Permit ELECTRICAL PERMIT
CITY OF TIGARD
° COMMUNITY DEVELOPMENT PERMIT #: ELC2008-00139
COMMUNITY ISSUED: 3/11/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103C D -02200
SITE ADDRESS: 13730 SW FAIRVIEW CT ZONING: R -4.5
SUBDIVISION: HOLLYTREE LOT : 010 JURISDICTION: TIG
PROJECT: LINDERMAN
Project Description: Replacing existing panel, isntalling ground rods, and bonding interior pipes.
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: 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:
WALTER & KATHLEEN LINDERMAN DRYER ELECTRIC INC
13730 SW FAIRVIEW CT DBA ROSE CITY ELECTRIC
TIGARD, OR 97223 PO BOX 86369
PORTLAND, OR 97286
Phone: Contact #: PRI 503 - 287 -6164
FAX 503 - 282 -1060
FEES
Description Date Amount Reg #: ELE 26 -1142C
IILPRMTI ELC Permit 3/11/2008 $80.30 LIC 153466
ITAXI 12 %State Surchar 3/11/2008 $9.63 SUP 2876S
Total $89.93 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 • UNC at 503.246.6699 or 1.800.332.2344.
Issued By: s1 Permittee Signa
OWNER INSTALLATION • LY
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.
4 sus ir:; rr S 71 , --Ia., .47-4 v rr r K it's i 4, a :.:
Electrical Permit Application
i., , , 1 oR of I IL . - ot
Received
Pa
., C of 'Tigard _ __N Date /By: mo y / ' , Permit No.: E Lam-' )(5 — (0 (39
� y4 a 1312 SW Hall Blvd., Tigard, O r `:} ( Plan Review
` " 1 I ` Phone: 503.639.4171 Fax: 50 t .!_! 1 ` oo� Date /B : Other Permit:
p y
Ins ection Line: 503.639.4175 1 1 Juns ® See Pa e 2 for
I I C A' kb:
Date Read /B g
S 4*a Internet: www.tigard-or.gov M. � Notified /Method: Supplemental Information
TYPE OF WOR5,4 0% j\G � g��� PLAN REVIEW
❑ New construction ® Addition /altera�ll cRleNt� Please check all that apply (submit 2 sets of plans w /items checked below):
ID Demolition ❑ Other: 0)\\'‘) ❑ Service or feeder 400 amps or more ❑ Building over three stories.
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
® 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 ", "I -3 ",
Job no.: 833940 Job site address: 13730 SW Fairview Ct. 100HP or more occupancy.
❑ Recreational vehicle parks.
❑ Six or more residential units.
City/State /ZIP: Tigard, OR. 97223 ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Linderman ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 *
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, esidential
g 75.00 2
DESCRIPTION OF WORK (with above sq. ft .)
Limited energy. multi - family 75.00 2
Replace existing panel with new. Install ground rods and bond interior pipes residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 1 80.30 80.30 2
❑ PROPERTY OWNER / - ❑ TENANT 201 amps to 400 amps 106.85 2
Name: A y V ga 1,-x1/ 4)-v. v/)-\a, 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I
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 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel _
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: . Each add'I branch circuit 6.65 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
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: Dryer Electric Inc. DBA Rose City Electric Signal circuits) energy energy panel, alterer limited-
or
Address: PO Box 86369 extension. Describe: Page 2 2
City /State /ZIP: Portland, OR. 97286 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 287 -6164 Fax: (503) 282 -1060 Investigation per hour (1 hr min) 62.50
CCB Lic.: 153466 Electrical i '.: 26 1 42C Suprv. Lic.: 52I5S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 80.30
Print name: Bob Bruene Date: Plan review (25% of permit fee):
`1 J — O u State surcharge (12% of permit fee): 9.63
• Authorized signature: TOTAL PERMIT FEE: 89.93
• This permit application expires if a permit is not obtained within 180
Print name: Harry randerhorst Date: 3 __ t o - �.S) days after it has been accepted as complete.
' Number of inspections allowed per permit.
t: \ Budding \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(1 l /05 /COM/WEB
CITY OF TIGARD
ky
BUILDING DIVISION ; ` PERMIT #: ELC2003 0 ?139
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3111/2001)
Phone: (503) 639 -4171 • l Il,
Inspection Requests (24 Hrs.): (503) 639 -4175 ''`'f_I.
INSPECTION WORKSHEET FOR DATE: 4/17/20013 TIME: 7:0 AM PAGE: tf
SITE ADDRESS: 13730 SW FAIRVIEW CT CLASS OF WORK:
SUBDIVISION: HOLLY "1"Rt:E LOT #: 010 TYPE OF USE:
PROJECT NAME: LINDERMAN
DESCRIPTION: Repl :ing exis4.ing panel, isntalling ground rods, and bonding interior pipes.
OWNER: LINDERMAN, WALTER & KATHLEEN PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503 281 - 61EM1
Inspection Request Scheduled For: Date: 4/17/2008 Pour Time:
C.:- • Inspe • Description Confirm # Contact # Message
' Electrical final 068417 -01 50:2137-6164 Y
Corrections /Comments nstructions: 4 -M ,s 3 12 3 7
e ii\ Fi RO.
- i,
■
\. \
\ (:\\\)
F .✓ -
\_.,\L7r -`�J rl \ // \
/
PASS ❑ PARTIAL APPROVAL ❑CANCEL NO ACCESS
❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G ---- ' N V e) Lf Date: 0 U O • Phone #: (503) 718- eN111)
D/ / `/ Z�\
// /
J
''N7 / / \ r' C S - \ _.-------
MARION ST ' . ,
/ \/,
/ / / /Z
111 _ vm
-./y/ t...,,,,
,,,,,, -t)
t
> 61 1111 Pr/
/', /
n
-,. ,,,,., \,,,, ; 2 O \ U� \____/ CO L -
LN I 7
Li / ----------/ 4 \t„,
A, it
, _
"// .,
_,
*„ FAIRHAVE N' S'
------7 ---' ,
\c,,,,,, ,_
,,,, , A.
,: / ift
��
4r
WHISTLER'S LP ,,\ / \
1 /----,, FAIRVIEW LN Q
/ \ , . i ,r- 1 -
1
CD �. I 1-
RO E VITA_ _DR �� / =J �, i VIE � MOUN
c)
/ ____)
P
w �
m Jij
ir . .
00 VIEWMQONT LN
, ' 1 i ! rj
SW GAARDE ST GAARDE ST GAARDE ST
--1-:1: � —
�, \ ' � SW COLE CN —J [ I
�rr� \ \\
1 ' lEW ,-- — i
, co,
/,
11 I JACKIE Ci
Vc
) ,
/\
i
%�
i MCFARLAND BLVD � ' v�0 CTS _
7
/ ----- (" N \. T T '''',
V \ \\ 1 -
,,,, \ .
WILDWOOD ST ) [-I