Permit P '
l v E pn `
i2rej eE C � ELRICAL PERMIT
CITY OF T IGARD
PERMIT #: ELC2008-00579
COMMUNITY DEVELOPMENT
DATE ISSUED: 10/10/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 BC -00600
SITE ADDRESS: 10085 SW INEZ ST ZONING: R -3.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT : 019 JURISDICTION: TIG
PROJECT: PARTINGTON
Project Description: (3) branch circuits for heat pump, tankless water heater and gas 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: SIGNAUPANEL:
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:
BRIGITTE PARTINGTON BEAR ELECTRIC
10085 SW INEZ ST P.O. BOX 389
TIGARD, OR 97223 DONALD, OR 97020
Phone: 503 - 620 -5191 Contact #: PRI 503 - 678 -1355
FAX 503 - 678 -1108
FEES
Description Date Amount Reg #: ELE 24 -107C
[ELPRMT] ELC Permit 10/10/200! $60.15 LIC 20919
[TAX] 12% State Surchar 10/10/200} $7.22 SUP 4881S
Total $67.37 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: n �� n /
i
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.
10/ 10 / 2 008 FRI 10: 2 1 FAX 50 3 678 1108 Bear Electric, Inc. I 001/002
• 11--,„:„, .
Electrical Permit ApplicatioIREC
EMI)
FoRofFICE USE ONLY ..
•
City of Tigard Received '
A AM.4 P i 0 tCRICtilf"-rjA),S-71 '
Ili ' " 13125 SW Hall Blvd., Tigard, OR 97223 ,- ,-- 1 0 ?.O% No
Date : .
Plan Review :
2 . Phone: 503.639.4171 Fax: 503.598.1960‘.2 DateiBy: Other Permit:
TIGARD
Inspection Line: 503.639.4175 pg) Date Ready;By: tuns: 0 See Page 2 for •
0 SO
Internet: www.tigard-or.gov
Ca -- V ri I otifiectiMethod: 7....) Supplemental Information
*0*
Please check all that apply (submitl sets of plans w.'items checked below):
0 New construction Addition/alteration/replacement
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition Other: where the available fault current 0 Marinas and boatyards.
exceeds TO MO snips at ISO volts or 0 Floating buitdings.
, . . , . . , . ; : ; . F , : . . ......,......,,.. ' 5 ;' , ;''''' . ""‘'' ''''' less to ground. or exceeds 14.000 0 Commercial-use agricultural
- al
I - and 2-family dwelling CI Commercial/industrial 0 Accessory building amps for all other installations. buildings.
ii Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
JOB SIT -. • ..-- . - . - y.:*: - ii -,- 6 - evistik -.:- . , - ,,,,.•:-. - :.,-:,,,: o Emergency system. larger separately derived system.
.. ,
CI t 00HP or more. occupancy. .
Job no.: Job site address: 00%5 3 u3 --y Alcz- 34, . 0 Recreational vehicle parks.
0 Six or more residential units. •
City/State/ZIP: -- it l i c,cx" ct OR cry g i..\ 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: I Project name: 0 Service or feeder 600 amps or more.
VATVT:.":
Cross street/directions to job site: Desoipt ion I Qty. I f-. Fee. 1 Total I ' '•
.._ New residential single- or multi-family dwelling unit. ,
Includes attached_ garage. .
Subdivision: Lot no.: l ,000 sq. ft. or less 145.15 4 .
Ea. addl 500 sq. ft, or portion 33.40 . I •
Tax map/parcel no.:
Limited energy, residential ,
4;VIT:4:,.M1,4)~.04:4512:00.1*.:-.58:0,:=41:mmre.ittlgaix- with above sq ft 75.00 2
Limited energy, multi-family •
_CA sraki-V 75.00 2
"VDT nm r U S1R . K \ SS wa‘eir residential (with above sq. 11,)
....
Services or feeders installation alteration, and/or relocation
We.a...\ec aCka Ser CeCC. \-e- 200 amps or less 80.30 2
• . ,._ „ ...„.. ..... .. ., . . .. .. .....,,..,,,, . . - V
PROPERTY . OWNE . ‘• • • '.• '• ''''' ":111'ENAN't :: • '. 201 amps to 400 amps 106.85 2
t R.:
Name: r i 9 i-H e P -on 401 amps to 600 ainps 160.60 2
601 amps to 1,000 amps " 240.0 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: (S(.95 (.Q0- 1Cf ( Fax: ( ) 200 amps or less 66.85 I
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
0.111trAW', above service or feeder fee,
6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, I
Contact name: 46.85 itu.< 2
first branch circuit
Address: Each add'I branch circuit I, 6.65 ;','5 I 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E-mail: • Pump or irrigation circle 53.40 2
":::':', . -:'...:: 3- :...:: r ' • ; 1 :: 1 ■ ,`.- ':::. :':■ I. 00 4 4 , .., ; ' .: • :.: ' . .. . '.. ' 5 • ; . . S ign or outline lighting 5340 2
Business name: 6, e -hn'( , - 14e . Signal circuit(s) or limited-
energy panel, alteration, or
AddressL__? 3 gq extension. Describe. Page 2 2
City/State/ZIP: DO na l d 0 / q' (i 0 Each additional inspection over allowable in any of the above
i I Per inspection 62.50
Phone: (502) UnS..- 13 66 Fax: (50?) ) ( 1 )08 Investigation per hour ti hr min) 62.50
CCB Lie.: ',.Q 0 i R Electrical Lic.:al-I-101 0 Suprv. Lie.: 5 1://0-2._ Industrial plant per hour _ 73.75
-.....'• .. ... • '... 00.04..tWAtt t$
Suprv. Electric" signature, required: j/ .._ 7;44.4.,/, Subtotal: ( p0 , , I 5
r p fee):
Print name: i y :l 55 ,4 Date: / 70 _ell/ Plan review (25% of ennit
State surcharge (12% of pennit fee): '..-7 , a 9 ,
Authorized signature: TOTAL PERMIT FEE:
This perm application expires if a permit is not obtained withinISO
Print name: Date: days after it has been accepted as complete.
• Number or inspeenous allowed per permit_
I. B.,tdmg i•einms 1•5.1 .1'eunttApp.doc 05 2 06 451•441Stilt 0$ COM WEB
•
CITY OF TIGARD
BUILDING DIVISION „- PERMIT #: ELC2008-0099
13125 SW Hall Blvd., Tigard, OR 97223 ,..,.,-
DATE ISSUED: 10/10/2008
,.
Phone: (503) 639-4171 4 ,!...'
Inspection Requests (24 Hrs.): (503) 639-4175 A ,, Ti'll
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10117/2008 7:02AM 40
SITE ADDRESS: CLASS OF WORK:
10()86 SW INEZ ST
SUBDIVISION: LOT #: TYPE OF USE:
TIGARDVILLE HEIGHTS 019
PROJECT NAME: PARTINGTON
DESCRIPTION: (3) branch circuits for heat pump, tankiess water heater and as furnace.
OWNER: PARTINGTON, BRIGITTE PHONE #: 503-620-5191
CONTRACTOR: DEAR ELECTRIC PHONE #: 503-678-1355
Inspection Request Scheduled For: Date: 10/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 076800M1 503-6781355 Y
Corrections/Comments/Instructions:
Oilft,
lA PARTIAL APPROVAL El CANCEL Ii NO ACCESS
FAIL FA% CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
I ” ........
Inspector: , Date: ib 1 7 cig Phone #: (503) 718-
N ,