Permit • CITY OF TIGARD ELECTRICAL PERMIT
s - PERMIT #: ELC2006 -00378
DEVELOPMENT SERVICES DATE ISSUED: 7/11/2006
"III 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S133CD-08500
SITE ADDRESS: 11821 SW MORNING HILL DR ZONING: R -25
SUBDIVISION: COTSWALD MEADOWS NO.2 LOT : 083 JURISDICTION: TIG
Project Description: (4) branch circuits for remodel. Job No. 964
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: f 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: 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:
CHRISTINE TODD BOONES FERRY ELECTRIC INC
11821 SW MORNING HILL DR 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 7/11/2006 $66.80 LIC 88482
[TAX] 8% State Surcharge 7/11/2006 $5.34 SUP 4918S
Total $72.14 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 e !dance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for mor an 180 days. AVENTI • : Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth ' OAR 952 - 001 -0010 thr..gh 0, - • 52- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1 -8 - 332 -2344. I
Iss ed By: I L /iigAitaz Permittee Signature: 7‘SP-4"
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: ' • i /� 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.
Electrical Permit A lication
City of Tigard FOR OFFICE USE ONLY
ece
13125 SW Hall Blvd., Tigard, OR 97223 RiL
Phone: 503.639.4171 Fax: 503.598.1960 Dat e/B : ed /t 6
Inspection Line: 503 .639.4175 /i�rcd,.,. PlanRevie Pei�tNo.: // Q
.,,, ' Date/B : / [l� 3�U
i temet: www.ci.tigard.or.us c ! `' � . Juris: Permit:
. Date Read B y
L 1)7'f' ` e 5 , . i r Notitle Jurix:
Tats a - , - a r ,J t -- 1 1` � t �r- ,- r7 Lthod. ' ® See Page 2for
?.,, 1 ! ' , f til } n, 1'1'1 lc °� y, , � i T (b Supplemental Information
❑ New cons s . t f,✓t5. , l t 11 i :L � � ` ..P S i i }i 3:�l Sy i � m t ■ construction Addition/alteration/replacement ' y' f a ll that � �
❑ Demolition � , !
�.i.. , v �S�C' �' Ifu] Sill 0. ':.
= r ,-_,-;.p._7:-- , ra El Other: P lease check all that apply:
❑Service over E �" 1:";', ';Y: ':
,,- „, 1 , vr 7 '._. rlt t ? 4 ,eVii ' = ;; -nx sib -n 1 .�� s,
comm
..:i 7 ��;.o� l.. .}�f i�� l f �.r n amps, '1
4i, if$� }� ;' �i,�� (° �� �, ❑Service over 320 a ['Hazardous location
®C1- and 2- family dwelling ” `` �t ' �S v k i f ,,i 1 -� ' Se v and over 320 amps -rating ❑ Buildng over 10,000 sq. ft.,
❑ Multi family g 0 Co mmerctaVtrtdustrtal ❑ Accessory building I nits dwellings 4 or more new residential
- a i t f i x El Master builder g OSystem over 600 volts nominal u
0 Multi
� ' .' -spy. r d Ali s�IU il, n i �q` ,t t Other: ['Building over three stories in one structure
•'-' ? : i, �Nti uB pi titr,ryi , r q �r t P_.� ❑ Buil ant load over ['Feeders, 400 amps or more
Job no.: 9 � - wat p persons ❑Manufactured structures or
6`} Job site address: // g — s u .l ix ❑ Health - c a re ingplan RV park
Job no.: ZIP; p p, n; . /Id) • v , Submit sets of plans with any of the h - c a re facility ❑above:
71 ' � ' � � �Q I Submit 2 above.
The above are
Suite/bldg. /apt. no.: not a pplicable to temporary
Project name: �,
_ __ � {�'`lfS i ,».� -,,, F .�� _� prY construction service.
{
Cross street/directions to job site: ° �� 1 �° � =h rr 1t �; li *,' =wr fir; .,G ,
Description , ..:,i °� �' ::; l. :' u'1
•
New residential single - or multi -f® dwelling unit.
Includes attached garage.
Subdivision: 1,000 sq. ft. or less
Tit map /parcel no.: Lot no.: Ea. add'1500 sq. ft. or portion - MEI ®_ 4
ta S' tx,r n t a z T Limited energy, residential 33.40 1
�= k_ ,, 1',.,L t ,, .s°..y7 , . 9 T y e 1, j CS 1 J`? t� a r „ 3 e 7 / ,x 1 lji4 v f y a.,,r Limited energy, 75.0 2
9 r� j p:.,.r0 -zx i�. ek f t'i .5 r' i'' ' :. gY,nen- residential
04-1-s <d " Remo �e �' 0 y �- ` Each manufactured or modular 75.00 2
dwellin:, service and/or feeder III Services or feeders Installation, alteration, 90.90 and/or 2
y C�f �L•SLi � 1 �j • fli) 'L °6 � T r , I t - „ !1 Fti a f ': e
' .> _ �1a , ,� 1 ` , i ' " i ai Q , r �. 200 amps or less and/or relocation
Name: �'=� w- j! : � i � � . `. f r n; 201 a
P'' mps to 400 amps 16 80.30 2
C 14 I c.,- 0
gig 106. _ 2 E CA (_.. I U `b � 401 amps to 600 amps 85
• !dress:' G 4s / t_) 601 amps to 1,000 amps 0.60 _ 2
Cr
City/State/ZIP: Over 1,000 amps or volts 240.60 z
Reconnect only 454.65 2
Phone: ( ) 1111111 66.85 NM Fax: ( i Temporary services or feeders installation, alteration, and/or
relocation
2
Owner Installation: This installation is being
intended for sale, lease, rent, or exchange, according t O 44 7, 449, 670, and 701.
401 amps or less
property that I own which is nbt
Owner signature 201 a 66.85 1
� r14 7 _ L amp to 400 amp s
r ' � �e� £i ��� r l if 01 a s to 600 amps 100.30 2
7.1 site _ Y I + ILfi r c L y r Date mPs -®
^�- �.� . 5r �ar 1 . } { , 'L' - "1-, • e�`t �.,. B ranch ci rcuits - new, 2
Business ' _.' �` +Alai di_ 111111A� e t t i`s . y N dVii alteration or extension, per panel
name:
ur wat A. Fee for branch circuits w
Contact name: serv or feeder fee, each •
e branch circuit
B. Fee for b 6.65 2
Address: branch circuits
without service or feeder fee,
City/State/ZIP:
/ZIP: each branch circuit 46.85
Each add'l branch circuit its 9-4.$ S 2
Phone: ( • Miscellaneous (service or feeder not included)
Fax: : ( ) I Pump or irrigation circle
6.65
I 1 r - } N r`I ag; 2
6 - I L • E 't,J r ',,,. �� r - r - , ,, ? -- - -m, ; � Sign or outline lighting 53.40 a 2
Business n ' ' *r'?i' J1? f� a tyr r Signal circuit(s) or limited- 53,40 2
line: -u, ryr5 to
Boones Ferr Electr • � t energy panel, alteration,or
si
Address: p 0 extension. Describe:
Box 628
Page 2
City/State/ZIP: Wi l soniti Each additional inspection over allowable in any of the above
Per inspection 62.50 2
l e OR 97070
Phone: (503) 682 -4936
Fax: (503) 682-.7946 Investigation per hour 1 hr 11111111111 CCB Lic.: 8 8 4 8 Industrial plant per ( min) 111111 62.50 MN Electrica ` p hour
orv. Electrician t Suprv. Lic.: ti9}'i`•rf� -®
ctrician signature, requi • ` " '`' M i iii r•: qq
—
_ •int name: � �` I r n
Subtotal 66 , e o
Bon It Date
State surcharge Plan review (25% of permit fee) --��
Authorized signature: I e o
8 (8 /o of permit fee) 5-
This permit TOTAL PERMIT FEE .
P mit application expires if a permit is not obtained . � l r
11 HulldinglPermio \E� P Date: days after it has been
en nl�PPdoe 12/03 ' Fee methodology n accepted as complete x'ithin 180
•• Number od 8y set by Tri- Cotulty Building
44 0 - 4613T rurnu n..,...__ of inspections n�r....�:. .. B IndILSlry Cnrv:�. o__
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 (10378
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2006
Phone: (503) 639 -4171 /a ; �yli
Inspection Requests (24 Hrs.): (503) 639 -4175 �� _ �
INSPECTION WORKSHEET FOR DATE: 12/15/2006 TIME: 7 : 04AM PAGE: 2
SITE ADDRESS: 11821 SW MORNING HILL DR CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS NO.2 LOT #: 083 TYPE OF USE:
PROJECT NAME: TODD
DESCRIPTION: (4) branch circuits for remodel. Job No. 964. 7/13/06: Added: (1) 200 amp service & (1) branch
circuit.
OWNER: TODD, CHRISTINE PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682.4936
Inspection Request Scheduled For: Date: 12/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041160.01 503-682 -4936 N
Corrections /Comments /Instructions:
,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " • 1 v k c b Date: , Y Phone #: (503) 718 - Vi"1t t.