Permit CITY OF TIGARD.
ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT ISSUED: E /2008 00322
DATE ISSUED: 6/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102AD -00700
SITE ADDRESS: 12665 SW HALL BLVD ZONING: CBD
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: GABRIELLE'S SALON
Project Description: Installing (5) branch circuits for hair cutting stations.
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: 4 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:
DAVID & GABRIELLE MAHER E R ELECTRIC INC
17014 SW RIVENDELL DR PO BOX 912
DURHAM, OR 97224 CANBY, OR 97013
Phone: 503 - 516 - 7240 Contact #: PRI 503 - 760 -2095
FAX 503 -266 -1464
FEES
Description Date Amount Reg #: ELE 3 -591C
[ELPRMT] ELC Permit 6/9/2008 $73.45 LIC 159276
[TAX] 12% State Surchar 6/9/2008 $8.81 SUP 5183S
Total $82.26 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: ` / / Permittee Signature: .‘611V-
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.
Jun, 06 08 09:11a Eric Reich 503 - 266 -1464 p.2
E lectrical Permit Application 1
F012 () I FIC E L S C,ON1 2 g }i ;l' °t ,r'�'
'� 1. f �. » its :
City of Tigard Received Ar�:�/_ /A �j_r t�
�' Date /Bv ��� Permit No.: � C O .J�
13125 SW Hall Blvd., Tigard, s a ,-
Plan Rev , ^ Ce
Phone: 503.639A l71 Fax: 503.598.1960 q �} Date,�By: (?then Permit: 6 �! b co/ 7:
TI G rl R D
Inspection Line: 503.639.4175 J U N 0 6' L 0 Ct) Elate Read }'By: 7{f ® See Page 2 for
Internet: www.tigard or.gov Notified'Method: Supplemental Information
TATE OI yOR[i )F TiLipktip PLAN REVIEW
❑ New construction Addition f,, rati (I 1areef{t I � �
"� 1 Please check all that apply (submit 2 sets of plans w %items checl,e 1 below):
❑ ❑ Service feeder 400 amps or more ❑ Building over three stories.
❑ Demolition Other where the available fault current
❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
El y [ - and 2 dwelling less to ground, or exceeds 14,000 Li Commercial-use agricultural
tin g CommerciaLtndustrial ❑ Accessory building
amps for all other installations. buildings
y ❑ Multi family Master builder
Other: I: Fire pump. ❑ Installation of 75 KVA or
JOB SITE, INFORMATION AND LOCATION El Emergency system. larger, separately derived system.
❑ Addition of new motor load of ❑ "A ", "E", "1 -2 ", " 3 -3
Job no.: t Job site address: 1001 -1P or more. occupancy.
� �� , �vs • ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: -- �4(4 (n2- q - •�� 3 ❑ Health •care facilities- El Supply voltage for more than
r
['Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: $2? / , » c � _ /G _ / Serviceorfeeder600ampsormore.
Cross street/directions to job site: I t j N FEE SCHEDULE
Description I Qty. 1 Fee. 1 Total I
New residential single -or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 ) 4
Tax rnap/parcel no.: Ea. add'I 500 sq. ft. or portion 33,40 I 1
Limited energy. residential
DESCRIPTION OF WORK (with above sq. f.) 75.00 2
"�ALs S „� Jl r� cu ), s Limited enemy, multi - family
7 (7` . e residential (with above sq. ft.) 75 -00 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401. amps to 600 amps 160.60 2
Address:
601 snips to 1,000 amps ' 240.60 2
Over 1,000 amps or volts f 454.65 2
Cit}7State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 7 1
Owner installation: This installation is being made on property that [ own which is riot 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:
❑ APPLICANT I ❑ A. Fee for branch circuits with
CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name:
r 2' �le`' f>r - t k C - B. Fee for branch circuits
Contact name: OA c_ without service or feeder fee, 46 85 2
Address: o . first branch circuit
'Zoe q (Z Each add'l branch circuit 6.65 I li 2
Miscellaneous (service or feeder not included)
' City/State /ZIP: e,-,,,,,, b 02 '' )O r 3 Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: (5 ) Clio -7 065 Fax: : ( ) G -• /q
5i Reconnect only 66.85 2
E-mail: Cg.'r.. . A , e b C CAYl 1, t C Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: 0. 17, I , 24 Signal circuil(s) or limited
energy pane(- alteration, or
Address: / of a j q'z extension. Describe: Page 2 2
City/State/ZIP: CA-,7 /,./ Gi� D , 2d/ 3 Each additional inspection over allowable in any of the above
Phone: Per inspection 62.50
f7�i ) 7Gc,i -?a5 '' Fax: (Qri )2-G4 - /c(4 Se Investigation per hour q hr min) 62.50
CCI3 Lie.: )S-52) C, Electrical Lic.: 3,55(c... Suprv. Lie.: 9s j 5 Industrial plant periled/ _ 73.75
4 r c ELECTRICAL PERMIT FEES Supra. Electrician signature, required: ` �
9, . ubt
S
Subtotal: ' 3 cFc
Print name: 2 op i ~ � �r Cr Date: &A /o f� Plannaview(25 %of permit fee):
J 4 � � d State surcharge (12 %ofpemtit fee): Lt
Authorized signature:
TOTAL PERMIT FEE. ") ��
Print name: c g7 R co_ Date: 6.,./6/6 ir This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit
I:1B eildicglPeenits \ELC- PennitApp.doc 05,23106 445A615 f( 11/05'COTNWEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #t: ELC2008- 011322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E19/2008
Phone: (503) 639 -4171 /vhryp
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 0/9/2000 TIME: 7 :00AMMi PAGE: 16
SITE ADDRESS: 12665 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GABRIELLE'S SALON
DESCRIPTION: Installing (5) branch circuits for hair cutting stations.
OWNER: MAHER, DAVID & GABRIELLE PHONE #: 503-516-724
CONTRACTOR: E R ELECTRIC INC PHONE #: 503-760-2095
Inspection Request Scheduled For: Date: 9/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 075258-01 503 - 516.7240 Y
Corrections /Comments/ Instructions:
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,42 , Date: C7— 9— cP Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200800322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2008
Phone: (503) 639-4171 Aviiimpol(q\
Inspection Requests (24 Hrs.): (503) 639-4175 IL
INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME 7:01AM PAGE: 37
SITE ADDRESS: 12665 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GABRIELLE'S SALON
DESCRIPTION: Installing (5) branch circuits for hair cutting stations.
OWNER: MAHER, DAVID & GABRIELLE PHONE #: 503-516-7240
CONTRACTOR: E R ELECTRIC INC PHONE #: 503-760-2095
Inspection Request Scheduled For: Date: 9/3/2008 Pour Time:
Code # Inspection Description on Contact # Eessage
199 Electrical final 074966-01 503-516-7243
Corrections/Comments/Instructions:
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2AD . (SID N I) 3.3 (.)
n PASS n PARTIAL APPROVAL El CANCEL n NO ACCESS
¶4 FAIL \ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: C t 31 Phone #: (503) 718- ;-1114
. . . ,..
CITY OF TIGARD ,. .
BUILDING DIVISION PERMIT #: EL.C2001100322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 619/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 Alqk 11-.
INSPECTION WORKSHEET FOR DATE: 6116/2008 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 1265 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GABRIELLE'S SALON
DESCRIPTION: Installing (5) branch circuits for hair cutting stations.
OWNER: MAHER, DAVID & GABRIELLE PHONE #: 503-616-7240
CONTRACTOR: E R ELECTRIC INC PHONE #: 503-760-2095
Inspection Request Scheduled For: Date: 6/16/2008 Pour Time:
Code # Inspection Description Confirrn_# Contact # Message
----
125 Wall cover 071419-01 503318-3171 Y
)10 C I C.0 Vek
Corrections/Comments/Instructions:
L6 1 g Rs (/y
i
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C 4 \LL- EL Q f - f 1 iN 1■;145ii-0 i '01'
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Ot gip Cgr PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
- 1 41
il F r fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Cv- ININ2) L-R Date: '611 Ot Phone #: (503) 718- 1,41A