Permit � CITY T � / C
1 1 OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00843
COMMUNITY DEVELOPMENT DATE ISSUED: 12/14/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 114BA -08700
SITE ADDRESS: 16440 SW WOODCREST AVE ZONING: R -4.5
SUBDIVISION: COPPER CREEK STAGE 2 LOT : 027 JURISDICTION: TIG
PROJECT: O'TOOLE
Project Description: 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: 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: 4 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:
TERRY O'TOOLE LAUGHLIN ELECTRIC LLC
16440 SW WOODCREST AVE 3 MONROE PARKWAY STE P PMB205
TIGARD, OR 97224 LAKE OSWEGO, OR 97035
Phone: 503 - 598 -2254 Contact #: PRI 503 - 449 -7389
FAX 503 - 639 -0077
FEES
Description Date Amount Reg #: ELE C86
[ELPRMTJ ELC Permit 12/14/200' $73.45 LIC 165763
[TAX] 8% State Surcharge 12/14/200' $5.88 SUP 5097S
Total $79.33 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 • - ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 95 :11-0010 throe ' 952 - 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 Permittee Signature: L /
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:
C ONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE: ra��/ /7
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.
i j
'Electrical Permit Application l' rol< corr icE USE.ONi -
14 City of Tigard Received : / Ar� Permit No.:G , „07— 00 % 1
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 Date/B . tither Permit
TI G IZ D Inspection Line: 503.639.4175 Date Ready/By riMil ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method Supplemental Information
' TYPE OF WORK PLAN REVIEW
❑ New construction ddition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items 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
g 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
❑ Emergency system larger separately derived system
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A", "E ", "I -2 ", "1 -3 ",
Job no.: Job site address: 101 G l , A ` �p L r IOOHP or more occupancy
C J�11 VV � l �1� J� / ►V ❑ Six or more residential amts. ❑ Recreational vehicle parks.
City/State /ZIP: II 3 R - 1-4 22 ❑ Health facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
1 t0
Suite/bldgJapt. no.: Project name: O t Ie ❑ Service or feed 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: I Lot no.:
1,000 sq. ft. or less 145.15 4
Tax map /parcel no.:
DESCRIPTION OF WORK , Ea. add'I 500 sq. ft. or portion 33.40 1
1.6i ORM Rom0cte_J
Limited energy, residential 75.00 2
(with above sq. ft.)
P3 PROPERTY OWNER I ❑ TENANT
Limited energy, multi- family 75.00 2
Name: T Q , I , 0 Tonle, residential (with above sq. ft.)
Address: S . "I (X a rbDve Services or feeders installation, alteration, and/or relocation
City/State/ZIP: 200 amps or less 80.30 2
Phone: ( 50 ) 598 . 21 i I F ax: ( ) .
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 106.85 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Owner signature: Date: 401 amps to 600 amps 160.60 2
' ❑ APPLICANT I ❑ CONTACT PERSON
Business name: 601 amps to 1,000 amps 240.60 2
Contact name:
Over 1,000 amps or volts 454.65 2
Address:
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: relocation
Phone: ( ) I Fax: : ( )
200 amps or less 66.85 1
E -mail: '
CONTRACTOR
5� VA 0 &I t .� 201 amps to 400 amps 100.30 2
Business name: V t ' �F-til r
Address: S M on
` ( ,v n Ror, ?CU& JJ r Ste. 4 v 2O F 401 amps to 599 amps 133.75 2
City / State/ZIP: Lak l / e D, O R 9D�,) p
Branch circuits – new, alteration, or extension, r panel
Phone: (503 )L11-115). 3 8 9 I Fax: (503 ) ( 3° . W 1-1- A. Fee for branch circuits with
C/ above service or feeder fee, 6.65 2
CCB Lic.: Ito 5 4 Electrical Lic.: i lis I Suprv. Lic.: 50975 each branch circuit
7 O 1 0/, �,0 B. Fee for branch circuits Q� Suprv. Electrician , required: without service or feeder fee, 46.85 .�+' 2
• first branch circuit I
Print name: G R a m t R rI ) / Date: 1 2 . J 2 . 01-
Each add'I branch circuit 6.65 / �00 2
n
Authorized signature: j _,,,, L, „ r _‘.....14., ! L10
Miscellaneous (service or feeder not included)
•
Print name: E / Seh - ein _L )2.. )2.04 7 ,
4-, g .,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007••00043
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 12)14/2097
Phone: (503) 639 -4171 a
Inspection Requests (24 Hrs.): (503) 639 -4175 W :_..
INSPECTION WORKSHEET FOR DATE: 3/612008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 16440 SW WOODCREST AVE CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE.:2 LOT #: 027 TYPE OF USE:
PROJECT NAME: 01'
DESCRIPTION: Kitchen remodel
OWNER: OTOOLE, TERRY PHONE #: 503.590 -226 C
CONTRACTOR: LAUGHLIN ELECTRIC LLC, ER C.P\ • PHONE #: 603 449.7309
Inspection Request Scheduled For: D te• 31612000 Pour Time:
Code # Inspection Description Confirm # Contact # \ssage
199 Electrical final 066169 01 503 - 318 -0961 Y
Corrections /Comments /Instructions:
(nAg 1
I00
\
I
■
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: '► N be Date: 3'1'1 Phone #: (503) 718 - 3-`}%
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC7007 -00043
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1211.4/2007
Phone: (503) 639 -4171 4
Inspection Requests (24 Hrs.): (503) 639 -4175 , II�..
INSPECTION WORKSHEET FOR DATE: 3/4 /2008 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 16440 SW WOODCREST AVE CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 2 LOT #: 027 TYPE OF USE:
PROJECT NAME: OTOOLf
DESCRIPTION: Kitchen remodel
OWNER: O'TOOLE, TERRY PHONE #: 503 - 598 - 2254
CONTRACTOR: LAUGHLIN ELECTRIC LL \ '' PHO 503.449
Inspection Request Scheduled For: Date: 3/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact Message
199 Electrical final 066037 -01 503-449-7 9 Y
Corrections/Comments/Instructions: 111,-
ts)0 ANsw bI& o - PROFS /
I 2: itt FrY\
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL KNO ACCESS
X . FAIL CALL FOR INSPECTION E1 ADDITIONAL FEES ASSESSED
Inspector: CT % 1 V 06 Date: 1' l i' 1 3 4 k Phone #: (503) 718-
1
CITY OF TIGARD .
BUILDING DIVISION ' PERMIT #: ELC2007-00843
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1412007
Phone: (503) 639 -4171 i l l
Inspection Requests (24 Hrs.): (503) 639 -4175 u ^ ..
INSPECTION WORKSHEET FOR DATE: 12/1872007 TIME: 7:01AM PAGE: 18
SITE ADDRESS: 16440 SW WOODCREST AVE. " gyp CLASS OF WORK:
SUBDIVISION: COPPER CREEK SAGE 2 �' 1,1' LOT #: Q27 TYPE OF USE:
PROJECT NAME: Ol OOLF U
DESCRIPTION: Kitchen remodel' ti.
OWNER: O'1 OOL.E, TERRY PHONE #: €03^590 -2264
CONTRACTOR: LAUGHLIN ELECTRIC LI.0 PHONE #: 503449 - 73139
Inspection Request Scheduled For: Date: 1 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 061757- 503.449 -7389 N •
Corrections /Comments /Instructions:
Doi A' ) A eou,
k
DitiEoW/li ( /.-�A r'�? A(6-- �/ e
1,- zQ „, � ,,7 �o — , Ra�
---7 L /Ai 04 .�,�.z#49- l00%
,w 1474 -- - /h(4. -i----0--- ,
.” Lo i/11.61-1v - o `t /, -
L
/6 f ASS ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
FAIL ❑ c. , FOR INS"PTIOII ❑ ADDITIONAL FEES A SESSED
Inspector: ' `� E.Al?r P #: (503) 711
r
CITY OF TIGARD . ' �. ,.
• BUILDING DIVISION . PERMIT #: ELC2007.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1412007
Phone: (503) 639 -4171 r t
Inspection Requests (24 Hrs.): (503) 639 -4175 p I �..
INSPECTION WORKSHEET FOR DATE: 12/17/2007 TIME: 7:01AM PAGE: 13
SITE ADDRESS: 16440 SW WOODCREST AVE CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE. 2 LOT #: 027 TYPE OF USE:
PROJECT NAME: O TOOLS
DESCRIPTION: Kitchen remodel
OWNER: O'(OOLE, TERRY PHONE #: 503 -598 -22x1
CONTRACTOR: LAUGHLIN ELECTRIC LLC PHONE #: 503. 449`7389
Inspection Request Scheduled For: Date: 12/17/2007 Pour Time:
Code # Inspection Description C601449-7420 oTifirm# Contact # Message
N
Corrections /Comments /Instructions: `
g o A S W sfL Al b y ?
L
a.00 Any
L
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
X FAIL IX CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Nb6 LE Date: \2" ' q ) I '\\ Phone #: (503) 718- 1-40