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Permit CITY OF TIGARD - ELECTRICAL PERMIT E'hi �9 COMMUNITY DEVELOPMENT PERMIT ELC2008-00409 DATE ISSUED: 7/17/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 111 DC -00600 SITE ADDRESS: 15760 SW ALDERBROOK CIR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.8 LOT : 453 JURISDICTION: TIG PROJECT: BARNARD Project Description: Installing (2) 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: 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: MELVIN BARNARD WEST SIDE ELECTRIC CO INC MILDRED N 1834 SE 8TH AVE 15760 SW ALDERBROOK CIR PORTLAND, OR 97214 TIGARD, OR 97224 Phone: Contact #: FAX 503 - 231 - 9987 PRI 503- 231 -1548 FEES Description Date Amount Reg #: ELE 26 -135c [ELPRMT] ELC Permit 7/17/2008 $53.50 LIC 13306 • [TAX] 12% State Surchar 7/17/2008 $6.42 SUP 4654S Total $59.92 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. 44111110 Z/1 Issued By: i / Permittee Si nature: - it. //1 / / 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. • 1,1 5 32319987 19.41 42 07 -16 -2008 2 /4 - r Electrical Permit Application : yxx, �t� /' ' tip � `�. ,• } , FOR OFFICE U5E ONLY , �w u l tt I K t d , u :fir �:..s , k„ ' 7 <:- se.fr , x _ . 3 1 2 of Tigard R ECEIVE �cet,ea U ' / ELL Er City t c eiv ,l [ cnmit No.. P,. " )3125 SW Hall Blvd., Tigard, OR t Plan Review ? Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: 3 "�i Date /By: ''`=',``� 11 Inspection Line: 503.639.4175 1 7 2008 � r ;TIGARD p JUL Date Ready /By: duns: � See Page '' ` wo , Internet: www.ti'ard- or.gov Notified/Method: S b 7741? Supplemental Information ` /.. TYPE OF « p f Y 1 OF TIGARD PLAN REVIEW Cg ❑ New construction Addltion /al(I�' t oe DIVISION Please check all that apply (submit 2 sets of plans w /items checked below): VV'�bII ���.ahvv� ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14.000 ❑ Commercial -use agricultural 114-1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ['Addition Emergency system larger separately derived system. q J / ['Addition of new motor load of ❑'•A '. "b'. . ••I - }.., Job no.: ((t0(Cf> Job site address: ` '' S ( ,. L.! L C L f 100111'ormore. ❑R J 1 }} ((( 111 IG`K O L ❑ Six or more residential units. Recreational vehicle parks. Cil /Slate /ZIP: / ❑ Ilydth -came facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 000 volts nominal. Suite /bldg. /apt. no.: l'rojcct name: ((I ❑ Service or feeder 600 amps or more. 14 FEE SCHEDULE Cross street/directions to job site: C 7 n-i _ Description I Qty. I Fee. I Total l • New residential single or multi - family dwelling unit, Includes attached garage. Subdivision: Lot no.: 1,000 sq. R. or less 145.15 4 - Ea. add'I 500 sq. 9. or portion 33.40 I Tax map /parcel no.: Limited energy, residential - 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) 1-1 6 I -1 (9 , Limited energy, multi- family 00 75 ( . vc v Q c.4 ,� rf "�t C t.t'(� {' residential (with above sq. ft.) _ n 2 Services or feeders installation, alteration, and /or relocatio 200 amps or less 80.30 2 PROPER'L'Y OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: k P� .� _) 40 1 amps to 600 amps 160.60 (tile 601 amps to L000 amps 240.60 2 Address: r ..� --e_ Over 1,000 amps or volts 1 454.65 2 City /Stale /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( , -3 ) .63 Gt –'7 ( 9 Fax: ( ) 200 amps or less 66.85 I Owner installation: This installation is being made on property that I own which is not 201 amps 10 400 amps 100.30 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: A. Fee for branch circuits with ‘lipAPPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, 46.55 {� (( Contact name: first branch circuit ' - `,'' `$ 2 Address: Each add'I branch circuit ( 6.65 le • C.,.5 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E - mail: GLENNG@WESTSIDEELECTRIC.COM WESTSIDEELECI'RIC.COtM Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: WEST SIDE ELECTRIC CO. Signal circuit(s) or limited energy panel, alteration, or Address: 1834 SE 8T11 AVE, extensions. Describe: Page 2 2 City /State /ZIP: PORTLAND, OR 97214 Each additional inspection over allowable in any ot'Hie above Per inspection I 62.50 Phone: (503) 231 - 1548 Fax: (503) 231 Investigation per hour (f hr min) 1 62.50 CCB Lie.: 13306 Electrical Lie.: 26 - i 35C Suprv. Lie.: 4654S Industrial plant per hour 73.75 1 • ELECTRICAL PERMIT FEES Su rv. Electrician signature, required: /� / — _ Subtotal_ Ci (? e I g 9 L . � `mot � . ' j Plan review (25% of permit fee). Print name: RANDALL ROBERTS Date: '1 (( ( �� I State surcharge (12% of permit fee): ( r C-k Z Authorized signature: TOTAL PERMIT FEE: 7 '['his permit application expires if a permit is not obtained within 7 in - um Print name: Date: days after it has been accepted as complete. Number of inspections allowed per permit. I:\ Iiulding :PcrmitsU.C- I'ermitApp.dne 05123/06 440 -46I S'r(I I /OS /COS( /WEB CITY OF TIGARD _ BUILDING DIVISION PERMIT #: ELC2008 -00408 ' I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7//712008 Phone: (503) 639-4171 pi�611(11 Inspection Requests (24 Hrs.): (503) 639 -4175 J a,ml INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7:01AEV1 PAGE: 52 • SITE ADDRESS: 15760 SW ALDERBROOK CIR CLASS OF WORK: SUBDIVISION: SUNIMERFIE.LD NO.8 LOT #: 453 TYPE OF USE: PROJECT NAME: BARNARD DESCRIPTION: Installing (2) branch circuits. 1 OWNER: BARNARD, MMMELVIN PHONE #: CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 5O3.231 -1548 , Inspection Request Scheduled For: Date: 7/2 Pour Time: Code # Inspection Description Confirm # Contact # Message 193 Electrical final 072885 -01 503 -231 -1548 Y Corrections/Comments/Instructions: A()A • %\ i • '``, -ASS f I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FA CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Inspector: . 1" 4 Date: 1 ' 61) Phone #: (503) 718 -1-' INSPECTOR'S SIGNATURES ARE NOT . Inspections Required for: c REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description I PASS Date By ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill • 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing )1(' 120 Electrical tough -in 805 MFG- Structure grading /footing 125 Wall covet 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors x 199 _ Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage • 260 Tilt -up panel 195 Misc. inspection: 265 Masonry _ 199 Electrical final _ 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 _ Post /beam mechanical 285 Drywall nailing - 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: — 620 1-3ydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing tough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain • 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing • _ 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection. 499 Final inspection 599 Final inspection I \Building\ Forms \InspCard- AOP- Blank.doc 02 /02/07 CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT PERMIT : ELC2008-00409 DATE ISSUED: 7/17/2008 i'I'GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 DC -00600 SITE ADDRESS: 15760 SW ALDERBROOK CIR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.8 LOT : 453 JURISDICTION: TIG PROJECT: BARNARD Project Description: Installing (2) 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: 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: MELVIN BARNARD WEST SIDE ELECTRIC CO INC MILDRED N 1834 SE 8TH AVE 15760 SW ALDERBROOK CIR PORTLAND, OR 97214 TIGARD, OR 97224 til Phone: Contact #: FAX 503-231-9987 PRI 503 - 231 -1548 FEES Description Date Amount Reg #: ELE 26 -135c CO [ELPRMT] ELC Permit 7/17/2008 $53.50 LIC 13306 [TAX] 12% State Surchar 7/17/2008 $6.42 SUP 4654S 1 Total $59.92 REQUIRED ITEMS AND REPORTS 0 d 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: // L � // jr �`- Permittee Signature: 0 „,..- - ,„-- /� A � ■ 1 / / 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.