Permit ,- •, •,
., CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° . COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00046
TIGARD DATE ISSUED: 3/3/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S133AD -06800
SITE ADDRESS: 10875 SW SUMMER LAKE DR ZONING: R -7
SUBDIVISION: AMART SUMMERLAKE LOT: 112 JURISDICTION: TIG
PROJECT: CHING
Project Description: Installation of low voltage for audio /stereo wiring.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS:
Owner: Contractor:
LYNN S. CHING JIM BUNCH CO.
10875 SW SUMMER LAKE DR 16055 SW WALKER RD #106
TIGARD, OR 97223 BEAVERTON, OR 97006
Phone: Contact #: PRI 503- 348 -9547
FAX 503- 224 -0572
FEES Reg #: ELE 34- 606CLE
LIC 152489
Description Date Amount SUP 3258LEA
[ELPRMT] ELR Permit 3/3/2008 $75.00
[TAX] 12% State Surchai 3/3/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 se in • : r 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246 99 or1.800.33 . 344.
Issue B y: / � , `f k r Permittee Signature• )e# / , I, t r jL-
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.
•
•
il k f . le ctr a cal Permippliapon toltuf
City of Tigard .. IVE .
D Reetarad : Ptz3nlTla.:' .
n • 13125 SW Hall Blvd., TI nt may, � bnteHt : O' �rL/Ei' �" Q
y Plan Review
Other Permit:
phone: 503,639.41,71 Fait; 5113.598,1960 Dete/av: •
inspection Line :.503.639.4175 FEB 2 9 2008 D ate Rnad /B " "�
TICn�ss g g Y Y / ^ l u p a gent n Internet: www,ti afd•or, ov Notified/Method, i/ / C� lerocntnl I nforma
Interne
-
aw il 414,i; :: D. ' • • PLAN RE'1'TEw •
• ❑ New construction 4fjg1t/ 131VISI Please cheek as that apply (submit t sea of plan w/items checked below);
❑ Demolition tea: eLV etisu ❑m
9rice or reader 400 rnps or more CI B ever three stones,
• where the available fault current , ❑ i arinu and bealy'.ifdr.
CATEGORY 01 CONSTRUCTION exeaedr 10,000 amps at ISO volt or 0 Floating buildings, •
Jess td ground, Or exceeds 14.000 0 Cemincrrial.use lgriatltural
Og.and 2- family dwelling ❑ Commercial/industrial Q Accessory building amp; for ltl other butauui_ona. • . buildings.
Multi- 1:amlly j] Master builder ❑ Other: D8 ire pump, 0 Insteuation nt • vt et
JOB SITE INFORMATION AND LOCATION ❑ Etneuitaneysyatcm, larger ceparatol' derived system,
❑ Addition n rnew motor load or p'A' ° I -2" 1.1 ".
address; t� 100FtPormae, occupancy.
Job no.:
Job site
1 ir 7 r 5.w Sonlogr GtLNkc_ D Q sia Of more tesidendal trait . D Aaerdanional vehicle puke, •
City /State/ZIP: 71 G f¢ et_ 0 0 Health.earctbellltics, 0 Supply voltage for mere than I
0 QHayrtheas twat ons. 600 volts Comical.
Suitr/hldg, /apt,no.: • Project name: (]sorvteeof feeder 60yampsormore.
FEE SCHEDULE
Cross street/directions to job site_ • r Deaerl�,, - . ' ••,,. Fm T, •I •
New reattdontlnl single• or multi family dwelling unit.
—. - Includes Attached garage.
Subdivision: , Lot no.: 1,000 sq. ft. or Ices 145.15 4
I ax map /parcel no.: 5a. add'l S00 sq. R. or portion ` 33.40 wriU
Limited energy, residential 75,00
DE$CRTiPTION OF WORK __Larch above 33, fLi
Limited anew, rnulti•farnity
s 0ft=4 11 residential with above , fl. • 75.00
Services or feeders Installndon,'alteration, And /er relocation
200 amps or Ices I 80.30 — 1 2
'PROPERTY OWNER ❑ TENANT" 201 amps to 400 amps - ,106.85 2
Name: L y,, ,J ,e- C , A/ � 401 amps to 600 amps t60,50 2 •
— - 601 amps to 1,000 ampc 240.60 2
lddtcsS: • Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders iostallntion, al tera tion, and/or
-- relaentinn •
Phone: ( ) I Pax; ( ) 200 amps or less • 66.85 i 1
Owner installation: This installation is being made on property that ( own which is not 201 empa to 400 amps 10030 I 2
in,tanrir-d for sale. lease, rent, or exchange, according to ORS 447, 449, 670, arid 701. 401 ampe to 540 amps 133.75 2
Owner slgnaNrc: Date: Branch cireuirt - new, alteration, or extenal cr panel
•
A. Fee for branch circuits wt/h
^ APFL.XC tNT ❑ CONTACT PERSON above serylcc or feeder fee,
6,65 2
��w1 — each branch circuit
Business name: U� C Q , B. Fee for branch circuits
•
Contact name: (f� £ C)'- C '-( wleh Cie u fader fee, 46.85 2
nest blanch circuit
Address: i t o c ce44 . y'y. ILO - / Each add'I branch circuit . 6.65_ 2
9 �n Miscellaneous (Service or feeder in cluded)
City /Statd7..TP: L `¢v 4. .1 t' (Z^ 9 2a0 rp • gaols rnanulbeIured or modular •
� dwellin scnlec and/or feeder 90.90 2
Phone: (�3) 3 4 l�� .�r
' `Y 7 Fax: ; ( /� �'.�/ �> ^ r _
Reconnect only 66.55 — — 2
E - mail: Pump or im5mlon circle 53,40 2
.CONTRACTOR - Sign or outline lighting 53.40 2
Business name: Z (tit j3 U� c -I C O , Signal eireuit(S) or limited-
energy pastel, alkratioq or
Address: ( G a ac- cc...) Gv Iii' k& 1 2 . 44E/06 extension D �; .. / Page 2 7S 2
_ City /StAwizw: k] zi,¢(fjc_ T 01t 0Q ; t d6 • onel ins • eed one • •
— 11 r1 r� Per inspetxio II 62,50 MN
Phone: 03) 3cf r�' 5 Scl 7 Fax: 2L Ci o S
� '•7 Investigation per hour 1 lirmin ) 62.50
CCB Lic.: 1740 v.? 1 $Irctritti.l Lie.: ge(-6.2c, �' "($ Supra, Lio,: 323-4 ,. Industelll plant per hour 73.75
� _ ELECTRICAL PERMIT FEES
Supra. Electrician signature, required: l,� r• Subtotal: ?/,;•v
Print name: ' -it. T • ,,;,2,t,-.0utz .::. Date: ?"— r zo Planrevie
State surcharge (12%e of permit fee): 9.0
Authorized signature: TOTAL PERMIT FEE; £ i i .0O
Print name: /Z U� Cif [pat ( / r 2 t � � 2. ( 6 , This permit nppliUpon expires If a permit is no t obtained within 150
R l _ G days after It has beta accepted as complete,
' Number of tnspcctions allowed per perish.
I: stiurldIng 1Perni■OELGPermIIAredea 03/13/36 ' • • auw4tel•(tI ins n..PM, t=
. . . �ti
CITY OF TIGARD
BUILDING DIVISION mo PERMIT #: ELR200000046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 313/2008
Phone: (503) 639 -4171 o.
Inspection Requests (24 Hrs.): (503) 639- 4175�i�i
INSPECTION WORKSHEET FOR DATE: 3/4/2000 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 1087a SW SUMMER LAKE DR CLASS OF WORK:
SUBDIVISION: AMART SUMMERLAKE LOT #: 112 TYPE OF USE:
PROJECT NAME: CHING
DESCRIPTION: Installation of low voltage for audio /stereo wiring.
OWNER: CHING, LYNN PHONE #:
CONTRACTOR: JIM BUNCH CO. PHONE #: 603-348-9547
Inspection Request Scheduled For: Date: 3/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 066046-01 503-421 -4123 Y
Corrections /Comments /Instructions:
G3 J_,_P_Ass 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: U ° &6 Date: 8 •Ii` O Phone #: (503) 718- Jo%
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008.00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7 :00AM PAGE: 17
SITE ADDRESS: 10875 SW SUMMER LAKE DR CLASS OF WORK:
SUBDIVISION: AMART SUMMERLAKE LOT #: 112 TYPE OF USE:
PROJECT NAME: CHING
DESCRIPTION: Installation of low voltage for audio/stereo wiring.
OWNER: CHING, LYNN PHONE #:
CONTRACTOR: JIM BUNCH CO. PHONE #: 503 3488547
Inspection Request Scheduled For: Date: 4/1612008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.1¢0 Electiical final 068472 -02 503.421 -4123 Y
Corrections /Comments/ Instructions:
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES SSESSED
Inspector: 718-
ector: 14 Date: � Phone #: (503) 718
P � )