Permit CITY OF TIGARD ELECTRICAL PERMIT
PRM #: ELC
iljt
,' COMMUNITY DEVELOPMENT
DATE E ISS D: 5/2/2007 2007 -00297
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104AB
SITE ADDRESS: 12162 SW 131ST AVE ZONING:
SUBDIVISION: MORNING HILL NO. 4 LOT : 092 JURISDICTION: TIG
PROJECT: ROAST
Project Description: Wire for hot tub.
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: 1 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:
ROAST, BRAD + LAURA BEAR ELECTRIC
12162 SW 131ST P.O. BOX 389
TIGARD, OR 97223 DONALD, OR 97020
Phone: Contact #: PRI 503 - 678 -1355
FAX 503 - 678 -1108
FEES
Description Date Amount Reg* ELE 24 -107C
[ELPRMT] ELC Permit 5/2/2007 $53.40 LIC 20919
[TAX] 8% State Surcharge 5/2/2007 $4.27 SUP 4902S
Total $57.67 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By:.:______-- Ul�e /O , A7/1 Permittee Signature: S. A ( I da Tr Cyr)
C.
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE: .
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
05/02/2007 WED 9:40 FAX 5036781108 Bear Electric, Inc. IjO01 /002
k Ele:c$ricai Permit .Applicati.. t� . FOR OFFICE USE ONLY
City of Tigard Received E,1 c Zoo - 002Gi
13125 S W Hall Blvd -, Tigard, OR
..CP 00'1 Plan Review
Date/$y: Permit No W l J 1
1):_;, y 1
Phone: 503.639.4171 Fax: 503.5 :. .0 i I, 4 1. 1 /f ', Date/B : Other Permit:
Inspection Line: 503.639.4175 MPS n ik � ® tv. 1 Date Ready/By: kris: H See Page 2 for
\`t` V
Supplemental Information
Notified/Method: t on
Internet: www.cl.rigard.or.us ®�� ` � No tfi pp
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New construction AA �n/alteration/re .rr . , . . , . c ' that apply : ..
❑ N ® on/alteration/replacement Please check all
p
❑Service over 225 amps, comm'l ❑Hazardous location
E] Demolition El Other:
-_ t T z,F + _ >z.Le ::r., -� _ < •:,:. _r z - - ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
_. ,: r<w. >- �A;'f:E" ` +`.ft�,� �:v��0 ` ' �I�Y:N��- ��::•.r,�:. '•� of 1 -and 2-family dwellings 4 or more new residential
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® 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other ❑Building over three stories ['Feeders, 400 amps or more
- - ...L'7 - ^_ ';X <:• _a;;r•t.^ :;r.•r_:+ea^ war rt- .r =rr;._ •r,re- : s � •aq;.;<:° �sr.. -,, - _ DOccupant load over 99 persons ❑Manufactured structures or
.. :t: %�•'' ^ '�`�= :• -.��'` .._�;z,,. ..�3,. =`-��%' }� f.��:•ai':::1_.st. %��`i ?C: ""•'� = ` RV ark
, ,. F ,,,, „ O;& S,.--L -•I O C2?; 'Its_i;!3, �:IVA:, �CA I0,., Vi ;. ., ❑E ess/ hting plan P
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❑Health -care facility
Job no.: T i- :�.. -- Job site address: / Z ( +�Z Slt) /31 ❑ abov
/J [ Submit Z seas of plans with any of the above.
City / State/ZIP: �• a ► l� t` 97A 2 3, The above are not applicable to temporary construction service.
Suite/bldg. /apt. no., Project name: • .-E<F l>- t`a ' t '`S T .ktft E ;;A .. .' y ,
Descr I Qty. I Fee. a Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage. _
1,000 sq. ft. or less 145.15 4
Subdivision: ( Lot no.: Ea. addl 500 sql ft: or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
;^T : . v �A: ,:<� iv- _ :V;: - `- ;•yY;:y y? ` Limited energy, non - residential 75.00 • 2
<:.`�: #; -_ - :t<ln...c �- i:;.,.. - ; �,.,, -- , tI:.•�`t•'� _.���<;W .R�`:;� %: �';�irrr::?�,:a ivyd- .r�L...;:; Each manufactured or modular
- dwelling, service and /or feeder 90.90 2
tJ„l % -e 4c,ir +f Tia Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
:.:a == ...,a r - „�.,,::; F. >�:._ ,t :>: m ys;`..^ - �.' :'t `.t ^.,4-. �. .• - M:YM4- �: „, 201 amps to 400 amps 106.85 2
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.�z m ay. F ti lrc`k1:- 'QY_'": --,gC _•,,a :e4:riL n 4•� 9rS. : Y�N,v' -- ..a�. : :.
qtr ,.:xr��:�;.r.,:n•,�.,. ,� k,_- :.t,,........� „•:_� . s. �_ �, � e�ixasw �i:; ..:....... ��.• �.-,..._, _.T � .. �• _ : :�� :� ,: °�-, 401 amps to 600 amps 160.60 2
Name: 1 d#t. poQ.S i'-- 601 amps to 1,000 amps 240.60 2
q Over 1,000 amps or volts 454.65 2
Address: . 5 1 ,..„ 4 4.$ 1/'d ( Reconnect only 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: (5'4, 3 ) 7'/ -- 22S 5 l 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, Iease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 _ 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits wit
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service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 «b •V 2
each branch circuit
Address: Each add'l branch circuit j 6.65 ,, 55 2
City / State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
}, . =st:-:nsu ~'; +. y F %r ^ f �' ; � %,' r r,' f:; =.:Yt % ener panel' or
alteration
ri:.+�' rs�:; „..s,;,it : `t•, r• :.•: E �'wa iC'O 2 .c 3 .`: `�` . .5�;•, .-t•Y� .. .c �'`iS .z .., i gY P
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n extension. Describe: Page 2 2
Business name: / P!1/�' gig iG Z Q
Address: f e� ' Each additional inspection over allowable in any of the above
Po 'a �� f Per inspection 62.50
City /State/ZIP: p ern od d' Ott 7 2 d Investigation per hour (1 hr nun) 62.50
Industrial plant per hour 73.75
Phone: (503 )67e - / 3fS Fax: (y, � o 7g" ._ /lvfl I �; ., i ,.
z;ii'fS3rs1r�a. - - ... •..., ..._.}:r.
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CCBLic.: Electrical Lic.:2y -(p 7.. Suprv. Lie.: 9Ygc, Subtotal 53, yo
Suprv. Electrician signature, required: 1 > v 1 , l e Plan review (25% of permit fee)
Print name: 11 -}-� 1 Date: S z State surcharge (8% of permit fee) h+ A7
go ri �# K /lt Sit. TOTAL PERMIT FEE S' 7, (0 7
Authorized signature: This permit application expires if a permit is not obtained within t30
days after it has been accepted as complete
Print name: Date: + Fee methodology set by Tri- County Building Industry Service Board
" Number of inspections per permit allowed.
is Building \Permits\ELC- PtrntitApp.doc 12/03 440.4615x(10 /02/COM/WEB
CITY OF TIGARD ,,,-,-
BUILDING DIVISION PERMIT #: ELC2007 -00297
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ''!L
INSPECTION WORKSHEET FOR DATE: 5/7/2007 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 12162 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 4 LOT #: 092 TYPE OF USE:
PROJECT NAME: ROAST
DESCRIPTION: Wire for hot tub.
OWNER: ROAST, BRAD + LAURA, PHONE #:
CONTRACTOR: BEAR ELECTRIC PHONE #: 503.678"1355
Inspection Request Scheduled For: Date: 5/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final ( -047716-01 503 -678- 1355 N
Corrections /Comments /Instructions: N',,,
No o ANS Wes. 47 i�6o(� I
I %20 AAA
I PASS I I PARTIAL APPROVAL n CANCEL %NO ACCESS
1 ‹ ... FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G N Vat... Date: 6 61 Phone #: (503) 718- 111
.
CITY OF TIGARD
BUILDING'DIVISION PERMIT #: ELC2007- 00297
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007
Phone: (503) 639- 4171 I(I
Inspection Requests (24 Hrs.): (503) 639 -4175 _.:
INSPECTION WORKSHEET FOR DATE: 5/10/2007 TIME: 7:02AIv1 PAGE: 19
SITE ADDRESS: 12162 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 4 LOT #: 092 TYPE OF USE:
PROJECT NAME: ROAST
DESCRIPTION: Wire for hot tub.
OWNER: ROAST, BRAD + LAURA, PHONE #:
CONTRACTOR: BEAR ELECTRIC PHONE #: 503 - 678 -1365
Inspection Request Scheduled For: Date: 5/10/2007 Pour Time:
Code # Inspection Description <- no firm # Contact # Message .
'150 Hot tub/spa/pool 048044 -01 1 503.590 -3314 Y
Viol F7 (41411--- \ P Corrections /Comments /Instructions: , �_ _ ( J ��'�- �� ' 9
\.
ASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
'Inspector: G-- 0 Cb l� Date: 5"-- 0 - v9 Phone #: (503) 718-