Permit `( '- - ,CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00799
COMMUNITY DEVELOPMENT DATE ISSUED: 11/28/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111DB
SITE ADDRESS: 15475 SW OAKTREE LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.10 LOT : 588 JURISDICTION: TIG
PROJECT: RASMUSSEN
Project Description: (4) branch circuits for lights in living room, dining room and bedroom.
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:
ESTELLE RASMUSSEN HEBERLE ELECTRIC
15475 SW OAKTREE LN 18645 SW FARMINGTON #326
TIGARD, OR 97224 ALOHA, OR 97007
Phone: 503 - 443 -2384 Contact #: PRI 503 - 628 -2095
FAX 503 - 628 -3076
FEES
Description Date Amount Reg #: ELE 34 -160C
[ELPRMT] ELC Permit 11/28/200' $66.80 LIC 152342
[TAX] 8% State Surcharge 1 1/28/200" $5.34 SUP 3053S
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 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 f r- than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those r s are set fo i •AR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.24 .6699 or 1 .800
Issue By: I V 1 (r �4 Permittee Sign re: I
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
i
SIGNATURE OF SUPR. ELEC'N: '. _ ii J i
� DATE:
• I
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 App ice ton , (, a I i,' , ., e ,.: I . ;,•, , ,.. i ,,
city of Tigard NOV 2 8 2007
Itscsi
A n l+r Piva,itNei:
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13125 SW Hall Blvd., T 7223 Plan @m
Phone: 503.639.4171 F a& 1,0158.11116k 1 1V A • p- ott . 1 putu/8 . ow Other Potmit:
Inspection tern Line: SO DING lJ DIVI , t r ath Supplemental Information
Interne: www.d.d +. [�� NetifiaVM13thc0
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❑ New construction ri • • • 'tion/altcration/repleccmcnt Please check all that apply:
❑ Demolition ❑ Other ❑Service over 225 amps, caomm'I ❑Hazardous location
I a,i t',"goty ! Ion nZi'f r , I i � . ,,,,,,4 s ,, Y V:1 � � . . _
:1; ❑Scwikx over 320 amps- rating QBuildng over 10,000 sq. IL
4.. :Y.A.m . a - -a+xd e� :i i.1:A»r>„ .,:,.:A ° 4t , . :r.9I+P . 10,; ,3, y` ii �,; a4� 1 y' e r ,� ,, of I- and 2- family dwellings 4 or more new residential
, il I- and 2- family dwelling [l Commercial/mdustrial 0 Accessory building ❑sysaciu over 600 votes nominal units in one structure
ID Multidim]ily 0 Master builder ['Building oven three stories ❑Fee dcra, 400 amps or more
:��� , ,, "� fa N. Y, .„,,,.,,,g,i,,„ , :., ,, (Jb7C+A, x�1 r „>:t� 1(, , •X�',y. • N , ,r' . r .§ ❑occupant load over 99 persons OManuilonlrod structures or
r r ' f S7;r ',', ., �� 1 ,�� r�ti,. 1.. 'x 1 1 - ii . 1 n a /t',' - 4 , e _ ,�
� :dl��r tdika: .:E;.t rlui� :i�3.(1aU�.++�2taD�t a v &1'ci+w3RX. •'t`� i�x� >, _J ; , . �" ❑6g1'e98lllgbtwg plan RV park
Job no Job site address: 154,1 Sam OFf'it `at Submit h.d:are facility ❑Odder:
` Submit skda of pines with any of the above.
City/State/ZIP: l q 22...‘-f Tiro above not l' a to temporary eo tru
o ar no app dcarbl n>c talon service.
Suite/bldg,/apt. no.: I Pro act netnc: Invl�t 4� FRl .�. , e' � ;w•. ova. :q•,�,?• :V'kj•; t2 '1 ••
/ .74� 1 y� ?ill nn�7i,r�.1�1.1��" y', 1 I��.'�� '
I
J Y.JI iSi�fLrq�yn I YL'i 4.r. I.c j T:..
Dnalpihm Qtr. Bea Toni
Cross sfree t/directions to job site: G -- 6 New residential dingle or multi-family dwelling unit.
Includes attached garage. _
1,000 sq. it or less L 145.15 4
Subdivision: 1 Lot no.: Eu, NMI 500 sq. ft. or portion 33.40 1
Tax tltap/palCel110: Limited energy,roaidemtiul 75.00 2
ma
R'ti.t b $,+ i r„ pr rnhs�i rr;r:;;M tssYr 4 ru � 'y ., r k t Limited energy, non- residential 75.00 2
r i : g 6 eft kit6� k��e it ;i 1 :..lt %' ' .•• Il ,. - rl.r e 'I y7 V
Irv. „i,,;.';�:,� ;�,� +.i>' ;t'". a:: , � t. @ric Each tlufaCturt:d or modular
7 - rY - 1 /� ' , dwelling, service and/or f seder , 90,90 2
l�`+�J lam' `C�� Services or feeders tnstalladon, alteration, and/or relocation
(- �" )1 f (, 8 > tk. Yr�_ 200 amps or less 80.30 2 ,
. „ wo :i.7 s r,e, x; xf5 1!R '. ;y �_ i less {,. - i, �`,, w , .0 201 amps to 400 106.85 2
p,', t{o� .. :t 1, ,, ,. I v ; 4 i h . 2 i . , d �{, C r ., I l'� d . N'i • 1..M. 4'ai: tu'. e:!.rlYas:l'1 � : 4s_ ^, 'L '•IZ N
401 amps to 600 amps 160.60 2
Name: 1. (T ` J aA.,qS C . 601 amps to 1,000 an amp 240.60 2
Address: - Over 1.000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or faders Installation, altersdon, and/or
y3 - z3 f relocation
Phone: Fax: 200 amps or lax 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps 10400 amps 100.30 2
intended tor sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. r
401 naps to 600 amps I 133.75 2
Owner signature: Fes for a ,.�1. Brach circuits - new, alteration, or extenalon per panel
�y! ': ?'3t?i i .r ri { ;! a n ` ,dyp. �• r, -rrr +�,(y,�c, *�y.,Y,�I -L .'w �A 9 ;. r u m ., ' ;, ; ., A, ivanch circuits with
46. :
!6�'• "I+s cu �.�xL:r�''.,.bY�.� i�S.°1�./'.ii�l.�` ��YY.F'1`., uhf,. „J P,6.`L>t. th,1.A.. -1 '
service or feeder tae. each . IIIII Business name: , ‘NE • • branch circuit 6.65 2
�- ; •
• B. Fa for branch circuity,
-. �
Contact name: , ' ,1A • .gag vuo or fearlri fee,
Address: � 46.85 It � 2
each branch circuit
- Each Wet breach circuit 6.65 ` Q1 '2
City /State/Z1P: Miscellaneous (service or feeder not included)
Phone: ( ) F ( ) Pump or irrigation circle ] 53.40 J 2
E -mail'
Sign or outline lighting 53,40 2
Signal circuit(s) or limited-
t �t 'I L r rr�V ;- yy,.., • ,M1• lv°- V+L�+� ,,, , ru--
� 4�J.FJ !�Y :r %mS � ,.�.,! ':tin ul :l d' P.1�y s!,. •'N `+"e: 0130 . awane an'
!� A�'a•r cR.L � f Sri. �31T1.'L�1��.bulrllih:a' :\..!..�a•.r.u,��: ITLY i� , ' I j} .�• .�•f+: � t� ellt n.
extension. Describe: Puget 2
Business name: Heberle Electric, Inc.
1DG4S SW Farmfnglon Ili #32a Each additional Inspection over allowable In any of the above
Address: Aloha, 09 9 }y Per inspection 62.50
City/State/ZIP:
Investigation per hour (1 hr min) 62.50
Phone: (� ) ('1�Z,p q.l Fax: j3) ( -Z-' ^ 4 - Industrial plant per hour 73.75
p., �ti r • a . wv i• , .. M � a:
, 7 1� t TT � y� tl EiWja,- �c.,.'D' u 4 ' 1 ;i5, I �a'{{�•�•il;�i :, ^ �t' .�G Y��`}}���i�b",
C CB Lie.: 157 Electrical Uc.•1LL -$ p Suprv. Lie.' � r lL h __6.: SJL.� tt t n,l$e.,6:A r,.i',ai
subtotal �6 sr)
Suprv. El-... , an signature. required: 4 / r Plan review (25% of permit fee)
g0 1 ' ` ` � Date. State surcharge (ft46 of perms fee) Y -
Print nerve: .r g dl Z�� -� TOTAL PERMIT FEE 7 i 4
Authorized signature: IIIMIWIP • Ibis prink application expires If a permit is not abtalmd Wilda 180
- days ski r 0 bus beau as complete
Print name; Date: • eu methodology as by To Balding Industry oard
Number of inspaet nn uat
pit el wed --
islBuildingipelrmitot8LC4 'etmMpp.doc 12/03 440.e615T(ImovCOemwEe gQ.e
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CITY OF TIGARD r
BUILDING DIVISION PERMIT #: Ef-C2007_00799
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2912007
Phone: (503) 639-4171 ':•
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/6/2007 TIME: 7:06AM PAGE: 22
SITE ADDRESS: 15475 SW OAKTREE LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.10 LOT #: SBB TYPE OF USE:
PROJECT NAME: RASMUSSEN
DESCRIPTION: (4) branch circuits for lights in living room, dining room and bedroom.
OWNER: RAS}MIUSSEN, ESTELLE PHONE #: 503 - 443.2394
CONTRACTOR: HEBERLE ELECTRIC PHONE #: 503 - 628 - 2095
Inspection Request Scheduled For: Date: 12/6/2007 Pour Time:
Code # Inspection Description onfirm # Contact # Message
199 Electrical final 060969 -01Th 503.961 -2735 \ Y
Corrections /Comments /Instructions:
9/ coo Av\k.
P: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT. Noe L.L Date: 11.- 4' Phone #: (503)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00799
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 11/28/2007
Phone: (503) 639 -4171 1.
Inspection Requests (24 Hrs.): (503) 639 -4175 .� I I..
INSPECTION WORKSHEET FOR DATE: 121E12007 TIME: 7 :01AM PAGE: 37
SITE ADDRESS: 15475 SW OAKTREE LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELf) NO.10 LOT #: 588 TYPE OF USE:
PROJECT NAME: RASMUSSEN
DESCRIPTION: (4) branch circuits for lights in living room, dining room and bedroom.
OWNER: RASMUSSEN, ESTELLE PHONE #: 503443 -2384
CONTRACTOR: HEBERLE ELECTRIC PHONE #: 503.628 -2.095
- 1-c F"
Inspection Request Scheduled For: Date: 1215/2007 Pour Time:
Code # Inspection Description onfirm # Contact # Message
199 Electrical final 060837 -01 503 -961 -2735 Y
Corrections /Comments /Instructions:
l
0o ( sw �j b00
Q
❑ PASS ❑ PARTIAL APPROVAL ID CANCEL A NO ACCESS
►tea FAIL
Y CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: [1\1 ( 60 Date: 1 2' S' ti Phone #: (503) 718- /- 1414'