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Permit
CITY OF TIGARD ELECTRICAL PERMIT 31 . �� PERMIT #: ELC2008 -00074 COMMUNITY DEVELOPMENT DATE ISSUED: 2/11/2008 1'`IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125DA-04900 SITE ADDRESS: 06605 SW ALFRED ST ZONING: R -4.5 SUBDIVISION: KINGS VIEW LOT : 034 JURISDICTION: TIG PROJECT: BUSSING Project Description: adding sub -panel and lighting. Installing (1) service and (5) 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: 1 W /SERVICE OR FEEDER: 5 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 0 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: JULIE BUSSING WILLAMETTE ELECTRIC INC 6605 SW ALFRED ST PO BOX 230547 TIGARD, OR 97223 TIGARD, OR 97281 Phone: Contact #: PRI 503 - 624 -3631 FAX 503 - 624 -2938 FEES Description Date Amount Reg #: ELE 34 -283C [ELPRMT] ELC Permit 2/11/2008 $113.55 LIC 75059 !TAX] 12% State Surchar 2/11/2008 $13.63 SUP 4226S Total $127.18 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: / - Permittee Signature: __ 5 7,e1,/Ca 7/V OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: • Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FEB 08 2008 4:24PM HP LASERJET 3200 P.2 Electrical Permit Application POROFI'10E USE ONLI / - i of Tigard and D Re czive d at e/B oJ �] i670 '7a- Permit No.: Pt C 9(.j$' -( ` /) 13125 SW hall Blvd., Tigard, OR q eCEIV 3 Plan Review l h _ Phone: 503 639.4171 Fax: 503.598.1960 $ Late By: Other Permit: TIG.AR_ D: Inspection Line' 503.639.4175 F EB 1 1 o Date Ready /By' lure. E1 See Page 2 for Internet: www.t or.gov Notitied/Method. Supplemental Information } New construction ZAdditiol>Ja t 31�.. D1t7tixC m t1 Please check all that apply (submit 2 sets of plans w /ites checked below): CI � DD A 0 Service or feeds 400 amps or more ID over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Matins and boatyards. exceeds 18,000 amps at 150 volts or ❑ Floating buildings. ...... . ..4. . :. less to ground, or exceeds 14,000 Q Commercial -use agricultural gal- and 2- family dwellin ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ID Fire pump installation of 75 KVA or load of ❑ "An "E" "1.2 e y .. t:..i- .,,.,,_,, ❑Emergency system. larg separately derived system. • ::r: 11¢; = stijik�tli r�(;#6 iiibi .i'A .:;t'QCkT101 ' ` ^' - - Addition of new motor �� I.3 ..• ; l{ ,S. .... ,. ,,.. p, i�` "k',?T S" ?i'�tl ., e ... , © occupancy. 1 _ 100HP or more. Job no.: 4 Sob site address: 6 $ W AI. L'� ❑ Six or more residential units- ❑ Recreational vehicle parks. -` ❑ Health -care facilities 0 Supply voltage for more than City /StateJZIP: fs/a+LO 1cQ ❑hazardous locations. 600 volts nominal - Suite/bld ./a t. no.: Project name: ❑ Service or feeder 600 amps or more. g P C� 1rt7/�tp, t t'• ^`0, ' '� M ; i T,} 401 H �,�;,k +' ' :.ri�n_,.',a „'wxl a'91n;it. • i�: ��i4 'h�+E aY l��`. YL ¢� =i��: ",b,::. „?! Cross street/directions to job site: Description ) Ql'• I Fee. I Total I • New residential single- or multi - family dwelling unit. • Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 • Tax map/parcel no.. Limited energy, residential i: r; - ,�:,1, - 't 't'f " " ^'•1• ,y:'�F1. - 'o ,,•,_ •, i iiY('F, o-i,F.11tu 75.00 2 11 :. ! "i�i;l t "' ' "L]" ;,1 � '` ;'fi !'Sr[:'.• V ! 9 (with above it t'j :F: - - 5: i ,, ...tk , „y .` I t:. � �4'tt'{�. ,rt.. C j 4,'. ry"„-'•,t "��,C4" `,�i��.s7d��.� �3 �i ; _- ( s9• } ,, Sr s .ItL•Y.`„ : �f ,,; ,a..2kiJ� rli.V, ,'' - ,�Rd, 'NU.,,. ,_ ,: Limited energy, multi - family 75.00 2 7 {sus _ � 1 I--1 la till - residential (with above sq. ft.) R Services or feeders installation, alteration, and/or relocation 200 amps or less 1 80.30 Bo V 2 r PR 3PER;T ' OW;I\EV ' :'` :.= . ,, :;_:.. ' ' 0: TENANT: '' ; ; :-.:-...:.1-,:-: ' '' �u : , • 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 .5 ut4Lr 1;lCrevst win 601 amps to 1,000 amps 240.60 2 Address: den ti' Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation • Phone: ( ) 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 599 amps 133.75 2 Branch circuits new, alteration, or extension, 'er panel Owner signature: Date: . Fee for branch circuits with t . ..,,, 7: 7,i.` 4 - ' • b' +':: n34 •• or feeder fee 25 k't .., :�" - -;r , , ' r "•- ;�' ? above service , . .. ,.,,:.,_;,•:s '# .,.......,.. ,.'.i'.., .,..,,., ?t�'. , ' =4i ?' i:�, _ . "` i `: s r- 6.65 2 each branch circuit 33� Business name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Contact name: first branch circuit Address: Each add'! branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 90.90 2 dwelling, service an /or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 :�a;'i t - `t ' �i,:, Si or outline lighting 53.40 2 •.l� - �ll~l' a;i��, 4 a�UN11>��'Q.R'i`.,t, .' - : i ., ' g • Business name: Willamette Electric Inc. Signal circuit(s) or limited - energy panel, alteration, or Address: PO Box 230547 extension. Describe: Page 2 2 . City /State /ZIP: Tigard, OR 97281 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 624 -3631 Fax: (503) 624 -2938 Investigation per hour (1 hr min) 62.50 . CCB Lic.: 75059 Electrical Lic.: 34 -283C Suprv, Lie.: 4226 -S Industrial plant per hour 7375 • Suprv. Electrician signature, required --- • • Subtotal: lit, r `' ` Print name: David Fife Date: Plan review (25% of permit fee): gS Z ` -v State surcharge (12% of permit fee): ) 3 G .� Authorized signature: TOTAL PERMIT FEE: : 121 l_ 2- This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit 1: 1Building \Permits\ELC- PermitApp, dos 05/23106 440- 4615T(1 t /Os /COWWF.1i CITY OF TIGARD • . BUILDING DIVISION PERMIT #: ELC2008•00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 211.0000 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 144 A.L. INSPECTION WORKSHEET FOR DATE: 2/20/2008 TIME: 7:00AM PAGE: 30 SITE ADDRESS: 06605 SW ALFRED ST CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 034 TYPE OF USE: PROJECT NAME: f.IUSSI NG DESCRIPTION: adding sub and lighting. Installing (1) service and (5) branch circuits. OWNER: BUSSING, JULIE PHONE #: CONTRACTOR: MLLAMh IE ELECTRIC INC PHONE #: 503-624-3631 Inspection Request Scheduled For: Date: 2/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 1E19 Electrical final 065276-01 503-624-3631 • 1 Corrections/Comments/Instructions: P3 23c 140 L.,(ia. 60 x btO 1 I , - ‘Ade - i (140\ eE - vv\AT tJ Paz 0 MCI i\/ TN 0- Kz-sy 1koA1 f 61 p PASS PARTIAL APPROVAL EI CANCEL fl NO ACCESS CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: G te Le Date: Phone #: (503) 718- IA tikY