Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00510
DEVELOPMENT SERVICES DATE ISSUED: 9/11/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111DB-03100
SITE ADDRESS: 15335 SW ALDERBROOK CIR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.8 LOT : 490 JURISDICTION: TIG
Project Description: (2) 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: 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:
DIANA POORMAN BOONES FERRY ELECTRIC INC
456 GOOSE CREEK RD PO BOX 628
WOODBURN, OR 97071 WILSONVILLE, OR 97070
Phone: 503 - 720 -7652 Contact #: PRI 503 -682 -4936
FAX 503 - 682 -7946
FEES
Description Date Amount Reg #: ELE 3 -223C
[ELPRMT] ELC Permit 9/11/2006 $53.50 LIC 88482
[TAX] 8% State Surcharge 9/11/2006 $4.28 SUP 49185
Total $57.78 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: `/-.rr� Permittee Signatur .
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.
Electrical Permit at' FOR OFFICE USE ONLY
City of Tigard �" "� Received ,..% 7) _o6 Permit No�(�►. K- 1 6b 6b.5.-/ O
13125 SW Hall Blvd., Tigard, OR 97223 D
Plan n R Re eview
Phone: 503.639.4171 Fax: 503.598.19t1E -, 2OpC ,, �II Date/BY: Other Permit:
Inspection Line: 503.639.4175 JC __-, Date Ready/By: i 1 H See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: :C" 17 Supplemental Information
_.. y.. i� _
a PLAN REVIEW
❑ New construction ? s Ad• itbn/alteration /replacement Please check all that apply:
El Demolition ❑ Other: ['Service ['Hazardous over 225 amps, com'l Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
p ,l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
El Multi- famil ❑ Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons DManufactured structures or
JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park
Job no.:/00 7 0 6 Job site address : / 3 5 S'1„) ff I de b k ( ❑Heal -care facility ❑lei
' .
Submit 2 sets of plans with any of the above.
City/State/ZIP: ? ; yd 4 Q p 9 7 2. z 3 The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg. /apt. no.: Project name: (0 S 40,,, gtnvv.t A i 4 1 ._
nescripliou 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'l 500 sq. ft. or portion 33.40 1
1 ax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non- residential 75.00 2
r DESCRIPTION OF WORK Each manufactured or modular
t ` c� It U ^ CI dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
3. 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
' ddress: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
.ity/State/ZIP: 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
T ❑ APPLICANT ❑ CONTACT' PERSON 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,
first branch circuit I 46.85 2
Address: Each add'I branch circuit I 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Boones Ferry Electric
Address: P.O. Box 628 Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Wilsonville OR 97070 Investigation per hour (1 hr min) 62.50
Phone: (503) 682 -4936 Fax: (503) 682 -7946 Industrial plant per hour 73.75
ELECTRICAL PERMIT EMS *
CCB Lic.: 88482 Electri Lie.: 3 -223C + ` Suprv. Lic.: 3 7 6 S Subtotal Si , 5 i
Suprv. Electrician signature, requir • • �i _ . Plan review (25% of permit fee)
State surcharge (8% of permit fee) .e?
11111111 w 1k
int name: Date:
TOTAL PERMIT FEE s 7, 7 e
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri -County Building Industry Service Board
° Number of inspections per permit allowed.
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CITY OF TIGARD
BUILDING DIVISION
41111 PERMIT #: ELC2006-00510
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006
Phone: (503) 639-4171 it t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7:02AM PAGE: 46
SITE ADDRESS: 15335 SW ALDERBROOK CIR CLAS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 490 PE OF USE:
PROJECT NAME: POORMAN
DESCRIPTION: (2) branch circuits for kitchen remodel.
OWNER: POORMAN, DIANA PHONE #: 503-720-7652
CONTRACTOR: BoONES FERRY ELECTRIC INC PHONE #: 503-682-4936
Inspection Request Scheduled For: Date: 11/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039708-01 503-682-4936 N
Corrections/Comments/Instructions:
•
F AIL n 1 RTIAL APPROVAL El CANCEL NO ACCESS
FAIL . IV; CA v:i - 1 • ECTION - ADDITIONAL FEES ASSESSED
Inspector: /
Date: _ Phone #: (503) 718- '2454'
CITY OF TIGARD . • • .. ... .
• - . • , .
i
BUILDING DIVISION PERMIT #: ELC2006-00510
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006
Phone: (503) 639-4171 AO,
Ja
Inspection Requests (24 Hrs.): (503) 639-4175 l (
INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7:02AM PAGE: 66
SITE ADDRESS: 15335 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 490 TYPE OF USE:
PROJECT NAME: POORMAN
DESCRIPTION: (2) branch circuits for kitchen remodel.
OWNER: POORMAN, DIANA PHONE #: 503-720-7662 •
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682-4936
Inspection Request Scheduled For: Date: 11/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039502-01 503-682-4936 Y
Corrections/Comments/Instructions:
. 9 10/0, i.e., th L,,,,
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v , g 4 I
n eac a b o k- e,
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
›.-FATL —4;4"CrAil FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector:
.0))/12! Date: // 9_ O 6 Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: EL 0200 005IQ
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 9/11/2006
Phone: (503) 639 -4171 pu 1 t
Inspection Requests (24 Hrs.): (503) 639 -4175 AL
INSPECTION WORKSHEET FOR DATE: 911212006 TIME: 7'01AM PAGE: 24
SITE ADDRESS: 15335 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 490 TYPE OF USE:
PROJECT NAME: POORMAN
DESCRIPTION: (2) branch circuits for kitchen remodel.
OWNER: POORMAN, DIANA PHONE #: 603- 720 -7652
CONTRACTOR: B00NES FERRY ELECTRIC INC PHONE #: 503 -682 -4936
Inspection Request Scheduled For: Date: 9/12/2096 Pour Time:
Code # Inspection Description Confirm # Contact # Message
036377 -01 503 -682 -4936 Y
12 F.o u -N
Corrections /Comments/ Instructions:
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PAS Ti PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: GINt. NOS L-- Date: 6 Phone #: (503) 718 - A________
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: ELC2006 -00510 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date By • Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing X 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors X 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 • Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I:\Building \Inspection Cards \Forms \AOP- InspCard- Blank.doc 12/09/2005
C ITY OF TIG w R® ELECTRICAL PERMIT
H •
4, DEVELOPMENT SERVICES PERMIT #: ELC2006-00510
Ai. I , F , DATE ISSUED: 9/11/2006
u.� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111DB-03100
SITE ADDRESS: 15335 SW ALDERBROOK CIR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.8 LOT : 490 JURISDICTION: TIG
Project Description: (2) 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: 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:
DIANA POORMAN BOONES FERRY ELECTRIC INC
456 GOOSE CREEK RD PO BOX 628
WOODBURN, OR 97071 WILSONVILLE, OR 97070
Phone: 503 - 720 -7652 Contact #: PRI 503 - 682 -4936
FAX 503 - 682 -7946
FEES
Description Date Amount Reg #: ELE 3 -223C
[ELPRMT] ELC Permit 9/11/2006 $53.50 LIC 88482
[TAX] 8% State Surcharge 9/11/2006 $4.28 SUP 4918S
Total $57.78 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 C%
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. N
•
Issued By ,,,,/ A �p / , ' ,, Permittee Signatur
. OWNER INSTALLATION ONLY O
The installation is being made on property I own which is not intended for sale, lease, or rent.
E
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY O
SIGNATURE OF SUPR. ELEC'N: DATE: J`
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. Cf
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.