Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD ELECTRICAL PERMIT III PERMIT #: ELC2008 -00356 °> COMMUNITY DEVELOPMENT DATE ISSUED: 6/20/2008 • TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104CB -01300 SITE ADDRESS: 13179 SW ASCENSION DR ZONING: R -7 SUBDIVISION: HILLSHIRE WOODS LOT : 029 JURISDICTION: TIG PROJECT: BRANNON • Project Description: Installing (6) branch circuits for lighting around house. 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: 5 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: ED BRANNON WILSONVILLE ELECTRIC INC 13179 SW ASCENSION DR PO BOX 845 TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone: Contact #: PRI 503- 638 -5353 FAX 503 - 638 -8804 FEES Description Date Amount Reg #: ELE 3 -307C [ELPRMT] ELC Permit 6/20/2008 $80.10 LIC 75752 [TAX] 12% State Surchar 6/20/2008 $9.61 SUP 38545 Total $89.71 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 /�..1/ _ _ Permittee Signature:C 7 �73U)/t1 . 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. Tigard ;Electrical Permit A licati>r� EcEivED , c :N v� pp . •FOK 0, - ,,C I l ' SE ONL I .a t ,I` ' 6 Clly off Receiv e DatetQ �p�l Permit No.: - 1' - 13125 SR Hall Blvd., Tigard, OR 97223 ((� Plan Review . y .. Phone: 503.639.4171 Fax: 503.598. t N �+ Q 2008 Date /B Other Permit: T '�'F' L G.1'R`17 Line: =' Inspection Li 503.639.4175 Date Ready /By: ® See Page 2 for . TIGARD OF TI Internet: wtvW.tigard rn�.gov CITY L'ouSed/Method: gni Supplemental Information 0 TYPE t:ddhalNG DIVISION PLAN REVIEW u New Construction AddltionialtCration /replaeement Please check all that apply (submit 2 sets of plans wlitems checked below): ❑ 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 1 - and 2-family dwelling ❑Commercial /industrial 0 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 ❑Emergency system. larger separately dewed system. 0 Addrtio of new motor load of ❑ "A "E "1- 2 ","1 -3 ", Job no.: Job site address: /3 / 100HP or more occupancy. 71 v_ SG,?�i:3 - t pA1 V4 ❑ S ix or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: �� � }�� / ❑ Health -care facilities. ❑ Supply voltage for more than ( V / �� ❑ Hazardous locations 600 volts nominal. Suite/bldg. /apt, no.: Project name: �f 1 ❑ Service or feeder 600 amps or more, Ill /�✓ FEE SCHEDULE Cross street/directions to job site: Description I Qq, 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 Tax map /parcel no.: Ea, add'I 500 sq. ft. or portion 33.40 1 • Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. R.) Limited energy, multi - family 75.00 2 , ,,, /1„,w e..."4, , ' - Ai t T& L GJtil.d• 4 _ ,( s residential (with above sq. R.) Services or feeders installation, alteration, and/or relocation 11-fn' giu IgtZ 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: E 1��, ^/ 401 amps to 600 amps 160.60 2 Address: ,`! 601 amps to 1,000 amps 240.60 2 Over I,000 amps or volts 454.65 I 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 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT A. Fee for branch circuits with - ❑ CONTACT PERSON above service or feeder fee, 6.65 2 Business name: each branch circuit B. Fee for branch circuits Contact name: wrthout service or feeder fee, / 46.85 44 2 first branch circuit Address: Each add'I branch circuit .....5" 6.65 3 3 2 Miscellaneous service or feeder not included) City/State/ZIP: Each manufactured or modular I dwellin•, service and/or feeder El 90. � Phone: ( ) I Fax: : ( ) Reconnect only 66.85 — E-mail: Pump or irrigation circle 53.40 MI© CONTRACTOR Sign or outline lighting 53.40 Business name: Signal circuits) or limited - 1' 5��1/, i-•! 4 - 6 r 7� f ,'. / 22;... e , energy panel, alteration, or Address: �0 f k4 d p. i5 ,- extension. Describe: Page 2 2 City/State /ZIP: W f . ���/LC.tt>` r Og ` ��t� D Each additional ins ection over allowable in any`of the above Phone: 7 ) , i -5 X. ( ) Per inspection 62.50 �- � / 3 , v (5: / Investigation per hour (t hr min) MN 62.50 I. CCB Lic.:7j_' j Fie ri . Lic.• ..73 Suprv.Lic.38 "yam- Industrial plant per hour NM 73.75 - Suprv. Electrician sigrlatur: r . , , ELECTRICAL PERMIT FEES ad, %+'-..+r • Subtotal: F Print name: J' �� Pate: Plan review (25 % of permit fee): Wing. _. �'� �"��'�' s f• Ji State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE , i Print name: I This permit application expire if a permit is not obtained within 180 Date: days after it has been accepted as complete. Z 170888£9809 O1211Oa13 3 dLI:EO 80 61, unf CITY OF ^ �pmu n n�'n TIGARD ` U�UK ��UN��� DIVISION PER ~°~°^~~~=""°~= ~�"°"~°"~~^~ � ELC20O6-0O355 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/2008 Phone: (503)639'4171 Inspection Requests (24Hm.):(5O8)63Q'4175 .J��� ~ °�` J� INSPECTION WORKSHEET FOR DATE: � TIME: PAGE: ^ 10/15K2000 � 7:80AM � �0 SITE ADDRESS: � � CLASS DFVVORK� 13179 � SUBDIVISION: LOT TYPE OFUSE� HILLSHIRE WOODS � 029 � ' PROJECT NAME: � BRANN0N DESCRIPTION: Installing (6) branch circuits for lighting around house. OWNER: � . PHONE #: � 0��NMQN.�� CONTRACTOR: PHONE #: � V�LS0NV1LLE ELECTRIC � 5038385353 Inspection Request Scheduled For: Date: PourTime' � � 101512008 ' Code # Inspection Description Confirm # Contact # Message 199 Electrical final 07672B-01 503.638-G353 N Corrections/Comments/Instructions: ` • • • "(( z . X PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS , FAIL ri CA FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- . INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: F 6 , 0 3` REQUIRED ON GREEN INSPECTION CARD. Code Inspection Description 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 K 120 Electrical rough -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 dram 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 Hydronic 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 910 Sprinkler rough -in — — PLM - Plumbing Permit 915 Fire alarm rough -in 305 Plumbing underslab 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: 998 Alarm final 320 Plumbing rough -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 02/02/0'7 CITY OF TIGARD . - ELECTRICAL PERMIT COMMUNITY DEVELOPMENT PERMIT#: ELC2008 -00356 DATE ISSUED: 6/20/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 104C B -01300 SITE ADDRESS: 13179 SW ASCENSION DR ZONING: R -7 SUBDIVISION: HILLSHIRE WOODS LOT : 029 JURISDICTION: TIG PROJECT: BRANNON Project Description: Installing (6) branch circuits for lighting around house. 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: 5 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: ED BRANNON WILSONVILLE ELECTRIC INC 13179 SW ASCENSION DR PO BOX 845 TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone: Contact #: PRI 503 - 638 -5353 - r FAX 503 - 638 -8804 l' FEES Description Date Amount Reg #: ELE 3 -307C eo [ELPRMTj ELC Permit 6/20/2008 $80.10 LIC 75752 • [TAX] 12% State Surchar 6/20/2008 $9.61 SUP 3854S Total $89.71 REQUIRED ITEMS AND REPORTS A® ISN ' n ' 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! i _ t � ` - ,. Permittee Signature: ,X�� . 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.