Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00305
COMMUNITY DEVELOPMENT DATE ISSUED: 5/3/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103 D C -04500
SITE ADDRESS: 13815 SW 114TH AVE ZONING: R -4.5
SUBDIVISION: VIEWMOUNT LOT: 033 JURISDICTION: TIG
PROJECT: HAMMERSLY
Project Description: Kitchen remodel (3) branch circuits.
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: 2 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:
HAMMERSLY, DALE H DONNA J CENTURY ELECTRIC LLC
13815 SW 114TH PO BOX 10646
TIGARD, OR 97223 PORTLAND, OR 97296
Phone: Contact #: PRI 503 - 241 - 8020
FAX 503 - 244 -7041
FEES
Description Date Amount Reg #: ELE 5-51C
[ELPRMT] ELC Permit 5/3/2007 $60.15 LIC 146978
[TAX] 8% State Surcharge 5/3/2007 $4.81 SUP 4804S
Total $64.96 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: J1 � A L , /1 Permittee Signature: -� 49fike
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.
May 03 07 01:56p p.1
.. .
Elesti-iral Permit A ; itatio ,, i ,- -- , th t„. qii,' tr . n . FOR OFT ICE . 1 . ..:tilf.
•
/ City of Tigard LP a: I Of,. .----Y : 5/3/0 9- SL,I0 Pratht No- 611,2..COT - al305
• '--. 1 3125 SW Hall Blvd., Tigard, OR 97 223 -
• PI= Review
Other Permit:
Phone: 503.639.4171 Fax: 503.,59tig960 „,,,,,,,, Datelay:
. . 1 .i ci . A.frt 0 Inspection Line: 503.639.4175 NAT 3 In i Date Ready/By: JA.i a See Pagel for
Internet www.ti.gard or. gov Notified/Method: 1 e Supplemental Information
.....:7PRE:EOIVOl*: Ili ki:54:111:L4 . . ................. ..: ..... ..-..... r, : : 1 . - .. " .PLAIst:RE*IEW.::
0 New construction RI. Addigaiteitand' Iiii7WelifOVVA Pieas cherir all that apPly (submit i sets of plans wirtecas checked belii
0 Service or feeder 400 amps cr more D Building over -three stories.
1121 Demolition Other: where the available Fault current 0 Marinas and boatyards.
. ...-... ....._.... .... _. . . _. .. ..... .... ._. . .. ..._. .. .,
.,,.. t. - ........... - - - - - ......... • • . CrillEGORT. : OF :CONSTRUCTION - ........................ ::: exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1- and 2-family dwelling Ei Commerci41/inchsstriaA. El Accessory building
g
..,......,„ EJ Master builder El Other: less to ground, or EXCCCLIS 14,000 0 Commercial-use agricultural
amps for al other installatims.
0 Fire pump. buildings.
0 Installation of 75 KVA or )
0 Emergency system. larger separately derived system
.. - .103 ‘-ttobx4 ii*J-6:40e.titi6fi- .'•. ........ ' . ' ..... ' . ------- '
... o Mai= of new motor kiad of 0 "5". - 1-2 - - I -
........... . . , . .,..,.::„.... ........ ............... . .....
AMP or more. occupancy
Job no.: Job site addresm i 3 - I 5 fiL i i c-it- 0 Six or more resitiential units. 0 Recreational vehicle parks.
City/StateIZEP: (OOrLi 0 p- q --- );I ...2.3 D Heath-care facilities.
D Hazardous locations. °Supply voltage far more than
600 votts nominal .
Suite/bldg./apt. no.: Project name: 0 Service Cr feeder 600 amps or more.
::, ...... ., ..... : . , . ,,, • , F. , . - ::E::::.:1 - k - k - . ;::feirootrtt
Cross street/directions to job site: . I Qty. I fee. I Total 1 •
New residential single- or multi-family dwelling unit.
Includes attached garage. _
Subdivision: Lot no.: 1,000 sq. fl. or less ' 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1_ 1
Tax map/parcel no.:
. Limited energy, residential
.._ .._,_ ._...._..., . ....._.....„„.., „„:. . ,„„ .. .. .... . ....... . ....................... .......... ... ..... .......,. ...... . ....................... ........ ..
75.00
:::::::. :::::: . : ........ :::, . ::, . ---: • :: ... :,, - - ..... :DESCRIPTION; OF WORK (with above sq. ft) 2
Limited energy, multi-family
2
k IT C HE iu ife9C-M 0 6 EL_ residential (with above sq. ft.) 75.00
Services or feeders installation, alteration, audios relocation
200 amps or less 80.3 0 2
.::::::.: • "": ' :::::: . '.. ..... . ....... DZEINUAZIT--- ............... :: 2 - 2 :: 201 arrq3s to 400 amps 106.85 2
Name: 401 amps to 600 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/Z1P: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) 1 Fax ( ) 200 amps or less 66.85 1
Owner nistallatton: 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, rest, 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
Crwner signature: Date:
A. Fee for branch circuits with
:::::1]:: APPLICANT '' ..... ' . '." ....... ' ..... 'I:: '::::'::::H : 0 :: CONTACT PROF . ' ...... ---- above service or feeder fee,
6.65 2
' each branch circuit
Business name: a,..,, 6.1 E_Lce__Mie..- (-I-- e---- 13. Fee for branch circuits
•
with" service or feeder fee, i 44.85 dA,..,., ...,--' 2
Contact name: -- I - 43z Li \j A ....)
' first branch circuit ,
,
Each add'! branch circuit 4 ;1 6.65 1 2,. ":-. 2
Address: 1 l . t( /e4
Miscellaneous (se/vice or feeder not included)
City/Statei2IP: m e l l e, ,--- 7:;), 45'e, Each manufacttwed er modular
90.90 . 2
'
dwelling, service andior feeder
Phone: ( . 25 ) .7' i ll - 5-e-c Fax : (5Z)4 , ziy,.... )0‘11 _ (
Reconnect only 66.85
2
E 7 6 C . !).t Pinnp or irrigation circle 53.40 2
CONTRACTOR: ............. ... ...... .. ............. ''.' .--- . ............ '... - Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
Business name: E 1 _, # 7 0 ,-- 4 ; a1 c . _ L. (..-C.. energy panel, alteration, or
Address: 1-14/ /0‘ L K
extension Describe: Page Z 2
BCX ,
City/State/ZIP: /TL/ l Aii) (le 6 ).46.)• Each additional insjpectionover allowable in any of the above
Per inspection 62.50
. .
Fax (!...5z) „ , .;R , g ,./.4.. _ -70 /
Investigation per hour (1 hr rain) 62.50
CCB Lic.: i t_ S Electrical Lic.: 5 ...6 - e._ I Suprv. Lic.: q it 5 Industrial plant per hour 73.75 _J
:::::::::•:::::: ..... ELE i ;Ir.:x.4E5:
Suprv. Electrician signature, required: 7 ---- '
Subtotal: 4 / 5
Print name: 7e_c. J
1)1ptAj
,.
■ ._.,..-(-4,
Date: 6- . .1 7 Plan review (25% of permit it fee): fee):
State surcharge (8°.lo of perm
, i
Authorized signrdsire 0 TOTAL PERMIT .1.E.e.: (, IF ,
,19,,,.
This perratt appikattan expires Ira permit is not obtained within is
o
Print name: -,---7 :), .-_, j - . - i.. - - - i . xi I Date: 5 .-%) -.2-007 .111.ow vbilhane it hew Nam" aronPdwa A we revontIlat.
/ ,-71-1 '... , ..".
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00305
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2007
Phone: (503) 639 -4171 � o� "�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_,_,34.- 1
INSPECTION WORKSHEET FOR DATE: 7111/2007 TIME: 7:01AM PAGE: 66
SITE ADDRESS: 13815 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 033 TYPE OF USE:
PROJECT NAME: HAMMERSLY
DESCRIPTION: Kitchen remodel (3) branch circuits.
OWNER: HAMMERSLY, DALE H DONNA j, PHONE #:
CONTRACTOR: CENTURY ELECTRIC LLC PHONE #: 503 -241 -8020
Inspection Request Scheduled For: Date: 7111/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes - • -
199 Electrical final 051755 -01 5503 -241 -8020 ' ``1
g)--S Corrections /Comments /Instructions:
P ASS 'ARTIAL APPROVAL I I CANCEL NO ACCESS
❑ FAIL f/ CALL FOR INSPECTION I I ADDITI•NA FEES ASSESSED 1 7 Inspector: Date: ! Phone #: (503) 718- Z
� "
CITY OF TIGARD
BUILDING DIVISION ~ � PERMIT #: ELC2007 -00305
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51312007
Phone: (503) 639 -4171 "pit
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/14/2007 TIME: 7:01AM PAGE: 47
Jr
SITE ADDRESS: 13815 SW 114TH AVE i L CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 033 TYPE OF USE:
PROJECT NAME: HAMMERSLY
DESCRIPTION: Kitchen remodel (3) branch circuits.
i
OWNER: HAMMERSLY, DALE H DONNA J, PHO #:
CONTRACTOR: CENTURY ELECTRIC LLC PHONE #: 503. 241 -8020
Inspection Request Scheduled For: Date: 5/14 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message �f,�
105 Underground/slab cover 048210 -01 503. 241 -8' '420 N I (► % U
Corrections /Comments /Instructions:
•
d0% zot,k9ttY iJlam/ 0 e-L V`Ltt
f )45 te. hotrtea .
2 4SS n P 'TIAL APPRO ❑ CAN EL n NO ACCESS
I I FAIL /I' F'% - ' CTION ■ ADDITIONAL FEES ASSESSED 4/
Inspector: � Date: l � Phone #: (503) 71?