVISION T PERMIT #: l. 02008 0:1Q:?3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /1( /0(8
Phone: (503) 639 -4171 �O�IP���u���
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ' __..
INSPECTION WORKSHEET FOR DATE: 1/17/00 TIME: 7 :00AM PAGE: 12
SITE ADDRESS: 1 2660 SW 136TH CT CLASS OF WORK:
SUBDIVISION: OBRS HEIGHTS LOT #: mg TYPE OF USE:
PROJECT NAME: JENSEN
DESCRIPTION: (2) branch circuits.
OWNER: JFNSEN, NORMAN && JUDY PHONE #: 971- 678 -2940
CONTRACTOR: WEBER ELECTRIC INC PHONE #: 503. 620 -1906
Inspection Request Scheduled For: Date: 1/1712008 Pour Time: ,�
Code # Inspection Description Confirm # Contact # Message ( i<-6
120 Electrical rough -in 063441 -01 97.246 -7038 Y
?moo rtb"P
Corrections /Comments /Instructions: -e Lo
i
/ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: - — Date: ` Vo Phone #: (503) 718-
-