Permit t' CITY OF 1 IGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00263
e�r DEVELOPMENT SERVICES DATE ISSUED: 4/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 DB - 00607
SITE ADDRESS: 07700 SW CHERRY ST ZONING: R - 3.5
SUBDIVISION: ROLLING HILLS LOT : 012 JURISDICTION: TIG
Project Description: (2) branch circuits for bath 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:
ABBLITT, JAMES B /RAN DI I NORTHSIDE ELECTRIC
7700 SW CHERRY DR PO BOX 12323
TIGARD, OR 97223 SALEM, OR 97309
Phone: 503 - 639 -1956 Phone: 503 - 585 -4879
FEES Reg #: SUP 1877S
LIC 80593
Description Date Amount ELE 24 - 14C
[ELPRMT] ELC Permit 4/19/2005 $53.50
[TAX] 8% State Surcharge 4/19/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
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
suspe °. or • - than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules re set forth in • & R 95 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 ► 46 -6699 or 1 -800-
Issu: By: _ A■VN PermitteeSignat 41111,, I0 . *. m ��-
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:
C TRACTOR INSTAL ATION ONLY
" (c5--�`-
SIGNATURE OF SUPR. ELEC'N: ■:! � _.` -;�✓ DATE:
LICENSE NO: ( «77.
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.
04/19/2005 10 : 36 FAX 503 3640248 NORTHS I DE ELECTRIC [j002
E lecrutit Application FOR. OFFICE usE-orvix _ _ • - _
. 1/4
C ity of Tigard RECEIVE* , R.;„v..
.. D.,sy: i 4,<- Permit No.: ELLtp..005.-expa 63
1: 12.5 SW liall Blvd., Tigard, OR 97223 rlan Review
?1 one: 503,639.4171 Fax: 503.598.1960 A PR 9 A ,,t' 1 't
ni q. 0 Date/By: Other Permit:
j) pection Line: 503.639.4175
Anc 1 2 ,1.0.- 1J.. Dote Ready/By: s ;* • 511 Scc rage 2 for
Lo emet: www.ci.tigard.or,us NotifiedAdothod: sa. ' m
( )p...' trammd.,)
„ ) ,,.,;.,..„,:d ,#,,,,,,,,,:, ,,) :, J su w E:' . • , , N . • ...„It.„..,.•.,.1 ,- ■, P r ,1
": F;i4l1,019: ..1g..ltp ....: . .i;■::* , !,t , 17;4:0iP2:1;111.;::-V!!Iii9M ... . 2%...:V.::1 ■ t; )611
_ New construction 74 AddSbillanSieoEMBKINnt Please check all that apply:
CIService over 225 amps, cononl l=IHazardoos location
._,; *Demolition 0 Other: ,„,,.,. OService over 320 amps - rating ['Bulking over 1(1,000 sq. ft„
Iti e,V;PiV.;413P .?. 4411 i.....b 4..zight4r algrI79r;"1,, t, M■i° ' „-( of i_ amd 2-family dwellings 4 or more new residential
-. • sc..4104e:e - ---,.., • . , ,. , . -,' ' 'W A '.,,
.4. I - and 2-ftunily dwelling lij Commercial/industrial 171 Accessory building ['System over 600 volts nominal units in one structure
[1 Building over three stone; OFeeders, 400 amps or more
: Multi-family []Master builder 0 Other: El Occupant load over 99 persons 0Maiaufacured structures or
iiiatEsirri',=1;r: . i'i,' ,ii.i:. ['Egress/lighting plan RV park
It 3 no.; ... Mi l li Job site address: ' pp gi . 4 it
1711FreN r° 014ealth-carc facility 00ther:
- _ Submit i sets apt= with any of the above.
2, ty/State/ZIP: TI • tamp 6IPMVIMIRML. The above arc not applicable- to temporary construction service.
i. . Min AV •11 4 r ' 11 kikOBAT.i.011t.MORZt.4.! ..” a zII atizew.mgi:4
3 itebldg./apt. no.: Project name: t am iftrAi
....._ Dem-ha:km Qty. Feu, 'fatal
C OSS 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
---_—.
S .bdivisi on: Lot no.: Ea. add'l 500 sq. ft. or portion 33,40 _ 1
- - — — Limited energy, residential 75.00 2
I x map/parcel no.: Limited energy, non-residential 75.00 2
EtW ,,,'.0.,7".:.i...i;1,15,1,.rtrymP,AvTi:i...;A' Each manufactured or modular
I
1 WiTEWirdniViTe
0 ., _ ...., dwelling, service and/or feeder 90.90 2
Services Or feeders installation, alteration, anchor relocation
200 amps or less 80,30 2
1 106.85 2
11 R.; k -44 vivrompoTimma ,,, 201 arnps to 400 amps ...
.. 1 L , , -, 4 ; ; 1 7,,,..L iza w, Am , . , a ,opm' ..,.L.4 , i4; 40; amps to 600 am 160.60 2
' -iNt `4- C;60a. Lt TV 601 amps to 1,000 amps 240.60 2
iclress: 7
Over 1,000 amps or volts 454,65 2
, P A .. _ • # MR_
i , _ Reconnect only 66,85 .., 2
ty/State/ZIP: I t C„ in) 09-N qi 9-9- 3 Temporary services or feeders installation, alteration, and/or
.
relocation
1 8 P lone: (5::15) L tc:( 5- 0 F,x:( ) 200 amps or less 66.85
1 ,
— _
C wiser installation: This installation is being made or property that I own which is riot ' 201 amps to 400 amps 100.30 2
ii tended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 13335 2
C wrier signature:
Date: tiranch circuits - new, alttration, or extension; per panel
' .' '''''"'" ,. ;i7 t A.Fee for branch circuits w;th
E asiness name:
_____________------
_......---- -- — —
- service or feeder foe, each
branch circuit
— 13, Fee for branch circuits
C antact name:
-
k
without service or feeder fee,
__ .
j
each branch circuit 6.65
__ 2
46.85 2
J ddress; each aild'I branch circuit I 6,65 0,0V 2 .
—
11
A ity/S tate/ZIP: Miscellaneous (service or feeder not included)
' Pump or irrigation circle 53.40 2
I lone: ( ) Fax: : ( )
1tii , Sign g n or outline li htin . g 53.40 2
I - mail: Signal circuit(s) or limited-
''' maer • IM i '4,,,:a met and itheraLiOn, or
kREIM.MaaPAL. H= .4.0131Lboa, P '
go , extension. Describe: Page 2 2
.
I usiness name: \ K . 4 p -' ____
• --.---
t ddress: pri 5, _ _ a - - — Each additional inspection over allowable in any of the above
, pot inspection 6150
( ity/State/ZIP: , _
.._..
1 .. -- P
( CB Lic.. LE ____ ' A ' 6 I
ectrica
• •‘30. * Electrical • l L - ie.. • ( Ar w-
e/
24 - 1 I-4 C, Suprv. Lie.: I 6--ng Investigation per hour (1 hr min) 62.50
Industrial plant per hour .
J hone: ( 503) — 4 Fax: ip)
73-75
CliggE'llOPOSIMEOPUIg 'NI gos ..rb'f :',ivvt 4MTI 47.4.1 WI
Subtotal =NM
uprv. Electrician signature, required:
—
riot name: :TON . E Datek--1 01 -IS Plan review (25% of permit fee)
(NO
State surchargo (8% of permit fee) Kilegfill
TOTAL PERMIT FEE alffit,
'
uthorized signatu • Thim permit application expires If n pit erm is not obtained within 1110
7 117i s NO ./ flays niter it has been accepted as complete
l
... 11.1P. tint name: rDate: " Fie methodology set by Tri Building Industry Service Board
- -. Number of inspections per permit ALCM/ed.
AP s s.... :\ jr.e.hcg \pcnnitc\ELC•PcniniiApp.iloc 121u3 4 0/02/Cqwwuri
"■_)
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2005 -00263
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4119/2005
Phone: (503) 639 -4171 hAdi
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/16/2007 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 07700 SW CHERRY ST CLASS OF WORK:
SUBDIVISION: ROLLING HILLS LOT #: 012 TYPE OF USE:
PROJECT NAME: ABLI T
DESCRIPTION: (2) branch circuits for bath remodel.
OWNER: ABBLITT, JAMES B & RAND! I PHONE #: 503.639 -1956
CONTRACTOR: NORTHSIDE ELECTRIC PHONE #: 503 - 585 -4873
•
Inspection Request Scheduled For: Date: 4/16/2007 Pour Time:
Code # Inspection Description Con rm Contact # Message
199 Electrical final 04506E1-01\ 503. -4879 Y
Corrections /Comments /Instructions:
f
0 PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v d " W Date: 14 a on Phone #: (503) 718- P1 °I q
CITY OF TIGARD ' .. 'a-72 "
f.
BUILDING DIVISION PERMIT #: ELC2005 -00263
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/2005
Phone: (503) 639 -4171 i
ii I
Inspection Requests (24 Hrs.): (503) 639 -4175 iittil
INSPECTION WORKSHEET FOR DATE: 512/2005 TIME: 7:10AM PAGE: 53
SITE ADDRESS: 07700 SW CHERRY ST CLASS OF WORK:
SUBDIVISION: ROLLING HILLS LOT #: 012 TYPE OF USE:
PROJECT NAME: ABLITT
DESCRIPTION: ( branch circuits for bath remodel.
OWNER: ABBLITT, JAMES BIRANDI I, PHONE #: 503- 639 -1956
CONTRACTOR: NORTHSIDE ELECTRIC PHONE #: 503 -585 4879
•
Inspection Request Scheduled For: Date: 51212005 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
125 Wall cover 005784 -01 503-585-4879 N
Corrections /Comments /Instructions:
r i / r c
1 I r � , i 1 . ka�1 ri A. / Ai,.
.4.•_,I, 7
S etA4 1A-Al
k / � "
tr 7 / � ( 9
N ikC )- I (Z. " 6 N A L I N S_e■ON ti
•
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calends!' days per OAR 918- 271 -0030
.
SS k!' • ARTIAL APPROVAL ❑ CANCEL n NO ACCESS
r
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
-"02 j�
Inspector: MI Date: --. 0 - --- Phone #: (503) 718-