Permit O'W.40. C ITY OF F T I O A R® ELECTRICAL PERMIT
PERMIT #: ELC2008 -00604
` t '7 ° ., 454 COMMUNITY DEVELOPMENT DATE ISSUED: 10/27/2008
'TI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
In*4.'' g PARCEL: 1 S 136AD -01901
SITE ADDRESS: 06910 SW OAK ST ZONING: R -4.5
SUBDIVISION: VILLA RIDGE LOT : 001 JURISDICTION: TIG
PROJECT: MILLER
Project Description: (2) branch circuits for bathroom and fan.
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: 1 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:
OVIE MILLER CLACKAMAS ELECTRIC INC.
6910 SW OAK PO BOX 51
PORTLAND, OR 97223 BEAVERCREEK, OR 97004
Phone: 503 - 789 - 5744 Contact #: PRI 503- 969 -5684
FAX 503 - 632 -2421
FEES
Description Date Amount Reg #: ELE 3 -606C
[ELPRMT] ELC Permit 10/27/2001 $53.50 L1C 161923
[TAX] 12% State Surchar 10/27/2001 $6.42 SUP 504 ] S
Total $59.92 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 taw requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 th • gh OAR 952 - 001 -0100. You ma obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: / y , ` —/_ Permittee Signature: �U7
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.
- - Ott 24 2008 10:01RM Clackamas Electric Inc. 503.632.2421 p.2
Electrical Permit A19Dlicat10 CE1 d E� , yea f W i3 , w. a, ro;`�r tc. y „ , .i
'S tit'. l t)I. I t 1 yr
n v +r city Of ' ' !- r � s �' r � � s 1. . -s ,
, & - a k' Tigard Received
9 m 13125 SW Hall Bl vd., Tigard, OR 97223 Datel: I V r .• -'l
- T 2 20 P lan Review
' • 1 Phone: , .
Pho 5036394171 Fax: 503.598,1 8 p Other Permit /7) }fir. 00 I
fi \ _
,,,i, Inspection Line: 503.639.4175 v l
D ate Ready /By: et See Page 2 for
Internet: www.tigard Notified/Method: 8 Bm II t Notified/Method:
.g*� }� `
, 1. ► � Supplemental Information
"klLi�s� r rl" .J�" , '" t �Ft1` +r a s
U s xI < +, $ �,/p�" �r,� + � � ✓ as1,�.a.rrc7.rs x.. �[yr,�}"lj,}
r" „ ,trl t } . � !,g � $, tM 1� ,�{ y ;}i `JLS�(iY { �tiL•JUM�Ii � .' J ''i' ti
e..r .: a'�'u' °mr dtda:��i�� �+s��, ��.. 4'�h"aGk�Jrtr�r.' St+�.� r, xx� y ,.., �. .
❑ New construction ® Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition Other.
where the available fault current ❑ Marinas and Service or feeder 400 amps or more 0 Building over three stories.
- j e yl boat
f tS t , l) E^ ,s. y < f ..24,2 1,. •°E 4. ; : t o t ' tt. :6 � cr , at 150 volts or }'ards.
' � ' • yar.�ir.ava3rr�tG ;�., =x,°t;..a., ,�;�;x �'�Y`c . =it.' exceeds 10000 amps CI building.
® l -and Z -famil dwellin less to ground, or exceeds 14,000 0 Commercial -use agricultural
Y dwelling ❑ Commercial/industrial ❑ Accessory building amps Enroll other installations. buildings
❑ Multi- family sg 0 Master builder ❑ Other: ❑ Fire primp, ❑ Installation of 75 KVA or
'45.&''' i � ' t� a rars.4�r14M u a M a ?l ,t ' fi p ❑ Emerg -Y ss
yt em. large s system.
a. ile.,..- 'tiv h , J slag (t' tee gf2ana .r
, s. ,A�� . -: 6'!y'
a: >:..� - . 7 s " ��� separately derived s
- L' ❑ Addition of new motor load of ❑'•A" • "1 -2" "1 3^
Job no.: Job site address: 6910 SW Oak St. 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR. 97223 ❑ Health -rare facilities. ❑ Supply voltage for more than
❑ Hazardous locations, 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder600 amps or more.
Cross street/directions to job site SW corner of Sw 69 Ave & S W Oak St. r ry'4 -' _T J .a w T: , ` ' r i 14 i rl'' 't''j
neantolcm Qh. Flee, 'total
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. Ea. add'1500 sq. R. or portion 33.40 1
y s Limited energy, residential
?r. - 0' , r s, * , , °., .5i 1 �C ' z y .: r f ? ' yV no +5 .
ui% m'tyar . r ,,r.: ,t:)i�. 7 .,, r '�t7` . (with above sq. fl .) 75.00 2
Add bath circuit, add beat/fan/light dreuit Limited energy, multi- family
residential (with above se. ft) 75.00 2
to t; . g Services or feeders installation and/or relocation
a•�k : WM:ITE m^ '. 4'. fi',� .: `,� ` 61 ° Es f "' �+s , i s *, 201 amps to 400 amps 1 06.85 2
Name: Ovie Miller 401 amps to 600 amps 160.60 2
Address: 6910 SW Oak St. 601 amps to 1,000 amps 2
Over 1,000 amps or volts 454.65 2
City/State&ZlP: Tigard, OR. 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)246 -2164 l Fax: ( ) 200 amps or less 66.85 _ I
Owner installation: This installation is being made on property that I own which is not 201 amps 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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
+r ,r y : y s w< , , , , , „ A. Fee for blanch circuits with
r 010 - ' flu ` ` a l ti d; �, . r W j ,� , r ` a bove service or feeder fee,
w , z t xi . . 1. Rd3ft 6.65 2
Business name: each branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
first branch circuit
Address: Each add'I branch circuit 1 6.65 6.65 2
Miscellaneous (service or feeder not included)
City/StatelZl P: Each manufactured or modular
Phone: ( ) I Fax: : ( )
dwelling, service and/or feeder 90.90 2
E -mail: Reconnect only 66.85 2
tot v it t') „' _ 1'$ sr�v Z��li+ u} r * Pump or irrigation circle 53.40 2
, . 7 ° c 4 , i .. ; n win ; r �+� i �s 2 �� ,'( ,�f 4 it ?s xitrop t. Sign or outline lighting 53.40 2
Business e: Clackamas Electric Inc. (/`7 - Signal circuit(s) or limited- energy panel,
Address: PO Box 51 4' ,�I� 1 extension. Descnbe:t�' or Page 2 2
op Each .
City/State/Z1P: Beavercreek, OR. 97004 l/" Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 632 -2420 Fax: (503) 632 -2421
Investigation per hour (1 hr min) 62.50
CCB Lic.: 161923 Electrical Lic.: 3 -606c Suprv. Lic.: 5041s Industrial plant per hour 73.75
Suprv. Electrician signature, required: Subtotal: 53.50
Print name: Scott Johnsto Date: 10.24.2000 Plan review (25% of permit fez):
State surcharge (12% of permit fee): 6.42
Authorized signature: TOTAL PERMIT FEE: 59.92
Print name: Neil Fullington Date: 1014,2008 This permit application expires It a permit h not obtained within 180
days after it has been accepted as complete-
• Number of inspections allowed per permi
1:18uitding\Pe ni%\ELC- PermitApp,doc 05/23/06 440- 461.57(11 /pg /CO'W'WEB
/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I�LC OO8 Ct 3t i
/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/200B / Phone: (503) 639 -4171 . 1 �I
/ Inspection Requests (24 Hrs.): (503) 639 -4175 -_..
/ INSPECTION WORKSHEET FOR DATE: 111 �10t� TIME: 7:O1Ai�i
PAGE: 2'6
SITE ADDRESS: _ 06it10 SW OAK ST CLASS OF WORK:
SUBDIVISION: VILLA RIDGE LOT #: 001 TYPE OF USE:
PROJECT NAME: MILLER
DESCRIPTION: (2) 4,sanc:h circuits for bathroom and fan.
OWNER: MII.LER, OVIE PHONE #: 503.709 5744
CONTRACTOR: CI ACKAMAS ELECTRIC INC. PHONE #: 1303_969_56m
Inspection Request Scheduled For: Date: '11/Z242008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 E lectrical final 078477 -01 5 503720 -3309 Y
Corrections /Comments /Instructions:
+ ; , -4 PAS .� PARTIAL APPROVAL ❑ CANCEL pi NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: {V" f Phone #: (503) 718- ` I
P
CITY OF TIGAR®
BUILDING DIVISION PERMIT #: EL C2008-00604
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/:1008
Phone: (503) 639 -4171 'o,� �il
Inspection Requests (24 Hrs.): (503) 639 -4175 .. . ' crud " , . 'LL
INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7:00 PAGE: 1 8
SITE ADDRESS: 06910 SW OAK ST CLASS OF WORK:
SUBDIVISION: VILLA RIDGE LOT #: 88 TYPE OF USE:
PROJECT NAME: Mil 1 FR
DESCRIPTION: 2 branch circuits for bathroom and fan.
OWNER: MJLLFR, OVIE PHONE #: 503- 788.5744
CONTRACTOR: CLACKAMAS ELECTRIC INC. PHONE #: 503.969_5684
Inspection Request Scheduled For: Dater 10/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-ill 077476 -01 503- 675.2335 \ Y
Corrections /Comments/ Instructions:
P 00 . f 0 2 PI m.
PY Gilkosi,:ak / kw / tz /L
i vv , (9 ,.... 4 ft,...A
14.
a,
K DASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r Date: 1 . 0 3/ Phone #: (503) 718 - PO?
CITY OF TIGARD
BUILDING D - IVISION PERMIT #:
El..C2.000-00604
13125 SW Hall Blvd., Tigard, OR 97223 DATE
10i 1. //2008
Phone: (503) 639-4171 liP
Inspection Requests (24 Hrs.): (503) 639-4175 ,..........„., - . .......,
INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7:00Am PAGE: 18
SITE ADDRESS: 0691013W OAK ST CLASS OF WORK:
SUBDIVISION: VILLA RIDGE LOT #: 00"I TYPE OF USE:
PROJECT NAME: MILLER
DESCRIPTION: (2) bran C:n circuit S for bait and fan.
OWNER: MILLER, OVIE PHONE #: 1.;03,789,f.;
CONTRACTOR: CLACKAMAS ELECTRIC INC. PHONE #: 503.969-66134
Inspection Request Scheduled For: Date 10/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electlical rough-jr, 077476-01 . 603-679-2336
I
Corrections/Comments/Instructions:
\p f\t\ 00
•,
elY 0 1 (ditt\4 r /LgOA_ fiLei k,?44.1JL
Ir VIA:'( 91 C( + ( i t-\
I
1
I
I
1
4,95
ASS fl PARTIAL APPROVAL E CANCEL n NO ACCESS
H FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: -- "rr4 4: 08±-6 - 1(6( Date: I.01 3Ifrt Phone #: (503) 718- Iwo