Permit r'
CITY OF +-JTIGAR® ELECTRICAL PERMIT
!Pt V K PERMIT #: ELC2007 -00154
COMMUNITY DEVELOPMENT DATE ISSUED: 3/14/2007
TIGARD 1 31 25 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S111AC -00500
SITE ADDRESS: 14570 SW 91ST AVE ZONING: R -4.5
SUBDIVISION: PINEBROOK TERRACE LOT : 046 JURISDICTION: TIG
PROJECT: SILCOX
Project Description: Panel change and grounding. Job No. 07 -3591
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: 1 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:
STEVE SILCOX ALL PRO ELECTRIC INC
14570 SW 91ST AVE PO BOX 280
TIGARD, OR 97224 6327 -C SW CAPITOL HWY
PORTLAND, OR 97239
Phone: 503 - 639 -2251 Contact #: PRI 503- 246 -0361
FAX 503 - 246 -0406
FEES
Description Date Amount Reg #: ELE 26 -1099C
[ELPRMT] ELC Permit 3/14/2007 $80.30 LIC 148108
[TAX] 8% State Surcharge 3/14/2007 $6.42 SUP 4630S
Total $86,72 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 .c :: - ' accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspend- • for more than 80 days. A' E TION: Oregon law requires you to follow rules adopted b e Oregon Utility Notification Center.
Those ules are set forth in CAR 952 -00 40 0 hrough OAR 952 -001 -0100. You may obtain co of these rules or direct questions to OUNC at
503.2 6.6699 or 1.800.332.2 •4. /
Issue. :y: - � l aj I / / ' Permittee Sig ture: I'. 2 %aff / i/
• OWNER INSTALLATION ONLY
The installation is being made on pr..erty I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N•41111111M _ta7 i � /B �� 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.
Mar 13 0A 02:15p All Pro Electric, Inc. 503- 246 -0406 p.1
Electrical Permit Application, _ -.FOR OFFICE usi ONLY
¢ ,q 4 _� >��.,. ¢ Received 7�QJ�
Q /
City of Tigard 72
Date/By: /5. 6 4J l Permit No.: f
q 13125 SW Hall Blvd., Tigard, OR 923 n Plan Review
_ Phone: 503,639.4171 Fax: 5t q. 19103 20 01 , Joi ...By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready /By; kris: 61 See Page 2 for
IInternet: www.tigard or.gov CITY OF �I_ lG 9PLARD Notified/Method: -7 , ' Supplemental Information
� �r w y �r a c i a.R w A ,., 6
TYP RKy'sl;�' !�laiON
PLAN REVIEW
❑ New construction ® Addition/alteration /replacement Please cheek all that apply (submit 2 sets of plans w /items checked below):
0 Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ID Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings,
less to ground, or exceeds 14,000 0 Commercial -use agricultural
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. 0 Installation of 75 KVA or
JOB 51TE INFORMATION AND LOCATION ; 0 Emergency system. larger separately derived system.
❑ Addition of new motor load of
Job no.: 07 -3591 Job site address: 14570 SW 91' Ave. I00HP or more. occupancy.
❑ Six or more residential units. 0 Recreational vehicle parks.
City / State/ZIP: Tigard, OR 97224 0 Health -care Facilities. 0 Supply voltage for more than
❑ Hazardous locations. G00 volts nominal.
Suit efbldg./apt. no.: : Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street`directions to job site: Description I Qt.. I Fee. I Total I -•
New residential single - or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. It. or less 145.15 4
Ea. add'/ 500 sq. ti. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft.) •
Limited energy, multi- family •
Panel Change and grounding residential (with above sq. n.) 75.00: 2
Services or feeders installation, alteration, and/or relocation
200 amps or less I 80.30 80.30 2
ID PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: Steve & Wendy Filcox 401 amps to 660 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
1 relocation
Phone: (62 G39 _ I 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, Per panel
Owner signature: Date: A, Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact n ame: first branch circuit 46.85 2
Address: Each add'] branch circuit 6.65 _ 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
90.90
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 , 2
CONTRACTOR Sign or outline lighting 53.40 ; 2
Signal circuit(s) or limited-
Business name: All Pro Electric, Inc. energy panel, alteration, or
Address: PMB 280, 6327-C SW Capitol IIWY extension. Describe: Page 2 2
City /State /ZIP: Portland, OR 97239 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 246 - 0361 Fax: (503) 246 - 0406 Investigation per hour (I hr min) 62.50
CCB Lie.: 148108 Electrical Lie.: 26 - 1099C Suprv. Lie.: 4630S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ,?2" 5' .Z2'"-----<--c Subtotal: 80.30
Print name: Kevin E Poole Date: 03/13/07
Plan review (25 %ofpermit fee): 0.00
///111 State surcharge (8% of permit fee): 6.42
Authorized signatue; - / TOTAL PERMIT FEE: 86.72
Print name: Sherri G Poole C l � Date: 03/13/07 This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
' Number of inspections allowed per permit
C\ Building \Dermas \ELC- PermitApp.doc 05/23105 440- 4615TO I OS /COM /WEB
CITY OF TIGARD....
BUILDING DIVISION PERMIT #: ELC2007- 001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/23/2007 TIME: 7:03AM PAGE: 12
SITE ADDRESS: 14570 SW 91ST AVE CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 046 TYPE OF USE:
PROJECT NAME: SILCOX
DESCRIPTION: Panel change and grounding. Job No. 07 -3591
OWNER: SILCOX, STEVE PHONE #: 503.639-2251
CONTRACTOR: ALL PRO ELECTRIC INC PHONE #: 503.246 -0361
Inspection Request Scheduled For: Date: 3/23/2007 Pour Time:
Code # Inspection Description onfirm Contact # Message
1r39 Electrical final 045321 -01 503-516-7635 \ Y
Corrections /Comments /Instructions:
•
N
X PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( w Date: 3' Z3' O 1 Phone #: (503) 718 - -14