Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT : ELC2008-00397
DATE ISSUED: 7/15/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S125CD - 08900
SITE ADDRESS: 07524 SW RED CEDAR WAY ZONING: R - 4.5
SUBDIVISION: JACKSON WOODS LOT : 004 JURISDICTION: TIG
PROJECT: LAWSON
Project Description: Installing (2) branch circuits.
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:
AUTUMN LAWSON SUNSET HEATING & COOLING
7524 SW RED CEDAR WAY 0607 SW IDAHO ST
TIGARD, OR 97223 PORTLAND, OR 97239
Phone: 971 - 242 -1431 Contact #: PRI 503 - 234 - 0611
FAX 503 - 234 -0439
FEES
Description Date Amount Reg #: ELE CI 17
[ELPRMT] ELC Permit 7/15/2008 $53.50 LiC 161085
[TAX] 12% State Surchar 7/15/2008 $6.42 SUP 46385
Total $59.92 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: r j�c�.7S� -✓
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.
Jul 15 08 01:24p p,2
1 (11ttll I It I �I ti�l
Electrical Permit Application ,�j��
(;� Re m 7m ; v • _
City of Tigard l?atdB :
III • 13125 SW Hall Blvd., Tigard, OR 97223 Q Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 1' 5 ZQ�v • ® Page for
Inspection Line: 503.639.4175 Jug Date ReadyBY: s 63 See Page 2 foormatioo
116.% I t Internet: www ugardor gov
I 1 NottSed/Method ��
L M y A '
„ 'r z . �' : :.ii fly r'RAt Y .. - ;T4 P ,n 1 � . . . ?t ", : -- .;!.��. ; ,1 E . � - ...
r �. :e!r ;,,,,,,,...:4,,:::,!7:2,-!!..‘i app Y Wilms checked below): ' ' .. "�" t ■ t a ■ • • Please check all that 1 (submit sets of plain ):
[] New construction E Addition/alteratlo • • ment
0 Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
` i 4,t ;, + , . ' ,, t ,,, M : ti s n g 7= 7 , exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
i1 ' ^' "f M ,.. s, .. , , i s ,, ,'., .+: d,.ti> 74.' ;: ,., ... r....-:,4' , H^ . ' try- less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
E 1- and 2- family dwelling ❑ Commerciallindustrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi-family 0 Master builder 0 Other
❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergenry system. larger separately derived system.
/�' r , 1''7.17'
t, ❑ Addition of new motor load of ❑ "A"
u S.: ,?err .ti., 4� r Ex... r: a . „cam w . '�` ..a^: {{ a s•+ t (( y 1001{P or more. occupancy.
no .:5 -2_‘ ( ;;''- Job site address. ^ 5,241 ,Sul t lk lxi ik,llb 1til1i•1 ❑ Six or more residential units. ❑ Recreational vehicle parks
e / ❑ eve Cacilities. 10 Supply voltage for more than
City/ Statc/ZIP: - j icy- 1- C 1 . �.) ❑ Hazardous locations. 600 volts nominal.
❑Service or feeder 600 amps a more
Suite/bldg. /apt no.: Project name: "\��' t - r rm+'`y:..
ttiv Cross street/directions to job site:
Deteriplion Qtr, Fm Total •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.:
1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. [L or portion 33.40 1
Tax mapiparcel no.: Limited energy, residential 75 2
.f : �i ' . r i; :g :, ; ( 5t; (with above sq. 0 )
�
�,�;,.x� ^ra :?��'`.,y -,�/r Limited energy, multi 75.00 2
residential (with above sq. ft.)
j Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
. 'N' r ;j" ,,,`' r,': '1 ';i ? 201 amps t0400amps 106.85 2
Si`,�' ° 9� ic Jt: a;{a,... =n �� ww�I•t .x> _ i+ sift .
401 amps to 600 amps 160.60 2
Name: ld'Ftt l Y1 1-"1 e- .[.iVLi tiY‘ 601 amps to 1,000 amps 240.60 2
/
Address: 7 �j2Q. �s : it.1 lk (it(((.t' 1 L.'`I Over 1,000 amps or volts 454.65 2
Temporary services or feeders installation, alteration, and/or
City/State /ZIP: •- ; C; L ii , ) .. relocation
t7 i ?, Fax: ( ) 200 amps or less 66.85 I
201 amps to 400 amps
Phone: ,� ) Ct a1 " t�" .1 100.30 2
Owner installation: This installation is being made on property that I own which is not 201 amps to 599 amps 133.75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. Branch circuits - new, alteration, or extension, . er panel
Owner signature: Date:
'' ��{y ��rr A. Fec for branch circuits with
, rz�. :l; _ .,. , x•�. ' "t ;., ?� :y r.: 0:; :�lIY E " ir, F' x' ` above service or feeder fee, 6.65 2
,. :;5 :.r b ; i!1P1'L.ICA7!TT.v ?'- .. ,.._ , . %�; _' `' - each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, . 46.85 i - 2
Contact name: _ first branc circuit
Each add'I branch circuit 1 6.65 1,;, U. Z _ 2
Address: Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular ' 9090 2
dwelling, service and/or feeder
Phone: ( ) 7 Fax: : ( ) Reconnect only 66.85 2
E -mail: um or irrigation circle 53 40 2
P p o itrigmi it 53.40
�e w: x , :.•,. ; :.; . t; s g i' ^� "r {�qa� ,R, Signor outline lighting
e � ,Iii • - z 4 � t ��,�a,a C�.r� AA • + :E,'�9, '7�j�, h�'. l;e��. :`tE� _
'�'': %r.- tn'fy. ` ^ Xt, ,. ,� ;n^�"„° : . ' :I�.�.. lAr+'�",R , :;tr �1i24 "_..i : #',.
Signal circuit(s) or limited -
Business name: Sunset Heating & Cooling energy panel, alteration, or
extension. Describe: Page 2 2
Address: 0607 SW Idaho St _
City/ State/ZIP: Portland, OR 97239 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 234 -0611 Fax: (503) 234-0439 Investigation per hour (I hr min) 62.50 : ,,..,...•. Industrial plant per how 73.75
CCB Lic.: 161085 Electrical Lie.: cl 17 r �j Suprv. Lie.: 9-6 S ,,, r,:-• , .. •••. ,s..•
7 Suprv. Electrician signature, required: (,),..� i I / V Subtotal: •t '
7 Plan review (25% of permit fee):
Print name: Randy Ess Date: 8 t ?� to State surcharge (12% of permit fee): L: `i A
•
�,c.,g. b ( ) �, T � TOTAL PERMIT FEE: . �{ C
Authorized signature /
This permit application expires if a permit is not obtained within 180
Print name: Casey Wiser Date: —11 t )• I j -5 daps after it has been accepted as complete.
• Number of inspections allowed per permit. .
i tBuitdina \Pcm,iutELC- PermitApp.doc 05173/06 440.4615T(11 /05 /COM
CITY OF TIGARD
BUI DIVISION ' PERMIT #: ELC200 &-00387
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15/2008
Phone: (503) 639 -4171 �tk �c�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/26/2008 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 07524 SW RED CEDAR WAY CLASS OF WORK:
SUBDIVISION: JACKSON WOODS LOT #: 004 TYPE OF USE:
PROJECT NAME: LAWSON
DESCRIPTION: Installing (2) branch circuits.
OWNER: LAWSON, AUTUMN PHONE #: 971-242-1431
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503 -234 -0611
Inspection Request Scheduled For: Date: 8/26/2008 Pour Time:
Code # Inspection Description IC o irm Contact # Message
199 Electrical final 074637 -01 503-245-1043 N
Corrections/Comments/Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Cr 14 1 U �Q
Inspector: CT . N6CS � Date: ' Phone #: (503) 718- 1400