Permit , CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00426
Y ` COMMUNITY DEVELOPMENT
DATE ISSUED: 6/21/2007
.TIGARD1 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CC -17800
SITE ADDRESS: 10360 SW HIGHLAND DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.4 LOT : 229 JURISDICTION: TIG
PROJECT: COE
Project Description: Re -wire and service change.
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: 10 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:
MELISSA COE T & T ELECTRIC
2338 HILLSIDE LN 4120 SE INTERNATIONAL WAY
LAKE OSWEGO, OR 97034 SUITE A -105
MILWAUKIE, OR 97222
Phone: 503 - 803 - 2385 Contact #: PRI 503 - 652 - 7610
FAX 503 - 652 -7612
FEES
Description Date Amount Reg #: ELE 3 -605C
[TAX] 8% State Surcharge 6/21/2007 $11.74 LIC 161 187
[ELPRMT] ELC Permit 6/21/2007 $146.80 SUP 5176S
Total $158.54 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 -001 -• s10 through OAR 952 -001 -* 00. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued /� / j� 4 Permittee Signature: D L A Wit (oil er
OWNER INSTALLATION ONLY
The installation Ys - • - ng made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
J 20 2007 10:15PM HP A m` LRSERJET FAX 503 652 7612 p.l
Electrical Permit Appl. 1 I. ,,, �' • � �S+�t r3 t ,�,, ,, Xr r ! t y. s 4' 7' :: ,r , f / n t yi
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{ E' \,-- 1 Received j ��},,
° k i � lia City of Tigard c�- ®�o �S� J Pnmrt Na.: CL�-Gw9 "'OO�Z1i
13125 SW Hall Blvd., Tigard, 0OR.��� ��t'
i
6 , Phone: 503.639.4171 Fax: 50?1 5 DatDate/B e Other Permit: ft /ECZ
bw �•? 4- t3..X�
si I 111 i r Inspection Line: 503.639.4175 k -r4 Or ..tg`� Date Ready/By: l / gel
• ki -. , : is'& + Internet: www.tigard- ot.gov `�t C.� Notified/Method: 1! l RI See Pa
r, \ \V '° Sappkme for Ltf onrmatlon
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.$:..�ilvs.tp. tr4�'a rfirkYi:.. J �.. _.,;,sx {Sk�.RarZ33 .�'a�s.a?irn.vra €35) tTafl•!ttr„, °l , n.<x,,., i r,� ,,�...._, t.a t �h'�._..y5.er. „Vna ;Eta, �tfd4: � )„ t, , a t ?`.,- '7S� t : ,t
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❑ New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets ofpianr w /items checked below):
❑ Service or Ibeder 400 amps or more ❑ Building over three stories.
❑ Demolition 0 Other
where the available fault current ❑ Marinas and boatyards.
5 ;l e il' \j h� �c r 't.t Sc t > r t r � #x#F z t n zxly i F� P �k , S < L r x � r �� FfX[a `/Y".:074 t ` :" [ is exceeds 10 00D amps at 150 volts or Floating ga
sa{ L �S'1 N t 4:t4 tv t, 1 i 1 "5 im me C•
,4.m.1t, t . v,� �.. !'r3?Li �!'!te..t :_et. `.`.a,: � ua. r i �. @i'.';....t.� F,�b - .� �; � a4, :a�i �..'sra r!t . �' ,;��-. �iA ��u3<r: „� .,r, , o P ❑ buildings.
less to ground, or e xceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings
❑ Multifamily ❑ Master builder ❑ Other: 0 Fire pump. ❑ Installation of 75 KVA or
\w 4 , E x rn ^ 4" ,.a rrs, - t nxfi }K .4a ea a ch s tea Emer s
�t ,�1. �� { it s t . ty tom P + t }e p i a ,' *rr� 1 { ` F�� , S tl* t r b t,i 'i l it itf -t r { ri s �1, �� ��• larger separately derived systen
CI1E:al ii1W } �. 1 :a< iii "t Q,f.=,. a, .-6 'adi ^t . ;tar: •'z`t;twn.;., :. s ',.'3! <I fiatk4 : x
.1, ,z. <t<t h- i. ..ge, , + :i...,. ` ,F,d..,r mtm k F Addition of new motor load of ❑ " "
° ❑ ,., 9 -2","I -3..
J a 0 1.k.J 100HP or more. occupancy. • Job no.: Job site address: �
1 _ .LA' ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: - 1 -- ( c ) �� ❑Health -care facilities. ❑ Supply voltage for more than
0 ❑ Hazardous locations. 600 volts nominal.
Suite/bldg, /apt. no.: Project name: ❑ Service or fader 600 amps or more.
`i l ;a xd'°$, V' i}, \ ry ti_ y x. ry 5 t j ti - t .
t IFiE ,;:t; 'lt ;��.? �' ` �2F r t i..., i it : < . - X isv 0 t i1 e d fxJ ..,�'E t � ':T;
Cross street/directions to job site: Description
Ors• F ee. Total •
New residential single- or multi- family dwelling unit
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft or less 145.15 4
Ea. add'1500 sq. ft. or portion 33.40 l
Tax map /parcel no.:
R YI •t3 Z;1t n 4�' 1 K �q, 'i { v y e S t+t.i+t 1 w ` 5} a t ,�kr LS t is:. t .� Limited energy, residential
�i t .idi};<�.ufi;w. t 4. Sin ��;19E, �ttFS< :�.w.',.,$ I art1 t.,F u,._. a= s� t _._. ..n.$uGl2�'�4� g ., }. ? #' ua tt ,�`• 6w1tb above sq. fl.) 75.00 2
I __ `` Limited energy, multi- family 75.00 2 •
- W we -.e�V i.c r , +1n �(�t e residential (with above sq. 1k) t
t � 1 J1 Services or feeders installation,, alteration, and/or relocation
200 amps or less 80.30 RO ,S__'-'- 2
1i31zt'Sf..i�l l . - t r H i a _.Cf} SV %An$,iC'.l�+,C�gE`' 7 n c z t ff ,r c„ w 4 ills Rt tjl ff :
+x
��}}�,, f t < 3 , n'Y: Z "=c i s , , i i Ct la it {.z Ey - r- , t - .:sit t i,: t tl.p .tzr 201 amps to 400 aanps 106.85 2
��.:}!Ll.5 r, .�rx .u. Ys..ketYrt ,�.. _..., 14 - i..0 �b .��.r..S�..H ... t. S'S:'1W'U'e`n -04rx:�.Fa:!+ ,.. ,.. ..�.
Name: p 401 amps to 600 amps 160.60 2
t 601 amps to 1,000 arnps 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: ( ) 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 turps 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
�kr"� y�,+ +t . �et�..L'tiwt ': nstr � z t �.�a {, .:.^s t ti }a a i � ,n1
1 1. # f` ti_.Vx7 . tga4u ? �.(.iye` t if ..t,ti J6 l a + i t.,t t f 1 t:rviceor feeder fee, /v 6,65 �. 2
d`..Ji e t r..x { t_ .,.,a. :A. -_ 3 -.s?t, .-a cPt.s t.l.,t?t {E ,t .,[,ul?'A'.- .. k �.�rt : t t. :.,c,,,.a.,t, s., m. s
.. ,a,a aboves each branch circuit t
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: 46.85 2
first branch circuit
Address: Each add'i branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/Slate/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
gas,+. ` `3 1 l' ii g 1 iS z s i ! K uw z S4tud �t i i' R r S-7 t t�f tx s . : } 4 n t xes i
yt z z r
S.k,<til�{e�li.�tis.�k, >.,.: i ��., R!,yftai :�i :}�k: i � i.t�i&s.3m.;., r..:.,..1r. .�acw.:! :rifKe.eY. iwi„�xtsxt,I¢�.dF.f;_.A '�t't)S <nt.1 �.?) „ :a �..�,td fl Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: ""1 T E c ei k C..,s, \ 1,..,C, energy panel, alteration, or
Address: `�C \� SAC \ � vv \ (......... x- S, lO• extension. Describe: Page 2 2
City/State/ZIP: kiln t �. v 1e, O i2 9 '77_ Z-a- Each additional inspection over allowable in any of the above
Per inspection 62,50
Phone: ( S Z " '.: ; F
�o !� , SOS c SZ - 7(.a(Z Investigation per hour 0 hr min) 62.50
CCB Lic.: J `‘,,,,l E5 Electrical Lic.: 3 (��j/ QG Suprv. Lic.: ('� - 5 Industrial plant per hour 73 75
//Z3I Q� ' }/i l � O - w , :Bi.N bir.$ , ,!•�� ,J 5,;.. : .. : .., ! 1�< :, :. }ti\ t t:. :oar t :,,n? ,
Suprv. Electrician signature, required: � �■S‘n.Gtr 1D� 1 Subtotal: 1 A - = � ---- Print name: ��. Date: / ( 6
State review (25 of permit fee):
e 7
Authorized signature: ate surcharge (8% of permit fee): i .. 7q
TOTAL PERMIT FEE: 168 5 `-
This permit application expires If a permit is not obtained within 180
Print name: Date: days after It has been accepted as complete.
• Number of inspections allowed per permit.
I:t Butldiag 'PermitslELC- PermitApp.dac 05/23/06 440 -4615T(L1!O5 /COM/wEB
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: [ l..G:1Gf)7 00426 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: fj 2 /;007
Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 s' , it
INSPECTION WORKSHEET FOR DATE: 10/5/2007 TIME: 7 PAGE: 59
SITE ADDRESS: 10360 SW HIGHLAND DE CLASS OF WORK:
SUBDIVISION: SUMidlERI9Ft-D NO.4 LOT #: 229 TYPE OF USE:
PROJECT NAME: GREWENOW
DESCRIPTION: Re wire and service [:flange.
OWNER: GREWENOW, MELISSA Ilir PHONE # N 503 - 80323 85
CONTRACTOR: T & T ELECTRIC PHONE #: 503 - 657 - 7610
Inspection Request Scheduled For: Date: -I gig 007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 05692.: 1 503652 -7610 Y
z
Corrections /Comments /Instructions: 4/144014-k- tail 0 'w
c f.% ,
X PASS n PARTIAL APPROVAL 1 I CANCEL 1 I NO ACCESS
1 FAIL 1 1 CA , FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
I i I
Inspector: Date: ( 0 C 0 7Phone #: (503) 718- LO__O_
\ F4'
CITY OF TIGARD a
BUILDING DIVISION ��.��� PERMIT #: ELC2007- 00426
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2007
Phone: (503) 639 -4171 " �� q�. t
Inspection Requests (24 Hrs.): (503) 639 -4175 ,' "'I_I..
INSPECTION WORKSHEET FOR DATE: U22/2007 TIME: 7:03AlVi PAGE: 541
SITE ADDRESS: 10360 SW HIGHLAND DR CLASS OF WORK:
SUBDIVISION: SUMVMMERFIELD NO.4 LOT #: 229 TYPE OF USE:
PROJECT NAME: COE
DESCRIPTION: Re-wire and service change.
OWNER: COE, MELISSA PHONE #: ( 503 - 803.2385
CONTRACTOR: T, T ELECTRIC W \ PHONE #: 503 -652 -7610
Inspection Request Scheduled For: ' / Date: 6/22/2007 Pour Time:
Code # Inspection Description V Confirm # Contact # Message
p P ,L //
120 Electrical rough -in 050751 -01 503. 803 -2385 Y / fi
Corrections /Comments /Instructions: 1,
0Kz - -a
A i / t , 4 it !i �
,7 � IA ' �
_ 4Z4A �� Ii �./ . f .../LA , '
/
/ -n,i14/ 7L-T) ie,k-\'‘,i_j
0(92 (194
K PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL • CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
i
v 718-
Inspector: Date: ![ Phone #: (503) 718