Permit C ITY OF TIGARD ELECTRICAL PERMIT
V PERMIT #: ELC2005 -00626
s��41 DEVELOPMENT SERVICES DATE ISSUED: 8/25/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111 DB 04000
SITE ADDRESS: 09165 SW SUMMERFIELD CT ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.8 LOT : 426 JURISDICTION: TIG
Project Description: Panel change.
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:
KNITTEL BOONES FERRY ELECTRIC INC
9165 SW SUMMERFIELD CT. PO BOX 628
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: 503 - 670 -0963 Phone: 503 - 682 -4936
FEES Reg #: SUP 4918S
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LIC 88482
Description Date Amount ELE 3 - 223C
[ELPRMT] ELC Permit 8/25/2005 $80.30
[TAX] 8% State Surcharge 8/25/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86.72
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 -8 33 -2344.
Issued By: oe ,6 Permittee Signature: 9) d ( h �-
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.
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Approved plans are required on the job site at the time of each inspection.
0 4 r��Fg, 24, 2005, 3:39PM . BOONES FERRY ELECTRIC No, 6966 P. 1
• " FOR OFFICE USE ONLY
City of Tigard RECEIVED _ _ . Received
13125 SW Hall Blvd., Tigard, OR 97223 Dawes /,„„... Pcrmit
Phone: 503.639 -4171 Fax: 503.598 „1960 ., -; Plan ��/ —4 aC) ,
inspection Line: 9. 1 , -4,.!! - i „.e! other Permit;
su _
P� 503.63 4 75 <> 4 2 005 �r �L Date/B f
' Italia , Www.Ci.tigard.or.us -^� Date Rwdy tltod:
Eall Ye i for tormation
„ Nohfied/Ke
r , Supplementa ge l fn
- 2 +{ . tt > 1{ Vl 7 ',fi s R7 t j , 7 , tl .. T S
.. i 1 t
� ��: ! f ?. �l ; , 1jti k .. �� �, tl t ,/, r ` I� � r� '
❑ •New construction ... :i n , .. 10, T : o •- — ' = -_' ...s ,. ass c , 3' all that r _ V � �:;,_ ; +!I 1.+�}�I rF - - .- '.?� {�.. •. ;:,
❑ Demolition ❑ Other o r Cep a men ❑ le ase che apply: r .. ,
1 replacement t Please all that - --
t c ^L T ervice over 225 amps, comm'l Hazardous location
t s r t a . r .C` ' t ,L.7,7la ; ... ,�'t 1 i:o p. '. a r , L r , f , i ervice 32 0 S — rating ❑
1 c } i � !3 ❑BuildnS over 10,000 sq. ft.,
'? ❑ o £ 1 • an d over 2 , f artri l y d 4 or more new residential
I- and 2- family dwelling El Commercial/industrial
El Multi-family ❑ Accessory building ❑system over 600 volts nominal twits in one structure t L� ❑M aster builder ❑ Other ❑Building over three stories (]Feeders, 400 amps or more
> - . k c. .� fl. 1 � Fro gs 't � Z v . �.
. °Egr ant load over 99 persons :Manufactured structures or
„'�y �) ��; It �. f•�{ ,�� )f, �l ti 1t J� \D+ I�p ,.
Job no.: . 4 t ` : y� { . :'2 . ❑Egress /lighting plan Rv park
3J 7 6 Job site address
9 � 6 s 5-1.4 ..(1.)-7r0”. re t /4 , 4 ❑Heaith� are facili p]Other:
Cit ! � 0 R Subzryt 2 sets oFplans with an of the above.
The above are not applicable to temporary construction service.
Suite/bldg./ t I
ap . no.: I P name: k ) 4-a a r) i ;;,7,;,; , T , .... t . T
�' , / e t ",' , � i • 1 �, � 1 f l a� 9 7 �; Aa u 7 •7D. :w
Cross street/directions to job - D ` s ` li on
j site Qty pea. Tout
-
New residential single- or multi-family dwelling unit.
•
Includes attached garage.
Subdivision:
1,000 sq. ft. or leas 145.15 4
1 Lot no.: Ea. add'l 500 sq. ft. or portion 33.40
Tax map /parcel no Limited 1
r I energy, residential 75.00 2 •
x' e i v 11 , F JjK 4 , li it � c. I J t r ) ' lr 7 5 Limited energy, non - residential 75.00
. : , _t . .:.,_ , . 1 i � y Each manufactured or modular 2
ru n e / o ) dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less
c ni , i I
[� 80.30 2
,r t �,, 1f .,tl 1 a al tpi , i ! C .a „ ' �(}�. h , t i. '� : , a
-w .�:. ... -_.. . r,.,�, .._, ' ' .s� "I1... _: 1 I_ 1�, 1„ t ... + „ate , ^(r.! 201 amps to 400 amps nu 106.85 2
Name: G�' _ ' I C , ao1 amps tp 60o amps L60.60 2
( - 601 amps to 1,000 amps 240.60
addrt�s: rbd a.14-414.1L. 2
Over 1,000 amps or volts 454,65 _ 2
• - Reconnect only 66.85 2
City/State/ZIP:
Phone: i ) Temporary services or feeders installation, alteration, ifnd/or
[ I , - A , , Fax: ( ) relocation
Owner installation: This installation is being made on property that I own which is nbt 200 or less 66 ,85 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701,
401 201 amps to 400 amps 100.30 .
Owner signature s 2
Date amp to 600 amps 133.75
` Branch circuits - new alteration, 2
n .� d ' I,, 7 , ] , , i s { j i. , s, I f l r ation, Or
.0 .._._. , + .,. 1 R,fr 14 '` r t, t per panel
l _.,.. 3 ) , , ' id `! !`,r • •
$usIlleBS name: A. Fee for branch circuits with
•
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service or feeder fee, each
branch circuit 6.65 2
Contact name: B. Fee for branch circuits
Address: without service or feeder fee,
each branch circuit 46.85 2
City/State/ZIP Each awl branch circu 6.65
IkEseenaneous (service or feede sot Inclu
Phone: ( ) ) Pump or irr igation circle 53.40 2
Sign or outline lighting 53.40 2
E . Fax: : (
E-mail:
_ r - ' . ; ti _a_ Y ' ! fi { I + tl 1 (• t .'S t ! ( Signal eircuit(s) or limited-
... . _ . ,, ), f l:.. '`;` t 71 7: energy panel, alteration, or
Business name; Bool2es Fern extension. Describe: Page 2 2
E ec r
Address: p . 0 . 110X 628
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Each additional inspection over allowable in any of the above
City/State/ZE": Wilsongilie OR 97070 Pe inspection
ow 62.50
Phone: (�O 3) 682-4936 Fax: Investigation per hour (1 I¢ min) in 62.50
(503) 682 -7946 Industrial plant per hour In CCB Lic.: 88482 Elec a; { 73 75
Electrical Su 4 S _' '�': I 1 a�ttY'.i' 1 ic v j- j.li `'Miri. ti�� r;..
2 3C Suprv. Lic.: . � r -
Suprv. Electrician signature, required: /'' t Subtotal g 0
,41•
� ��,
Plan review (25% of permit fee)
" Print (
tiaitle: - 5 - 4.6.1 IIfr3 fl p On Date: ° 0 .2y n State surcharge (8 °l of permit fee) 6 , if 2,
Authorized signature:
]PERMIT FEE $ 6 , • 2.
This permit application expires it a permit it not obtained within 180
Punt name:
days attar it has been accepted a; complete
Date: • Feemethodolo
1.130il ' 8Y se tb Y ?*i- ConntY Building Industry SBl•,ua Board
d1 °B�.C,PamitApp.doc t?/03 • Number of inspections per permit allowed.
440461 - 4iwo /cOM/v n
L
, TIGARD
ILDING DIVISION • - PERMIT #: ELC2005`00626
1 13125 SW Hall : vd., Tigard, OR 97223 DATE ISSUED: 8/25/2005
Phone: (503) 63• -171 4 .
Inspection Reque-.s (24 Hrs.): (503) 639 -4175 .._' p__..
INSPECTION WORK *, EET FOR DATE: 8/29/2005 TIME: 7 :13AM PAGE: 80
SITE ADDRESS: 091 SW SUMMERFIELD CT CLASS OF WORK:
SUBDIVISION: SUM RFIELD NO.8 LOT #: 426 TYPE OF USE:
PROJECT NAME: KNITTE
DESCRIPTION: Panel cha 'e.
OWNER: KNITTEL, PHONE #: 503 -670 -0963
CONTRACTOR: BOONES FER' ELECTRIC INC PHONE #: 503 -682 -4936
Inspection Request Scheduled For: Date: 8129 /2005 Pour Time:
Code # Inspection Description . ' - . Contact # Message
■
199 Electrical final . • A4 . 1 503-682-4936 N
OP
Corrections /Comments /Instructions: 1
$v et_ G- eD _ o Wi 12- .
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: / �� Date: Phone #: (503) 718- 24 / _012C_