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Permit CITY OF TIGARD ELECTRICAL PERMIT rr„. PERMIT #: ELC2007 -00476 COMMUNITY DEVELOPMENT DATE ISSUED: 7/12/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102DD - 03200 SITE ADDRESS: 08317 SW CHAR CT ZONING: R - SUBDIVISION: FINLEY PARK LOT : 016 JURISDICTION: TIG PROJECT: CROSS Project Description: (1) branch circuit for sunroom. 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: 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: CROSS, MALCOLM A JR + MARCIA L OWNER 8317 SW CHAR CT TIGARD, OR 97224 Phone: Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 7/12/2007 $46.85 [TAX] 8% State Surcharge 7/12/2007 $3.75 Total $50.60 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 . • • - '. 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 th. 180 days. • T ENT : • Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR •.2- 001 -0010 throug AR 95 . 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issue. By: /4/ , Permittee Signature: %mho& et-ell OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. C /Z 7 4 OWNER'S SIGNATURE: t i / / 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 Application FOR OFFICE'USE ONLY R eceived �/� �j�j City of Tigard (J DateBy: 1 je Permit No.: 4 9...... 1 1007-150 ( 17 IN . a 13125 SW Hall Blvd., Tigard, OR 97223 „/J Plan Review 111 ? Phone: 503.639.4171 Fax: 503.598.1960 / (f'� Date /By: Other P�mit: T I GA RD Inspection Line: 503.639.4175 D / /� Date Ready /By: icr . See Page 2 for Internet: www.tigard or.gov � Notified/Method: ( � ® e9 Supplemental Information TYPE OF WORK PLAN REVIEW El New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. El Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural El 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family El Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", `I - ", ` ' (1,11.4...r 100HP or more. occupancy. Job no.: Job site address: S `S w ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: - r,' ..Q� 4 Q ©C 9 22 y ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: r a A) AQie-C-ti' ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: - Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 t at e - / rJ c 0 ,�r/ets h &� S c.)4. r po I4-t_ residential (with above sq. ft.) 1 Services or feeders installation, alteration, and/or relocation I'f ye. t a v Ovi-do4Y' ! t� Lir 200 amps or less 80.30 2 ® PROPERTY OWNER ❑' TENANT 201 amps to 400 amps 106.85 2 / /1 ft ©S s 401 amps to 600 amps 160.60 2 Name: a / L / o - 601 amps to 1,000 amps 240.60 2 Address: $ 3 / 9 5 hi C-ha.i. e`- Over 1,000 amps or volts . 454.65 2 City/State /ZIP: 57 " 7 a . t / a� [ 7 2D-- y Temporary services or feeders installation, alteration, and /or relocation Phone: (5725 ) 6? - 39lp 4 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, o exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 ��// //I1��� / Branch circuits — new, alteration, or extension, per panel Owner signature: /T `��t'T" Date: �( Z f L A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits / 46.85 0� pp- 2 without service or feeder fee, Contact name: first branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: energy panel, alteration, or Address: extension. Describe: Page 2 2 City /State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (I hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES ry Suprv. Electrician signature, required: Subtotal: , b Print name: Date: Plan review (25% of permit fee): State surcharge (8% of permit fee): 3- 7 5 Authorized signature: TOTAL PERMIT FEE. 50 , (of) Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Number of inspections allowed per permit 1:\Building\Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(t 1 /0S /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: yp n Audio and Stereo Systems* ❑ Burglar Alarm FT Garage Door Opener* n Heating, Ventilation and Air Conditioning System* n Vacuum Systems* n Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918 260 - 260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical n Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \Building\Permits\ELC- PermitApp doc 03/23/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00476 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2007 Phone: (503) 639 - 4171 At �i,f�ll Inspection Requests (24 Hrs.): (503) 639 -4175 n_ .. INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7:00AM PAGE: 60 SITE ADDRESS: 08317 SW CHAR CT • CLASS OF WORK: SUBDIVISION: FINLEY PARK LOT #: 016 TYPE OF USE: PROJECT NAME: CROSS DESCRIPTION: (1) branch circuit for sunroom. OWNER: CROSS, MALCOLM A JR + MARCIA L, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough- in /,4 /19 054492 -01 603 -684 -3966 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL I CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 4 2 3 Phone #: (503) 718 -