Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00294
COMMUNITY DEVELOPMENT
DATE ISSUED: 5/23/2008
Tt9 : R 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 heated floor pad.
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: 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 OWNER
13875 SW 114TH AVE
TIGARD, OR 97223
Phone: Contact #:
FEES
Description Date Amount Reg #:
[TAX] 12% State Surchar 5/23/2008 $5.62
[ELPRMTJ ELC Permit 5/23/2008 $46.85
Total $52.47 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 throu• • OAR 952 - 001 -0100. You ay -ebtai • - = of these rules or direct question o OUNC at 503.246.6699 or 1.800.332.2344.
Issued By i� i� Permiftee Signature: J 0. 13(x_i),,_„,-AX
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.
Electrical Permit Application _. i olz'o 1 is �:'usE oink . . `
�� ``�� },
74 ' City of Tigard �D� Rec eived r Permit p0 Date /Bv: . j/I LG1
1312 SW Hall Blvd., Tigard, OR 9722 c "5 1
� Phone: 503.639.4171 Fax: 503.598.1960 `A n\ s 1i Other Permit g,d 1
T I G A k b; $ Inspection Line: 503.639.4175 4.6 11 . to Ready /By: l" See Page 2 for
P. Internet: www.tigard- or.gov OS � lvl Notified/Method: r. Supplemental Information
• TYPE OF WORK )v PLAN REVIEW
❑ New construction 0 Addition /alteration /rea emettt 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
0 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
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A", "E", "1 -2 ", "1 -3 ",
Job no.: Job site address: 13875 SW 114 Ave. 100HPor 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. 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: Gaarde and 115 Ave. Description 1 Qty. l Fee. ) Total 1 •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Viewmount Lot no.: 036 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: 2S103DC -04800
DESCRIPTION OF WORK Ea. add'l 500 sq. ft. or portion 33.40 I
Installation of heated floor with 120 watt programable thermostat
Limited energy, residential
75.00 2
(with above sq. ft.)
® PROPERTY OWNER ❑ TENANT
Limited energy, multi- family 75.00 2
Name: Ronald and Lonnie Babcock residential (with above sq. ft.)
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)997 -6465 Fax: ( )
Owner installation 5his installation is being made on property that I own which is not 201 amps to 400 amps 106.85 2
intended for sale, Iekse, rent, + r tan_ accor. ing to OR' 447, 449, 670, and 701
Owner signature:, l 1AV , ! I ' I ,_ ( i Date:..(: Z5 / 2 401 amps to 600 amps 160.60 2
® APPLICANT 1 a CONTACT PERSON JJ
Business name: 601 amps to 1,000 amps 240.60 G 1
Contact name: Ronald and Lonnie Babcock
Over 1,000 amps or volts 454.65 2
Address: 13875 SW 114 Ave.
City/State/ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503) 997 -6465 Fax: : ( ) 200 amps or less 66.85 1
E -mail: babcocr @pdx.edu
CONTRACTOR
201 amps to 400 amps 100.30 2
Business name: �19� - ,n
Address: (/"�/ "`r 401 amps to 599 amps 133.75 2
City/State /ZIP: Branch circuits — new, alteration , or extension, per panel
Phone: ( ) Fax: ( ) A. Fee for branch circuits with
above service or feeder fee, 6.65 2
CCB Lic.: Electrical Lic.: Suprv. Lic.: each branch circuit
B. Fee for branch circuits
Suprv. Electrician signature, required: without service or feeder fee, l 46.85 ��.� 2
first branch circuit
Print name: Date: '
Each add'l branch circuit 6.65 2
Authorized signature:
Miscellaneous (service or feeder not included)
Print name: Date:
1:\ Building \Pemtits\ELC- PennitApp.doc 05/23/06 440- 4615T(11/05 /COM/WEB
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: EL1r20478- 002.34
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2008
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175
4 11A11 _..
INSPECTION WORKSHEET FOR DATE: 7/24/20013 TIME 7:00Atdi PAGE 45
'
SITE ADDRESS: CLASS OF WORK: ''®
SUBDIVISION:
138M SW '114TI I AVE LOT #: TYPE OF USE:
VI EWMOUNT 1736 � ,
PROJECT NAME: BABCOCK
DESCRIPTION: Installing heated floor pad.
OWNER: BAF3COt1K RON PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/74/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073115.01 603-997-6465 Y
Corrections /Comments/ Instructions:
SS PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / ' Phone #: (503) 718
,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL_t 2U0S 00.c04
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/200
Phone: (503) 639 -4171 . ,y l � l t
Inspection Requests (24 Hrs.): (503) 639 -4175 _.�
INSPECTION WORKSHEET FOR DATE: 6/1/12008 TIME: 7:00Ahri PAGE: 40
SITE ADDRESS: 13875 SW 114TFI AVE CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 036 TYPE OF USE:
PROJECT NAME: E3ABCOCK
DESCRIPTION: Installing hoated floor pad.
OWNER: BAL3COCK, ERON PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/11/2008 Pour Time:
Code # Inspection Description Cq firm # Contact # \ssage
120 Electric :al rough - in 071194 503 -907 - 9277 Y
Corrections /Comments /Instructions: '
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V\(‘J t pr (ZA 75" PoL Lib �s�j wI(lx
Cell-06) f srv\ - f -6 s6k_ LADLE (wgi
\L. o
IN
g PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G-- L-IG Date: t f 6 Phone #: (503) 718- 1) 0 1
1 �I