Permit , - -CITY OF , TI,GARD fi ELECTRICAL PERMIT
, r' PERMIT #: ELC2006 - 00676
COMMUNITY DEVELOPMENT DATE ISSUED: 11/29/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AC-00100
SITE ADDRESS: 11388 SW IRONWOOD LP ZONING: R - 4.5
SUBDIVISION: ENGLEWOOD LOT : 030 JURISDICTION: TIG
Project Description: Remodel and panel change. Job No. 104906
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: 6 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
MARTIN BOONES FERRY ELECTRIC INC
11388 SW IRONWOOD LP PO BOX 628
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503 - 682 - 4936
FAX 503 - 682 -7946
FEES
Description Date Amount Reg #: ELE 3 -223C
[ELPRMT] ELC Permit 11/29/200( $120.20 LIC 88482
[TAX] 8% State Surcharge 1 1/29/200( $9.61 SUP 49185
Total $129.81 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 0 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies-of-these rules or direct.questions to OUNC at
503.246/6699 or 1.800.33 . 34, . - /
Issued By: L _, 1 2 �"
Permittee Signature:_ � ' � C,� //,,___-
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: ��.,LL__ , , (( iC -- 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.
Ei�ltilr 28_ 2006 29PM FERRY ELECTRIC No. 4748 P. 1
T City of Y Igard `° ,- '� � Received ///B/� ' �� Permit No., El eveeo __ 70
13125 $ W Hall Blvd., Tigard, OR 97223 Daae/By:
Plan Rev
Phone: 503.639.4171 Fax: 303.598.1960 t' Q. 201 a'ryt yl � (,h Date/By: Other Permit:
Inspection Line: 503.639.4175 %O1 r... ■ See Page 2 for
:1,1,, Date Read 6d
teener YB d:
' "`'
' cl ngSrd or u5 r �(�
• w Notified/Method:
m nformatt n
Sh�a�tzn r` II r T iGh ' ( f r •.r �. Supplt carat t p
'A rr S t t ti�.rw� -� j „ri '� ,r � r~ `re r '�'r ;,�.5,�^ f',r fr�.�:" - y yr.�u""" M ., +Yiv `�. r 'arty rig' ' . = . , n {4 C^'T'�7. u ,. •.; y ,�v, .. , p ,, t . sr l; , ,,: y .... .. ,, - ,
','�.� 54.1 '� ' 4k� k, . °.:rr.uw'.I'a i- 7.,i)' , i N 'C , J it 4�' +• kes ;r,t • ,. .P,I I rte:, 11 , ;: .. w' � 11.. .
, ;417,al.alr_�._,., ... �_ 7 iFf; :,s_�_. +,_ i kr1µ.G,w +..s7 . .: -:..: k :i lf: v '.,wJ 2 ..: �`� :"^..z. ✓' : Er ..yMr T ( 1 t Vi . B L S t, 7. q i. � dA... - d 7 . � 3' . t 1�
❑ New construction ❑ Addition/alteration/replacement , Please check all that apply:
❑Demolition ❑ Odter:
['Service over 225 amps, comm'1 ❑ Hazardous location
t -t 4t x q t1y k + r x fir w� x, , , r , ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft,
i g gi r c� - Y + i ti . a , iVi t .w � lT " S t . 'qg M:' ,1({ " '� . . i ., , ? r ` ,,. i;4,:" of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ❑ Commercial /industrial 111 Accessory building ❑System over 600 volts nominal units in qne st ucture
❑ der. ❑ Other Multi-family ❑ Master builder. OBuilding over three stories ❑Feeders, 400 amps or mare
�w ` " , 1 ul� i /,t iJ aril i„r � -° - , ❑ Occupant load over 99 persons ❑Manufactured structures or
,,
3 _F � , s n� •u{ x..ii. ; rJ ,t. a. [ p . , t:, , ` ,: F S ` : , { 6 V � � a` . ra q� ,l ,e , :..l � 4.4 ❑E Tess /li ht in Ian RV park
._ d �_. I g g gP P
Job no. :/ 0 4.906 Job site address: / 3 8 SW /r0, ADO G ❑Health -taro facility (]Other:
� Submit 2 sets of plans with any of the above
c
City /State /ZIP: / 5 _ t The above are not a licable to temporary construction servtcc
pp p
M r {,' a i A iagP •3 q' i' e 4 rcr^ r
Suite/bldg. /apt no,: Project name: 1 •br l i ;•:lit .. ,i,+l «' yu r i.r, i �+ • l .i;e l'.i • fm‘ e...1
Cross street/directions to job site: residential or
Includes attached garage.
ttt sq. ft. or less 145,15 4
• Subdivision; Lot no.: " sq. ft. or portion 33.40
Tax map /parcel no,: ` 75.00
_., ..
(;� I sfi'����;w ,�''�I r >k�`����a a��� '�i ,, m, � '°""� a � -tie cl�� i � °��1� �>� '�i��� ��t�s �.�. X� ry Each energy, non - residential 75.00 2
it aS�LS a>N•.,�.. ;`tis:�cGrt..,J...,v ,_,.beet gc 1' 11 ..� f : ... .._.. ..
..sra�.e,�,:.� ,.� :, >�.� 5,,,,i aeh manufactured or modular
dwelling, service and/or feeder 90.90 2
R c........a,,_ d, e u i a C aJ . Q Services or feeders installation, alteration, and/or relocation
i r� ^l- :a•::; air v; r.- i6': �' et wa' a:; V; rF�����: w4;: rz^°'..^.; T. Fw> r ..: - � Elcar .. �, —•: -: •.�^ ^�.^.c ,-rx ,.:.
200 amps or less 80 30 2
C } 7 4R . a + Ot Fa77 by 1 R �7 F { - rt 7f > T
`,JJ, iii f�;.� 1 ..ah " �".�',}, � e jNeta"`' 7� »?il ,,..),` ,. ', ; , 17 .i . at 7 �o 201 amps to 400 amps 106.85 2
•
,lai,,,;. .: ::,: .. V77.1:,:�41... c.., tiRfNzi,.; ,i,l ,,..! : sa ,: 'Z,.c__.., < < - � 7 , ,'r.: , :. ' ` 401 amps to 600 amps 160.60 2
Name:
601 amps to 1,000 amps - 240.60 2
idress: Over 1,000 amps or volts 454.65 2
Ct1y /State /ZIP: Reconnect only 66.85 2
Temporary services or feeders installation, alteration, and /or
Phone: ( ) Fax: ( ) relocation
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
I
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature:
Date: Branchclrcuits -new alteration,
' . 1..: ::....... ,.,. 'v
. .., �..... -.,- »�::: ;:..,. - new, or extension, per panel
h!• f�.+ c " ': 1 K l "q '''''i'` r ' " '''' - x: p x�tT ; -. P 5� ``i i^ Fors t A. Pee p
� 9 F• : l C xd ( t ✓ RE ... r rr ! .avix'" M1 1 y lV ii h t4 , 4 h tr S,,, )
s 11r;.4*;:1 .,•AgiE�•� > �� � .,.:. R ,,l.m.... [,.1 F for or .ten„ � ' � service or feeder fee, e
each
Business name: - branch circuit 6 6.65 �g �g� 2
Contact name: B. Pee for branch circuits
without service or feeder fee, 46.85 2
Address: first branch circuit
Each add'I branch circuit 6.65 2
City /State/ZIp: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: - ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
)J marl Signal circuit(s) or limited -
IwJ ^ "arar °IMP' ".af �j���5 fi C?,.SZ "' e� i ,� �- P 7 '.
tt »i �Rr.�..,a.w.Yv.+- ,Ry„, `..Ra .w`i' ,!G�a r....k^caw - � ERN` ..Sa:f E,.�, -r ,,.'.;.t _,iat: l e extension. nergYpanDelescribe: , alteration, Or
Business name: Booties Ferry Electric
Page 2 2
Address: P.O. Box 628 Each additional inspection over allowable in any of the above.
Per inspection 62.50
City /State/ZIP; Wilsonville OR 97070
Investigation per hour (1 hr min) 62.50
Phone: (503) 682 -4936 Pax: (503) 682 -7946 Industrial plant per hour _ 73.75
.,t<..,:.,�� ,F'^ I . 'i �"„ >rr a i i � TI P^a n. M ` i Ill y
.`
. CCBLin,: 88482 Electrt 3 -223x& Suprv. tic.: 3 / �p �W r" �`' I �` ' 17 3
ix Subtotal / 2 0 , 2 0
Suprv. Electrician signature:, r -• uired: N, ,or1 Plan review (25% of permit fee)
0-, k ) ei- - ' Dat e; 2 Q State surcharge (8% of permit fee)
. tint name: �// / • G
< TOTAL PERMIT FEE / 2.9 . e 1
Authorized Signature: This permitnpplicatton expires ir permit is not obtained.vilhia 180
days after it lies been accepted as complete
Print name: Date: ► Fee methodology set by Tri- County Building Industry Service Board
" Number of inspections per permit allowed.
i:\ Building \Permits\\LC- PermitApp.doc 12/03 440- 4615T(10/02/COM/WEII
CITY OF ��nm n n��m mnn^m��mo��
BUILDING DIVISION" - ' ' - A PERMIT #: B.C2006-80076
13125 SW Hall Blvd., Tigard, OR 97228 DATE ISSUED: 1112312006
Phone: (503) 639-4171
Inspection Requests (24Hry.):(G03)G3S'4175 a�01~ 11.
INSPECTION WORKSHEET FOR DATE: 12/21/2006 TIME: 7 PAGE: 37
_S|TEADDRESS: 1138HSy�|R()Mt�O0[)Lp CLASS OFVVORK:
SUBDIVISION: ENGLEWOOD LOT #: 030 TYPE OF USE:
PROJECT NAME: MARTIN
DESCRIPTION: Remodei and panel change. Job No. 104906
OWNER: k4ART|N. PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 5Q3-682-4936
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Con ct # Message
199 Electrical final 841414-01 582-4936 N
Corrections/Comments/Instructions:
-~-
.
PARTIAL �
LAPP~� 1 CANCEL ri NO ACCESS
y � �� FAIL SP 'T|ON E] FEE ASSESSED
j 1( 111 /
�
x/
|nopmInspector: ATAI i � ^'
� Oate� r /r
Phone #: (503) 7
_' '