Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00073
°. COMMUNITY DEVELOPMENT DATE ISSUED: 1/29/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134DA-06300
SITE ADDRESS: 10747 SW NORTH DAKOTA ST ZONING: R -4.5
SUBDIVISION: PP1991 -107 LOT : 003 JURISDICTION: TIG
Project Description: 5 branch circuits. Kitchen remodel.
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: 4 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:
JACK WHITNEY CONDUIT ELECTRIC
10747 SW NORTH DAKOTA ST 19461 SW 89TH AVE
TIGARD, OR 97223 TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 692 -1428
FAX 503 - 692 -3652
FEES
Description Date Amount Reg #: ELE 26 -905C
[ELPRMT] ELC Permit 1/29/2007 $73.45 LIC 109669
[TAX] 8% State Surcharge 1/29/2007 $5.88 SUP 4501S
Total $79.33 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: Q�,.- �,..�- Permittee Signature: f)- 0 /_/_ ' c
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.
4 2.Q07LJAN/29/M0N 10:57 AM Conduit Electric FAX No, 5036923652 P.001
• Elecctrical Per t • \, +„ '__s L JF rc�lt cirl� lr:a_ t isr ONLY
- City of Tigard • . " / A9 -0i7 80 PermitN. 0... .fj •OOV 13
13125 SW Hall Blvd., Tigard, OR g L Plan Review
; _:
Phone: 503.639.4171 Fax 503398.1 N 2 3 2001 � 1 . Permit"
Inspection . www.ci.ti 503.639.4175 5 e , `1 ,.. Method ! Sup gm�t l Information
� ���}j Can (Jr .1 kU I _ hY . •
.' •t' ,r �t.7• ear ti i .��'1: ' . �� •Kt �• ''.5. • •S. - .a ?_•�sa7si.�..:y'ff)''' -N 'cRF7i'rmi�rf.C n .1. .,
�s,f�• �.-ws ..a;a�+^ ' 1., 4 �Yc ��,wti -- ter'. .i � �i:� �..',..�._ _ 1'L'.:+ll? �.• � �": ' r • '�.. ?•_�7s�"v,J. II't„',�.' �..E
❑ New construction i 4 Addition/alteration/replacement Please chock all that apply:
1:3 DeMOlition Other • ❑Service over 225 amps, coming ❑Hazardous location
❑Service over 320 amps - rating ❑Bulking over 10,000 sq. IL,
' :1- k, 7 of 1- and 2 -farm dwells 4 or more new resider
1,. 30. � :�' M� • 5 ,',np f w.r..� Y�. , ...� � 1
;M:-: ..awf�ti•�.... ... _.: � ..e�� �",, - .'�.. �� Tf,1��� ,, .., , . r;�''�i' �." . � Y � • 4a1
and 2- family dwelling , 0 Commercial mdustriel ❑ Accessory building ❑System over 600 volts nominal units in one structure
ult ❑Building over three stories IJFeeders, 400 amps or more
• 5 , MMult i- tinnily r Master builder c ❑ � O Oda; �, • ❑Occupant load over 99 persons ❑Maan!actnred structures or
gi, c ;; N F - �i . V�. .. i ,::rl'.i; S. a ❑EVcssfiSilting plan RV park •
Job no.: op 1� Job site address: I .. • 1 y _0. y ` 4 D sets of
Hea 2 e plans with hatter:
p any o f the above. -
City /State/ZIP: cnpa5 , The above are not applicable to temporary construction service.
Suite/bldg./apt no.: ` r h�-� p � �s z! Y 3, '' 4, r_ a.S .• : o :n i er rs , '_ g r4 I •A. yk t ,"� : 4
i Project name: W key l_I �. ;�
► �w Aetcr+ptioa Qtr- Pet. Total "
Cross.street/directions to job site: . New residential single- or mniti-faroily dwelling unit.
Includes attached garage.
• _ 1,000 sq, ft or less • 145.15 4
• Subdivision: .. • ' ••I Lot no.: ' • • Ea. add') 500 sq. S or portion 33.40 1
•
Tax map/parcel no.: Limited energy, residential 75 2 •
Limited energy, non-residential 75,00 2
• 1r. c, .c tV .- o • a .. :::: g. tr t ... 'Itch =miscalled or modular _
VIt dwelling, senate and/or feeder • , 90.90 2
��r -a ),� ` ► r�1 i Re �e-1 • Services or feeders installation, alteration, and/or relocation
' 200 amps or less 80.30 • ' 2
Elie . _ , : -� Y ' o e y« ,y�t ', 'vet "' Ric sr - R S.. • F { • r _
" :3'•;r .. -a, :: ._,i.'" it R;z '.t e .. .. , 42, Ids ^ . .. K! � ' 401 201 amps to 400 amps 106.85 2
amps to 600 amps 160.60 2
Name: . ' . . 601 amps to 1,000 amps 240.60 • 2
Address: Over 1,000 amps or volts 454.65 2
- • • Reconnect only . • .... _ 66.25 2 - . •
4 n' /$tat w: Temporary services or feeders installation, alteration, and/or
•
•
Phone: ( ) I F (' ) • Phone: anion V
200 amps or less 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, tent, or exchange, according to ORS 447, 449, 670, and 701. .. • ' 401 amps to 600 .
ps amps 133.75 2
Owner signature: . ' Date: • Branch circuits - new, alteration, or etctension,,pe per panel
, -
p.�g a' 1 1b;1�1f •i+ ry 4" "�'•• +t h �0 ''' • _•` r ,;....> 4 A. Fee for branch circuits with
service or feeder fee, each • 6.65 2
Business name: ' branch circuit '
- Contact name: - B: Fee for branch circuits • • • .
withora service or feeder fee, 46.85 (, 2
• Address: each brunt// court _ 1
• Each add'/ branch circuit 4 6.65 , (e 2
.._ nr
'�ttlte7�: • "- - Mtalhneoua {servor feedef`notincluded3 •
•
Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53.40 2 • Sigh or ontlioe lighting . 53 2
E -mail: • Signal circuit(s) or limited-
'�• ' a 'N' N t x ' < `-' - alterab
ClESI r�.axv,�•liJ5�i� ` �5.'�1.1..' •'� d:� �l�>�.5+ ; ?, + � 1 :'.. "I,•�? en �' panel. on,
/+ ext Desrrt�e or
Page • 2
Business name: l.( )/�1 f T P J r - { , _
Met � �1 t Each additional inspection over allowable in any of the above
/ ' 4 / ip l 5 a ) �� M (Jt' + - , Per inspection 6230
City/State/ZIP: `y n �._4% n / e_ q -/0/„� lnvestigation hour (1 tow) 6230
_..: = Plinrit: /4 - - - :__ ex' c1s-r _ .. dustrtal ant- ecp hour • - ;_ ' - - - - - - _.
CCB Iatw: /� Electrir�l Lie.: c g - S rv. Lin.: subtotal 73 y
Suprv. Electrician signature, required: ir Plan review (25% of permlr ime) •
/� ' " � / State =charge (8% of permit fee) * ift
C�
• • Paint name: tar/ e3 pu.1 I Date: l / D-7 TOTAL 1') T PEE n
Authorized signature: 11 • 'ibis permit application expires a permit ,snot obtained wiithin 1,80
• days after it has ben accepted as complete
Print name: • Date: . • Fee methodology set by Tit-County Building industry Service Board
r• fiber of inapeeions per pewit abowtd,
i\bulenggPemla\61.C-Pam4App,doe 12103 440461ST(11Y02.JCOM/WFa
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2007 -00073
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/29/2007
Phone: (503) 639 -4171
A � jI�I
Inspection Requests (24 Hrs.): (503) 639 -4175 ! F__
INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 67
SITE ADDRESS: 10747 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: PP1991 -107 LOT #: 003 TYPE OF USE:
PROJECT NAME: WHITNEY
DESCRIPTION: 5 branch circuits. Kitchen remodel.
OWNER: WHITNEY, JACK PHONE #:
CONTRACTOR: CONDUIT ELECTRIC PHONE #: 503.692 -1428
Inspection Request Scheduled For: Date: 4/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 046145.01 503-332-6618 Y
r
Corrections /Comments /Instructions: Q Y
V
2 K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( Not 11JD Date: 1 411 a Phone #: (503) 718 V
CITY OFTIGARD t
BUILDING DIVISION PERMIT #: ELC2007 -00073
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/29/2007
Phone: (503) 639 -4171 lil�l
Inspection Requests (24 Hrs.): (503) 639 -4175 F:_..
INSPECTION WORKSHEET FOR DATE: 4/2/2007 TIME: 7:02AM PAGE: 47
SITE ADDRESS: 10747 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: PP1991 -107 LOT #: 003 . TYPE OF USE:
PROJECT NAME: WHITNEY
DESCRIPTION: 5 branch circuits. Kitchen remodel.
OWNER: WHITNEY, JACK PHONE #:
CONTRACTOR: CONDUIT ELECTRIC PHONE #: 503-692 -1428
Inspection Request Scheduled For: Date: 4/2/2007 Pour Time:
Code # Inspection Description Cor fiiir # '\„ Contact # Message
199 Electrical final 045815-01 . 503-484-5983 N
Corrections/Comments/Instructions:
16'.49 A M
N o 6N � IAomf
Q-Js1 b0 5
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL (NO ACCESS
FAIL A' CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G ' NI (g 1 ,-.)
Date: LiI 2 i 01 Phone #: (503) 718- --66
CITY OF TIGARD 4. ' . -
BUILDING DIVISION PERMIT #: ELC2007-00073
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/29/2007
Phone: (503) 639 -4171 � �• �;_ +� �
Inspection Requests (24 Hrs.): (503) 639 -4175 F 'I ..
INSPECTION WORKSHEET FOR DATE: 2113/2007 TIME: 7 :02AM PAGE: 45
SITE ADDRESS: 10747 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: PP1991 -107 LOT #: 003 TYPE OF USE:
PROJECT NAME: WHITNEY
DESCRIPTION: 5 branch circuits. Kitchen remodel.
OWNER: WHITNEY, JACK PHONE #:
CONTRACTOR: CONDUIT ELECTRIC C PAT) PHONE #: 503 - 692 -1428
Inspection Request Scheduled For: Date: 2113/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 043303 -01 503.484- 5983(MT) Y
Corrections/Comments/Instructions:
•
IPA -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ( 1-31 t Phone #: (503) 712-%
CITY OF TIGARD 1 • ' N D
BUILDING DIVISION y J PERMIT #: ELC2007-00073
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/29/2007
Phone: (503) 639 -4171 4r ' i ' 1
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 2/9 /2007 TIME: 7 :04AM PAGE: 32
SITE ADDRESS: 10747 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: PP1991 -107 LOT #: 003 TYPE OF USE:
PROJECT NAME: WHITNEY
DESCRIPTION: 5 branch circuits. Kitchen remodel.
OWNER: WHITNEY, JACK PHONE #:
CONTRACTOR: CONDUIT ELECTRIC PHONE #: 503-692-1428
Inspection Request Scheduled For: Date: 2/9/2007 Pour Time:
Code # Inspection Description V Confirm # Contact # Message
17.0 Electrical rough -in 043189.01 503.404.5983 N
Corrections /Comments /Instructions:
i zueidif r f/ 61/44 k 0-g
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
LFAIL [CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: -4 / Phone #: (503) 718 1 `