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Permit CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2008 -00115 COMMUNITY DEVELOPMENT DATE ISSUED: 2/29/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134CB-02900 SITE ADDRESS: 12240 SW SUMMER CREST DR ZONING: R -4.5 SUBDIVISION: SUMMER HILLS PARK LOT : 027 JURISDICTION: TIG PROJECT: FINNEY Project Description: Installing (2) branch circuits for bathroom remodel. 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: TODD & SANDRA FINNEY A & J ELECTRIC 12240 SW SUMMER CREST DR PO BOX 330 TIGARD, OR 97223 FOREST GROVE, OR 97116 Phone: 503 - 590 -1535 Contact #: PRI 503 - 359 -5891 FAX 503 - 359 -1981 FEES Description Date Amount Reg #: ELE 34 -IC [ELPRMT] ELC Permit 2/29/2008 $53.50 LIC 959 [TAXI 12% State Surchar 2/29/2008 $6.42 SUP 4534S 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: i�__ _ _ - Permittee Signature: 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. Feb 28 08 03:09p Leeann Greason 503 -359 -1981 p.2 -- Electrical Permit App1iECEIVED FOR OFFICE ilea: ONLY Ci of Tigard F Raxived Penner No. �!I' h' g 97T1 19 2 8 2008 crate :'Bv: / III _ ° 13125 SW Hall Blvd., Tigard, OR Plan Review Phone: 503.639.4171 Fax: a 8 19 0 Dalc ; Other Permit Inspection Line: 503.639.417 1 O F TIGARD Date Ready /By: tune El Sec Page 2 for T1GA '' ^^ Notified/Method Supplemental Information Intemet: www.ti 0 • t - r• -- _ -x' a ii;rs aY 2v°c - - I' is : >1. Please check all that apply (submit 2 seas of plans w items checked below): ❑ New construction ® Addition /alteration /replacement ❑ Service ar feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. ,- i :- 11 -c � at1 exceeds 10,000 amps at 150 volts or ❑ floating buildings. _.c cii:, _ s 1!'?1: i:i 1:- v� , r1 r 4'FW r 3 �p BrA1'.. Y :' -- i::a�;e�:�r;.1 � a • r'd= ' �t_.. �, ;.�u:l�•x:.a:�i�''_.lr - � - ���� 5 =..-- , less to ground, or exceeds 14,000 ❑ Commercial-use agricultural ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi family ❑ Master builder ❑ Other. ❑ Fire pump. ❑ Installation of 75 KVA or = 1 ty� DO Emergency system. larger separately derived system '. ,e'a; r .T11.5`---:::.:$.7 ' q G - Cf r ia ! Additionofnewmotorbadof ❑ "A^ E, "t_2 " "!- = +', 100HP or more. occupancy. Job no.: .fob site address: 12240 SW Summercrest Dr ❑ S ix or more residential units. ❑ Recreational vehicle parks. Tigard, OR ❑Health -care facilities. ❑ Supply voltage ter mare than City/State/ZIP: Ti g ❑ Hazardous loations. 600 volts nominal. Suite/bldg. no.: Project name: J Aie, ❑ Service or feeder 600 amps or more _ �• , A l ,,y i �,_rs, utir `1 33 - r "; .2- : - ,75:: Cross street/directions to job site: Description Qty. Per. torn New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Fa. add', 500 sq. ft. or portion 33.40 1 Tax maprparcel no.: Limited energy. residential rigiMin r- +es �Ar,r A t} c -'T; ter. 75.00 ' 2 L5M a.' t'f;a 771X'Yry• v et (with above sq. ft.) J"ss,A. ' Bathroom remodel Lim residential (with u above sq. A.) 75.00 I 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ' ° 7? ' L e . t , p _.- ii TE•Li 201 amps to 400 amps 106.85 2 Name: w /OVA '14- -SGtAf(irA /WV f 401 amps to 600 amps 160.60 2 y _ 60I amps to 1,000 amps 240.60 2 Address: (/ Over 1,000 amps or volts 454.65 1 2 CiiviStale/ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) 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 599 amps 133.75 ? Branch circuits - new, alteration, or extension. per panel Owner signature: Date: A. Fee for branch circuits with gf , . a ;'� l above service or feeder fee, 6.65 2 ` r wen. -4- ` ' " each branch circuit Business name: . B. Fee for branch circuits Contact name: without service or feeder fee, 1 46.R5 46.85 2 first branch circuit Address: Each add'] branch circuit 1 6.65 , 6.65 2 Miscellaneous (service or feeder not included) City %State.'L1 P: Each manufactured or modular dwelling, service and /or feeder 90'90 2 Phone: ( ) , Fax: : ( ) Reconnect only 66.85 2 E Pump or irrigation circle 53.40 2 � ` Sign or outline lighting 53.40 2 -rev -- - ; ia.1.1;;-- Signal circuit(s) or limited - Business name: A &J Electric energy panel, alteration, or Address: PO Box 330 extension. Describe: Page 2 2 City /State /GIP: Forest Grove, OR 97116 . Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 359-5891 Fax: 503)359 -1981 , ( Investigation per hour (1 hr min) 62.50 CCB Lie.: 959 I Electrical Lie.: 34- lc : Suprv. Lie.: 50558 Industrial plant per hour 73.75 I w:, : : l.i. It t d'p 'da r;=Ei"-- - Suprv. Electrician signature, required: / wo..-_/'J Subtotal: 53.50 Print name: Tony Wilson / Date: 2/28/08 Plan review (25% of permit fee): State surcharge (12% of permit fee): 6.42 Authorized signature: [ TOTAL PERMIT FEE: 59.92 Print name: Date: This permit application expires ifa permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. I ni I$:11 *Permn :TLC -Perm it App doe 05.23,06 4.0-461 5V, 11:0'_ /COMMEa CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008 -00115 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/29/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 - 4175 + INSPECTION WORKSHEET FOR DATE: 3/3/2008 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 12240 SW SUMMER CREST DR CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 027 TYPE OF USE: PROJECT NAME: FINNEY DESCRIPTION: Installing (2) branch circuits for bathroom remodel. OWNER: FINNEY. TODD & SANDRA PHONE #: 503-590-1535 CONTRACTOR: A & J ELECTRIC PHONE #: 503 Inspection Request Scheduled For: Date: 3/3 /2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 065980-01 503-359-5891 N Corrections/Comments/Instructions: N 0 0M A N6w8 bo6k._ NI PASS ❑ PARTIAL APPROVAL ❑ CANCEL )c NO ACCESS fib AIL 416ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - U 2 : A - - g - Date: 3' 3' 6% Phone #: (503) 718- 1-4Lit CITY OF TIGARD . ... BUILDING DIVISION PERMIT #: ELC2008 -00115 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/29/2008 Phone: (503) 639 -4171 Alii • Inspection Requests (24 Hrs.): (503) 639 -4175 . F. INSPECTION WORKSHEET FOR DATE: 3/4/2008 TIME: . 7:00AM PAGE: 15 SITE ADDRESS: 12240 SW SUMMER CREST DR CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 027 TYPE OF USE: PROJECT NAME: FINNEY DESCRIPTION: Installing (2) branch circuits for bathroom remodel. OWNER: FINNEY, TODD & SANDRA PHONE #: 503590 -1535 CONTRACTOR: A & J ELECTRIC PHONE #: 503359 -5891 Inspection Request Scheduled For: Date: 3/4/2008 Pour Time: Code # Inspection Description - nfirm # Contact # Message 120 Electrical rough -in • 6063 -01 '\ 503-359-5891 \ Y Corrections/Comments/Instructions: --t- --t- 1 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr msel .e Date: 3• L i't1A Phone #: (503) 718- 11% CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2008- 00115 13125 SW Hall Blvd., Tigard, OR 97223 ,, DATE ISSUED: 2/29/2008 Phone: (503) 639 -4171 A*�,I�I Inspection Requests (24 Hrs.): (503) 639 -4175 �' ^_ INSPECTION WORK ) SHEET FOR DATE: 6113/2_008 TIME: 7:01AM PAGE: 60 . O SITE ADDRESS: 1740 SW SUMMER CREST DR CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 027 TYPE OF USE: PROJECT NAME: FINNEY DESCRIPTION: Installing (2) branch circuits for bathroom remodel. OWNER: FINNEY. TODD 8, SANDRA PHONE #: 503690 -1535 CONTRACTOR: A & J ELECTRIC PHONE #: 503-359&5891 Inspection Request Scheduled For: Date: 6/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071241301 603- 3535891 N Corrections/Comments/Instructions: j oYic7 P-4 :-IX FT 5 77UC! K 7 L N S l 6-1 /./c.-_-1 e_ i3i'vc . Neo e T-1 R -4�3 / , Al No ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: L — Date: 6: /1 . /Og Phone #: (503) 718 - 7.__6� ■ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008 -00115 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/29/2008 Phone: (503) 639 -4171 A lte,Ptri W Inspection Requests (24 Hrs.): (503) 639 -4175 .:_-_.. INSPECTION WORKSHEET FOR DATE: 6/18/2008 TIME: 7:02AM PAGE: 1 SITE ADDRESS: 12240 SW SUMMER CREST OR CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 027 TYPE OF USE: PROJECT NAME: FINNEY DESCRIPTION: Installing (2) branch circuits for bathroom remodel. OWNER: FINNEY, TODD & SANDRA PHONE #: 503.590 -1536 CONTRACTOR: A & J ELECTRIC PHONE #: 503 Inspection Request Scheduled For: Date: 6/18 /2008 Pour Time: Code # Inspection Description Confirm # Contact # Message o d / 199 Electrical final 071568 -01 503. 810 -5876 Y min ( r Mlf Corrections/Comments/Instructions: 6 U� 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL O• INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' Date: 13/01S/ Phone #: (503) 718 - A (1116