Permit c'p ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT #: ELC2006 -00339
DEVELOPMENT SERVICES DATE ISSUED: 6/19/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112CB -16100
SITE ADDRESS: 08360 SW NORFOLK LN ZONING: R -7
SUBDIVISION: HAMPTON COURT LOT : 010 JURISDICTION: TIG
Project Description: (2) branch circuits for NC & GFI. Job # 4623.
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:
CAROL BOERS HILLSBORO ELECTRIC
8360 NORFORK LN 21185 NW EVERGREEN PKWY #110
TIGARD, OR 97224 HILLSBORO, OR 97124
Phone: 503 - 772 -0066 Contact #: PRI 503 -439 -9666
FAX 503 -601 -3680
FEES
Description Date Amount Reg #: ELE 34 -4399C
[ELPRMT] ELC Permit 6/19/2006 $53.50 LIC 134481
[TAX] 8% State Surcharge 6/19/2006 $4.28 SUP 4941S
Total $57.78 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: _se \
OWNER INSTALLATION ONLY ` l
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.
06- 19 -'06 12:39 _FRAM - Hills, :bvq l�ec 503 - 601 -3680 T -675 P002/002 F -986
I tc c a
E tril Permit I D %i-+�� . d For: (laic l•: t :r. O\ I.\
City of Tigard 5 Rece;ved Pla ‘. / / 6 12(11.— Permit No.: LCe1D0‘ 003
13125 SW Hall Blvd., Ti n Re
B ard, OR 97223 �: ; �„ � Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 s ' ` '`'•'' , -ki 1 Davy. Other Pernik:
Inspection Line: 503.639.4175 v " i 1 _,11 1 i i Date Ready/By; loci: See Page S for
Internet: www,ci,tigard,or.us 4 1 U. � -. , Ti c o , l' . Notified/Method: 1l ( I la Supplemental Ibtormatien •
,.. T,• E'"b 1! :: •: ::' 'e: : ' i [?IRAN :REVIEW
.. .:. :....
❑ New construction Addition/alteration /replacement Please check all that apply:
ElService over 225 ID Demolition ❑ Other:
Sce over 320 amps. tom Hazardous location
::. ,;.;.:.... •::.• •:.:.'..; -. amps rating Butldng over l0,000 sq. ft„ • .:::: ......... .
1'. and 2 • • : :CATEGORY : OF CONS'fRy1'OlON•: :;, • : :: • : •• •:: • ❑ of II- and 2-family dwellin Ong ❑ 4 or more new residential
dwelling S 6a
y g ( ' Commercial /industrial ❑ Accessory building ❑ ystem over 600 volts nominal units in one structure
❑ Multi- family ❑ Master builder El Other; ❑Building over three stones ['Feeders, 400 amps or more
Occupan persons ❑Manufactured structures or
:....:.:.:.......•...,.., ...:::.:., . :.. ; .I S JTE'" tNFORIIt4TLOItI'i AND OGA't'11,01!1: ': :: ` .; ; a . RV
--'::'•:•:'.:: ••,,.....,:.,:,..:'.::,,,:.::.. ..:,:.• ..::......:.:.:: \.. ... ., .... sAightingplan Park
Job no.: / Job site address:() /�� �/ � A submit �pliry ❑Other;
I� , `CJ�bmit h2 sots of plans with any of the above.
City / State/ZIP: W ., / y The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: 4 Project name: V9ye' ! ... ^ > .. SCHEvr ..:::..:;-;.:•:.::::.. ° ': : :: .. ° ,
bacriplbo I (by. I Fee. I Total I •'
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: I Lot no.: Ea. a•1
d d500 sq. ft. or portion 33.4 )
Tax map /parcel no.:
Limited energy, residential 75.00 2
: :.::.:.:. ...:..:.. ....... . . : : 75 2
: ..: .:::.... ? `.• D SCIii>[l 1 O 'OFYYO ::. • ;: `• ' .' ;`
Limited energy, non-residential
. ... Each manufactured or modular
y�/ / 1 •� t /1 r dwelling. service and/or feeder 90.90 2
�� Services or feeders installation, alteration, and/or relocation
,� amps r less 2
.:. .
.....:[`'PRO A T
.......... P$ Y .:OWJ!IER
amps am 1 5
2
P amps
401 amps to 600 amps 160.60 2
Name: C.aVOL tily).,VS 601 amps to 1,000 amps 240.60 2
Address: SQ,,.Q J U C � t J Over 1,000 amps or volts 454,65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: 0)" 1 ?T 0-011U I Fax: ( ) relocation
200 amps or less 66.85 I '
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 70I. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits .- new, alteration, or extension, per panel
. x'11:: i :.∎v.:v..:.: ,I :..:t. i .
:. ... .
.. . ' ..,... .. AI!1.T ..:...:.........:. .. . .. . : 1 C011RI`�CG°CP*RSON•;
, ^�: Fee r branch circuits with
`: service or feeder fee. each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 (�,_
46.85 I i • Z� 2
Address: first branch circuit it + d
Each add'l branch circuit ) 6.65 ^V' 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax: : ( ) Pump or irrigation circle W 53.40 1 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
.... ........_.. ..
•.:.::- ::: ";, en panel, alteration or
„` 4 !� extension. Describe: Page 2 2
Business trams: � S � e C.
Addre8BIA I$t? U� ` C�/p,, /yAv/1 G v1 t f/, 4) 6 Each additional inspection over allowable in any of the above
U r f ` / Per inspection 62.50
City/ State/ZIP: L15 ' J �rG 1 1" Ci fl Investigation per hour (1 hr min) 62.50
Phone: ( L J' I ��� Fax: )�a r Industrial plant per hour 73.75
i 3�
.......:: ELECI'R1:CAL: ... . . :: ;
.. :;
CCB Lic.: 17444.3 \ I Electri Lic.: 3 1 ,14 ' Suprv. Lic,: l.1' It_J,�� Subtotal 5 -7- 7 1 ') °-
Supr v. Electrician signature, required: 1 � 1 Plan review (25% of permit fee)
. • _..•._...."
! i� U � .�P State surcharge (8% of permit fee) (4. Z1
30(ii Print name: , Date: vi I TOTAL PERMIT FEE r �I�
Authorized signatti _
Tb —
i permit application expires it a permit is not obtained within 180
days after it has been accepted as complete
Print name: I Date: • Fee methodology set by TA-County Building Industry Service Board
as Number of inspections per permit allowed.
i:\ Building \Pemdt.•IELC-Permitwpp.doe 17/03 4404613T0e/02/COM/WEB
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: ELC2006•00339
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2006
•
Phone: (503) 639 -4171 ti°'i ;Jl�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ...� `_ L
INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7:01AM PAGE: 105
SITE ADDRESS: 08360 SW NORFOLK LN CLASS OF WORK:
SUBDIVISION: HAMPTON COURT LOT #: 010 TYPE OF USE:
PROJECT NAME: BOERS
DESCRIPTION: ( branch circuits for NC & GFI. Job # 4623.
OWNER: BOERS, CAROL PHONE #: 503-772.0066
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503
Inspection Request Scheduled For: Date: 6/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Me
199 Electrical final 032102 -03 503 - 538-2953 Y .---"
Corrections /Comments /Instructions:
/r k. - s t 8 • S--- 8 A-f1
NI c› A _ S
1-.C.-c- , Z — 2 'cam
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL Q j O ACCESS
FAIL V: CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED ��
Inspector: Gmp Date: 6. Z '067 Phone #: (503) 718- J-"
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: ELC2006-00339
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2006
Phone: (503) 639 -4171 , Y,�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,.� IL.
INSPECTION WORKSHEET FOR DATE: 6/30/2006 TIME: 7:01AM PAGE: 72
SITE ADDRESS: 08360 SW NORFOLK LN CLASS OF WORK:
SUBDIVISION: HAMPTON COURT LOT #: 010 TYPE OF USE:
PROJECT NAME: BOERS
DESCRIPTION: (2) branch circuits for NC & GFI. Job #4623.
OWNER: BOERS, CAROL PHONE #: 503- 772-0066
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503 - 9666
Inspection Request Scheduled For: Date: 6/30/2006 Pour Time:
Code # Inspection Desc ' Confirm # Contact # v essag-
193 Electrical final 032465 -02 360-772-0066 Y
Corrections /Comments /Instructions:
cam/ — S/ 8 . , 2
A- _ ( p,,,,,,,____ , a A-r`1 P
e ,_ vd( ,,rN /ti,,i),_ .o P
,, l_ & (�c.
6PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: «P Date: C -Z0 Phone #: (503) 718 - Zgy`l
CITY OF TIGARD
BUILDING DIVISION — PERMIT PERMIT #: ELC2006 -00339
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2006
Phone: (503) 639 -4171 A � rd�I�ii
Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. •
INSPECTION WORKSHEET FOR DATE: 7/3/2006 TIME: 7:03AM PAGE: 30
SITE ADDRESS: 08360 SW NORFOLK LN CLASS OF WORK:
SUBDIVISION: HAMPTON COURT LOT #: 010 TYPE OF USE:
PROJECT NAME: BOERS
DESCRIPTION: (2) branch circuits for NC & GFI. Job #4623.
OWNER:
BOERS CAROL PHONE #: 503.772.0066
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503.439 - 9666
Inspection Request Scheduled For: Date: 7/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 032579-03 503-538-2953 Y
Corrections /Comments/ Instructions:
� - _ - 0 .O. .3 cE,
il lPe 1 P.
c{.PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cthp Date: G "' ,, • 0 6 Phone #: (503) 718-