Permit CITY OF TIGARD ELECTRICAL PERMIT
'- PERMIT #: ELC2007 -00853
c ` COMMUNITY DEVELOPMENT DATE ISSUED: 12/18/2007
TLGARD'i 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S110BC -01400
SITE ADDRESS: 12040 SW BULL MOUNTAIN RD ZONING: R -4.5
SUBDIVISION: BULL MOUNTAIN VIEW ESTATES LOT : JURISDICTION: TIG
PROJECT: BULL MOUNTAIN VIEW ESTATES SUB
Project Description: Service and feeder. Move service.
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: 2 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: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC:
Owner: Contractor:
WEST HILLS DEVELOPMENT GARNER ELECTRIC
735 SW 158TH AVE 2920 SW BROOKWOOD AVE #A
TIGARD, OR 97224 HILLSBORO, OR 97123
Phone: Contact #: PRI 503 - 648 - 4552
FAX 503 - 642 -7925
FEES
Description Date Amount Reg #: ELE 34 -305C
IEL.PRMTI ELC Permit 12/18/200' $160.60 LAC 121159
[TAX] 8% State Surcharge 12/18/200' $12.85 SUP 37075
Total $173.45 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:
y� 1. 1 � - � -- g
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.
illikkh
FROM :GARNER EIC
LECTR FAX NO. :5E06427925
Dec. 18 20217 139:21AM P1
Electrical Permit A " kv ED A ..„,....„ USE ()Nil'
City of Tigard Datemy:/0-.1/1-5/0_,/_,,4&„. Pennii36..c.„?. Op'? _...431 og
13125 SW Hall Blvd,. Tigard, OR 97223 nal Review Other Prot*:
Phone: 503.639.4171 Mut: 503,59 . ,. 8.1960 DEC 1 Z.') 20 , i4vsiili ' .1.--.,__..____. ___
inspection Line: 503,63.4175 ,,s,_ ..,11 Dam Ready/By; lure:: - lil sec - Page liar
interact: www,ei.tigarcl.or.us y ctV• tU - i, ,,..,,,,,,„.., . Supplemental informalion ..
. a . .
• i t Ol. 1 ' , 1 ,, V .;..4.Ni;',.:. .7:l/i/l::::::::0;ig•TTICr7:177:70:'ArS:, : f, 2i ;,.• / ,.6
..,...„.1k 7,,..,t,,, •, ! ,..•,,..,.,...,,,,.,,,,..,....„,,, „,,,,,...,,,,,,„,..„.„,„ ,.. , ••4 , , ,, , , ,,;:v.,:rry, , , , . ./ te: •'...
ll'i•'•?b°1.til':;';'1!4 ''''''-^,:•''''''4'''''''''';'tsii!.::'.'"?' • • • •''J' t‘ ' 4. ' igut k , ...L.L__.• ,•-•••:•,,,,,,,,,o,,,,,:,„,t,,,.,,,:, • 2,,•A,,.,9,- •• • I ) • .„,,• q i - ., • ..-__.
Please cheek all that apply:
D New construction • ddition/alteration/replacement
Eservicc over 225 amps, comm't El Hazardous location
ED Demolition 0 Other: Etiervicc over 320 amps - rating 0 Bulldog over 10.000 sq. ft.,
7 'fiREAM':'l')li:F77ikkiTkaii;•710fr',0414$°---7-r7.t 777.7.,,l .2; a of 1- and 2-family dwellings 4 or more new residential
l' ''•:••:,::;:l:••:ij:. •''' '''!•iL;L12:ja,::,,(A• L,.,i,,LL 4.,,,,,%;,..:V.,:..C:""■0:),., ..,,,!.....LIL:
Ei System over 000 volts nominal units in one structure
n 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
OBuilding over three stories PFacilers, 400 amps Or more
0 Multi-ramily 0 Master builder 0 Other: ..,, 1:10ccupani load over 99 persons 1:1Manufactured strucaires ur
7.77,7iY.!...;, .vit ; , ;.',:',Ni''.',: DEgrcnoighting plan RV pari<
- , . ,...m.,!:LLL2:::-...t.-,..z/i;,:-..1..1....'it.,,,,,'- , - , , , .,61 , - , .; ,..,,, ......101.ei , ., .:' , 1 ,, , , , -, :;
['Health-care facility 0 Other: _ . ,.,
Job no: I Job site address; )2_04 (,) StAi ewi, .. Sabrnit 2 sets of plans with uny of the above.
.... -
City/Stare/ZIP:
1(&11•14_ The above are nut applicable to temporary cornitruction service.
.... ., .. . .., ....
14 :-. :: ,:fo:
Suite/bldg./apt no Project name: - .• .
nactirlia., on,. en 'Fetal
- --- - ' ' " . ••• . ...- . .
Cross street/directions to job site: New residential single- or multi dwelling u ult.
.. • - Includes attached garage.
._. ..
. ,. 1,000 Sq. ft. Of less 145.15 . 1111
.... ...... .. , _ ,_, ... . , ..... _...
Subdivision 1 Lot no.: Ha. add'I 500 8 q . 0. or portion 33.40
1
• -
• --- ..._ -- . -:- - Limited energy, residential _ 75.00 2
Tax map/parcel no „ .:
Limited cnergy, non-rcsidential 75.00 2
p irlio ,Vii ;(i.—..A ::., Vr • ...'.;,,,.7 7 .....: ,,, ,A.(i10.: E i f• . 7 . d j ..
:-...::• wii::::•,i ::,:,-,,,,,, .npyr.::... i,:i •.
!E,.., (;•,.iiL:. .' ,•,?,•Mt)••'.• •• • ac :1 menu actin c at n10 li 111
Seanel
. • ,_ ecter .. , . . _ .. dwelling, service and/oz lec.der 90.90
_
... .,
Services or feeders installation. alteration, relocation 2
...__ ..,.__ -... ...
flA 0 (r €./V1 a— 200 amps or less 2- 80.30 ,;;" 'nil
.• , . • --,9,7:i,. ...r4` - ,,, 77••■ , . ,,,,,,;: ; ...,.;,,.,!•.; .• •.•, • 9 ,— =7, — ..... 77 .,,, .,L,:lph ,,•••,• • : • " " 201 amps 10 400 amps 106115
:;: ,..,,. go■ignit-y , w, , q ..., ..... .
.7 .,.,..:....:tiiik.,.. .' 401 amps to 600 amps 160.60
.,..
Nmmc: ___Igekfilfs.i 4 601 amp to 1 000 am
m/7E- .......
... .
240.60
2
-- . -
Address: 735 % ,Ai t & . at 7 .•-)--i/ . Over 1 000 amps nr volts
' - ,... 454.65 2
City/Stale/ZIP
- Reconnect onty 66.85 2
: ... .. . • ..._
Temporary services or feeders instalh don, alteration, andior
. . - -
relocation
Phonc: ( ) Fax: ( ) ••
,_. ..,.. -..... .. _......-- ... ..__ 200 amps or less 66.85 1
Owner Installation: This installation is being rriade on property that I own which is not 201 amp to 400 ,. 100.30 2
„ . ..
s tulips
. 6 - 0 - 0 amPs
- 401 amps to
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 133.75 7
_
-
Owner signature: Date: Branch circuits - new, alteration, or extension, per rowel
.. --- .... --- -- .. ., ....
' •„,7.777, Z:i, 'i:•...:•;•,7•;,■;Wil•9:::'.:- Ml!:;i:,:;;ttikriNi-717:71it!;',Wiii§tgipPii`:i.Vl;.:.':':;.!; A.1••ee for branch cimui Is whii
Ei!iV'l-' '1!. •••,,,--- ix.-,,,i• ,1.:-;;,.•:';‘i;-,,H;:,;;4H..,::,,!,,.! ;h1•4..:4.;,,,.:.H,yq., .....,!,.. ,.,4.0.. 1 0:...,•,...,: ; ..:•,
service Or feeder fee, cacti
6.65 . 2
Business name: branch circuit . - .
- ....., ..
B. Fee for branch chruits
Contact name: without service or feeder fer.,
Address:
, • first branch circuit 46.05 2
. _ ..._ ,.. .. . _ _ Each add'I branch circuit 6.65 2
..._. , - .... -
phone: ( ) Fax: ( )
City/Slate/LIP : Miscellaneous (service or feeder not it clucied)
• Pump or hrigation circle 53,40 2
:
..._ . ..._ . . _. - ..._ . ..... Sign or outline lighting 5 3A0 2
E-mail: Signal eircuit(sTor limited- _. . "
7 r.. energy panel, alteration, or
extension. Describe: Page 2 2
Business name: G l . c ., :r i z )c
• -_,..
Address: 29 - 2_0 se is 04 Ave 14 A Each additional inspection over allovvahlt in any af the above
,...
,...___ ..,.. ,._._ --• _ .. , -- - Pr.T inspection 62.50
,. -- .. .. . .
City/Stat+ I / s 6 ,:-, CO 0 (....), 9 --/ 1 2-',- Investigation per hour (i lir min) 62.50
.- -• - _ i ww.. _ .
Phonc: (S f -1.4 , -_ •._
_s2 Fax
_.. : ( 1 3 ( 2„...._-2 9 xs
75 Indushial plant per boor 7335
'
VI ---- • . ., ..., ..
CCB Lic.: I '2._( i C, Blectrica) Lie.• T CI prv. Lie,: 3- 0 7
-"- , ..,.. .,-- — - .,.....
- -
Supry Elcctreian ignatur required __
P . i se, : ./: (25% of permit fcc)
.>%. Plan review ,.ot .._
iiril•lw . State surcharge (8% ul'itcrmit lee)
. _.. ._.K5
rint name: Cielidici„( Ga.,, . . . ate: 1 •-", - 4 a _ A 7 - TOTAL PERMIT FEE 1
...._i_.,,__- ,..y. u ---)3 Lis
.
Authorized signature: I ""
This permit application expires If a pseuitt is not nbtained within 180
days slier it has been accepted as eamplete
Print name: Date: • 1:;e tacihodolory set by lei-Comfy Building lariestry Service hoard
Number 01' inspections per permit abwed.
izuminoreimitsTLC-Ikraiii Am dee 12!03 :we 4615Tooto2/C0M/WEB
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELJr20O7- 001353
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12,18/2007
Phone: (503) 639 -4171 hare'',.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12121/2007 TIME: 7 :03AM PAGE: 67
SITE ADDRESS: 121,10 SW I3UL.l. MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: BULL MOUNTAIN VIEW ESTATES LOT #: TYPE OF USE:
PROJECT NAME: BULL MOUNTAIN VIEW ESTATES SUB
DESCRIPTION: Service and feeder. Move; service.
OWNER: wr.:sT HILLS DEVELOPMENT, PHONE #: ,
CONTRACTOR: GARNER ELECTRIC PHONE #: +603 -C48 -4552
ia/ .2
Inspection Request Scheduled For: Date: . 2r2' ()7- Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 06201& -01 603.648-4662 N
Corrections /Comments/ Instructions:
► ` 105 11 tAA oN as U ?iy ‘Akizt4a.1)4 005 ANZ PAT
`rN ct rl+ AN 04" 1.4;1 csst -
`f %S IS A wk 5A ISSva AI b
6....[ 01N �� t a
Cr- r�ag
3, .
kittiiirRO P Cwt a 6124-m, %tlq • or 612'ss 19
s1 4kri, - oNt ‘�� ki ' a
yzi tl3\31 P � ioo() sA� 1 A M Sol - y'q- 501 I
1•I I M'\ ILAN - 5 "'IL o ea) • a N C4 W30* Creavtk
C.I‘LteXpi tr; (is WO 1 dA ti• It fr N
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G""• �tVP Date: 12-' 1t' '01 Phone #: (503) 718- 2414b