Permit T�/ /� ® FiAaTE�
I CI 1 1 ®F TIGARD
ELECTRICAL PERMIT
PERMIT ISSUED ELC2007-00115
COMMUNITY DEVELOPMENT
DATE ISSUED: 2/22/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S114BA -14100
SITE ADDRESS: 16240 SW COPPER CREEK DR ZONING: R -7
SUBDIVISION: COPPER CREEK STAGE 4 LOT : 106 JURISDICTION: TIG
PROJECT: CANNON
Project Description: 2 branch circuits. Kitchen work.
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: 9 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:
CANNON, STEPHAN F AND HEBERLE ELECTRIC
SUSAN C 7456 SW BASELINE RD.
16240 SW COPPER CREEK DR PMB #414
TIGARD, OR 97224 HILLSBORO, OR 97123
Phone: 503 - 684 - 3762 Contact #: PRI 503 - 628 - 2095
FAX 503 - 628 -3076
FEES
Description Date Amount Reg #: ELE 34 -160C
[ELPRMT] ELC Permit 2/22/2007 $53.50 LIC 152342
[TAX] 8% State Surcharge 2/22/2007 $4.28 SUP 3053S
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: i10Q%t1"-� "'" / 4141-1 Permittee Signature: e �)' °ifii
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.
21!'2007 16:37 5036283076 HEBERLE ELECTRIC INC PAGE 01
Permit AP„pIicat'ibn , 1.010 ()I I i 11 (`I, 0\1,1 1COC
CAty of Tigard \t' t.tV t f , m �,_ . a .
Permit NoL - oKJb-7-619!
13125 SW Nall Blvd . Tigard. OR 97223
Phone. 503.639.417 Fax: 503 598 1960 :� • 20 l x, i i Other hermit ISSIIMIIMMI inspection Line: 503 639.4175 �� D n �, J.� ' �_ 2_ hrtte Rcady/By lu 69 See Pagel f
Internet: www.citigard nr.us , ;,,11,7$1. Notifed/Mcthod: Supplemental Information
.,
T7 E: OF- WOItit; "S�TT__l PL REVIEW
° aa Please chock al that apply:
111 New construction � �dgi�ivn /alteratio /rep iAC:cmcnt pp _
❑ Demolition Li Other. ❑Service over 225 amps, comnt'I °Hazardous location
❑Se vies over 320 amps - rating QBuildng over 10,000 sq, It„
CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
It 1- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
El
Multi- lam ily CI Master builder 0 Other: ❑Rnilding over three stories ❑f ceders 400 amps or more
❑occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑i gross/lighting plan RV park
Job no.; Job site address: 1 i L. Q s� �g,G ❑ }ICalth -wrc facility ❑Other
- [ 511tamt 2 seta of plans with any Of the above.
City /State/1_IP: --A--) o ■ q -Z2 v (-/ i7' ._ ncc above are not applicable to temporary construction service,
Suite/bldg. /apt. no.: rooeut name: ` - t-- ) FEE* SCHEDULE /
Description I Qty. i Kra. I Totat I
Cross street /directions to job site; ( New residential single- or multi - family dwelling unit.
includes attached garage.
1.000 rq. ft or Ices 145,15 4
Subdivision: 1.ot no.: Ea, add'I 500 sq, R, or portion 33.4(1 1
Tax map /parcel no.: `- Limited energy, residential 75.00 2
—
DESCRIPTION OF ' ORK
Limited energy, non -rc idenual 75,00 7
Etic manutTClurcd or modular 1 e'l--S W f l c "`i" „ _ 'f ve ling, service antllor feeder _ 90.90 , 2
`'�- Services or feeders installation, alteration, pod /nr relocation
V ---- 200 amps or iess 80 30 - 2
❑ PROPERTY OWN a �� ❑ TENANT 201 amps to 400 amps 106,85 2
Name; C ( ___S L LQ ` J - 40! amps to 600 Amps 160.60 2
601 Amps to 1.000 amps 240.60 2
Address; Over 1,(100 amps or volts 454.65 2
City/State/ZIP: Reconnect only 66.85 2
Temporary services nr feeders installation. Alteration, and /or
Phone: ( ) ' relocation
— . hex: ( ) -
200 amps or loss 66,85 I
Owner installation: This installation is being made on property that 1 own which is not 201 f
intended for sale, lease, rent. or exchange. according to ORS 447, 449, 670, and 701. 01 amps to 400 amps 10(1,30 2
an amps to 600 amps 133.75 2
Owner signature: _ Date: extension, per panel
_ Branch circuits - new, alteration, or exte
_- ❑ APPLICANT ❑ CONTACT PERSON A. Fee tbr branch circuits w -
service or feeder fee, each
Business name: _ branch circuit 6.65 2
Contact name: - B. Pcc lot branch circuits
.� w!r ' ce or feeder fee, 46.85 44y z �
Address; ' each branch circuit /�
Ad .... Each add'] branch circuit 6 65 (O/ 2
ZI
City /State P: Minctllanenns (service or feeder not included)
- Phone: ( ) Vox :: (
Pump or irrigation circle 53,40 2
1:-mail: hone . Sign or outline lighting 53.40 2
—
Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, Of
Business name: Heberle Electric, In extension. Describe: Page 2 z
Address; HEBERLE - P11#19 #414 M Each additional inspection over Allowable ID Any of the Above
Ci ty /State /71 iLl .S RD
. LIRE - Per inspection _ 62,60 „ -
9RQ 0 investigation per hour it hr min) 62.50
Phone, ( (02 9 T ax: (®3,) / - Top -14, Industrial plant p
•
�v 1P bf® - sA p n Cr hour 73 75
C:( :13 Lie. :, � ACC) ELECTRICAL PERMIT FEES*
.SVS � Electrical Lic_: Suprv. Lie.: Zoo - c
+w subtotal Suprv- Elect inn signature, required: . - w r
Pl an review (25% of permit fee)
Print name: J V .,r. . .. - Statesurtharge(8 %o fcc) _ f
11.11t.13t�riscd sivra nc: TOTAL PERMIT FEE 5 ��
Thin permit applicaf(o expires if 11 perm i s pot obtained within IRO
Print name: M1 . -� t days after hRa heat, incepted na COmplet!
Date!
�� 0 et rncthodnhl
try set by - county kutlding Industry, Service Roatrd
, rnwkLaa1Priml dm iv()) •• NUM of ills cfi,v, per mui nllnwtd .� -,---• —7 � .
•
O r s 1(f 0 ` v _
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2087 -00115
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/20W
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 16240 SW COPPER CREEK DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 106 TYPE OF USE:
PROJECT NAME: CANNON
DESCRIPTION: 2 branch circuits. Kitchen work 311/07: Added (8) branch circuits.
OWNER: CANNON, STEPHAN F AND, PHONE #: 503-684-3762
C ONTRACTOR: HEBERLE ELECTRIC PHONE #: 503 - 628 -2095
Inspection Request Scheduled For: Da 29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical f}: 045602 -01 503 - 961 -2735 Y
Corrections /Comments /Instructions:
A
'4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: - Date: J .251.6n Phone #: (503) 718- "Li Lgio
CITY OF TIGARD
. .
BUILDING DIVISION PERMIT #: ELC2007-00116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 222/2007
Phone: (503) 639-4171 i li 'i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 66
SITE ADDRESS: 16240 SW COPPER CREEK DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 106 TYPE OF USE:
PROJECT NAME: CANNON
DESCRIPTION: 2 branch circuits. Kitchen work 3/1/07: Added (8) branch circuits.
OWNER: CANNON, STEPHAN F AND, PHONE #: 503-684-3762
CONTRACTOR: HEBERLE ELECTRIC , --1 --E - If- - PHONE #: 503-628-2095
Inspection Request Scheduled For: Date: 3/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 045470-01 503-961-2735 --- y
,-.
Corrections/Comments/Instructions:
PO,
ccist__. P AL
43 Pk.izNor,--- c/- Ec. t '0'T - E - FoL k_tt cA L
W)()I . pal, - no .. 5
PASS l PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL N ifi CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Q5 KN L '6'2:1 '0 Phone #: (503) 718- -DM-)
CITY OF `
��n n w n�«u TIGARD ^`
BUILDING DIVISION PERMIT #: FLC2007'00116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2y22/2007
Phone: (503)G30'4171 �
Inspection Requests (24 Hrs.): (503) 839'4175 ^�6�N~'v���
INSPECTION WORKSHEET FOR DATE: 3/5/2007 TIME: ?:OOArvi PAGE: 63
SITE ADDRESS: 16240 SW COPPER CREEK DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 4 LOT #: jGG TYPE OF USE:
PROJECT NAME: CANNON
DESCRIPTION: 2 branch circuits. Kitchen work. 311/07: Added (6) branch circuits.
OWNER: CANMC`N, STEPHAN F AND, PHONE #: 503-684'3762
CONTRACTOR: HEBEFYLEE0ECTR|C PHONE #: 503'528-2Q96
Inspection Request Scheduled For: Date: 5V6/2O07 Pour Time:
Code # Inspection Description - Confirm # Contact # Message
120 Electrical rough-in 0443E4-v 503-961-2735 N
Corrections/Comments/Instructions:
.
.
| | PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
*�
FAIL pi CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: C~—' ^\ oe /-Ls- Date: 3 01 Phone #: (503) 718- 7-
'
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.
CITY OF ��mu m v.�m TIGARD ' ~
BUILDING DIVISION PERMIT #: ELC:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2y22/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 .,._.„..... " 1.1..
INSPECTION WORKSHEET FOR DATE: 3yE/2007 TIME: 7:00AKA PAGE: 24
SITE ADDRESS: 102W0 COPPER CREEK DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 106 TYPE OF USE:
PROJECT NAME: CANNON
DESCRIPTION: 2 branch circuits. Kitchen work. 311/07: Added () branch circuits.
OWNER: CANNON, STEPHAN F AND, PHONE #: 503-604-3762
CONTRACTOR: HEBERLE ELECTR(C �� PHONE#: 503 ` [
Inspection Request Scheduled For: '' Date: 3/5/2007 Pour Time:
Code # Inspection Description po :'-' Contact # Message
1 Wall cover 044388-01 503-961-2735 Y
Corrections/Comments/Instructions:
I�/yY
v'x `
)(PASS E PARTIAL APPROVAL ri C/\NCEL | I NO ACCESS
ri FAIL | | CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
�
� �� ��� • � U!Q
Inspector: �� ' /^ J �J��L�� � Date: ��|4) M Phone (503) 718- ���-l��
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CITY OF TIGARD
, . .
BUILDING DIVISION PERMIT #: ELC2007-00115
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7123/2007
Phone: (503) 639-4171 Av
Inspection Requests (24 Hrs.): (503) 639-4175 Akimi■ t"-t lin
INSPECTION WORKSHEET FOR DATE: 3/5/2007 TIME: 7 PAGE: 39
SITE ADDRESS: '16240 SW COPPER CREEK DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 106 TYPE OF USE:
PROJECT NAME: CANNON
DESCRIPTION: 2 branch circuits. Kitchen work. 3/1/07: Added (8) branch circuits.
■-..........■•• -
OWNER: CANNON, STEPHAN F AND, PHONE #: 503-684-3762
CONTRACTOR: HEBERLE ELECTRIC "y PHONE #: 503-628-2095
Inspection Request Scheduled For: Date: 35/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electicai rough-in 044314-02 503-961-2735 V
30
Corrections/Comments/Instructions:
ikE - 1Wara - d7 3-4 ..1 .
I I PASS I 1 PARTIAL APPROVAL ' q CANCEL
./' I 1 NO ACCESS
II] FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: C-T , N 0 ES L.."E Date: - 5 , Cf WI Phone #: (503) 718-