Permit ■
r CITY O F TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 00218
J f,
COMMUNITY DEVELOPMENT DATE ISSUED: 4/17/2008
! r 1 G A k ID: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 114AC -00400
SITE ADDRESS: 16545 SW 93RD AVE ZONING: R -4.5 •
SUBDIVISION: CAFFALLS CORNER LOT : 004 JURISDICTION: TIG
PROJECT: LETBRIDGE
Project Description: Installing (1) branch circuit.
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: 1 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:
ADRIAN LETBRIDGE OREGON ELECTRIC GROUP
16545 SW 93RD AVE 1010 SE 11TH AVE ,
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Contact #: FAX 503 - 234 -1001
PRI 503 - 234 -9900
FEES •
Description Date Amount Reg #: ELE 26 - 95C
[ELPRMT] ELC Permit 4/17/2008 $46.85 LIC 203
[TAX] 12% State Surchar ' 4/17/2008 $5.62 SUP 44605
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 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�,/ '�� -j r �:_-- �=�, -- Permittee Signature: r £ GY � �y'.1
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:
CaII 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.
-
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: $ i , REQUIRED ON'GREEN INSPECTION CARD:
✓ Code J Inspection Description I PASS Date By I ✓ Code Inspection Description I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab
•
140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors X 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
. 295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 .Fire damper
_ 299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
_ 995 Misc. inspection:
998 Alarm final 320 Plumbing rough -in
322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
•
SIT -Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
•
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
_ 420 Sprinkler supply lines SWR - Sewer Permit
•
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07
Lr, CITY OF TIGARD ELECTRICAL PERMIT
PE RMIT #: ELC2008 -00218
COMMUNITY DEVELOPMENT DATE ISSUED: 4/17/2008
,TtGAREi 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S114AC-00400
SITE ADDRESS: 16545 SW 93RD AVE ZONING: R -4.5
SUBDIVISION: CAFFALLS CORNER LOT : 004 JURISDICTION: TIG
PROJECT: LETBRIDGE
Project Description: Installing (1) branch circuit.
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/ SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: 1 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:
ADRIAN LETBRIDGE OREGON ELECTRIC GROUP
16545 SW 93RD AVE 1010 SE 11TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Contact #: FAX 503 - 234 -1001
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: ELE 26 - 95C
[ELPRMTI ELC Permit 4/17/2008 $46.85 LIC 203
[TAX] 12% State Surchar 4/17/2008 $5.62 SUP 4460S
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 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: - — — ; 7.5a\/
41110.1
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.
APR-16-08 17:22 FROM-OREGON ELECTRIC-MAIN 5032349900 T-144 P.001/002 F-364
Ft
s' I: / 7 0 1 Orr Pcrinir N° G ? Oa e
- Phone: 503.639.4171 Fa
NI 13125 sw Hall Blvd., Tigard, OR 97223
.": V evi.v,
, • 0 ..„' x: 503.598.196BEcEl
_, ,,,_ , /13L_ Other Permit:
TIGARD Inspection Line: 501639.4175 Date Ready/By: Juris: 21 See Page 2 for
Internee www.tigard R 1 0 Ita.2_ Notified/Methed: _ Supplemental Information
'''..,...,'• ...: .,...0F1 :,'W,J010kil*,:!*:7.:i!:Z i !I !/ ..
0 New construction 0 Addition/al Leration/reintrit ..)F i - Please check all that apply (submit 2 sets of plans tv/herns checked below,:
O Service or feeder 400 amps or more El Building over three stories.
1=1 Demolition D Other:
- . where the available fault current PM and d boatyards.
' • l• '-•.' '1 :4;. 1 . - ''''''' ' " " '/' 'FT 4 7;,'' ,' • 0;.r': ION eitceeds I0000 amps :a El 150 volts or Floating buildings.
i '' : :';'.: , ,r. c ..t'iV 'F/ :... , l , i 1 N . 41*,:,. . .. . .... .R. .19.; .... ... . "41 i i '.., r:' ,::': .. -1 ' :
1 iLrw,
I- and 2-family dwelling
er
Commercial/industrial El Accessory building less to ground, or exceeds 14.000 El Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family ill Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA Or
'..: "... , ''. ...„ . t., . .0 i' ! BEAmeddrncoYrs.Y:mm larger separately derived system. Otor load of
Job no.: 21758 1 Job site address: 1654S SW 93 AVE 100HP or more. occupancy.
El Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 97224 ID Health•care facilities. 0 Supply voltage for more than
O Hazardous locations. 600 volts nominal,
Suite/bIdgJapt. no.: Project name: ADRIAN LETBR1DG J1 Service or feeder 600 amps or more.
r ," . ..!Z7R::: 13 t 1 ':■"' , f ,4 1IVEg r : - 5 CEIERIZEfiRV'4, '1 'j,.',.• '''t";
Cross street/directions to job site:
Dineription 1 Qty. 1 Fee J Tsui 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'1500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
-
Limited energy. residential
-,-
l :5 ,;2 .L.Ogg r OAOL g titi1 4 : 5 '0, 1cICJ'er (with above sQ ft.) - 75.00 2
Limit
INSTALL RECESSED LIGHTING IN KITCHEN ed energy. multi
residential (with above sq. ft.) 75.00 2
_
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
jpoip 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
- 601 amps to 1,000 amps 240.60 2
Address:
Over 1,000 amps or volts 454.65 2 1
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
-
relocation
-
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
_
Owner installation: This installation is being made on property that I owm 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 I or extension, per panei panel
Owner signature: o 6.65 2
Date:
- branch circuits with
.. .
,
it' '14.r.!'2.1;:';':,`.?..1111:;:cOW,44V,117frO A. Fee for bra
li above service r feeder fee,
each branch circuit
-
Business name:
B. Fee for branch circuits
without service or feeder fee, 115.gS
I
1
Contact name;
first branch circuit 46.85 2
Address: Each add'1 branch circuit 6.65 2
- Miscellaneous (service or feeder not included) ____
City/State/ZIP: Each manufactured or modular
90.90 2
-
dwelling, service and/or feeder
Phone: ( ) [ Faxl : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
, , . •.•-• ; .:.: ?•!'!.:;"::.,.:.:!•.:::;:::,..'. .;.;.1 ,i,, :!:-,.., :.',1 : 7 --- :] .,...!. -.*:,.:.: Sign or outline lighting 53.40 2
.-_...
-...... . -
Signal circuit(s) or limited-
Business name: .
• - • energy panel, alteration. or
- .. t : - - - - - .. : :
Add .:, extension. Describe: Page 2 2
- ress: 101-0 SE 11th A.I.L.
City/State/zit?! - Each additional inspection over allowable in any th
ny of the above
gartiancLoR_972.14____..____ per inspection 62.50
Phone: (503) 234-9900 Fax: (503) 234-1001 Investigation per hour ti hr min) 62.50
CCB Lic.: 203 I Electrical Lic.: 26-95C Suprv. Lic.: 4549S Industrial plant per hour 73.75
fc;,1a3th.‘z‘, ! ••. :!
a
Suprv. Electrician signature. required; T'`Scik..Z93)$■;;2) Subtotal: Lilo
Plan review (25% of permit fee):
Print name: RICK MCELLIOTT Date: 0441 I :
mt.. State surcharge (12% of permit fee):
Authori2ed signature: ‘NrTzA.7 101141V'.`l TOTA1, PERMIT FEE: 5g ,
Print name: RICK MCELLIOTT Date: 04/16/08
_ -
, -
This pei
rmt. applintion expires if a permit is not obtained within 180
d3ys after It has been accepted as complete.
- -
* Number of irwpections allowed per permit.
lAnuthau.onmait1,\eic-PenuaApp.c1PC 05/2]/06 440 I 5171 I/US/COMM/Ea