Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #. ELC2004 -00779
AMA. DEVELOPMENT SERVICES DATE ISSUED 12/8/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103DB -09700
SITE ADDRESS: 11395 SW ERSTE PL
SUBDIVISION: GENESIS NO 3 ZONING: R -4 5
BLOCK: LOT 078 JURISDICTION TIG
Project Description: (3) branch circuits furnacae, plub, heat pump
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:
SCHOPPE, PAUL + KATHRYN J SOHLER ELECTRICAL CONSTRUCTION
11395 SW ERSTE PL 41131 SW BURGARSKY RD
TIGARD, OR 97223 GASTON, OR 97119
Phone. 503- 624 -9225 Phone: 971 - 832 -0807
Reg #: LIC 158285
ELE 34 -667C
FEES SUP 594S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 12/8/2004 $60 15
[TAX] 8% State Surcharge 12/8/2004 $4 81 Rough -
Elect'l Final
Total $64.96
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Speaalty 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)
246-6699or1 -800 -2344
-
Issued By: - _ j " r _ , • .� Permit Signature ar if � , / _
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 639 -4175 by 7.00pm for an inspection the next business day
Id
Electrical Permit Applicatigi FOR OFFICE, USE ONLY
Ut ta n
A City of Tigard ' ° ' ^°d 041 D
131 SW Hall lvd, Tigard, OR 97223 pTIGARD Pia !� /`� ' 8rl Permit No -��{/ [. / /7F Phone" 503 639.4171 Fax, 503 "59r8�,1f9ti0- NIS10N 1 DatrlBy J Odn' PeTm'e
Inspection Lint 503 "639 4175 v 1Lp1NG 0 ' Date RndyrBX 93 See Pa for
Internet www ci ngardarns un NonEed/Meibod: ✓ /GC I Supplemental Information
_ -TYPE' OF WOIO(. - - - FLAN. REVIEW
New construction TO Addition/alteration/replacement Please check all tint apply:
Q Demolition 0 Other DSc:mice over 225 amps, camel °Hazardous location
_ _ _ °Service over 320 amps - rating °Bulldog over 10.000 sq" ft
G
CATEORY OF'CONSTRUCFION. - - of 1- and 2- family dwellings 4 or more new residential
'7i 1- and 2- family dwelling ❑ CommerciaVindustrial ❑ Accessory building °S) over 600 volts nominal units in one structure
❑ Multi- family ❑ Master builder ❑ Other. (]Bm7dmg over three stones (]Faders, 400 amps or more
_ _ - °Occupant load over 99 persons °Manufaenn structures at
ed s ructur
JOB SITE INFORMATION A llr. OCATION " - _
(]Egress/lighting plan RV Park
f
Job no.: Job site address: 1 /,39.5 S [N EeS T-6— DHmtth -care Submit 2 sets o of plan plan �Oibe
s with any of the above.
City/State/Z[P o `r 2- The above are not applicable to temporary ranstmcnon service
i /.cc -ft c C /
Suitelbldg. /apt. no project name: N/} C C - ' -
F✓
Description I Q7, I Fa. i Total I '-
Cross street/direcnons to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. It or less 145.15 4
Subdivision Lot no:_ Ea. midi 500 sq. B. or portion 33"40 1
Tax map/parcel no . limited energy, residential 75.00 2
_ - _ Limited energy, non- residen al 75.00 2
DESCRIP-TION WOO* - _ - . - - - Each manufactured or modular
Al -e dwelling. service and/or feeder 90.90 2
r,,-, 4 17(1 J� t - !
_ "'A J. 2 J
yQ c+- / /e Services or feeders installation, alteration, and/or relocation
- J J" / J IZ r ()Al - Al e - 200 amps or less 8030 2
� PROPERTY OWNER -, : ❑TENANT 201 amps to 400 amps 106.85 2
111111������------innAAA
Name. 401 amps to 600 amps 160.60 2
L 0 i op 4.... 601 amps to 1,000 amps 240.60 2
Address. / /37 S eta c Jar c -)- e.
Over 1,000 amps or units 454.65 2
Reconnect only 66.85 2
City /StatdZlP /�
r/ c/' 4 KJ a 97� .2-3 Temporary services or feeders installation, alteration, and/or
Phone (5-/�) 6, r1/ - 9,2 a J I Fate ( ) 200 a
to less 00.30
g Property that I own which is not Owner installation: This installation is being made on 201 � 2
201 amps to 400 amps 100 30 Z
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature. Date _ Branch circuits- new, alteration, or extension, per panel
. !' APPLICANT - '. 'on ONTACr PERSON. ' - - .. A- Fee for branch circu With
its wi
Co service or feeder fee, each
Business [tame" �' Q '. t �� / FI e r.1-r e c - a I C N T -F brand[ circuit 665 2
Don[az[ name -- B. Fee for branch circuits
k ,r_ _cr, IR. without service or feeder fee,
/J
each branch cirranrt I 46 85 L/( F
Address: 'S 2
/ ! t 3 ( cc.
6 . /M an A- R J Each add'l m
brch circuit ") 6.65 13 . ; & 2
amity /State/ZIP- (
/ rz
r 4n N T— a g / 4 7 / (9 Miscellaneous (service or feeder not Included)
'hone- (97)) cs ?a - O I' O - Fax: :
/ Pump or irrigation circle 53.40 2
��l1 Sign or outline lighting 53 40 2
i -mail: ' CO -2 y (o.2yc - Signal circuit(s) or limited-
CONTRACt�R - ' 1 energy panel, alteration, or
extension Describe: Page 2 2
hnancss name
S6< lent �IeGf, e �.a � CorszS A-
tddre55' Each additional Inspection over allowable in any of the above
Per inspection 62.50
ay/State/ZIP. Investigation per hour tt barn 62.50
bone: ( ) Fax: ( ) Industrial plant per hour 73 7$
- $liSCtR7ctt RERNIIT-*EES`
'CB Lic" ) - 820c Electrical Gory `t -66 7( Supry: Lie.: 5-74 -s Subtotal
foo ,IS
upry Electician signature, required', J , i _ , - - i `♦ Plan review (25% ( permit fee)
r State surcharge (8% of permit fee) 174•57I
tint name / Date:
1 TOTAL PERMIT FEE 6, ..1, 9 G.
uthorized signature
/ / a _ permit application es o expir ifayemitb not e 150 daysys after It has been accepted as complete
rim name 1A f M , S o IA. GAL Date: 1,i / / , / • Fee oerbodob� ®q let by Tri -CO IIuildng Industry Service Board
7 '• Number of impccbonee pea permit allowed_
idd.zgVmvufnLc.rcmutAV, Jac 1103 un,,A, t,,,,,, .n,vu
E • el BLOT - 586 -EOS JeJyo6 aoC d64:T0 40 LO Dell
BUILDING Inspection Line: (504'639 -4175
INSPECTION DIVISION Business Line: (51f 639 -4171 MST
BUP
Received _ Requested I M PM BUP
I r
Location // 3 C c-51->"), ft_ > ' Suite 415 c if') 9 o67
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner LC d7
Footing E LC °� ! ?�
Foundation Access. e;.!4c96 z-r' i
Ftg Drain ELR
Crawl Drain
Slab Inspection Not- O' SIT
Post & Beam `
Shear Anchors ( /01 ' 9 YL �/ /l .49
Ext Sheath/Shear /
Int Sheath /Shear ° °. , n�v<iu�uaa ia!�s�- e"""`
Framing „1 � r
Insulation t I VYO , ,, Y ,,
Drywall Nailing � C � , L _
Firewall (5 LL !NC 4 - + �]` 7 (
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -,
Other 'lc- POVt' — k S _ I '" / t
Final V rr,
PASS PART FAIL M / A �d AM i
PLUMBING '�
Post & Beam C 1 1_ ■ Under Slab
Rough -In -
Water Service /l I l Q 4 v
Sanitary Sewer S A -h L; l /
S ) e-- / 3 t S G tqln(L7 C
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other
Final
PASS___PAR FAIL I
ECHANIC
Post & 6eam/ n `
Rough -In li4L'7 d
Gas Line 1 p .
Smoke Dampers U,•
t
P' - - T. FAIL
1. a,
Service
Rough -In
UG /Slab
Low Voltage
F m
'rA� El Reinspection fee of $ required before next inspection Pay at City Hall, 13125 SW Hall Blvd.
ART FAIL
Please call for reinspect:on RE n Unable to inspect - no access
Fire Supply Line 0 �''
ADA / rl C 1 --
Approach /Sidewalk Date ' \ ` v Inspector Ext
Other
Final DO NOT REMOVE this inspection record tom the job site.
PASS PART FAIL