Permit J - CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 - 00753
COMMUNITY DEVELOPMENT DATE ISSUED: 11/8/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 109AD -09300
SITE ADDRESS: SW BUGLE CT TRACT "C" ZONING:
SUBDIVISION: ELK HORN RIDGE ESTATES LOT : 00C JURISDICTION: TIG
PROJECT: KRUEGER
Project Description: Reconnect for service for street light in private street. Pole is located between 12745 and 12765 SW Bugle Ct.
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC:
Owner: Contractor:
CONNIE KRUEGER
12725 SW BUGLE CT
TIGARD, OR 97224
Phone: 503 - 939 - 6269 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 11/8/2007 $66.85
[TAX] 8% State Surcharge 11/8/2007 $5.35
Total $72.20 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 fo _ - an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rul- are set fort' i. •A' • .2- 001 -0010 through OAR 952 -001 -0100. You may obtain c.. es o these rules or direct questions to OUNC at
503.24 9 .r 1.800. • _. 23; . ,.''
Issue' By: / � Permittee Signat 00 ir ld
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.
11/08/2007 10:34 FAX 5032429018 :' . CASCADE LIGHTING 11001
1VO — U - ' 1..001
l Permit pplil - . r 1) ' tt r ;,,,, . :FOIZ OFF,IcE :USE i )N[;Y . . •
• City o Tigar C "' •ae� ;yea &AM" ?''DO ?b t_ V 13125 SW Ball Blvd., Tigard OR 97223 ` +afcBy: �I 7 Permit No.: ar
m ; .ti Plan Review
' Phone: 503.639,4171 Fax: 503.598. V
Date./By:
Permit:
Tl'CARL1' Inspection Line: 503.6394175 ` O �OO D;,teRaadyBy: See Page 2for
. Internet: www.tigard -or. ^p
o Notified/Method:
"a "i, ;,,: i, -i n n, ' , ,,.,, ,... 3 t mcntnl Information
� r , ` Sup 31e Inf d n
: ;tl �il11 „- 1- �,1, ;�: ; 1,l ;tli, � n c , !1; 6 A,: c i i,s" , �+�` t !iii! ,,,h .n,,^ ..^1= ,-7 ; ., , tyy - ',n,.,� .. .,,r,
11
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E] New construction ❑ ' di o i ? :1 ' ` i ' r'- t •: ' • � Please check ; all that apply (submit 2 seas of plans w /items checked below):
(1 Demolition Other: • U Service or feeder 400 amps or more [] Building over three stories,
, ..,.,,:.:::;,”' t o ,_ ,, : „ ,,,,[ . . ...::.::.:...... .. ..... a ,,,,,,,,,, where the available fault current I :! Marinas and boatyards.
:, . „;, .....:J s„ :. i , a • I,.;tiTG QR Yr,: ;�) , TIL ?I'::r 1 RI, !hiil ;y "?S'lii,', Hi? i;t,;r; l
i'' 1Ki _ ? "! jjiL exceeds t
'' , S, ,,, tl,: ' Ir "2. : J ; .,� y l,� l ; 4 U, nd, amps exceeds I 1 volts n ❑ Comm . ia it
.:... - „• , ,.....1 ........:.:. .,,,:.,�,.,: l �.......�.,. ,.:- „- :...::, ,,,,,, , ".:.., ..... , �,.:, ., ,.;,t_ I,'. ,111 ,.:.: , [ " ', � , v il`, L 8
y g C 01 A sso rybuilding '+ ' am s to
f or All dl ot f Or insmil t installations, buildings,
❑ Multi- family . C.1 Commercial -use aytioulttrral
I- aild2 -famil dwelling CommerCial/industrial amps ;olrer installa�ions, r] Master builder ❑ Fire u m
p P- Li Installation of 75 TCVA, or
.,`,, li " �iFliji ;il�::iJ ;i' ;l lo; I:- ?w: ; ;j�l ;:a.,:,p� ,.,.5 vva: v:.: �L;:. xq pp. A , .n:}r.:[ ; :,r : nra:,, ah ,...n.,., „r..,... -,
y r' , i i i iiiii l l i ,��J13 Silli , d +t i + l n r „ -+ I. I Emergency system. larger $ eparate) d erived stem,
s
is 2 .a t ' .., �,I()1 l�ltt�l)'d , Y Y
_ ,.. ,. +i, +, ,r i1ll,,,r 3 {�.,: ❑Add new motor load of 0 "A ","E' "1- 2 " "1 -3 ",
Job no.: Job site address: Track C Elk Horn Ridge 100HP or mo occupancy.
❑ Six or more residential units , I.1 Recreational vehicle parka.
City /State /ZIP: Tigard, OR 97224 ❑ Health -care facilities, ❑ Supply voltage for more than
Li Hazardous locations. 600 volts nominal,
Suitc/bldg. /apt,no.: Project name: Elk Horn Ridge Estates ❑ service or feeder 600 amps ormom.
'��i'i��ii`li; ;ail �' {i, i ' ; ;�'! ;,.{'f ;i''i {ip ; ;nt..,,,.i , ,.,,,.,. ,.,:,.
Cross StreCt/direetions l0 site: 128 Place 1.i ,,,,..i, f�,k,,,,,, (6:.n i ,.ei 9 ,, ili {f � l + ,,ll, r ,'_ F i.:, 4 .:!
Davi tine L 1, „
New residential single- or multi - family dwelling unit
Includeq attached garage.
Subdivision: Elk Horn Ridge Estate Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: - -- Ea. add'( 500 sq. ft. or portion _ 33.40 I
• ,,,,,ice"` + ;:air ;,.,,,',: ;�,, , ; ; :,�.- ; , r „ -, l,imitcdenergy, residential
J ; ,:hil :..'......'-.. tI” ; tdt41x1� OZi',..#_ _,,, ,,,.,: _ ..11,, ..
.,..,: 1 1 ' � r ,��' i � I {'� SI ' � ! 1 � �,l � I t , ,1,G, � ' , + ) 77.00 2
1. . j� � , { 11 1 ,,1 +� ,�, ( above sq. i t.
f [ u, ,, t W,,,,� r ! 1 „ 11 a ( , a � �+
Reconnect for Street Light L energy, mult
residential (with above sq, ft.) 75,00 2
Services or feeders installation, alteration, and /or relocation
v;.; 1 ',rlrt 200 amps or Suss 80.30 2
•. -. I . 1 „�,:.,•:,:,•.., t • �::.:,'.. y ,.,,,,, ��.: � .::::. .................. .
.... ; ;r. lie
;{ai �: 1 ��.:-, ��: i�; a ,....,, „n�:,:�,.,.,�,,, ; ,
7r�lF'fy]�Il t' '(
, .v.. ,•[ li [ ' . �� 1' }t(r11 it �� 1' +i 4'�l"�[Athll� � 11' i j �1 20l am S to 4
t „ 1 p 00 amps _ 106.85 2
Name: Connie Krueger 401 amps to 600 amps 160.60 2
Address: 12725 S.W. Bugle Court 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
City /State/ZIP: Tigard, OR 97224 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)939.6269 Fax: (503)242 -9018 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. 401 amps to 599 amps 133.75 2
Owner signature: Date' Branch circuits - new, alteration, Or extension, per panel
. A_ Fee .
;P; „.:tidal r': ,,,.., i;' �° �:: I' .:.,: ; ; ; "...:,.,.,r ...........: ...........Y,.. ;t? Ili° i:-,;.,. �, �, �;;;;;, a. F �,,; I„- ,,.:,,.,�- ,..,,:.,,:,,... branch circuits
,,.a Il 1'E;f.1iy.L +.Al ( „ (lit ina:,...::,: $ i�
w...l fill,.,:.. .:........... ..::... T�i'......,,I,n: ;�.: Irl; , ; , �:,'......c�tli�l� ;,�,i���`,1 I l I ; I�� pl ' above I .. ,.. � - • r },y , ,. ... ;� - ;�1�:�i1��� - i �ii l ;. or feeder fee,
4a' ;
t:'i'., . ;:,[III 6.65 2
Business name: each branch circuit
B. Fce for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit _
Address: Each arld'I branch circuit 6.65 2
City /State /ZIP: .._,. Miscellaneous (service or feeder not included)
Each manufactured or modular
Phone: ( ~) Fax: : ( ) dwelling, service and/or Feeder 90.90 2 • - Reconnect only 1 6ti.85 66.85 2
E -mail: Pump or irrigation circle
53.40 2
„ :,.: aY'i;''a: ,::: �.1 +... +,S1S l,f, "., f .. .. ' � - ��,,.,,r ........ .. . �. ,..,fv,q,i:4,,,, ,,�t!!I{Ir, ::,:�, � „:,r,.w r „ �,,. .,., ....... .. ,.�n „�.
t1, 4;', f•;” J:` r!' m, l: G1; til arl j;„ ijl' Fi : 'a'r�,'d�S'iii:'';:d:;,,,,', ... ,:1:.,, „1., „i,,....i,,,, ! ..,.L:, -,,,, .,_. ! y ,, ..�+, • —
a lu,l,.._ ,, r , F. i r, , ,, .... ...... �I,.,.1 11 u
i � I:.::,: � I I' � +t , .,,:,I,�.drll+?- , = ^ �i,r ue' iliti;,:r � :„6; � � �, ; "li Sign or outline lighting .53.40 2
Business name: Signal eircuit(s) or limited- '
energy panel, alteration, or
Address; • extension, Describe: Page 2 2
City /State /1.,[P; Each additional inspection over allowable in any of the above
Phone! ( ) '' Fax: ( ) Per inspection 62.50
• Investigation per hour (1 hr min) 62.50
CC.i3 Lie.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour _ 73.75
Suprv. Electricians r a j.., lay � ;(f�:; ;tg1j }„ 1";OI�l~f l`tirl2�1Q4t0., i#tibt ::.•i, u, ,a 1
p i ture, required:
E,8„ a:.'';ilj.;`t °:',a;:
Subtotal: 66.85
Print name: Dale: Plan review (25% of permit fee):
1 - State surcharge (8`Yo of permit fee): 535
Auth.orizcd signature: �� f / - _ / -
/ TOTAL PERMIT FEE: 72,20
Print name: 1 •'• A A Date:
This permit application expires if ;permit is nut obtained within 1110
days diner it has been a...tired as complete.
r: lBuildinglNernllSetII .C- Pern,jtAap.d 35/23/06 ` Number or inspections allowed per permit,
445 -4Ai (1 limicoM/W55
A 4
CITY OF TIGARD •\,
BUILDING DIVISION 447
PERMIT #: ELC2007•00763
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007
Phone: (503) 639-4171 4w11011V
Inspection Requests (24 Hrs.): (503) 639-4175 ,,-.-J4 r '.....
INSPECTION WORKSHEET FOR DATE: 11/9/2007 TIME: 7 PAGE: 34
SITE ADDRESS: SW BUGLE CT TRACT "C" CLASS OF WORK:
SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 00C TYPE OF USE:
PROJECT NAME: KRUEGER
DESCRIPTION: Seivice reconnect for street light in private street. Pole is located between 12745 and 12765 SW
Bu9le Ct.
OWNER: KRUEGER, CONNIE PHONE #: 503
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 11/9/2007 Pour Time:
C. - # Inspection Desc .4 tion Confirm # Contact # Message
199 Electrical final 059392-01 503.939„6269 N
---------'
lions/Comments/Instr *, - : I
CALL V MN) 10Sf CAI ) 0 to
Qo . Rite-e.c.t. PNL_. °NI .
v4 tuuA onv et • ) 1-:1 caOs 4
clgvirc.AL c 0444 tsit .
I PASS El PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
410 FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: Date: VLI1(6 Phone #: (503) 718- Iltia