Permit '/" CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00302
DEVELOPMENT SERVICES DATE ISSUED: 5/26/2006
"' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25111 CD -01900
SITE ADDRESS: 15613 SW SUMMERFIELD LN ZONING: R -
SUBDIVISION: SUMMERFIELD NO.7 LOT : 346 JURISDICTION: TIG
Project Description: (4) branch circuits. Job # 51029.
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: 3 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:
LOIS WILEY SUNSET HEATING & COOLING
15613 SW SUMMERFIELD LN 0607 SE IDAHO
PORTLAND, OR 97224 PORTLAND, OR 97239
Phone: 503 - 968 -2465 Contact #: FAX 503 - 234 -0439
PRI 503 - 234 -0611
FEES
Description Date Amount Reg #: • ELE Cl 17
[ELPRMT] ELC Permit 5/26/2006 $66.80 LIC 161085
[TAX] 8% State Surcharge 5/26/2006 $5.34 SUP 46385
Total $72.14 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: 1,6 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.
•
Ma 26 26 06 07:49a p. 2
,,..'Ele trical Permit App F EIVED I ult (I fl( I. I 'F ()NIA
City of Tigard MAY 2 6 2006 R �;_ Pern,i q
13125 SW Hall Blvd., Tigard, OR 9722 - ` ---_,0 0.2 Plan Review
Phone: 503.639.4171 Fax: 503.598.19 u^ t� ' * . : Other CITY OF TIGARD �� ;- I I Date/8 : hermit:
Inspection Line: 503.639.4175 BUILDING DIVISI r —' +� -. Date Ready/By ® See Page 2 for
Internet www.ci.tigard.or.us Notified/Method: fied/Method: �� Supplemental Information
`` a
. e:,, t i- ;-," .Q a ri .t :_:, r��.:: n � rS ' 5 � -- :,,, .,' ,i..`` , r s. =. r . • . -- -v i r� "t .. ` ,r .Z� �, `al
® Addition/alteration/replacement Please check all that apply: _ . „ , , ..... x,
❑ New construction �
❑Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑Other:
❑Service over 320 am
l� ' - 1 t, 5- : ; :li `r , - ' r r ... ■-rx ;-:;-:;.,--2,,,.;,,,,,-:-.1-::::', Y a P l rating ❑ o r m g over residential
s l
s. _.....,.4.,'-,,.1,t,,.;".. a -...._, ,+..;_ - . a. of 1 -and 2-family dwellings 4 or more new residential
r-41 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other:
ClOccupant load over '. a 1 e:�, .o:�. -', bJ : . ' ...., ?.M ' .:D l u ° s T ..,� 9-' - :` .c. ❑Eg s/lighti g plan persons ❑RV p� red structures or
Job no.: 5 ( C'LG) Job site address: I SL I ' 2 2 ^ ❑Health-care facility ❑Other:
)S�/La }l f f) et �'� " ' Submit .2 sets of plans with any of the. above.
City/State/ZIP: •-f 0 C - 7?‘) 4 The above are not licable to temporary aPP p ary construction service.
Suite/bldg. /apt. no.: Project name: + 1 "
` / Description Qty. Fee. Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea add'( 500 sq. a. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
2 .. w Limited energy, non - residential 75.00 2
" ` ' i rlli' � ^ .!". 1 ` p 7 .. ' g , . �' <' Each manufactured or modular
CV-IS _ dwelling, service and/or feeder 90.90 2
_ . Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
' 1 w .a. roll' .'^ "- .k .. t ( '.; > -. iF T , 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 1- Cil S L.t,` i l 601 amps to 1,000 amps 240.60 2
Address: 15u / 3 <��, r 99 �' ' i Over 1,000 amps or volts 454.65 2
City / State/ZIP: Reconnect only 66.85 2
� ` j 6 7? l• -/ Temporary services or feeders installation, alteration, and /or
Phone: ( S I relocation
( ) �Ct? J "�� �/ F ( ) 200 amps or less 66.85 I
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 600 amps 133.75 2
Owner signature: Date:
�,� � , �,, , , j Branch circuits - new, alteration, or extension, per panel
:: :. �,�!rs�-�,T s ati,. rr ': , tl` „Qi'.T IEL aw ;; I;ifiow+* a:-A7' ~` ' , `; a. A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee -for branch circuits
without service or feeder fee,
Address: first branch circuit 1 46.85 lb 2
Each add'( branch circuit '7) 6.65 lel - 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax :: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited -
.. ' :t . , :Y. sa ` ? ,As [ ':,;:,„, S x r �` <ra! w,:;'', .& "r 4. M.t s ,. " panel' alteratio or
Business name: Sunset Heating and Cooling extension. Describe: Page 2 2
Address: 0607 SE Idaho Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Portland, OR 97239 Investigation per hour (I hr min) 62.50
Phone: (503) 234 Fax: (503) 234 Industrial plant per hour 73.75
CCB I i Suprv. Lic. 46385 11 �s• :, - - 1 ;yam - -r
Lic. 161085 Electrical Lic. C117 I 9 }:tugggr.3`c.:2 rr °1 � `°
Subtotal t 1 -t e . s2//
Suprv. Electrician signature, required: ` . � va.. Plan review (25% of permit fee)
Print name: ESS Date: J State surcharge (8% of permit fee) 5 - :--1
Authorized signature: ` TOTAL PERMIT FEE
J 7
T his permit a pplication expire if a permit is not obtained within 180
Ctilt t 1 G . � days after it has been accepted as complete
Print name: ,
t�YY1uk s I G`- I Date: �- )2 (1''/ UL; • Fee methodology set by Tn.County Building Industry Service Board
.• Number of inspections per permit allowed.
is\ Building \Permiu\ELC•PtsmitApp.doe 12/03 440- 4615T(10/02ICOhJWE21
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200G-00302
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2006
Phone: (503) 639 -4171 7W04(
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/31/2006 TIME: 7:07AM PAGE: 42
D112.0 .4- b c . ooKcC
SITE ADDRESS: 15613 SW SUMMERFIELD LN CLASS OF WORK:
SUBDIVISION: SUMMERFICLD NO.7 LOT #: 346 TYPE OF USE:
PROJECT NAME: W ILEY
DESCRIPTION: ' (4) branch circuits. Job # 51029.
OWNER: WILEY, LOIS PHONE #: 503963.2465
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503-234-0611
Inspection Request Scheduled For: Date: 5/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 030812 -01 503-234-0611 N
Corrections/Comments/Instructions:
111 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 770P Date: �- si- 'L Phone #: (503) 718- &-C,/