Permit f.;( z•,, CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2007 -00692
COMMUNITY DEVELOPMENT DATE ISSUED: 10/8/2007
i 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110BC -01400
SITE ADDRESS: 12040 SW BULL MOUNTAIN RD ZONING: R -4.5
SUBDIVISION: BULL MOUNTAIN VIEW ESTATES LOT : JURISDICTION: TIG
PROJECT: BULL MOUNTAIN VIEW ESTATES SUB
Project Description: Temporary electrical service.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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: 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:
WEST HILL DEVELOPMENT GARNER ELECTRIC
2920 SW BROOKWOOD AVE #A
HILLSBORO, OR 97123
Phone: 503 - 730 -8758 Contact #: PRI 503 - 648 -4552
FAX 503 - 642 -7925
FEES
Description Date Amount Reg #: ELE 34 -305C
IELPRMTI ELC Permit 10/8/2007 $66.85 LIC 121159
[TAX] 8% State Surcharge 10/8/2007 $5.35 SUP 3707S
Total $72,20 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 -01.0. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued B • 11 /// /' 1 Y Perm ittee Signature: SL p J ( cfC 71
OWNER INSTALLATION ONLY
The inst. - .• . •eing 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:
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.
FROM :GARNER ELECTRIC FAX NO. :5036427925 Oct. 08 2007 02:32PM P1
i� l ti sk , � fiiKz s ty 4 :1 --7. fie, ,., 1� .. „ • .
Electrical Permit A LiusL\ ,o i Wy ' ' , t ,,4 FOR OF1.1( Ir 1ISk % " 0
�.: ,± �Y�= t � �:, `" y`, 1. P ew :el "- ra +� } �. > x+� _t,tr,;
City of Tigard , Received
13125 9W Hall Blvd., Tigard, OR 97223 O � ' T 100 7 AateaL / o Q 619-- 5 Pcttnit
Phone: 503.639.4171 Fax: 503.598.19 k , , ;\ Plau Review
ITY T IC R 1�I' • D , Date/By: Other Permit
Inspection Line: 503,639.4175 p g rp �p {� �A �a .1...4...;;.71 l _ Date Read My: June; }3 See Page 2 for
Internet: www.ci.ti d or.us V ISI 1'
Sm BUI_DINe DI Not{ltad/Method: w 77 fr Supplemental information
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Mt i +«salien �.yadAya it 'YflNf A *r c asrl4�! il v t tki l ' 3 W, 1 .,�,• : - c o.
3t 't l akx �7pta { rritl¢ s4".� K. : P••r ,,n .� rr y r• ro�� ir. �!' �� ,Inlci, ?:li• �� � a9 " � ,;-.'
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0 New construction o Addition /alteration/replacement Please check all that apply:
❑ Demolition • ❑ Other: ❑Service over 225 amps, conun'l ❑Hazardoualocation
{a lie �hi " ?` I r { {?'. ` � rhl " �u , „y�, ,�, r t , I t fi ` . u;,� , , ,� 4 N lN „ , t ,, ❑Service aver320•amps rating DDuildngover 10,000sq,ft.,
■ t... ,{:111 .�Ii l i� \1.U..,ur,-:4a:>L,�Irg,;e l„44:: 's_ t 'r. ata:+4,.,hmit,,, t '� a 1. , i. -:t.' 1 of 1- and 2 - fatuity dwellings 4 or more new residential
1 1 1- and 2- family dwelling Q Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
1.: tuzulti -fAnul ❑ DDuilding over three stories ❑Feeders, 400 amps or more
�1 gF ¢) Y ❑ MaFt builder Other
T I I " i. �'i�y �a t q gi5]� i � , 11t�tj� �. �rt
�q'��1 = )�-,�r y T Fl,f iljn��,�',� t ; 6r ip ;r,': ;. ❑Occup load over 99 permits ❑Manufitetured structures or
EtJ ft dw, cet���lk. (b..t tiN,.: ioil I' , ,,tS ii,,, 04: a:�r.�z, rs. u�11�.;il�.�L'a 'j (Lll' ❑ Egresan i gbungplan RV park
Job no.: Job site address: _110 ,� []Health-care facility []attar:
do , . . • . a rg a Submit 2 sets of plans with any of the above.
City /State /ZIP: � „ Q The above are not applicable to temporary construction service.
SUltc/bld // t • 1f 1 . , ,L
�� It 4 � a lye �� illt7 Y¢, i t 11 . v r 7 4,.: -
g aP Project flame: L :il, I i 'i . t < v, 1 ,,,.. ' , . , ..
- ,, Detepption Pty. Feu. Total .. -_.
Cross street/directions to job site: New residential single- or multi- fatnily dwelling unit. --
" Includes attached garage.
1,000 sq. it, or less 145.15 T 4
Subdivision. M
f A q ol�tl�l i"i. t r� s Lot no add
Ea. 'l 500 sq. ft, or portion 33.40 1
1 Limited energy, resid
Tax map /parcel no.: gY, ential 75.00 2
Limited energy,
au n ,r„ r, r rr r )r , non - residential 75.00
,� �111 pN,it, FF��P �! ���#, ; � ht' ' r : , .. 77# l71 a r � v `t� % ii1 f !rFar� YT + h i r �" i gY 2
ulbt�,lll �Ntiltx`c�wl , f�'1 +,.i ,,.,,. , � 101,( :.7r,. Y ..4,.- Jael w r� 1 et 1 r tie Ire p , � + 1.f -"- ...��
'� � �� +v eta. G',; 4,, 4 E or modular
• ice
�� , _ dwefling, sery and/or feeder 90,90 2
Services or feeders Installation, alteration, and /or relocation
200 amps or less 80,30 - 2
"tt Sr }y �. � �t1 I�:l u*z�9 sr t5,rs y , Ir t r w, t �
:70..11 k •yi, �c'.r ' (r4jr.- , - .N1 f rOM:A. u,m' ?7ali2 i ,v ',13 ,
t� '9" Si r li�s ,. J� � 201 amps to 4Q0 amps lOti.85 2
401 • amps to 600 amps 160.60 2
Name, - _ ti 601 amps to 1,000 amps _ 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders Installation. alteration, and /or
Phone: ( ) Fax: ( ) relocation _
200 amps or less J 66.85 474o, 5s „ 1
Owner installation: This installation is being made on property that I own which is not 201 ampe to 400 amps 100,30 , 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 6_00 amps 133.75 2
Owner signature: Data. -. -
(� �^ � a urR 5 tF " Branch circuits - new, alteration, or extension, per panel
,f t 43 t' ?` 'Xi. il � ] fe 7 , 43 n i.
f l .7. a { ` i ? i 3 d,.,, " i 'tSl'L� ua n,r , -'' A. Foe for branch circuits with �• ••• ..
`�' t F e >�4 V l mamma
Service or feeder fee, each
Business name: W e .. 1.1 , . • 9 w. . _ branch circuit 6.65 2
- B. Fee for branch circuits - Contact name: ' • w . -. w , e - .� without service or feeder fee,
each branch circuit 46,85 2
Address: _ _ Each add'l branch circuit 6,65 2
City/State/ZIP: Miscellaneous (service feeder not included) M
Phone: (5 - -'3p- ��5� Fax:: ( ) Pump or irrigation circle - 53,40 2
E-mail - Sign or outline lighting 53,40 - 2
,f{, Signal circuit(a) or limited -
16 tq�'1 Yiiir+ ,, i p,l p� ,q.��rinj P �` -Tl rr r r r ` �irr� v r •.t. ytrfy
it , irfi1.�1, or,,N ,i,,. ..,!iiiki r ti,:...? ..! t r. :.1.;;'' 'G „...A.;.eli ! I} na � , i. ..utr. a$.11: t cr, ,Ii - � �' ,'? n t 1 - . 1 , >> i i. `, , 4 40, en panel, alteratint or
Business name: p--2 lj FIR_ E_ �.. r c
extens Describe: Page 2 •2
Address: C e.„1.3.-_ ti Q._., At 'e Each additional Inspection over allowable In any of the above
r V _ Per inspection 62.50
C /State/ZIP: ( ( �) ( :,,{' Q C R_ ' 7 r _ `
_ ry �: _3 Livtstigatio per hour {1 In- min) 62.50
Phone: (0"56.) �5
1 I ( i 4 j {; 2,. F- " - ) c 0 , ` � industrial plant ntper hour 73.75
G'CB Luc.. 1 l t' Electrical T S , `1 ` � . . ic. ;-2.. 7 ., , >" g',w'•"• ,:d[r d j £.I�t� ^'a `iir�• ��S otal (D V'Jt Ib.. �A�I V�1"i�±n. .,d
ie ? t �y . • , '
f r
- Suprv. Electrician signature, required: /" ;/ � Plan review (2't% of permit fcc)
Print Warne �� C�Z ,) i Date: /b gi _ State surcharge (B% of permit fee) 5 3 r
TOTAL PERMIT FEE 7'--Z , 2
Authorized signature: This permit application expires If a permit Is not obtained within 180
- "- days after it has been accepted as complete
Print name: Date: • Fee methodology set t)y Tri- County Building Industry Service Board
--" "'" -' Number or inspections per permit allowed
c \Aui1dng \Per n4u P.1.C- I'annitApp.doc !VGA 4A0.4615T(ie/01 /Ccfr/wts
CIT ■ OF TIGARD
BUILDING DIVISION - PERMIT #: Et..C2007.00692
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8121107
Phone: (503) 639 -4171 a +�
Inspection Requests (24 Hrs.): (503) 639 -4175 �' °•'
INSPECTION WORKSHEET FOR DATE: 10115/2007 TIME: 7:01AM PAGE: 42
SITE ADDRESS: 12040 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: BULL MOUNTAIN VIEW ESTATES LOT #: TYPE OF USE:
PROJECT NAME: BULL MOUNTAIN VIEW ESTATES SUB
DESCRIPTION: Temporary electrical service.
OWNER: WEST HILL DEVELOPMENT, PHONE #: 503 - 73047 :e
CONTRACTOR: GARNER ELECTRIC PHONE #: 503-648-4552
Inspection Request Scheduled For: Date: •iO/iF 2007 Pour Time:
Code # Inspection Description 7Confir.m -# Contact # Message
110 Temporary electrical c:ervic:e 057517 -01 \ 503648 -4552, N
Cor /I Inl tructions:
V ALA
PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED •
Inspector: ' N Date: bbl (5 0 Phone #: (503) 718- 241410
CITY OF TIGARD
BUILDING DIVISION PERMIT #: L l C2007- 0(;692
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1U/ 211137
Phone: (503) 639 -4171 'r ° ; � a � I I ,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7 -Q1AM PAGE: 67
SITE ADDRESS: 12040 SW BULL. MOUNTAIN RE) CLASS OF WORK:
SUBDIVISION: BULL MOUNTAIN VIEW ESTATES LOT #: TYPE OF USE:
PROJECT NAME: BULL MOUNTAIN VIEW ESTATES SUB
DESCRIPTION: Temporary electrical service.
OWNER: WEST HILL DEVELOPMENT, PHONE #: 603. 7304/58
CONTRACTOR: GARNER ELECTRIC PHONE #: 503-648-4562
Inspection Request Scheduled For: Date: 10/10/2007 Pour Time:
Code # Inspection Description on €irxn_# Contact # Message
110 Temporary electrical service 057241 -01 ' \ 503-648-459 N
Corrections /Comments /Instructions:
tot. $ v) b G VZb�g 6 A Z
0. c-Cy LA8 j tievL, A03.
❑ PASS 1 PARTIAL APPROVAL ❑ CANCEL 1 NO ACCESS
n . FAIL � `' ,, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . Date: 1 0 0 . 0 Phone #: (503) 718-