Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT } ISS E D: 3, 008 00134
COMMUNITY DEVELOPMENT
DATE ISSUED: 3/7/2008
T IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134DB-06900
SITE ADDRESS: 11102 SW TORLAND ST ZONING: R -4.5
SUBDIVISION: TORLAND ESTATES LOT : 007 JURISDICTION: TIG
PROJECT: DOVER
Project Description: Installing (3) branch circuits for bonus room.
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: SIGNALJPANEL:
MANF HMI 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: 2 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:
DANIEL DOVER CANBY ELECTRIC INC
11102 SW TORLAND ST 790 S IVY
TIGARD, OR 97223 CANBY, OR 97013
Phone: Contact #: PRI 503 - 266 - 7878
FAX 503 - 266 -5543
FEES
Description Date Amount Reg #: EL,E 3 -112C
IELPRMTI ELC Permit 3/7/2008 $60.15 LIC 26071
l'FAXI 12% State Surchar 3/7/2008 $7.22 SUP 2123S
Total $67.37 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 a -y obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: 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 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.
'eetrical Permit Application ! FOR OFFICE, USE..ON.LN' .' ' • • •• .,. • •
.... ,
. • ii . City of Tigard •
ra EcEN E 11 DaRect.0,13i-dy, 3 7 o T17 --- "erTnit N '' ' 5 1
1 1 .
. II 13)25SW Hal! 13Ivd., Tigard, OR Plan Review
• • r ' '• Phone: 503.639.4171 Fax: O3. 8. Datt/Bi other Penni!: . . . .
• - TIGARD Inspection Line: 503.639.4175
1 D8 Owe Ready/By: haix [21 See Page 2 for
Internet: www.tigard-or,gov 11W '-' 6 _ - .Notificd/Method: SUpplementel Information .
— _
• -
• ' '' . ' ' ' :: •• • , ':.: :''''. "1": -i, ialik nArM' . ,,,..:. ,i ;TA,oiAZ,ite ,',':4 :.,1,., ,.:, . ' PLAN' REVIEW :'‘..:' ' ' . • ,. :' , ..'iNg.'4,'V,I ,
, .
.. . 0 Ncw co i -,, Addition/aiter ii .Ltyitifepow • , Please cheek all that Tipply (:t 11;init 2 se/F. of ain: pl wiitni;kcked below): '
0 Service or feeder 400 ;Imo or more D Building uvel three 510r105, •
' • nllemolition 0 other: B- . where the available tauli et." cut 0 Marinas ml hoarYardi. •
' .. • !: ';'' ::.: • : • : ' :' 6 er Eq0r/J'''It:0,1*V11:4004,.':6,01,0,WI40:470.:!04& excerah 10,000 amps io 150 ,,41, oi 0 Flratmg building5;.
less% ground, OT nxi:eCtis 11,t)UU 0 Commerelae, agricultural . ' .
' :' . • 1 1- and.2-family dwelling E Commercial/industrial 0 Accessory building amps for all Other instaltailons. btilleiing.N
1 0 Multi-family 0 Master builder In Other: 0 it pump. 0 installation or 75 KVA m
• . ..."::::;"'''''"''''''''''''': ':' - JOB Sit4 iNidiS'aTVjNkc'O.lk
',.-. • • . • :.,- • . .,,.. 0 Emergency sysiem. larger LeparatelyderivedsyStem
• :':'''' .•'''..' .':'.•''' " • - ' ' - -....... ...','''''' r. , ...''''...M...':':;.',..,"*V;■?!':,t . C''L'' ' , 0 , ,,,,:4;',,d. 0 Addition of ricw :noun iiiad of
• -...,,
. . . Job 0o. :, 7 Job site address: 1 1 1 0 2_ 51,0 drovi s)7',. 100HP or more occupancy .
, 0 Six or MOTO TOSIdenti:ti Unit, 2 Recreational vehicle
• .
City/State/Z1P: , cqq, 97 z2-3. 0 .... %c
iii; ,,,,,,,..:
in 1 laaardous locations U 1.Mpply vollage for more than •
'00 volt; nominal.
. . .
• ,Suite/bldg./apt. no.: Project name: 0 Servicc or feeder 600 amiss or itti,,Ie .
. . .
...., ..
• .
r
, A9' , .. , ! • ,; ,' ,?'E.
• Cross Street/directions to job site: nescriluka •
isa,_.1,.._ 1 ,,i.1 , 'Tout I • .
-
New residcnhal single- or multi-lamily dwelling unit.' •
. .
Includes attached garage.
—
. . - - .
• Subdiyision: Lot no.: 1,000 sq, ft. or less _. ..... 145.15 — . • .4 .
. ' Ea, addi 500 sq. fl. or portion 33 40
: • , Tax map/parcel no.: Limited energy, residential
, ,...;_....... - ..,,,,,.• ,-,' ,i..,„,,',„,,^-',,,,,,,;.,:,,,„,,,,,,......7777:77. 75.00 • ' 2 .. .
• • :: ,'.:. , . : . - DE,Ss...tts.rsts.:Y.;:r m,s.Y.t.,..'!.•-'4'frK.,4;'1:>;.;;.:.,:c.,A14;:0,%1,44;U,`,','^.!!!.:,!, (with above vt fl ) -
, . energ 1 75,00 , . .. 2
• . .. . . 1121111 as
' • li-- p i I i / 3 . Limited ( y r
w , it r h tu a l b t t ii c ai ‘ n q i . ly ft i .1
residential
Services or feeders inslallatioo ion, and/or relocation
. .
' ' : • 1 s b 01 L.L.,A) r 6 & . . . 200 amps or less 80,30 . Is
....
1,;PROPERTY'.OWNER'':!''. '... • .: H: -,!,.:!,;,; , : k ii,p7046.f . `iN c l . .1;:;ki;.. i .ff,, , . 201 amps to 400 amps 106 85
Na
i 60.60
_,.....
me : • • A j)
4 , ----
' — 401 amps to 600 amps
s
-
601 amps to 1,000 amp 210.60 • • Ell...
' •Address: Over 1,000 amps or volts 454.65 . . • ' 2 .'
_ . — _
Temporary services or feeders installation, alicration,and/or •
, . City/State/Z1P
relocation .
. . . _,____ .
. '.
:...... Phone: ( , ) Fax: ( ) 200 amps or less 1 66.85 1
.. .. . •
- .----------.--7 201 amps to 400 amps 100.30 .. 2 •
Owner installation: This installation is being made on property that I own which is nol
• . : . ' intended for sale, lease, rent, or exchange. according to ORS 447, 449, 670, and 701. 401 amps 10 599 amps 133.75 - 2 •
Branch circuits - new, altcratio 1, or extension, per panel
, • Owner.signatute: Date:
— - - A. Fee for branch cil with
wi
. — . ..• . . ....:
. :. • ';':'4% :
a APPLIANT : :. .:..'.... .. ::. :•:14;,...1:.40,irlOtqa,#.001.06...i] above servic 2
e Of feeder fcc,
, ., ... „..„..,..,.....,.„ ... :
each branch circuit
• . • Busitiess.namc. 13. Fcc for branch circuits . ..
,..
without service Or feeder ire, i
ci •
46.5 tito&C 2 '
.• Contact name: first bninelt rcuit
_ I
.
....
Each addl branch e ireuit 2... 6,65 13;:si, • 2 • ..'• •
Address:. -•
__. .. — . • Miscellaneous (service ot feeder not incluned)
• , City/State/ZIP: Each manufactured or mod 90.9
ular 0 • • • 2' • -
• - -.- • . .. ,___ .. dwellina, service alviim",rq.citi .. ---
: •
Phone: ( • ) 1 Fax: : (
) Reconnect only 66. i . . • •
• r ' • Email: Pump or irrigation circle 53.40 '. :. 2 •
. ';; - CON.114C7602q:0011:)Fil40K4gR?ai:W0,7, Sisn or outlinet ... ._ ..,3 40 _
Business nan Lille' ation, or
extension. Describe: Page 2 2
e '
Address: ' CI 0 .., ... L_,..j % 4 , ____ . _
. Each Iddirional ilipection over ailuwabie in any of the
above
City/State/ZIP 1 r y z ... et -j t -2 ,
.___ .. _ ... v ) , Per inspection 1 T
Phone: 5 - 2,( 0 ( - 7 -t s I E'Lx: So - 4(oio - 5L-t -... III
. ..._ investigation pei hour ii le :i,,,1 1
CCB ,.„ L 7c c Lic.: -2A 0 , .- 1 7 EL„,r,,c.: --„ _i k suprv. Lie.: -2_1. -2_, -
.. . industrial plant p __ „.
ur hour .._......; .
Et •ECTRICAI PERNIti 1 •,'.:.:: - .
Suprv, Elecincian sittnature. l'utiulre - " . C , 12.>„___ siltact,,r F. 0,, ill
.. .___.
___ . ........... _ ........
-...,.
---- Date: "
7
Print name C-) i , ; ,, L., , .) ,..4 ( 0.---4 sta,, hitr,p: i I." of tWralli I'Co) - ZWAE. L.
.........--, _—. ----. ..--.
Authorized „,, i , • i
- .._......•— ......... —• -•-• - .
,_. .. /7.
,------.€:- : ..--..-----.... -ThiSpertitit lipplivati bt
uri t 1 irti, , 1: , permil Is mil oritried w i • 0
...—,........ ... .. _.._"•,-- ......... ..
—. ".- --. , dos oficr it li,.. Iii.-..;, ok ci.:Iti....1 A t'0111111111.T.
.. ...
Print name ') 4 4 . t i ., I._ , c) . () D . ate:
-- -- r . * NI. a 0 I il L, Pt „ . L ■ ., , k, 1, , . I k • C. ,...
440 -41,114 I 11 ,,) S ICOSIN 1 .6
1 ,111.0 ,l; n g \ r CT ", i 1 • ' I i • • P 1 il , 1 , • , 11 6., ' ... • : , ,
Ed WdE0:20 800E 90 '-leW 217SS99E2OS : ON 3N0Hd 3NI DI613373 A8NUO : WOdd
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008•00134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31712008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ;,':�
INSPECTION WORKSHEET FOR DATE: 3/10/2008 TIME: 7:OOAM PAGE: 50
SITE ADDRESS: 11102 SW TORLAND ST CLASS OF WORK:
SUBDIVISION: TORLAND ESTATES LOT #: 007 TYPE OF USE:
PROJECT NAME: DOVER
DESCRIPTION: Installing (3) branch circuits for bonus room.
OWNER: DOVER, DANIEL PHONE #:
CONTRACTOR: CANE3Y ELECTRIC INC PHONE #: 503-266-7878
Inspection Request Scheduled For: Date: 3/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Elect'icaal rough -in 066370 -01 503 - 266.7878 N
Corrections /Comments /Instructions:
p,L0 U 1 rn; vt i v- t v vt.t 4 cc
✓�l eQ w s - _ - b D X'ej i h e
To la t&. sp67 -et flak a
❑ PASS RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 3 - 10 - A Phone #: (503) 718-
CITY TIGARD ELECTRICAL PERMIT
�/ OF 1 T �� �± AR
u PERMIT #: ELC2008 -00134
COMMUNITY DEVELOPMENT
} t `' DATE ISSUED: 3/7/2008
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134DB-06900
SITE ADDRESS: 11102 SW TORLAND ST ZONING: R -4.5
SUBDIVISION: TORLAND ESTATES LOT : 007 JURISDICTION: TIG
PROJECT: DOVER
Project Description: Installing (3) branch circuits for bonus room.
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: 2 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:
DANIEL DOVER CANBY ELECTRIC INC
11102 SW TORLAND ST 790 S IVY
TIGARD, OR 97223 CANBY, OR 97013
Phone: Contact #: PRI 503 - 266 -7878
FAX 503 - 266 -5543
FEES
Description Date Amount Reg #: ELE 3 -112C
[ELPRMT] ELC Permit 3/7/2008 $60.15 LIC 26071
[TAX] 12% State Surchar 3/7/2008 $7.22 SUP 2123S
Total $67.37 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 1 -y obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
/� / �►
Iss ued By: v �� • • Permittee Signature: C
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: a4c co/ - REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date I By ✓ Code I Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 2` 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
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
• 235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
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
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
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 PLM - Plumbing Permit
910 Sprinkler rough -in
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 S rinkler final 322 Shower pan
P 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection _ 599 Final inspection
1:\ Building \ Forms \InspCard- AOP- Blank.doc 02 /02/07