Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00206
COMMUNITY DEVELOPMENT
DATE ISSUED: 4/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 103 BB - 11600
SITE ADDRESS: 12180 SW ANN PL ZONING: R - 4.5
SUBDIVISION: YE OLDE WINDMILL LOT : 035 JURISDICTION: TIG
PROJECT: BECHARD
Project Description: Installing (6) 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: 5 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
MARGARET BECHARD WEBER ELECTRIC INC
12180 SW ANN PLACE PO BOX 231154
TIGARD, OR 97223 TIGARD, OR 97281
Phone: 503 - 590 -5754 Contact #: PRI 503 -620 -1906
FAX 503 - 620 -6819
FEES
Description Date Amount Reg #: ELE 34 -442c
[ELPRMT] ELC Permit 4/9/2008 $80.10 LIC 44087
[TAX] 12% State Surchar 4/9/2008 $9.61 SUP 4028S
Total $89.71 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: 5'�j 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.
Tuesday, April 08, 2008 5:53 PM Webe ectric, Inc. 503 620 6819 p.01
..:, . I. tri al Permit Appileati
City of Tigard ‘0% Received AV, ,..
-Air ZESSIIINMIile Mg t
13125 $ w Nall Blvd., Tigard. OR 97223 C ' -- - -__ .. _ - _
Phone: 503_6394171 Few 503 t,g% % trgi# 13 ,14A , IRENIMIIIIIIIIIMIll: a" Other Pffmin
inspection Line: 503.639.4175 .iLf::7, ,!;,...,.., N ' 4 , ta lludeBy: lurk kl See Pop 2 Iftf
!Mout www.eitigantoras Notified/Method: Suppleme»ts1 information
'' , . ' ' ' " ' ''' • , ''' ' ' - : ''''''..: ..k 0 .; • ' %7 ' .: : ' 7 , 1 , , r ' iii:16 : !i.*; ':: ' %ItA 0 : • .'. " ••
0 New construction XAdditionialt4/1+ replacement Please check all that apply:
°Service over 225 amps, cornro'l 13Hazirdous location
12 Demolition 0 Other:
Service over 320 an - ming 013uildn8 over 10,000 sq. ft.,
• • . , ' • :..... . . .: : . :::. tATE901i.V ,'. - : i ,, , of 1.- end 2-family dwellings 4 or more new residential
1- and 2 dwelling 0 Connnercial/inclustrial 0 Accessory building
Multi-fiunily 0 Master builder c Other: ' ElSystem over 600 volts nominal units in one structure
Ori uilding over three stories CiFeeders, 400 amps or more - , ,, nOcoupant load over 99 persons avlanufactured structures or
• ' . ' ,. ' , JoB SF4rrecgt5WItkir AND .- . ''"..' 1 ' ::.. OBsrogsnightius Plaa r. v TA
01-7zalth-eare Stalky ElOgiet:
Job no.: Job site address: 421 8o $1...) 6 0-,,, PL
submit J sets of plans with any of the above.
_-
City/State/ZIP: i , 5 ,,„, 9 • •7_. 2 - '''', Tho above WO not applicable to temporary consisuOtion service.
, '' • ', ., ,. SCHERY:: ••
.: . AV, ••,' %., •'',
Suite/bldg./apt. no,: I Project name: t....c,./Cry.,vrA • ': :" IfEg.
__ ogsfripiton { Qty. I Fee. j Total _3 -
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
--- . - - , Include, attached' , ra '0.
1,000 sq. or or less MI 145.15 El
Subdivision: Lot no.: Ea. adel 500 ft GI orTortion 111 33.40 111
m 11
Limited ug , residetial
n 75.00
Tax miqdparcel no.: .
Limited energy. non-residential Mil 75.00 =Era
, : .
DEscRirricOrbt'*.5*Lk ' - ..
' •::: :•• , • '' • -• •:••••: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
II e c...) / arCE,4„._.62. Ckis .6r . Services or feeders Installation, alteration, anti/or relocation
200 amps or less 50.30 2
K. J.c 7''') re1 " 1e. .?., .. , ,.,. . ,... r ‘ - - - f ',. . ' • 201 amps to 400 amps 106.85 2
-q-I Oitl*P. .-: ; • " . , ' 0 :TENANT - • - •
• - 401 amps to 600 amps 100,40 2
NarTle: 1
. ..., g J-, A ,r 601 amps (0 1,000 amps 240.60 2
Address:. Over 1,000 amps or volts 454.65 2
Reconnect only 66,95 2
City/State/ZIP: Teglpar or g,rY !WACO feeders installation, alteration, and/or
- relocation
Ph (g03 ” ea - 5 754 rex; ( ) 200 amps or less NMI 66 MIII
Owner Installation: This installation is being made on property that I own Which is not zoi amps to 400 snips 100.30 2
Intended fbr sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.. 401 amp to 600 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension, . er , anal -
EltIC...A1`4 1 :" 1.: .. - *, 71.1t rix.rtii.o :••"'•' ' A ' Fm f°ebriinch circuits with
service or fecder fee, eauh
Business name: branch circuit 6.65
B. Fee for branch circuits
Contact Mane: withprd service or tbedor feol / 46.85 4C:4 4
each branch circuit
Wren:
. Bach add'l branch circuit 5 6.65 3, -
City/State/ZIP: Modianeons service or feeder not included
romp Or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2
E.-mall; Signal circuit(s) or limited-
' ':: '":.'" : .', 7 .7 7 :'. : ' : • :. , 7. ' - 7; /: : cneesy panel, alteration, or
catensiOn. Describe: Page 2 2
• 1 0
Business LUIMC: 11. i i:: . , 7, 4 , 1
.
Each additional Ineptetion over allowable In any of the above
Ad4rec5: . 7 -,) :I' '''''• 0 1 )4.1 / et' 7 - Per inspection 62.50
City/State/ZIP: -- 77 - , :Z c, .....;1 , ,. - 7 , , investigation per hour (I kr min) 62.50
I • . , i..) j e.- . 0 , , ,? ''..
industrial , lant per hour 73.75
Phone: ( :)A 4: , /.... , - ,^ 9 . ) of 17aC: (§ ".') 4.:7'' d.) -- ci;; 7'' C'' IIIIIIMICEaragar=3=1111111=
CM Lie,: ..-1:5 .1 .-v., 1. :: Electrieal Lie.:84.... 41......V. f..1 Suprv. Lie.: .4 e 3
„.... ,. ,, 0 . subtotal F,,„
Supnr. Electrician signature, required: - ..<
7,, 1-:,.c, , .,„),, „.0",„,,,,,,,, °If/ Plan review (25% of permit fee)
- State surcharge of permit fee) ? 0 G f
Print name: Ii..t' , - ;(e,.i,,i :91(0.t- Date:, - - s.. 0 zr
TOTAL PERNin' Prg 8 q . 7/
Authorized signature: -rid, permit application expires llr a permit la not obtained within 180
dap after lc bee bete *wood as cpraplete
Print name: Date: • Fee metaettlOv fat by 711-County Building ladufery Septie0 9eat6
CITY OF TIGARD
BUILDING DIVISION t PERMIT #: ELC200t3•00206
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/912008
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 =_.. _
INSPECTION WORKSHEET FOR DATE: 4118/2008 TIME: 7:O1AM PAGE: 23
SITE ADDRESS: 12180 SW ANN PL. CLASS OF WORK:
SUBDIVISION: YE OLDS WINDMILL LOT #: 035 TYPE OF USE:
PROJECT NAME: 13ECHARD
DESCRIPTION: Installing (5) branch
OWNER: RECI MARGARET PHONE #: 503.590 -5754
CONTRACTOR: WEBER ELECTRIC INC PHONE #: 503- 620.1506
Inspection Request Scheduled For: Date: 4/18/2008 Pour Time:
Code # Inspection Description Confirm-it Contact # Message
120 Electrical rough -in 68569 -01 503..314-5261 \ Y
Corrections /Comments /Instructions: 30 m% I1 ` \
CALL ( N
// il
)PASS ❑ PARTIAL APPROVAL ❑CANCEL NO ACCESS
❑11 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: & 0 L Date: 1 O Phone #: (503) 718-
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