Permit CITY OF TIGARD ELECTRICAL PERMIT
r n COMMUNITY DEVELOPMENT P ERMIT #: ELC2008 -00419
DATE ISSUED: 7/22/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 DD -09300
SITE ADDRESS: 15935 SW 87TH AVE ZONING: R -7
SUBDIVISION: CHESSMAN DOWNS LOT : 019 JURISDICTION: TIG
PROJECT: LUANGRATH
Project Description: Installing (1) service and (4) branch circuits for sun 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: 1 W /SERVICE OR FEEDER: 4 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:
KHAMPHET AND SUMALEE LUANGRATH CARR ELECTRICAL TECHNOLOGY INC
15935 SW 87TH AVE 2240 NE GRIFFIN OAKS
TIGARD, OR 97224 HILLSBORO, OR 97124
Phone: 503 - 684 - 5761 Contact #: PRI 503 - 640 -4326
FAX 503 - 640 -6547
FEES
Description Date Amount Reg #: ELE 37 -905C
[ELPRMT] ELC Permit 7/22/2008 $106.90 LIC 144433
[TAX] 12% State Surchar 7/22/2008 $12.83 SUP 4482S
Total $119.73 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: / AP' Permittee Signature:
n
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.
Jul, 21. 2008 3:24PM Qual ity Plus Services, Inc. No. 1131 P. 3
K
Electrical Permit AppIicati i t '
City of Tigard p : Received Per No.: a3 �(Jt) _(
" 13125 SW Hall Blvd., Tigard, OR 972 U L 2 1 2008 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Dale/By: Other Permit:
T I G A IL D inspection Lino: 503.639 CTt+t1 OF TIGA Dale Ready /By: rims: El See Page 2 for
Internet: www.tigard- or.gov O W l 1 HolifedRvtabod: - ( Supplemental information
UILDIN
TYPE O RK G DIVISION
PLAN REVIEW
❑ New construction f Addition /alteration/replaCeinent Please cheek all that apply (submit 2 sets of plans w /items checked below):
El Service or feeder 400 amps or more ❑ Building over three stories,
El Demolition ,"Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings,
less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
)21- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. installation of 75KVAor
JOB SITE INFORMATION AND LOCATION Cl Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", " B ", "1 -2 ", "l -3 ",
Job no.: 75 27 Job site address: ((r 110011? or more, occupancy.
(� �7 �� , , `r _ ❑ Six or morn residential unite. ❑ Recreational vehicle parks.
City/State/ZIP: p t. ❑ Health -care fhchities, ❑ Supply voltage for more than
C'� (] J ❑ Hazardous locations. 600 volts nominal.
Suite/bldg, /apt, no.: Project name: Le--1) ((A ,_ ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I on'. I cree, I Total I -
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea, add•1500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. R.)
Limited energy, multi- fancily
GU om Wt. -JreS u a
75.00 2
�"(� tj,L -- resident (with above sq. R.)
Services or feeders installation, alteration, and /or relocation
t(DfD N/\A AT .1 l 0_,z, - r0 2.46 200 amps or less L 80.30 !.G .3b 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: -�'�t) N (tiR�h '( 401 amps to 600 amp 160.60 2 -
�� `. 601 amps to 1,000 amps 240.60 2
Address: 1.°7tA 5 c„, , 4.1 Over 1,000 amps or volts _ 454.65 2
City /State /ZIP: 9t f -r 0 -i_
Temporary services or feeders Installation, alter, and /ar
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on properly 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, niteratlon, or extension, per panel
Owner signature: Date: ----
A. Fee for branch circuits with
❑ APPLICANT I ----7CONTACr PERSON above service or feeder fee, 4 6.65 12
each branch circuit
Business name: CZC` L AL - 1 C.t B. Fee for branch circuits
without service or feeder fec,
Contact name: F' q ._C first branch circuit 46.85 2
Address: '�' C O,. 1 , (2A. " fit`. QI� -
Each add'1 branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP :7 1x GC1z t--- r� - LcLA Each manufactured or modular 90.90 2
Phone: (c, LI S) Fax: : (J) c..tC7.- (p t-' Reco only and /or feeder _
�..+a`'�C��' ��vY' Lo Y 66.85 2
E -mail: oo? p , 7 es 1s e t,'-r L n/\ Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name Signal circuit(s) or limited-
N • a _ yin /� ? I e 3s�. energy panel, alteration, or
Address: 212).4..c_ fv 64 ir( 0 extension. Describe; Page 2 2
City /State /ZIP: ,,1. L slL, �n z^' Each additional inspection over allowable in any of the above
a r c\- Per inspection 62.50
Phone: ( toma �
) (c3 _ 3-u,, j Fax; ( 9,11 ) (. '-to -• (..e S47 Investigation per hour (l hr min) 62,50
CCB Lie.: ti.at...kw Electrical L,ic,: -31_ l Suprv. Lie.: tiLi ,2 - Industrial plant per hour _ , 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required; ,,. /
% _ Subtotal: t,O(
�% Plan review (25% of permit fee):
1"' �l {
Print name: /� U f�r 4 I _ Date: -- , j 0 E -
State surcharge (8% of permit fee):
Authorized signat>fte: -...1111.... TOTAL PERMIT FEB: , -7
This permit application expires if a permit Is not o mad m.ith AO •
Print name: �� r aid. _ ,: Date: Y days error it has been accepted as complete.
" Number of inspections allowed per permit.
I: 1 BnIlding \Pormimfi5t.C- Peemltspp,doc 05/23/06 440- 46/ ST(11/05 /COM/wEB
' CITY OF TIGARD .
BUILDING DIVISION . .
PERMIT #: El C)00300419
13125 SW Hall Blvd., Tigard, OR 97223
A ,\ DATE ISSUED: 7/2272008
Phone: (503) 639-4171 :4NNI 'I
Inspection Requests (24 Hrs.): (503) 639-4175 ..„.....,.... _....
INSPECTION WORKSHEET FOR DATE: 7/29/2008 TIME: 7:01Atvi PAGE: 49
SITE ADDRESS: lf.1936 SW 07TH AVE : CLASS OF WORK:
SUBDIVISION: CHESSMAN DOWNS LOT #: 0 TYPE OF USE:
PROJECT NAME: tiJANGRATH
DESCRIPTION: Installing (1) service and (.1) branch circuits for sun room.
OWNER: LUANGRATH, KHAMPHEr AND SUMALEE PHONE #: 603,6
CONTRACTOR: CARR ELECTRICAL TECHNOLOGY INC PHONE #: 503-640-4326
Inspection Request Scheduled For: Date 7/29/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073343-01 503.949-1066 N Y
Corrections/Comments/Instructions: Ri (,i14,Qi)
( ----- Th
i
P ASS ,,,L..
PASS 111 PARTIAL APPROVAL CANCEL n NO ACCESS
111 F 11 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 6" ( Date:11/ict 01 Phone #: (503) 718- Vflit,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 -00419
13125 SW Halt Blvd., Tigard, OR 97223 jt DATE ISSUED: 7/221200 8
Phone: (503) 639 -4171 i�I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 7/23/2008 TIME: 7 :02AM PAGE: 23
SITE ADDRESS: 15935 SW 87TH AVE CLASS OF WORK:
SUBDIVISION: CHESSMAN DOWNS LOT #: 019 TYPE OF USE:
PROJECT NAME: LUANGRATH
DESCRIPTION: Installing (1) service and (4) branch circuits for sun room.
OWNER: LUANGRATH, KHAMPHET AND SUMALEE PHONE #: 503 -684 -5761
CONTRACTOR: CARR ELECTRICAL TECHNOLOGY INC PHONE #: 503`640 - 4326
Inspection Request Scheduled For: Date: 7/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'f20 Electrical rough -in 073077 -02 503 - 949 -1065 Y
Corrections/Comments/Instructions:
Polity( ok biyult` A16 t
p r i t ( 014
t g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 f a 5 b Phone #: 503
1 � ) 718-
CITY F I l
C O T GA R D
BUILDING DIVISION vt� ' PERMIT #: ELC2008- 00419
13125 SW Hall Blvd., Tigard, OR 97223 ri 1( DATE ISSUED: . 7/22I2008 Phone: (503) 639 -4171 �/` �� °�D , AN iiiiv l ∎ � �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/23/2008 TIME: 7:02AM PAGE: 24
SITE ADDRESS: 15936 SW 87TH AVE CLASS OF WORK:
SUBDIVISION: CHESSMAN DOWNS LOT #: 019 TYPE OF USE:
PROJECT NAME: L.
DESCRIPTION: Installing (1) service and (4) branch circuits for sun room.
OWNER: LUANGRATH, KHAMPHET AND SUMALEE PHONE #: 503- 6134-5761
CONTRACTOR: CARR ELECTRICAL TECHNOLOGY INC PHONE #: 503 - 640 - 4326
Inspection Request Scheduled For: Date: 7/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall rover 073077 -01 503 -332 - 0038 N
Corrections /Comments /Instructions:
•
❑ PASS ❑ PARTIAL APPROVAL KCANCEL ❑ NO ACCESS
❑ FAIL El C ' L FOR INSPECT III DDITIONAL FEES ASSESSED
Inspector: 6-1 N .�� LE - 'o, Date: Phone #: (503) 718 - 41A