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Permit CITYCITY TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00307 COMMUNITY DEVELOPMENT DATE ISSUED: 602008 T.t AItD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 = PARCEL: 25111 BD -01801 SITE ADDRESS: 14850 SW 100TH AVE ZONING: R - 3.5 SUBDIVISION: ALDERBROOK FARM LOT : 005 JURISDICTION: TIG PROJECT: ODELL Project Description: Installing (4) 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: 3 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 & CHARLOTTE ODELL OWNER 14850 SW 100TH TIGARD, OR 97224 Phone: 503 - 639 -3221 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 6/2/2008 $66.80 ["TAX] 12% State Surchar 6/2/2008 $8.02 Total $74.82 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. 7\ c Issued By: i - ittee Signature: Gz 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 FOR OFFICE USE ONLY City of Tigard DateBea Permit No.: `�G� lilt 1 A 13125 SW Hall Blvd., Tigard, r ard, OR 9 t - Zf '' ,w ���� • O Plan Review C Phone: 503.639.4171 Fax: 503.598. ► ' O i L Other Perm - ^e _ �� . .. r �. � Date/By: T I G A R D Inspection Line: 503.639 �� N 4 , Date Ready /By: Juris: El See Page 2 for Internet: www.tigard- or.gov , O � ee G � 1 �� G�l Notified/Method: Supplementallnformatiion TYPE OF WORK t \ \ C) 4 REVIEW ID New construction Addition/alteration/r- o •, ent P lease 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 1 -and 2- family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑ ulti- family 0 Master builder 0 Other: 0 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 ", "I - ", "I - ", Job no.: Job site address: / .St 0 'W I Six or or more res. Recreational �t.( ❑ Six or more residential units. ❑Rr vehicle parks. City/State /ZIP: , / 9 t ❑ Health -care facilities. ❑ Supply voltage for more than TI c »4' / 7 ,12. ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 tom. 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 Ea. add'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) 1'� / Limited energy, multi - family r p a yy Y residential (with above sq. ft.) 75.00 2 1 " Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 'PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: IR G *' -- a- £ ) / - b' Oc()c /1 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: / t 0 - � 5 u.) ltd Over 1,000 amps or volts 454.65 2 City /State /ZIP: ' Temporary services or feeders installation, alteration, and/or 9 all �� t� relocation Phone: ( � ) 63 V- 3 22 1 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 intended for sale, lease, rent, or exchan e, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 J� 6 ._ �_ Branch circuits - new, alteration, or extension, per panel Owner signature: � '(tS/`1 © Date: A. Fee for branch circuits with 5. APPLICANT g CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: I`OtPa'b:1-- O (/ without service or feeder fee, first branch circuit 46.85 ij 2 Address: j ycj' ; /ov Each add'I branch circuit 6.65 ly, qS _ 2 Miscellaneous (service or feeder not included) City/State /ZIP: -rt. ry ,/� }� Each manufactured or modular 4 d 1-ct; �} /l 7 r 90.90 2 Phone: s 13 G 3 I _ 3 ) _Eax 1 oC_ 23 y � c J 40 Reconnect t on y and/or feeder ( L 11__ :2 v2 1 (`') Reconnect only 66.85 2 E -mail: Ni-0‘9.(e.)4 (w de it G h +Y)' ' 1 t 6 A— Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: ^ J „ energy p a ne l, a) er or t o limited- N or v C J � energy panel, alteration, or Address: extension. Describe: Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: 606 Va Print name: Date: Plan review (25% of permit fee): `i State surcharge (12% of permit fee): a Authorized signature: TOTAL PERMIT FEE: 84-- This permit application expires if a permit is not obtained 'thin 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. :\Building\Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11 /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: 1-RESIDENTIAL WORK`ONLY ... ,.' Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: [COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ B oiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ F ire Alarm Installation ❑ HVAC ❑ Instrumentation n I • ntercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I: 1BuildinglPermitslELC- PermitApp.doc 03/23/06 CITY OFTIGARD , BUILI5ING DIVISION PERMIT #: ELC2008.00307 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 612/2008 Phone: (503) 639 -4171 . ��Ia. Inspection Requests (24 Hrs.): (503) 639 -4175 ' �__ INSPECTION WORKSHEET FOR DATE: 6/11/2008 TIME: 7:OOAM PAGE: 46 SITE ADDRESS: 11350 SW 100TH AVE CLASS OF WORK: SUBDIVISION: AI. FARM LOT #: 005 TYPE OF USE: PROJECT NAME: ODELL DESCRIPTION: Installing (11) branch circuits for kitchen rernodel. OWNER: ODELL, ROBERT & CHARLOTTE PHONE #: 603.633 - 3221 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: GO 1/200 Pour Time: Code # Inspection Description Confirm # Contact # Message . t �0 Electrical rough -in 071175 -01 603. 639-3221 N I et, °1 F;Nczkit_.- Corrections /Comments /Instructions: z &/e,we 7 4-01, Zo 9 v�k eo t. Ze-- • :0/ ? 14i-tr2%, -----. ✓I r o p v (dry a i °'.0 Y.LU £2 o er o% e .C, i - c7u X A (3-ies_e_ /-. i‘e- fr • PC— /> .P I 7 77-47. / IV e5 /_ l� i‘i 24 3 1Z169, G PASS ❑ PAR/ APPROV. ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ , • - r - 10 • ADDITIO L FE S ASSESSED / Alle Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BJILI ING DIVISION - PERMIT #: ELC2008- 00307 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2/2008 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/9/2000 TIME: 7:01AM PAGE: 22 SITE ADDRESS: 14850 SW 100TH AVE CLASS OF WORK: SUBDIVISION:, AL.I)ERBROOK FARM LOT #: 005 TYPE OF USE: PROJECT NAME: ODELL DESCRIPTION: Installing (4) branch circuits for kitchen remodel. OWNER: ODEL.L, ROBERT & CHARLOTTE PHONE #: 503. 639 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough - in 07109Fr 01 503 - 63 N Correct' . s /Comments /Instructions: rb Il1 / Alter ■ 0 ✓ k WP tto I iilek L E;ALiel z-q - f Al A Ig/ .A 24414 / 3 1 5 -er /Ode Ye!, _ . 1)0 1 (. )1,44,1 ear- 9 ( r ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS .FAIL CALL F R INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-