Permit ///n/ � e t ` " 4 ' i � •(344 ELECTRICAL PERMIT
CITY F TIGARD
PERMIT ED : ELC2008-00629
COMMUNITY DEVELOPMENT
DATE ISSUED: 11/7/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134BD
SITE ADDRESS: 11795 SW SCHOLLWOOD CT ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT : 108 JURISDICTION: TIG
PROJECT: BROWN
Project Description: (5) branch circuits for wiring of accessory structure. 11/19/08, adding (2) branch circuits to bathroom in house.
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: 6 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:
KENNETH JR & KERRY BROWN PARKIN ELECTRIC INC
11795 SW SCHOLLWOOD CT 14001 FIR STREET
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone: 971 - 219 -6601 Contact #: PRI 503 - 657 -4958
FAX 503 - 557 -1059
FEES
Description Date Amount Reg #: ELE 34 -4C
[ELPRMT] ELC Permit 11/7/2008 $73.45 LIC 35151
[TAX] 12% State 11/7/2008 $8.81 SUP 4241S
IELPRMTI ELC Permit 11/19/2001 $13.30
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $97.16
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 • • • - . accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspend- = or more than 80 • - s. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those ules are set forth i .AR • 5 401 -0010 through OAR 952 -001 -0100. You may obtain copi of these rules or direct questions to OUNC at
503. 46.6699 or 1.800. •'344.
s
Iss d By: i ' / /� Permittee Signa e: t�/c
— 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: - " _�i a ,11,—,041L— ' 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.
11/19/2008 WED 14:35 FAX — City of Tigard @J002 /002
.
.. AM- 0 r- 1 0 i . 10 0 i ; - o6,2
3 .': g ' Se : , r�.✓ a. ' -' FP�kn IScdli" Il , " 'tj i at
Electrical Permit Application ,,: > i" FOR E ONL " Y r....; 3 ,
• KkiLrit City of Tigard Received i Dale /H : A,' .1 Permit No' x'4 8.ezz 9
If . 't 13125 SW (tall t3Ivd.,'ligard, OR 97223 Plan Rcvicw
L 1 1 ' Phone: 503.639.4171 Fax: 503.598.1960 Dale/13 : Other Permit:
Atinspection Line: 503.639.4175 Date Ready/By: hvis fry Sec Page 2 for
td+a•+waa! Internet: wwtv.ligard Or.gOV Notified/Method: Cp, Supplemental Information
TYPE OF WORK • PLAN REVIEW
❑ New construction Xddition /alteration /replacement Please check all that apply (submit 2 sets of plans (v/iteins checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where due 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 -Ilse agricultural
Tfki and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: El Fire pump. ❑ Installation of 75 K VA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency t ioof system. larger separately derived system
❑ Add ition of new motor load of ❑ "A ", "l•:', "1 -2 ", "I -3 ",
1001.1P or more. occupancy.
Job no.: Job site address: //7 (,r.) Se 4o ni,.}30A(1 ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: 07 - //``�� - — ❑blcalth -case facilities. ❑ Supply voltage for more than
V _ _ ❑ hazardous locations. 600 votes nominal.
Suite /bldg. /apt. no.: Projc Itallle: ❑ Service cn feeder 600 amps or more.
FEI? SCHEDULE
Cross strecl /directions to job site: Description l O_• I fee. Total 1 •
New residential single- or multi- family dwelling unit,
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. fl. or less 145.15 4
fax m _.... ccl no.: — — - Ea add'I 500 sq. R. or portion 33.40 I
._ _ —_ _ Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above slit) _ _______
Limited energy, multi - family
a_f 476 . p/ residential (with above sq. ft.) 75.00 2
� Services or feeders installation, alteration, and /or relocation
g/00^ ~� r W i / 1/ Q 200 amps or less 80.30 !� _ 2 '
PROPERTY OWNER V . // ❑ TENANT 201 amps to 400 amps 106.85 2
Name: K 5/0 (..) I-- 401 amps to 600 amps 160.60 2
/ 601 amps to 1,000 amps 240.60 2
Address: // 79.5 _5 Se,,// Oo& C f Over 1,000 amps or volts 1 454.65 2
City /State /ZIP: / p Ar , D,Q 9 7a 23 T'empor'ary services or feeders installation, alteration, and /or
`
vJ relocation
Phone: ( ) 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 (00.30 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 I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: 13. Pee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit _
Address: T Each add'l branch circuit a 6.65 13,30 2
-- Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2
-- dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 j
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2 s
T Signal circuit(s) or l'unitcd-
13usincss name: �u ��-_; C f I Ile . _ energy panel, alteration, or
Address: 1/400j_ fi Sf!'Qti- extension. Describe: Page 2 2
_ _
City /State /Z.1P: n �� on � W Each additional inspection over allowable in any of the above
/,, '�- t U �� - I'er inspection 62.50
Phone: (�3 (o5 " L G5 Fax: ( 3) 557_ 1US> Investigation per hour I hr min 62.50
b P ( )
CCI3 Lic.: 7. I 5 I Electrical Lic.: 3� - G I Suprv. i,ic._ydyo _ 17 Industrial plant per hour 73.75
E LEC T RICAL PERMIT FEES
Suprv. Electrician signature, required: �ll I I Subtotal: /3 3 0 -
_..__.. - -_ r 1
Print name: D ate: Plan review (25% of permit fee):
r Q l/1 I, • _q t K t State surcharge (12% of permit fee): / ,( o 0
• Authorized signature: —� TOTAL PERMIT FEE: 1 y0
Date: This permit application expires if a permit is not obtained within 180
Print tlainC:
1 e : _ days after it has been accepted as complete.
• Number of inspections allowed per permit.
1 1F3uildingtl 'ennilstF.l.C- PcrmilApp.dp9 ,0/0 41 / ^ r\s„, p rmI -4.,0- 46157( /05/COn1ltVLn tp ELL /l q' O 00
CITY OF TIGARD ELECTRICAL PERMIT
' 4 COMMUNITY DEVELOPMENT PERMIT #: ELC2008 00629
6 DATE ISSUED: 11/7/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 134BD -02000
SITE ADDRESS: 11795 SW SCHOLLWOOD CT ZONING: R
SUBDIVISION: ENGLEWOOD NO.2 LOT : 108 JURISDICTION: TIG
PROJECT: BROWN
Project Description: (5) branch circuits for wiring of accessory structure.
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:
KENNETH JR & KERRY BROWN PARKIN ELECTRIC INC
11795 SW SCHOLLWOOD CT 14001 FIR STREET
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone: 971 - 219 - 6601 Contact #: PRI 503 - 657 -4958
FAX 503 - 557 -1059
FEES
Description Date Amount Reg #: ELE 34 -4C
[ELPRMT] ELC Permit 11/7/2008 $73.45 LIC 35151
[TAX] 12% State Surchar 11/7/2008 $8.81 SUP 4241S
Total $82.26 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: ` . ,`
� Permittee Signature: Gl -- t/
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Cali 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
11/07/2008 FRI 9:33 FAX -,�-■ City of Tigard 2002 /002
t _..
Electrical Permit Applicatio - �� ° ' 46%'; L''';-4‘ } of OFF USEION Yr b 40$ 1 4P � q
" Received
City of Tigard 0%
el % Per No.
`r 13125 SW hall ,Tigard, s: l 97223, t O GDI O� It a Review- OOther Penult:
a;
?i: _, it ` Phone: 503.639.4171 .4171Fax: 503.59 (Jv Ilan Dat :
y rTIGARD Inspection Line: 503.639 4175 G` l Date Ready /By: El See Page 2 for
icics r. Illernel: evw+t'.ligard -aLgev O CS S Notifed/Met Supplemental information
TYPE OF Irk, �� PLAN REVIEW
❑ New construction i4 A /alte'ttt on /replacement Please check all that apply (submit 2 sets of plans w /items checked below).
❑ Service or feeder 400 amps or more ❑ lluilding over three stories.
❑ Demolition ❑ Other: where the available fault cturent ❑ Marinas and boatyards,
CA'1 OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings,
less to ground, or exceeds 14,000 CI Commercial - use agriculturd
Z 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
JOI3 SITE INFORMATION AND LOCATION ❑ Emergency system, larger separa-2ly- ivedsystcn,
__ El
Addition of new motor load of ❑ fi
"A", "" "I -2" " - 1I -
Job no.: Job site address: � / 10014P or more. occupancy.
) �J ` e � ���� /V'�1.'/• ❑Six or more residential units. ❑ Recreational vehicle parks.
Too ❑ Health -care facilities. ❑ Supply voltage for more than
/ ' _�_ �.,-,2 Q !_ 7 { .___. ❑ 1lazaulous locations. 600 volts nominal.
Suite /bldg./apt. no.: U r Project name: n ) ❑ Service or feeder 600 amps or more.
-------
FEE SCHEDULE
Cross street /directions to job site: Desni tion r rcc. Totat
L� t .l I L. w
-- New residential single- or multi- family dwelling unit.
Includes attached gal - age. _
Subdivision: — 1 Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'l 500 sq. R. or portion 33.40 I
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above scj ) __.
—
1 C Jam+ �� �� � n � Cori 6 � Limited energy, multi-fang ly 75.00 I 2
l"t / /�/ l v residential with above s fl.
�, n /� Services or feeders installation, alteration, and /o' relocation
D( FlL 200 amps or less I 80.30 2
[Z PROPERTY OWNER V .0 TENANT 201 amps to 400 amps 106.85 2
Name: X. en 7gioco /-• T 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 117`9,. S'GJ s O / /tAr0c9 C7' Over 1,000 amps or volts 454.65 2
�
City/State/ZIP: : & Temporary services of feeders installation, alteration, and /or
h relocation
Phone: (97/ ),)/ _ 660 ( Fax: { ) 200 amps or less 66.85 1
Owner installation: This installation is being madc 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, et: panel
Owner signature: - — Date: --- —__
A. Pee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: 13. Fee for branch circuits
Contact name: a iihour service or feeder fee, 46.85 1 >3s 2
first branch circuit
Address: Each add'I branch circuit y 6.65 P6, ( G 2 _
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 9090 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
- I3usiness name: �ct A B� �G •+� { C f 1 flC Signal circuits) or limited- —
energy panel, alteration, or
Address: extension. Describe: Page 2 2
City /State/ZIP: QI /, G D ,,, C i op..) gl7OLIs Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (� ) �5rl L�{g5g Pax: (603)s7...10507 _ Investigation per hour (I Ie-min) 62.50
CCI3 Lic.: 3s LG L 1 Electrical Lic.: 3 - C Suprv. Lie.: zaw< i Industrial plant per hour 73.75
— — — ELECTRICAL PERMIT FEES
l� Suprv. Electrician signature, required: Subtotal: -7 3.y5 _ _.......
Print name:'[ —` _._.. Dale: —� — 1 Plan review (25% of permit fee):
t/avl C� �CU k f State surcharge (12% of permit fee): 8, 5/
Authorized signature: f0'fAl. PERMIT FUE:
- - This permit application expires if a pertnit is trot Obtained within 180
Print name: Date: days after it has been accepted as complete.
Number of inspections allowed per permit.
1 vinildinbv'ermi Is/E C.Pol ow Am, dor 05/23/00 400 - 46! Srf I/05/COn4nvr :n
-
C�` OF TIGARD
B DING DIVISION PERMIT #:Ei
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 K .I�I.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1 ..c. I TIME: PAGE:
SITE ADDRESS: \ 11 CIS' SC VAI-VJ Obi) �� • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Is - 5'• Pour Time:
Code # Inspection Description Confirm # 1 Contact # Message
Q ----\ ----
Corrections /Comments /Instructions:
`1'1 ;3 k %i iS A SK�4D .
2 X 1-s I..ber,5 Fed- 6v ?
1 111r ,
\ .
r
K
PASS ❑ PARTIAL APPROVAL 11) CANCEL ❑ NO ACCESS
❑ \ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C Noe Date: 1 • �' ! Phone #: (503) 718- 214%
CITY OF TIGARD , . -
BUILDING DIVISION PERMIT #: FLC2008-00629
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2008
Phone: (503) 639-4171 A
,,,,,,,„,„
Inspection Requests (24 Hrs.): (503) 639-4175 t
INSPECTION WORKSHEET FOR DATE: 1/2/2009 TIME: 7:01AM PAGE: 12
SITE ADDRESS: 11796 SW SCHOLLWOOD CT CLASS OF WORK:
SUBDIVISION: ENGLE NO.2 LOT #: 108 TYPE OF USE:
PROJECT NAME: BRowN
DESCRIPTION: (6) branch circuits for wiring of accessory strucAure. 11/19/08, adding (2) branch circuits to bathroom
in house.
OWNER: BROWN, KENNETH JR & KERRY PHONE #: 971-219-6601
CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 1,3(a657.4958
Inspection Request Scheduled For: Date: 1/2/2009 Pour Time:
Code # Inspection Description Confirm:ft—, Contact # Message
.. ,
199 Electrical final ( 079339-01 , 603.657-4958 N -
CorrectionS/Comments/Instructions:
NE ' G (\-\ - 1\-kVi
Fo a_ , mo f (30, 1
WA
bQ
1 001s 1 C:\ W614AN 1 f\) S
------------......,...,..,...„...„......._ s
1 PASS 0 PARTIAL APPROVAL \ CANCEL n NO ACCESS
n FAIL 1 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 0 --- ' N CW)1-2 Date: 1 - le Phone #: (503) 718- VIOL,
CITY OF TIGARD • ,w
1 4
SIKLDING DIVISION L'�{''�} I ; i ' , PERMIT #: ELC;2008 L0629
13125 SW Hall Blvd., Tigard, OR 97223 L 1 „ DATE ISSUED: 11/7/2000
Phone: (503) 639 -4171 0(1 /�a� f � l l2.
Inspection Requests (24 Hrs.): (503) 639 -4175 -.. ' °__..
INSPECTION WORKSHEET FOR DATE: 11/19/2008 TIME: 7:02AM PAGE: 18
SITE ADDRESS: 11795 SW SCHOLLW0O0 CT CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 108 TYPE OF USE:
PROJECT NAME: (BROWN
DESCRIPTION: (f) branch circuits for wiring of accessory structure.
OWNER: BROWN, KENNETH JR & KERRY PHONE #: 971-219-6601
CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 503..657 - 49f,E
Inspection Request Scheduled For: Date: 11/1912008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
12 Wall cover 078246.01 503.657- 4858 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
" 1
Inspector: Date: L 1 / bj ' Phone #: (503) 718-