Permit {t, 'iPf ; ClT ®� TIGA ^® ELECTRICAL PERMIT
11 4 T R
COMMUNITY DEVELOPMENT PERMIT #: ELC2008 00288
DATE ISSUED: 5/21/2008
! ,TIG A I .` 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103DC -04800
SITE ADDRESS: 13875 SW 114TH AVE ZONING: R -4.5
SUBDIVISION: VIEWMOUNT LOT : 036 JURISDICTION: TIG
PROJECT: BABCOCK
Project Description: Installing (6) branch circuits for kitchen remodel.
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: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 5 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:
RON BABCOCK LAUGHLIN ELECTRIC LLC
13875 SW 114TH AVE 3 MONROE PARKWAY STE. P PMB205
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
Phone: Contact #: PRI 503 - 449 -7389
FAX 503 - 639 -0077
FEES
Description Date Amount Reg #: ELE C86
[ELPRMT] ELC Permit 5/21/2008 $80.10 LIC 165763
[TAX] 12% State Surchar 5/21/2008 " $9.61 SUP 5097S
Total $89.71 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: ` "�_� s_— Permittee Signatu : j / 4 /� t ■' J
f�
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.
1 trical Permit Application � \ `',I) t l '� ' „, 02- .P, ` `' s y .
: ■ ► t 1►t ca l l I i., t l 9.: rift '�4. :.
p ` s > 4 .11 f +�
` ' : C of Tigard \,* \ O� Dateiv �� "(�C r6�v U `W
�0 a �� Permit No.:
13125 SW Hall Blvd., Tigard, OR 972 1�O Plan Review 2 4,4 ' _ r , `¢
1, ti Phone: 503.639.4171 Fax: 503.598.1960 w �nn� D Date/By: Other Permit: / ' p c/� aD
Wxn: ^xR'e Ins lion Line 503.639.4175 �` ,��( •te Ready/By. orris. See Page 2 for
T�1GA'R'D G
d'ar :a i>nn Intemet: www.tigard- or.gov 04 1i
ll1 Notified/Method: _ Supplemental Information
TYPE OF WORK ISO ``�� PLAN REVIEW
❑ New construction ® Addition/alteration aCement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: 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
IS 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 ", "1 - ", "I - ",
Job no.: Job site address: 13875 SW 114 Ave 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑Hazardous locations.
g 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Babcock ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Desorption 1 otr• 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
Tax map /parcel no.:
DESCRIPTION OF WORK Ea. add'I 500 sq. ft. or portion 33.40 I
Kitchen remodel, move range, add recessed can lights & update outlets to code
Limited energy, residential 75.00 2
(with above sq. ft.)
IS PROPERTY OWNER I ❑ TENANT
Limited energy, multi - family 75.00 2
Name: Ron & Lonnie Babcock residential (with above sq. 0.)
Address: 13875 SW 114 Ave Services or feeders installation, alteration, and/or relocation
City/State /ZIP: Tigard, OR 97223 200 amps or less 80.30 2
Phone: (503)598.7428 Fax: ( )
Owner installation: T his installation is being made on property that I own which is not 201 amps to 400 amps 106.85 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Owner signature: Date: 401 amps to 600 amps 160.60 2
❑ APPLICANT 1 IN CONTACT PERSON
Business name: Laughlin Electric LLC 601 amps to 1,000 amps 240.60 2
Contact name: Erika Schervem
Over 1,000 amps or volts 454.65 2
Address: 3 Monroe Parkway, Ste. P #205
City/State/ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and/or
h relocation
Phone: (503) 449.7389 Fax: : (503) 639.0077 200 amps or less 66.85 I
E - mail: la u gh lin elect ri c®co m cast.n et
CONTRACTOR
201 amps to 400 amps 100.30 2
Business name: Laughlin Electric LLC
Address: 3 Monroe Parkway, Ste. P #205 401 amps to 599 amps 133.75 2
City/State/ZIP: Lake Oswego, OR 97035 Branch circuits — new, alteration, or extension, per panel
Phone: (503) 449.7389 Fax: (503) 639.0077 A. Fee for branch circuits with
above service or feeder fee, 6.65 2
CCB Lic.: 165763 Electrical Lic.: C86 Suprv. Lic.: 5097S each branch circuit
B. Fee for branch circuits
Suprv. Electrician signature, required: /t t/y /`�-- without service or feeder fee, 1 46.85 46.85 2
first branch circuit
Print name: Grant R Laughlin Date: 5.21.08 Each add'l branch circuit 5 6.65 33.25 2
Miscellaneous (service or feeder not included)
Authorized signature: %�/ e� `�1 /,
✓iV / 7 � Each manufactured or modular I I 90.90 1 12
Print name: Erika S ervem I Date: 5.21.08 dwelling, service and/or feeder
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: Et.C2008 -00 88
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5121 /2008
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �.
INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 13f376 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 036 TYPE OF USE:
PROJECT NAME: BAI. ?COd K
DESCRIPTION: Installing (6) branch circuits for kitchen remodel.
OWNER: BABCOCK, RON PHONE #:
CONTRACTOR: LAUGHLIN ELECTRIC LLC PHONE #: 503 - 449 -73139
Inspection Request Scheduled For: Date: 7/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electiical final 072926.01 503.449 -7389 N
Corrections /Comments /Instructions:
PAS • Ti PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
• n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 0e L Date: 1.1 v u Phone #: (503) 718 -1*t
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008•002t3t3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2000
Phone: (503) 639 - 4171 o11_
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 5/23/2008 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 13875 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEIMOUNT LOT #: 036 TYPE OF USE:
PROJECT NAME: BABCOCK.
DESCRIPTION: Installing (6) branch circuits for kitchen remodel.
OWNER: 1 ABCOCK, RON PHONE #:
CONTRACTOR: LAUGHLIN ELECTRIC LLC PHONE #: 603-4 -7388
Inspection Request Scheduled For: Date: 5/23 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
128 Electrical rough -in 070324 -01 503-449-7389 N
Corrections /Comments/ Instructions:
6 6 0 10 ELe , 1'4
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - N t4 VE Date: 61 1 � Phone #: (503) 718- 2iiL