Permit CITY OF\TIGARD •ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT ISSUED: E 6/2007 - 00207
DATE ISSUED: 4/6/2007 •
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104DA - 08400
SITE ADDRESS: 13101 SW RAPTOR PL ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - WEST LOT: 070 JURISDICTION: TIG
PROJECT: LINTNER
Project Description: (3) branch circuits for heat pump connection, furnace connection and service light and switch. Job No. 07 - 367
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: 0 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: 2 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:
BEAU & MELANIE LINTNER BOB'S ACTION ELECTRIC INC
13101 SW RAPTOR PL 2700 NE BURTON ROAD #A
TIGARD, OR 97223 VANCOUVER, WA 98662
Phone: 503 - 524 -8476 Contact #: PRI 360- 254 -7200
FAX 360 - 254 -8219
FEES
Description Date Amount Reg #: ELE 37 -43IC
[ELPRMT] ELC Permit 4/6/2007 $60.15 LIC 53136
[TAX] 8% State Surcharge 4/6/2007 $4.81 SUP 43225
Total $64.96 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
suspende. • - = han 180 •.ys. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those r . es are set fo i •A 95 - 001 -0010 through OAR 952 -001 -0100. You may obtain cop hese rules or direct • estions to OUNC at
503.24'..6699 or 1.800.3'. .2344. r
Issue • By: j / , 0,0 Permittee Sign - ,///4 _ y
•
_ 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.
L
E1ec riCal Permit ADM
EIVED FOR OFFICE USE ONLY
City of Ti and Received // //}
— Permit No.:
4 /
13125 SW Hall Blvd., Tigard, OR 97223 APR 4 2007 Plan Review / ,
Phone: 503.639.4171 Fax: 503.598.1960 / 1 $ 0 � �'� Dat : Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGAR D e1' I1 Date ReadyBy: ® See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISI • , Notified/Method: FM Supplemental Information
'TYPE..OF WORK — . ' PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l ❑Hazardous location
❑Service over 320 amps — rating DBuildng over 10,000 sq. ft.,
. CATEGORY OF CONSTRUCTION ' .: of 1- and 2- family dwellings 4 or more new residential
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building System over 600 volts nominal units in one structure
❑Building over three stories :Weeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons DManufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
❑Health -care facility ['Other:
Job no 07 -367 Job site address: 13101 SW Raptor P1.
Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
- • " . :FEE* SCHEDULE
Suite/bldg. /apt. no.: Project name:
Description J Qty. I Fee. 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: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: • Lim ited ener
gy, non - residential 75.00 2
DESCRIPTION .OF WORK Each manufactured or modular
dwelling, service and /or feeder 90.90 2
. Heat pump connection., furnace connection and s ervi rp Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
light & switch. _ , . 201 amps to 400 amps 106.85 2
❑PROPERTY OWNER ❑ TENANT' , 401 amps to 600 amps 160.60 2
Name: Beau Lintner • 601 amps to 1,000 amps 240.60 2
Address: 13101 SW Raptor P1. Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP: Tigard , OR 97223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( 503 521 -8476 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 to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
. ' ,❑ .APPLICANT .' I` • • II" CONTACT 'P . ' . A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit -
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
each branch circuit
Address: Each add'l branch circuit 2 6.65 13.30 I 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2
E - Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Bob's Action Electric
Address: tt tt Each additional inspection over allowable in any of the above
2700 NE Burton Rd. "A" Per inspection 62.50
City /State /ZIP: Vancouver. W Investigation per hour (I hr nun) 62.50
Phone: ( 360) 254 -7200 i 986 Fax: (360) 254 -8219 Industrial plant per hour 73.75
ELECT RICAL;PERMIT FEES*
CCB Lic.: 53136 Electrical Lic.: 7 31c Suprv._Lic.: 4322S Subtotal 60.15
Suprv. Electrician signature, require` � v Plan review (25% of permit fee)
Print name: Date State surcharge (8% of permit fee) 4.81
Ke Br 3/23/07
TOTAL PERMIT FEE 64.96
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00207
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 4/17/2007 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 13101 SW RAPTOR PL CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW WEST LOT #: 070 TYPE OF USE:
PROJECT NAME: LINTNER
DESCRIPTION: (3) branch circuits for heat pump connection, furnace connection and service light and switch. Job
No. 07 -367
OWNER: LINTNER, BEAU & MELANIE PHONE #: 503 -524 -8476
CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 360 - 254 - 7200
Inspection Request Scheduled For: Date: 4/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 046614 -01 360 -254 -7200 N
Corrections /Comments/ Instructions:
egilP
PASS ITIAL APPROVAL ❑ CANCEL ❑ - - SS
❑ FAIL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: — Date: ` 19 v Phone #: (503) 718 - Z6/
CITY OF TIGARD ,
BUILDING DIVISION - � " PERMIT #: ELC2007 -00207
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007
Phone: (503) 639 -4171 ard#yll' (i ,
Inspection Requests (24 Hrs.): (503) 639 -4175 ' II�
INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 13101 SW RAPTOR PL CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW - WEST LOT #: 070 TYPE OF USE:
PROJECT NAME: LINTNER
DESCRIPTION: (3) branch circuits for heat pump connection, furnace connection and service light and switch. Job
No. 07 -367 -
OWNER: LINTNER, BEAU & MELANIE PHONE #: 503- 524 -8476
CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 360 -254 -7200
i
Inspection Request Scheduled For: Date: 4/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes -
198 Electrical final 046443 -01 360- 254 -7200
MA Corrections /Comments /Instructions:
iPI PO V'JF 7S0 79
Fi eiv/i-Ler o i 1 � ittP fR
I.r s c oNAIL3 -
P
.�1 - .6K
.. i4.4-1
❑ PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL Mj CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: —� — — _ Date: b Phone #: (503) 718- 7