Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00140
COMMUNITY DEVELOPMENT DATE ISSUED: 3/11/2008
'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 1108 B -02900
SITE ADDRESS: 12360 SW CHANDLER DR ZONING: R -3.5
SUBDIVISION: ARLINGTON RIDGE LOT : 006 JURISDICTION: TIG
PROJECT: DICEHLER
Project Description: Installing (3) branch circuits for gazebo.
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:
TOM DICEHLER GARNER ELECTRIC
12360 SW CHANDLER DR 2920 SW BROOKWOOD AVE #A
TIGARD, OR 97224 HILLSBORO, OR 97123
Phone: 503 - 860 -4931 Contact #: PRI 503 - 648 -4552
FAX 503 - 642 -7925
FEES
Description Date Amount Reg #: ELF 34 -305C
IELPRMT] FIX. Permit 3/11/2008 $60.15 FIG 121159
[FAX] 12% State Surchar 3/11/2008 $7.22 SUP 3707S
Total $67.37 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: , �� Perm Signature:
/ ~
Y' �� 9
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.
R :GARNER ELECTRIC FAX NO. :5036427925 Mar. 11 2008 07:44AM P1
P
- v
. . .
Electrical Permit A i lcatios GEN 1!-!:) ri Fo ()141(.7F. IJSE ONI1,1:'
.
.. -. City SW Hall vd.Tigard OR 9722hR 1 1 of Tigard Received .2- h , ct .
Date/13 : 42 if Li0 �Y/ 71 PemlitNm: JELL
131, , KA 1 1_ phin Review
; •• 13125 - II • Phone: 503.639,4171 Fax: 503.598.1081r r ., A co T. ..
- • .. Oilier Permit;
T1 .... ...
- • Inspection Line 50:3.639,4175 aVY a l"I 'l k% - ik t Date Ready/Ilyt mirk 71 See Page 2 for
4:3A RIO
Internet: www.ligarri-or.gov "MWISIOPL.Notifie.lavie11.1,0d •
; Supplemental information ......
... t
' ,( ' li: ', n''' fl • ■ • •,' •l; ll 'ff li , ll;lllli Z l:4711 Ml•lij ll:.lPl . , • T!'l ' - :ll, A il) 9. ! '11lN i' l' ,::
P4i taile ..4I0' g 'lE'l 41 'a TO I9 -:' t. L.7.4 P:4:.:.iii .iiiii4:• lk:,.li.,.A ..,.• i .. , ,; :0,,,LE:A.,..i.14.3.?,:‘,•:
0 New construction r4l Addition/alteration/replacement Please deck all that apply (submit I SO:. aping wiLlems checked below):
ID Service or feeder 400 arrips iic morc CI Building over ihreo stories.
0 Demolition ii Other: where the available Rua cumin El Merinos and boatyard,. • l_ OET,7 exce 10
ed:: ,000 amps ai 150 volts or 0 Floating hunclillga•
l ,. I li Ril,FONli li l ..16 es .:ltri I '4' :V.471.1rStW,I'lpt-ag,Flili!,G;;N'qlf!!4;•; Okt .4: t-i • • 1
Jun to grviiml, or mooch I 4,000 ( !oinmeirca I. u4e agricnItura.
III 1- and 2-family dwelling 0 Commercial/industrial El Accessory building arripis for all other insial)ationa, buildings.
flIl •Multi-family ['Master builder 0 Other: 0 Fire pump. Dinstalon of 751<vn ol'
).^7. ID P,t1 terse ney system. larger separately tionved system.
LLI,TiiiilpiRZLiiiiL 'ill.:,:"" ',":0: TOWTiy(1 7 Ad • • .
O 0
I ad f ID "IC, “ti,.., -1-2',"1-3
.L. !1!:.-"i...!,. , i: aaaL.Lh'ii,...' i .. 1 i r, ;.,.... , .,....: L:.... l ..,.... c.„: -_,—dIttoll of new ITI0fr 0
100HP lir mord occuraney•
Job no.: lob site address: 13 ( ,s (6x1to 0- • SIX Of More realitelltillt units. 0 Recreational Valiele It.akA.
..--,--,_ Cl Ilealth-care thellitica, .y amine I tome ome than
El Suppl 1 fo
City/State/ZIP: ( ( 1 7 . 600 volts „,„„iiim,
In Hit,ardous }minims.
Suite/bidg./apt. no i Project name: D Service or feeder 600 amps or
more
.. .. .
ridi ' '.. ', :il . ') ' i - ..!)- tt-a;tri
Cross street/direetions to job site: :1 giy. Fee. 'Fulfil 1 , • ,_
. .
— — New residential single- or multi-family dwelling unit.
Includes attached garage.
,...
.. . _.
Subdivision: Lot no.: 1,000 sci, it or less 145.15
, .. 4
—, - Ea. midi 500 sti, tt. or portion 33.40 1
Tax map/parcel no 1.nrsted energy, residential 75.00 2
1 , . i i„i,i i iiiii L..!•ii'lLL!!!!"0.-i'iqi i.'irli.,:./,'LLL ." iiiiiii' "1V7 .iyri•KSw1--iw,:i■x..1;w:..T;1.,•,:i7,77,71r, w„,,,o., (with „ to
zi d irn .,,,',„A i ii i ..,.,, :i/ L IL L' k N, , , ,,....,, t .,, .„, .. -. ,
I ,B„iec, en Crgy, 1111 .11U - fa Mi tY 75.00 2
( 3) C 6/ I t5 -- \ALLN_ FOY" C( ..._, e-.60 residential (with above sq. ft
..
Services or feeders installation, alteration, and/or relocation -
„ , .., 200 amps or Less 80,30 2
1
- Lp, ° 4/ 9 ,101*6 1 10 ity A'ilISEtiiLLILL: LPg.':'Hi — 261 arrg„ 10 406ami„ ...
106,85 2
,..„„I l,:t.. , ,s...,i*ii.. , i.,;14i , iii,iii.i , „...,../d1,:...! ,,,, , , ,.. :..:ziiiii:'4iWH...iiI!
401 amps to 000 amps 160.60 2
Name: ,. o in., Dic ek_kr
601 ampa to 1,000 amps 240,00 2
Address! Over 1,000 amps or volts 454.65 2
City/State/Z IP: Temporary services or feeders installation, alteration, amid/or
.. ... .. _ ... .. .._ _relocation ... . .
Phone: ( cV) ( L(e1 3 ) Fat: ( ) 200 amps or less 66.85 1
2o1 amps to 400 amps 100.30 2
Owner installation: Thio installation is being made on property that I own which is not .
intended for sale, lease, rent, or exchange, according to OR.S 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per pancl
Owner signature: Date:
. - A. Fee for branch circuits wirh
8 i ' ,..-
IjLia :771171tfitAII,:142,
,.a lii9gNi,T14.TOAI"T'D-N` lr abOVcSerVire or feeder fee,
a,A t ' ... k 1... - ..... i l4F Illtl'''' •, a iie:!:.: A :,,iiiiiIi., ,i,i...,g,„...ire7:,iitrt,,,,, 6.65 2
each branch circuit. , ,.. . -
Business name: • it. Pee for branch circuits
withnut service or *e(ler fee,
Contact name: 46,85
first branch circuit
Address:
Each add') branch circuit 2, , 6,05 B,130 2
..„
- .
Miscellaneous (service or feeder not ineludecl)
City/State/ZIP: Each manufactured or modular
-.• . dwelling, service and/Of feeder 90,90 2
Phone : ( ) Pax: : ( ) Reconnect only 60,85 2
.._ . ._ ..
E Pump or irrigation circle 53.40 . 2
,,,
womoupp,t1Lipp 4goiief , l'i . 3.1117; ...:,,,,,g,,,,.., Sign ca outline lighting 53 AO 2
Signal circuit(s) or
Business name; name: G.Ag Ai E I R c i_c_.1-g..i C.- energy panel, alteration, or
'_
Address: 211 s e R itA,1-7- extension. Describe: Pege 2 2
City/Stiite-/ZIP: t4, 1 I R 9 - "I I 23
-,,,•,_,Ak■ E.th sul4 ImpeeliOn Over allowoble 111 on of the ahovc
Per inspection
,-, 62.50
Phone: (5 ^' )
_ V Vtb_45$2-- ' I Fax: (5.3) b2.5.-- Investigation per hour (i hr min) 62,50
_.,. ..._ .. - -.
CCB Liu,: ii,t 1 $ Ci I Electrical Lie.: so v. I.ic.:3 -7_5 ) D -
Industrial plant per hour I= 73.75
Stiprv. Electrician requit ed : signature,
. ar: ' . .
.• . - " .`.511 .iItIalieratIligirannii!;„, ''...."...T•4.:; riZbiliR:6I
. Subtotal:
• ' I/ 1. WA/ : :(::vdy:::: - Plan review (25% of permit fee): -
Print name:_fA
.. Y4 4 ' . 3.,b'081 State surcharge (12% o1'permit fee), 77, "Z 2.,
Authorized signature: TOTAL PRRIVI IT FEE: • , —/-
'this permit a pplication expire,' if a permit Is ant aloailied win n lb
Print 0 Wile 1 Datc: ds nrter It his been accepted as t'on'tillete•
-. ' • '' • • Number of inspections annwed per permit
[Atha leineurrnital,C-Perrali App.eoc 05/23/06 440-45151')) 1105/COM1WP.14
CITY OF ��nm m n�"m TIGARD
BUILDING DIVISION PERMIT #: ELC20013-00140
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1 1nDOa
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 44�W ^�J�
INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7:MAIVI PAGE: 42
SITE ADDRESS: 12360 SW CHANDLER DR CLASS OF WORK:
SUBDIVISION: ARLINGTON RIDGE LOT #: 006 TYPE OF USE:
PROJECT NAME: C4CEHL[R
DESCRIPTION: Installing r3\ branch circuits for gazebo.
OWNER: DIGEHLER, TOM PHONE #: 603-860-4931
CONTRACTOR: GARNER ELECTRIC PHONE #: 603-648-4652
Inspection Request Scheduled For: Date: 3/3112008 Pour Time:
Code # Inspection Description Contact # Message
199 Electrical final 509-648-1552 N
^ .
Corrections/Comments/Instructions:
C
fl PARTIAL APPROVAL CANCEL fl NO ACCESS
FAIL r l CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: G—~ N��8� ^ e Date: 3` 3 A- �� Phone #: (503) 718- 2-
` ^
CITY OF TIGARD 1 .-
. .
BUILDING DIVISION .. . c,
1 PERMIT #: ELC2008-00140
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2008
Phone: (503) 639-4171 411k
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/17/2008 TIME: 7:01AM PAGE: 47
SITE ADDRESS: 12360 SW CHANDLER DR CLASS OF WORK:
SUBDIVISION: ARLINGTON RIDGE LOT #: 006 TYPE OF USE:
PROJECT NAME: DICEHLER
DESCRIPTION: Installing (3) branch circuits for gazebo.
OWNER: DICEHLER, TOM PHONE #: f.i0604931
CONTRACTOR: GARNER ELECTRIC PHONE #: 603-648-4552
Inspection Request Scheduled For: Date: 3/17/2008 Pour Time:
Code # Inspection Description /--Crairm-# Contact # Message
i \
199 Elethical final \ 066633-01 503-648-4662
Corrections/Comments/Instructions: MAY-
\
50 . I-1 Z" MI
q) P tkoisiT t Om k-Ecx v 1 ttcb F& k yv\
CsikeA-4 i. v 4 NI SI auLiker616\
El PASS PARTIAL APPROVAL 0 CANCEL n NO ACCESS
%FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Gr- INI tsf5 LE
Inspector: Date: 3 - 11 4 ti) Phone #: (503) 718- 21410