Permit CITY OF TIGARD . ELECTRICAL PERMIT
" PERMIT #: ELC2007 -00358
COMMUNITY DEVELOPMENT DATE ISSUED: 5/24/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112CD - 10500
SITE ADDRESS: 07833 SW ALDER ST ZONING: R - 12
SUBDIVISION: HAMBACH GROVE LOT : 003 JURISDICTION: TIG
PROJECT: ROCKER
Project Description: (3) branch circuits for a/c and furnace connections and service plug. Job NO. 07 - 579
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: 2 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:
ANDREW ROCKER BOB'S ACTION ELECTRIC INC
7833 SW ALDER ST 2700 NE BURTON ROAD #A
TIGARD, OR 97224 VANCOUVER, WA 98662
Phone: 503 - 670 -1271 Contact #: PRl 360 -254 -7200
FAX 360- 254 -8219
FEES
Description Date Amount Reg #: ELE 37 -431C
[ELPRMT] ELC Permit 5/24/2007 $60.15 LIC 53136
[TAX] 8% State Surcharge 5/24/2007 $4.81 SUP 4322S
Total $64.96 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: _- �j iIj / Permittee Signature: 5Ii€ ,o / a
OWNER INSTALLATION ONLY
The installa is is •eing 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.
Electric Permit i _'; FOR OFFICE USE ONLY • „ `
City of Tigard Received
13125 SW Hall Blvd., Tigard, OR 972 l V j ` nn Plan Re : D s o Permit No.: ELL 0.• — a6 i.. .
g ")0117 Plan view
Phone: 503.639.4171 Fax: 503.598. )6 t r " • - b /hl�p � t Date/B Other Permit: p' .. l �z3
Inspection Line: 503.639.4175 �+iT l g �/ O F'1 IGARD cemsel e!II�- Date Ready /By Ju,is r, 0 See Page 2 for
. Internet: www.ci.tigard.or.us �J Notified/Method: le Supplemental Information
BUILDING PV1S1ON
-� � ..,.� <y . A ` f _ - s. TYPEsOF WORK � •
„� ', .,, i . . - PLAN _ REVIEW
❑ New construction ❑ Addition /alteration/replacement Please check all that apply
El Demolition ❑ Other: ['Service over 225 amps, comm'l ❑ Hazardous location
....z, .:.........: :..: . „_ e., »..:n- , -..., rating v
❑Servic over 320 amps ratin Bulldng over 10,000 sq. ft. ,
h`'^'i' .r -, :r 7 _> ` C5- dwellings � �� TM ; � . ATEGORY'OFCONSTRUCIO - LL � of 1 -and 2 family d ell gs 4 or more new residential
® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑Master builder ❑Other:
['Occupant load over 99 persons EManufactured structures or
gill jt j &JOB SPTE:sI FORMATION° AND t ATON ° S 1 ❑ g r g g plan RV ark
�..n: e�x, �._.�r�_;�s - - sex -�,�
. rx. '�.�k�`.�;�� E ess /li htin ]an p
❑ Health-care facility ['Other:
Job no.: 07 -579 Job site address: 7 833 SW Alder St . Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97224 The above are not applicable to temporary construction service.
::,i = a.... ,p :._:.r:: - 'FEE— •_.SCHEp I E
Suite/bldg. /apt. no.: Project name: :...,
Description Qty. Fee. Total
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'1 500 sq. ft. or portion 33.40 l
Tax map /parcel no.: Limited energy, residential 75.00 2
,r � _ „< F, ,j _, , Limited energy, non - residential 75.00 2
I i ,. j r - „ #R . DESCRIP:TION <OF RK r ,ate •• ' ? y , , ' - Each manufactured or modular
dwelling, service and /or feeder 90.90 2
A/C tip: furnace connections & service plug Services or feeders installation, alteration, and /or relocation
200 amps or less 80 30 2
:� '❑ �PROE
PRTYOWNER "vim m ) , < �x � 4 201 amps to 400 amps 106.85 2
� ., >� -4i� ._.s '"''''"''''''''"''''"°''' x'• - ' _ � ''' ' ® ., ..
401 amps to 600 amps 160.60 2
Name: Andrew Rocker 601 amps to 1,000 amps 240.60 2
Address 7833 SW Alder St. Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: Tigard, OR 97224 - Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( 503) 670 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
i " '' A'�” " . o
�v . ,�. ®APPLIC � '�_ �� ` ��.,.•,, ® CONTACT,PERSON� f ' # A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
1 46.85 46.85 2
each branch circuit
Address:
Each add'l branch circuit 2 6.65 11. 30 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
4 r "r ' ti a - _ �" g panel, alteration, or
�. ���,. �. al'" �4�ax,i ° a�..�„ Yap,. � _.�,�_�.�;..',._�..��r�.�..._ energy b
extension. Describe: Page 2 2
Business name: Bob's Action Electric
Address: „ tt Each additional inspection over allowable in any of the above
2700 NE Burton Rd. A Per inspection 62.50
City /State /ZIP: Vancouver. WA 98662 Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73 75
Phone: ( 360) 254 -7200 Fax: ( 360 ) 254 - 8219 . '
• �;:`��'`�'<., 4; ELECTRIGAL�?EERMIIT'�FEES* =
CCB Lic.: 53136 Electrical Lic.: 37 -431c Suprv. Lic.: 4322S Subtotal 60.15
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: Date: State surcharge (8% of permit fee) 4.81
Kev B ros l e 5/22/07
TOTAL PERMIT FEE 64.96
Authorized signature B This permit application expires if a permit is not obtained within 130
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tn- County Building Industry Service Board
** Number of inspections per permit allowed.
i.\ Building \Permits\ELC- PermitApp doc 12/03 440- 4615T(10 /02 /COM/WES
CITY OF TIGARD
BUILDING DIVISION '° PERMIT #: ELC2007 -00358
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2112007
Phone: (503) 639 -4171 OP� ��i+�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/31/2007 TIME: 7 :00AM PAGE: 55
SITE ADDRESS: 07833 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 003 TYPE OF USE:
PROJECT NAME: ROCKER
DESCRIPTION: (3) branch circuits for a/c and furnace connections and service plug. Job NO. 07 -579
OWNER: ROCKER, ANDREW PHONE #: 603 - 670.1271 —
CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 360 - 2647200
Inspection Request Scheduled For: Date: 5131/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 �
Electrical final 049317-01 360 -254 -7200 Y
Corrections /Comments /Instructions: ) 16\
3 91033 ��F (p 1/4)( 1 .14An��
PAS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: �• \vOQ Le Date: 51 311 ol Phone #: (503) 718- 2-441