Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00663
COMMUNITY DEVELOPMENT DATE ISSUED: 9/25/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103CD -02200
SITE ADDRESS: 13730 SW FAIRVIEW CT ZONING: R -4.5
SUBDIVISION: HOLLYTREE LOT : 010 JURISDICTION: TIG
PROJECT: LINDERMAN
Project Description: Service and 9 circuits.
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: 1 W /SERVICE OR FEEDER: 9 PER INSPECTION:
201 - 400 amp: 1st W/0 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:
LINDERMAN, WALTER + DRYER ELECTRIC INC
KATHLEEN S PO BOX 86369
13730 SW FAIRVIEW CT PORTLAND, OR 97286
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 771 - 5667
FAX 503 - 774 -1046
FEES
Description Date Amount Reg #: ELE 26-1142C
IELPRMTI ELC Permit 9/25/2007 $140.15 LIC 153466
[TAXI 8% State Surcharge 9/25/2007 $11.21 SUP 2876S
Total $151.36 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:
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:
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 s_ ;� 4... _ ICE USE ONLY
City of Tigard Received c
5 7 Date /By: f S 0 j
Plan Revie ,3 Permit No. � '>00/2'-'14104•,.
13125 SW Hall Blvd., Tigard, OR 972 P 2 5 ZOO I
Phone: 503.639.4171 Fax: 503.598.19 / 4trr�' A Other Permit
^l Date /By:
W
Inspection Line: 503.639.4175 OF TI Date Ready /By: Juris: m See Page 2 for
Internet: www.ci.tigard.or.us BUILDING ,1 a Ii � Notified /Method: Supplemental information
' : TYPE OF WORK • .. PLAN .REVIEW... • '
❑ New construction Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'l El Hazardous location
['Service over 320 amps - rating EBuildng over 10,000 sq. ft.,
' . CATEGORY • OF CONSTRUCTION • of I- and 2- family dwellings 4 or more new residential
a l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi- family ❑Master builder ❑Other: ❑ Building over three stories ['Feeders, 400 amps or more
['Occupant load over 99 persons ❑Manufactured structures or
' JOB SITE INFORMATION AND LOCATION . ❑Egress /lighting plan RV park
❑Health -care facility ❑Other:
Job no.737(f I - Z Job site address: / 373 „..., t ,,,, , ,,, Submit 2 sets of plans with any of the above.
City /State /ZIP: G ( Ci ' - 3 The above are not applicable to temporary construction service.
t _ • . FEE* SCHEDULE
Suite /bldg. /apt. no.: I Project name: / ,
d..- t l Description ( Qty. Fee. f Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: 1 Lot no.: Ea. add'l 500 sq. 0. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
. . - DESCRIPTION OK WORK _ ' Each manufactured or modular
Spa P,A--1. ( G t dwelling, service and /or feeder 90.90 2
t@ 1 t a_� 1 :TX Services or feeders installation, alteration, and /or relocation
200 amps or less ( 80.30 80. 2
.. ❑ PROPERTY OWNER • ( , ' - 0. TENANT:. 201 amps to 400 amps 1 06.85 2
401 amps to 600 amps 160.60 2
Name: 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
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT, I ❑ CONTACT PERSON A. Fee for branch circuits with
• service or feeder fee, each 6.65 5� Q f 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit 46.85 2
Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
CONTRACTOR ' . energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Dryer Electric dba Rose City Electric
Address: 9409 NE Colfax Street Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: Portland, OR 97220 Investigation per hour (1 hr min) 62.50
Phone: (503) 287 -6164 I Fax: (503) 282 -1060 Industrial plant per hour 73.75
i.+. `.. r - '.: ELECTRICAL PERMIT FEES* ' '
CCB Lic.: 153466 I Electrical Lic.: 26 -1142C Suprv. Lic.: 2876S Subtotal 4o I C
Suprv. Electrician signature, required: . Plan review (25% of permit fee)
Print name: I Ea) 6 1 Bs J Date: a �
_ t , O- State surcharge (8% of permit fee) 2
7 TOTAL PERMIT FEE (g 1 . 3 to
Authorized signatur _ _ _ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: D ..., Date: 9 _ ( i. -- c 7 • Fee methodology set by Tri- County Building Industry Service Board
9 •• Number of inspections per permit allowed.
i \ BuildingNermits \ELC- PermiLAppdoc 12/03 440- 4615T(10/02/COM/WEB
CITY OF TIGARD 6`
BUILDING DIVISION A t ✓ ya ' �� r PERMIT #: fml_.C•20O7.00663
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/ ty200r
Phone: (503) 639 -4171 1"���(i '
Inspection Requests (24 Hrs.): (503) 639 -4175 : _ .
INSPECTION WORKSHEET FOR DATE: 112810008 TIME: 7 : 00AM PAGE: 46
SITE ADDRESS: 13730 SW FAIRVIEW CT CLASS OF WORK: t
SUBDIVISION: HOLt_YTTRi E LOT #: 010 TYPE OF USE: CA e 1 -e
PROJECT NAME: LINDFRMAN 97/ 5 3 )i31
DESCRIPTION: Service sand 9 circuits.
OWNER: LINDERMAN, WALTER +, PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-'17.1 -6667
Inspection Request Scheduled For: Date: 1/28/2008 Pour Time:
Code # Inspection Description Confirm # ' Contact # Message
199 Electrical Final 064026-01 503.207 -6164 Y , /,/
Corrections /Comments/ Instructions:
7/
K PASS n PARTIAL APPROVAL E] CANCEL NO ACCESS
❑ \ FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED - 016 i;:g
Inspector: _41 V Date: Phone #: (503) 718-
File Edit Options Window Help
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',, Address:13730 SW FAIRVIEW CT
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PORTL4N' OR.4ON 97286
GG8 4463466 1�GAr -KAV \VC. 3412 s + +
Phone 503 - 287 -6164 Fax 503 - 282 -1060
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Facsimile Cover Sheet ,
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To: G. Noble ` C dr''`
Company: City of Tigard 1 l ey); 1 t
Phone: 503 - 639 -4171 '
Fax: 503- 624 -3681
From: Harry Branderhorst
Operations Manager
Direct Dial # 503 - 287 -6164
E -Mail harryb @dryerelectric.com
Pages including cover sheet 2 11/26/2007 7:41 AM
Message
See attached.
Note; Rose City/Dryer Electric DID NOT install the floor heating as per the
inspection report requesting instructions for and proof that it was done per
instructions. We only installed the new circuits to power the floor heat.
If there are no issues with the circuits...please approve our permit as we had
nothing to do with the installation of the system.
If you have any questions, please call me
Harry To
p440 ke0. tt, c.Jor a To
cAu- feat. -) M. C ^eRv■ iNiqtcI4oN
u.tiv o"1' t • � � p aw .
L Lt MO' sins
CITY OF TIGAR® ._
BUILDING DIVISION PERMIT #: ELC2O07.006 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2512007
Phone: (503) 639- 4171'^ °,i����
Inspection Requests (24 Hrs.): (503) 639 -4175 �._ "•_..
INSPECTION WORKSHEET FOR DATE: 11/21/2007 TIME: 7 :Q0AM PAGE: 76
SITE ADDRESS: 13730 SW FAIRVIEW CT CLASS OF WORK:
SUBDIVISION: HOLLYTREE LOT #: 010 TYPE OF USE:
PROJECT NAME: L.INDI_RMAN
DESCRIPTION: seivic:e and 9 circuits.
OWNER: LINDERMAN, WAI..TER +, - PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: %03- 771 -56£7
Inspection Request Scheduled For: Date: 11/21/2007 Pour Time:
Code # inspection Description Confir # Contact # Message
199 Electrical final 0689 1 -01 503-287 -G164 Y
Corrections /Comments /Instructions: 6Sil 5�2q
Y(6 t6-- 91 5 1 237
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The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 9 18- 271 -0030
n PASS PARTIAL APPROVAL CANCEL n NO ACCESS
)K CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr Nbe Lfr Date: t1 14101 Phone #: (503) 718-
CIT ■ OF ■ IGARD �4
BUILDING DIVISION PERMIT #: ELC2001 -00663
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/25/7007
Phone: (503) 639 -4171 ` � . A n i,
Inspection Requests (24 Hrs.): (503) 639 -4175 a+, ^'14, ..
INSPECTION WORKSHEET FOR DATE: 10/5/2007 TIME: 7:01AM PAGE: 68
SITE ADDRESS: 13730 SW FAIRVIEW CT CLASS OF WORK:
SUBDIVISION: IHHOLL-YTREE LOT #: 010 TYPE OF USE:
PROJECT NAME: L.INDERMAN
DESCRIPTION: Service and 9 circuits.
OWNER: L.INDERMAN, +, PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: x..03.771 -6667
Inspection Request Scheduled For: Date: 1WS/2007 Pour Time:
Code # Inspection Description / -Confirm -# Contact # Message
I
120 Electrical rough -in 056935 -01 503 -6164 N
Corrections /Comments /Instructions:
_ & _ 1 c f: -Ct_ ,
0 r r Qn.) w o ', 0 '1(�1 � j*a of
PASS 1 1 PARTIAL APPROVAL n CANCEL n NO ACCESS
1 1 FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: (' N U3 LE Date: 1 0151 0 Phone #: (503) 718- 1 1
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