Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00673
M�4n DEVELOPMENT SERVICES DATE ISSUED• 10/20/2004
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. Extension of (1) circuit
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:
SCHOPPE, PAUL + KATHRYN J OREGON ELECTRIC CONST /GROUP
11395 SW ERSTE PL 1010 SE 11TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Phone: 503- 535 -2652
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 10/20/200 $46 85
[TAX] 8% State Surcharge 10/20/200' $3 75 Rough -
Elect'I Final
Total $50.60
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 wdhin 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: Permit Signature: ,je-- ?^gyp,(
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 OOpm for an inspection the next business day
OCT -20 -04 02:02PM FROM - Oregon Electric Estimating 5032313587 T -774 P 001/002 F -780
Electrigal Permit Application n `l ' •
• City of Tigard R EC E 7Y E D o e a cewe d O o 1l! (/y Pelmet xo.. / )'O �i �
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review Other Permit
Phone 503 639A171 Fax' 503 598 1960 q 2 f i l A DatrlEV•
Inspection Line 503 639 4175 U I 0 L O O Dam Read bus I N3 See voce I for
l it t Supplemental Inform-aloe
Internet' www.ci ngard.or.us n ITV flit T in n nn r
Please check all that apply
71,17+E'F WO1I4.4; PLAN REVIEW
�i" Ab•i ioiti • eila'
II] New construction ® Addition /alteratitiii/repiacemoni ['Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition 0 Other: ❑ Service over 320 amps - rating ❑ Buldng over 10,000 sq R.,
. C ATEGORY' OF- CONSTRUCTION , •, of 1- and 2- family dwellings 4 or more new residential
` ['System over 600 volts nominal onus m one structure
EI 1- and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building
['Building over three storks ['Feeders, 400 amps or more
❑ Mari- family ❑ Master builder El Other- Dereupant load over 99 persons ❑Manufactured structures or
',JOB' SITE INFORMATION' AND,` "LOCATION ❑ Egress /lighting plan PS park
DHealth-carc facility ❑Other
lob no 82512 Joh site address: 11395 SW Erste Place Submit? sets of plans with any of the above.
City /Stare/ZIP: Tigard, OR 97223 The above are nor applicable to temporary construction service
I ' FEE* SCHEDULE
Suite/bldg /apt no.. Project name; Paul Shoppe Description Qty Feo. Total "- I
Cross street/du to Job site: New residential single- or multi- family dwelling snit.
_ Includes attached garage. _
1,000 sq. ft or less 145.15 l 4
Subdivision: Lot no.: Ea add'] 500 sq ft or portion , 33 40 I t
Limited energy, residential 75 00 2
Tax map /parcel no,. -
Limited energy, non-residential 75 00 - 2
DESCRIPTION OF WORK Each manufactured or modular
dwellinuervtce and/or feeder 90 90 2
Extend a circuit Services or feeders installation, alteration, and /or relocation
200 amps or less 30 30 2 -
' 201 amps to 400 amps 106.85 2
1:1 PROPERTY,'I OWNER ' Q 401 amps to 600 arms 160 60 2
Name Paul Shoppe 601 amps to 1,000 amps 240 60 7 -
Address: 11395 SW erste Place r Over 1,000 amps or volts 454 65
Reconnect Only 66 85 2
City /State /ZIP" Tigard, OR 97223 Temporary services or feeders installation. alteration, and/or
relocation
Phone (503)684 -3305 Fax: ( ) 200 amps or less _ 66.85 l
Owner installation; This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 _ 2
intended For sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 1 I 133 75 2
Owner signature: Date- - liranch circuits - new, alteration, m extension, per pant)
❑ AEPLICANT ❑ CONTACT .PERSON A Fee for branch circuits with
service or feeder fcc, each 6.65 2
Business name' branch circuit _
H. Fcc for branch mum C /
Contact name: wirhour service err feeder fee, 46 85 `4 J—P
each branch circuit _
Address: Each add'I branch circuit 6.65 2
City/State /ZIP: _ Miscellaneous (service or feeder not included) —
Pump or imganon circle 53 40 2
Phone ( ) I Fax, ( ) _ sign or outline lighting 5340 - 2
E -mail Signal circuit(s) or limited-
!' - '' 'CONTRRACTOR' •• , energy panel, alteration, or
extension, Describe, Page 2 2
Business name: Oregon Electric Group
Each additional inspection over allowable in any of the above
Address 1010 SE 11th Ave Per inapectwn ` 62 50
City /State /ZIP Portland, OR 97214 Investigation per hoer (I he min) I 62.50
-
Industrial plant per hour 73 75
Phone (503) 535 -2652 Fax: (503) 231 _ ' ELECTRICAL PERMIT FEES*
CCD Lie : 203 Electrical /• -9 UprV. Lie,: 44605 Subtotal 1 C /( j'h
m
Suprv.Eleccian signature, requited `• " //� Plan review (25% ofpermitfee)
[ (/ l- \J � /
Pont name: �A y L ° Date: C
7 State surcharge (8% of permit fee) ��
TOTAL PERMIT FEE —.0 . /��
Authorized SiWt3ture IR ` q/ /_ /� This permit application expires ito permit Is not obtained within ISO
,Qy} / days after Ir has been veccpted as complete
Pnnt name rV • , i � C' °� % - / W 4771- (`� /// Date: A// /�! • Fee methodology Sc: by Tn -Coun Building industry Service Board
L / n
-- Number of mspecnons per vennit allowed
■ iae;laina■Pem,tiELcPermhxap doe 12/01 ai0.4615T(10/92/COM /wen
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line; (503) 639 -4175
INSPECTION DIVISION Business Line: 503) 639 -4171 MST
�
/ ci t' ` BUP
Received Date Re uq gsted ( AM PM BUP
Location 3 9 S ems - Sui MEC
Contact Person Ie l " ( ) ��S — Cc721 PLM
Contractor Ph ( ) SWR 2 �
BUILDING Tenant/Owner ELC r 9724 7�
Footing
Foundation ELC
Access: I�5"I'� ���'S' S ��
Ftg Drain ELR
Crawl Drain SIT
Slab Inspection Notes:
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof <` "
Other:
Final
4
PASS PART FAIL
PLUMBING a
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other
Final
PASS PART FAIL
MECHANICAL •
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PAS.S— FAIL
ELSQTRIGAL
Service
Rough -In
UG/Slab
Low Voltage
jrP Alarm
rt ' ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
PART FAIL
❑ Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line
ADA 7J��
Approach/Sidewalk Date I / V Inspector Ext
Other.
Final DO NOT REMOVE this Inspection real rom the Job site.
PASS PART FAIL