Permit , CITY OF TIGARD ELECTRICAL PERMIT
74 r[ PERMIT #: ELC2008 -00274
° COMMUNITY DEVELOPMENT DATE ISSUED: 5/13/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 109DA - 05000
SITE ADDRESS: 15298 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT : 027 JURISDICTION: TIG
PROJECT: FIELDER
Project Description: Installing (1) branch circuit for A/C.
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/ SVCI 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: 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:
AMBER FIELDER SUNSET HEATING & COOLING
15298 SW GREENFIELD DR 0607 SW IDAHO ST
TIGARD, OR 97224 PORTLAND, OR 97239
Phone: 619 - 200 -0371 Contact #: PRI 503 - 234 -0611
FAX 503 - 234 -0439
FEES
Description Date Amount Reg #: ELE C117
[ELPRMT] ELC Permit 5/13/2008 $46.85 LIC 161085
[TAXI 12% State Surchar 5/13/2008 $5.62 SUP 4638S
Total $52.47 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 thro gh 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: �� i Perm ittee Signature: �_� 4 % � � �(/
OWNER INSTALLATION ONLY j
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.
Electrical Permit Ap[>'licatio® - •
1,()R ()I 1 It 1.1.I t,\1 1
.:1 City of Tigard
Received ' c �I
•
13125 SW Hall Blvd. Tigard, OR 97223 ��Y S �O �P�mtt No.:
Phone: 593.639.4171 Fax: 503.598.1960 Plan Review
� f / �' U � tf '�
1 . / t ;.\ I i ja Inspection Line: 503.639.4175 Darr/Hy: Otters Permit:
Internet www.tigard-or.gov
Date Ready/By: Soria !;y See Pa 2 for
ugard or ov
Dae Read Notified/Method:
i. v a 'j � r , x. � .. 1a t ';• . 1 F w Sup Inf ormation
fi*4.na � z Y s.+�f f i .. a 4 v 9 i i" ^ t'
0 New construction r Addition /alteration/replacement �" a r PI check a1! that
❑ Demolition
0 (submit j sets of plans w /items checked below):
i �r ro O ❑ S erv i ce or feeder 400 amps or more ❑ Building over three stories,
P
k" a b- f r:.a; i� - t 'ems , r rN r a� where the available fault current ❑ Marinas and boatyards.
u ".'" >r =r �,7; "• i F 4' 4, exceeds 10,000 r exceeds at 150 volts or ❑ F7oatin g b
Q and 2 -famtl dwellinn ` " "' ' k "' •� . rs buildings. Y g ❑ Commerciai/industrial less s ogr allot or in installations. ❑ Commercial-use ld gs algiculttual
❑ Accessory building
❑ Multi - family amps for all other insL711ations. buildin
Multi-family ❑ Master builder 0 Other: ❑ Fire pump. �'
n �,,. r � ' rr h , . "`� •'�' -�( a� f•x ❑ Installation of 75 KVA or
e'(,o,eri:W^e " a s �; j,t� i s a ��•' it ( p �4 . ❑ [mergency system. larger separately droved system.
Ga:rt ! 9
t• v F a " r- „ „ , , , „:;, , ,,, , ..::::::4.,..= ❑ Additi on of new rotor load of
Job no.: . ) C site addr n ❑ " ~
Job (� ` 1 -2 ", "! -3 ",
1 � ., tl 3L�.t i , r . �•. _, 100HP or more. icy.
City/State/LIP: ! �> '-,1'--7 - _
DSO( or more residential units.
❑Health -care facilities. ❑ Recreational vehicle parks.
A e. ' ' {,,, (
❑Supply voltage for more than
Suite/bldg./apt. n0.: ❑ Hazardous locations. 600 volts nominal.
Project Hype; - (`, ❑ Sc i or feeder 600 am
'„1. - \ Ps or more
Cross street/directions to job site: nc ," ; , c^
Dription , . . Qty. Fee. Total �• . •
New residential single- or multi- family dwelling unit.
Subdivision:
Includes attached garage.
Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40
1
L
''` �C ' +
Limited energy, residential
. t DESCRIPTION OF W.ORtt`. I 4I ti aa. 'a, + 75.00
y 't 1 , , r. 1,',LTt (with above sq. R.) 2
energy, multi - family
Limited ener 75.(10
t_ residential (with above sq. II.) 2
i
Services or feeders installation, alteration, and/or relocation
s or Tess 80.30
200 am
: ': ' r � :owNEB (I r : ra ' ��,, t '' . r 20! am to 400 amps 2
Name: , ) c., ..r:; amps P 106.85 2
Z .0 \ . 401 amps to 600 amps 2
a 160
Address: _> 601 amps to 1.000 amps 240.60 2
/` / .7 '.- {. ,,i` 1 Over 1
City /State /LIP' - amps or volts 454.65 2
?. ;,.
�, ! Temporary services or feeders installation, alteration, and/or
Phone: �.; .I / relocation
( C 1 ( ', ) / - ! -� J 3 Fax: ( ) 200 amps or less 66.85
Owner installation: This installat is being made on property that I own which is not P 201 amps to 400 amps
1333.75
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 1 2
Owner signature: 2
Date: Br anch circuits - new, alteration, or extension, Qtr panel
A. Fee for branch circuits with
<,
a AppiicAi�rr ,
0 CQNT4rJF 'F,[tSO „ above service or feeder fee,
Business name: each branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, '
Address:
first branch circuit I 46.85 ` � ' 2
Each add'! branch circuit 6.65 2
City /State /21P: Miscellaneous (service or feeder not included)
Each manufactured or modular
Phone: ( ) I Fax: : ( ) dwelling, service and/or feeder 90.90 2
E-mail: J Reconnect only 66.85 2
Pump or irrigation circle 53.40
2
P , r�'.�.lu, n:: c "l is Sign or outline lighting 53.40 2
Business name. Sunset Heating & Cooling " Signal circuit(s) or limited -
Address: 0607 SW Idaho St energy panel, alteration, or
extension. Describe: Page 2 2
City/State/ZIP: Portland, OR 97239
Each additional inspection over allowable in an of the above
Phone: (503) 234 -0511 Per inspection 62.50
Fax:(503)234 - 0439
CCR Lic.: 161085 Investigation per hour (1 hr min) 62.50
Electrical Lic.: c 117 Suprv. Lic.: 4- S Industrial plant per hour 73.75
Suprv. Electrician signature, required: ` p�
Print name: Randy Ess
'ate Subtotal: (,r 1 • '.
Date: ' ---, t , L_ ', ;` Plan review (25% of permit fee):
Authorized signature: r - � PERMIT FEE: State surcharge (12% of permit fee): ._ ):
4 L CC"1 _ - 4'
TOTAL PE
Print name: Casey Wiser = L. Dare: r i r ,r' This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
I .\Buildinglpermat1ELC- PermitApp doc 05/23/06 • Number of inspections allowed
4404615T(II /05 /CO.M/WEB (>c+ permit. -
2' d9T:E0 BO zT ReW
CITY OF TIGARD ELECTRICAL PERMIT
,il , • ° COMMUNITY DEVELOPMENT
PERMIT #: ELC2oos 00274
DATE ISSUED: 5/13/2008
TIGARD. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 109DA -05000
SITE ADDRESS: 15298 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT : 027 JURISDICTION: TIG
PROJECT: FIELDER
Project Description: Installing (1) branch circuit for A/C.
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: 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:
AMBER FIELDER • SUNSET HEATING & COOLING
15298 SW GREENFIELD DR 0607 SW IDAHO ST
TIGARD, OR 97224 PORTLAND, OR 97239
Phone: 619 - 200 -0371 Contact #: PRI 503 - 234 -0611
• FAX 503 - 234 -0439
FEES
Description Date Amount Reg #: ELE C117
[ELPRMT] ELC Permit 5/13/2008 $46.85 LIC 161085
[TAX] 12% State Surchar 5/13/2008 $5.62 SUP 4638S
Total $52.47 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 thro gh 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: �p �f�� �, vv
v ,
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: REQUIRED ON GREEN INSPECTION CAttD.
✓ Code J Inspection Description I PASS Date I By ✓ Code I Inspection Description I PASS Date I 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 X 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 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 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection:
998 Alarm final 320 Plumbing rough -in
• 999 Sprinkler final 322 Shower pan
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
I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07