Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 00473
COMMUNITY DEVELOPMENT DATE ISSUED 8/14/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 104DC -03200
SITE ADDRESS: 13221 SW CLEARVIEW WAY ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT : 032 JURISDICTION: TIG
PROJECT: RATH
Project Description: Installing (2) branch circuits for bathroom 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: SIGNAUPANEL:
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:
MARY J. RATH BOONES FERRY ELECTRIC INC
13221 SW CLEARVIEW WAY PO BOX 628
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503 - 682 -4936
FAX 503 - 682 -7946
FEES
Description Date Amount Reg #: ELE 3 -223C
[ELPRMT] ELC Permit 8/14/2008 $53.50 LIC 88482
[TAX] 12% State Surchar 8/14/2008 $6.42 SUP 49185
Total $59.92 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: i Permittee Signature: i��',409' //piv
// 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.
E. — .. ..4 N4 2008 na. 3 �icag00iES FERRY ELECTRIC No. 4905 P. 1
'` . – .. = FOk-OFFICH; t ISC'ONLY '
City of Tigard Reee;ved t '
` v 1312] Sty Hall Blvd., Tigard, OR , r CEIVED ED Datc✓a . j , 7 µ
_ Phone: 503.639.4171 Pax: 503.598.1960 Plan Revie v
Inspection 503,639.4175 Date/B : Other Permit: �`v '1�W0 ��
TI G' Atr D p g B AU 14 2008 DateReady/B )ur ic: �tWO
Internet: w wv tl erd O r OV S Sec Peen 2 for
r.,?� eht t llll " � ,r+j , y ? am a5 .'x " ?� a E' ry Not etbod me al Information
e
'� " nppl nt
111 New construction
Addi
I. : "� l A..,'.a i ,ro grit "} a a • _ IN ah .. a:., :` SI P y
x,.�6:.; - 3atFlA dux G a
i• tio 1r t' x rr a: t : :' r' # fIf a Plea ch a ll that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑Other vl
ID Service or feeder 400 amps or mom ❑ Building over three stories,
+ 1 'fir, r: y 1 , v where the available fault current ❑ Matieas and boatyards.
!f a C a. „ .i.' g f ' _ 0i' d�,t 5ab a`n,�Sr tit��",d,R` M ri tA, exceeds 10,000 amps at 150 volts or
4 �aa�= ��..�. 'v# d , ;i:. i - el P ❑Floating buildings.
la1- and 2 - family dwelling less to ground, ie exceeds 4,O
$ ❑ Commercial /industrial ❑ Accessory building
d 1 ❑ commercial -use agricultural ❑ Multi-family amps for all Other installations. buildings.
Y ❑ Master builder ❑ Other
Tarrrt _ ❑ Firc pump. ❑ Installation of 75 Y.VA or
>�: 4 t dl l., ur'q�'��t� * f� �c��� I 1a� 1 �� �'t� „,„� ar'7. ❑erortcysystem.
ieairla 'SEERAIg ' �6 t larxerseparatelyderivedsystem
�
Q Additi of new motor load of ❑ "A" "E" "' 12" " 1.3"
Job no.:
/ 7 3 0 q Job site address: 1 Z2 I S ►✓ Cl ear V i es" lao- I ix or or moro. occupancy.
City/State /ZIP' d Six or more residential units. ❑Recreational vehicle parks.
❑ Health - care facilities. ❑ Supply voltage for more than
Suite/bldg./apt, no -: ❑ Hazardous location 605 volts nominal
Project name: Pr. r /V w Q Service or feeder 600 amps or more.
Cross street/directions to job site: :; o , t • . ;,
.
Descri . � t c:Ui . 1.
Iron
EMI Few Total
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 145.15
Tax ma / areal no,: Ea. add'l S
P P ad 00 sq. ft. or portion 33.40
rxn. e - n l
s r • •� a Limited energy, reside
a
•
't ' '- t i �Z ,'� 1J 1 `�"a C 1 O S sac residential
.. 3 b., , r; �u4 ur . anb . ,�+,. a Iky� 1 r" a _
Q �'��^,x,.._�- �,.St"t..�t� ;,r - es�,c�� trI,r -.''� n��� (with abovo sq. (i.) 75.00 2
D °-t h /"J uw„ f"P vv" 4,Q Limited enemy, multifamily
res idential (with above5gft.) 75.00 2
•
Services or feeders instaltatiolalteratio and /or relocation
. a r _ 200 amps or less 2
it lr� 6 ' :! ,, �rrs�`6 ' d� `� �a, ° �+'�l�� �•, o �.t , a^'• li. 80 30
_ , - 'arATI tttM • RMErt t t a Le 'cn 201 amps to 400 amps 106.85
Name:
2
401 amps l0 600 amps 160.60 2
ddress: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
`( ity /State/ZIp: Temporary services or feeders installation, alteration, and /or
relocation
Phone. ( )
Fax ( ) 200 amps or less
Owner installation: This installation is being made on property that I own which is not 201 am ps to 400 amps Ill 1 00.30 1
00.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 amps
133.75 2
Owner signature; Ddte _ Branch circuits - new, alteration, or extension. er panel
�4 r � '.t' Q p
1 :. V � RE ,f �,� A. a for branch circuits with
e,
r� t , _� - 'ts�.� :,,�ltr�,�,,�� �r a ",r'rL war;: a ��W
�[d_ 7Yt bove servi or feeder fee,
Business name: each branch circuit 6 -65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit
46,85 L/� t�� 2
Address: Each add'l branch circuit 1 /YlJ(p
6.65 , 6,5
City/State /Z1P: Miscellaneous (service or feeder not include
Each manufactured or modular
PhOnc: ( ) Fax: : ( ) dwelGng and/or feeder
90.90 2
Reconnect only 66.85 2
E -mail: E t t W , Pump or irrigation circle 53.40
i `t S : n.A t t ` 1 „tsFAR ` Sign or outline Iighnn g 2
���a ,,uir �t -:,a 53.40 2
Business name: Boones Ferry Electric Signal circuit(s) Or limited -
Address; P.O. Box 628 energy panel, alteration, or
extension. Describe: P age 2 2
City/State/ZIP: Wilsonville OR 97070 Each additional inspection over allowable in any of the above
Phone: (503) 682-4936 Fax: (503) 682-7946 Per inspection 1 62.50
Investigation per hour (I hr thin) 62.50
CCB Lic_: 88482 I Electrical Lic,: 3 -2 3C Suprv. Lic.: Industrial plant per hour ME 73.75
75
Su rv. Electrician �' j i M' t . ..7 :4' Y;
p an signature, required: .. 4 r
— Subtotal: . , j 3 . 0
int name: Date: — Plan review (25% of permit fee). ' �—
Authorized signature: State surcharge (12% of permit fee): 6 . I + Z
TOTAL PERMIT FEE: 5 , q j
Print name:
This P P
Date: permit applicatio ex ire if a permit is not obtained within 180
days after it has been accepted as complete.
' Number of ihspections allowed per permit.
t �HrLildiegVermit slELC- PermiiApp.000 05/25/06
P
440.45 I M i l/OS /COM/WEB
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2008-00473
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13i14/2009
Phone: (503) 639-4171 no.
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9116/2008 TIME: 7:01AM PAGE: 2
SITE ADDRESS: 13221 SW CLEAR VIEW WAY CLASS OF WORK:
SUBDIVISION: BENCHVIEW ESTATES LOT #: 032 TYPE OF USE:
PROJECT NAME: RATH
DESCRIPTION: Installing (2) branch circuits for bathroom remodel.
OWNER: RATH, MARY PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682-4936
Inspection Request Scheduled For: Date: 9/1612008 Pour Time:
Code # Inspection Description # Contact # Message
199 Electrical final 075521-01 503-682-4936
Corrections/Comments/Instructions:
\\
\
A is n
V V /
if
IR PASS 7 PARTIAL APPROVAL 0 CANCEL NO ACCESS
7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: N) 10 8 LE Date: 9111 bpi Phone #: (503) 718-
• .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00473
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8114/2008
Phone: (503) 639-4171 imelo
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/1812008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 13221 SW CLEAR VIEW WAY CLASS OF WORK:
SUBDIVISION: BENCHVIEW ESTATES LOT #: 032 TYPE OF USE:
PROJECT NAME: RATH
DESCRIPTION: Installing (2) branch circuits for bathroom remodel.
OWNER: RATH, MARY PHONE #:
CONTRACTOR: IBOONES FERRY ELECTRIC INC PHONE #: 503-682-4936
Inspection Request Scheduled For: Date
8118/7008 Pour Time:
Code # Inspection Description , C Contact # Message
120 Electrical rough-in 074293-01 503-682-4936 N
Corrections/Comments/Instructions: ---%/
PASS 0 PARTIAL APPROVAL r7 CANCEL 0 NO ACCESS
I I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 6 woe 1.6 Date: 4 1-14. I Phone #: (503) 718- 2,11%