Permit C ITY OF TIGARD = ELECTRICAL PERMIT
• ' PERMIT #: ELC2007-00702
COMMUNITY DEVELOPMENT DATE ISSUED: 10/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 BA -05600
SITE ADDRESS: 14150 SW 97TH PL ZONING: R -4.5
SUBDIVISION: SOLARCREST LOT : 008 JURISDICTION: TIG
PROJECT: CHAVEZ
Project Description: (1) branch circuit and low voltage for Audio and Stereo systems.
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: 1
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: 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:
KERRI CHAVEZ VALENTINE INDUSTRIES
14150 SW 97TH PLACE 833 SE MAIN ST. #430
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: Contact #: PRI 503 - 747 -2305
FAX 503 - 747 -2306
FEES
Description Date Amount Reg #: ELE C 162
[ELPRMT] ELC Permit 10/11/200' $121.85 LIC 162626
[TAX] 8% State Surcharge 10/11/200' $9.75 SUP 3293S
Total $131.60 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: q � Permittee Signature: d'y � •
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.
E 002
01/02/2006 23:23 FAX
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Electrical Permit Applicationt .‘"r.,-11,/r" ' '',.
t r FR o ()FFICE USE ONLY
Ill
..,- ..--
u• 11„; k j C q ',---- Received
r' ' ' City of Tid - Date} . ni e... .... a
. .1 13125 SW Hall gar Blvd., Tigard, OR 97223 v u...„.., 1.--, per tNo.
q Plan Review
- 12 .: Phone: 503.639.4171 Fax: 503.5K7601 1 2001
Date/lity: Other Permit:
TIGARD
Inspection Line: 503.639.4175 Date Ready/By: jwis:_„,..- Pi See Page 2 for
Internet: www.tigard-or.kolli j . ARI) Notified/Method: j Supplemental Information
El New construction Aatirkfrii tettailifefirLenienr - --- Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or mom El Building over three stories.
0 Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
:.:, .:*,1 .if i-: C*1 OF ,coMpt -::::'.:.::'; 2 . : . •:.' ,:-'. ; ' :' '. ''' exceeds 10,000 amps at 150 volts or 0 Floating buildings,
less to ground, or exceeds 14,000 0 Commercial-use agricultural
2 and 2-family dwelling CI Commercial/industrial El Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
larger separately derived system.
. , .,_! -: -:: ;-.,. 0 Addition of new motor load of
100HP or more occupancy.
Job no.:206 c. c_6 Job site address: IL/K0 g(.j R4
0 Six or more residential units. 0 Recreational vehicle parks.
A -1 0 Health facilities. 0 Supply voltage for more than
City/State/ZIP: 171, Pte/) , p e a (1-72zy
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: C i k 0 Service or feeder 600 amps or more.
FEE.:8i2.00ux;
Cross street/directions to job site:
ii 4 e ,_ .e .„,,,, b., Description } Qtv. 1_ Fee. { i Total . *
. New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less . 145.15 1 4 .
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential 0 2
,:' -. :'' '. ,::: :1)ESCRIrTli*I', OP WORK ,.1 .:.::::.:. ',:-..,,'::: .:::: ::.:,.::::-.:::.. (with above sq. ft.)
75.00 n
Limited energy, multi-family
- 75,00 2
ilk rh / el 41.0r) 4 ,-,0 4 $.4.-5 residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
. 200 amps or less 80.30 2
ET: P..PPE47ty•cWNA:t' ... yi.. . :: .. .: .. ; :.:', 0 TENANT : .y: : 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: ..e e 4 , vy ,... E.
_
601 amps to 1,000 amps 240.60 2
Address: /4, / c°.7 et) ,P/o�(( ,P/o�(( .
Over 1,000 amps or volts 454.65 2
City/State/Z1P: 4 9
Temporary services or feeders installation, alteration, and/or
-7 f ., / 727 V' 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, per panel
Owner signature: . Date:
A. Fee for branch circuits with
.0 :::: ::: : 00 : '.: above service or feeder fee,
6.65 2
. , each branch circuit
Business name: A /,,,,, 4 / 0 r4 ., 4. 6 4 , 40/27 . 14,„., e..... _, _B. Fee for branch circuits - -- - --- -- - ---
without service or feeder fee,
- 46.85 5EK 2
4,,
- /
Contact name: 06. Ale"' 4/ C , ,6 first branch circuit
Address: „tsr33 -4. 51,-4e X AP- r Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: f 97e/ Each manufactured or modular
90.90 2
-''' / dwelling, service and/or feeder
Phone: (5 ) 775. Z 0 6 - Fax: : (503)7y 6
Reconnect only 66.85 2
E-m ail: " / 4-,.. ove 7 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
..: • .. .. : , : : .- -, .-- . . . : • . „ . . ...
Signal circuit(s) or limited-
Business name: V
A le A. 1 4 1, r - /A/01.4011% k's Zle di. 4.4. ,14,,,a,2 7/04, energy energy panel, alteration, or
Address: g33 y - ei - ,s,/, ... 0 :°' yege extension. Describe: Page 2 2
City/State/Zip: . R, r 1 / bi Q 7Z/ V Each additional inspection over allowable in any of the above
/
Per inspection 62.50 _
Phone: (k3 ) 7V7-1_30‘ Fax: (3'63 ) 74/7- 2&)t, Investigation per hour (i hr min) 62.50
.
CCB Lic.:/‘ 4,76, Electrical Lic.:c/6 Suprv. I...ic.: 3 2_93 s Industrial plant per hour 73.75
:, . .. -, : ,. ELECTRICAL PERMIT ITEE.81::::.-
Suprv. Ele/frician signature, required:
7
Subtotal: /2/. sp<
Print n e: r1,9 (.. r i 01 1 -1- / 67 " 56.0 4
f ,/,.------._e_
Date: Plan review (25% of permit fee):
State surcharge (8% of pemiit fee): 9 • 7‘
.0----,..._
Author ed signature:
TOTAL PERMIT FEE: 93/.., 6, p
This permit application expires if a perntit is not obtained within 180
Print name. j?.„ . /CI. 07 Date:
days after it has been accepted as complete.
* Number of inspections allowed per permit.
RBuildingTermits VELC-PemitApp.doc 05/23/06 440-4615T(11/)5/CO EB
1 "'-/ .-4;ie /0 / •i°
CITY OF TIGARD , A
BUILDING DIVISION PERMIT #: FLC2007-00702
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2007
Phone: (503) 639-4171 ,,, A 1 4, 1 1I1 em
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AM PAGE: 86
SITE ADDRESS: 14160 SW 97TH PL CLASS OF WORK:
SUBDIVISION: SOLARCREST LOT #: 008 TYPE OF USE:
PROJECT NAME: CHAVEZ
DESCRIPTION: (1) branch circuit and low voltage for Audio and Stereo sl
OWNER: CHAVEZ, KERRI PHONE #:
CONTRACTOR: COMMINCEMUSTPIES PHONE #: M-747-2305
CHAVF7 KERRI
Inspection Request Scheduled For: Date: 1/24/2008 pour Time:
r ,0
Code # Inspection Description Confirm # Contact #7 Message 0, , . il
125 Wall to' 063610-01 ;- 603,7 7(7900 V 1 X 4
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K. PASS PARTI;,( •''\;- ... CANCEL fl NO ACCESS
FAIL I I C ' f o- 1 p,re., El AP DITIO AL FEE ASSESSED
(all ....2_
Inspector: i ' Date: 6i rone #: ._ (503) 718-
' ,