Permit CITY OF TIGARD w ELECTRICAL PERMIT
PERMIT #: ELC2007 -00776
COMMUNITY DEVELOPMENT DATE ISSUED: 11/16/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 1048 D - 09700
SITE ADDRESS: 13585 SW WALNUT LN ZONING: R -
SUBDIVISION: SULLIVAN MLP2000 - 00004 LOT : 001 JURISDICTION: TIG
PROJECT: LITTON LOAN
Project Description: Reconnect
RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 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:
LITTON LOAN SERVICING OWNER
4828 LOOP CENTER DR.
HOUSTON, TX 77081
Phone: 713 - 218 -4632 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMTJ ELC Permit 11/16/200" $66.85
[TAX] 8% State Surcharge 11/16/200" $5.35
Total $72.20 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 ae 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
I
Issued By: 64 , l ' A Permittee Signature: ` Alf,
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.
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard ECE Date /By l ( / l /01 BIS Permit NA e O 4p 77(0
° 13125 SW Hall Blvd , Tigard, OR 97223 flan Review
Phone: 503 639 4171 Fax 503 598 19k� V 1 6° C U U� Date /lay
Other Permit
tViJ
TIGARD Inspection Line 503.639 4175 Date Ready /By Jon5 ® See Page 2 for
Internet. www tigard or.gov CI I yV O fIGARD Notified /Method 1 Supplemental Information
TYPE OF nitalINGDIVISION PLAN REVIEW
❑ New construction El Addition /alteration /replacement Please check all that apply (submit 2 sets of plans whims checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14.000 ❑ Commercial -use agricultural
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system
❑ Addition new of new w motor load of ❑ "A ". "E ", "I - ", "I - ".
Job no : Job site address: 13585 SW Walnut Ln. IooHP or more occupancy
❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: Tigard ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite /bldg. /apt. no : Project name: ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq ft. or less 145.15 4
Ea. add'I 500 sq ft or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. It )
Reconnect Limited energy, multi- family 75.00 2
residential (with above sq ft )
Services or feeders installation, alteration, and/or relocation
200 amps or less 80 30 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: Li h tza vi �r / 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 4 [ Bag non (1 1 k Over 1,000 amps or volts 454 65 2
City /State /ZIP:(* /L ,j/� % g 7 / Temporary services or feeders installation, alteration, and /or
YY - tea// relocation
Phone: (71 ) Q ,F� �D L L 3a Fax: ( 76 - 8' a e 3 200 amps or less ` 66.85 1
201 amps to 400 amps 100 30 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
® APPLICANT ® CONTACT PERSON above service or feeder fee, 6 65 2
each branch circuit
Business name. Pacific Security Capital B. Fee for branch circuits
Contact name Linda Hilgart without service or feeder fee, 46 85 2
g first branch circuit
Address: 8905 SW Nimbus, 4 Floor Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Beaverton, OR 97008 Each manufactured or modular 90 90 2
dwelling, service and/or feeder
Phone: (503) 670 -5409 Fax: : (503) 906 -2452 Reconnect only I 66 85 66.85 2
E - mail: Ihilgart @pacificsecuritycapital.com Pump or imgation circle 53 40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: Owner Signal circuit(s) or limited-
energy panel, alteration, or
Address: extension Describe: Page 2 2
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( )
Investigation per hour (I hr min) 62.50
CCB Lie.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 66.85
Print name: Date: Plan review (25% of permit fee).
/ State surcharge (8% of permit fee) 5 35
K j l Authorized signatur��� � ��Lr�� e i j,(,t TOTAL PERMIT FEE: 72.20
Print name: b /, _slil ►►11 'J • D / i'� ///07 This permit application expires if a permit is not obtained within 180
a/J days after it has been accepted as complete.
J `�� * Number of inspections allowed per permit
1 \Budding \Permits \ELC- PermitApp doe 05/23/06 440 - 461ST( I I/05 /COM/WEB
h .. ..
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00776
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '11116/2007
Phone: (503) 639 -4171 +
Inspection Requests (24 Hrs.): (503) 639 -4175 ':III..
INSPECTION WORKSHEET FOR DATE: 11/19/2007 TIME: 7 :01AM PAGE: 40
SITE ADDRESS: 13585 SW WALNUT LN CLASS OF WORK:
SUBDIVISION: SULLIVAN MLP2000 - 00004 LOT #: 001 TYPE OF USE:
PROJECT NAME: LITTON LOAN
DESCRIPTION: Reconnect •
OWNER: LITTON LOAN SERVICING, PHONE #: 713 - 218 - 4632
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 059869-01 503 - 670.5409 Y
Corrections /Comments /Instructions: L- G: L i T
• 1 -'1 on - a 5 6-11
P( ALr4
6 `TOCZ..e. WAFEL sCcZ.V \C 40D
C9' p c rr L S �fZ t CZ .
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cj i Y V LS' Date: � I `61 Phone #: (503) 718- 1�3411410
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: ELC2007 0;7710
13125 SW Hall Blvd., Tigard, OR 97223 -- DATE ISSUED: 1
Phone: (503) 639 -4171 .
Inspection Requests (24 Hrs.): (503) 639 -4175 �� ';'-
INSPECTION WORKSHEET FOR DATE: 1214/20 'r TIME: 7:01AI+A PAGE: 52
SITE ADDRESS: 13585 SW WALNUT LW CLASS OF WORK:
SUBDIVISION: SULLIVAN MLP2000 - 00004 LOT #: 001 TYPE OF USE:
PROJECT NAME: LITTON LOAN
DESCRIPTION: Reconnect
OWNER: LITTON LOAN SERVICING, PHONE #: 713 - 218 - 4632
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 12/4/2007 Pour Time:
Code # ' Inspection Description Confirm # Contact # Message
` 199 Electrical final 060689-01 ' 503.670.5409 Y 4/ / T
Corrections /Comments /Instruction :
f '
•
Ca? °ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ; LFOR INSPECTION ❑ ADDITIONA FEES ASSESSED
Inspector: Date: /7,- L 07 Phone #: (503) 718- ZK`i��