Permit ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT #: ELC2008 -00648
° COMMUNITY DEVELOPMENT
DATE ISSUED: 11/24/2008
TIGARI1 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S133CC 80094
SITE ADDRESS: 14182 SW BARROWS RD 4 ZONING: R -
SUBDIVISION: SCHOLLS VILLAGE CONDOMINIUMS LOT : 09 JURISDICTION: TIG
PROJECT: SCHAFER
Project Description: Add (2) branch circuits.
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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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:
FRED & ERICA SCHAFER FISHBACK ELECTRIC LLC.
14182 SW BARROWS RD #4 PO BOX 810
TIGARD, OR 97223 NORTH PLAINS, OR 97133
Phone: Contact #: PRI 503 - 430 -8800
FAX 888 - 700 -0130
FEES
Description Date Amount Reg #: ELE 34 -563C
1ELPRMT] ELC Permit 11/24/200! $53.50 UC 147186
[TAX] 12% State 1 1/24/200! $6.42 SUP 4561 S
Total $59.92 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
suspende• • r more than 180 da s. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those r. es are set fort 0 AN 952- 001 -0010 thlough OAR 952 -001 -0100. You may obtain co.' - = these rules or direct questions to OUNC at
503.2 •.6699 or 1.806.332.2 e
Issue. By: 0 Permittee Sign- re: 7 ,- ISTO VK •
•
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:
ONTRACTOR 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.
C
r 11/24/2008 12:49 PH FROM: 503- 930- 8800Fishbac T_:: 503.598.1960 PAGE: 002 OF 002
RECEIVED
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard N b V 2 4 2008 Received
/1 ry P No.: n,,,�y.I,y `� '
Y Date/B : I/ /FOO r�i E�O�L�/s���/
7 . q 13125 SW Hall Blvd., Tigard, O � TIGARD Plan Review
Phone: 503.639.4171 Fax: 5 Date/By: Other Permit:
TIGARD Inspection Line: 503 . 639 . 41 13UILDING DIVISION Date Reach /By: El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK . . . - PLAN REVIEW ._
Please check all that apply (submit 2 sets of plans w,'items checked below):
❑ New construction E Addition/alteration/replacement
❑ 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 agicultui al
® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Installation of 75 T;VA or
❑ Emergency system larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of
Job no.: Job site address 14182 SW Barrows Rd. 100HP or more. occupancy.
❑ Six of more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: # 9 Project narne: Schafer ❑ Service or feeder600 amps or more.
FEE SCHEDUi.E
Cross street/directions to job site: Cross streets: Barrows Rd, near Walnut St. Description 1 Qty. 1 Fee. 1 iutan
— — New residential single or multi family dwelling unit.
includes attached garage.
Subdivision: Lot no.: 1.000 sq. ft or less — F 145.15 I 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.'
Limited energy, residential
75.00 2
DESCRIPTION OF WORK (witty above sq. ft.)
Limited energy, multi - family 75.00 2
addition of two branch circuits residential ("with :grove sq. ft.)
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: Fred and Erica Schafer 401 amps to 600 amps 160.60 2
601 amps to 1.000 amps 240.60 2
Address: 14182 SW Barrows Rd, Over 1.000 amps or volts 454.65 2
City /State/ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration. and/or
relocation
Phone: ( i Fax: ( ) 200 amps or less 66.85 1 1
Owner installation: This installation is being made on properly that l own which is not 201 amps to 400 angry 100.30 2
untended 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, alteration, or extension, per panel
Owner signature: _ -- Dale:
A. Fee for branch circuits with
. ❑ APPLICANT 1 . ® CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name Fishback Electric LLC B. Fee for branch circuits
without service or feeder fee,
Contact name: Alan Fishback 1 46.85 46.85
first branch circuit
Address:
PO BOX 810 Each ackl'I branch circuit 1 6.65 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZiP: North Plains, OR 97133 Each manufactured or modular
chvelling. service and /or feeder 90.90 3
P11000: ( 503) 805 -9983 cell 1 Fax:: (888 )70 -0130 _ Reconnect only 66.85 2
E -mail: AlanAFishbackElectric.com Pump or ii igauon circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name Fishback Electric LLC Signal circuit(s)
energy panel, alterer limited-
or
Address: PO BOX 810 extension. Describe Page 2 2
City/State/ZIP: North Plains, OR 97133 Each additional inspection over allowable 10 any of the above
Per inspection 62.50
Phone: ( 503) 430 -8800 office Fax: ( 888) 700 -0130
Investigation per hour (1 la mind G2.50
CCB Lic.. 147186 Electrical Lic.: 34 -563C Suprv. Lic.: 4561S industrial plant per hour 73.75
� p � ELECTRICAL. PERMIT FEES
Suprv. Electrician signature, required: ( vt �,Z Subtotal: 1 53.50
Date: A lan Fishback 11/24/2008 Plan review (25 °%o of permit fee):
Print name:
State surcharge (12% of permit fee): I 6.42
Authorized signature:,,, e_ TOTAL PERMIT FEE: I 59.92
L oren Fishback This permit application expires n a permit is not obtained within 180
Print nami: Date: 11/24/2008 : days after it has been accepted as complete.
' Number of inspections allowed per permit.
1A Bwldc.0?nrus\E:.c- P ?nrat9pp dot 05'25/06 440 4015T511 /00 /C01allWEY-
CITY OF TIGARD
BUItiDIgG DIVISION
44,, PERMIT #: ELC2008-00648
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/24/2008
Phone: (503) 639-4171 a, oiltilli -
Inspection Requests (24 Hrs.): (503) 639-4175 .-.AA , 7_.1_
INSPECTION WORKSHEET FOR DATE: 2/3/2009 TIME: 700AM PAGE: 19
:
SITE ADDRESS: 14182 SW BARROWS RD 4 CLASS OF WORK:
SUBDIVISION: SCHOLLS VILLAGE CONDOMINIUMS LOT #: 09 TYPE OF USE:
PROJECT NAME: SCHAFER
DESCRIPTION: Add (2) branch circuits.
OWNER: SCHAFER, FRED & ERICA PHONE #:
CONTRACTOR: Fl SHBACK ELECTRIC LLC. A PHONE #: 503-430-8800
Inspection Request Scheduled For: Date: 2/3/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.,,...
199 Electrical final 080218 503805-9983 Y
-.-.-
Corrections/Comments/Instructions:
G-A 0 - Y g
,•
, .
I til
fl PARTIAL APPROVAL El CANCEL Ei NO ACCESS
I I FAIL Ei CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector: G N bQ) 1... Date: I= 3 1 Phone #: (503) 718- 1)41-6 1
I
CITY OF TIGARD
-.
BUIE:DING DIVISION PERMIT #: ELC2008-00618
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/24/2008
Phone: (503) 639-4171 awitipplei 1 i
Inspection Requests (24 Hrs.): (503) 639-4175 ff . 2 .41. - ''.....
INSPECTION WORKSHEET FOR DATE: 1216/2008 TIME: 7:00AM PAGE: -16
SITE ADDRESS: 14182 SW BARROWS RD 4 CLASS OF WORK:
SUBDIVISION: SCHOLLS VILLAGE CONDOMINIUMS LOT #: 39 TYPE OF USE:
PROJECT NAME: SCHAFER
DESCRIPTION: Add (2) branch circuits.
OWNER: SCHAFER, FRED & ERICA PHONE #:
CONTRACTOR: F I SHBACK ELECTRIC LLC. Ak f , N. PHONE #: 503-430.8800
Inspection Request Scheduled For: Date: 12/5/2008 Pour Time:
Code # Inspection Description Coptirm-# Contact # Message
120 Electrical rough-in 078786-01 503-805-9983 y
Corrections/Comments/Instructions:
I 0 - ,7 S p, c,6-55
q - V �rV N rA c u c Na LA)
bElizlICLA"rist,8 fTti&<Ni., 0 6 6NevoC.:1 kca, 33t-t .10 _
al PASS pi PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
. ,
Ti F i IL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: G ---- ` I lA Date: 12:5 Cii Phone #: (503) 718- 3tiqb