Permit 1, CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007-00293
° COMMUNITY DEVELOPMENT DATE ISSUED: 5/1/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DD-06800
SITE ADDRESS: 09565 SW VENTURA CT ZONING: R - 4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT : 076 JURISDICTION: TIG
PROJECT: VOLLSTEDT
Project Description: Kitchen remodel with branch (6) circuits.
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: 5 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:
VOLLSTEADT MRS ENDERS ELECTRIC
9565 SW VENTURA CT PO BOX 1661
TIGARD, OR 97223 BEAVERTON, OR 97075
Phone: 503 - 2463981 Contact #: PRI 503 - 626 - 4813
FAX 503 - 646 -3871
FEES
Description Date Amount Reg #: ELE 34 -265C
[ELPRMT] ELC Permit 5/1/2007 $80.10 LIC 26728
[TAX] 8% State Surcharge 5/1/2007 $6.41 SUP 4685S
Total $86.51 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: _ ii j i / , ; / Permittee Signature: 540, 89///(..41. //fin
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.
Apr 30 07 03: 05p ENDERS ELECTRIC 503-646-3871 P • 3
•
I - . -,--__ _..-.--- .f V- 7 1.
, , ,,,‘ i Ic.: 1 ,‘ 0 r) - - - ! » - Electrical Permit Aptiliattert-' L-m 6 ' '-.-".--'-' FOR OFFICE USE ONLY
City of Tigard
R ' 0 2007 Received
Dateill : EMIENL
" 13125 SW Hall Blvd., Tigard, ORAF7 a
31 Plan Review
• 2 Phone 503.639 4171 Fax.65Q3 .598. 1 9,60 Date/B • Other Pcrimt. •
TIGARD Inspection Line 503.6391,7.5 ll 1 ur i jaiiiiRD Date Ready/By Jut .s 0 See Page 2 for
Internet www.ligard . .2i:ix__ v , • • Notified/Method. Supplemental Information
...2 ,: IS It ' .1,4,.. , .,,
;w4; .....:,." i c, :i :- .VWFZt , ;,,-':,, - L . "( r7. , '21 ;46 WArkli„Ata
%NM Vat. Vo":710 ., 7,:. - i;'... ' , ,I,',' ,..',', r, ..: .-i.91-1-,4gwAn.t.AA 'izi-74,7vmakIve-laiaiiiiilazfeftb , i „.;..ii :t I- . - - , ,,,-MMD, U ' — • ''''. • .=... •- ■•■ -' '. ' "'-' ---L-•••••• —
0 New construction Addition/alteration/replacement ion/alteration/replacement Please check all that apply (submit 2 sets of plans wi items checked below).
El
0 Service or feeder 400 amps or more El Building over Mice smiles.
III Demolition El Other: where the available fault current 0 Marinas and boatyards
ii:,. ig",..7,11,5S 12 ,.: ti isiti exceeds 10,000 amps at 150 volts ot Floating buildings.
• .., i • — • i ,, • . l, i ha...
r,.• .. less to ground, or exceeds 14,000 12 Cumniercial-use apt 'cultural
Ell I - and 2-faintly dwelling El Commercial/industrial El Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder ['Other: 0 Fire pump 0 Installation of 75 KVA oi
: .: ,,iirrt1171,7.Hmil; , CI Emergency system larger sepaiately deiived system
-: `-'-' 111462' !", An' lr-- ": ; : a ' i q ... ; i :'9'71-1: 9 7 . 1 Mal.:: 3M-Fletra,Fi 08REM:F.A. , ... • :.-i,:ria5.4:. CI Addition of new laolor load of
100141 or more occupancy
Job no Job site address 9565 SW Ventura Court
0 Six or more residential units 0 Reeicational velnek parks
City/State/ZIP: Tigard OR 97223 0 Health facilities. 0 Supply voltage tot more than
0 Hazardous locations. 600 volts nominal
Suite/bldg./apt. no.: 1 Project name: Vollstedt 0 Service or feeder 600 amps or more
Iti al kliliW4qP.0,0.4X:Q1iiiiiNiT ''''
Cross street/directions to job site: Deseripilon ' ' 1 Qt. I .. F. I Total I O
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision. I Lot no.: 1,000 sq. ft. or less 145.15 4
Ea add'I 500 sq ft. oi portion 33.40 I
Tax map/parcel no.: . Limited energy, residential
ri .......................................................................... PLON (with above sq. R.) 75 OU 2
. i--- ' PI, ■ 1777in L.. .
Limited energy, multi-family
Kitchell Remodel . residential (with above sq. 11.) 75.00
Services or feeders installation and/or relocation
200 amps or less 80.30 --)
_
Pa 1 WOMMONISMIN 201 amps to 400 amps 106.85 2
Name Mrs. Vollstedt 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 9565 SW Ventura Court Over 1,000 amps or volts 454 65 2
City/State/ZIP: Tigard OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone (503)246.3981 I Fax: ( ) 200 amps or less 66.85 1 I
Owner installation: This installation is being made on property that I own which is not 201 atnps 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 2
Branch circuits - new, alteration , or extension, per panel
Owner signature. Date: A. Fee for branch circuits with
i:iifili: !L 4' i:M matrin; . "WillIngtgam :ErFrwripwaisverVrEng' above service or feeder tee,
,,,,r:. .,f •=0, ..' '' . . 5 , y. -',•:- 4'. '.?imie...... 2 - J,,t,:K;mra :...= -. - w1,1 -J,T ...i,,,1[•,,„,, 6.65 2
each branch circuit
Business name: Enders Electric B. Fee for branch circuits
without service or feeder fee, I
Contact name: Al Robertson 46.85 46 2
first branch circuit
Address: I' 0 Box 1661 Each add'I branch cii elm 5 6 65 33.25 2
Miscellaneous (service or feeder nut included)
City/State/ZIP: Beaverton OR 97075 Each manufactured or modular
90.90 ,
dwelling, service and/or feeder
Phone: (503) 626.4813 I Fax: : (503) 646.3871 Reconnect only 66.85 2
E-mail Pump or irrigation circle 53.40 2
f1 lAt I l"RigalliPillikll i a4glatifta*"7,/tatHallilllglakiiillliillirt'.....Nattliititga Sign or outlinc lighting 53 40 2
;;;1; .rall.j. . , nrsom,•ontra . , .9iir;U:iii,4 ....... -inkm. anr 4 444,
Signal circuit(s) or limited-
Business name: Enders Electric energy panel, alteration, ot
Address. 1 Box 1661 extension. Describe: Page 2 2
City/State/ZIP: Beaverton Each additional inspection over allowable in any of the above
• Per inspection 62 50
Phone: (503) 626.4813 I Fax: (503) 6463871 Investigation per hour (1 h. inui) 62 50
CCB Lic : 26728 Electrical Lie.: 34 S .ry i . 4685S Industrial plant per hour 73 75
• - i gil l iikKihMOR*Pratagt;i4M;Ri ‘ i:: , ; . 0
Suprv. Electrician signature, required: ‘/X_1 Magen
r Subtotal. 80 1
0
i
Print name: Allen G Robertson Date: 11/08/2006 Plan review (25% of puma fee)
State surcharge (8% of permit fee): 641
Authori7ed signature: TOTAL PERMIT FEE- 86 51
This permit application expires if a permit Is not obtained within 180
Print name: Date: days after it has been accepted as complete.
" Number of inspections allowed per permit
I mudding l' nins mit App doe 05/23/06 440-46151111/05,COM/WEB
CITY OF TIGARD /+'
BUILDING DIVISION - PERMIT #: ELC2007 -00293
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007
Phone: (503) 639 - 4171 ,, 11'I�II
Inspection Requests (24 Hrs.): (503) 639 -4175 ' .. ^:_..
INSPECTION WORKSHEET FOR DATE: 517/2007 TIME: 7:00AM PAGE: 75 ,
SITE ADDRESS: 09565 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 076 TYPE OF USE:
PROJECT NAME: VOLLSTEDT
DESCRIPTION: Kitchen remodel with branch (6) circuits.
OWNER: MRS., VOLLSTEADT ' PHONE #: 503-2463981
CONTRACTOR: ENDERS ELECTRIC S Cp (1 PHONE #: 503-626 -4813
Inspection Request Scheduled For: Date: 5S17 /2007 Pour Time:
Code # Inspection Description on • Contact # Message
120 Electrical rough -in 047623 -01 503-793-5196 Y
Corrections /Comments /Instructions:
CI A, -'6 - 39 sl MN\A'?
L � �.� /_- _ �;1.. , „ - 7 oz: £2
Q 0 = ALL CMv� t d " I cap
s A V M
eNfosTiNo 6 k ,17 uff' 7% ...-a 6F
k`v 1 r PQ) c 7 NOLA. .
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr , N o LE Date: S 1 Phone #: (503) 718- I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00293
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1 /2007
Phone: (503) 639 -4171 4tr ►a 4 ' r
Inspection Requests (24 Hrs.): (503) 639 -4175 �.. `'f �..
INSPECTION WORKSHEET FOR DATE: 6/20/2007 TIME: 7 :04AM PAGE: 63
SITE ADDRESS: 09565 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 076 TYPE OF USE:
PROJECT NAME: VOLLSTEDT j 3
DESCRIPTION: Kitchen remodel with branch (6) circuits. 1
OWNER: MRS., VOLLSTEADT PHONE #: 503 - 2463981
CONTRACTOR: ENDERS ELECTRIC PHONE #: 503. 626 -4813
Inspection Request Scheduled For: Date: 6/20/2007 Pour Time:
Code # Inspection Description Confirm # ntact # Message
199 Electrical final 05051101 50362.6 -4813 Y
Corrections /Comments /Instructions:
\
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL F NSP. TION ' DDITIONAL FEES ASSESSED
Inspector: Date ' 12 Phone #: (503) 71 %