Permit `� CITY O F TIGARD G A R® ELECTRICAL PERMIT
PERMIT #: E /200 00554
COMMUNITY DEVELOPMENT
DATE ISSUED: 9/30/2008
TIGARIY 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 111 DC -10200
SITE ADDRESS: 15575 SW OAKTREE LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.10 LOT : 555 JURISDICTION: TIG
PROJECT: HANKS
Project Description: (8) branch circuits for kitchen and laundry room 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: 7 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:
MICHAEL & CAROLYN HANKS ACCESS ELECTRIC & CONSTRUCTION LLC
15575 SW OAKTREE LN 2870 SE 75TH AVE. STE. 108
TIGARD, OR 97224 HILLSBORO, OR 97123
Phone: Contact #: PRI 503 - 642 - 4333
FAX 503 - 642 -9699
FEES
Description Date Amount Reg #: ELE C -16
[ELPRMT] ELC Permit 9/30/2008 $93.40 LIC 162666
[TAX] 12% State Surchar 9/30/2008 $11.21 SUP 493 I S
Total $104.61 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: Permittee Signature: �P 7/7/2--r7 r
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.
09/29/2028 11:21 1 ACCESS ELECTRIC Pti`f 0/, , • .-&••/ 2 "1 GE '-/
6... 01/02
g Liectrical Permit .Application ' FOR OFFICE USE ONLY
. .
City of Tigard Ree6ved (-1 ,
, ' 131SW Hail 25 Blvd., Tigard, OR 97223
lig Datc/13 : / .1 1 IF F IAIM Pcrtnil No.:
d.
Plan Review ... sy
. 0 • Phone: • 503,639.4171 Fax! Date/By: 503.598,1960 _ Other Permit: , /1_,./.7-1,)cie"--Ct 328/
1 A RD Inspection t.inc: 503,639.4175 , , ,
.,.... :' N nop Rerrclyrgy kr;3 lil Sec nee Z for
Internet: wwwtigard-orgov .. ' Nnlified/Method: TX siippiemel Informok„
_
::::, iiOP1*i*Oe''ii,'J''W-N,.,-..i'.'!':', ''..4'11E'Yv.,:','.''''',+"(;':.',','''..,;'.'",',.',.'
D NCW C011S1111C1.1(,)TI El Addition/alleration/replacement Please check all that apply (submit 2 Sets of plans w/iterris checked below):
0
D Service or feeder 400 amps or more 0 0tiilding over three stories,
j 0 Other:
where thc available fault current 0 Marinas and boatyards,
Demolition :,',',i',.i,,:',''',■. 8,*,*06'iciti'07';:.0ijikittiiiop
ii,;.,(,:. ,,;, .,•:',,..,.,; exceed 10,00V amps al 150 volts or Floating buildings.
0, E:' .,,i, '!. •
less to ground, or exceeds 14,000 0 Commercial-use agricultural
El I- and 2-family dwelling 0 Commercial/industrial 0 Accessory building ;Imps for all other installations. hada-Ts.
1.] Multi-family D Master builder 0 Other: I:i Fin. pump. 1:1 In5tallatio) ur 75 KVA yr
' ' ' ' ' ' • . 0 Ernergeney System. 'Iracr separately derived s ystetn.
0 * : $ 0 7 t ' , . 1 * 0 1 ? ft i * : 4 : ' • , ' ' ' ' ' ' / ' 0 ; , 0 ' . ' : ' I * A t i t i ! : ; 1 ' : ' , ! t i ' , , ' ' : i ; ; O ! ' : ' ' . : 0 Addilion of l
ncw motor load of in
Job no.: Job Site address: 15575 SW Oak Tree Lane loom or more, occupancy,
Li Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: Tigard 97224 CI Health-care facilitie 0 Supply voltage for more than
-
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.; Projerr name: H _... sr , A j , 1 or &oder GOO uulp ol mom,
:0 '': ; :) ,---.. *:,YPE , t 7 7,iTlii5iii:EWt!':!:
Cross streelidirections to job site:
Descriptiod ' " . ( 14;. 1 TOM
Nrw residential single- or multi family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or Icss 145,15 4
E. add'I 500 sq. ft. or portion 33.40 1
Tctx map/parcel no.;
Limited energy, residential
75.00 2
.::,';‘,'•.:,,;\:::'':,::';:',:.ii:i.,;.,;!P!'',1',;,.;1'',.','':.;'10,i80:14f,,,ION:■0,,*0.kV,:',ItWi;M:',1'.IA;;!'iM!;!1, with above s.. 11,
Limited energy, multi-family
8 circuits for Kitchen And Laundry ROOM remood
residential (willi above sq. ft.) 75.00 2
Services or feeders installation, Altera 'on, and/or relocation
200 amps or less 80.30 2
ko(fpvi , ::.'T. , ,[''. , •p , .; , ! . ,:,; ,,. ; . : , ,,411J , ,i'im-t..1:A$T...1 , i ., ; , i , :.' i , i 201 amps 10 400 amps - 106.85 2
401 amp5 to 600 amps 160,60 2
Name: Roger & Carol H: -I'Ss ffra e 3-
601 amps to 1.000 amps 240.00 2
Address: Same q - over 1,000 amps or volts
454.65 2
____
City/State/ZIP: ' Temporary services or feeders installation. alteration, and/or
relocation
Phone! (503)684-6454 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
3
intended for sale, lease,. rent, 01 CAUllarig 401 amps to 99 amps 133.75 2
according to ORS 447, 449, 670, and 701.
Branch circuits - new. alteration. or extension, ier •anel
Owner signature: Date:
A. Fcc for branch circuits with
: ', • :,;' l''' ,: 6 !! 10,;*1;i1t.**It;i''' ,.': ,;;; ,:!i!' Y'HIj;'' I:r .,deii Or 'i;ic1('ki.ii'W 1`4;':, l'c;.'!' iluvvi: JGIViCe UT feeder fee,
6.65 2
each branch circuit
Business name:
B. Fee for branch circuits
without service or feeder fee. 1
46.85 4�.8
2
Contact name:
first branch circuit
Address: Each addl branch circuit 7 6.65 46.55 2
MiseetianeouF (service or feed not included)
City/State/ZIP: Each manufactured or modular
90.90 2
dwelling service and/or feeder
Phone; ( ) Fax; : ( )
Reconnect only 6i5 RI 2
E-mail: Pump or irrigation circle 53.40 2
, :■.Ik: ■:I ;;,':4;:',:::;III!,'1 j:;;. ;qp. , :!H: : :!„,;i ■,:!:: :;.':I :!;' :.,;;E!i, Sign or outline lighting . 53.40 2
Signal airauit(3) or limited-
1305incss name. Access Electric et Construction, LLC
energy panel. alteration, or
Address: 2870 SE 75 Ave Suite 108 extension. Describe; Page 2 2
City/State/LI?: Hillsboro 97123 - Each additional inslection over allowable in any of thc above
Per inspection 62,50
Phone: (503) 642.4333 Fax: (503) 642-9699
Investigation per hour (1 hr min) 62.50 .
CCB Lic.: 162666 Electrical Lie.' C16 cSu rv, Li .: 4931S Industrial plant per hour 73.75
Suprv. Electrician signature, required: Or--1,-cP
----._,,,,,,,„,,,.,,,,,,„:„.,.„.,,,.„,,,,CritiCAIL.EPE , ..;VEES"
11------, 3ubanal:
93.40
Plan review (25% of permit fee):
Print name: Kent Date: 9/29/08
_____
State surcharge (12% of permit fee): 11.21
.
Aittliur i signature:
TOTAL PERMIT FEE: 104.61
This permit' application expires if n permit is not obtained within 1CO
Print name: Date:
days after It has been accepted as complete.
- * Number of inspections allowed per permit
tAlluilding\PertritsELC•PerinitApprioc 05a3/06 140.461Y1(11/n5icommEB
. .
CITY OF TIGARD „
BUI6.)ING DIVISION PERMIT #: ELC2011-00%4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91300000
Phone: (503) 639-4171
. ,_•1::(141L .
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/23/2008 TIME: 7:OOAM PAGE: 18
SITE ADDRESS: 15676 SW OAKTREE LI9 CLASS OF WORK:
SUBDIVISION: stimi No -10 LOT #: 555 TYPE OF USE:
PROJECT NAME: HANKS
DESCRIPTION: (8)1.)k:inch circuits for kitchen and laundry room remodel.
OWNER: HANKS. MICHAEL & CAROLYN PHONE #:
CONTRACTOR: ACCESS ELECTRIC & CONSTRUCTION LLC . - 3 _ PHONE #: 503-642-4333
Inspection Request Scheduled For: :Date: 10/23/2000 Pour Time:
• .e # • - _ on Description ' C ir # Contact # Message
Elf) Siftn installation 077084-0 503-680- Y
(1°1 f t N NI. 943 t)
o" — .. - • - - -_ - - . •• ns: 2_0 tvilei
Ri V 5
1C )
X PASS 1 J PARTIAL APPROVAL El CANCEL 1 I NO ACCESS
FAIL n CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
Inspector: G.- . V 4 :Sb■-- Date: it S In Phone #: (503) 718- 'Ali lo
CITY OF TIGARD .
BUIdSING DIVISION t PERMIT #: C20 p
�l�.l.�«�.S.fOIT'00J' W
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4130 /2008
Phone: (503) 639 -4171 I C I
Inspection Requests (24 Hrs.): (503) 639 -4175 ._...
INSPECTION WORKSHEET FOR DATE: . l0/ Z()C1f3 TIME: 7 :QQAM PAGE: 33
SITE ADDRESS: 15575 S OAKTREF LN CLASS OF WORK:
SUBDIVISION: SUPvthdlERFlE - .l l� NU 10 LOT #: �� TYPE OF USE:
PROJECT NAME:
HANKS
DESCRIPTION: (8) branch circuits for kitchen and laundry room remodel.
OWNER: HANKS, MICHAEL & CARO)LYN PHONE #:
CONTRACTOR: ACC ELE & CONSTRu TION LLSf PHONE #: -? t 33
Inspection Request Scheduled For: Date: 12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Eledlical rough -in 076193 -01 503.68Q -9430 N y
Corrections /Comments /Instructions: ( 30 'm' N
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT'. Q 6Gt.. Date: l j�I Phone #: (503) 718 - 1�7
i iii
CITY OF TIGAR®
BUIeJING DIVISION ` ` PERMIT #: ELC2008.00554
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2008
Phone: (503) 639- 4171 ('?�
Inspection Requests (24 Hrs.): (503) 639 -4175 'I_��
INSPECTION WORKSHEET FOR . - DATE: 1012/2008 TIME: 7:OOAM PAGE:
SITE ADDRESS: , SW OAKTREE LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD. Nt�.10 LOT #: 555
TYPE OF USE:
PROJECT NAME: HANKS
DESCRIPTION: (8) branch circuits for Ivtchen and laundry room remodel.
OWNER: PHONE #:
HANKS, MICHAEL & CAROLYN
CONTRACTOR: ACC ELE CTRIC & CONSTRUCTION LLC PHONE # : 503„642 -4333
Inspection Request Scheduled For Date: 1012/7008 Pour Time
Code # Inspection Description Confirm # Contact # Message
120 Elecliical rough -in 076193 -01 503- 680.9430 N Y
Corrections /Comments /Instructions: ( 3 0
•
•
►j PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 3 d s (\ Date: 101111 Phone #: (503) 718- Vitt