Permit N CITWI OF TIGARD ELECTRICAL PERMIT
1111 COMMUNITY DEVELOPMENT
PERMIT #: ELC2007-00479
DATE ISSUED: 7/13/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 DD -07300
SITE ADDRESS: 15815 SW 88TH AVE ZONING: R -4.5
SUBDIVISION: STRATFORD LOT : 068 JURISDICTION: TIG
PROJECT: SULLIVAN
Project Description: Installation of (2) branch circuits for a/c & outlet.
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: 1 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:
WAYNE SULLIVAN HOT LINE ELECTRIC
15815 SW 88TH 2928 SW ROBINWOOD DR
TIGARD, OR 97224 FOREST GROVE, OR 97116
Phone: 503 - 349 -8005 Contact #: PRI 503- 502 -9667
FAX 503- 357 -8177
FEES
Description Date Amount Reg #: ELE C -35
[ELPRMT] ELC Permit 7/13/2007 $53.50 LIC 163315
[TAX] 8% State Surcharge 7/13/2007 $4.28 SUP 4629S
Total $57.78 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 503.246 699 or 1.800.332.2344.
Issued By: \ _ 1 Permittee Signature: < 1 /
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.
,. •
07.12-2007 15:12 FIRE AND ICE 5036189069 PAGE4
E1ecti1caIJ t A lication «I
r
City of igard ' *PaCE E I , Dat ; 7 /6- 0•7 Permit Nu.: El...CA(007- 77
Si
13125 SW Hall Blvd., 'fi 1.
Phonc: 503.639.4171 Fax: 503$911.1;60 Datc/B Other Permit:
Inspection 1„inc: 503.639.4175
Internet: www.tip,ard-or.grw J UL 1 3 2001 Plan Review
y:
tificel/Mcilukl:
Date Rey/By:
:
El
No X
.tur....-- See Pegs 2 for
Supplemental lefursustion
' .. ..._
TIT i ■ ig s 11E111CLITV:o PLAN REVIEW
— fielisv claal all that MAY (submit i sets of plans w/items checked below):
0 New construction 0 Additip 1 , - .opirelnailiTtfiCki ,, t •',
r,"j Demolition op oath' Lf1 a Servisx or feeder 400 amps or more CI Building over &cc unriex.
where the available fault current CI Nevins and boatyards.
CATEGORY OF CONSTRIKVION ...a% 'wine amps at 150 vats or 0 Floating buildings
,--- less to pound, or exceeds 14,000 0 Commercial-use agricultsral
I- and 2-firmly dwelling 0 Commercial/industrial 0 Accessory building
M
Multi-family 0 Master builder 0 Other: 0 ernes air an other installations.
Fir 0 e pump. buildings
installatioa of 75 KVA ur
— almersenry system huger sormately doused system.
JOB SUE INFORMATION AhiD LOCATION
0 Addition of WV? ionlor 'kW kit 0 "A", "E", "1-2", "1-P,
Job no.: Job site address: t sgt5 ','■// gg 1-14 M tow IP or more. occupancy.
0 Six or inure residential units CI ftweetiorcal vehicle parks.
—... - .
City/Statc/ZIP: Tt c-IN. , DRC.,=(0ti 97 224 in ficullb-p.ry taciiiiiet 0 Supply voltage for more then
,. - 0 I larardotia locations. 600 voile noleieel.
Suite/bldglapt no.: 1 Project name: .5u i -ow , 0 st c . ow., ow amps or more.
FEE SCIIEDULE
Croos streetAhreclions to,job site: c 53'icivi Av A 5W - Duei.vf,t1/41t f.,14 . ballerina's' a..47.7=Plal "---
Nos residential single or inulti-family dwelling unit.
Includes attached garage.
SulxiiviSiOn: I,ot no.; 1,000 sq. ft. or less 145.15 4
Ka. addl 500 so. A. or portion 33.40 1 .
nix map/parcel no.:
Limited energy, residential
_ 75.00 2
IMSCRIPTION OF WORK (1mh Rols.„.12) _.... ...
, .
Limited energy. multelanisly
75.00 2
11.hili. 0 1.. hc, c t (cut 4 1/4 i Dun,0 ,._ residential (with above so. ft.) ,
tierViees or feeders installation, alteration. and/or ircineotio
fp 200 amps or lem
, 1 1( 8
2
PROPERTY OWNER 1 0 Town 201 amps to 400 amps -, 2
Name: ‘)\)/V 1.1\)
1N - 'l.41.41•1 401 amps to 600 amps 60 60 853.° 2
- 601 amps to 1,000 amps 240.60 2
Address: kb c. 0 -svu cg 11.1 mx Over 1,000 amps or volts 454:65 2
cit -11, Ca kgD 0F Ii .1 D-0-- Tampon,'" onvier. or feeders installation. atteraticW,Ond/or
...1 . ....
Pilonc: ( 6 D3) CV;I 005 nix; ( ) 200 amps or less 6ti.g5 I
Owner installation: This installation is being mode on property that I own which is not 200 amps tP 400 amps IN 100.3 2
intended for sale, lease, rent, or exchange, according to ()RS 447, 449, 670, and 701. 401 amps 599 amps IIIII 133.75 2
O i Branch circuits- new, alteration, or estentdon, per panel
s wn_ gnatUre: ,14,.. .. Date;
A. Fee for brunch circuits with
y A7pckNT
''''' ._
I 0 CONTACT PERSON above service or feeder fee, 6.65 2
taill branch circuit
nusilmss num' Ft RS 51 1 . CMAki (-:-., LUC 17: c tbr branch circuits
without service or feeder Ike, i
46,85 LL- / 2
Contact name: ../‘ k m mk \s
titst branch circuit
... . - "
Address: 2 aoo NW c 1 tzDsoA LE. A V5 . #4 Elia add"! branch circuit 6.65 1 4C - 2 -
Miseellaneou s 12,___ jr feeder inehulcd *----
City/Slate/ZIP: GzEciom Va: C1,1 D 30 'kach manufactured or modular
N 90.90 2
— &veiling, service and/or feeder
Phone: ( 503 ) ( .-ctot.o Fax: 0173) &IS - GID(;(1 Reconnect.* . 66.85 2
E-mail: 1 4\)G)Aivl L . Ce)VA- Pump ur irrigation circle 53A0 2
. , ..._ , - .... .
CONTRACTOR Sign in outline lighting 53.40 2
Business name: i.t.Crs" t '‘,; ,( t C.> Signal circult(s) or limited-
energy panel. alteration or
. .. ...... ......„
Addres...7 p cop 'ORA& mem.. Describe: Page 2 2
........ .... ,
City/State/ZIP: r-e,(2.kr 64k00(-:, OR- C 1 ilw FAA additional hispectina ewer allowable in i of the above
„. .
' Per inspetlion 62.50
Phone: (,) D1 5 _01 ( I Fax: Fa( 5b '357 - go 7 Investigation per hour (1 is mist ' 62,50
" ' ..
(CB Lic.: 1 (0 3 -?) 1 5 Filectrical Lic.: C. 35 Supra. Lie.: 4 - 2 . 6 ._ Industrial plant per hour 73.75 ., _
— -
Suprv. Electricia.n signature. required:
.....
..
Print name &.- 1 co --,/ ) -..f Li._' .4i=
7 „.- , n... . _ _
'—..... _ e . tZ . •.-- - =''Z i /_e_.i,,2:./- —
thori zed signatur e: ....."
\ , _
:. ,- -
" ' ' ;e0r. 4110' ELECTRICAL PERMIT 1F.8 Subtotalt ' . .5.51.)
Plan review Qs% of permit Ivy_
u
Slate surehargc (8% of permit ke):
'FOTAL PERMir FEE: 57 . 7g
This want applicsiiiis mine if * permit is so shisibea winds ISO
. —
Print name: DSO: days sner it bee bees scontial es emplets.
—,,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00479
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 71/3/2007
Phone: (503) 639-4171 10,
0 '
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' W '' ! j
INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 15815 SW 88TH AVE CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 068 TYPE OF USE:
PROJECT NAME: SULLIVAN
DESCRIPTION: Installation of (2) branch circuits for arc & outlet.
OWNER: SULLIVAN. WAYNE PHONE #: 503-349-8005
CONTRACTOR: HOT LINE ELECTRIC V PHONE #: 503.502 - 9667
Inspection Request Scheduled For: Date: 7/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 052594 -01 ` 971- 645.7327 Y
Corrections /Comments /Instructions:
` k PAS'. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: N 618 L-IG Date: 1 V 4 41 Phone #: (503) 718- 1.-4%
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2007-00479
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/13/2007
Phone: (503) 639 -4171 " '�4p 1(° i�
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' IL.
INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 69
SITE ADDRESS: 15816 SW 88TH AVE CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 068 TYPE OF USE:
PROJECT NAME: SULLIVAN
DESCRIPTION: Installation of (2) branch circuits for a/c & outlet.
OWNER: SULLIVAN, WAYNE PHONE #: 503.319 -8005
CONTRACTOR: HOT LINE ELECTRIC PHONE #: 503- 502 -9667
Inspection Request Scheduled For: Date: 7/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 052189 -01 971 -645 -7327 Y
Corrections /Comments/ Instructions:
pc2$44.1 +- vl a I-- c. le 4 (d iv , E e c;Sr --- C 0
i lit ' , -m.e., —1M( 4vcd- - S'ofer-v1 s L, ��
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
i 2CAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /4 Date: 7 ` 1 0 - 7 Phone #: (503) 718-
_
J& k� e-
B'5 - SS's- 395;