Permit ,' CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00442
-/ DEVELOPMENT SERVICES DATE ISSUED: 8/8/2006
AL 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 134 DA -04600
SITE ADDRESS: 11325 SW 108TH AVE ZONING: R - 4.5
SUBDIVISION: DOREEN COURT LOT : 003 JURISDICTION: TIG
Project Description: (4) circuits for remodel of (2) baths.
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:
MATTHEW KOEHSTEDT WEBER ELECTRIC INC
11325 SW 108TH PO BOX 231154
TIGARD, OR 97223 TIGARD, OR 97281
Phone: 620 -1906 Contact #: PRI 503 - 620 -1906
FAX 503 - 620 -6819
FEES
Description Date Amount Reg #: ELE 34 -442c
[ELPRMT] ELC Permit 8/8/2006 $66.80 LIC 44087
[TAX] 8% State Surcharge 8/8/2006 $5.34 SUP 40285
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: Permittee Signature:
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.
Tueiaay, August 08, 2006 11:04 AM Matt & Diana Weber 503 620 6819 p.01
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El etrieal Permit A Mien , -- Font 01.141cE 11SE ONLY
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City of Tigard Reed - _ ,00 VO V
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13125 SW Hall Blvd., Tigard, OR 97223 AuG 0 8 2001.: , P" Revi ` w
- . Pennit No
Phone: 503.639.4171 Fez.: 503.5913.1960 -...--, i , Daiem : Otter Permit
Inspection Line: 503.639.4175 r kb ::1 l Date Ready/By: See Pop 2 for
Internet: www.ci.tgard.orus
1IINi 01' j '.---- NOtirledfteth¢d: EN Supplemental ihr011112ti011
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U New consinletiOn P.tkrat/alteration/replacement Please check all that apply:
°service over 225 amps, comm'l °Hazardous location
0 Demolition 0 Other: °Service over 320 amps-. rating °Bulldog over 10,000 sq. ft.,
• ? '' '.."::.1: ' • , :: '-':''..'.; ‘: ';: ekitooy. ;or', (::r.44*(iote:0 . :'.s.,;-.,.: .,.:.:.: ,..:...:,::.,./,' 1 • ty,q0 Qf I. and 2 dwellings 4 or mare new residential
- and 2-family dwelling [1 Conmiercial/industrial 0 Accessory building OSystern over 600 volts nominal units in one structure
ElBuilding over three stories °Feeders, 400 amps or more
0 Multi-fhntily 0 Master builder 0 Other:
DOccupant load over 99 persons ONfanlleiClIITCd 5lruCtliTeS or
'':.:; .::•••'•; . I.: . "; •:':: :. i . r. 40::',00.k... 7 .: :.::;,:::::.,,:,,:.:: ,.7::?.: pEgreamightingplan R.V park
Job no.: Job site address:// 3 " : 7 " 1 „ ) i 0 g ' Elliealth-care facility DOther.
Submit 1, sets of plans with any of the above,
City/State/LIP: ' . 7-T 7 ,2- z._ Z The above are not applicable to temporary construction service.
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Suite/bIdg,/apt. no.: Project name:
Doeirpeen I 1 Taw r -
Cross etreetaireations to job it New residential single- or inuiti-farrilly dwelling unit.
Includes attached garage.
1,000 sq. ft_ or less 145.15 4
Subdivirriam fi..0Tio,: Ea. addl 500 sq. ft. or portion 33.40 I
Limited energy, restdenslai 75.00 2
Tax Map/parcel n0-: .
, Limited energy, non-residential 75.00 2
'-DASCRIrlION OF : COM; . : . , :, . :.;:.-.;!,,, . '.. ., .)....,,.::..!!, . Each manufactured or modular
- -. dwelling. servicer _td/or feeder _ 90.90 2
1 - ... .....4. .... P ' r - • , ,, )r Services or feeders installation, Altera Ion, and/or relocatio
(
re rri 0 et-f2.- 0 E 2 6I711 200 amps Or less 80.30 2
• • " Ntlitci . 15i . ' . • ' `.' - r , •' , ....,:,...': . •... - taiii,.4A.,:ii- ,, ,• • ...: ••.,.,.:,.,. 201 amps to 400 amps 106.85 2
160.60 2
Name: ■ - In 601 amps to 1,000 amps
240.60 2
Over 1,000 amps or volts 454.65 2
Address: f:A /71 e._ _ Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation ,
Phone: (5, 5 5R-. .7 g 3 6 Pax: ( ) 200 amps or less 66.85 1 I
Owner luttallatiou: This installation is being made on property that I own which is not 201 a , .s 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 amps 133.75 2
Owner signature: Date: , Branch circuitt, or extension, a panel
.
El .F.4pillai VT ?'.•!'•:,::':'';'• ..*: :; Lti; tijiitA0 Oxt§ 'i ' A, Fee for branch circuits wer
service or feeder fee, each 6.65 2
Business name: branch circuit _
B. Fee for branch circuits
Contact name: without service or feeder fee, i 46.85 4 6, ts
each branch circuit I
Address: Penh rebrancli circuit ' 6.65 r 5t 2
City/State/ZIP: Miscellaneous (service or feeder not ineluded)
Pump or irrigation circle 53.40 2
-
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2
- -
E-mail: Signal circuit() or limited-
1: ' :: ' •::: ':::'. ' . . ..':".•:„;:;,.... ::. ;- ::.-CON:jUertirt : ":',, ; : 'i :`::;.:';1 :'•.;::; .,;7:1,:;::;.;!:',!:L!.. i 1 ' 2 : .. energy panel, alteration, non, or
extension. Describe: Page 2 2
Business name: .
zilch addltIonal inspection over allowable In any oldie above
Addicts:. ..:
.. _ Per ins. ction 62.50
City/State/ZIP: ---, , .. 0 r '' 7 8/- (5" Investigation per hour (1 lir Die) 62,50
Industrial pl per hour 73.75
Phone: (5 ... _ 0 _ . 7 jo - am: ( ) 1I -ffejgr& ( 7 4 ,. ; ., - .. T,; 1 : :,...; ;,':** Fr4fi!.1..'' c..' ..!,
CCB Lie.: -4 c : ECEr • • Suprv. Lic.: 4o2 • Subtotal 66 t e,0
a - ,
Suprv. Electrician signature, required: -- /-•,.../ .. .. ...ej/\. Plan review (25% of permit foo)
State surcharge (8% of Pumir fl=e) 5, 34
Print name: -' Date: 6 ._ 80_0 _)
!. F • :: .'• - TOTAL PERMIT PEE 72j .4
. mni, a FOC. die , 11 pip.. If- permit It tigt oltialttad within Ise
Authorized Signature: say' after It has been accepted as complete
Print name: I Date: • Poe methodology set by Tii-Cotony Building Industry Service Board
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: ELC2006-00442
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/20,06
Phone: (503) 639 -4171 4 µup , 9' I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7 :06AM PAGE: 90
SITE ADDRESS: 325 SW 108TH AVE CLASS OF WORK:
SUBDIVISION: DOREEN COURT LOT #: 003 TYPE OF USE:
PROJECT NAME: KOEHSTEDT
DESCRIPTION: (4) circuits for remodel of (2) baths.
OWNER: KOEHSTEDT, MATTHEW PHONE #: 620-1906
CONTRACTOR: WEBER ELECTRIC INC PHONE #: 503- 520 -1805
Inspection Request Scheduled For: Date: 8/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 034765.01 503- 209 -2292 ¥' •
Corrections /Comments /Instructions:
PP:Z
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REQIN S F L o v AL ) .
C� NA ��
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calenaar aays per VAH 918-271-0030
I I PASS N g PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Oi% Inspector: L Date: LI a Phone #: (503) 718-
• .
CITY OF TIGARD
BUILDING DIVISION
A PERMIT #: ELC2006-00442
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2006
Phone: (503) 639-4171 , 10 41P40:111`
Inspection Requests (24 Hrs.): (503) 639-4175 ....,.4- 1L.
INSPECTION WORKSHEET FOR DATE: 5/13/2008 TIME: 7:00AM PAGE: 41
SITE ADDRESS: 11325 SW 108TH AVE CLASS OF WORK:
SUBDIVISION: DOREEN COURT LOT #: 003 TYPE OF USE:
PROJECT NAME: KOEHSTEDT
DESCRIPTION: (4) circuits for remodel of (2) baths. 4/14/08, PERMIT REINSTATED FOR 20 DAYS FOR FINAL
INSPECTION.
OWNER: KOEHSTEDT, MATTHEW PHONE #: 620-1906
CONTRACTOR: WEBER ELECTRIC INC PHONE #: 503-620-1906
T
Inspection Request Scheduled For: Date: 5/19/2008 Pour Time: A elk
Code # Inspection bescription Confirm # Contact # 'ressage
199 Electrical final 070029-01 ,503-209-2292 Y
Corrections/Comments/Instructions: NO ILI
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'A0,441
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*E1:151 Ng\ ta...cA) ITS,
PASS 0 PARTIAL APPROVAL El CANCEL fl NO ACCESS
• ' 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: -ri N / Wel 1...46 Date: St Phone #: (503) 718- VA