Permit .s
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CITY OF TIGARD ELECTRICAL PERMIT
�f PERMIT #: ELC2007 -00590
COMMUNITY DEVELOPMENT DATE ISSUED: 8/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 104 D D -05400
SITE ADDRESS: 13777 SW AERIE DR ZONING: R -4.5
SUBDIVISION: EAGLE POINTE LOT : 045 JURISDICTION: TIG
PROJECT: VANDERSCHUERE
Project Description: Wire hot tub. •
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
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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: 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:
VANDERSCHUERE, DOUGLAS P + JENNI WILLAMETTE ELECTRIC INC
13777 SW AERIE DR PO BOX 230547
TIGARD, OR 97223 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 8/21/2007 $46.85 LIC 7509
[TAX] 8% State Surcharge 8/21/2007 $3.75 SUP 4226S
Total $50.60 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 -001.0 through OAR 952 - 001 -01 I.. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued : /1 di'i fl / Permittee Signature:
e /ice `
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.
P ; 21 2007 1 34PM WILLAMETTE ELECTRIC INC. 5555555555 p. 2
I IF I r -t•r'- " /t" � �'!'t f t t /'.� '; (0, it f � ): .. - j '"' 4 L -°- "�', o.! 1' B t t a DICE i oiitaQN11.�} :i y t ' c ..x• i ,
l .. " liL li - i.li'l.lf}llt. 1!.l'� '�i Il � _._ F , i � �'
- f ., sy "114 , c• Ia - .M �• ,� y Y ,.
13 125 ,.., i lull III- :l.• I igartl, Plan Review I Phone: 5O339.4 1 7 I Fax: 503 59r,.1 • ) UG 2 f . «I` Date/8 �';t)i;, P,vmit:
yy x sa. S X ; .< - lute Q
Inspection Line 503 639 17:i 1 0 0 7 _ y ;s� lift e }ieadv By: sec Page 2 fua
Inletnct: www.ci.tigard.or us CITY _ Notified /Method: 7 .Supplemental tafurmatiun _
❑ New consttruction Addition /alteration rep acernent Please checic all that apply:
❑ Demolition ❑ Other: ❑Service over 225 amps, comrn'l alazardous location
❑Service over 320 amps -- ialing ❑ Buildng over 10,000 sq. rt.. ,
CAT1- OIIbY 4DF VO_ ' - ` itfeltifON .. ' .. of 1- and 2- family dwellings 4 nr more new residential
- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 v oits nominal units in one structure
['Building over three stories ❑ Feeders, 400 amps or more
Mu ❑ Master builder ❑ Other: red structures or
❑ Y t
- .. _ 14 persons
'.'1.. .. - ... ;x.. { :: i : - :,:: , :.
Occupant oad over 99 a lYtanu{actu
•':�€2,tt'�`l`�' -�E$ °: £ . ~`��(s � � a - .rau : i.; ^: , .... ❑Egress'lighfing plan 1W park
.. .. - i .•rz - ____.__ _..,,ff :.t „':
Job no.:g97 Job site address: 13 77 7 5,,,j I{ r,G or Health -care facility ❑Other: - -__
Submit 2 sets of plans with anrof the above.
City /State /ZIP: 1--/ ? "VI 0 e q, x, 3 The above are not applicable to temporary construction service.
' 'e -Tal 3Tir_ � a�; ii.10 ' . .. .. . 1 Project name: r V / f/ n c.
a b t r ..
- 'x' s ;ti. a _ t + z- .
Description Qty. I Fes '` Tani l ;
Suite /bldg. /apt. no.:
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 4
; Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
' Tax map /parcel no ___ Limited energy, non- residential 75.00 2
.. - ham. ,.�„ ,,�. ... :Tali :f..s< , __ -, :<
Y! -. :! I9Q•'n' 'A:10:0 _'0.14_ �`g' °a."._., Y . - i3.,...,., .. Each manufactured . ... _g"�'`,. . ._ ... ._.- ... ..........~:���,. :_.''-a�� : -. . , or modular I
�/ /-"
dwelling, service and /or feeder ! 90.90 2
7 1 44-6 v Services or feeders installation, alteration, and /or relocation
200 amps or less i 80.30 2
( =:�: :• . -7 - •N :, r ;:a, 201 amps to 400) amps 106.85 2 _
i�� r � - `t, =° _ - 'sip ^,,;'.
1 .. "wit' i '''' ' . - - ' -- , :44 ,- .41,; , ;::;:• , F;;;-..1: " '- ' - _' ' " '' " :.'" - -- _' -i 1
�? ,. :. :. . = ;,,. _ _._„ 2 401 amps to 600 amps 160.60 b0.G0 2
Name: i • j 4 4 _ . ' 601 amps to 1,000 amps 240.60 2
Address: / Sxote, A' A.v e7✓,& Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/Z1P: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) 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. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
_�,,., - ,.r• = .- _ °v- -, 'r„ $ iV - 94 z h s il u.�, Fvr
:: : =2 i 4 7-7114,'!--iii
._. 1.i; =Cc nic ..,rh- - : . f : 1 ,. ° > " r ._ i 9 � „ -• w l h , „,,,, „,:m.,.-__._ ' •rn..,,' service or feeder fee, each
6.65 2
Business name: _ branch circuit
B. Fee for branch circuits `t
Contact name: without service or feeder tee, ! 46.85 q �/.�� 2
• first branch circuit -
Address: Each add'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( ) 2
Sign of outline lighting 53.40
E -mail: Signal circuit(s) or limited -
..es= . '1414., :;, -- - _ .'7 -.,- :,"�,., r. I- ener Panel alteration, or
..., _ . '-'.."''''''l „ - - ._. -.� n �a •_.. ..- . _:., : ,,.,,...:.. ....._., .. extension. Describe: Page 2 2
Business name: td: i ll :.1,.... ell- t 6 7 eefrre:. Z'- z _
�'* Each additional inspection over allowable in any of the above
Address_ p O Li" 0,0,. 3 6 Sy ) Per inspection 62.50
City /State /ZIP: T", 9 ,3d' 4.• 1 w It d 7 •Z G Investigation per hour (1 In miu) 62.50
u 3y £ l' � 6 =s e Fax: (3t'i ) I % " Z +� 3 industrial plant per hour 73.75
Phone: .. - _ E ._ , - ^y; ,...
CCB Lic.: 75 / I Electrical Lic.: _Std -z) ,t Suprv. Lic.: Z Z 6 .� /IL Y .•
Subtotal �
-� r - -- -'" '- Plan review (25% of permit fee)
Suprv. Electrician signature, required = °'. "� D
7 .
State surcharge (8% fee) 3 , 7
Print name: a:� ; ,.r .f.: e ." Z1 z, -
TOTAL PEItiYf IT FETE 50 . (.s
Authori Levi signature. This permit application expires if a permit is not obtainzd within 1110
___ 1.11q1+ is nrtcr i. h been nccepted n! complete
Print name :: �` Mate: ' Fee methodology set by T■i- County Building Industry Service hoard
- r+ Number of nispcenons per pet ink allowed.
is \nu, min g \Pen nil ,\5 LC -t'r iniiAm, dos 12/03 d40 -461 ST( 10f0✓CO VII Wnn
CITY OF TIGARD
ELC2007- 00690
, BUILDING DIVISION PERMIT #: 8/21/2007
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 144
Inspection Requests (24 Hrs.): (503) 639 -4175 .�! r�ll
: _..
8/3012007 7:00AM 18
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
13777 SW AERIE DR
SITE ADDRESS: CLASS OF WORK:
EAGLE POINTE 045
SUBDIVISION:
VANDERSCHUERE LOT #: TYPE OF USE:
PROJECT NAME:
Wire hot tub.
DESCRIPTION:
' OWNER: VANDERSCHUERE, DOUGLAS P + JENNI PHONE #:
WILLAMLI I E ELECTRIC INC 503 -624 -3631
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 8130''2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 054900.01 971-219-0412 N
Corrections /Comments/ Instructions:
'----.)
(-(- /
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'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
f ❑ FAIL ❑ C L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I
Inspector:. Date: U S ® 7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC 10 j -00590
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0121/ 2007
Phone: (503) 639 -4171 J o wl/ 11116, Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/29/2007 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 13777 SW AERIE DR CLASS OF WORK: •
SUBDIVISION: EAGLE POINTE LOT #: 045 TYPE OF USE:
PROJECT NAME: VANDERSCIIUFRF
DESCRIPTION: wire Hut tub.
OWNER: VANDERSCHUERE, DOUGLAS P + JENNI, PHONE #:
CONTRACTOR: WILLAMETFE ELECTRIC INC PHONE #: 503 - 624 -3631
Inspection Request Scheduled For: Date: &12W2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
15 Hot tt)blspa/pool 054816-02 503-624-3631 N
Corrections/Comments/Instructions:
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I I PASS [ PARTIAL APPROVAL I CANCEL Et NO ACCESS
h FAIL [CALL F•R INSPECTION ADDITIO AL FEES ASSESSED
' ' ii/ A
f Inspector: Date: P hone #: (503) 718 -
P _ )