Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELC2008 -00442
DATE ISSUED: 7/31/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR ,97223 503.639.4171
PARCEL: 25111 DC -02500
SITE ADDRESS: 15745 SW ALDERBROOK CIR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.8 LOT : 472 JURISDICTION: TIG
PROJECT: MIER
Project Description: Installing (4) branch circuits for kitchen remodel.
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: 3 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:
ROBERT MIER WILLAMETTE ELECTRIC INC
15745 SW ALDERBROOK CIR PO BOX 230547
TIGARD, OR 97224 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 7/31/2008 $66.80 LIC 75059
[TAX] 12% State Surchar 7/31/2008 $8.02 SUP 4226S
Total $74.82 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By. �/ , j , �����% Permittee Signature: ��� / �f �� 0�
4 10 1 P Y'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO: •
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
07/31/2008 THU 7 :58 FAX 5036242938 Wi1.lamette Electric a 002/002
. 4_,,riectrical Permit A licatao ll CE I:-yl: oily s tI i �i �..,: ti .. F k:4
Internet: ,,r , v Received Per No.. cfU - ( L i/--
7- i - ,4 -mi a " - gy of ';iga�' ` oo$ n,ee/a : 7 . � � Permit —
31t �'r = 13125 Si Hall Blvd TigruYl, OR 9/223 �` 3 Men Review pehorPumtt. -��
l' 5 , Phone: 503.639.4171 Fax 503.590.1960) Dategiv. Judo: "� Sce f'nF e 2 fog
1tOt +i . {t inspection Line: SOS.( 1175 1 !' tY
i Ty VV�� to Reedy By: �nti(cdRySe — f Snpplen,cnfnl9nfnrm4itiara
C ? , - "r3C •• vnvtv j. 1 1 O s-r' ° e.....____ — """°'°
PLAN REVIEW
•�—
Pie.Sa check all thru apply (oubmir 2 sets of plans whi ms checked below)'
�- J °
( 1`ICW Co }1 S'iftiCt.[On Id Addition /alteration /replacement • ° service ar feeder 400 amps or more ❑ Building ova three statics.
1J Uc1i1Oliti o'n [, Other: where the nvailablc fouls current 0 Marinas and boatyards.
euccede 10,000 amps or 150 volts or 0 noosing building
i CATEGO£a'S( OP CONSTRUCTION t est to ground Or exceeds 14.000 0 Commercial -use agr coin m1
1 . 1- end .^family dWe1 [� Com mercial /industrial El A ccessory building I amps for all oilier inc +•tnauonc. buildinaa. 0 Fire pump. 0 rnetallation (4'75 K! or
Ivtulti -0 mil El Master builder Other: largo' separately deriver) s stem
i i`-`i Y - - G1 Emergency system. Rc y
I 3010 sm. o'FOF111 AT10N AND LOCATION D Addition of new motor land of
//, more, oecunmtcy.
`• J:yb no.: �' ' -x I S si(c address: ' �-�� 100.HP or C 4. ,/��. C? t /�. FJ� -i 1' `C] Si. or more residentiol =to 0 Recnvation: i vehicle imeltr•.
ZlP. � •� Hcnllh•crin facilities, ❑Supply voltage for must than Ci /StRtc /ZIP: C'' f L 7 . `i 600 volts n minol.
t?� lfl 2G. r _ �liaznrdous locations
' Su • '' 0 Servicc or feeder 600 amps or more. �m
v'uitc/b1.de./apt. no.: Project name: i.:,14 - 1 FEE SCIfE ®TJLE'
Cross street /dirccticvns to Job sae; iklai (on dry. rn. rornl °
y - __ ___. -- New residential single- or multi. srmily dwelling unit.
Includes attached garage.
1 —. ].00A sq ft or less 945 15
1 Subdivision: - - Lot no.: U
I -- — F.A. ft. u. add') 500 sq. ft. or portion 33 : _ _.
Wax rnnli /parcel no.: -.
Limited energy, residential 75.0 2
rr DESCRIPTION OF WORTS (with above ,art.) -
1 . � Limited energy. 1 ' ' Limd residential itecncr f rn above s fit.) 75.00 2
I, -, f. %). t..�:__ J ' 1 �.�} _. — .�_m.,.
L._..,.. , - - -- - -- - - - -- l ^-> �- t Services or feeders instorllation anti /or relocation 200 amps or less 80.30 ( T 2
- -..,.,.,.. •..-,- 2
_� T'irIQ7}F'6TZ "J"�' OWN - Ell ...... TENANT -- ZOl amps to 400 amps 10fi.BS
....- _.-- ..._.__._..,.�.. - -- - 401 amps to 600 amps __.. 160.60 2 -
i; fettle: - 1 �., . r . a ♦ i 240.60 2
5 �. _ ' f 601 amps to 1,000 amps
I Address: .._�.._,..._.- � _. __ _R Qvcr 1,000 amps or volts
Temporary services or feeders installation, alterntion, and/or
i l. ity /$rite. %7_'lly: relocation
i •'----- -..._. _.__.....,... __.._____- ....•..m.,.....,�_ —. •. „e- _m'a'__. 66... 1
t P1 ( ) Fax: ( ) 200 amps or less �_
- - 201 amps to 400 amps 100.30 2 I
I Owner hiss lintion: This installation TS made on property that i own which is not •
401 amps to 599 amps 133.75 2_
intended for sale, lease, rent, or exchange, according to OHS 447, 449. 670, and 701. 401
ranch ci 5 9 a Ara elecraeio or 1 1 3 3 7 �cr an
( Owner' signature: - Date _ A. Pec for branch circuits with
0 APPL1CAAN2' 0 CONTACT 0> '.. oN a °hove service or feeder fee I 6.65 � ` 2
_ _ 1 each branch circuit
Business name: ®. T 5 I B, Fcc for branch circuits
L _—_ n -- - r ,r + i r wrrho)sr service or feeder fee, I /G•RS it(G 2 I •
i Contact name: ; first branch circuit
Each atd'l hrtuich circuit t •�) I 6.65 /q,7 2
1 Addr __ 1�l + _ ®-- 14 1 1,C Miscellaneous service or feeder tot Included
I Cil'y /SratdZlP'. _ ,ti a Each manufactured or modular 40 j 2
I ___ -- __„,,,�, dwcllin_. service and /or feeder
Phone: ( ) Fail:: ( ) Reconnect only 1111111 66.05
j E-mail:
Pump or irrigation circle 53.40
-' .
- "°�� — Si or aniline lighting $3.40 '
'A name: signal circuit(s) or limited-
1 OSineSS : 1 ) l = i" i` t- s'1_r,-. rr - ' :) ..J r.. energy panel, alteration, or
extension. Describe: Page 2 l 2
i Ci.cy /; tare /ZIP: -?.•. z ^ • •,; tech additional ins action over allowable in on of the above
_- ..w...__ .: • i 0.2 f - •- Pei inspection 62,50
I Fax: ,... ., , 2.50
Phone: ( '`1 -' „ G~ (: )c:f f: ::5 Investigation perhour hr min) 6 _ _�— —
e , • �� Y industrialplgntperhour 93,75 ' , ,, t „,1
CCI3 Lie.: 11 Electrical 1 ic. Suprv. Ltc..: ;7 -_ i , 2 “ st/
' ) t ?` J t, . Wi t> ELECTR �A1 PERMIT »Fs v„ ,c
_ ( n p )
,Supn•, Electrician signature, rcgaircd: °_- `� Sub2otatT
-- �° ^� J � (/ Ptanrcvrrw 2S / >of etmrtfcc'.
Print name ' i) ties,: / JC �7 State surcharge (12%O¢permit foe): ,, ;;V3___ S..0),
8"),,
Authorized sigt+ arose: TOTAL PERMIT FEE: y �_, � O c e
_ t.
..____...._ ..,..,,,.. - •- ---•• --- --- - -- -- - This permit application cspirca it permit ;v not nbrntncd within Off
1
Print itlt ndttle: I Dale
i dr _ e ° 4�. dnyu after it hoc been aecepced or camplcSC.
_
° Numbr. o.r;ns after
ns allowed per permit.
:u:uiidmn'r'c ..t.c.PencnApp.dec 092Y0s at0.o6:5701N5/CON/wc?
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008- 00442
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7!31020013
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 16
INSPECTION WORKSHEET FOR DATE: 9/1702008 TIME: 7 :00AM PAGE: 16
SITE ADDRESS: 15745 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 472 TYPE OF USE:
PROJECT NAME: MIER
DESCRIPTION: Installing (4) branch circuits for kitchen remodel.
OWNER: MIER, ROBERT PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 - 6243631
Inspection Request Scheduled For: Date: 9/1702008 Pour Time:
Code # Inspection Description Con "firm # Contact # Message
199 Electrical final 075565-01 ) 503-7845680 N
Corrections /Comments /Instructions: N,
\ .
l
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL fl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr N 08 l.Q Date: 9111 A Phone #: (503) 718- IA%
, i (- .._ ,
.