Permit C ITY OF TIGARD ELECT
P E RM IT #: ELC2007 -00 RICAL PERMIT 354
COMMUNITY DEVELOPMENT DATE ISSUED: 5/22/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S114BB -16500
SITE ADDRESS: 16270 SW 103RD AVE ZONING: R -7
SUBDIVISION: RIVERVIEW ESTATES LOT : 011 JURISDICTION: TIG
PROJECT: SNYDER
Project Description: (4) branch circuits to alter plugs and appliances in kitchen.
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: 3 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:
SNYDER, GREGG L + MOLLY S HEBERLE ELECTRIC
16270 SW 103RD AVE 18645 SW FARMINGTON #326
TIGARD, OR 97224 ALOHA, OR 97007
Phone: Contact #: PRI 503 628 - 2095
FAX 503 - 628 -3076
FEES
Description Date Amount Reg #: ELE 34 - 160C
[ELPRMT] ELC Permit 5/22/2007 $66.80 LIC 152342
[TAX] 8% State Surcharge 5/22/2007 $5.34 SUP 3053S
Total $72.14 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: /I /11 f %� Permittee Signature: doh , ,pp 6 oihm 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:
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.
05/22/2007 13:23 5036283076 HEBERLE ELECTRIC INC PAGE 01
Elgs,tr P'erm�t A,gp�a t to-n .„% , P -�, ,,,:. l�OR o 1:11 1 r , 41'. i t:\ IA
tL'1 of Tigard k1 LP2.= � ( 4ISM Received
, ;, t � �.-.. : � Dato/13. 5 Z Z • Su■ P ermit No.: _, �
. - 0635
13125 SW Hall Blvd., Tigard, OR. 97223 Plan Revtow
none; 503.639.4171 Tax: 503.598.1460 14 . : 411,tr,±'' 1 ' - Dntc/F3 : Other Permit:
Inspection Line: 503.639.4175 MAY 2 4 1 : _.. p Rmtd Gd sea Pa 2 for
Internet www.ci.tigard,or.us Notlfi lsi Supplomantnllnfnrmnttnn
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JLit, Plane check all that apply:
❑ New construction h'ddi '' A pP
L� - - - - - .L ° I °Service over 225 amps, comm'I °Hazardous location
❑ Demolition Q Other;
' " ;
J `a,'; j .1�' "': ''.Fy : ! .q j ,a r � �� n I.+,. 55 g p� ' ' . r j - �'t y . r ` �,l�l + '. i''$
? ra' ' "' r•�'f +'�; "�'r, = :i ; ° ❑Service over 320 amps -- rating ❑Bttildng over 10,000 sq. it.,
' �`"f `0j;;�',M . ,
i i'., J �ij1 h �.7ia'e° n ' IAI '1 t' 1, ',''ii ir [F � 4r ` .l 1 0 °'
''` + ;r i ; � ,.: 'i' of l- and 2- ffimilydwellings 4 or more new residential
L - and 2-family dwelling Commercialrnldustrial ❑System over 600 volts nominal units in one stnteture
Y 8 � Q Accessory building
El Multi-flintily El Master builder El ❑Building over three stories ❑Feeders, 400 amps or more
, r {r:4" ',t,ku ,1e ..k� �: ":,. r ' +e> a F ,, ,,.- ;.ri;,:;r Occupant load over 99 persons Manufactured structures or
;or.. :>: 4� a "} , ' ,' . , � Elio , a 14�E,T'STREu63,tt� ,. s : , .,:.. :,1., , ; :c ` t :'', : ',a,., ❑Eg kiting p RV park
Job no.: Job site address; t,-2„---70 C lam I O^3 1r , ` ( ❑Health.,carc facility DOther
Submit, sets of w any of the above,
City /State/z1P: 7G A '7 (/7_? —( The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: I Project name C K V fit ! i l ,' t ''''' 4 f' +: ° . ��d IV n, �iXAci4t:r�h� l " 1; ' t '
ncriptinq Qty. Vet ME= "
Cross street /directions to job site: 4 ? +-- -2 1 New residential single- or multi - family dwelling unit.
""� Includes attached garage. -
_ 1,000 sq. ft. or less 145,15 4
Subdivision: Lot no.: 13a, add'1 500 sq. It. or portion 33.40 ' 1
Tax map /parcel no.:
Limited energy, roside:Mint 75.00 2
Jgl':1;h ° +^ ;z �,y r r" : � , Limited energy, non - residential 75,00 2
'0' {. r r l 1 , I +1 4 l..t;l.:i;f''. . 3 . • Yp� two *,5, t p Vt 4 (, "i"i`1i�. f ! 7 ; :.. . F! .� +. . ! ;,
F7 'U Sll'�Psdr l'�li �tiii4� ,7'.V:.. ��a6e, �" ...�� , ¢.; � �:., V, � r.,, r i ?i..:. ,,,, .;'l��c' ii�e �.
��'.� , � , y1,� �+� Y ,r3 ;r; ',��;,. ��. � ^'rc'r. , Each trianufltctured or modular
')) , p ' dwelling, service and/or feeder 90.90 2
(__ i—' 1 p Services or feeders Installation. alteration, and /or relocation
I i'`Nt .f■• 200 amps or less 80,30 2
"0 (, ;. )j,y '^: ' s �txvti i i ! A{� Ufa t1, '.r i� !iy ':' '9ii:�i�;i' 0( ";SQL':; iP �' } a n 'r r. ^�4; "''i /4 t ^ :i;;;,,,..x-s 201 amps to
: ; p 400 am
� �i1>4�I��b:Fi ,. 4F; r� l i
N' .� 41 � t ' r . �: °�? `G , ,;r ;�,. �p s 106.85 2
i �` 401 amps to 600 nm 160.60 2
Na _ 6 01 amps to 1,000 amps v 240.60 2
Address: - Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: — Temporary services or feeders installation, alteration, andior
Phone: ( ) Fax ( ) relocation
200 amps or less 66.85 III 1
Owner installation: This installation is being made on property that l 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 600 am s 2
circuits Br
Owner signature _ ti Qty; Branch circuits new, Alters' or extensi per panel
j'ii.d'I ky4"9 v h p 1tN'! ,h i . i I §'dra t
, , i "� I � , . ; ,! I ,, i ,' ;; • „,.40,40,..,:.v . .. "'I �i r : A, Fee b
S1. ii � ,ti ' (� y4. m 1 +lots{ . � n i��' f , ( } q a � � t � �,,,,;., , : 1 : fOr lt circuits with Business inesg nettle; f] yen ice or f fee, each
[� branch circuit 6.65 2 r
Contact name � - , ` B, Fee for branch circuit'
0 •% M II v w der fee, t
Address: ' ea ) branch circuit 46,85 2
' Each add'! branch circuit '\ i 6.65 i � , 9
City /State/ZIP: _ Miscellaneous (service or feeder not Included)
Phone: ( ) Fax" : ( ) Pump or irrigation circle 53.40 2
E-mail; . _ Sign or outline lighting 53.40 2
r Signal circuit(s) or limited -
;: 'f,''' '.i , u. iilAr/ r NZIM a'.. iziZve ? /,.:.A:i,' A << f,;r, 7'r'�I?7r;,S(c�' energy Panel, alteration, or
" ' extension. Describe: Page 2 2
BusineNS name: Hobe le Electric, Inc,
L Address: 11364 Aloha _PR 97007 Each additional Inspection over allowable in an of the above
— Per inspection _ 62,50
City/State/ZIP': Investigation per hour (1 hr min) _ 62.50
Phone: (05yS) (e, ' CI! Z0 q' S .-- Fax: ( } '3 ) 4 223 - 30- -- / 4., lndustrial la per 73.75
taut er Itour
CC13 Lie.; L�1 3� Electrical Lic. :3 L() C Suprv. L,ie.: gc35 —'C ".,' h' "'Y,'.4 �'�, +• A ~a ! ) '.i +. ,A a 1 114 r , ', ; ty'�a` r wo,'. '
a Subtotal
Suprv. Electri ion signature, required: j . ~ Plan review (2.5% of permit fee) ----- .Ai iiirAL
Print name: —. 41uf. ` »i1 Lw y r Date: ,. 2:2, --p." 7 State surcharge (8% of permit fee) ..- ,. Z
/ TOTAL PERMIT FEE 7 Z 4 <I
Authorized signature: 11th permit nppnerttton expires I(n perm{t 1s not oiitnined within 150
Print name:
days after It h been neeepte:d iv complete
Date: t. mothodolo oat b T n -
!•.cY y m dng Iadustty S 7
i:■auiteittaTennhAE/.C PevmllApp,q tt, 19)03 "` " Nun ber of m apaetirme per pa it showed, Budi �13°"d I 7
40_16,51'(: n /(h1COM/Wr,II ` ' ___.,......._._
._____
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: El.C2007 -003E4
, , A
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/22/2007
Phone: (503) 639 -4171 e m�ii�l�ilI \
Inspection Requests (24 Hrs.): (503) 639 -4175 f
INSPECTION WORKSHEET FOR DATE: 11/27/2007 TIME: 7 :01AM PAGE: 43
SITE ADDRESS: 16270 SW 103RD AVE CLASS OF WORK:
SUBDIVISION: RIVERVIEW ESTATES LOT #: 011 TYPE OF USE:
PROJECT NAME: SNYDER
DESCRIPTION: (4) branch circuits to alter plugs and appliances in F tchen.
OWNER: SNYDER, GREGG L + MO c ";_-____ PHONE #: So3) 61.0'
CONTRACTOR: HEDERL.E ELECTRIC 1 U PHONE #: 503.620.2095
• /
Inspection Request Scheduled For: Date: 11/27/2007 Pour Time:
Code # Inspection Description Confi Contact # Message
199 Electrical final 060287 -0 503- 961 -2736 Y
■
Corrections /Comments /Instructions: `. 4'11 , CALL_
_.-
.//\)
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
F IL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Vv 68t,.E" Date: 1 f � % �l 1 Phone #: (503) 718-1-114
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007- 003!4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5122/2007
Phone: (503) 639 -4171 il
Inspection Requests (24 Hrs.): (503) 639 -4175 112.
INSPECTION WORKSHEET FOR DATE: 6/11/2007 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 16270 SW 103RD AVE CLASS OF WORK:
SUBDIVISION: RIVERVIEW ESTATES LOT #: 011 TYPE OF USE:
PROJECT NAME: SNYDER
DESCRIPTION: (4) branch circuits to alter plugs and appliances in kitchen.
OWNER: SNYDER, GREGG L + MOLLY S, PHONE #:
CONTRACTOR: HESERLE ELECTRIC PHONE #: 503-628-2095
Inspection Request Scheduled 6/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 049849-01 603- 961 -2735 Y •
Corrections /Comments/ Instructions:
NO G I-� -� ��. tiocide avay
«PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I I FAIL CA L FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: Date: d` , 01 Phone #: (503) 718-