Permit CITY OF TIGARD ELECTRICAL PERMIT
opt " PERMIT #: 27 00506
COMMUNITY DEVELOPMENT
DATE ISSUED: 7 /23 E LC /200 00 7
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S111 DD -02500
SITE ADDRESS: 08900 SW HAMLET ST ZONING: R -4.5
SUBDIVISION: STRATFORD LOT : 033 JURISDICTION: TIC
PROJECT: STEAGALL
Project Description: (2) 200 amp services. Job No. 2123
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: 2 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
JARED STEAGALL ADVANCED ELECTRICAL CONCEPTS, INC.
8900 SW HAMLET ST A.K.A MR. ELECTRIC
TIGARD, OR 97224 14300 NE 20TH AVE. D102 -313
VANCOUVER, WA 98686
Phone: 503 - 319 -7960 Contact #: PRI 503 - 296 -8555
FAX 360 - 546 -2158
FEES
Description Date Amount Reg #: ELE C136
[ELPRMT] ELC Permit 7/23/2007 $160.60 LIC 168324
[TAX] 8% State Surcharge 7/23/2007 $12.85 SUP 4588S
Total $173.45 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspende• : • • e than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Thos- rules are set forth in e 952- 001 -0010 through OAR 952 -001 -0100. You may obtain :ices of'these rules or direct questions to OUNC at
50 .246.6699 or 1.800. ' X2.2344.
Iss ed By: _- . 1 aid,. ,d, It' Permittee Signa - • i� �
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
ONTRACTOR INSTALLATION ONLY
d _A/--
SIGNATURE OF SUPR. ELEC'N: !, _ __„L, gir�l�owCw-- DATE: - a 7
LICENSE NO:
1.5g3 -
_
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jul. 18. 2007 12:24PM No, 2670 P. 1
Electrical Permit AppXXcation n FOR OFFICE I1SE ONLY
a City Of Tigard ; i�v q ` Received ��y� �,^� &r �, �! sA 2 Permit No. �/D7 [/V
• 13125 SW Hall Blvd ., Tigard,'OR -3 97223 1 batdB
' r ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By: / Review
DatUBy: O[her Permit:
T l G n k u Inspection Line: 503.639,41 JUL 18 2007 bale Ready/By: inns: EI See Pile 2 for
Internet www.tigard or gov Notified/Method
!r ,' >; s C, 'r}, s 3 + t + r , a , ; fk 1_ / Supplemental Information
nki c > ii S U rr 9,, };t :'($ '. t . ivil : r,caf i t � + nv , f a it n ,e+r tr will. tY scent } t ykr ,,, tic , n ; +
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.t.. fS�rtrm1[vlry 4 tW1:ct.•.. .:1!Iu3I....Ck1. vY.1 .9�.:i
ID NOW construction 1�(i,f dItion/ alterra 'ti�t`r/ie t Please check all that apply (submit 2 sets of plans w /items chocked below):
m Ll 1 Y L� d l a...6 0 Service or feeder 400 am s or more C
that p ❑ Building over three stories, Demolition
a }{ Di`3Dtt:i m s § i ii, y :� p i t ' i t ,410! ; IS tt 7 r iul trott<' i' .,it I } , i ;.y s t where the availably fault torten[ ❑Marinas and boatyards.
it_I_la1 al l "! ,ii.c Wt. i:tM ca00 1 IIr i 0ei I 1 g ) . •.14 i, 1 l 1 n P
! ' t = - ,,+ _ 'a 4,, e , ,, _� L t. I .a_2e s +a t
1 i? a ee 10,000 amps 150 volts or ❑Floating buildings.
1.1 1 - and 2 - famil dwellin less to ground, or exceeds 14,000 CI Commercial-use agricultural
• Y g ❑ Commercial industrial ❑ A.cCessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder
ac. t .r , r � �; t >S ?t t t yHsa� u 3 ' , , �t ni Other: El The pump. ❑ Installation of 751GVA or
t $,y' } �b l t { Ik , ( 1 � is t '� I :F h 't 'it Y , \i 1fIaly A -. o-, t + +AS T r ri .ss ii ti,,, t Emergency system. larger separately
t r I y �; d t it. I' d t [ ,�1, �' iA F 4 t t iI l )� a � # i n g derived stem.
aw. t��3,. 4s•..>�.', •s_rrr�> w Wa.a �. se•�� �,T t t fjk { fR)' 6 t1 161 11 'v i tl, �r.� It } t l t i�l' ! � 1 �.. �,� ❑ E system.
fa t+�.l",t.' -.; .>.y. G..b��Yfxi 1ft »t.I,IRYs.��.,et:.:sln ts'- ? °' El Addition army/ motor load of ❑ "A" "$" °1- 2 ", °1 -3 >
Job no.: a ( a, Yob site address: a qop L._ . 1. 10011P or mom. occupancy.
❑Six ar more residential units, ❑ Recreational vehicle parks.
City/State/ZIP: O. a r ; ' . t ai . QHcalth-carc facilities. ❑ Supply voltage for more than
• Suitc/bld ./a t no.; ❑ HerardOus locations. 600 volts nominal.
g p Project name: - I A 4. ❑ Service or feeder 600 amps or more
jf rail a$i 1 �t3�3$4ft� }'S�} s�,, zx„.z 1ff " (z <r, : tifz , 1 rt Y S , e
iS�, °.L'• mSf7 ?4 t_V ,4!Iu ,;s ! it Jii :z }. , $l ! t; tT} ! aS d (} a u
Cross street/directions to job site: .
Descri•tinn Om Bet, Total •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less
Tax map/parcel no.: Ea. edd'l 500 sq. ft or portion 111 145.15-
}ki� tl . y4 Ca l e 1{ „,i ;,1 an V l . ,,V2 i htt * t 9CYJt, t � W a - 7c a Limited e ver ,res
% :;4 , > 4 why.., Eifi 2ne ,t, ya1,::,!`2 fat, ° a. � t , , l r S ..t l � tN ,f, jam. ai . ',Oi� 1 � x G �{ t V�S �� } , L- S 1 (C ., •, 1,,; (with above s ft,)
75.00
t.,, C�„2 _� rL,..., ,.3 ,s a f },1 -� k 1.,1.:z ( i 4
Limited energy, multi - family
.... il • it _I 1L residential (with above sq. ft.)_ 75,00
Services or feeders installation, alteration, and/or relocation
t , i „, } t } y i ' Y ,� a y 1_w: S SyJ ,, t t' G , i k h m , > Yra
200 amps or less A 80.30 2
�1 1 s a } t t t� o ff ~ �T'� ;l }l+a8ti ' d t c s } t ia ¢ r A
...i;!;;. , V.,i ?,m, ...,. i.,i .li:i4 .t.:tza.li It S ftq t, ?st i va�it,'4 �S 1dtf y t1 �, lt,'1,
a,..aiu,:, . _,�. .,t „1:.tr ;,: �<: C, a• t, �: �, ,��.,,.t!.u,.sa.a 201 amps to 400 amps 106.85 2
Name; IQ .. I U '.• • . I 401 amps to 600 amps 160.60 2
Address; , w 601 amps to 1,000 amps 240.60 2
0.1% - 1 W y ' r *it '' f - T Over 1.000 amps Or volts 454.65 2
City /State/ZTP : c • 4 . t • a L . Temporary services or feeders Installation, alteration, and/or
relocation
Phone: ( )a • , . i 55 Fax; (3(co) '; 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 OILS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
flit t� s x } S4 } „ A Pa for branch circuits with
p F tiry t ,i a.i� 1'' ratty }fit i' 11 /ISaWk'llplir91 IAy li ra '/ rJ i l!TI : 4kilfy:'iiiN'"R iii;S y $a'ar'$
dta :3. f::..a,._, a,t,,..wa..s a +r...4,._.5��. l.la ll.,1i.;s_c >.lUirtl5 "ti ilj,;., ;,2 . t ., .cc.. ? �,�, tai.,. �t il- ,..suji above service Or feeder fee, 6.65 2
each branch circuit
t B. Fee for branch circuits
Contact name: ��� C ; ` ' without service or feeder fee, 46.85 2
first branch circuit
Address: • • ■ .. V " " 4 ! - , Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: • wl w„ Ct w slr , a Each manufactured or modula
90.90 2
Phone: ) r, 4 (0 - : p ax:: ) +
dwelling, service and/or feeder
Ch • o I '2 a Reconnect only 66.85 2 '
FESIN
E V rC 1 F C.. a 1 cc, O� { y�{ k Sign or irrigation circle 53.40 2
lisF;sR cl,Rl� }ai.-ti�, S ' ,? zRii., +ti fwFS} I tE � <g�z� R C5fi �g:r rG$ §I'i�S:ll7luSSoai't },N,S }fit,{.Eii}t 7 S o outline if
I✓..:1.1 R, 1 1 + II »?f i' } .�; , ,� ) stays. .,. ,, .;; „1 ]in ghtirlg 53.40 2
Business name: / 1 • r Signal circuit(s) or limited -
energy panel, alteration, or
Address: -kb Me w `.• 1 i ■ O. _ ' i extension. Describe; Page 2 2
r 1 � • a Each additional inspection over allowable in any of the above
PAIL Per inspection 62.50
Phone; ( 6 ... • w ;,, C ea a Investigation per hour (1 hr min) 62.50
Cal Lic.: Lo 8 a Electrical J 5 ( Suprv. Lic.: 8e9 Industrial plant per hour 73.75 qq
Snprv, Electrician signature, required: �` , � Il rl i 4l i " Rly$t } 5 Ciij''Eti�zrl}1I.2 t 4 1
Subtotal: �i . iL � lsu,fgi
._ tota Q r 0
Print name: e •
Date: Plan review (25% of permit fee): /v
State surcharge (8% of permit fee): `/
Authorized signature; TOTAL PERMIT FEE: / 7 .15
Print name: Dat This permit application expires it a permit is clot obtained within 180
days after it has been accepted as complete.
` Nthnber Of inspections allowed per permit.
L•+noildine\Permits\nLC_Prn ,iApp.d a 0523 /06
440•4615xt11/O5/COM/WFr3
CITY OF TIGARD • ••
BUILDING DIVISION PERMIT #: ELC2007-00506
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/23/2007
A\
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE:
SITE ADDRESS: 08900 SW HAMLET ST CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 033 TYPE OF USE:
PROJECT NAME: STEAGALL
DESCRIPTION: (2) 200 amp services. Job No, 2123
OWNER: STEAGALL, JARED PHONE #: 503-319-7960
CONTRACTOR: ADVANCED ELECTRICAL CONCEPTS, INC. PHONE #: 503-296-8555
Inspection Request Scheduled For: Date: 7/24/2007 Pour Time:
Code # Inspection Description • - Contact # Message
199 Electrical final 052568-01 360-574-7200
Corrections/Comments/Instructions:
1 1PASS I I PARTIAL APPROVAL 0 CANCEL n NO ACCESS
I FAIL 0 CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: LJ Date: 1 174 c7 Phone #: (503) 718-