Permit t, CITY OF WICAR® ELECTRICAL PERMIT
al CITY PERMIT #: ELC2008 -00525
COMMUNITY DEVELOPMENT DATE ISSUED: 9/10/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112CA-01700
SITE ADDRESS: 07725 SW GENTLE WOODS DR ZONING: R -4.5
SUBDIVISION: GENTLE WOODS LOT : 009 JURISDICTION: TIG
PROJECT: REUTER
Project Description: Replacing panel and installing (1) branch 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: 1 W /SERVICE OR FEEDER: 1 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 0 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:
JIM REUTER WINNER ELECTRIC INC
7725 SW GENTLE WOODS DR 5950 SW PROSPERITY PK
TIGARD, OR 97224 TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 638 -5028
FAX 503 - 638 -4242
FEES
Description Date Amount Reg #: ELE 34 -150C
[ELPRMT] ELC Permit 9/10/2008 $86.95 LIC 14794
[TAX] 12% State Surchar 9/10/2008 $10.43 SUP 2825S
Total $97.38 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 %�j t _ ermittee Signature: � ����
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.
Electrical Permit Application . ��� , - ' FOR OFFICE USE O NLY
City of Tigard C1 Date /B� ��j :` Permit No '
. q 13 125 SW Hall Blvd , Tigard, OR 972 O ^00� Plan Review
IN
Phone: 503 639 4171 Fax 503.598 1960 p 6 Date /By Other Permit
TIGARD Inspection L 503 639 4175 C Date Ready /By runs Ed See Page 2 for
Internet www tigard - gov v Q �c P 4 0 N otitled/Method 7- E Q Supplemental Information
TYPE OF WORQ l lw � ')% %%S PLAN REVIEW
New construction �! \dd[tlon /alterat Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Service or feeder -400 amps or more ❑ Budding over three stones
❑ Demolition ❑ other i where We .wadable vault current ❑ Marinas and boatyuhs 1
CATEGORY OF CONSTRUCTION
I ,seeds 10.000 _un sal u0 volts or ❑ ITloauiit, hwldnigs
less to _ground. or exceeds 14,000 ❑ Commercial -use agncidtural
1- 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
❑ Emergency system larger separately derived system
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of
Job no lob site address: -7.7 a, Sf. �' &r C wags U 100 or more residential iwts ❑ R occupancy
! �1 1 11 0. • ❑ Six or Recreational eational vehicle pads
City /State /ZIP' <� Arc.) /+� 7 �i/ ❑ Health -care fatalities ❑Hazardous locations ❑ Supply voltage for more than
lJ // 7 600 volts nominal
Suite/bldg./apt. no.: Project name: E e u if iN ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street /directions to job site' Descry
non I Qt.. I Fee. I Total I '_
New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq ft or less I45 15 4
Subdivision: Lot no.' I
Ea add'l 500 sq It or portion 33 40 !
Tax map /parcel no Limited energy, residential
7500 1
DESCRIPTION OF WORK wuh above sq (Ti
1 , /� L anei multi- famil �5 t)0 '
C.h 1� P/ 4N.'L 2''S -6( (1YD V�'� � - residential[wall above 4 ii: I i
/r/ �JJ Services or feeders installation. alteration. and /or relocation I
1/ (4. 2l)O t FA 200 amps or less / 80 30 s.0 So 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 35 2
I ,
41)1 amps to 600 amps 160.6()
1 .`Dime p
601 amps to 1,000 amps 240 60 I 2
Address: Over 1,000 amps or volts 454 65 2
City /State /ZIP' Temporary services or feeders installation, alteration, and /or
relocation
'hone: ( 1 Fax. ; 200 amps or less 66 3 1 '
Owner installation: This installation is being made on property that i own which is not 201 amps to 400 amps 100 30 2
1 e, i c' S -1•49, a01 _tins to 599 amps I 1 l 33.75 I
�ntendeu .or ;ale_ ease. cent, or ac:;uruln_ .o %, T =1 "_ 6i0. and `l)l 1 I P p =
Branch circuits — new. alteration, or extension, per panel
Owner signature: Date:
A Fee for branch circuits tt -oh /
❑ APPLICANT 1 CONTACT PERSON above service or feeder fee, ) (�.
/,
each branch ...newt 2
i311siness name: i3 Fee for branch circuits I
, vahour :ernce or Feeder `ee.
Contact n am Iasi branch circuit � ,:;
Address. Each add'I branch circuit j I ,3 (',5 _
Miscellaneous iservice or feeder not included)
Cit,i /Stare!_'_IP' c.ic,h manufaenlrcd or :nodular I
ahvellmg, serv ands ii feeder 1 -
Fax
Phone. I I Reconnect only l d5
_
- ,nail ?nmD or initiation :tri:(C ., - Li)
CONTRACTOR Sign cr outline 1,shuns ] 1 53 411 I _
!3uainess name �1�N 6 ieL'/'L- ` pa i1 or i con. or
energy panel, alteration. or
Address: !Si 5 sus Peo9,e2) l' ®9 ,6 k e J extension Describe Page 2 2
L'it, `ctate/7i P Ti» A 1-44),,, 0 2 g w6 L i Each additional inspection liver allowable in any of the above
Phone: ( 3 ) 4, g g SO Z ' 8 �t 6 d t � ry �� Per inspection 62 50
Fax. ( Bj ) Es t7 01 Investigation per hour (t hr mm) 1 62 50
CCB Lie. 1).-1 q Electrical Lie ' _ . . / . _ / C ' _ . Supra. Lic.• dagdj s Industrial plant per hour I 73 75
h "ELECTRICAL PERMIT FEES
Supry Electrician signature. required: J that t Suototal- £ cy�
Pnnt name: �� ii I i t ,� LL Date Plan review (25% of permit fee):
State surcharge (12% of permit fee): it) , e ;
Authonzed signature'
TOTAL PERMIT FEE. C rl 3
Print name' This permit application expires if a permit is not obtained within 180
Date days after it has been accepted as complete.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008- 00525
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1012008
Phone: (503) 639 -4171 4,4911111'\
111'
Inspection Requests (24 Hrs.): (503) 639 -4175 °__..
INSPECTION WORKSHEET FOR DATE: 10/2/2008 TIME: 7:00AM I PAGE: 38
SITE ADDRESS: 07725 S4'W GENTLE WOODS DR CLASS OF WORK:
SUBDIVISION: GENTLE WOODS LOT #: 009 TYPE OF USE:
PROJECT NAME: REUTER
DESCRIPTION: Rep panel and installing (1) branch circuit.
OWNER: RFUTER JIM PHONE #:
CONTRACTOR 'WINNER ELECTRIC INC PHONE #: 603-638-5028
Inspection Request Scheduled For: Date: 101212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 076180 -01 503 - 638.5028 'Y'
Corrections/Comments/Instructions:
E ______ ,H4rn
(11) D 0 1.161 AC CS:Ar GP ‘8(z.44fL CANna—
kcq . 1 10 , 3 LBD -
tt__,v ft.i 4 4 'Re Gto tom - gRPb
C- rgi-, -CCICC '
C___Q
Thee 'cal installation defects noted
on this repo II be corrected and
an inspection reque ade within 20
calendar days per OAR - 71 -0030
i --- --> C3 4\1 be LA 2.-
a PAS' I 1 PARTIAL APPROVAL Li CANCEL 7 NO ACCESS
71 , L CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: G ---- t 1 v se Date: 101 " Phone #: (503) 718 - Z b
I
-f
CITY OF TIGARD 4
i7
BUILDING DIVISION PERMIT #: C2008 (}flf 5
CI
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: EI. I01 000
Phone: (503) 639 -4171 iveipliti'\
Inspection Requests (24 Hrs.): (503) 639 -4175 -..
INSPECTION WORKSHEET FOR DATE: 9/2312009 TIME 7:t }OAlvl PAGE:
SITE ADDRESS: 07726 SW,GENTI EWOODS DR CLASS OF WORK:
SUBDIVISION: GENTLE WOODS LOT #: Mt TYPE OF USE:
PROJECT NAME: REUTER
DESCRIPTION: Replacing panel and installing (1) branch circuit,
OWNER: REUTER .IIM PHONE #:
CONTRACTOR: WINNER ELECTRIC INC PHONE #: 503-638-6028
Inspection Request Scheduled For: Date: 9/231 2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 075792 -01 503 - 630.5028 "N Y
Corrections /Comments /Instructions:
i
Q 1 o Pori. t N c 3 k2 -4 0 ALA) r
c-O Ok) a (,ILS - c_-1-101/40 c II 63cL P.Y4_..,
D(L. G N1 c PI ask co Nbv dLS ,
ni '. ?■M d tft i N?(Z\N.; &R- OA V.,00 (,5') .
� Alar•.trical installation defects noted
-- 6n this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
I I PASS PARTIAL APPROVAL ❑ CANCEL 7 NO ACCESS
a FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: &Th qy Date: 9 23 Phone #: (503) 718 4-%