Permit CITY OF TIGARD(;" ELECTRICAL PERMIT
IN
PERMIT #: ELC2007 -00813
. ..,.. . COMMUNITY DEVELOPMENT DATE ISSUED: 12/4/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134BD-06500
SITE ADDRESS: 11545 SW SPRINGWOOD DR ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT : 153 JURISDICTION: TIG
PROJECT: LAYMAN
Project Description: Job No 1476 add panel •
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: Contractor:
WAYNE LAYMAN WILLAMETTE ELECTRIC INC
11545 SW SPRINGWOOD DR PO BOX 230547
TIGARD, OR 97223 TIGARD, OR 97281
Phone: 503 - 579 -2451 Contact #: PRI 503 624 - 3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 12/4/2007 $80.30 LIC 75059
[TAX] 8% State Surcharge 12/4/2007 $6.42 SUP 4226S
Total $86.72 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: ,.. 2 - 4 S • / -,
J
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.
DEC 04 2007 10:47RM WILLRMETTE ELECTRIC INC. 5555555555 p.2
•'�
Electrical Permit ApplicatioIIE'C \ FOR OFFICE 115k ;ONL1'
City of Tigard
Received ,r Permit No.:E( , 120 go •
li • 13125 SW Hall Blvd., Tigard, OR 97223 DEC 0 4 L uu r R c
Plan Ravi- Other Permit: •
S Phone: 503.639.4171 Fax: 503.598.1960 DateB . Jury. El See page 2 for
C CTV OF- r1G Date Ready/By. T I V A I D Inspection Line: 503.639.4175 g�q Notified/Method: Supplemental information
Internet: www.tigard- or.gov I metnvislo Notified/Me
B _ __ ��- �, r.•u!}� -. I ! iul ur W tni � '�,gi =!. Grill l i �j� m
n n11 •r rr utm'I wm ,i y(.. I E I ( m�nN .I •( I 4il l, IlU l l'1 . 113£ 111. .., - 1 , 61 1 .: ll�!!v ; �� "6` � �1u'n 1 1, 11114 hf / � N�II,.1 I ... :4 ii "!4
III �y 1�(q 9i { �! r((I H �� ! 111 j II; I t u I }x ^ t U� `RE I . (O I BI I P 1 , m, 11 1711611 (I :, I �', . .�lll I a . 11
�� "i1t��li�wll��lfi�l ? Illlld�l€ i�x�i: I���(( �in1��i�1r61�u���nl�at >;nlmu,l�! }l��llt�..�����. �I ] ail r.._ ��ll
❑ New construction r. Addition/alteration/replacement Please check all that apply (submit a solo of plans w/i4ems checked below
❑ Servioe or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition 0 Other: where the available tauh current ❑ Marioas and boatyards.
� nra 2 ' , 1t P° i' t�ut p;,�@t urt^ ^. ran ti rJ m� a r'y up nnmre ,! lsr �� }�p +nrt ,I @�_`I� ' - q !' exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
ql I;. - ....ii � i `� � I , , � 1 ' t nil iii tit tii,511 lii�ii I. kll u iii i .: lb3t'E tM!tlI , i�I less to ground, or excee 14.000 El Commercial -Use agricultural
' Il!111111L.;,l'.�:t�' ��UJ� Ililiullil� i anll WII1LS1�P1t
9. - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Fire pump. ❑ Installation of75 KVA or
❑ Multi- family ❑Master builder ❑ Other: ❑ Emergency system larger separately derived system.
ii 1 �j { I d' I MP i'. :`Y _. 4' i nrsr u!u v tt+t1i v 4 J..... l a ! t I I l r - .1iiiilLip (f j .,iii i l '�J � 1�j pl ❑ Ad of new motor load of ❑ .. E } , 1 , ., 3 „
I G�`, ' !lint u. °•ter, r In n h y ,,,� I7 e. i� Er LYi Ydrr lli 13ll, r ' occupancy.
at: •.. ti II {I(��� �4�� �u�����u�.It3 �ri+aats�.l3iaiw tc!_;�m,nu, w y � 1ooHPormora.
Job n0 : iti 71, Job site address: yj H �j .%J n I ❑ Six or more residential units. ❑ Recreational vehicle parks.
P ❑ H azardous facilities. 0 Supply voltage for more than
City /State/Z1P: / / !t y 1 D F f iZZ ❑ Hera•
['Hazardous locations. 600 molts nominal.
t / ❑ Service or feeder 600 amps or more.
Suite/b{d / t no.: Project name: Lerl IN „ a' , pHp!. i;"''' '`'I�`'aaii"ts''•;al11 y'l j`°'st'np�mtr,IMtll. I'
g' � .111iipl.oa "IL3 IBV�u�! lxcNilSllr�, �11} d„ �rn�a��r�, ��o,. �l `I�hln;tll(lih�iilu,"ti�r;un ?frL ntl'
Cross street/directions to job site:
_ Dnnipdon Qty. Fen 'roil •
New residential single - or multi-family dwelling un
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'] 500 sq. ft. or portion 33. 1
Tax map /parcel no.: ' -
Limited energy, residential 75.00 2
r r �Il li tlp q n np'�. nry nt�tr .: p i t n lR 1
° I 1 11 limo I p l l pi °A nnI ttr
i I @a1 1 i!I L ii It ilu"> i l i l i ::; �n,,( i r i r R( r 1 i m� i t (with above ft)
Limited energy, multi-family 75 2
residential (with above sq. f.)
Services or feeders installation, alteration, and/or relocation .
200 amps or less 1 80.30 ge. ,56 2
n.: ,� r '; :em r nq n:. ral w)uarJ 1 w 11 . � p�1 �� r. ,�{�I nr I ran l L �a n}pldi �tl j� Iuitp�' i 106.8$ 2
"l ' 011111. � llll c, i,lAl n luttnIalm , A I , Itt(a�ta1 {G sri m l �! - . '111.1 fl • ...,�i filtlllll! �i 1bi Ili r�G#jkdclDEiUI lC Iif51 6III �i111G h I 201 amps t o 400 amps
401 amps to 600 amps 160.60 2
Name: ,./ j /S�'N /�w t 601 amps to 1,000 amps 240.60 2
Address: )) 556 Opt/ 7f fN's M941 Over 1,000 amps or volts , 454.65 2 _
Temporary services or feeders installation, alteration, and/or
City/State/ZIP:
0 � q�ZZ 3 relocation
• I 200 amps or less 66.85 1
Phone:) � � .� ��j 1 Fax: ( ) 201 amps to 400 amps 100.30 2
Owner installation: This installation is being made on property that I own which is not 401 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, r panel
Owner signature: Date: A. Fee for branch circuits with
--����jj JJ�� II y���� ���� �,}} , � I l f � �., ags..}�t5 •assn �:�: , ° +alal '" abov service or feeder fee, 2
each branch circuit
11�l1JI51Ii11l111U1i14111 elY� 7aRI I! B f p_ Map �p at w . •��g 6.65
I I li 4�lla , tjl � °lice 91 � II �I ,i4- ;I � �', ii1W t .'ktl �'�f,'i rjil,`Its'u r<�ui �l:'�wille udnl4t tab h a °
Business name: B. Fee for branch circuits
without service or feeder fee,
46.85 2
Contact name:
first branch circuit
Each add'] branch circuit 6.65 2
Address: Miscellaneous (service or feeder not included) T
City/State/Z1P: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
Pump or irrigation circle 53.40 2
E -mail:
t 1 IIWOS ' 11 I IRiQ E ` 171' I "'r"z�� "`r' ": � W.,F_',i I]- "' iii I I �I ?Ill "flu n ' Ilyd I! Si or outline lighting 53.40 2
, -
l',: u` liSI ;tl>a�ol t E (i �llr�! 'I E II"{ R E , � U >7� ,1 �1��. IN III ITNE : IE - 1
Signal circuit(s) or limited -
Business name: Willamette Electric Inc energy panel, alteration, or
extension, Describe: Page 2 2
Address: PO Box 230547 -
City/State/ZIP: Tigard, OR 97281 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 624 -3631 1 Fax: (503) 624 -2938 investigation per hour (1 hr min) 62.50
CCB Lic.: 75059 ,Electrical Lic.: 34 -283C J Suprv. Lic.: 42265 Industrial plant per hour 73.75
. Plllib iENF1, J, likyai( j,qn!lu! {;;;,csa'dl!r,ar ;ijt
Suprv. Electrician signature, required: Subtotal: _ tr / , /
I 1- 3d-
Print name: David Fife I Date: State surcharge (8% of permit fee): G, /-/z_
Authorized signature: TOTAL PERMIT FEE: r 67 , 1 Z
This permit application expires if a permit Is not obtained within 180
Print name: ` Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
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CITY OF TIGARD C
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BUILDING DIVISION .. PERMIT #: ELC2007- 00813
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /214/2001
Phone: (503) 639 -4171 . f.�, I � I �G
Inspection Requests (24 Hrs.): (503) 639 -4175 F
INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 11545 SW SPRINGWOOD DR CLASS OF WORK:
SUBDIVISION: ENGL.EWOOD NO.2 LOT #: 153 TYPE OF USE:
PROJECT NAME: LAYMAN
DESCRIPTION: Job No 1476 add panel
OWNER: WAYNE LAYMAN, PHONE #: 503 - 578.2451
CONTRACTOR: WILLAMETTE ELECTRIC INC . PHONE #: 503 -624 -3631
Inspection Request Scheduled For: Date: 12/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 061369-01 503-624 -3631 N
Corrections /Comments /Instructions:
(
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 q l2( D' l Phone #: (503) 718-