Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00339
COMMUNITY DEVELOPMENT DATE ISSUED: 6/13/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 104C B - 01700
SITE ADDRESS: 13075 SW ASCENSION DR ZONING: R -
SUBDIVISION: HILLSHIRE WOODS LOT : 033 JURISDICTION: TIG
PROJECT: WOLF
Project Description: Installing (4) branch circuits for kitchen and great room remodel.
RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 3 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:
BRYAN & MAUREEN WOLF PARKIN ELECTRIC INC
13075 SW ASCENSION DR 14001 FIR STREET
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone: 503 - 756 -7749 Contact #: PRI 503 - 657 - 4958
FAX 503 - 557 -1059
FEES
Description Date Amount Reg #: ELE 34 -4C
[ELPRMT] ELC Permit 6/13/2008 $66.80 LIC 35151
[TAX] 12% State Surchar 6/13/2008 $8.02 SUP 4241S
Total $74.82 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' / /C�*�q✓f/
!ice '
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.
, v 06/12/2008 THU 13:04 FAX 2002/002
r
l`
Electrical Permit Alatiorr F oRoFFicus>E.oNLv
City of Tigard ? Permit No, w?
,t Dale /l?
• ._ —J2 k��"'
13125 SW Hall [31vd.,'l'igard 2000 acccived ' '
Er
Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Date /B
TIGARD Inspection Line: 503.6 (!,� ie py r - h iGAR ' 4 Date Ready /By: 3 rnis ® See Page 2 for — - -T^
Internet: www.tigard ,.g '4d 5 � Notified/Method: 2(0 Supplemental Information
.a.*,‘ e- eiet. 1/C I -
1 4E'W a.e, diik' � :PLAN REVIEW
❑ New construction j� ?ddition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Service of feeder 400 amps or store ❑ 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 0 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'/5I<vnor
JOB SITE INFORMATION AND LOCATION ❑ i bn system larger separately de ivied system
❑ A Addiibtioo of of new motor load of ❑ "��,. "ti" .' 12" "I -l'
I rip or mote. occupancy.
Job no.: Job site address: 3 07 7 ✓ w 4 cr,0--is l or- ❑S ix or more residential units. ❑ Recreational vehicle parks
City/State/ZIP: T rig a ro OR. 97_2a3 ❑ Healthcare facilities. ❑ Supply voltage lot mole than
/ ❑ Ilazaidsus locations. 600 volts nominal.
Suite /bldg. /apt. no.: Pro et name: � . /O (- — ❑ Service or feeder 600 amps or more.
(( V//"`��� FEE SO-1EDULE
Cross street /directions to job site: Ososdecion Q Tot ,, I W=
- " " —" — New residential single- or multi- family dwelling unit.
_ Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map/parcel no.: Ea, add't 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with about sq K fi.)
// Limited energy, multi-family 75.00 2
I c, l + - i I•i• ,. / . r -/ residential (with above sq. fl.)
n Services or feeders installation, alteration, and /or relocation
C V ^ rf (F p OQ/✓b e • , / 200 amps or less 80.30 2
❑ OWNER • ' '❑ TENANT 201 amps to 400 amps 106 85 2
Name: d`' l / l� �� WV 1 401 amps to 600 amps 160.60 2
:yzati 601 amps to 1,000 amps 240.60 2
Address: 13 G 75' S ( , ) 4sC eh S 0_i- Over 1,000 amps or volts _ 454.65 2
City/State/ZIP I ` � �/e 7 Temporary services or feeders installation, alteration, and /or
y �_ 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, er anel
Owner signature: __ _ Date: I
A. Lee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
. each branch circuit
Business name:
• B. Fee for brands circuits •
•
•
Contact name: without service or feeder fee, , 46 85 V6) 5 2 •
first branch circuit
Address:
Each add'1 branch circuit 3 6.65 1 g, 9S 2 :
- — - Miscellaneous (service or feeder not included) - .
City /State /LIP: Filch 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: ^�/ r 1 Signal circuit(s) or limited-
t C ��Q 4 , 1 r:, c I
`'h n(n . energy panel, alteration, or
• Address: 1nb[ Fir SI ► ekt. extension. Describe: Page 2
City /State /LIP: D ,/ a / j ( 4_ oft) 970 rD Each additional inspection over allowable in any of the above
1 � �1 Per inspection 62.50
Phone:
6 D3 )(�57- q5g Fa 603 - (U59 I Investigation per hour (Ihr 62.50
CCB Lie.: �S i G I [Electrical ical Lic.: 3L _ ' Suprv. Lie. y,1y� _ - j Industrial plant per hour 73.75 ___
• ELECTRICAL PERMIT FE
Suprv. Electrician signature, required: "� I Subtotal: BD
Plan review (25 % of permit fee):
Print name:Day, GI 16 . ? axle. rJ Date:
_.. __._ State surcharge (12% of permit fee): 8, 6
--
Authorized signattu_e: r TOTAL PERMIT FEE. 71/ R9
— -
Print name: _ W I DiIIC: Th perm application expires ifs permit is not obtained within 180
days after it has been accepted as complete.
Number of inspections allowed per permit
I \BuildinghPermiiOtiLC- PcrmiiApp doc 05/23/06 440 -.161 S1'(i t/05 /COMAY6a
• - ,,
CITY OF TIGARD _
BUILDING DIVISION
PERMIT #: ELC2000•00339
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 611312008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 .,-.40 AL
INSPECTION WORKSHEET FOR DATE: 712412008 TIME: 7:00AM PAGE: 47
SITE ADDRESS: - SW ASCENSION DR CLASS OF WORK:
13076
033
SUBDIVISION: HILLSHIRE WOOD TYPE OF USE:
S - LOT #:
PROJECT NAME: WOLF
DESCRIPTION: Installing (4) branch circuits for kitchen and great room remodel.
OWNER: WOLF, BRYAN & MAUREEN PHONE #: 503356
CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 503 .657_4 9 w
Inspection Request Scheduled For: Date: 7/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 073106-01 503-657-4958 N
Corrections/Comments/ Instructions:
iA.2- 04 2_
, ,,7 a
.4':1 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL I I CALL FOR INSPECTION [7 ADDITIONAL FEES ASSESSED
Inspector: Date: 7-2_5=-6 Phone #: (503) 718-
)
�. ETC % �l \-- ( 1 1 \ /
• Ile , r .,,
\ ok la Ilim
1 0 1 illni ~-. III 1
f- J 4111
Z MAO 1 \ ,N • SW MA' IA Q- 1111
ti ■ r � 11II 1 1
/ g % W Aw LLN
/. -\ I `_ W o rim
041 /1 \
U
\ , , • w NV6ON I ),,..'/‘
L 1
Sp
/
11 _ cr od 0
ROSY
0 l____ r ctr , _
V �: — _ FER 0��,�, M
s
[--
[71 \
,e':' ,Iii i 1 0 0 , 1
(//Ni ,r„_____, i L___JE
i_____r,. , r ______ 1 , -s., , L
Lk1I b 7, \._,
i______i .1t) .53, \ I s)
1 / i _____, f( ___
0 L
Is% i
��JENSHIRE -L - i -- 't ,o,
s �R y
'�s / \ �__ sw_LA N_ i Li
l�LINA DR \
I\ 1 ate\
� - / A l/CH T
tN
r
li ''--
,---2
Aft ----- 77:13IDGE T
, 1 i , 79 )=_-
/ AY_L
_
t j_____..
F �� 1 ¢ Ill —
0� , �v1NACT e' l
_ -__�_! /
\
w +
-
ilir
No S V_I W PSG \ ��t� O. � 0�of- 1%
\ \ .c<
\i- ; A\ \ A i
�/K co
/ 4 - \ e y / s\-\\
\ - - 3 --- __ , z .-__ 1 /( 1 . iik 7 \ / M
/ / .� \ V \\ � �,��
�TLETOE D' f \ \ , ts" /-ip
1 il J I , / /v \ v' .o .p / -----
' SW HILLSHIRE DR /N-