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15925 SW OAK MEADOW LR
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT 0: ELC.^.005-00152
DEVELOPMENT SERVICES DATE ISSUED: 3114/2005
13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 PARCEL: 2SIllDC-1310C
SITE ADDRESS: 15025 SW OAK MEADOW LN ZONING: R-7
SUBDIVISION: 5UMMERFIELO NO.1 1 LOT: 627 JURISDICTION: TIG
Project Description: 200amp sere. replace
RESIDENTIAL UNIT _ _ TEMP SRVCIFEEDERS_ MISCELLANEOUS
1000 SF OR LESS: _ 0 • 200 amp: PUMPIIRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
C 200 amp: 1 W/SERVICE OR FEEDEP• PER INSPECTION:
201 400 amp: 1st W/O ERVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNGH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000- amphlolt: -4 RES UNITS: >600 VOLT NOMINAL:
Reconnert only: SVCIFDR>-225 AMPS: CLASS AREA/SPEC OCC:____
_
Owner: Contractor:
EDWIN SCHWAB DRYER ELECI RIC INC
15925 SW OAK MEADOW LANE PO BOX 86369
TIGARD,OR 97224 PORTI-AND, OR 97286
Phone: 503-531-0702 Phone: 503-771-5607
_ FEES Reg#: ELE 26-11420
Description Date Amount LIC 153466
SUP 2876S
[ELPRMT]ELC Permit 3/14/2005 $80.30
[TAX)8%State S;rcharge 3!14/2005 $6.42 REQUIRED ITEMS AND R:PORTS
Total 186.72
This Permit is issued subject to the regulations contained in the Tigard Municipal Code.State of OR. Specialty Codes and all othe�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 rf work i,
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
ru!-js are set forth in OAR 952-001-0010 through OAR 052-001 4100. You may obtein copies of these rules or direct questions to OUNC at
503-246-6699 or 1-8 332 2 4.
(L Issued By: PRrmittee Signature: or)- I
tR- _ 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:
_m
CONTRACTOR INSTALLATION ONLY
W
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NG:
Call 503-6394175 by 7:00 a.m.for an Inspection that business day.
This pwmit caret shall be kept in a conspicuous place on the job site until completion of the projact.
Approved plans are required on the job site at the time of each Inspection.
Electrical Permit Application
Received 7uris
U
City of Tigard � : ( y - o
E'(1 -
13125 SW Hall Blvd.,Tigard,OR 9T>I!!j� C \ (� Plan R w I
Phone: 503 639.4171 Fax: 503.598.(0 I� �/ C2 (�„r,�py,
Inspection Line `03.539.417.5 Dote ReadyrBy. Sr:r 11 2 for
Internet: www.ci tigard.orms ir�u1{ Noiified1M_,:iod. Supplemental laformatlon
-- TYPR OF rVURK ±wF �, ]" W211
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❑New construction A401i"VeVI&AWacennent Please ch,ck all that apply:
❑�ItI TNG DIVISION ❑St.rvice,ver 225 amps,comm'I 1=1Harardous location
E]Demolition
❑Service over 320 amps-rating ❑Buildng over 10,000 sq R,
CATEf:OR 71+CON51"(t>uG " s ' of I-and 2-family dwellings 4 or more new:rsidcn'iel
_ 1 ,f � ,r Y Bs
1-and 2-family dwelling ElCommercial/industrial El Accessory building []System over t)0 volts nominal units in one stru
Multi-family _ []Master bu'Ider ❑Ulhcr. []BuildingBuilding overr three stories [j Feeders,400 amps or more
❑Occupant load over 99 persons ❑Manufacured structures or
JOB S174' tNF6hMATION' ,NN W. 7>�b�ii i.j .._ k ❑Egreat/lighting plan RV perk
—�` `
UI -caro facilit• ❑Other
Job no 3 ,uu uric address: C1�
__L__-- �� 1�!. jojW LW Submit J_scrs of plans with any of the above.
City/S ate/Zlf': The above are not applicable to temporary construction service.
EH DULE
Suile/bl,igdodt. no.: Project m.mc: - ..
Cross street/di rections to job,ice: New residential single-or multi-family dwelling unit.
Incl-des attached garage.
1,0_00 sq.R.or less 145.15 4
Subdivision: Lot no.: Ea.ndd'I 500 sq.0.or portion 33.40 1
Limited energy,residential 75.00 2.
Tax map/parcel no.: Limited energy,non-residential 75.00 2
— DESCRIPTIONQI/� I'll— .b� It ,Ng;,i'`� r :�) � t 'Xt i 's Each manufactured or modular —
f�
dwelling,seryice and/or feeder _ 90.90 _ 2
Services or feeders Paeration,and/or relocation
200 amps or less 80.30 W,3V 2
[IPROPERTI(,OWNER 201 amps to 400 amps 106.85 2
--- - 401 amps to 600 amps 160.60 2
Name: w.1` - �-� -- 601 amps tol,090amps 2"-`� _ 2
Address: Over 1,000 amps or volts 4.,,#.65 2
Reconnect only 66.,0 1 2
City/State/ZIP: Temporary services or feeders Installation,alteration,and/or
Phone:6W363 0 70 A — Fax:( ) relocation
_ 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 P,r sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 ams to 600 amps 133.75 2
Owner signoure: Date: Branch circuits-new,alteration,or extension,r r panel
[I APPLICANT -_� ❑ CJNTAC1' PERSt)N?i ': A.Fee for branch circuits with
service or feeder fee,each 6.65 2
Rusin^,ss name: branch circuit _
B.Fee 1,)r branch circuits
Contact name: without service or feedet fee,
each bran '.circuit A6.R5 2
Address: _ Ea-h add'I branch circuit 6.65 2
City/State/ZIP: Miscellaneous(service or feeder not included)
( ) — i Fax: ;( —) — Pump or irrigation circle _ — 53.40 2
Phone:
Sign or outline lighting 53.40 2
4, E-mail: Signal circuit(s)or limited-
.9 CONTRACTOR' "' '` energy panel,alteration,or
N 0 extension.Describe: Page 2 2 h�
U i Business name: Dryer Electric dbR Rose CI`y Electric
Address:9409 NE Colfax Street �Q _
5 �o -- / Each additional Inspection over allowable In any of the above
—_ ..--_____I I ._ Per inspection 62.50
City/State/ZIP:Portland,OR 97220 Investigation per hour(I hr min) 62.50
Uj )_ Phone:(503)287-6164 —� :(503)282-1060 Indistnal plant per hour 73.75
_i — -- ---� ';a: e,d:i-'i RICAU PE ttM. E9`A°�•,� t
CCD Lic.: 153466 I—rElcctri�al Lic. 6-1;42C Suprv.Lic.: 2876S Subtotal i.
Suprv. Electrician signature,required: kA.-#f Plan review(25%of permit fee)
Q '— c=,re surcharge(8%of permit flee) r
Print name: a
G�-C��� Date:-� — �— TO'T'AL PERMIT FEE
Authorized signature: This permit application expires Its permit Is not obtoined within Igo
days she-it has been accepted no complete
Print name: Date: • Fee methodology set by Tri-County Building Industry Service Board
—- ••Number of inspectinns per permit allowed,
I\BuildingTermitAFLC-Permi1App doc 12/03 440.4613T(I 0IO2JCOMNTR
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CITY OF TIGARD
BUILDING DIVISION PERMIT N: ELC200!>~00162
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 31MM
Phone: (503) 639.4171
Inspectiion Requests (24 Hrs.): (503) 639-4175
INSPECTION VIORKSHEET FOR DATE: 3/1til31ltNa TIME: 7.24AM PAGE: 80
SITE ADDRESS: 15925 SW OAK MEADOW LN CLASS OF WORK:
SUBDIVISION: SUMMERFIFLD NO.11 LOT q: 6W TYPE OF USE:
PROJECT NAME. scw!."B
DESCRIPTION: 200amp sew replace j
OWNER: ;;CHWA.r3. EDWIN PHONE #: 50 531-0702
CONTRACTOR: DRYER E:!FCTRIC INC WHONE C +503771"5�i67
Inspection Request Scheduled For: Date: 3/18/2005 Pour Time:
Code # Inspection r',escription Confirm # Contact # Mesaage
199 Elwtri.al final {002127-01 503-287-6164 y
Corrections/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL [—; CALL FOR INSPECTION ❑ ADDIT10-"IAL FEES ASSESSED
Inspector: GL�� 1��fir�' _,_ Date: = ` llc::;� __lL_ Phone k (503) 718- —�. _