Permit CITY OF TIGARD ELECTRICAL PERMIT
t r ° PERMIT #: ELC2008 -00486
COMMUNITY DEVELOPMENT DATE ISSUED: 8/22/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 B B - 09000
SITE ADDRESS: 14275 SW FANNO CREEK LP ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO. 3 LOT : 072 JURISDICTION: TIG
PROJECT: DOHERTY
Project Description: Reconnecting A/C and furnace.
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:
DENNIS DOHERTY COLE HILL ELECTRIC
14275 SW FANNO CREEK LOOP 1251 SW CLAY ST
TIGARD, OR 97224 DALLAS, OR 97338
Phone: 503 - 661 -3865 Contact #: 'PRI 503 - 999 -1638
FAX 503 - 623 -4945
FEES
Description Date Amount Reg #: ELE C258
[ELPRMT] ELC Permit 8/22/2008 $53.50 LIC 174378
[TAX] 12% State Surchar 8/22/2008 $6.42 SUP 4192S
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 B %4s %�� f • Permittee Signature: Q r /ice47t.
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.
Aug 22 08 03:05p Cole Hill Electric 5036234945 p.3
'1, '(! �
' :Electlrical Permit Application C �, , rcpt Order 1 t �l: t,,
City of Tigard Received pA
13125 SW Halt IIlvd.. Tigard. OR 9� /OP) DamrB
Plan 7{� : v; c v dam"
( I f� 0 a 7s Pamir No.: 1i } ' ,--f��
Phone: 5(13.639.4171 Fax: 503.598.196D U� 2 ` � 2 D ma Otbat Detroit
,,
,, ,.; ii'i :, Inspection Line: 5W.639.4175 A r pQ() Ewe Rdy/B
hob: hob: fd see pare Z ter
Intnrnot: www,tigard-or.gov ' .'V ea
otlficdlMtahod'. 'C) Suppk Information
...a.
TYPE OF WO • � I PLAN REVXEW - -
❑ NeW COn[tttlGtiOn ® Addititln /alterat , Y�ement ?1cawe al thataPptY (s111101fi lids or plerts trams checked below):
❑ Service n. feeder 400 amps or more ❑ Building over ant stories.
El Demolition ❑ Other: where he available faslt cumin ❑ Mantas and boatyards.
CATEGORY OF CONSTRUCTTTN cxceeda 10,000 amps at 150 volts or ❑ relating buildings,
less to poen& or exceeds 11,000 ❑ Contrerretatose rprieottural
) 1 - and 2- family dwelling ❑ CammerciaVindusttial ❑ Accessory building amps fen all other in :tallat;one, buildings.
❑ Multi - family ❑ Master builder ❑ Other: O Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION CI Emergency system. tots= scacrratcly d aircd system.
❑ Addition of now motor load of ❑ "A - , - E"„ "]- T 't -3'
o.: Job Site address: / l /'' l [OO.FTP to mote, orcupancY,
Job nil.: I ` Z 7� S 4t/ �hMe ` - P. ❑Sat or more ccai dcrtiel snits. ❑ Recreational vehicle parks.
CityfStateJZlP: J, l r 7 [� Health-care facilities. ❑ Supply voltage for miss than
9 G ❑ Hazardous loans. 600 volts nominal.
Suite/bldg./apt no.: Project name: CI Service at fender 600 amor et more,
Cross street/directions eu job site; FEE 3C13E1)ULE
Dnete;Dtien 1 city. i Pee J Ton L •
New residential single- or multi - family dwelling unit,
tndudes attached garage.
r
' Subdivision: Lot no.: L000 sq. ft. or leas 145.15 4
Tax map/parcel no.: 1 Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy. residential 75.00 2
DESCRIPTION OF WORK (writ above al 8.)
// Limited energy, multi - family '
75.00 2
(((((( ft/ Peee vaeer FL-reulie RPronrie✓eT >es dentiel (with above rq. it)
Services or feeders Installation, alteration, and/or relocation
❑ PROPERTY OWNER l ❑ 200 amps or less 80.30 2
TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
60) tarps to 1.000 amps 240.60 2
Address. Over 1,000 ramps or volts 454.65 2
City /State/ZIP: Temporary services or feeders installation, alteration, And /or
relocation
Phone: ( ) l Fox: ( ) 200 amps Or lcity 66.85 1
Owner installation: This installation is heing made on property that I own which is not ' 201 amps to 400 amps 3.00.30 2
• 41:rnded for sale. lease, rent. or exchange, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 133.75 2
• Owner signature: Date: Branch circuits- taw, alteration, or extension, per panel
A Fee for branch circuits with
O APPLICANT I ❑ CONTACT PERSON above service of fader fee, 6.65 2
Business Hartle: f 1 / � ` j s each branch circuit
•
rz r /7 J [- P�// " , G E. Fee far branch circuits
Contact name; A
, without service or feeder fm 46.85 LJ` 2
Fr n first branch circuit /p. -��
Ad dress: d Each adds breach circuit / 6.65 I 1:6T 2
Miscellaneous (service or feeder not included)
City /5 to /ZrP: Each manufactured or modular -
dwelling, service and/or feeder 9D.90 2
Phone: ( ) fax:: ( ) Reconnect only 66.85 2
E-mail;
Pump or irrigation circle 53.40 2
/� CONTRACTOR Sign of outline lighting 53.40 2
Business name: ( f " jf-iI g/ fK / � , G h Signal circuit(s) or limited-
L /'' I energy panel alteration or
Address: ) 7 f 4 0 / _ 71 7 e , I . cxtensinn..Ocsmbe: i Page 2 2
City/State/ZIP: a/4 /. f `QJr` 3 Each addit.e..al:ospection over allowable in any of the above
Phone: (543) '99 /i?4 / O 1 Fax: ( . i°) Z '/ 4" � Per i g ivn 62.50
��^ �7 InYCStigati on perhour() hrmin) 62.50
CCA Lic.: /7,y 375 Electrical Lic.: (2 5 - 1 Suprv. Lic.: L/J , 2.5 Industrial plant per hour 73.75
Su required: / ' `( ELECTRICAL PERMIT FEES
Suprv. Electrician signature, t T./ Subtotal: 5 5O
Print name: I Dale: Il5),9/0
4 Plan review (25% of permit &c):
Stare surcharge 2 %a of
( a e z
Authorized signature: perTnit fee): .
l _
/9i'Y TOTAL PERMIT ME. 5 // Z
Print name: ` Thla ?Wait appl;cati.n expires if a permit to not obtae,ee %OHO. 181
5 `''' ' fie, /��� � er days tiler it has been aeacitrd as complete.
r: lBul ldlnera reir1ELCPam ;Nppdm011ivht; 4HfM61ST(IVDSKO'.UW
• Number ;�y,uy ;ona ollowc4parpant;c
_ . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2009- 00486
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2008
Phone: (503) 639-4171
ore
Inspection Requests (24 Hrs.): (503) 639-4175 ,..,_,.. l m..
INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME: 7:01AM PAGE: 32
SITE ADDRESS: 14276 SW FANNO CREEK LP CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES NO. 3 LOT #: 072 TYPE OF USE:
PROJECT NAME: DOHERTY
DESCRIPTION: Reconnecting NC and furnace. .
OWNER: DOHERTY, DENNIS PHONE #: 503-661-3865
CONTRACTOR: COLE HILL ELECTRIC PHONE #: 603-999-
Inspection Request Scheduled For: Date: 913/2008 Pour Time:
Code # Inspection Description f eqnfirm # Contact # Message
146 NC or heating unit circuit 074972-02 503-679-9276 N
----....-----___-.
Corrections /Comments / Instructions:
1 \161 v r:
cr.) Pat:0\110c Pa-1 i c_I i E .)
f •-• .. 1 ,, 1
6 e /Ten $ ii\ 1 ■ 1 RCI Ca, - 4■) pAti g)....
- (
Up l
v v
di PASS 0 PARTIAL APPROVAL 0 CANCEL E NO ACCESS
0 FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
—
Inspector: N iNI.t tk Date: 1. 3 1 Phone #: (503) 718- 11111f1)