Permit CITY OF TIGARD • ELECTRICAL PERMIT
PERMIT #: ELC2007 -00130
COMMUNITY DEVELOPMENT DATE ISSUED: 3/1/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 15A D - 06300
SITE ADDRESS: 10523 SW TUALATIN DR ZONING: R - 4.5
SUBDIVISION: DOVER LANDING LOT : 046 JURISDICTION: TIG
PROJECT: WEST
Project Description: Fire damage repair.
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: 2 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:
WEST SQUIRES ELECTRIC
10523 SW TUALATIN DR PO BOX 16851
TIGARD, OR 97223 PORTLAND, OR 97292
Phone: NA Contact #: PR1 503 252 - 1609
FAX 503 - 253 -5831
FEES
Description Date Amount Reg #: ELE 26 -1 10IC
[ELPRMT] ELC Permit 3/1/2007 $60.15 LIC 135085
[TAX] 8% State Surcharge 3/1/2007 $4.80 SUP 4882S
Total $64.95 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: a Permittee Signature: 2"'} -` a
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.
03/01/2007 01_16 5032535831 SQUIRES ELECTRIC PAGE 02/02
•
r FOR clFhlC:@ IISG ONLY Perlm�t A � Date/B Permit . i opt a
l�ate/13
li of Tigard � plat 1z Ocher Permit
13125 SW kiall Blvd-, Tigard, 0 See Rage z rug
1= Phone• 503,639.4171 Fax 50 5 960 1 / 4 , D R a�y�y s [nrortnabo
- Inspection I,vie: $03.639.41 ` A P� olD Notift y � lro d:
1'1 li/�P.L Internet <vww.tigard or.gov '�0 _.a 3, <t:M7 ;vi'! as { 'a. ; '; .4s:i;: <`'s;:
rr , •; a tre,ic; :}< . °,.3;.. ./ .� : `v'X i ' " •f.r , , • 5 4 :;` ,. < � ° .. eta ., .,,, „:.. n Checked below
;, ?? ;:<4o " <: ; :: : ) `<a ; �: a� ? r r ,u :a; t. „0 .,...-:•<: .,•: ✓.�' .:a, . Please check all that app (wbmd 1 s plans three stories •
= i % < s i' . ' . r ct w " s " - i1. n replacement ❑ Service o r feeder 400 amps or more O Building over • � New construction . Additional � 1'eP available fault attrrlt I3 Marinas and boatyards
where the and bo
❑ Other: , . , •..,• .` • +::y,,; <• exceeds 10.000 amps at 150 volts or ❑ Floating �'
Demolition • ..:- ?: g Y' v,':y , a°•'r.•' 1) ❑ C oa t in but lose agricultuta
��,rr yam{ r. s'• •• %••• ... ;°,7,'' w, , • reeds 14,000
».:: : %'� i ri`' /'% : C* tr . ° ' t ' ; ± ":': ... t a> h, r.1 3 °` less to wound, or exceeds buildings.
x G. <a 4`> '' f a rm y d w•. il i ' , • • dustrial ❑ Accessory biuldiii amps for all other instal s. Installation inin s. of 7S KV•M or
latter separately
�: 1 - and 2 d CoznrtlerciaUna ❑ Fire pump Other: en of 7 KV ry•
Cl 1V1ulU- family ❑Master builder s Y s�M,,y, ° >k• : -.. ".•,w:1:;, 0 Bromic/icy o ne stoner load o f ❑ - A', "Fs c
c; ' ^,. '".: r ?�k gk �; ''' ": x► h.'� S '. r' , . i F F >' .:. _ tOOOP or mote. ❑ oo crcaU Onel vehicle petits.
- . •" • Job site address: JO 5 n. b • s CL 1 ; I ) tr • El Sic or more residential units: ❑ Supply voltage for p e t the
Job no ' ❑Health -tens facilities 600 volts voltage
o
❑1'lazardous locations.
City /StatPJZ I - 02A--012 1 0 Service or feeder 800 amps or moro. .<'
'
-
Al ,cv;
project norec ` m,Y . . .. ' " v > "s< L ` .F✓.:, <,: >';. ;% f:;::
Suite bldg. /apt no °j �' .�•:. °;; %,;nr.... . x Tout
street/directions to job site: New residential side- or multii- family dwelling unit
_.-._ Includes attached . ' rte- -
1,000 it or less 145.15
Z,ot no.: 33.40
Subdivtsiotl: Ea• midi 500 act. ft or portion
l.tmated energy, residential III 75 00
Tax neap /petrel no : s•x • ;.; <<, ,:o a�x.3': with above .. fl
>,: :,,r; •,. <K;-�'•3' ^' <;'- ' 'r, ulti - famil
: <,,. <.:s- �; ii ° ` � '•� <�� "t' >s� ". :ij.. �39'i{•fs. < ..� >r;, , , Y;,<z Services or feeder energ m Y III 75.00
. . ... °' :;; .... reaideotial with above stile
r �i. . h L s - • . 1 Se Unstallati' alteration, and/or relo
or legs 80.30
�s s; 1, ^ " 200 amps g
>`gs� �` s orlc s s 106.85
,;7.4 ra;s> ; x .: ; • ) < : * K d t: 201 amp
r te ``; >••�+�"`�'�''�•'• , _!: ' S!:: "� t ,G • �i•:; �s w'� $'.� :M+�;k amps
= .. ��:.: ::� :�' ' .. » � ': •�, ; •< -0•.�; • • to 600 160.60
a : e : : 401 snaps ps
Name: 601 amps to 1,000 amps 240.60
Over 1,000 amps or volts 454.65
Address' Temporary services or feeders installation, alteration, and.
City/State/ZIP: relocation 66.85
Fax: ( ) 200 amps or less
Phone ( ) 201 :,. , sto 400 amps 100.30
Owner installation: This installation is being trade on property that J own which is not 401 ,naps to 599 amps r 100.
intended for sate, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch e t to
- new, alteration, or extension, per panel
Date; A. Fee for branch circuits with
Owner signature: ' •rt• . . �.. � °k�Y : o
;% above service or feeder fee, 6.65
'' %ill ':Q: :, { : f ? : '4 -. : i Y': :•:i iY f j " .'[1 E ,:. f� :r w. ;i, C e r
;g t i < ., :n.' s ; ,.,; a each bran h - -
;` E;:;-.:., Fee for branch circuits
Cosiness -- - without service or feeder fee, I 46.85 g d
Contact name: ame: fast branch circuit _
Addrach circuit r }. 6.65 (� , e3,
e ms; wiseellnneous (service or feeder not included) /, ao
C
City / State /ZIP: Each toanufactured or modular 90.90
dwelling, service and/or feeder
Reconnect only r 66.85
Phone: ( ) Fax :: ( ) Pump or irrigation circle 53,x0
E-
T11ait L o :r: c::9:c'si'r, t�:' • ,a :` ;H s;V < yck Sign or outline lighting 53 .40
:i:i''`':•r :i % »; =r` >..« ,:<':> Signal circuit(s) or limited-
Business name 9 u y e.5 , Tit, le° -'...II-C- energy panel, alteration, or
-
eRteu8lon. Describe: Page 2
Addtess Y� � �x ��P�J�
E addiUiouad. 1111 ' action over allowable in any of the al
City/State%7��j� D 9 ' 7� -9 � Fetch Per inspection 62.50
Fax: ( ) _ investiiation per hour t,1 hr min) 62.50
1'honeD) � J �
Hp Industrial plant hour 73.75
C C F 3 L i c . : ' � 7 5' S 5J Electrical T is (y .1101 CI stTprv. Lit . g 5 - •< J 5 5* ' i,,, Z .• ,' ` ;' ::
uir d: •� Subtotal; (pb. L
Suprv. Elect rician signature, teq �� ,a/ /DI - Plan Teview (25% of permit fee):
�'" Dom `-� 0 Print name. 1R,1 Y t!°� State surcharge (8% of permit fee) ,
TOTAL PERMIT FEE: . •
Anal
Authorized suture:
t fwn aspires ire permit is not obtain t �
I Date: days after it has been accepted as complete,
1'rirlt name: This permit application
____ • 'Number of inspections allowed per permit.
•
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2007- 00130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2007
Phone: (503) 639 -4171 A �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/23/2007 TIME: 7:03AM PAGE: 49
SITE ADDRESS: 10023 SW TUALATIN DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 046 TYPE OF USE:
PROJECT NAME: 2 -ST
DESCRIPTION: Filo cramago rep. ±r.
OWNER: WEST, PHONE #: NA
CONTRACTOR: SC UIRES ELECTRIC PHONE #: 503- 2611603
Inspection Request Scheduled For: Date: 3/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Elec triral final 045284 -01 971-246-1665 Y
Corrections /Comments /Instructions:
g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / u Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: ELC200700130
13125 SW Hall Blvd., Tigard, OR 97223 4 DATE ISSUED: 3/1/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: 7:01AM PAGE: 59
SITE ADDRESS: 10523 SWTUALATIN DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 046 TYPE OF USE:
PROJECT NAME: WEST
DESCRIPTION: Fire damage repair.
OWNER: WEST, PHONE #: NA
CONTRACTOR: SOUIRES ELECTRIC PHONE #: 50: - 252 - 1609
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Eleciricol rough -in 044497 -01 971 -246 -1665
Corrections /Comments/ Instructions:
1.4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater Phone #: 503
p � � ) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00130
13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: 3/112007
Phone: (503) 639 -4171 y i�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,' IL
INSPECTION WORKSHEET FOR DATE: 3/7/2007 TIME: 7:18AM PAGE: 49
SITE ADDRESS: 10623 SW TUALATIN DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 046 TYPE OF USE:
PROJECT NAME: WEST
DESCRIPTION: Fire damage repair.
OWNER: WEST, PHONE #: NA
CONTRACTOR: SQUIRES ELECTRIC PHONE #. 503 -252-1609
Inspection Request Scheduled For: Date: 3/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical tough -in 044451 -01 971- 246-1665 'V
Corrections /Comments /Instructions:
LAI - OE \ 9 PI\
❑ PASS _ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I Nob L Date: 3 - I ' 01 Phone #: (503) 718 - 4--111410