Permit ELECTRICAL PERMIT
IN ° CITY OF TIGARD
PERMIT #: ELC2007 -00871
COMMUNITY DEVELOPMENT • DA ISSUED: 12/28/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103BD -00600
SITE ADDRESS: 11970 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: BOYCE
Project Description: Panel change & upgrade.
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: 1 W /SERVICE OR FEEDER: 8 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
RONALD J BOYCE OWNER
11970 SW WALNUT ST
TIGARD, OR 97223
Phone: 503 - 524 -3052 Contact #:
FEES
Description Date Amount Reg #:
IELPRMT] ELC Permit 12/28/200' $133.50
[TAX] 8% State Surcharge 12/28/200' $10.68
Total $144.18 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 - • days ;TTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in
OAR 9 ' -101 -0010 thro •h • • - •52- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 246 6699 or 1.800.332.2344.
Issu: d By: I _ I 4 „, ; , i Permittee Signature: - Ll r
OWNER INSTALLATION ONLY
The installation is being made on propert a• not intended for � sale, lease, or rent J�
OWNER'S SIGNATURE: � d DATE: (� / V
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 F OF USE ONLY. • .
1 Received
' City of Tigard Date/By • /.2 A r o 7 Permit No E 7-• 7/
a 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
• C Phone 503 639 4171 Fax: 503 598 1960 Date/By Other Permit
TI G A R D Ins Line 503 639 4175 Date ReadyBy 'j ® See Page 2 for
Internet www tigard -or gov Notified/Method I (i Supplemental Information
TYPE OF WORK - - PLAN REVIEW - -
Please check all that apply (submit 2 sets of plans w /items checked below)
❑ New construction ❑ Addition/alteration/replacement
❑ Service or feeder 400 amps or more ❑ Building over three stories-
❑ Demolition ❑ Other: where the available fault current ❑ Mannas and boatyards
- CATEGORY OF CONSTRUCTION - " • - _ exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agncultural
❑ 1- 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 of new motor load of ❑ "A ", "E ", "1 - ", "1 -3 ",
Job no.: Job site address: 1 I 9 7 0 5 wI--(rU� s Si more more occupancy
❑
❑ Six or more residential units Recreational vehicle parks
City/State /ZIP: ) t .� / Q e � '�2 ❑Health -care facilities ❑ 600v nominal
for more than
❑Hazardous locations
Suite/bldg. /apt. no.: Project name: T ❑ Service or feeder 600 amps or more
/ Y �" FEE SCHEDULE -
Cross street/directions to job site: Description I Qtr. l Fee. l 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 R )
Limited energy, multi -family 75 00 2
LA r -Y- - ' - - ? , 1( :-. e_ AO s)-7/. 0 o,..., 64-. residential (with above sq ft )
SL � w\ � n Services or feeders installation, alteration, and/or relocation
�
. eNCJ r 0 200 amps or less ( 80 30 `d4.70 2
❑ _PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2
Name: q 401 amps to 600 amps 160 60 2
O U---s' � 601 amps to 1,000 amps 240.60 2
Address: '� 1 O S - W \ vlk �` S\ Over 1,000 amps or volts 454.65 2
City/State /ZIP i t � O� � '�'Z�3 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (5 )s 365 Fax: ( ) 200 amps or less 66 85 1
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 , ha e, 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 signatur ft i �.. Date: r1/2-00-1 A. Fee for branch circuits with ( 2 9) • `❑ APPLICANT' " - ❑ CONTACT PERSON.: - - above service or feeder fee, 6 65 S 7• 2
each branch circuit Ip'
Business name: B Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90 90 2
Phone: ( ) Fax: : ( ) Reconnect only 66 85 2
E -mail: Pump or irrigation circle 53 40 2
' - CONTRACTOR - - Sign or outline lighting 53 40 2 •
V Signal circuit(s) or limited -
Business name: energy panel, alteration, or
Address: 'N extension. Describe Page 2 2
City/State /ZIP: (A j 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.: Industnal plant per hour 73 75
- ELECTRICAL; PERMIT FEES • °
Suprv. Electrician signature, required: Subtotal l: • 5O
Print name: Date: Plan review (25% of permit fee)
State surcharge (8% of permit fee) /0 • et 5
Authorized signatu - TOTAL PERMIT FEE. / • (g
`� This permit application expires If a permit is not obtained within 180
Print name: ���� V Clo t)` Cam- Date: j2 / f 4� days after it has been accepted as complete.
• Number of inspections allowed per permit
\Budding\Permits\ELC- PermitApp doc 05/23/06 440-46 15T(1 1 /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information •
LIMITED ENERGY PERMIT FEES:
"RESIDENTIAL. OW ONLY:' � ' , 77. )
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
rCOMMERCIAL'WORKONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
•
I \Buddmg\Permits\ELC- PermiApp doc 03/23/06
CITY OF TIGARD
-
BUILDING DIVISION PERMIT #: ELC2007- 00871
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/28/2007
Phone: (503) 639 -4171 i' �'
Inspection Requests (24 Hrs.): (503) 639 -4175 e L.
INSPECTION WORKSHEET FOR DATE: 4/15/2008 TIME: 7:02Atv1 PAGE: 49
SITE ADDRESS: 11970 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: E ;OYCE
DESCRIPTION: Panel change & upgrade.
OWNER: E3OYCE, RONALD PHONE #: 503 - 52+3052
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/15/2008 Pour Time:
Code # Inspection Description ' onfir Contact # Message
120 Electrical rough -in 068351 -01 503.730-1986 N
Corrections /Comments/ Instructions:
d .Pckov 10c G640 v 1 1' ANP Fir bIA. s LisTeP Gait `t 4�(
vS 'E . (fV41, 11 3CAO (VD
i 6E CON)6 v4 *E' AN
gc CA011
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r . N L E Date: 4 4'16 01 Phone #: (503) 718- 2�{
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #:Et,G2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 41710 ill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3 o% TIME: PAGE:
SITE ADDRESS: 119 Q S W W41..1J VT CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: VS (.
DESCRIPTION: pANaL 0 6 , a - TL
OWNER: PHONE #: •
CONTRACTOR: O V,7(V - PHONE #:
Inspection Request Scheduled For: Date: 3 • !'1 • CSt Pour Time:
Code # Inspection Description Confirm # Contact # Message
V1v 5 !1 C • 0,0 F4L,F •
Corrections /Comments /Instructions:
W. (AD ` ►kk (t)
#.61o6. ( i Win \r .V cam._ cLatle. 4\ f-1 ,r►;I i
bk+.\ •-c=oz.1?-
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO 'ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A , NO3 L Date: 1.1 1 • CP Phone #: (503) 718 - 7..446'
CITY OF TIGARD, ._. -4 .
BUILDING DIVISION A . It PERMIT #: EL 02007.00871
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/28/2007
Phone: (503) 639 - 4171 Vit
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' L.
INSPECTION WORKSHEET FOR DATE: 3/7/2008 TIME: 7:00AM PAGE: 65
SITE ADDRESS: 11970 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BOYCE
DESCRIPTION: Panel change & upgrade.
OWNER: BOYCE, RONALD PHONE #: 503-524-3052
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
12 Electiical rough-in 066180.01 503730 -1986 N
Corrections/Comments/Instructions:
ff 1 115 1 CZ 4..& . , • 0 , , . 6k / l C 1 . c 4( i a c, r l / kC /4 - /5
((441 I -t [;tee 1 q 5A. 0-0 c. l,„9,,,,, , )
i) f,,A "Iv a .;,,,y/.0 44 o l,depL. - I i'v. 6 tty e
0C earl/lb 47111 / / e3 r-D-0-74.4
3 1 he . 4 ,LA 1 .:: ' : , i f : / i 'A) 5 " 62 //, 1
i l wi-tc 5 . -4- t e , 40 Novi,/ iu4:?4 qi-iets'
AS r :i./ G ./. '! lVGLC,j��t5 /- ze / 6
J - _,
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
K FAIL ESA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Arif
�j t
Inspector: Date: 7 / Phone #: (503) 718 -��j(J
CITY OF TIGARD s ,314 BUILDING DIVISION .. PERMIT #: EL.C2007-0O871
151151-" �
13125 SW Hall Blvd., Tigard, OR 97223 " 1 DATE ISSUED: 12/28/2007
Phone: (503) 639 -4171 A. i � ��1�A
Inspection Requests (24 Hrs.): (503) 639 -4175 F__..
INSPECTION WORKSHEET FOR DATE: 212242008 TIME: 7:00AM PAGE: 76
SITE ADDRESS: 11970 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: flOYCE
DESCRIPTION: Panel change & upgrade.
OWNER: f3OYCE, RONALD PHONE #: 503 r�24 - 30b2
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 2/2212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
120 Electrical rough -in 055305-01 503 -524 -3052 N
Corrections /Comments /Instructions: t ibi) 12O I gt(
1
I .1 It. 1 AIji
l / 2 YD/I d puLd 14 ) `,&✓li roQ .0 17
4Jo v Z glipi_jii-Ae4 ojaiimA
' iojiiA L' Ar '
)4 l,, . -. ., fir i v\a 4
J
gtAIL ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL 7(NO ACCESS
CALL F R INSPECTION ❑ ADDITI NAL FEES ASSESSED
3;- DY -1 *
Inspector: Date: Phone #: (503) 718- `
,:' INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for:" E L6a007 - $» - REQUIRED ON GREEN INSPECTION CARD.
I — Code I Inspection Description PASS Date I By I ri Code Inspection Descnption I PASS Date By 1
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electncal service
415 Grading ,[ 115 Electrical service
205 Footing (( 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection.
235 Shear walls /anchors ?C 199 Electrical final
240 Exterior sheathing ((
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 \\'tr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection.
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceihng_ 615 Mechanical rough -in
295 Misc. inspection. 620 1 Iydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in —
—
305 I Plumbing underslab
915 Fire alarm rough -in 310 I Crawl drain
920 Suppression tnp test _
995 Misc. inecnon 313 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
322 Shower pan
999 Sprinkler final 330 Water service _
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc inspection: _ 505 Sanitary sewer
498 Grading final — 595 Misc. inspection:
499 Final inspection . - - -- 599 Final inspection
I \ Building \ Forms \InspCatd -AOP- Blank doc 02/02/07
#: ELC2007 -00871 r, .,, t. CITY OF TIGARD ELECTRICAL PERMIT
n ! f PMi i
Ih
` ' COMMUNITY DEVELOPMENT. . ER
DATE ISSUED: 12/28/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103RD -00600
SITE ADDRESS: 11970 SW WALNUT ST ZONING: R -4 5
SUBDIVISION: LOT : JURISDICTION' TIG
PROJECT: BOYCE
Project Description: Panel change & upgrade
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: SIGNAUPANEL:
MANF HM/ SVC /FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 8 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
RONALD J BOYCE OWNER o
11970 SW WALNUT ST
TIGARD, OR 97223
in
Phone: 503 - 524 -3052 Contact #: ^^•
FEES g
Description Date Amount Reg #: J
[ELPRMT] ELC Permit 12/28/200' $133 50 6
fAX] 8% State Surcharge 12/28/200' $10 68 0
Total $144.18 REQUIRED ITEMS AND REPORTS
o0
4
This Permit is issueo 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 =: a - , 4 TTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in
OAR 9 -801 -0010 thro ••h •A R152- 001 -0100 You may obtain copies of these rules or direct questions to OUNC at 503 246 6699 or 1 800 -332 2344
Issu: d By: ._ I . 6L/A__ejeAjf Permittee Signature: ( r
OWNER INSTALLATION ONLY
The installation is being made on propert .awfrvvt not intended for sale, lease :or rent.
OWNER'S SIGNATURE: <� ��) DATE: ice/ U
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.