Permit N ' CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 - 00372
COMMUNITY DEVELOPMENT DATE ISSUED: 6/26/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125CD-07600
SITE ADDRESS: 07647 SW LANDAU ST ZONING: R -4.5
SUBDIVISION: TIGARD WOODS LOT : 002 JURISDICTION: TIG
PROJECT: GRANT
Project Description: Installing (2) branch circuits for NC and service outlet.
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: 1 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:
KELLIE GRANT SOHLER ELECTRICAL CONSTRUCTION
7647 SW LANDAU ST 41131 SW BURGARSKY RD
TIGARD, OR 97223 GASTON, OR 97119
Phone: 415 - 336 -4320 Contact #: PRI 503 - 985 -0131
FAX 503 - 214 -6246
FEES
Description Date Amount Reg #: ELE C121
[ELPRMT] ELC Permit 6/26/2008 $53.50 LIC 167949
[TAX] 12% State 6/26/2008 $6.42 SUP 594S
Total $59.92 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:
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 503.639.417-5 by 7:00 a.m. for-an -i ns pection- 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.
.r "t e
-' v RECEIVE,'
Electrical Permit Application F OR OFII( U SF O �Ll» ' t + , 9
a JUN 2 4 2008
City of Tigard Received
Date./By: Ard J/ Permit No.: p 7I
V 13125 SW Hall Blvd, Tigard, OR 97 ,T,
.. 2 "f. Phone: 503.639.4171 Fax: 503.598.15'60I 'iF I Datne./RB Y ' eW
Other Permit:
> : I "'A'd f :' Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready /By' ]uric 'w H See Page 2 for
— -- -- Internet: www.tigard Notl ftedfMethod ZV Supplemental Information
. .
El New construction Addition/alteration/replacement Please check all that apply (subm 2 sets of plans wl c hecked below)
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: when the available fault current 0 Marinas and boatyards.
- - "'` l e cds 0 000 amps at l50 vo or Floatin
C`aT X.t311r'....S" tTl ' ... . t sc d ds 140 o c I h l
u � its o g buildings
1- and 2-family dwelling Commercial/industrial Accessory building css s o oun , or ens a 0 ❑ o mnc rcin -use a ura
y g ❑ ❑ D' g amps for all other installations, buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
- ;. - _ e separately drive m
:; - :JOB SITE Ttti FC?LM *1 '/ll Di LOC,` I of new motor load of a at Y -1 3 d system_
Eme�;eacy cyst m.
larger scp st e
Job no.: Job Site address: �f / �,!t 100HP or more. occupancy.
�'� L Cr NQR v T ❑Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: er I G. FS ri R 0 c45 7 It Y ❑ Health -care facilities. El Supply voltage for more than
f ❑ Hazardous locations. 600 volts nominal -
Suite/bldg./apt. no.: Project name: 6_ n pi N 7 El Service or feeder 600 amps or more
Cross street/directions to job site: Description R Foe.
r Tsai 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 map /parcel no.: Ea. add'l 500 sq. fl- or portion 33.40 1
residential
75.00 2
:: . ' AF$G"Ct 0:t.tON:, OF' > s (with energy. s . ft)
Limited energy, multi - family 75.00 2
1 C c� 5 2 - R v/ CC C ' I .. I 1 _ residential (with above sq. fl.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
g . .00,4 . 15t v>u Q 'T W AN 201 amps to 400 amps 106.85 2
• Name: X L.( d Cr - t c, N 401 amps to 600 snaps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: ' 7 C y 5-v A k i ,: 14) S ' Over 1,000 amps or volts 454.65 2
City/State/ZIP: 1 1 l; A . , 0 9 r� 3 Temporary services or feeders installation, alteration, and/or
1 relocation _
Phone: ( i., / S —? ? G - y ? c Fax: ( ) 200 amps or less 66.85 1 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 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
❑: M PL�CA t . ': Cl C ►FFg1C. kk,IkcA[3151 - - feeder above service or teed fee,
6.65 2
each branch circuit '
Business name: B. Fee for branch circuits
first service or feeder fee, I y
Contact name: 46.85 ! b 2
branch circuit _
Address: Each add'l branch circuit I 6.65 (, ...5._. = 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
2
;;'..:. t."oIV "l"l�1CT(31[i i -<: ...... .. . Sign or outline lighting 53.40
r outlin
Business name: r ( /^ W Signal circuit(s) or limited -
SU �e - R E 7E'-C Tit Crt 1 (...e1 %sJ t energy panel, atteration, or
Address: 4 7 1 / 1 7/ 5k- 60,74,-5- � y ,// ® extension. Describe: Page 2 2
City /State/ZIP: ( c,-6 ,,.../ ` � n � d 7 / / Each additional inspection over allowable in any,of the above
1 4 /I `T J Per inspection 62.50
Phone: (S'C 3 ) r Q 5----- 0 0 ( Fax: (j(} 1) :'' / —6 (112 Investigation per hour (t hr min) 62.50
CCB Lic,: "l6 7 cj t / t' - 1 • ctrical Lic.: r � A ir . Lie.: y, f I ndustrial plant per h our 73.75
fsL CTR1 Af Pte —
Suprv. Electrician sign ∎ e, . L ' 4P • . r ••• Y Subtotal: , TO
Print name: • Date: Plan review (25% of permit fee):
a S 7 t( d State surcharge (12% of permit fee): G
Authorized sipatula: f , -` 6 — TOTAL FEE: ri t ei
Date: /;2 c This permit application expires ifa permit is not obtained within 180
Pent name: e�h
c ) //b days after it has been accepted as complete.
17 'd BLOT—SSG—COS .lalyoS a or eLEt60 80 i,Z unC
r
CITY OF TIGARD
, . .
BUILDING DIVISION
A PERMIT #.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: #: DX2008-00372
6/26/2008
Phone: (503) 639-4171 poll lit
Inspection Requests (24 Hrs.): (503) 639-4175 ,-,_-_.W .......
INSPECTION WORKSHEET FOR DATE: 7/30/2008 TIME: 7:01AM PAGE: 24
SITE ADDRESS: 07647 SW LANDAU ST CLASS OF WORK:
SUBDIVISION: T IGARD WOODS LOT #: 002 TYPE OF USE:
PROJECT NAME: GRANT
DESCRIPTION: installing (2) branch circuits for A/C and service outlet.
OWNER: GRANT, KFILIE PHONE #: 415-336-4320
CONTRACTOR: PHONE #:
SOHLER ELECTRICAL CONSTRUCTION . ccoE _ 503-985•0131
Inspection Request Scheduled For: Date 7/3012008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
199 Electrical final 073462-01 503-95-0131 N Y
Corrections /Comments/ Instructions:
17
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r\ ,
Pk'
i
W PASS fl PARTIAL APPROVAL CANCEL 0 NO ACCESS
A AIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: -- 11\gl, 1,6- Date: 1/ Phone #: (503) 718- MIA