Permit v`a ELECTRICAL PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT PERMIT #: E /200 00071
_" DATE ISSUED: 2/11/2008
,TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 111 AD - 03800
SITE ADDRESS: 08950 SW PINEBROOK CT ZONING: R - 4.5
SUBDIVISION: PINEBROOK TERRACE LOT : 035 JURISDICTION: TIG
PROJECT: HALL
Project Description: service upgrade. installing (9) branch circuits.
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: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 9 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:
ROBERT & LINDA HALL PERFORMANCE ELECTRIC
8950 SW PINEBROOK CT 14674 SE SUNNYSIDE RD #170
TIGARD, OR 97224 CLACKAMAS, OR 97015
Phone: 503 - 788 -6947 Contact #: FAX 503 - 656 -0693
PRI 503 - 656 -0496
FEES
Description Date Amount Reg #: F.LE 3 -582C
[ELPRMTI ELC Permit 2/11/2008 $140.15 LIC 161535
'TAXI 12% StateSurchar 2/11/2008 $16.82 SUP 4499S
Total $156.97 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:
ism /
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.
Feb 08 08 02:07p Performance Electric LLC 503 - 656 -0693 p.2
Electr°iea1 Permit Applicati . ' 1 `S 4 xtttTx .�u ' ' " '" " ,-,�,,
4'. �. '.... 1 v ,a" 1 r ° .; � ^, r�- 71(147 1:..1:
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City of Tigard Re e r
ty rn Plan Review
_ .247/ �IIi Z ��' Permit No.: L-C " ,1^ c ` I /
{ n 13125 SW ball Blvd., Tigard, OR 97223 , 1 , Plan R //L �fJ
Phone: 503.639.4171 Fax 503.598.1960 G ,/ �D U p�c;g • OthcrPcrtmie
' Inspection Line: 503.639.4175 +- /B loos:
T1 G',1 ll D . Y /B 1>a See Page 2 for
Internet: .tigard- or.gov Nttttfi . ethod: Supplemental Information
TYPE OF W9 r `T T� j. .....4 9 { / N PLAN REVIEW .
" -'''IT a ° ' ,, , 1 t ' check al! that a I submit plans 1
❑ New Construction 2Wdition/Re Please ch apply ( asets of lass w /itpns checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stones.
❑ Demolition El 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
and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building I amps for all other installations. buildings.
Multi- fa trtily ❑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 ", "l 2 ", "l - 3',
Job no.: 3d, a Job site address: C r!1 ` J IOCHP or more. occupancy.
1 / s, Sw' V 1 i1 C �12 c' d(C �-t� - ❑ Si x or more residential units. ❑ Recreational vehicle parks.
City/ State/ZIP: - r - 1 1 f2 a_ + A ,R q / q ❑ Health-care facilities. ❑ Supply voltage for mare than
7� ❑ Hazardoats lacaticns. 600 volts nominal.
Suite / bldg. /apt. no.: Project name:4 age,26?.p s-� ❑ Serviceorfeeder600ampsormore.
- l / ' i r- Or FEE SCHEDULE
Cross street/directions to job site: � ,4 c r(i i-1, - � 5 - � — Description I Qtr. I Pee. I Total I •
New residential single - or multi- family dwelling unit.
Li 'tr 5 4-- tg` - !a-a l\ - 13‘ T'a . Includes attached garage.
Subdivision: Lot no,: 1,000 sq. ftt or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. 11)
1 n Limited energy, multi - family
,QPZ l; I � p .e Lip 5 Q A ` )< i A � lel t `t' l` I(Y4(S 2.J residential (with above sq. it.)
75.00 2
11 J I Services or feeders installation, alteration, and /or relocation
200 amps or less / 80.30 . F0,3( 2
lEk OWNER I r ❑ TENANT 201 amps to 400 amps 106.85 2
Name: q 401 amps to 600 amps 160.60 2
1 601 amps to 1,000 amps 240.60 2
Address: X a S-G? 5'Lr_) v; h e h�2e�/< CT- , , Over 1,000 amps or volts 454.65 1 2
City /State/ZIP: V --C n ,4 A R q - /V Temporary services or feeders installation, alteration, and /or
� `' .-.1*-- / relocation
Phone: (5 d3) ��tJ { �- F es ( Fax: ( ) 200 amps or less 66.85 1
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
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, a/
each branch circuit -1 6.65 ,�2
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: first branch circuit 46.85
Address: Each add'I branch circuit 6.65 .; 2
Miscellaneous (service or feeder not included)
City / State/ZIP: Each manufactured or modular
90.90 2
Phone: ( ) I F ( ) dwelling, service and/or feeder
Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
l CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: " F� -cil YkActoc e E1 f G . 1 � C
/� ` � - ener panel, alteration, or
G extension. Describe: Page 2 2
Address:
f 1 10 2/ . „A. 11 v�.� s < R i 70
City/State/ZIP: H - n 1 �1 ) , /IR q --24 /,---- Each additional inspection over allowable in any of the above
Phone: (-' ) 6 ..S d, L !ll��� ---��� F 5 t ) / Investigation s inspection 62.50
`�' i a /9o„, = ( s fG+J .' '^ � � � Investigation per hour (1 hr min) 62.50
CCB Lic.:), /_ /� -- s- Electrical �� , Suprv. Lic.: 27 S Industrial plant per hour 73.75
/ / ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 99 . I Subtotal: i y.. 1 '
Print name: ;-.t �( , d 1 ! Date: ).). /) / �
Plan revi (25% of permit fee): * L
l f ( Slate surcharge {�°f�of permit fee): 5 , / �
Authorized si , `� lr >✓` TOTAL PERMIT FEE: , �
This permit application expires if a permit is not obtained within 180
Print name: 2 l -- rico tai e.. Date: 6 -) t 7 (J F days after It has been accepted as complete
/ • Number of inspections allowed per permit.
1' ,13ritding1Pmmiu\ELC•PermitApp.dnc 05/23416 440- 4615T11 t/05:COtc'WEB
c5/zele-s p40. -
ELECTRIC ICAO PERMIT
CITY TIGARD
PERMIT #: ELC2008 -00071
COMMUNITY DEVELOPMENT DATE ISSUED: 2/11/2008
T1GaRD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111AD 03800
SrrE ADDRESS: 08950 SW PINEBROOK CT ZONING: R -4.5
SUBDIVISION: PINEBROOK TERRACE LOT : 035 JURISDICTION: TIG
PROJECT: HALL
Project Description: Add subpanel and kitchen remodel, (9) branch circuits.
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: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 9 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:
ROBERT & LINDA HALL PERFORMANCE ELECTRIC
8950 SW PINEBROOK CT 14674 SE SUNNYSIDE RD #170
TIGARD, OR 97224 CLACKAMAS, OR 97015
Phone: 503 - 788 -6947 Contact #: FAX 503 - 656 -0693
PRI 503 - 656 -0496
FEES
Description Date Amount Reg #: ELE 3 -582C
[ELPRMTI ELC Permit 2/11/2008 $140.15 1,1C 161535
[TAX] 12% State 2/11/2008 $16.82 SUP 44995
Total $156.97 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 .rth 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. • • 9 or 1 .800.332.2 - • .
Issued ' : / _ Permittee Signature:
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.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00071
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 2/11/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 LL
INSPECTION WORKSHEET FOR DATE: 3/1012008 TIME: 7:00AM PAGE: 72
SITE ADDRESS: 08950 SW PINEBROOK Cl CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE. LOT #: 035 TYPE OF USE:
PROJECT NAME: HALL
DESCRIPTION: Add subpanel and kitchen remodel, (9) branch circuits.
OWNER: HALL, ROBERT & LINDA PHONE #: 503-788-6947
CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503-656-0'196
\-0
Inspection Request Scheduled For: Date: 3/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electiical final 06628901 503-656,0496 N
Corrections/Comments/Instructions:
Fi■ s NI o (5(0 1\10004,_ LZeiiil 1%0'0
C
I I PARTIAL APPROVAL
PASS fl CANCEL H NO ACCESS
FAIL II CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED
Inspector: Date: -2 0' % Phone #: (503) 718- 141-14
CITY OF TIGARD
BUILDING DIVISION ` PERMIT #: ^l_C20013.00071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/11 /20013
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �_. F__:.
INSPECTION WORKSHEET FOR DATE: 302000 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 08950 SW PINEBROOK C:1 CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 035 TYPE OF USE:
PROJECT NAME: HALL.,
DESCRIPTION: service upgrade. installing (9) branch circuits.
OWNER: HALL, ROBERT & LINDA PHONE #: 503-18t1-694 1 `
CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: '03.656-(1486
Inspection Request Scheduled For: Date: 3/6/2008 Pour Time:
Code # Inspection Description infirm # ontact # Message
199 Electrical final 066120- . 503-30/-6659 Y
Corrections /Comments /Instructions: ` L \ ■ . a y 0 A(45'
tiAbLik V IEL Cj k : tO • 4 2 7 )3'6 Rt) • L‘,
G-r-c4 IQ MI. 3'4(ZPRwz*y\r
coo ®g �iakNA C,'� i�� �
C5501Va6((.6 CI KR \A 6 vb e �N`a�..
ka,E (Co64 €,T Iv\N - Ng- 4■)-
PASS fl PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL CALL FOR INSPECTION Il ADDITIONAL FEES ASSESSED
Inspector: Nte Date' 'v Phone #: (503) 718- 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I E.t: ?0113 00071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W1112.008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .F,�
INSPECTION WORKSHEET FOR DATE: 21 14/2008 TIME: 7 ;01AM PAGE: 28
SITE ADDRESS: (1395{1 sw piKIEBROOK Cl " CLASS OF WORK:
SUBDIVISION: PINE8ROOK TERRACE LOT #: (y35 TYPE OF USE: 1
PROJECT NAME: HALL
DESCRIPTION: service upgrade. installing 0) branch circuits.
OWNER: HALL, ROBERT & LINDA PHONE #: 503480-6947
CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503655 -0'195
Inspection Request Scheduled For: Date: 21 141 20 08 Pour Time: 1
Code # Inspection Description Confirm_ # Contact # Message
120 E.Iectiic a! rough -in 0M993-01 � 503.556- 0498 V 1
Corrections /Comm � a 0N
ents /Instructions: \ - 'Act 41 SS
5) \� `d
P
1
1
•
1
1
1
11, PASS I I PARTIAL APPROVAL ❑ CANCEL H NO ACCESS
pi FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &--; N W LE Date: 2' i - CA Phone #: (503) 718 - I%