Permit . - ... CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELC2008-00435
DATE ISSUED: 7/29/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S133DB-01500
SITE ADDRESS: 11665 SW SHEFFIELD CIR ZONING: R -12
SUBDIVISION: BRITTANY SQUARE NO. 2 LOT : 039 JURISDICTION: TIG
PROJECT: AL-EEN /C ,,
Project Description: Replacing service.
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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: / p Contractor:
JAY ALLEN l �l 4 t'' MOUNTAIN VIEW ELECTRIC INC
11665 SW SHEFFIELD CIRCLE 29719 NW 51ST AVE
TIGARD, OR 97223 RIDGEFIELD, WA 98642 -9213
Phone: 3 D 3 — 11 75..... 5 if lei (Ge -Q,Q) Contact #: PRI 360 - 695 -8439
FAX 360 - 735 -8439
It FEES
Description Date Amount Reg #: ELE 37 -103IC
[ELPRMT] ELC Permit 7/29/2008 $80.30 LIC 159093
[TAX] 12% State Surchar 7/29/2008 $9.64 SUP 3837S
Total $89.94 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: e.e S/1�(�% ?
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•` _ 29 2008 7:45AM Mountain View Electric 3607358439 p.2
.6 -= -$
Electrical Permit Anolica 5'..n ,.,,It , II I( .t. 1 ;I.• ,!n I \ .
icy of Tigard s D Received . - r 1 125 SW Hall Blvd., Tigard, O' 9 `le Debe/Bv:
one: 503.639.4171 Fax: 50 •.598 ' ' .4 .: ,: Other Permit;
I I , A r I ) iqspection Line: 503.639.4175 9 ?A% Data Ready/By: ,, Sort► Pap 2 for
Ititemet www.tfgardor,gov ,UL - Notified/Method: ViiiirMI Sep • astral Informatloa
r , . y W 14,•' Yl,FyV h,.n le�; . I • Hr - I. � I � r i � 1^ r /r. � ,Ly •I I�ft� ,I�:nnn I
s(ilf ��li�li ! �. +;�i.17E 1��i �, ��E-Ag earl :131 11� �OINllign 'i.1��lll� IEME1 14�I 1��l: 1t �J. ., �i I ilit
�,,J?�i ! a
.n am a�dE:Ii_.,. li..l .�2i t..r,.11 lll�i I i - e'1.1�. 1 e i.i ly.lLu�f�,.. pit y� :.al :rt', Jc. 1'1. 1
■ New cons R' on ® Additi • . alter: te;! s ' Plena check all 'bat apply (admit 1 sets of plane wluetu checked below):
❑ Demolition 1 ❑ Other: $ U II C I or feeder 400 amps or mots ❑ Building over three stories.
where the available fault etmreeat 0 Marl
(q'! t�� l I Ip I pp ��p��j�11 F I� J I lllllllal�lyl!{M5 II 11 1 17 14 I VIIR'YS I I:1➢11 1 111 +
i ` l 1I11�111�,1 I!S,�fF!91iJ�1 �n��� 11VI n p . pl . F'I l 'li�fil,l ;l• ,q 1 I r / I � I ( 1 9I! 1i 1 I .l k >I If lf l LI IIiI 1 I exCeedn 10,000 at 150 volts or Florian" b � il s.
II� \Y' +ll E.71: IIi2ifI,R�1���:1,Nl�ll-IIY�I li� " Iilig ,i,1 :I lii llI .i11 INE I H� , L�1Ff�Iiyll'11YI :11 e W VUUd1I1�9.
less to ground, or exceeds 14400 ❑ Commeroial -use agricultural
® 1- and 2- family dwelling 12 tn
Come lid/industrial ❑ Accessory building amps fm all other installations. twlldiaes.
❑ Multi -fanul ' ❑ Master b ilder ❑ Other ❑ Fire pump. ❑ Installation of 75 KVA or
'ry, eli J1 l t llj ,11 incr; Irs.wwalln nipq iett plalp/d p li peliviefe ;intigil an ? Ii ll IIr In1l ���p*taxc ❑ Emergency system• larger separately derived system.
ly�l ll litiinieSi1Ii1 1 9f GH4:�4:' - ' rL ' f l lwul-m ul , ritmavd...tgaftriill � .r1 A14.:.tyriii��1 La v oilluliiIllliIa tlti•'OL91 aI ❑ Addition of new motor load of 0 "A'', "S", "I -2'', "1.9 ",
I klllit . Ka1J "ll l'
Job no.: I Job site address: 1665 SHEF' I' LD CIRCLE 1001Ppr occupancy.
❑ Six or more reaidetetisl units. ❑ Recreational vehicle parks,
City/State/ZIP: ICARD , OR 97223 ❑ Health -oars facilities. ❑ Supply voltage lb: more than
❑ Hazardous locations. 600 voha nominal,
Suite/bldg. /apt. ho.: Project jsi-..m.se a Seroiu or feeder 600 - ., ^ s or morn.
I Dul 1 . t l)i I I I I l �lm:# I t �' . 7�72I5 r �I G�I'I�ll 1 II i
Cross street/dir ;coons to job site: / t3 ea. I I!�,
% new residential adgle or multi - family dwelling unit.
Includes attached garage.
Subdivision: ' I Lot no.: 1,000 sq. ft. or less 145.15 4
Tax m o.: Ea. add'I 500 sq. fl. o porti 33,40 1
Tax map/parcel
f II { �� cal 111 'I un coon a tr + I, I ,ry ;rl R11
I, IeII , Limited energy, residential 73,00 2
fills Irifllli! IljifA31 .elltlAf�L1�'7tGfllt!llflit g���T ,t' f'u:l� lrGT',! 11 f1�rl��.�`•1.��'`1..11 1.O'11I i.II1IIfi,11111111111011' (with above
REPLACE MAIN BREAKER [united energy, multi-family 75.00 2
i . residmttialiwirh above to. f ,)
I
Services or !ceders instatlatlon and/or relocation
200 am or less
a r I r " -', m.palrrAlp I a 1 1 r a ., I 80.30 80.30 2
. + 1 1I lit II> . - r ,_ y 7 3 11 , A '. ��� 'i Il�l!i' 1 1. � �� Eral I ~ x��) a i
t �� II'�'I i y Y y �{ 1
�II-�plA 201 amps to 400 am
i11�,. , �' C. I. ,I'.. �r.a ..66- e I lei I... nn1e...N A 4N Ill I ∎ q .1 I I :ulalld P 106.85 2
M _ ►� 401 amps to 600 amps 160,60 2
--
601 amps to 1,000 amps 240.60 2
,■ IIPIF450411111111111111 Over 1.000 amps or volts 454.69 2 •
City/State/Z1P: r Temporary services or feeders installation, alteration, and/or
relocation
Phone: (303) 1 1/ 75 = .-y /' I Fax: ( f 200 amps or less 66.85 1 -
Owner installa Ion; This installation is bei g made on pro.erty that I own which is not 201 amps to 400 amps 100.30 2
Intended for sal lease, rent, or exchange.: cording to OR.: 447, 449, 670, and 701. _ 401 amps to 599 amps 133.75 2
Owner aignatur • : Date: Branch circuits - new, alteration or extension, per panel
I:' h ouuL�� , w e a i m nlp i niu l xnJl 1p 1 A. Fee for branch circuits with
1: i 11111`I11A :�� :S ,��il�al1113f111g li lil[INIIII111111�� 334 l,71, {l a! '� 111ka k!! above service or feeder fee.
Business name: each branch circuit 6.65 ?
- 13. Fee for branch circuits
Contact name; ; without service or feeder the, 46.85 2
Ent branch circuit
Address; Each add'l branch circuit 6.65 _ 1 2
Miscellaneous (service or feeder not included)
City /State /ZIP: - Each manttthctured or modular -
dwelling, service and /or feeder 90.90 2
Phone: ( ) ! Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
1Illlni 11ii111211MEMBIIPJl lli 4i �`, ire ` .i Mill3 ' '�I 1111! llllRII'I 1 '�� �1 lIl M sign or outline lighting 53.40 2
Business name: �1'Iountain View Electric I . c Signal circuit(s) orllmite •
energy panel, alteration, or
Address: 29719114W 51 AVE extension. Describe: Page 2 2
City /State/ZIP: Ridgefield WA 98642 Each additional Inspection over allowable In any of the above
Per inspection 6230
Phone: (360) 695.8439 Fax: (360) t 5.8439 Investigation per hour (1 hr min) 62.50
CCB Lic.: 15901 I ... cal Li • t 7l0 1i Suprv.. .: 3837 -S Industrial plant per hour 73.75
•
NIl ANICf�VI if Iil�: I. al:f '..1� �1i ,i "s is .ij.III!III I' iG t II!!II
Suprv. Eleetrlei4n signature required: ', fir �tr �Ittair j _ Subtotal: 80.30
Print name: fred Dilday �I �� Date; 07/29/0' Plan review (25% of permit the):
_ Stare surcharge (12t% of permit fee): 9.64
Authorized signature: W I TOTAL PERMIT FEE: 89.94
Print n81he. Date; This permit application expires if a permit le not obtained within ISO
days after It has been accepted as complete.
' Number of impactions allowed per permit.
IA BWtdleal➢armltsBLC•PermitApp.dac 05 /23 /06 440.461ST(1I/OSiCOMIWES
I •
CITY OF TIGARD
BUILDING DIVISION AA PERMIT #: ELC200t 00435
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2912008
Phone: (503) 639- 4171 PI
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 11/26/2008 TIME: 7 :00AM PAGE: 39
SITE ADDRESS: 11665 SW SHEFFIELD CIR CLASS OF WORK:
SUBDIVISION: BRITTANY SQUARE NO. 2 LOT #: 039 TYPE OF USE:
PROJECT NAME: RUFFIN
DESCRIPTION: Replacing service.
OWNER: RUFFIN, CARLA PHONE #:
CONTRACTOR: li? UNIITIA@Nfi[6YN ELECTRIC INC PHONE #: 306^05. 439 (cell)
Inspection Request Scheduled For: Date: 11/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 078507 -01 303.47a -5419 0 8- to All
Corrections /Comments /Instruc . ons:
r4-70 0C—'r I/ 6 0 6 t-fieh' c 2�u.------
—,t, Nt •° ( c. =1Z
•
PAS_) ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
( 24°5 `11(
Inspector: _ _ _ Date: 1 Phone #: (503) 718 - .4„,
r
CITY OF TIGARD l
BUILDING DIVISION PERMIT #: ELC2008- Ott435
5
13125 SW Hall Blvd., Tigard, OR 97223 �' DATE ISSUED: 7/29/200 },
Phone: (503) 639 -4171 It ; 1
Inspection Requests (24 Hrs.): (503) 639 -4175 F 'I I..
INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 1:00AM PAGE: 56
SITE ADDRESS: 11665 SW SI IEFFIEI..[) CIR CLASS OF WORK:
SUBDIVISION: [iRI [TANY SQUARE NO. 2 LOT #: 039 TYPE OF USE:
PROJECT NAME: RUFFIN
DESCRIPTION: Replacing service.
OWNER: RUFFIN, CARLA PHONE #:
CONTRACTOR: RiatfRIVAMAriffiNV ELECTRIC INC PHONE #: 300.054439 (cell)
Inspection Request Scheduled For: Date: 11/6/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message b
D .-
116 Electrical service 077643-01 303475-5419 Y { .1/ /
Corrections/Comments/Instructions:
. l #2 ------
Gib/\
A ( 1 7 ,4 6 bp ./) I k % - e g Aevc b , ,
4 . i ./_ , / : iii] _i_ • Clil-4
•
5 0 v it/ Li/L. 'tt,e s i i, l / if ,‘ -/ 44 /.&,__ . ....
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Ii4FAIL CALL FO' INSPECTION El ADDITIONAL FEES ASSESSED
1_
Inspector: 1 1 l D
CITY OF TIGARD ;, - .
BUILDING DIVISION , (pir PERMIT #: ELC2008 0(W 5
13125 SW Hall Blvd., Tigard, OR 97223 C 51,041d DATE ISSUED: 7 /29,20011
Phone: (503) 639 -4171 .d4I�
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ..
INSPECTION WORKSHEET FOR DATE: 7 131/2008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 11665 SW SHEFFIELD CIR CLASS OF WORK:
SUBDIVISION: BRITTANY SQUARE NO. 2 LOT #: 039 TYPE OF USE:
PROJECT NAME ALLEN
DESCRIPTION: Replacing service.
OWNER: ALLEN, JAMES & MARY PHONE #:
CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360. 695 -8438
Inspection Request Scheduled For: Date: 7/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 073527 -01 360 - 652 -7110 N
Corrections /Comments /Instructions:
84 plkovt,(60 A J1'
❑ PASS ❑ PARTIAL APPROVAL �J CANCEL El NO ACCESS
111 FAIL [111 CALL FO INSPECTION `❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 70 Phone #: (503) 718)M -
. - ... CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELC2008-00435
DATE ISSUED: 7/29/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S133DB-01500
SITE ADDRESS: 11665 SW SHEFFIELD CIR ZONING: R -12
SUBDIVISION: BRITTANY SQUARE NO. 2 LOT : 039 JURISDICTION: TIG
PROJECT: AL-EEN /C ,,
Project Description: Replacing service.
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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: / p Contractor:
JAY ALLEN l �l 4 t'' MOUNTAIN VIEW ELECTRIC INC
11665 SW SHEFFIELD CIRCLE 29719 NW 51ST AVE
TIGARD, OR 97223 RIDGEFIELD, WA 98642 -9213
Phone: 3 D 3 — 11 75..... 5 if lei (Ge -Q,Q) Contact #: PRI 360 - 695 -8439
FAX 360 - 735 -8439
It FEES
Description Date Amount Reg #: ELE 37 -103IC
[ELPRMT] ELC Permit 7/29/2008 $80.30 LIC 159093
[TAX] 12% State Surchar 7/29/2008 $9.64 SUP 3837S
Total $89.94 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: e.e S/1�(�% ?
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.