Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00330
rj• COMMUNITY DEVELOPMENT
DATE ISSUED: 5/15/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S115AA -10300
SITE ADDRESS: 10978 SW BRETTON CT ZONING: R -4.5
SUBDIVISION: BRETTON WOODS LOT: 008 JURISDICTION: TIG
PROJECT: LEE
Project Description: Install a /c.
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:
ROBIN & CAROL LEE HOTWIRE ELECTRIC INC.
10978 SW BRETTON CT 7435 SW 240TH PL.
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone: 503 - 789 - 6795 Contact #: PRI 503 - 848 - 6823
FAX 503 - 848 -6823
FEES
Description Date Amount Reg #: ELE 34 -549C
[ELPRMT] ELC Permit 5/15/2007 $53.50 LIC 146276
[TAX] 8% State Surcharge 5/15/2007 $4.28 SUP 4487S
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: j • -.. � � Permittee Signature: QA/ e
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.
a • E:lectrica! Permit ApD � y l:FOit OFFI,. E. t I. O\l.l ,
® r+� Received S / / n7 51--N) Permit No.: -� `., ^'�3 J
City of Tigard DateBy: /
13125 SW Halt Blvd., Tigard, OR 97223 MAY 1 5 2007 +' Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 ..wry I Date/By:
Inspection Line: 503.639.4175 CITY OF i IGAR 7, JJ . rf I: Date Ready/By: lu�n El Set Page 2 for
r.
Internet: www.ci.tigard.ous BUILDING DIVISION II Notified /Method: " 1 f r � Supplemental Information ,
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply:
❑Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition 0 Other. ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. IL,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑System over 600 volts nominal units in one structure
® 1 and 2- family dwelling ❑ Commercial/ industrial ❑Accessory building ❑Building over three stories [Weeders, 400 amps or more
Multi - family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons El Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
❑Health -earn facility ❑Outer:
Job no.: Job site address: 10978 SW Bretton Ct Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard, OR The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg. /apt. no.: Project name: . �� drorriptine I Qt I Fee. 1 Teter 1 "
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 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
Hookup A/C _ Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER !
201 amps to 400 amps 106.85 2
Q TENANT 401 amps to 600 amps 160.60 2
Name: ,ed.gj^/ f (4/2 L (� & g- 601 amps to 1,000 amps 240.60 2
/ v / /'y
Address: 9 f 6) 226 d. / C. , Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/Z1P: '176P /<L) /9-� Temporary services or feeders installation, alteration, and/or
% relocation
Phone: ( r J ' �f9 —� 7 93 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
❑ APPLICANT 1 ❑ 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, 1 46.85 4 c 2
first branch circuit
Address: Each add'1 branch circuit ( 6.65 _ t (p 5 2
City/State /ZIP: Miscellaneous (service or feeder not included) ,
Pump or irrigation circle 53.40 2
Phone: ( ) i 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: Hotwire Electric, Inc -
Address: 7435 SW 240 PI Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: Beaverton, OR 97007 Investigation per hour (I hr min) 62.50
F ax: 503 848 -68
Phone: (503) 848-6823 ( ) 848-6823 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES*
CCB Lie.: 146276 Electrical Lic.: 34-549C Suprv. Lk.: 4487S Subtotal 5 3 0 5 0
Suprv. Electrician signature, required: /�� h/ Plan review (25 %ofpermit fee) — 7- rr
!° State surcharge (8% of permit fee) 4 . b
Print name: (, N A h Date: SI i /01. TOTAL PERMIT FEE Jr 7 ,1 g
Authorized signature: This permit application empires 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
r, Number of inspections per permit allowed.
z' EZ89 BtrB -EDS qeN d6f LO 'T Rel.,'
. CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00330
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/15/2007
Phone: (503) 639 -4171
A Wpu�
Inspection Requests (24 Hrs.): (503) 639 -4175 . z 1 L„
INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7 :00AM PAGE: 14 ,
SITE ADDRESS: 10978 SW BRL I I ON CT CLASS OF WORK:
SUBDIVISION: BRETTON WOODS LOT #: 008 TYPE OF USE:
PROJECT NAME: LEE
DESCRIPTION: Install a/c.
OWNER: LEE, ROBIN & CAROL PHONE #: 503. 789 -6795
CONTRACTOR: HOTWiRE ELECTRIC INC. PHONE #: 503.848 -0823
Inspection Request Scheduled For: Date: 5/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me : -•• -
145 NC or heating unit circuit 048915-01 503 - 789.6795
Corrections /Comments /Instructions: --(
1 4,--( c ___ iviA- lit6 ik-r‘,F5
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/(ASS P: 'TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL 7 'ALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
/
•) S Z__ 44 7
Inspector Os Date: Phone #: (503) 718 - I/