The URL can be used to link to this page

Permit CITY OF TIGARD ELECTRICAL PERMIT 14:„. PERMIT #: ELC2007 -00138 COMMUNITY DEVELOPMENT DATE ISSUED: 3/8/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134BD-04600 SITE ADDRESS: 11680 SW ASHWOOD CT ZONING: R -4.5 SUBDIVISION: ENGLEWOOD NO.2 LOT : 134 JURISDICTION: TIG PROJECT: COOK • Project Description: Change out service panel 3/27/07 added (1 branch circuit to •erm' 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: 1 W /SERVICE OR FEEDER: 1 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: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MICHAEL E. COOK PRECISION NW ELECTRICAL 11680 SW ASHWOOD CT 12020 SE ANNA CT TIGARD, OR 97223 DAMASCUS, OR 97009 Phone: Contact #: PRI 503 - 413 - 9870 FAX 503- 521 -1637 FEES Description Date Amount Reg #: ELE C47 [ELPRMT] ELC Permit 3/8/2007 $80.30 LIC 163318 [TAX] 8% State Surcharge 3/8/2007 $6.43 SUP 5036S Total $86.73 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: Permittee Signature: 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. Mar 07 07 10:41p Precision NW Electrical 503 521 1637 p.2 Electrical Permit Ap il g �.�� _ —_ --FOR-OFFICE-US E-0-N1,11- ._ s u U ; ld�.,- [� R o e . • /� PccmitNa ..,g, -" 40 • City of Tigard R e'xly `•' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit Phone: 503,639.4171 Fax: 503.598.1960 . y, . ' • Date/By. H See Page for IJ I hate Rea Ly�Y Inspection Line 503.639:4175 1: ® .: - -_� / t ie 1 Sapplementat Information Internet: www.ci_ligard,or.us Notified/Method -. • 1 w lici Uil K 1L ) . PLAN REVIEW Please check all that apply: ❑ New construction A'A410171$01terationhep)goe e rk (]Service over 225 amps, eomm'1 ❑Hazardous location 0 Demolition ❑ Other: [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 ❑System over 600 volts nominal units in one structure 10 and 2- family dwelling ❑ Commercial/industrial 0 Accessory building °Building over three stories 0 Feeders, 400 amps or more ❑ Multi- family ❑ Master builder • ❑ Other: DOccupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND. LOCATION DEgressllighting plan RV p� p , ❑Health -care facility ❑Other Job no.: Job site address: 1 1 (..o V 0 5 AS�- C V Submit 2 sets of plans with any of the above. City/State/ZIT': 1 1 (1 - t(An/■ri) 1 ( 0 t 0' - 1 -2--2- The above are not applicable to temporary construction service. j FEE* SCHEDULE Suite/bldg./apt. no.: i Project name: coc ) 1 C Description [ Qty. I Fee. I Total I .. Cross str'eetldirections to job site: New residential single- or multi-family dwelling unit. Includes attached garage. 1,000 sq. R or less 145.15 4 Subdivision Lot no.: Ea. add't 500 sq. It or portion 33.40 1 Limited energy, residential 75.00 2 Tax map/parcel no.: Limited energy, non - residential 75.00. 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90,90. _ 2 . � __e_ Os V ' , �' i SA--1v` s F E ' L G r 14 Services or feeders installation, alteration, and/or relocation PF�JCY -rI C Q Z, , 200 amps or less _ 80.30 1. 2 I PROPERTY OWNER ❑ TENANT 201 amps Co 400 amps 106.85 7 IT 401 amps to 600 amps 160.60 Name: ` t C04- i - 4 L.- £ L. C odz- ) 601 amps to 1,000 amps 240.60 Address: Over 1,000 amps or volts 454.65 Reconnect only 66.85 '< City /State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( . ) l Fax: ( ) 200 amps or less 66.85 I Owner installation: This installation is being made on property that I own which is not ' 201 amps to400 amps 10030 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 60(1 amps 133.75 _ Owner signature: Date: f Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT . . . 1 . 9 with CONTACT. PERSON A Fee for branch circuits service or feeder fee, each 6.65 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 . each branch circuit Address: ' Each add'l branch circuit 6.65 . • City/State/ZIP: Miscellaneous (service or feeder not included) Phone` ( ) I Fax :. ( ) Pump or irrigation circle 53.40 Sign or outline lighting 53.40 E - mail: Signal circuit(s) or limited- . CONTRACTOR energy panel, alteration, or extension. Describe: Paget Business name: Ptt .e r S t 45 s.2.‘ 1‘ j''k-sj -E--,v �V i Address: 12 '2_0 E. tom./ h t.. � 1 Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: LJ)N,r,..1. S Li ,.. ) S t Oc a 70 Investigation per hour (I brmin) 62.50 Phone: (5j bi_A, ---C � 0 Fax: ( r 5) S'G2.. 1 _ t ts - Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lie.: 1 tD331 F) Electrical Lie.: c,43 Suprv. Lie.: 1 O3 l I Subtotal PO r -c Suprv. Electrician signature, required: 4\/ e, Plan review (25% of permit fee) State surcharge (8% cif permit fee) (0.4' Print name: t,.-„ ice. , Date: -� j1_, ('� © `� Q TOTAL PERMIT FEE f r ^ `e1LE? 3 Authorized signature: This permit application expires if a permit is not obtained within 181 days after it has been accepted as complete Print name: I Date: • Fee methodology set by Tn- County Building Industry Service Board • • Number of inspections per permit allowed i:\Bukfing \Permits\F3.C•Pam itAyp.doc 12/03 440 -4615T( 1 0n2/COMPWEB CITY OF TIG = =pD .. uilLpiNG 1 mSl®N PERMIT #1.1&200").()013% 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 $ "�� i � l i+ 4 Inspection Requests (24 Hrs.): (503) 639 -4175 r -' ..' INSPECTION WORKSHEET FOR DATE: 3 as . 8 TIME: PAGE: SITE ADDRESS:I 1 6S S S${ 1400 V. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: pAN fil LANs b OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3.31' ®1 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 Corrections /Comments /Instructions: per. Nom. ci, fl ,`Z `c,) • [iX PASS I I PARTIAL APPROVAL CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Cr'ak't 6 66 lit Date: 31 I' Phone #: (503) 718- AIL_ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2007 Phone: (503) 639 -4171 �'aN�u�iiry , Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 11680 SW ASHWOOD CT CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO.2 LOT #: 134 TYPE OF USE: PROJECT NAME: COOK DESCRIPTION: Change out service panel. • OWNER: COOK, MICHAEL PHONE #: CONTRACTOR: PRECISION NW ELECTRICAL 0 PHONE #: 503-413.9870 Inspection Request Scheduled For: Date: 3/26/2007 Pour Time: Code # Inspection Description onfirm # Contact # Message 199 Electrical final 045393 -01 503-413-9870 V Y • Corrections /Comments /Instructions: if Z2 Trtov ip6' Pig wAU. R"q.Pci laviUtQi P W N�L 4 ■1 --- &1Z I 43 c-tbLZI i4 6 0 raZ-- Pkov 0 el P K 4 t U LL '' v.1 b(Lf l•Q� �1oO - The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918 - 271 -0030 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � \`� () L' Date: 3 'Zb 1) Phone #: (503) 718 -LIR()