Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00240
COMMUNITY DEVELOPMENT DATE ISSUED: 4/30/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112AB-00300
SITE ADDRESS: 07350 SW LANDMARK LN 130 ZONING: I -H
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: CREATIVE HOME REMODELING
Project Description: Installing (3) branch circuits to correct code violations.
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: 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:
PRENTISS HICKS RK ELECTRIC INC
PO BOX 23633 24495 NW OAK DR
TIGARD, OR 97223 HILLSBORO, OR 97124
Phone: 503 - 639 - 9331 Contact #: PRI 503 - 640 - 1344
FAX 503 - 356 -0513
FEES
Description Date Amount Reg #: ELE 34 -375C
[ELPRMT] ELC Permit 4/30/2008 $60.15 LIC 94275
[TAX] 12% State Surchar 4/30/2008 $7.22 SUP 4724S
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.
O
Issued By: _ j �_ =: �
� Permittee Signature: e �cG amt,
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.
Apr 28 2008 3:37PM HP LRSERJET 3330 p.1
;. ' -
E lectrical Permit Applicati4 FoR tlrFR E usl•: t)NEY
City of Tigard ,- Received - I 5 -40 S ,,7L� * � - t.0 �'-t.CS ,, 0
Permit No.:
13125 SW Hail Blvd., Tigard, OR °► .' . ^ plan Review
rs Phone: 503.639.4 l71 Fax: 503.5' .0 I-- �'fe' ; Qther Parmii: 8��a r ju �i.c(�� 7,
�r1 noway:
inspection Line: 503.639.4175 PQ� r ,., •J- Date ReadyBy: f� 5J See Page 2 for
Internet: www.ci.tigard.or.us t .....c _ , 1 k � �e"�∎ Notified/Method Supplemental Information
�!' �.� i r nmirL-auwau u ,a a, r nn , p� i.� _ � � � � } • � � s u �(• 1 r n r x a ma-�warr : r
1, nil 1((A 7R 1gC , }iN f r $ 3.. 9 E'e i sx` ,fl-ilC li€ :vt i Z "1�i t }31 iE €li l p F`YEl 2 I ''•°�& .. ,. N
•lIt7f � tli'�4�,x�i rs' ���s�' .�� :1'J �� >s..�(...awa i�.._..aitlla! v � li f It o:fl J u �ltl. i. li� „: sift'" � i< :a r�YF. �i�.ar�,.'i�r�ivm?;mle,u,..���t ".ter �. -•
❑ New construction ® Addiii"'f rifid xt afion/replacement Please check all that apply:
El Demolition ❑ Other\ /1 0 Service over 225 amps, comet ['Hazardous location
p i pt,ea a wni { liiacinxtp siau� ,sr it a ;cus �� p�Y t of 1- and a ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
- a E i g ( I r" �+a #, i a .nit r t > p , a, • a f I li Y' t' " e. ID F 2 family dwellings 4 or more new residential
aS� nt�i"u, bf1: �., s,wb�zlyilir»w.hlr•P� ^rsrl ,Fida�.�a�er.a�rtda c�:��,�sr r.e r 1 , .,t......:;
❑ I -and 2- family dwelling ® Commercial/industrial ❑ Accessory building El System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more
e `l r �P, -yen Ic a} � � `� s t is al E , ai nt:ls run }s A ther: Occupant load over 99 persons ❑Manufactured structures or
_ gg a FP: , 1 .. � P l x x i ° I�. t a I11 y„ � :1 # tk, C t arsi ` l � . t l• t.1� ', +: 1 iw. � -. � r ❑Egress/Iighting plan RV park
� 1 ,
Job no.: 548 Job site address: 7350 SW Landmark Lane ❑Healthcare facility []Other:
Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard, OR 97224 /� The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: / O 1 Project name: (4 `� // p e ee/ E,, 412131170-1-K4170 , s ; .. r , . 1�1 ■ to fi.
eriprton Qty. Fee. Total
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: 1 Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 l
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non - residential 75.00 2
c s g ;ss9 rx,Yr2ala'rrdli uaann�,�u' 1131 iiW�il 111r''il lyi °Eti�11r'"`r"ul 1
,! ranri l dill ll ' 1r i OrM rtrITZ , G rtt 3 ^.- St� lIta .:�a,iil l:iil�ul Each manufactured or modular
(' /( -- ( V! QUOIT] C dwelling, service and /or feeder 90.90 2
.o 4)DE QUO r t i.( Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
Y
l• S 1 `
+ � eta . ,s a t ;ass s 1g e E E,LIRP i 1il ; . 10 1 201 amps to 400 amps 106.85 2
a :.1 4r E s•�?xar 4 1 t ra? i� i . k. ; l > r ,: * ,eu p.e a el €a. iiNilll in 401 amps to 600 amps 160.60 2
Name: Creative Home Remodeling 601 amps to 1,000 amps 240.60 2
Address: 7350 SW Landmark Lane Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Tigard, OR 97224 Temporary services or feeders installation, alteration, and/or
Phone: (503)639 -Z411 I Fa ( ) relocation
200 amps or less 1 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
'4"- m t r w lats ic, r F 'F' l �c81S` t "fli firii:
t f g e i L , $ , 1 i x A. Fee for branch circuits with
1 c: k ?? � [,. cl +dw.a a5 =fate, service or feeder fee, each
Business name: IRK Electric, Inc. branch circuit 6.65 2
B. Fee for branch circuits
Contact name: Zach Milton �
without serv or feeder fee, 1 46.85 /as 2
Address: each branch circuit
•
Each add't branch circuit 2i 6.65 l3, 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (503) 640 -1344 I Fax: : (503) 356 -0513
Sign or outline lighting 53.40 2
E-mail: f Signal circuit(s) or limited -
't1^ P € c � s a l i 1 . aUfge. EET i M l ; tsTi ar l energy panel, alteration, or
extension. Describe: Page 2 2
Business name: RK Electric, Inc.
Address: 24495 NW Oak Dr. Each additional inspection over allowable In any of the above
Per inspection 62.50
City /State/ZIP: Hillsboro, OR 97124 Investigation per hour (1 hr min) 62.50
dustrial plant per hour 73 75
Phone: (503) 640 -1344 Fax (503) 356 -0513 In r ,,,rf n , t f
CCB Lic.: Qq Electrical Lic.: 34-375C Suprv. Lic.: 4/7D(/ 5 Subtotal (,Q I s'
Suprv. Electrician signature, require - Plan review (25% of permit fee) - O - r
Print name: ( P... \ on L "D !
C`L'Y'�Z ate: 4/28/08 State surcharg % of permit fee) (7, gar TOTAL PERMIT FEE (j 7, 37
Authorized signature: < ? ,- This permit application expires if a permit Is not obtained within 180
days after it bas been accepted as complete
o
Print name: - ` K (Ai( Date: 4/28/08 " Fee methodology set by Tri- County Building Industry Service Board
+'\ " Number of inspections per permit allowed.
i:\ Building \Permits \BLC- PerrntApp.doe 12/03 440.461 Sr(1WOO /COMIWEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00240
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4130/2008
Phone: (503) 639-4171 /
_
Inspection Requests (24 Hrs.): (503) 639-4175 i
INSPECTION WORKSHEET FOR DATE: 5/512008 TIME: 7:01AM PAGE: 46
SITE ADDRESS: 07350 SW LANDMARK LW 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CREATIVE HOME REMODELING
DESCRIPTION: Installing (3) branch circuits to correct code violations.
OWNER: HICKS, PRENTISS PHONE #: 603-639-9331
CONTRACTOR: RK ELECTRIC INC PHONE #: 503-640-1344
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
Code # Inspection Description r Contact # Message
199 Electrical final 069314-01 503-640-1344
Corrections/Comments/Instructions:
Art Q LS \N741.12.
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1 2-.1 ( 1)
ifq PASS
l] PARTIAL APPROVAL 111 CANCEL NO ACCESS
CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: () Lt Date: _ 0 di Phone #: (503) 718- 1/ ' 11 •
CITY OF TIGARD
BUILDING DIVISION 1 PERMIT #: ELC200B•0024O
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2000
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �'_
INSPECTION WORKSHEET FOR DATE: 5/1 /2008 TIME: 7 :00AM PAGE: 94
SITE ADDRESS: 07350 SW LANDMARK LW 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CREATIVE HOME REMODELING
DESCRIPTION: Installing (3) branch circuits to correct code violations.
OWNER: HICKS, PRENTISS PHONE #: 503 - 639.9331
CONTRACTOR: RK ELECTRIC INC PHONE #: 503 -&40 -1344
Inspection Request Scheduled For: Date: 511/2008 Pour Time:
Code # Inspection Description Confir-m -# Contact # Message
199 Electrical final 069129.01 503-640-1344 N
Corrections /Comments /Instructions:
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r . t t o* 2..It CAAEARRNIt NeeZT ELEGI Ikc_ EO 0; 0
kc. s c »D v
et: -50 .
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL _I NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G I v 6e) 1—e Date: 611 161 Phone #: (503) 718 -,.1 K