Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00390
COMMUNITY DEVELOPMENT DATE ISSUED: 7/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 12A B -00300
SITE ADDRESS: 07350 SW LANDMARK LN 130 ZONING: I -H
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: CREATIVE HOME REMODELING
Project Description: Installing and repairing (4) branch circuits.
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: 3 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:
CREATIVE HOME REMODELING RK ELECTRIC INC
7350 SW LANDMARK LN 24495 NW OAK DR
TIGARD, OR 97224 HILLSBORO, OR 97124
Phone: 503 - 639 -2411 Contact #: PRI 503 - 640 -1344
FAX 503 - 356 -0513
FEES
Description Date Amount Reg #: ELE 34 -375C
[ELPRMT] ELC Permit 7/9/2008 $66.80 LIC 94275
[TAX] 12% State Surchar 7/9/2008 $8.02 SUP 4724S
Total $74.82 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._ 4175 _by_Z: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.
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Electrical Permit A pl ''r t , l c:i►t O Fric i 1'I< - )NL� " �?, k r s •
City of Tigard ®� 2 Rvate!B a PernvtNo.: - �) 5- 'ClU3�
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II 1 I 13125 SW Hall Blvd., Tigard, OR '� �3 Plan Review Other Permit: / p R C.
Phone: 503.639.4171 Fax: 503.598.1960 ( DateB i
TI t:rA F 17 Inspection Line: 503.639.417 e1 v/ O � `� Date Ready Jur 13 See Page 2 for
Internet www.tigard-or.gov 11 1 V nss(1SIO Notified/Method: Supplemental Information
z , I e L 1!ra ry j V t l dts �i 11 "� l at 0 nd ? 4 1t . , ' �� A..4 %; i
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3
- id+ t r ' r w a s n u Ill: m€ tea s , 1 le tts1 - . y (schwa t ar sets of 6 ,t
❑ New construction el Additlon/alteratlon/replacement
Please check all that apply (submit 2 sets of plans w /items checked below).
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current Cl Marinas and boatyards.
" 'pt ' %
`i r i ,a f- t W t fii t r' t I i 8 i' exceeds 10,000 amps at 150 volts or ❑ P ooapngbuitdings.
1 '~r � � f �� � - � � ' � ° t ' less to ground, or exceeds 14,000 ❑ Commercia -use ag ri cu ltural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder g( am Other: ❑ Frn puml' (� I of 75 KVA or
fix " ' it i3 ly , �!`'; l • .. t �� - ti � 7 IM F"R€ n a r ...: O Emergency system ` larger separately derived system.
. . ❑ Addition of new motor load o. ❑ "A" "E" "1.2" "i -3"
Job no.: 747 Job site address: 7350 SW Landmark Lane more. occupancy.
❑ Six x o or more residential units ❑ Reereafienal vehicle parks.
City /State /ZIP: Tigard OR 97224 0 Health - care facilities. 0 Supply voltage for more than
❑ Hazardous locations. 000 volts nominal.
Suite/bldg. /apt. no.: / 50 Project • name: ' - . ✓ ■Service sr feeder 600 amps or more
���ii�!!! • • a u a ,
Cross street/directions to job site: Demeripthre Qty. Fee. Total •
New residenllal single- or multi - fancily dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no Limited energy, residential
xpt d at min r r s p 11 m w 75.00 2
y C� 41 ; Ti" f j G €"'.4 n1 i rna e Ui .d r` ' IV ► i 1 '. � � 603 above sq.
Limi energy, multi - family 75.00 2
3 new circuits and repar code violations residential (with above sq. 8.)
Services or feeders installation, alteration, and/or relocation
200 amps or ' less 80.30 2
o n . - ,. am,� 3�t�(� �9 r�' , '�`�' yrjR� at . �, - :• y5
a ' =E a s TI M) m `�" i� `. t ii� R ' 201 amps to 400 amps 106.85 2
Name: Creative Home Remodeling 401 amps to amps 160.60 2
601 amps to; 1,000 amps 240.60 2
Address: 7350 SW Landmark Lane Over 1,000 amps or volts 454.65 2
City /State /ZIP: Tigard, OR 97224 Temporary'serviccs or feeders Installation, alteration, and/or
relocation
Phone: (503)639 -2411 + Fax: ( ) 200 amps or,less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps t amps 100.30 2
mi
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
' a d . fi i „ ^' above service or feeder fee,
g , 11 olk. t. il ' iu � t.ra3Ea . s ! , e i a it kb ` b ; its" €.ltail d d ' tmil - 6.65 2
each b ralt ch circuit
Business name: RK Electric, Inc. B. Fee for branch circuits
Contact name: Zaeh Milton without service or feeder fee, 1 46.85 46.15 2
first branch circuit
Address: Each add'l branch circuit 3 6.65 19.95 2
Miscellaneous (service or feeder not included)
City/ State /ZIP: Each manufactured e modular
dwelling, service and /or feeder 90.90 2
Phone: (503) 640.1344 Fax:: (503) 356.0513 Reconnect Only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
di ' r `t °' i ` ` p _ l „ a Si or outline lighting 53.40 2
a 4 , 1}4 TI .. rr at, V ! , I`l to a( $n o g
Signal panel, or alteration, Business name: RK Electric, Inc.
energy panel, alteration, or
Address: 24495 NW Oak Drive extension. Describe: Page 2 2
City /State/ZIP: Millsboro, OR 97124 Each addit400al inspection over allowable in any of the above
. Per inspection 62.50
Phone: (503) 640.1344 Fax: (503) 356.0513 Investigation per hour (1 hr min) 62.50
CCB Lie.: 94275 Electrical Lie.: 34 -375C Suprv. Lie.: �� ({ { Industrial plant per hour 73.75
Suprv. Electrician signature, required: ( Subtotal: 66.80
Print name•, Ron L. Kurtz te: 07/08/08
Plan review (25% of permit fee). 0
State surcharge (12% of permit fee): 8.02
Autliorized ignature: // TOTAL PERMIT FEE: 74.82
This permit application expires If a permit Is not obtained within 180
Print name: Ron L. Kurtz Date: 07/08/08 days after it has been accepted as complete.
• Number of inspections allowed perperrcdt.
I:t auilding \Permia\ELC- PerrmitApp.doc 05/23'06 440- 441ST(11 /05ICOM /WBB
CITY OF TIGARD
BUILDING DIVISION A
PERMIT #: ELC2008-00390
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/9/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/18/20(38 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 07350 SW LANDMARK LW 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CREATIVE HOME REMODELING
DESCRIPTION: Installing and repairing (4) branch circuits.
OWNER: CREATIVE HOME REMODELING, PHONE #: 503-639-2411
CONTRACTOR: RK ELECTRIC INC PHONE #: 503-640-1344
Inspection Request Scheduled For: Date: 7/18/2008 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 072868-01 503-639-2411
Corrections/Comments/Instructions:
• PASS PARTIAL APPROVAL E CANCEL El NO ACCESS
FAIL 7 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: & Date: 11,11161 Phone #: (503) 718- 1)1110
1
CITY OF TIGARD ,. 1
,
BUILDING DIVISION f A PERMIT #: ELC2008-00390
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/9/2008
Phone: (503) 639-4171 hoilhoOli■'\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7117/2008 i TIME: 7:00AM PAGE: 58
P
1
SITE ADDRESS: 07350 SW LANDMARK LW 130 CLASS OF WORK:
SUBDIVISION: . LOT #: TYPE OF USE:
PROJECT NAME: CREATIVE HOME REMODELING
DESCRIPTION: Installing and repairing (4) branch circuits.
OWNER: CREATIVE HOME REMODELING, PHONE #: 50:639-2411
CONTRACTOR: RK ELECTRIC INC PHONE #: 603-640-1344
Inspection Request Scheduled For: Date: 7/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 072757-01 503-640-1344 N
Corrections/Comments/Instruction's:
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ELPASS _ ___F PARTIAL APPROVAL pi CANCEL El NO ACCESS
V4 FAIL 1 ALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: C.,Th Date: 1 n Phone #: (503) 718- 1,440'