Permit •
CITY OF TIGARD
D ELECTRICAL PERMIT
.. PERMIT #: ELC2006 -00355
DE�!LOPMENT SERVICES DATE ISSUED: 6/27/2006
f I 13125 SW Hall Blvd., Tigard,_OR 97223 503 - 639 -4171
PARCEL: 2S 102BB -01300
SITE ADDRESS: 09980 SW JOHNSON ST ZONING: R -4.5
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT : 016 JURISDICTION: TIG
Project Description: Job #7924 Change oout of electrical panel
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: 1 W /SERVICE OR FEEDER: 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:
ELISE SHEARER WILLAMETTE ELECTRIC INC
9980 SW JOHNSON PO BOX 230547
TIGARD, OR 97223 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description - Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 6/28/2006 $80.30 L[C 75059
[TAX] 8% State Surcharge 6/28/2006 $6.44 SUP 19655
Total $86.74 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 Permittee 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: ( ! �—/ (,,o ' �
LICENSE NO: 1 C � I /
1 gc�s
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 26 2006 2:02PM WILLAMETTE ELECTRIC 5036242938 p.2
, is,: t=r : ! ,. i ._ Ti,.i'- % ?:
CE
2006 .} I , .
JUN 2 6 %_ ._._ .; ;I;,' . ;;'
] New construct 0 Addition/alteration/replacement I Please check all that apply
❑Sclvicc ovc. 225 amps, cornm'1 DIlazardous location
❑ Demolition 0 Other _ , ['Service over 320 amps - rating ❑Duiidlig ove: :0,000 sy. Ft ,
oa•r. – ^„rn,a - :2, i:'; :g '��,....,�� .: ;=1^t
>• . 0 z- ')1- ?e, =..nt,:f;',r1� r _ a fill % 6 " r ' F 1 �.s. _ - _ „t ; _ y of 1 -and 2- family dwellings 4 or more new residential
❑ 1- and 2-family dwelling J Conunerciai /industrial ❑Accessory building
C] System over 600 volts nominal units in one structure
Dl3uilding over three stories ❑Feeders, 400 amps or more
❑ Multi family ❑ Master builder ❑ Other.
['Occupant load over 99 persons ❑Manufactured Struchlres or
wrrt s ue" � ' At ' at i� 3 f i k t �€ l4 l a /li htin tan RV park
a " rTM c {r 54 ,,, 1 ., _, i (0,.ft ;�'-s, a s y , :a,-.x igi. z n:.u.:e l ❑Egress g SP
DI-care facility Other: _
Job no - 7`l l Job site address: gig 6 y� 1l4 p�'? j Submit 2 sets of plans with any of th above. —
City/State/ZIP: j f7 Ac a� Z 3 The above are not applicable to temporary construction service.
Y / d 6i " "+ k! ice, aaa . b='r�:� a":.-1;;
Suite/bldg./apt. no.: f Project name:
Description Qty. Pea. T at ar
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: B. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2 -
Tax map/parcel no.: _ Limited ene -gy, non - residennal 75.00 2
r y.' $ W
�'la t r "s � d . ilfrt , s y "``' : (> rz °',-litre d, a °
,, Each manufactured armodula-
'x •L t . _c. 9: $ " r.� rlasr, ^£ ,.,,L a .r . 11 -e -,au '•.°
''' dwellin:, service and /or feeder 90.90
doe, 4 ,. f url G6a� _ Services or feeders installation, alteration, and /or t'Elncat en
! 200 amps or less t 80.30 Pt 5 2
- n'Al T ` {t :. P it ti a : , . mp s to 400 amps 106.85 2
u: t5 ati i`� mil ' ' x -k - <'- �. K4 4'.' ��'!. , ry s 201 amps 2 I
,� �-. -a.. �. ,jf . j 'a,_,. r-' i t • ' � 401 amps to 600 amps 160.60
Name: / !„ L. :: mot t i A e-- 601 amps tc 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2 I
Address:
• Reconnect only 66.85 • i 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less r 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension., per panel
�. MMI A_ Fee for branch circuits with
i: pg
�h `"�i ; � • 7°s' 5 s' 0tiA3t,a , ,:, , F F F - s r
y x t c` ?F.f -s 1 t'' n ?, service or feeder fee, each
6.65 2
Business name: branch circuit _
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
each branch circuit
Address: Each add'l branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included) —�
Pump or irrigation circle 57.40 2
Phone: ( ) Fax' : ( ) Sign or outline lighting 53.40
E-mail: Signal circuit(s) or limited -
T , ' : ..�a:, ti z a ;i I T '� ,,, :9, ,rf , + s - : energy panel, alteration, or / {
j �; " '9.r�+''�,� - r ��1: ° �d r ', e abe•,� .. 1� 'fi t t ...
,..,�, �.. extension. Describe: Page ..
Business name: ��q,
�'� �— fv �r Each additional inspection over allowable in say of the above _
Address: it j , , ', -„ - 4 - P Per inspection 62.50
City /StatelZIP: y h. Aft _
f_ LILA. _. eill Hues per hour br min) _—
V �' ` Tut I
Indus investigation e - h r (l un 62 50
Industrial plant per hour 73 75
g —
Phone: ( P 63-) E E Fax: ( ) 6:2 Fi .i t ' 'his s;
CCB Lie.: ' '..T6. Electrical Ltc.: A „ Z., C . Stiff'''. Lie.: t, ar—c! 7 Subtotal r � j jt Jo_
Suprv. Electrician signature, required: f — Plan review (25% of permit fee) - 46
State surcharge (8% of permit fee) 6. __
Print name: ` _ Dater �'y ` _
e F TOTAL PEkiMSS FEE (e►
Authorized signature: u � This permit application expires if a permit is nett obtnined within t 0
— _ -- days after it has been accepted as complete
Print name:
Date: ' Free methodology set by Tri-County Building Industry Service Board
_
— - " Number of inspections per }:erotic allowed.
eVauilding \Pe, miuu:LGP critic A pp doe .2 /1.13 440-46 I ST( I ovvCOM/WEs
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EX200 6-00365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2006
Phone: (503) 639 -4171 'liNliglgill'
Inspection Requests (24 Hrs.): (503) 639 -4175 L
INSPECTION WORKSHEET FOR DATE: 7/18/2006 TIME: 7:03AIMI PAGE: 64
SITE ADDRESS: 09980 SW JOHNSON ST CLASS OF WORK:
SUBDIVISION: NO. TIGARDVILLE. ADDITION AMEND LOT #: 016 TYPE OF USE:
PROJECT NAME: SHEARER
DESCRIPTION: glob #7924 Change oout of electrical panel
OWNER: SHEARER, ELISE PHONE #:
CONTRACTOR: WI LLAh E I I E ELECTRIC INC PHONE #: 603 "624 1
•
Inspection Request Scheduled For: Date: 7/18/2006 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 033214 -01 503-6243631 N
Corrections /Comments / Instructions:
NoiE Ate
IN \ s(A.Ya( . ‘,1? 1 .t*641
02°34 1. M.
Mk
`,Mk
in PASS fl PARTIAL APPROVAL n CANCEL P NO ACCESS
A glir L FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 0, N s" ch . Date: I le( V 6 Phone #: (503) 718-
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2112006
Phone: (503) 639-4171
,...,_ :/al i til l )
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/1312006 TIME: 7:02AM PAGE: 47
SITE ADDRESS: 09980 SW JOHNSON ST CLASS OF WORK:
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 016 TYPE OF USE:
PROJECT NAME: SHEARER
DESCRIPTION: Job #7924 Change oout of electrical panel
OWNER: SHEARER, ELISE PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624
Inspection Request Scheduled For: Date: 7/13/2006 Pour Time:
Code # Inspection Description 4 P 111 .717m • Contact # Message
199 Electrical final 033027-01 603-624.3631 N
Corrections/Comments/Instructions:
(0 P M \) I er 1\nick:(). 6\6D _ote:•_,10(k. i €(4RA s c)
rm\Yet_
ci:NL)a(,(L 6/.5.0 1/A - FE-(1. l (itluz cul.)celt.(_,
1451 o'S, 'iz ct-vl. -- i6 ofsaN 1/4.."
AT ZO ,l i •
•
111 PASS n PARTIAL APPROVAL 0 CANCEL • n NO ACCESS
X FAIL X1 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 1\1 % - t--c Date: 1 /3 (1":; Phone #: (503) 718-
, . .
. . _ .