Permit ELECTRICAL PERMIT
CITY OAF TTIGARD
'PI PERMIT #: ELC2008-00231
• :,.
COMMUNITY DEVELOPMENT
DATE ISSUED: 4/24/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112CD -11000
SITE ADDRESS: 07765 SW ALDER ST ZONING: R -12
SUBDIVISION: HAMBACH GROVE LOT : 008 JURISDICTION: TIG
PROJECT: PEARSALL
Project Description: Installing (2) branch circuits for hot tub and fountain.
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:
CHARLES & SHERYL PEARSALL A & J ELECTRIC
7765 SW ALDER PO BOX 330
TIGARD, OR 97223 FOREST GROVE, OR 97116
Phone: Contact #: PRI 503 - 359 -5891
FAX 503 - 359 -1981
FEES
Description Date Amount Reg #: ELE 34 -1C
• [ELPRMT] ELC Permit 4/24/2008 $53.80 LIC 959
[TAX] 12% State Surchar 4/24/2008 $6.46 SUP 4534S
Total $60.26 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: _ / C cam' — �Perm i ttee Signature: G� d// ,,(
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.
Apr 24 08 10:16a Leeann Greason 503 - 359 -1981 p.2
s
Electrical Permit Application FOR OFFICE USE :ONLY '- "
Cy it - Of Tigard Rece
178t 'B Permit No.
• 13125 SW Hall Blvd., Tigard, OR 97223 T' c* y � � " Ai, � ��
Phone_ 503.639.4171 Fax: >03598.1960 � By: l arlj. evie" Other Penn;t:
TIGARA Inspection Line 503.639.4!75 t � � Date R ndy;By: 1 l:.ri,: El See Pa;e 2 for
• Internet: vw' w . tigard - cr.gov t - ., O Kotified/htcthod• Supplemental Information
•' . , = ;s: -,. _ r ` P. -. - o }R1 _,.� -4:- _r E6s _ =- irk
e e
❑New construction P ' dd itionialteration /replae P ert�Yr t a �`�'�,
❑ Demolition ❑ Other Please check all that apply (submit 2 sets of plan, \,hems checked below).
l� A,! A Q Service er Feeder 400 amps or more ❑ Building over three sler.es.
��r\v
- tP�l �,
where the availaOlz (atilt current ❑ Manilas and boatyards.
r,. , _.. = A - ,- -• 1 s 1 - . t , r „ - l 3i l exceeds
ss re su amps at 150 yobs or El Flouting ia l ses
,� ° - I x. 4a •� , - 0 r_ ' . , I" less re ground, d, or exceeds 14,000
1:1 Commercial -u use awrcuhuml
and - family dwelling ❑ Commercial/industrial ❑ Accessory building 1 amps fur all other installations. buildings.
❑ Multi- family ❑ Master builder Other; 0 Fire pomp. P P ❑ lustalla' ion of 75 KVA Or
r ❑ Emergency system. larger separately derived s stem
ea: I,- •, ..� ❑ Addition of new moron load of ❑ "A" "P•' • "I -'1"
Job no.: Job site address. C f 100119 or more. occupancy.
�� ��K7� ❑Six or more residential units. ❑ Recreational vehicle parks.
CICY /ClateiZl F: [� _ - ❑ Health -care facilities ❑ Supply voltage for more than
— ❑ Hazardous locations. 600 volts r'o:nimil.
Suite /bldg. /apt. no.: Project name: Ill Y -Q I' ❑ Service or feeder 601) amps or more.
Cross street/directions to job site: --e' :. ms, i 1442* > o.f `=`._ , ' •';':)'_`
n esariptiun i Qly. f Fee, I Totxl
New residential single- or multi - family dwelling unit.
•
Ineludt 5 attached garage.
Subdivision: ]..ot no.: 1,000 sq. ft. or less I 145.15 i 4
Tat map/parcel no.: Ea. add'l 500 sq. ft. or portion 33,40 1
:.r Limited energy, residential • : =1l s -T ::.. . t` RK x t ig 71.00 2
multi - fa
x, Limited energy, multi-family
- � Q ` - �.c 75.00 ?
- , tom ` residential (with above sq. R.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
_ _ _ ., . : "l _ t.. = N _M,_] J. `- "t: ... "i, 201 amps to 400 amps 106.85 2
r
Name: ^ �� \� 401 amps to 600 amps 160.60 2
� r ~ �` � ��� 601 amps to 1.000 amps
Address: `��� �� ` 0 P 454.65 2
� ��' ` \"�C Over 1,000 amps or volts 454.65 2
City /State/•GIP: `..‹�� ,�� \ Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 2011 amps or lets 66.85 1
Owner installation: This installation is being made on property that ] own which is not 201 amps to 400 amps 100 2
intended for sale. lease, rent, 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
Owner signature; date:
r - r „_. A. Fee for branch circuits notch
Q1 A .. Pt -_.1 above service or feeder fee,
Business name: each branch circuit
6.65 2
• B. Fee for branch circuits p5
Contact name: without service or feeder fee, _ , f�� -r
first branch circuit 46''85 2 '
Address: Each add'i branch circuit i 6.65 L.cks 2
Miscellaneous (service or feeder not included)
CityiStalerZlP: • Each manufactured or modular
Phone: ( ) Fax:: ( )
dwelling, service and!or feeder 90.90 2
Reconnect only 66.85
E-mail: -
_ Pump or irrigation circle - 53.40
.., r4rorpt� 0 _ _ ;A - _ .i,. x q _ Sign or outline lighting 53.40 2
f3usiness name: A &J Electric Signal circuit(s) or limited -
energy panel, alteration, or
Address: PO Box 330 extension. Describe: Page 2 2
City/Slate/ZIP: Forest Grove, OR 97116 Each additional inspection over allowable in any of the above
Phone: (503) 359-5890 Per inspection I 62 50
Fax: (503) 359 -1981
Investigation per hour (I hr min) i 62
CCA Lie.: 959 I Electrical Lie.: 34 , Suprv, Lie.: 5055S Industrial plant per hour ■ 73.75
Suprv. Electrician signature, required: - ------- '
_ subtottd: 5S .gb
Print name: Tony Wilson Date: 3'� Plan review (25 % of permit fee):
State surcharge (12% of permit fee) CQ _L.k
Authorized signature: i i
TOTAL PERMIT PET: 10
Print name: This permit application expires if a permit is not obtained within 180
Date:
dais after it has been accepted as complete.
I' .Building \P enmc,\F'LC- PermiL App_ doe U �'?: /J6 ' Number of inspections allowed per permil
ann.4c, - 5 '(11105 /COSVlvr11
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: ELC2008 -00231
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/24/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/1/2008 TIME: 7 :00AM PAGE: 110
SITE ADDRESS: 07765 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 008 TYPE OF USE:
PROJECT NAME: PEARSALL
DESCRIPTION: Installing (2) branch circuits for hot tub and fountain.
OWNER: PEARSALL, CHARLES & SHERYL PHONE #:
CONTRACTOR: A & ,.I ELECTRIC PHONE #: 603"369
Inspection Request Scheduled For: Date: 5/1/2008 Pour Time:
Code # Inspection Description \Cbflfirm. Contact # Message
199 Electrical final 60013 -01 503 - 369-6891 Y—
Corrections /Comments /Instructions: C NPN,3 `3 - 10 q `j
N p
PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
L ❑ CALL FOR INSPECTION l I ADDITIONAL FEES ASSESSED
Inspector: v 1 '`)VQ L Date: 61 I (A Phone #: (503) 718- 2r0
. .