Permit CITY OF TIGARD . v , ELECTRICAL PERMIT
PERMIT #: ELC2007 -00455
COMMUNITY DEVELOPMENT DATE ISSUED: 7/3/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S133CD-05000
SITE ADDRESS: 13645 SW FEIRING LN ZONING: R - 25
SUBDIVISION: COTSWALD MEADOWS LOT: 048 JURISDICTION: TIG
PROJECT: WARNER
Project Description: 3 branch circuits.
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:
WARNER, HAROLD E + BETTE K WRIGHT 1 ELECTRIC INC
13645 SW FEIRING LN 5618 SE 135TH AVE
TIGARD, OR 97223 PORTLAND, OR 97236
Phone: 503 - 524 - 5710 Contact #: PRI 503 - 760 - 8522
FAX 503 - 762 -1823
FEES
Description Date Amount Reg #: ELE 3 -332C
[ELPRMT] ELC Permit 7/3/2007 $60.15 LIC 162368
[TAX] 8% State Surcharge 7/3/2007 $4.80 SUP 3398S
Total $64.95 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:
1/4-9P-il Permittee Signature:i l
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.
06/27/2007 10:25 5037621823 WRIGHT 1 ELECTRIC PAGE 01/02
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Electr tai Permit AAP, Ir i o n ` � -'
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ma Plan
City Of Tigard JUL 0 3 ZOO / 7 Received '' / 7 ,,(3 Permit NoF 6,4.00_2 _Vv 5 y .' 13125 SW Hal Blvd., Tigard, OR 97223 Re �/ U / J
Play
1 14
a '' . • Phone: 503- 639.4171 FaxiC603),sf98?1960)GAR® By: Other Permit: Date y:
Inspection Line: 503.639 Ma NG Dwisi®N Date Readyi y: r�18� BI See Page 2 for
Internet: www.tigard- or.gov
TT(',r \T T7 Notifzed/ivfethod: Supplemental Information
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❑ New construction ► Addition/alteration/replacement Please check all that apply (submit g sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ['Building over three stories.
❑ Demolition ❑ Other where the available fault current ❑ Marinas and boatyards,
I i? +i';! j ((� 1 1 P t 1 ; t t F { t zt : : @ { t l rti l in l ) r i g r l l p ? 1 i ii � C tF�ltt h ltlu i . }t{41 l a�i,li : ! '; 1 `i ` 1 [; 1 4�1(}({i i{ : eacee43 10,000 amps at 150 volts of 0 Floating buildings.
s.
I f1 tlilai d � 1,, I I[Itti ?Ii f . li .d!W!!fiI tlitihl?:llt io !R4.t,f s {.t•1.It:.Y,Ft:tit., t.f r, t..,t :'', . #Ii!`YI #II[# I[Il [ # Ill 1 t:,t4t.'n1!11, # } I..I less to ground, oI exceeds 14,000 0 Commercial-use agricultural
• - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
• ❑ Multi - family ❑ Master builder ❑ Other ❑ Fire pump. ❑ installation of 75 KVA or
vf• +l ii{ " : l r l'? 1' 11 rr si u{t . i t nv tl! lnil i R x l u ll i { trn ik� {n mlplr.}ig nm i ' 1 + tl i1 j E i. I t ';E ❑ Emergency system. larger separately derived system.
1• i'. t i 1�11 ' #}[#iI 4;i# { 1 }I l [)[ ,��, , 1#i 1, {,ry •�. , � �I1 t l 1 �� „t.a tilt(i .
li,l; {�.h,il,,, fl i j f f :[ #1 0
1 .r. 0 ,,ill! i.,1 1 t M,t. t.: 1+,:111 uitAIII :tSran ,ryi tI IVIII, Ifxn111111lnI :ran nn I Watt i 4 a1. #.1,1.. #kt'. Addi of ., motor load of 13 "A , "� , "1.2' "13 ^,
100HP or more occupancy.
Job no.: Job site address: 13645 SW Fairing Lane ❑ six ur MOM rCn leulinl uuan. ❑ Recreational vehicle parks.
City /State /ZIP: 1 02 6'2)-23 ❑Health -cue facilities. ❑ Supply voltage for more than
/ ❑Hazardous locations. 600 volts nominal.
Suite. /bldg. /apt. no.: _ {_Pro name: Warner remodel ❑ Service of titeder 600 9,m 45 or more
i,[k /84111 k +i[ N f[il I'ff'4'Ii I {;'fit ;Et. };` �.`;,. �' "s; °!;i;`; 4 '; j E��'f�f��] �f ii11lltl 1111l i1
Cross street/directions to job site: l 3 � Dcscrtption Qty. Fco. Total •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add' l 500 sq. ft, or portion 33.40 1
Tax snap /parcel no.; Limited energy, residential 75.00 2
i t 1 '3 f I �I f 1 { T uu u , µ n T41{fR ^l ' - " ti T"io" , : e , nY i3
I 1 1II' ii Il.0 ! }k #: d ill/ / +�'ll.�I<,l�,Ia ? I. �� ,bill I[,i1„[ . I[ [ 1�1„ =r ., = #'! III #i lk [(1; {� 3' f !(r
(with above aq. ft)
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
�t
Iti �gji . {f. t,} l 5 ii ttt 15I!I'I�T!t1 l `(;' }1(} f!t } , , ;a t rtllti l 111111 „Dili +at +11in11tt +tltttar ( ' 1f3 �t1' 1 #fil P amps t. 1l, IlllthniiTtfuli� .rl.� „iThi6?iai . . nt':t':,;,it7mti11ri i111f[f111 R. {,kd l!4jt,t.[:i•1•jai.li ?.sti.i'nr:.i t r�llikltiihn l lA[, j[ IIItI111 [IIlt1 &y <.I..l,,i,l1#?$ {fi [I 201 am s to 400 2m s 106.85 2
Name 4 , c`0 0 � aCeN e . � 401 amps to 1 a 160.60 2
l ,�^ 601 am ps to 1,000 amps -_ 240.60 2
Address: � '3 X5/5 5 Li l� et rri 4. Over 1,000 amps or volts 454.65 2
City/State/ZIP: 'r) (_ c . g � 2S Temporary services or feeders installation, alteration, and /or
r relocation
Phone: (yp3 ) - ,5 y -- t5 7k) 1 Fax 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I 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 599 amps 133.75 2
Branch circuits— new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
�[ { '1 , r { ; {j [ + , l { a{ { 4 1 i{�� (( tt 1� , i�ttl , n3xf x ( � ' { { f r r:rr (E{Tili 4T i a +'im uml,nntsrr7kF11F111 i {' above5r7viCa • [ t}F1ii[liYif�; 4lflliif71 1 HtiO „..∎ :1 : ∎ e 1 1 1 t I - 1 ) d i•th t II t :1. . ii . t 4 1 1 11 I .:
6.65 1 4 2
each branch circuit
Business name: aCG y G-s� s . e N, ON ( t t B. Fee for branch circuits
J without service or feeder fee, 1 46.85 2
Contact name: X6 q �, first rst branch circuit ' 4645,
Address: PO pt o yk. & -) Each add'1 branch circuit 0--- 6.65 /3.2, p 2
, Miscellaneous (service or feeder not included)
City /State(Z1P: L� ( Gam= [ 1 0 (2 - �7 6 Each mans acturcd o f modules 90.90 • 2
�J dwelling, service and/or feeder
Phone: 6 35) (75- -6)')7( I Tax:: ( -- 3) (s, 7> = 3c = 8D Reconnect only 66.85 2
E -mail .f1-10 i.' C(C.,.) 4- v &es, i- Co,,”‘ Pump or irrigation circle 53.40 '2'
NiIHx it fi l{ 1 #1ifigi > 11111: IM11I4t[ 1 /116[1 fold /4il;:irl.ti , irliNi t nlIf Ii i 1[. I>Ii!I{ tt1;l a ?I.4I11'G Ii)IIi'+1i 11' f n Il; ii Sign or outline lighting 53.40 2
Wright 1 Electric Signal circuits)er alteration, limited-
Business name:
energy panel, alrerazion, or • Address: 5618 SE 135 Ave. extension. Describe: Page 2 2
City/State /ZIP: Portland, OR 97236 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 760 -8522 I Fax: (503) 762 -1823 Investigation per hour (1 hr min) 62.50
CCD Lic.: 162368 I Electrical Lic.: 3 - 332C, , . 1 rSuprv, Lic,: 33985 Industrial plant per hoar 73,75
111�if l r �} t an { nt, t c !! W f -. }!! }i tp ry 1 JT yy llj f r ^t'}•t pn f �11 r
7`i..It.Ij[) i� ii.ill,II t .l ' .' b A:it4' ii S {i: V,l il,l rr :Ia >it 1 Lt1� 1r iR;ISkI +L :...itE. ti
5uprv. Electrician signature, required: ' swc..A. 1 &Ala Subtotal: i /
Print name: Dennis Welch Date: Plan review (25% of •crrrtitfee):
State surcharge (8% of permit fee): ,g0
Authorized signature: • TOTAL PERMIT FEE: (pc/. q
T his permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
' * Number of inspections allowed per permit. ///11���
is\ Su42Lng \Parrnrtl£LC- T'srmiIAPP.doc OS/3/05 440 - 4615M 1/05 /cOM/'EH 1A
_y
CITY OF TIGARD .
BUILDING DIVISION ` '� PERMIT #: ELC2007 -00455
13125 SW Hall Blvd., Tigard, OR 97223 DIVISION ,- DATE ISSUED: 7/3/2007
Phone: (503) 639-4171 „ '' pu ��l
I Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: t L,I1 TIME: 7:00AM PAGE: 65
- 2_1
SITE ADDRESS: 13645 SW FEIRING LN CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS LOT #: 048 TYPE OF USE:
PROJECT NAME: WARNER
DESCRIPTION: 3 branch circuits.
OWNER: WARNER, HAROLD E + BE i I E K, PHONE #: 503- 524 -5710
CONTRACTOR: WRIGHT 1 ELECTRIC INC PHONE #: 503- 760 -8522
Inspection Request Scheduled For: Date: 8/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 054709-01 503.504 -1285 V
M_, / pvtA
Corrections /Comments /Instructions:
li-5
AJOk a 4 W 1 - ; - e 1 / 17 ”( Q f 5 c Gtli -r if /4 /5/2 ,-
Alglg,' 44 &ilk .,.-e.,1 pif 44" hp,o--r\ kefl cc(
( -0 .
,, . i 9 , .
Ocf PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
I I FAIL CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. 1% . 6/4°1-d7
Inspector: Date: Phone #: 503
p (503) 718 -
CITY OF TIGARD ifig4fr`
/3 n
BUILDING DIVISION L �.P, 1 PERMIT #: ELC2007 -00455
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2007
Phone: (503) 639 -4171 (° - e� 111, ` "i )
Inspection Requests (24 Hrs.): (503) 639 -4175 '� -_..
INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7 :00AM PAGE: 26
SITE ADDRESS: '13645 SW FEIRING LN CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS LOT #: 048 TYPE OF USE:
PROJECT NAME: WARNER
DESCRIPTION: 3 branch circuits.
OWNER: WARNER, HAROLD E + BL.1 1 E K, PHONE #: 503 -524 -5710
CONTRACTOR: WRIGHT 1 ELECTRIC INC PHONE #: 503 - 760 - 8522
Inspection Request Scheduled For: Date: 7/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message (fa
120 Electrical rough -in 051959 -01 503- 504 -1295 Y f i'`' We
Corrections /Comments/ Instructions:
-^ 13 q ! ti-`,,
PASS 0 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 14 ' ? Date: 7 ///O7Phone #: (503) 718 -
I