Permit TIG
CITY OF TIGARD ELECTRICAL PERMIT
" o T V
COMMUNITY DEVELOPMENT
PERMIT #: ELC2008 -00347
DATE ISSUED: 6/18/2008
.TIGARD
, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136DA -02100
SITE ADDRESS: 11530 SW 72ND AVE ZONING: MUE
SUBDIVISION: FRUITLAND ACRES LOT 015 .JURISDICTION: TIG
PROJECT: BEACH
Project Description:
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
DAYLE & EVELYN BEACH REDS ELECTRIC CO INC
11530 SW 72ND AVE 3605 SE 21ST AVENUE
TIGARD, OR 97223 PORTLAND, OR 97202
Phone: Contact #: PRI 503 - 233 - 6467
FAX 503 - 233 -1281
FEES
Description Date Amount Reg #: ELE 26 152C
[ELPRMT] ELC Permit 6/18/2008 $66.85 LIC 4443
[TAX] 12% State Surchar 6/18/2008 $8.02 SUP 5010S
Total $74.87 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: ii
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.
INSPECTOR'S SIGNATURES ARE NOT.
Inspections Required for: =i_cart)r— J 7 REQUIRED ON GREEN INSPECTION CARD. ,
✓ Code Inspection Description . PASS Date B I ✓ Code I Inspection Description I PASS Date l B
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
•
410 Fill 110 Temporary electrical service
41 5 Grading 115 Electrical service •
j 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
1 310 Crawl drain 145 A/C or heating unit circuit
1 225 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
• I 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
1 280 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
I 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
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer ,
405 Excavation 345 Culvert /catch basin
i • 410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
•
I 205 Footing 399 Plumbing final
210 Foundation walls
•
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
1 498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
•
J: \F3ui1dIng \forms \InspCard- A oP- Blank.doc 02 /02/07
CITY 1 OF TIGARD ELECTRICAL PERMIT
•
° PERMIT #: ELC2008 -00347
COMMUNITY DEVELOPMENT DATE ISSUED: 6/18/2008
` TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DA-02100
SITE ADDRESS: 11530 SW 72ND AVE ZONING: MUE
SUBDIVISION: FRUITLAND ACRES LOT : 015 JURISDICTION: TIG
PROJECT: BEACH
Project Description:
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: W /SERVICE OR FEEDER: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
DAYLE & EVELYN BEACH REDS ELECTRIC CO INC
11530 SW 72ND AVE 3605 SE 21ST AVENUE
TIGARD, OR 97223 PORTLAND, OR 97202
Phone: Contact #: PRI 503 - 233 -6467
FAX 503 - 233 -1281
FEES
Description Date Amount Reg #: ELE 26 -152C
[ELPRMT] ELC Permit 6/18/2008 $66.85 LIC 4443
[TAX] 12% State Surchar 6/18/2008 $8.02 SUP 5010S
Total $74.87 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 You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
% Permittee Signature: ermee gnaure: ii ,f/e/
Issued By: t
- � /i / �`. �' __.
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.
Jun_ 17_ 13 AN Eect r c
_ 2008pi 1 "• ,� n1 l l No. 5274 P. 2
P FOR OFFi .. ; f NLl
City of Tigard D
DE CEIVED Rccciate/B ved : ff� '�I
nit No.:
° 13125 $W Hall Blvd., Tigard, OR 9722 Plan Review
• -
Phone: 503.639,4171 Fax: 503..598.1960 Other Permit;
DatcBy:
50
Li
Inspection Line: 3.639,4175 JUN ^ I (C 8 Ready /By: la SCC Page 2 for
• I' l G A P l7 JUN Date Rced /B : turfs:
Internet www.tigard Nouticd/Mmhod
v Supplemental Information
�,e ih 1� f. ..;t.t;��'r A ti� r,'/ * O ' A 1 r .J ,�•'Ot�}t�cry 7r Ti - :: ,5 � � , i- �"�`� 4 1 r 1 r7 ".c 14
a,..... "'ti'ti.n"`4d`' �,`�e�5..1, Y �,.., � �., � <.. ,r f�a �..• Y .�. `
❑ New construction hi - ddilion/alt- 4 : MT..' i - 141 i s '0 Please check all (ha( apply (submit 1 sets of plans w(uem.• checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories,
❑ Demolition 1 Other where the available fault current
a L �,�t�,`tar ^' �G'Yt £�,.: Marinas and boatyards.
,� 1 i �y`.',; `,,',4 .�, .t... .4 # 7 (rr 0 :a -i,4 04, r „%fiJ �, AW, , exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
2 less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildin
❑ Multi - family ❑ Mastcr builder pum .
❑ Other: ❑Fir p ❑ htstallaiivn of 75 KVA or
s
derived a er
y p
larger '" F r .: �xf ; ' } t a �; E E a s , l separately di
t 1 JQ181Ed 4VAa s t D LT<(#1�1 . m n, y
t : '' k w r w: ty s, I , , Addit of new motor load of ❑ "A" "i " "I -2" I -3"
Job no.:�US I { Job site address: 1 1 '� f Si xHP or more Reere rncy. occup
1 JJJ���IVVf��lll ❑Six or mine residential units. ❑ Recreational vehicle parks.
City/State/21177T\ ci _ }A ❑ Health-care facilities. ❑ Supply voltage for snore than
� ❑ Hazardous locutions, 600 volts nominal,
Suite/bldg. /apt. no -: _ Project name: Qom' ` ❑ Service or feeder 600 amps or more.
Cross street/directions o job site: ^` ; X6R; " '" "? Et S+CHEDT�y' ` ` ', 5
t .rr - .e. , .e._... ?..
Deli ion 1 ' MY. 1 nK I Toni j •
New residential single- or multi - family dwelling unit,
Includes attached garage.
Subdivision: Lot no: 1.000 sq. ft. or less L 145.15 4
fax map/parcel no.: _ Ea. add'I 500 sq. ft. Or portion 33.40 I
Limited energy, residential
y
1 f �: °CyQ,Y uDGIt1PT1I01� OF �I?]K "�'�fri. nt r i,1 ":? (withahovsq.ft.) 75.00 2
i__ —
f • Limited energy, multi- family
l v —JA • residential ( ove sq
with ab. R.) 75.00 2
i Services or feeders installation, alteration and/or relocation
200 amps or less 80.30 2
k u �, r, • r 1724,442
i :;w' 13 5 1� L J Yh "4 .EM }6�a`' ` sr:,, �?'. i_E ., •,'':� . 201 amps to 400 amps 106.85 2
Name: 4 ,tie. / esecaezi 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
City /State/ZIP: Temporary services or feeders Installation, alteration, and /or
— relocation
Phone: ( ) I 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 10030 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 _. A. Fee for branch circuits with
l i�+ e ®, . c: ;' ..: SF bw&w+ 'f� °C�r aH4c M ub"r ^'�C r,. , . ' I above service or feeder fee,
,* 6.65 2
Business name: each branch circuit
D. Fee for branch circuits
Contact name: tvrthnur service or feeder fee; 46.85 2
first branch circuit
Address: Each add'1 branch circuit
_ 6.65 2
_Miscellaneous (service Or feeder not included)
City /State/Z1P: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) FM: ; ()
Reconnect only L 66.85 Iow 2
E-mail: —
Pump or irrigation circle 53.40 2
—
• lv 'r,12 ti01tT A '�ztT fit' , ;�!;' 3.r1 r ri ^ .. Si
n....=�, , �.��«, .. .. �^ra.. rro�'�' f'a.��." �'c��E,yi: b'" or outline lighting 53.40 2
Business name: RED'S ELECTRIC Signal cirtuir(s) or limited-
energy panel, alteration, or
Address: 3605 SE 21 AVENUE extension. Describe: Page 2 2
City /State/ZIP: PORTLAND, OR 97202 Each additional inspection over allowable in any of the above
—
Phone; (503) 233 -6467 • Fax: (503) 233 -1281 Ycr inspection 62.50
investigation per hour (1 fir min) 62.50 _
CCB Lic.: 4443 Electrical Lic.: 26-152C Suprv. Lic.: 5010 -S Industrial plant per hour 73.75
Suprv. Electrician signature, required:
r ' " ` int (glOSI, Yty sa ESf(
_ --- Subtotal: . 436
Print name: JIM FERRIS Date; Plan review (25% of permit fee):
N-z----44
State surchar per mit fee): g , O a
Authorized signature: TOTAL PERMIT FEE: "Li D - 3--
Print name: This permit application expires if a permit is not obtained within 180
Date: days after it has been accepted ns complete.
uildbigU 'ertr;ic�LLC- Permitgpp.doc 05121/06 • Number of inspections allowed per permit,
1: 1B
400.46 t 5T(t 1 /051C0M/wEB