Permit CCTY OF TIGARD r • ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT : ELC2007-00743
DATE ISSUED: 11/2/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 104CA - 06000
SITE ADDRESS: 13585 SW WESTRIDGE TERR ZONING: R -7
SUBDIVISION: HILLSHIRE LOT : 060 JURISDICTION: TIG
PROJECT: KNAPPENBERGER
Project Description: (3) branch circuits for kitchen remodel.
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: 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:
SHERYL KNAPPENBERGER L & K ELECTRIC INC
13585 SW WESTRIDGE TERR 10122 SE SHADY LN
TIGARD, OR 97224 DAMASCUS, OR 97089
Phone: Contact #: PRI 971- 506 -8351
FAX 503 - 663 -0343
FEES
Description Date Amount Reg #: ELE 26-1180C
IELPRMT] ELC Permit 11/2/2007 $60.15 LIC 157326
[TAX] 8% State Surcharge 11/2/2007 $4.81 SUP 4975S
Total $64.96 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 r les are set forth in
OAR 952 -0s +s • = .h OA" 952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 55 .246.• - 11.800 332 2344
Issued y: / 1�% _'� Permittee Signature:
Age
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:
CONT; • CTOL ST •l• TION ONLY
SIGNATURE OF SUP ELEC'N: GI DATE: //
LICENSE NO: ! f 75 S ,
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 r , . F OR OFFIC .USE O
ps
City of Tigard 2 ^^
Date/By // ✓ .7 Permit No g(,e n 3
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review r/7 �7�
g
II Phone 503 639 4171 Fax 503 598 1960 Date/By Other Permit -
TI G A R D m
Inspection Line 503 639 4175 Date Ready /By . la See Page 2 for
Internet www tigard -or gov Notified/Method /a Supplemental Information
TYPE OF WORK PLAN REVIEW •
❑ New construction ,,12-" Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /hems checked below)
❑ 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 agricultural
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 denved system A
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
Job no.: Job site address: �`q �j n _/ IOOHPormore occupancy
/ 3 [J ) 6 �7/`It to trick CR.__ ❑ Six or more residential units ❑ Recreational vehicle parks
City/State /ZIP: 1 \ CLUd ❑ 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 Qtr. 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] 500 sq ft or portion 33 40 1
Tax map /parcel no.: Limited energy, residential 75 00 2
- DESCRIPTION OF WORK - (with above sq ft )
��` �i "" A Limited rgy, multi - family
`i 1^/1 l J — - 4; Cr 1( � i1 11&11,03 k. residential (with above sq B ) 75 00 2
_
I p 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: q s , , v ,) I C -u �� �t 9 el 401 amps to 600 amps 160 60 2
VW ` y 601 amps to 1,000 amps 240 60 2
Address: � l `lam vs,c ----e v-ve �_ Over 1,000 amps or volts 454 65 2
City/State /ZIP: / Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66 85 I
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, 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
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6 65 2
each branch circuit
Business name: K J'. c —� B Fee for branch circuits
Contact name: without service or feeder fee, ( 46 85 CM 65
first branch circuit
Address: Each add'I branch circuit 2 6 65 / j > 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
Signal circuit(s) or limited-
Business name: 1 IC,._ I LA. C-- energy panel, alteration, or
Address: \ '� S S r � q ct%c. 1—/-) extension Describe Page 2 2
r ' City/State /ZIP: 4 * -L WC( 4 SCus � Each additional inspection over allowable in any of the above
_ Per inspection 62 50
Phone: (C(`i 1) 6b . I r Fax: (3b3) tb3 ,OS Li 3 Investigation per hour (I hr min) 62 50
CCB Lic.: 157 2 Electrical Lic.: `� b ink Suprv. Lic.: C- .�a'�S-S Industrial plant per hour 73 75
/v 0 C f ELECTRICAL • PERMIT' FEES -
Suprv. Electrician sig require.- % r / r ( w Subtotal 4:0 /1$ -
62 50
Phon
expires if a permit is not obtained within 180
Print name: G VV . � S t9,4 Date: /� -� `� days after it has been accepted as complete
• Number of inspections allowed per permit
i \Bu tding\Permits\ELC -P rmtApp doc 05/23/06 440- 4615T(I I /05 /COM/WEB
Electrical Permit Application - City of Tigard y `
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
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:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ 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
1 \Budding\Permits\ELC- PermnApp doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FLC2007- 0117113
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7,2007
Phone: (503) 639 -4171 4 1
Inspection Requests (24 Hrs.): (503) 639 -4175 F - �..
INSPECTION WORKSHEET FOR DATE: 12/140107 Aikr „ TIME: 7 PAGE: 9
SITE ADDRESS: 1368, }W WE 3TRIDOE1F RR 1 4 CLASS OF WORK:
SUBDIVISION: HI{ LSHII,�, LOT #: (1w TYPE OF USE:
PROJECT NAME: KNAPPENBERGER
DESCRIPTION: (3) branch circuits for kitchen remodel.
OWNER: KNAPPENBERGER, SHERYL PHONE #:
CONTRACTOR: L & K ELECTRIC INC PHONE #: 971 506 - B35 I
Inspection Request Scheduled For: Date: 12/14/2007 Pour Ti
Code # Inspection Description Confirm # contact # ess- •e
199 Electrical final 061570-01 % 971- 506 -83. N
sl � Corrections /Comments /Instructions:
�I
k _ c_. 7-- , g nr i Ai f d / e___
, e ,.. , I / I
67 a i L e . : _ =....„ i:
- tr / f
ot-s t . - et_ a •
PASS 0 P' - TIAL APPROV' ❑ CANCEL ❑ NO ACCESS
❑ FAIL � % CALL O a 1 ■ ± I I • 1. AL FEE ASSESSED
0 r
0 2--4
Inspector: ' Dat /4/ Phone #: (503) 4
CITY OF TIGARD ._ ..
BUILDING DIVISION PERMIT #: ELC2007.00743
13125 SW Hall Blvd., Tigard, OR 97223 A_.,• DATE ISSUED: 11/2/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 :..' '1i..
INSPECTION WORKSHEET FOR DATE: 11/52007 TIME: 7 :01AM PAGE: 41
SITE ADDRESS: 13585 SWWES TRIDCE TERR CLASS OF WORK:
SUBDIVISION: I•IIL.I-SHIRE LOT #: 060 TYPE OF USE:
PROJECT NAME: KNAPPENBERGER
DESCRIPTION: (3) branch circuits for kitchen remodel.
OWNER: KNAPPENBERGER, SHERYL PHONE #:
CONTRACTOR: L. & K ELECTRIC INC , LAW) PHONE #: 97i- 506 - 351
Inspection Request Scheduled For: Date: 11/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 058964 -01 971 -506 -8351 Y
Corrections /Comments/ Instructions:
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: // 570 Phone #: (503) 718 -