Permit CITY OF TIGA ELECTRICAL PERMIT
PERMIT #: ELC2008-00471
COMMUNITY DEVELOPMENT
DATE ISSUED: 8/14/2008
TtGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 104BC - 04500
SITE ADDRESS: 14293 SW LUKAR CT ZONING: R -
SUBDIVISION: RICHARDS/WRIGHT PARTITION LOT : 056 JURISDICTION: TIG
PROJECT: RICHARDS/WRIGHT
Project Description: Replacing service.
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/ SVCI 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:
JEFF HUFFMAN BAILEY'S ELECTRIC LLC
CATHY WRIGHT P.O. BOX 1417
PO BOX 1657 HILLSBORO, OR 97123
BEAVERTON, OR 97075
Phone: Contact #: PRI 503 - 681 -8899
FAX 503 - 681 -9911
FEES
Description Date Amount Reg #: ELE 34 -689C
[ELPRMT] ELC Permit 8/14/2008 $80.30 LIC 159814
[TAX] 12% State Surchar 8/14/2008 $9.64 SUP 5115S
Total $89.94 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` / P ermittee Signature: /f9 �/
//
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.
ug 14 2008 10:54RM Bailey's Electric p,1
Electrical Permit Application ° gal � t),11�1( I �(1 ,
.axi , A,.1 cs.. c•dw.., �c ,.. t- ..„,, .k. o..;�1.,rv{sut,Y ,,,,,t . s.As
�� ` tw r� 1 City of Tigard , y
�1\j j4 d - Receive r.= Permit No.: �^
RV DatelB
" ° 13125 SW Hall Blvd., Tigard, OR • '\ v Plan Review Other Permit
' ; 1 Phone: 503.639.4171 Fax: 503.59:ut ° 4 DateJDate/I3 ++ ' " Inspection Line: 503.639.4175 It
0 Date Ready By: See Page 2 for
2TIr 17 Internet: www.tigard- or.gov ^^\i, . Notified/Method: IIRMI SupplementalInforvradon
> t '441 i; �� z3eY aim0 vw'y" . + a i.;4• ; c e , lC , A tip r i 1 T. , *j s 4> , a � `f� ' 4
ti o • -� t: t�ttt'. '1� 3 s4s a �� ,, , '�. !? {t•yw�,� ?.. .1S 11 i tf 2 .., _. �} - .5s= ,n.i4t�•S :��xYcFe�r� u+rc a�fm.. �'aa r titi �
t a 1 F Please check all that apply (submit 1 sets of plans wrtems checked below);
❑ New construction PI dditionlalterat Y • '•‘'‘
❑ Service or feeder 400 amps or more ❑ Building over three atones.
❑ Demolition ❑ Other. •' where the available fault current ❑ Marinas and boatyards.
'',r-' c'ys a =aaarlspcxa�;eAt v h t F, pa � 1 . 4 4' exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
c s t s, o • t 6 t J4 -, .:' , . ;. ,, .. �P e
rata . ia{ -,.t ��• •k• ,•• 3 ci` : ������ 3 ;maei �� , � i • , ��: Secs to ground, or exceeds 14,000 ❑ Commercial -use agriculture)
::: 1- and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings.
❑ Multi - family ❑ Master builder 0 Other: ❑ Fire pump. ❑ Installation a75 KVA or
{' � A ' , .P r , . ❑ Emergency system. larger separately derived system.
� Y F w i t , ' ti . t ' t f :tsi �dvia s l e a • r+ � a t ' ' t't ; t s ❑ Addition of new motor load of ❑ ' A" E 1.2 ", t _3" •
- S i x or or more.
Job no.: 4l _ Job site address: ,I -•42Q3 ‘ OV,Cite. Si-:
13 Six or more residantial units. occupancy.
❑ Recreational vehicle parts.
Ci /State/ZIP'�[,�'� tee!- C� qi 22 3 ❑ Health -care facilities. 0 Supply voltage for more than
ty ❑ Hazardous locations 600 volts nominal.
Suite/bldg./apt no.: Pro j ect name: a A, l ❑ Service or feeder 600 amps or mare
•{� x , , r
{fi„
e S' ti' ({ .. A tv ,-- . 0 47 ii tw �� `: (�,'1 3 . ,
Cross street/directions to job site: D Orv. Fee. Total •
New residential single- or multi - family dwelling unit
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq, R. or less 145.15 4
Ea. add') 500 sq. R. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
75.00 2
1 ' t .a r a . t o 1 n + 4f r ' ^ }M . P '3' j `t - s' (with tl
.11' > ', u.. i " s , s µh w.W,il ' t 0 1{ utst � ''' .. i',,..,..,, tt
� . , s∎ ... { 9• )
Limited energy, multi - family 75 00 2
'7 Ct") p, A te �p y� liter j ryv.rt"yt,b residential (with above sit ft.)
G.r �' v � r 1* ' � I V `"'F ` '� + J' i � + Services or feeders installadon and/or relocation
200 amps or less 80.30 I 2
a g c . t �•r ,A 71 1 ;f' r t ar sa �� ,4.. { F i' k .., � , r ' ' ' 3 ii 1 . 4. 1 >� ' ' . le,'1, a s r',, ■ 1 201 amps to 400 amps 106.85 2
Name: v t '\C 1/S 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: v- SO3 1c.)kCte_ Over 1,000 amps or volts 454.65 2
City /StatefZ1F \(, ["1� C GI ri r�3 relocation mp nary services or feeders installation, alteration, and/or
Phone: ( ) tt_'' I Fax: ( ) 00 : . o
Owner installation: This installation is being made on property that I own which is not 201 tamps 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, r panel
Owner signature Date: 4 A. Fee for branch circuits with J •-„, ei. tJ
fi • ; : a `"` , + .y„ p Y� I ' a +1t 8 .e 1 w 'C a above service or feeder fee
s 3i',• {. t Y m � i r dzt" � : y ) , , P {, u. . . 1 1 n4 wcv ma n ir. , 6.65 ri 2
each branch circuit
Business name: 13. Fee for branch circuits
without service or feeder fee, Y l iy
Contact name: first branch circuit 46.85 T , 2
Each add') branch circuit 6.65 2
Address:
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
>„ r e t " "ad e ! ''; : ' t , : {, ' r *Ii; °' t '1 k,4,, 'a _' :>; Sign or outline lighting 53.40 2
Signal eircuit(s) or limited -
Business name:'? S ekt NIZAC, i tLL, e energy panel. alteration, or
Address, ( 62 n extension. Describe: Page 2 2
City /State /ZIP: a5 r) (� or `Z� Each additional inspeetion over allowable in any of the above
t%Q s i 1 _ Per inspection 62.50
Phone: } Fax: �,y T‘CAI l Investigation per hottt (l hr min) 62.50
CCB Lic.: ,,,, & A I Electrical Lic.:"3-1-681L [ Suprv. Lic.:) 'SS Industrial plant per hour 7335
I~ i t .:t ,;' ,rf '' intF iu .�r,,, 'oR? ' i . `;r:
Suprv. Electrician signature, required: 711//1 /aft 1 Subtotal: , 3 c)
• Plan review (25% of permit fee):
Print name: (' A ' ,, Date: • I State surcharge (12% of permit fee); (9 _mkt
Authorized signature: TOTAL PERMIT • FEE: • 1 /�� �:-
This permit application expires if s permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit
t;\ Building (PermitsUti.GPertnitApp,doe 0523/06 440.4615T(1I/OS/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELt 2008 00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/20013
Phone: (503) 639 -4171 ° "'�� p " ili
Inspection Requests (24 Hrs.): (503) 639 -4175 �' ..
INSPECTION WORKSHEET FOR DATE: 8/27/2008 TIME: 7:00AM PAGE: 2
SITE ADDRESS: 14 793 SW LUKAR CT CLASS OF WORK:
SUBDIVISION: IZICHARDSW21Gl PARTITION LOT #: 056 TYPE OF USE:
PROJECT NAME: RICHARDS/WRIGH1
DESCRIPTION: Replacing service.
OWNER: HUFFMAN, .JEFF PHONE #:
CONTRACTOR: BAILEY'S ELECTRIC LLC PHONE #: 5033-G81 -8899
Inspection Request Scheduled For: Date: 8/:7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 074735.0 503.1349 -3134 Y key ca 64T
AA Mr4tmii "4 4TUh. d
Corrections /Comments /Instructions: u U � ' '° t' S1 '
Cl e______ f )
X PASS 1 1 PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1�i j Date: )-1 .0 Phone #: (503) 718 Vl'_`"
TRANSMISSION IttRIFICATION REPORT
TIME : 08/22/2008 16:54
NAME : TIGARD BUILDING DEPT
FAX : 5036243681
TEL .
SER.# : BROD4J479592
DATE, TIME 08/22 16:53
FAX NO. /NAME 5036819911
DURATION 00:00:33
PAGE(S) 01
RESULT OK
MODE STANDARD
CITY OF TIGARD
BUILDING DIVISION :4 PERMIT #: 11.{;;2D0; .00471
13125 SW Hall Blvd., Tigard, OR 97223 s 1 DATE ISSUED: 11,1412{It}1i
Phone: (503) 639-4171 % „ 0 ,' , +I
Inspection Requests (24 Hrs.): (503) 639 -4175 y _•„ ,
INSPECTION WORKSHEET FOR DATE: 8122/201)8 TINE: 7 01ANi PAGE: r:
o
SITE ADDRESS: 1'i2!37 SW LUKAR CT CLASS OF WORK:
SUBDIVISION: RIOHARIX3 W3 IGHT PARTITIQN LOT #: Q TYPE OF USE:
PROJECT NAME: RIC1 iARDST RIG HT a elect
DESCRIPTION: f� l!;.+cing SCTOc z. On this report s nstal fatfon defects n
calendar in$AeCtlbn rejest C ° n ec t ed and
OWNER: I ItiFFMAINI, JEFF CONTR CTOR: Iy ,II_EY'S I I CTRi I� -C Maya per OAR 9 1` , 271 �Q 43p PHONE #: 6 6F1 I tis?99
inspection Request Scheduled For: Date: Bt ?J0O Pour Time: am
Code # Inspection Description Confirm # Contact # Message 8/ a Y
c
115 Eieelilcol service 07464P-01 5{?3.a43 3134 Y ? r
Corrections /Comments /Instructions: i 1 so
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: E_LC2000.00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0114/2000
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 - 4175'. 'I �I
INSPECTION WORKSHEET FOR DATE: 8/22/2008 TIME: 7:01AM PAGE: 5
SITE ADDRESS: 14293 SW LUKAR CT CLASS OF WORK:
SUBDIVISION: PICHARDRJGH f PAE2 I N LOT #: 056 TYPE OF USE:
PROJECT NAME: RICHARDSIWRlGHI ha e1 actri c al installation
DESCRIPTION: Replacing service. on t h is report s h a l l be detects noted
t 1 an inspection request corrected a nd
OWNER: 11FFMAN, JEFF � len d ar clays per made Within 20
&/W PHONE #:
CONTRACTOR: BAILEY'S ELECTRIC LLC ®A 918 -271 -0030 PHONE #: 503-601.0099
Inspection Request Scheduled For: Date: 8/22/2000 Pour Time:
V a t
Code # Inspection Description Confirm # Contact # Message r 6/
a .r
115 Elecliie:al service 074543 -01 503.1349 -3134 Y / a
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: t E C008 Of347 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/1412008
Phone: (503) 639 -4171 II
Inspection Requests (24 Hrs.): (503) 639 -4175 .,. F' -_..
INSPECTION WORKSHEET FOR DATE: 8/2112008 TIME: 7 :02AM PAGE: 6
SITE ADDRESS: .14293 SW (AI <AR CT CLASS OF WORK:
SUBDIVISION: RIC:HARDS/WRIGHT PARTITION LOT #: 055 TYPE OF USE:
PROJECT NAME: RICHARDS/WR.IGHT
DESCRIPTION: Replacing service.
OWNER: HUFFMAN, JEFF PHONE #:
CONTRACTOR: E3AILEY'13 ELECTRIC LLC PHONE #: 503-681-8899
Inspection Request Scheduled For: Date: 8/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
116 Electrical service 074481 -01 503 - 849 -3134 \\ Y
Corrections /Comments/ Instructions:
vim. .avi zi‘ 0. 7.-1 n(Z c.r:),vcl6e. 112
❑ PASS n PARTIAL APPROVAL ❑ CANCEL ►1 NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �". 1 `r 4is Date: o 2 41 Phone #: (503) 718- M
•