Permit CITY OF TIGARD ELECTRICAL PERMIT
il
PERMIT #: ELC2007 -00472
COMMUNITY DEVELOPMENT DATE ISSUED: 7/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 104 D D - 5100
SITE ADDRESS: 13685 SW AERIE DR ZONING: R - 4.5
SUBDIVISION: EAGLE POINTE LOT : 042 JURISDICTION: TIG
PROJECT: MALLOY
Project Description: Install (1) branch circuit for a /c. Job NO. 07 - 793
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: 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:
MALLOY, CHARLES M + STEPHANIE E BOB'S ACTION ELECTRIC INC
13685 SW AERIE DR 2700 NE BURTON ROAD #A
TIGARD, OR 97223 VANCOUVER, WA 98662
Phone: 503 - 579 -8203 Contact #: PRI 360- 254 -7200
FAX 360- 254 -8219
FEES
Description Date Amount Reg #: ELE 37 -431C
[ELPRMT] ELC Permit 7/11/2007 $46.85 LIC 53136
[TAX] 8% State Surcharge 7/11/2007 $3.75 SUP 4322S
Total $50.60 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: 7 / Permittee Signature: ac 11-ep J I ` 6 a
f //r' i.� ,.
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.
,... .
Electrical Permit Ai orprib
VEt.) . , . . • . . : . . . • • : . ,
. - . FOR OFFICE USE ONLY
City of Tigard Received
i
Permt No.
' - BMW" . 447, -- altda
13125 SW Hall Blvd., Tigard, OR 97223 11.11._ 1 ki 2001 koralrn ii A, Date Plan Review
Phone: 503.639.4171 Fax: 503.598.1960' Other Permit.
FT iiif _id& — 0 &IjAO
Inspection Line: 503.639.4175 , .. E V , Da'te
21 See Page 2 for
Internet: WWW.C1 . tigard.onus CITY O1GAR.7-----". A 11 ' Notifie
itiefetho
lira Supplemental information
V• ll-rl• •,, -DIMISIO-N, Ic' - ,--,-,,,--:, - — - • --, , -.- , ..,- — .--. - , - - • -.- - - ,- - • -- -- • '
zTY4T..:*W,9W,M:f,:[ai-g'f.,,il;A-:;:;,,A,:m.c,,,.i.;,,i:iq : ,;t:, ,, ... :. ,] - ,,,-.. : - • , :,.. ,_:, : . : : : : ; # : N / „ I „..0. v to,..
El New construction 0 Addition/alteration/replacement Please check all that apply:
Service over 225 amps, comm'l EHazardous location
0 Demolition 0 Other:
"A EService over 320 amps - rating OBuildng over 10,000 sq ft., •
- '''''' - ''''''''''m'"o''A' 4( a - zN'''"ekfi,ZaiiV - areOI■Tgfg'ertd"SI'V'' '':''' ,':'-'''' l's''''-
of 1- and 2-family dwellings 4 or more new residential
IM 1 and 2 dwelling 0 Commerciallindustrial Li Accessory building ESystem over 600 volts nominal units in one structure
['Building over three stories OFeeders, 400 amps or more
0 Multi I: Masterbuilder 0 Other:
00ccupant load over 99 persons 111Manufactured structures or
I R;; ;I fI l'4 V "I; , --I k : W;W- <"I ' I-T 461iI?§ ' i' ' W r: 'nWiDI'IC I 1SFt•n : -ll' 4- ,c 0
, J-Li!aV4.i.'S.rliii ii::,...•,&-iLk=iiK&,.., Egress/lighting plan RV park
ElHealth-care facility ['Other:
Job no 07 Job site address: 13685 SW Aerie Dr. .
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
tr4„%litiiiiIIWI,III,0•Vr • - , . . .'
Suite/bldg./apt. no.: Project name: 41 „. _..., .
Description Qty. Fee. 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. add'l 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.: . •
Limited energy, non-residential 75.00 2
tioo ol
-01;,:.:41,wnsiewo,owatikgziap
L-.a m Each manufactured or modular
dwelling, service and/or feeder 90.90 2
A/C connection Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
2
160.60 2
Name: St ephany Malloy 601 amps to 1,000 amps 240.60 2
Address: 13685 SW Aerie Dr. Over 1,000 amps or volts 454.65 2
Reconnect only
City/State/ZIP: Tigard, OR 97223 66.85 2
Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( 503)579-8203 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
ROSKSIIII:ANitAIVIRM*2;50 IX:4442, A. Fee for branch circuits with
service or feeder fee, each
6.65 2
Business name: • branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
each branch circuit
Address:
Each addl branch circuit 6.65 I 2
City/State/ZIP:. Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E - mail:' Signal circuit(s) or limited-
II energy panel , alteration, or
— extension Describe: Page 2 2
Business name: Bob's Action Electric
Address: 2700 NE Burton Rd • "A" ' Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP:
Vancouver . WA, 98662 Investigation per hour (1 hr nun) 62.50
Phone: ( 360) 254-7200 - Fax ( 36 u )
254-8219 AlrORKF'" Vtt"
Industrial plant per hour 73.75
CCB Lie.: 53136 Electrical • Lic ,-,-, , -, , Suprv. Lie.: - _5/ 4_).1. ' ' " 4322S Subtotal 46.85 •
Suprv. Electrician signature, requiret.7 - Plan review (25% of permit fee)
State surcharge (8% of permit fee) 3.75
Print narne: Kevin Broselle Date: 7/9/07
TOTAL PERMIT FEE 50.60
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete
Print name: Date: . Fee methodology set by Tn-County Building Industry Service Board
** Number of inspections per permit allowed.
i. \Building \Peccrats \ELC-FermitApp doe 12/03 440-46i 5T(10/02/COM/WEB ..
CITY OF TIGARD t.
BUILDING DIVISION ' PERMIT #: ELC2007-00472
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/16/2007 TIME: 7:04AM PAGE: 37
SITE ADDRESS: 13685 SW AERIE DR CLASS OF WORK:
SUBDIVISION: EAGLE POINTE LOT #: 042 TYPE OF USE:
PROJECT NAME: MALLOY
DESCRIPTION: Install (1) branch circuit for a/c. Job NO, 07 -793
OWNER: MALLOY, CHARLES M + STEPHANIE E, PHONE #: 503-579-8203
CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 360 -2&1 -7200
Inspection Request Scheduled For: Date: 7/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 052021-01 360 - 254 -7200 • Y
Corrections /Comments /Instructions:
ASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 - /6 `7- Phone #: (503) 718 -