Permit ` CITY OF TIGARD ELECTRICAL PERMIT
il
q !' ,. ° PERMIT #: ELC2007 -00094
COMMUNITY DEVELOPMENT DATE ISSUED: 2/12/2007
, T 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S111AA - 03300
SITE ADDRESS: 08635 SW GREENSWARD LN ZONING: R -4.5
SUBDIVISION: GREENSWARD PARK LOT : 005 JURISDICTION: TIG
PROJECT: SELLERS
Project Description: (5) 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: 4 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:
STAN SELLERS ALL AMERICAN ELECTRICAL CONTRACTORS
8635 SW GREENWARD LN PO BOX 1426
TIGARD, OR 97224 GRESHAM, OR 97030
Phone: 503 - 849 - 9020 Contact #: PRI 503 849 - 4200
FAX 503 - 491 -4473
FEES
Description Date Amount Reg #: ELE 26 -1 144C
[ELPRMT] ELC Permit 2/12/2007 $73.45 LIC 152990
[TAX] 8% State Surcharge 2 /12/2007 $5.88 SUP 4731 S
Total $79.33 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: d — � Permittee Signature: - (�
ee
-
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
!TYPE '0 M 1
❑ New construction Addition/ t9 t , , '
Q Demolition • Othe i1
CATEGORY OF CONSTRUCTION
- 7 . 1- and 2 - family dwelling • Commercial/industrial • Accessory building
Multi - family [a Master builder ■ Other:
JOB SITE INFORMATION AND LOCATION
Job no.:
Job site address: 8635 5.6), o¢sats)AR1► I (Mae_
City /State /ZIP: 116 extr4 (7 VL cf 7 Z '—
suite/bldg./apt. no,:
' Project natne:
!Foss street/directions to job site
Subdivision:
Lot no.:
Tax map /parcel no_:
DESCRIPTION OF WORK
ELac - k:TClvesA P0-14101/1
1$ -00
la PROPERTY OWNER I III 'TENANT
Name; l •tom, P_,c
Address:
City/State/ZIP:
Phone: LA ) nr t9(/( IJ
lrax: ( )
owner installatloa: This Inatalletitm is being made on property that 1 own which is not
intcndod for sate, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Owner signature: Date;
. 0 APPLICANT — 1 . '❑ CONTACT PERSON •
l9uelness mune:
Contact name:
Address:
City /State/ZIP:
Phone: ( )
Fes:: ( )
E- mail:
CONTRACTOR
Business name: Al 1- r1 {44 gi i (6o1( eiffertioc (j & TrA t0L1
Address: P.O. O0 < P-040
/� (A.--. NA- '7 7 0 3 0
City/State /ZIP: d btVa.( w
/
PhOO e:(So3) Fax :(so '141- gY7
CCB Lic.: t rj29q o
Electrical Lie.; Z (p -11 yt! C.
suprv. Lic.: 7 731 L
Suprv. Electrician signature, required: C?
Print name: b j , ' ,,,, ,� L ,,,,, vM1 `
te: 2 -/Z-07
Authorized signature:
• Print name: �
Dace: - 2_. / 67
PLAN: REVIEW • .
Pleats cheek all that apply (submit 2 sets of plane w/Items checked below):
O $ervice or feeder 400 amps or more ❑ Building over three stones
wharf the available fault current ❑ Marinas anti boatyards.
exceeds 10,000 wrist at 150 volts or ❑ Floating buildings.
lelt to gotmd, or exceeds 14,000 ❑ COmrrtoroial -use agrioulturnl
umert fOr all other inatallatians. buildings.
❑ Fire pump. ❑ installation of 75 KVA or
❑ bmergency System. larger separately derived system.
12 Addition of new motor ices of ❑ "A" "E", "1.2', "1.3"
1001.1' or mote. Occupancy,
❑Six or more reaidandal units. ❑ Recreational vohicle parka,
❑Health -ogre facilities. 0 Supply voltage Ox more than
❑ Hazardous locations. 60D volts nominal.
❑ Service or feeder 600 amps or 'note.
FEE SCHEDULE
ptOatiptlen 1 Qtr. 1 e ?.tr 1 Tarot 1•
New residential single or multi - family dwelling unit.
Includes attached pparage,
1,000 sq. ft. or less
145,15
4
Ea, KIWI sq_ ft_ or portion
33,40
1
Limited energy, residential
(withabovesq (1)
1$ -00
2
Limited energy, multi- tlmlly
residential (with above sq. IL)
75.00
2
Services or feeder; inatallationaltcration, and/or relocation
200 amps or less
80.30
2
201 amps to 400 snips
106.85
2
401 am s to 600 amps
160.60
2
601 amps to 1,000 tripe
240.60
2
Over 1,000 amps or volts
454.65
2
Temporary services or feeders installation, alteration, and /or
relocation
200 e . e or legs
66.85
1
201 amps 10 400 amps
100.30
2
401 .. s to 599 amps
133.75
2
Branch circuit; -- ntew or extension, per panel
A. Fee for branch aircuite with
above service or feeder fco,
each branch circuit
6.65
2
B, gee for branch circuits
werhour service or feeder fat, 1
drat branch circuit
46.85
I $S
2
each edd'l branch circuit
6 .65
Z 6,30)
2
MiseellaneonSservice or feeder not ineluded),_
F.ach manufactured or modular
4w service and/or feeder
90.90
2
Reconnect only
66.55
2
Pump or irngu ion circle
43.40
2
Sign or outline lighting
53,40
2
Signal circuits) or limited-
energy panel, alteration, or
extension. Describe:
Page 2
2
Each additional inspection over aUowable In any of the above
Per inspection
62,50
Investigation per hour (1 hr min)
62.50
Industrial •lent per hour
73,75
ELECTRICAL PERMIT''PEES
Subtotal:
1
Flan review (25% of permit fee):
State surcharge (81/4 Of permit fro):
S. 138.
TOTAL PER.MtT FEE:
14.'33
02/12/2007 08 :39 FAX 5035981960
(r YStcsi I!wYJir.1
Electrical Per licatii
City of Tigard �e b
13125 SW $1s01 Blvd„ TWA , 17 97223
Phone: 503.639,4171 Fax: 503.398.. 1960 ,
Inspection Line: 503.639,4175 t�- t ,
Intbr0e1: WWw,61$irdi1
1:18ulldlnalF nOLC- Penni.Aop.ax aSOj.r36
Z00I i
CITY OF TIGARD
8i
2001
ate Ready/By:
Notated/Method,
44646)5T(1. 1105 /COM/WEB
1VDI2LLDTI3 NVDI2I31IV - TIV
Patrnit 1.10, ��/ i /4 7 -oaf)
Other Pcrmlt:
pow
E oo1
El See Page 2 for
Ss. pploteelal Info rtnatl on
Tbls permit a pplication expires if a pormlt la net nbttawa within 180
days since It has been accepted as complete.
• Number of inspections allowed per permit.
CLbfi T6TT COS XVd 65:80 L00Z /ZT /Z0
CITY OF TIGARD
•
. .
BUILDING DIVISION PERMIT #: ELC2007-00094
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:. 2112/2007
Phone: (503) 639-4171 44 ,,, ifil,o, 4
Inspection Requests (24 Hrs.): (503) 639-4175 J1 , I.I!..
INSPECTION WORKSHEET FOR DATE: 21 1 3 I 2007 TIME: 7: 02AM PAGE: 12
SITE ADDRESS: 08635 SW GREENSWARD LN CLASS OF WORK:
SUBDIVISION: GREENSWARD PARK LOT #: 005 TYPE OF USE: ,
PROJECT NAME: SELLERS 'l-t--..
DESCRIPTION: (5) branch circuits for kitchen remodel.
,
OWNER: SELLERS, STAN PHONE #: 503-849-9020 %: • '
CONTRACTOR: ALL AMERICAN ELECTRICAL CONTRACTORS 61-1-- PHONE #: 503449-4200
Inspection Request Scheduled For: Date: 2/13/2007 Pour Time:
Code # Inspect Description Confirm # Contact # Message
120 Electrical rough-in 043347-01 503-849-3594 , y ° p ■ r ir
Corrections/Comments/Instructions:
(13, ) htp,/ ,/ m 5 4/4 t Ai 7
d,92
'PASS 0 PARTIAL APPROVAL El CANCEL Fl NO ACCESS
fl FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
A •
Inspector: 94Y
Date: , .... Phone #: (503) 718-2 1/YV