Permit tc. CITY OF TIGARD w^ HK D ELECTRICAL PERMIT
r PERMIT #: ELC2007 -00068
COMMUNITY DEVELOPMENT DATE ISSUE 1/29/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104CC - 06600
SITE ADDRESS: 13679 SW ASCENSION DR ZONING: R -
SUBDIVISION: HILLSHIRE WOODS LOT: 010 JURISDICTION: TIG
Project Description: (2) branch circuits for outlets in family rm & switch for outside lights.
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:
MARK LEMKE WHISKEY HILL ELECTRIC INC
13679 SW ASCENSION DR PO BOX 206
TIGARD, OR 97223 HUBBARD, OR 97032
Phone: 503 - 981 - 4643 Contact #: PRI 503 - 981 - 4640
FAX 503 - 981 -4643
FEES
Description Date Amount Reg #: ELE C36
[ELPRMT] ELC Permit 1/29/2007 $53.50 LIC 162985
[TAX] 8% State Surcharge 1/29/2007 $4.28 SUP 462IS
Total $57.78 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: r ) Permittee Signature: A
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.
1/2S/27 @8:48 5@39814b4.3 WHISKEY HILL ELECTRI PAGE 02/02
.. 6, ..- - 17 - '-' ‘. tr
Electrical Per". mix-A i ohm io . -- .,_, ,
. , . : FOR 01 USE ONLY
City of Tigard %. I 11, - _
.. eiv.i • _ _ _
-- 1 . Permit No. - - ■
lito3 / /) 7 A I '00 OC a
1312.5 SW Wall Blvd., Tigard. OR 3 g ,
.•-, '11A1 JAN f / ,. '
kl7 o Review Caller Permit:
Phone; 503.639.4171 Fax: 503,390 . , , i "a110116 te/I3 :
Inspection Line: 503.639.4175 .„ .),.., ,,si I le Ready/By 1r1
I
r 1 i' • ' • ---. :
• • •••- % tificd/Meihod: .0
1_,.: El Sec VIVI'. 2 for
- 7 Suppiementol Information
Internet: WWW.Ciligard.Or.tIS , , VI 0,. „,,
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. :.: , ":...-:',:..*:.i,'. , :::',: • :*::;.;;:::.Zi;'%:.;;',i'd1i 1 ,,I;F. 7. •.: 1- 44.4003#4,1t1AW;g;'!iiM : 4 : f.lg ,( ,.f . PiTO T.. t
. *: . :.•,:„' , ...::•:::;:••••••'•:' , :.'H' . " . ' 4 '''N'I'lli i ''' 1 ' 4 " '''''' • '''' ''''''''''''''''' ' r '" - '''''''' L ""'" ' "'" : p ChCat that 11'1;1;1Y:
El Ncw construction '--% ' ' Addition/alteration/replacement
Ogervice over 225 amps, comml OHaus zardo location
0 Demolition 0 Other: ., I:Service over 320 amps - rating CIBuildng over 10.000 sq. ft.,
:!•;•: :... ':j:'; of 1- and 2-family dwellings 4 or more new residential
[51 1_ an d 2 dwelling 0 Commercial/industrial 0 Accessory building ElSystcm over 600 volts nominal units in one structure
nBuilding over three stories 0 Fccdcrs, 400 amps or more
0 Mu Iti-fam i 1 y El Master builder 0 Other: Occupant load over 99 persons DManufacturcd structures or
Egress/lighting plan RV park
01-Icalth-care facility [110ther
Job no.: Job sire address: 13679 SW Ascension Dr
Submit_ scts of plans with any of the above.
' -
City/State/ZIP: Tigard, Oregon The above arc not applicable to temporary constniction service.
1 .; , ilt1
laelli:igH2li,i0/14i.riP.P.a; Arli' , . ..",,, ,. ' • :A :;.",,, """ii
Suitc/bldglapt. no.: Project namc:
_ Dt.fittiptIEM Qty. trce. Torn1
,..- ... .
CrnSS 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
Ea. add'I 500 sq, ft. or portion 33.40 I
no.:
-- Limited energy, residential 75,00 2
'fax map/parcel no.: Limited energy, non-residentinl 75.00 2
;. , 1 ..... "';'''." , ; .7 1 77 7'.i■; , : . ii; , )'`e .( ;■.'1';•1 1 :SI:i
1 . ..., 4 r d . *. „: ,;.' Each manufactured or modular
dwelling, service and/or feeder 90.90 2
____AL•Q-_ c...- 001--e-X,$___ ...L(..- ._,) ,.._r__ ___. Services or feeders installation, alteration, and/or reification
A -d. ilt • CO i.--1 tit, . ve, 0 t.....71" S t - L c L...73 200 atnps or less 80.30 2
f:,.:.,:'.•ii.:.' :",:,.C];•IttibflitfekityilVtIttE:itPti, tE
• • .1., 201 amps to 400 amps 106.85 2
:i:: . 1 ..,., ...,,,,•!..... ,,,,, ._,. ,,,.,,„,, ..... ,.., : b.., -. 61 ; ■ .... 0 '.;;..;... . '1:4 ''; 11 = ', . 2 ... t!Ltiwc: 401 amps to 600 amps 160,60 2
Name: _._\...., kg ,.. L . \ . k il e .. ______ 601 amps to 1 ,000 . 0.60 2
....
,000 amps
- Over 1,000 amps or volts 454.65 2
Address:
— • Reconnect only 66,65 2
City/State/ZIP: Temporary services or feeders installation, alteration. and/or
- relocation
Phone: ( ) — lax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made Oil 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 circuit; -. new, alteration, or extension, per panel
:%:•:•,;•:'!::.:::::::::::':••::;:,:titgitiotteAsli A. Fcc for branch circuits with
; : L ...„ :. ,. „ : ... .,, . ,. 5...5. :a "'. service or feeder fee, each
6.65 2
Business name: branch circuit
. — B. Fee For branch circuits
Contact name: without service or feeder fee, I PS
2
46.85
------ - — first branch circuit
Address: 9ach add"l branch circuit 1 6.65 --
- _
C i ty/State/71 I': 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-
—
77-7.7..7:777;:iii,:iti-Y,:.itItk.ti'illitt:ti!'l,PIgikOrilitiR;it,',:i:'!':',T,'.!:tt:'::;;:!, energy panel, alteration. or
r.:::'..-.• .. t. • ..4.:•....:"' tt.t... " "
v,;4.rt :: '''t-'.i • ''• , - • •-" , ., -,•••-- ‘... '• '''•"• '''''''''''''' '"'''''''''''''' '''.'"'''' extension. Describe; Page 2 2
Business name: Whiskey Hill Electric Inc.
Address: PO BOX 206
Each additional Inspection over allowabie in any of the above
P er —
rcr i nspect i on 62.50
City/Stare/ZIP; Oregon investigation per hour (I hr m61) . 62,5
. -
,....
— .
Phone: (503) 981-4643 Fax: (503) 981-4643 —,— Industrial plant per hour 73.75
;
CCB Lie,: 162985 Electrical Lie.: C36 Suprv. Lie.; 4621S suhtotal
Suprv, Electrician signature, required: . / Plan review (25% of permit (ee) .
.. 1 .,
State surcharge (8% ofpertnit fcc) I t 1 8
Print namilf. Cl!,3.,‘34,,,t,As Date: / -2?-67
TOTAL PERMIT FEE ,S 7
Authorized signature: 'Bus permit application expires if n permit is not obtained within ISO
- day i5 altar It has been accrPted as caloOlete
Print name: Dale: . Fcc mothryrInlpgy col by Tri-County Building Industry Service t3oard
- • " Number of inspections per permit allowed.
i:\131Ii1ditOrwmIts1111,C-PormliApp.ilne 12103 44n4oi5T(10/02JC0M/WEI3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00068
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/29/2007
Phone: (503) 639 -4171 wild, lit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/912007 TIME: 7 :04AM PAGE: 63
SITE ADDRESS: 13679 SW ASCENSION DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE WOODS LOT #: 010 TYPE OF USE:
PROJECT NAME: LEMKE
DESCRIPTION: (2) branch circuits for outlets in family rm & switch for outside lights.
OWNER: LEMKE, MARK PHONE #: 503 -981 -4643
I CONTRACTOR: WHISKEY HILL ELECTRIC INC PHONE #: 503 - 901 - 4640
Inspection Request Scheduled For: Date: 2/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043155 -01 503 -981 -4640 Y
Corrections /Comments /Instructions:
/
/ P k
CO r .
PASS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: fri t Date: Z/1/69 Phone #: (503) 718- __
CITY OF TIGARD
.f
BUILDING DIVISION PERMIT #: ELC200 00068
•
, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1,;]Q07
Phone: (503) 639 -4171 k 1)�III
Inspection Requests (24 Hrs.): (503) 639 -4175 °:..
INSPECTION WORKSHEET FOR DATE: 2/1/2007 TIME: 7 :01AM PAGE: 57
SITE ADDRESS: 13679 SW ASCENSION DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE WOODS LOT #: 010 TYPE OF USE:
PROJECT NAME: LEMKE
DESCRIPTION: (2) branch circuits for outlets in family rm & switch for outside lights.
OWNER: LEMKE, MARK PHONE #: 503 - 98'I - 4643
CONTRACTOR: WHISKEY HILL ELECTRIC INC PHONE #: 503 -961 -4540
Inspection Request Scheduled For: Date: 211/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 042B07 -01 503- 081 -4640 V
Corrections /Comments /Instructions: n ,/4
I
47 - 1A 0 .5117
7 t PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G U Date: 2'"`'d tl Phone #: (503) 718 - 44k)
•