Permit n V cV CITY OF TIGARD G ELECTRICAL PERMIT
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PERMIT #: ELC2007 -00022
1 -. •• s COMMUNITY EVELOPMENT DATE ISSUED: 1/10/2007
41 GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136AA-09300
SITE ADDRESS: 06955 SW LOCUST ST ZONING: R -4.5
SUBDIVISION: VENTURA ESTATES LOT : 015 JURISDICTION: TIG
Project Description: Generator hook -up. Job No. 15,275
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 HMI SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 16 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:
TIM MACKEY BOONES FERRY ELECTRIC INC
6955 SW LOCUST ST PO BOX 628
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503 - 682 - 4936
FAX 503 - 682 -7946
FEES
Description Date Amount Reg #: ELE 3 - 223C
[ELPRMT] ELC Permit 1/10/2007 $186.70 LIC 88482
[TAX] 8% State Surcharge 1/10/2007 $14.93 SUP 49185
Total $201.63 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
susp- • •e. or More,than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Th'se rules are set fortl,in OA; •52- 001 -0010 through OAR 952 -001 -0100. You may obtain copi- • ese rules or direct questions to OUNC at
513.246.6699 or 1.800.34 44. — 1
Is • ued By: " ( / i ' Permittee Sign : _ /� ,......5 ,�
y' ( . l � / I L � 1 � i :1r
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, o -nt.
OWNER'S SIGNATURE: DATE:
�• NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: % - _.. 1 !�i�(/ - DATE: / • /a D
LICENSE NO: 4/� .(
Call 50 .639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
L1Jan, 9. 20071 4:20PMij FERRY ELECTRIC t
. , f , t � No 5509
� v t - J H r t . : 14 l.l� 01 111 an R 9CC'ved z �,/ .$M w l j. M13 $ , .!.;2,i'.. 3 ' 13125 SW Hall Blvd., Ti ._ D atdB : 9 �7 f permit No..
' ` Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Eke ��i 7 ��a�
ltcA p InspectionLznc: 503.639.4175
Date Ready /By:
A' (� D�� Otl�erPormit:
Internet: www or.gov Jj{ 9 0O7
r 'F't4�it`7��' �J' t 4 tl ,L u1 f 1 5 rtn r Nat edlMetbod, Supplemental Information
. -. it'" G:.._.al ; m :. : = � J,'1T J . 4. 1� K!�# lit) �, F 4 y ,,i M t ft a'-'1 ... '..'. s. _
,� . , . } S 1Nt t 7 .:'f.' '' E i 5 '1 t -i ,r,� - i1 1 .t , +•- -c t
❑ New construction �� r ij . * ��y[ t ., _.- .,:t�.� tn,:: } el se eked( all it ` Z t t2 i b it �8 of t /i 0 L u ti, .3, ` 1xi
❑ Demolition • f at apply (submit 2 sets of plans w /items checked below):
❑ 0 service or feeder 400 amps or more ❑ Building over three stories. •
vehicle parks,
9�ra71, 0 ; t� e
� : x ; i; �' r �s „�� 1a i i >{ ti r(t, �I t o d � Sty h tF ,�l4 ic a c ` t t_ where the available f ault current boatyards.
ii ❑ Marinas and b
5 is r , {: { .: I t. , . t _.i:_'� s: r exceeds eeed,, steps at 150 volts or ❑Floating buildings,
1- and 2- family dwelling El Cominercial /industrial ❑ Accessory building less io gr d yer i nceeds 14,000 D Commercial -use agricultural
❑ Master builder Fire for all other installations. buildings,
❑ Multi -family •
irod�r•7 u ❑ Outer 0
t' 4 { L r t pump. CI Installation of 75 KVA � r A y
J ln'K {itr �z tins ���..- !,?�,.�) �� FM tlE, rA.l,^fw/ alt S01� °!la C V�fl t! �4�b 1� , ° h Y ,- i ..S /i a 08mer enC AOr
7�_: . a?.:,5 „F . .� 1 �'�s�in e Tf r: .)d F x g y system. larger soparately derived system
Job no -, / S f 7 S Job site address: Addition of new motor toad of ❑ A" - E", "1 < J 3
�9SS • SL,, eecvs i' lOOHP Orinore. occupancy.
City /State /ZIP: ❑ $ix or more residential units. ❑ Recreational 7' O Q ❑ Health -care facilities
❑ Supply voltage for more than
SUiteJbldg /apt no.: 600 volts nominal.
❑ Hazardous locations
P roject name: 'lo ❑ Service or feeder 600
tamps or mere
'
Cross street /directions to job site: ; '' , tr>ri „ t ^� ,r �,� r r,i
tu.....t;.t i a;it -..sri sr�. c . Jr::srf�'� s h !� ri ur ..
•
Dtacriplion .i.l. .a.3ir� ; :t:
New residential single.. or multi- family dwelling unit atot
Includes attached iarage.
Subdivision: J,000 s �� • I Lot no.: q. R or less
•
Tax map /parcel no i a. edd'I 500 _ 4
sq. ft. or portion ER 33.40 OWE 1
g Limited e e
r Y i f �, �. { F.M 1t j { ` �1� � 1 Sf { �1 C •I Y � lr n 4 1 •
.. 1.i..3+...{P , ,':8 F .�...,•r I4 4',;1 I / J 1 g P. �11N d? li it tits 4s s t ; 6 c �F $ i t t ¢ rgy� r
. a. s� , is t:li L , � ,,,,, (With above aq. ft) 75 2
6cteleie, 4 e+- h k z o Limited energy, multi family
'� residential with above,:. ft. ® 75.00 2
r'rT 4 Services or feeders installation alteration and/or e
•
• kE�7 t ;'J �rT s t {� r s tr— amps or less relocation -
200 a
a�..i:L�. i >�.,, R�;�a i�b ..�ti { Z$ �' �'� �'�. �va�i 'i �'� nC�Y� I `�.Yti stF 80.30 2
� ;: a t -.,, a :.r' t, s.. -z t P!t 3. } .,. 201 amps to 400 amps Mil 106.85
2
Name:
--7- H f} C K y 401 amps to 600 amps M 160.60 2
• ddress: q SS ! �, u.'.0--- 601 amps to 1,000 amps a 240.60 MI
Over 1,000 amps or volts - . 454.65
—: ity /5tate/ZIP: ��� �� y� Oa__ Q ' a� - Tei»porary services or feeders installation, alteration, 2
—
]'hone: ( ) relocation
•
F ax: ( 200 amps or less
LIE Owner installation: This installation is being made on property that I own which is not ps ps 66,85 1
•
intended for salt, least, rent, or exchange, according to O1 S 447, 449, 670, and 701, 201 am to 400 am 100.30 _ 2
401 am s to 599 amps
Owner signature ]]ranch dreuits — new, alteration® tension 133.75 2
a g >, =�� , �,' tt, { � ti rr i t �t s' _ Date; A. Fee for branch circuits with • ' per panel
4Lr •S --.i:m•._�i .w ._.Jh .�J1r4' f.K.i.c,`4' 7�aTt�ti�. )1-SY=1..V Mk t i }1�t'�r1( } h 1 - rent }y
` '�-- -•-- -r � + � �.�.c�� �1,�:�; above service or feeder fee,
+ Business name: _ each branch t ircuit 6 6.65 2
B. Fee for branch circuits
Contact 'name: wiihoul service or feeder ,
• •
Address: first branch circuit 46.85 2
. Each add't branch Circuit • 6.65 2
City/State/ZIP; Miscellaneous service or feeder not included
Each manufactured or modular IIII
Phone: ( • ) I Fax: : ( ) dwellin : , service and/or feeder 90.90 2
E 1 Reconnect only _
7{ � , _ 66.85
.�= i.iri!P i s1� }ri }.;,. `s ry r r� . ' ) k s {�'� G 1 rr s ` �i"< t s pllm or irrigation circle 53.40 2
x._.cT,t'_':" I}_.> ,ti r.,. � M11. '. t r�, t 1 - C "`iy l ct.. t~ , sx t t, E _. s 2
_'� ,� t,t ' „ -.,`. ! _ `�:• Sign or bull inc 'tilting
Business name; Booties Ferry Electric INC 53.40 2
•
Si circuit(s) or limited
Address: P.O. Box 628 energy panel, alteeration, or • extension. Describe: Page 2 2
City /State /ZIP Wilsonville OR 97070 •
• • Each additional ins ection over allowable in an of the above • •
Phone: (503) 682 -4936 Fax: (503) 682 - 7946 - Per inspection
62.50
CCB Lic.; 88482 Investigation per hour (I lir min) 62.50 r
Electrical Lic.: 3 -2 C
Suety, Lic.; /7 i 8 j Industrial plant par hour Mi
Suprv. Electrician signature, required: 1 i.F,l s, { ' t, ;,tom iw C,�"I ; %;� t( 4 G e t', y" �Li- t
x=
Via.. ..a , , �,,,�.
ins name:
1 Date: J — 9 - 5ubtolal: g 6,
s `}O >h �/p .� Q 7 Plan teView (25% of permit fee):
Authorized signature: State surcharge (8% ofpeimit fee): ) , ' 3
• TOTAL PERMIT FEE: ZO / .. -
Print name: I Date. This permit application expires if a perzitit is not obtained within 180
days after It has been accented as complete
i:u iuitding \Permits\ELC- Permiwpp,d 0513/06 • Numbet of inspections allowed per permit
4 40-46137 I I/OS/COM/WEB
•
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00012
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2007
Phone: (503) 639 -4171 'II
Inspection Requests (24 Hrs.): (503) 639 -4175 �� °•__..
INSPECTION WORKSHEET FOR DATE: 1/16/2007 TIME: 7: 09, PAGE: 4
SITE ADDRESS: 06 155 SW LOCUST ST CLASS OF WORK:
SUBDIVISION: VFNTI lRA ESTATES LOT #: 015 TYPE OF USE:
PROJECT NAME: h/MACKEY
DESCRIPTION: Generator hook - up. Job No. 15,275
OWNER: MACKE'Y, TIM PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 1/•12007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042180-01 503-682 -4936 N
Corrections /Comments/ Instructions:
•
PASS 1 PARTIAL APPROVAL n CANCEL NO ACCESS
- AIL ❑ CAUL FOR INSPECTION n ADDITIONAL FEES ASSESSED
r 1(6 Inspector: Date: Phone #: (503) 718