Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT ' COMMUNITY DEVELOPMENT PERMIT #: ELC2007 - 00158 DATE ISSUED: 3/14/2007 ;T� IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 g PARCEL: 25101 DA -00800 SITE ADDRESS: 07105 SW VARNS ST 150 ZONING: C -P SUBDIVISION: VARNS ACRES LOT : 011 JURISDICTION: TIG PROJECT: SPEC SPACE Project Description: TI - (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: 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: 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: SYMONDS EVANS & COMPANY PC DICKINSONS ELECTRIC 7105 SW VARNS RD SUITE 200 8449 SW BARBUR BLVD TIGARD, OR 97223 PORTLAND, OR 97217 Phone: 503 - 597 -7350 Contact #: PRI 503 - 246 - 3550 FAX 503 - 213 -6049 FEES Description Date Amount Reg #: ELE 26 -140C [ELPRMT] ELC Permit 3/14/2007 $53.50 LIC 65534 [TAX] 8% State Surcharge 3/14/2007 $4.28 SUP 3100S Total $57.78 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 t - 80 days. TENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OA' •52- 001 -0010 throu. • • 101 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.66 9 or 1.800.332.2344. 0 , 1 / i , Iss - By: , �" 4 Permittee Signature: 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 •'' ION 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. I Electrical Permit Application rN " .., i a � 1 ti'1 v Lt i~rry ,ttok 4;,, r'd ,.,R.e. / ti ' se ' !' i r r t ;e Gi l a r '' �t k." : ;K' 4, V I re MA , FOR OFFICE - 0-m NLY•} ' � •a ��> �^'. }fir . r• a"!`rH� hies YA. x "�c;.7Lrv<�'2,�.• �,`S, #tdkr'`, ,'13,";`�I, City Tigard Ti and Received a Fr' i' � Date/By: � /� 4 7 P ermit No.: 44. e �7 — DO /,� V 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ;r i : : Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 r�ris: ' T I • C,"/,‘ n ` R D ', p Date Ready/By: El See Page 2 for ;:ix,*zx :r Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction , Q' Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ 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. Tess to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ,[]'Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "1 -3 ", Job no.: Job site address: `�i�J / �� `l `� 100HP or more. occupancy. / / J ,5 i 6f rote" ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: /5 Project name: , r} �e O t 10 ct -Ct ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 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'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 ti . . / ,-- Limited energy, multi - family 75.00 2 ` � ' // t - . / ,4 , _ . residential (with above sq. ft.) 1 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: 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: ( ) 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 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, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee; 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, Contact name: 46.85 2 first branch circuit Address: Each add'l 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: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: / ,( Signal circuit(s) or limited - i C, f LZ,,�7, .L:C energy panel, alteration, or Address: eft? � / 5 i 4--(eArt l' ! ' .F ./ .��,. d/ ( extension. Describe: Page 2 2 City/State /ZIP: 0 5 9 7 ' - 7 Each additional inspection over allowable in any of the above v C �� / / Per inspection 62.50 Phone: ( (.. jl ,' /� 7 7 � C' Fax: ($ / �6 0 7 / Investigation per hour (1 hr min) 62.50 CCB Lic.: �f� 3v Electrical Lic.: :/ - �,yy{y� � �7� Suprv. Lic.: 3 / C A S Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: v v" . �� �� Subtotal: 53 , 5 0 Print name: Date: Plan review (25% of permit fee): State surcharge (8% of permit fee): at Authorized signature: TOTAL PERMIT FEE: 57 . 76 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I. \Building\Permits\ELC- PermitApp.doc 05 /23/06 440- 4615T(I1 /05 /COM/'EB 1A CITY OF TIGARD BUILDING DIVISION i PERMIT #: ELC2007- 00158 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14i/2007 Phone: (503) 639 -4171 )i Inspection Requests (24 Hrs.): (503) 639-4175 1- I J;. INSPECTION WORKSHEET FOR DATE: 8/14 /2007 TIME: . 7:00AM PAGE: 2 SITE ADDRESS: 07106 SW VARNS ST 150 CLASS OF WORK: SUBDIVISION: YARNS ACRES LOT #: 011 TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: TI - (2) branch circuits. OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503 - 587 -7360 CONTRACTOR: DICKINSONS ELECTRIC PHONE #: 503 - 246 -3550 Inspection Request Scheduled For: Date: 8/14/2007 Pour Time: Code # Inspection Description Confirm • Contact # Message 130 Ceiling cover 053967 -02 503- 740 -7340 N Corrections/Comments/Instructions: 1v61S : WAIL e S i CY•► O 60P3 s ■ 5 4.. ot_cy4TM' . g d� 4. 1 d lr VD Le v'e r s-VcAr --r-tkokK I/La del 43 I ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V' r 1 Date: o i q 1 Phone #: (503) 718- 2--- • CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELC2007- 00 1 513 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . °:.�.. INSPECTION WORKSHEET FOR DATE: 7/26/2007 TIME: 7:03AM PAGE: 57 SITE ADDRESS: 07105 SW VARNS ST 150 CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: TI - (2) branch circuits. OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503 - 597 -7350 CONTRACTOR: DICKINSONS ELECTRIC PHONE #: 503 - 246 -3550 Inspection Request Scheduled For: Date: 7/26/2007 Pour Time: Code # Inspection Description — ent+rm -# Contact # Message 130 Ceiling cover 052746 -01 503-515-2922 Y Corrections /Comments/ Instructions: 04%1 C• PlkowE. (LAirti.) Patz-vsAi baN (11Q0,c),.)) wittigft �� • keM4Vg ALL U .:11 _. _ - _ i r o\1 t , ' S 0,c1 , - E x • _ u d tivaL. S' i I t:�.. .1161,4.1;b1,," 'P `� 3� • S u Q og N QtaLt V1.SL C�I•oOsl� s 1 . 1 '1.' MP `tom . S z Pctovi Qc vtA Fa 12.1Ai - t V■ AN#A-- N VroVa b1 • Cl CV1' S 1\0 i N8`1 ts le CET a N u - n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr-, N66 Lb-r Date: 1 6 Phone #: (503) 718- 1446 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -0015B 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 07105 SW VARNS ST 150 CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: TI • (2) branch circuits. OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503 - 5977350 CONTRACTOR: DICKINSONS ELECTRIC PHONE #: 503- 246 -3550 Inspection Request Scheduled For: Date: 7/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 052609 -01 503 - 740.7340 N Corrections /Comments/ Instructions: o ka! i ) N c i LL.1 N 5 iz ®Is) KO OA) VR©v 41_ t cA.E CAL- i n The electrical Installation de#eet8 hbtiid on this report shall be oorre®tal and an inspection request made Within 20 calendar days per UAA 918 -271 =0030 n PASS n PARTIAL APPROVAL CANCEL 1 1 NO ACCESS FAIL \CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G Date: 111-q171 Phone #: (503) 718- ill, CITY OF TIGARD 0. BUILDING DIVISION s PERMIT #: ELC2007 -00158 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639- 4175±i INSPECTION WORKSHEET FOR DATE: 31')6/2007 TIME: 7:01AiVi PAGE: 8 SITE ADDRESS: 07105 SW YARNS ST 150 CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: Ti - (2) branch circuits. OWNER: SYIVIONDS EVANS & COMPANY PC, PHONE #: 503 - 597 - 7350 CONTRACTOR: DICKINSON`? ELECTRIC PHONE #: 503.246 - 3550 Inspection Request Scheduled For: Date: 3/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message —t20 �9 , ¢- ,_..;;�:�,:- t ?sir; 044971 -02 - 503 N 2 v. Ate. CA \WL. ° N Corrections /Comments / Instructions: NCS C,>+ 1 L,,► N Q,► 6 t.51 1..'`T5 A l l.owM w ib'� 6/ 3 2 6 cia-RVO Si 3 2 mi . (11\j 0`T . No MAY ALA.a w EQ fi6 o sE c,E 113 C1'`A tes E b kl:f - aLIZ 6 319.1 (Z-orni 14 Ai-Low p Dt;i3 PaL NR-1 ' • t__.• The electrical installatiOli Defects noted on this report shall be oortected and an inspection request made within 20 calendar days per OAR 918 - 271 - 0030 n PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t • NO 6 L Date: 31 1 Phone #: (503) 718 I'M