Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2009 -00001
COMMUNITY DEVELOPMENT DATE ISSUED: 1/2/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102CA - 00229
SITE ADDRESS: 13130 SW ASH DR ZONING: R -4.5
SUBDIVISION: VIEWCREST TERRACE LOT : 016 JURISDICTION: TIG
PROJECT: SCHMIERER
Project Description: Install furnace.
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: 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:
SCHMIERER, CLARENCE PIONEER GAS FURNACE
13130 SW ASH DR 2636 NE SANDY BLVD
TIGARD, OR 97223 PORTLAND, OR 97232
Phone: Contact #: PRI 503 249 - 5000
FAX 503 - 249 -8260
FEES
Description Date Amount Reg #: ELE 173181
CITY OF TIGARD MENU 1/2/2009 $46.85 LIC LI-1R92
[TAXJ 12% State Surchar 1/2/2009 $5.62 SUP QP388
Total $52.47 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: ()l Permittee Signature: Q po ccck kon
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.
'... ••---; Iff RECEIVER
.•
. . .
Electrical Permit Application i-Y,ic O:i:ri( F 1:S1 ON1.1 ' '_
JAN 0 L "?_1!.':-) R �p � ( y
i . City of 'Tigard r Illi s 25 SW HTrd, OR 9 s 4
p
- TY OF TIGARD _ orloc)3
Phone: 503.639.4L71 • Fax: 503.5H.. s • ■ a . - : ol�rltermit, fYl 2oC�
I: / c , . . ' ' r ; t r Inspection Liu 503.639,4175 ! DING DIVISIO ! Dew Ready/By: rte. g � Page 2 for
Internet: www.tigard or.gov Notified/Method: "r ntallnfrmatioe
'3
. z;i ^I;i; l.,; �.+>l'i' ",'.IF WafIN,':: :'r`; -V ,r Fla. ? ? ' f1 :` !' ;e!z
Please check all that apply (submit sets of plans w /items chocked below):
❑ New construction IAdditi on/alteration/replacement
13 Service or feeder 400 amps or more sto
e ❑ Building over three ries.
Demolition ❑ 0 Other: where the available fault current 0 Marinas and boatyards.
• ` �,i� c r : "''` : = exceeds 10 000 am at 150 volts or ❑ FI bui7
ps
_
yr •;;:
<(?F. ok�l
' , f p�y
,,lei - a:,,;
0.::: ,: ,: ,. , . �;- °.:, sr ':, ,.', >„ ;.. , .. ground, exceeds 14,000 C agricultural
_. ..... ... .... ..:. ...- c., � : .. .,,.,:: -;. r,..- �'t.: _.a - ....,. " • less to or CrC Commercial tm al
:
B 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory build amps for all other installations. buildings.
❑ Multi- family 0 Master a
Y
m
b uilder Other: Fire pump. tan of
❑ Eme r g ency system l arger separately derived system.
4.2 1T , S�T`k+- 'E1'I�A�3, C�#`43�j'` " : , = .':; -, :' C _ �
. .....,, .. uA ""'F ","1
Job no.: dr Job site address: \' ` 5%.,,) fk /..
s -c r , 0 s o nwre residential units. ❑ Recreational o y
vehicle parks.
City/State/ZIP: ..... Uao L/ 4 t"�'"" t s a ❑ Health -care facilities.
❑ Hazardous locations. ❑ Supply voltage for more than
600 volts nominal_
Suitelbndg. /apt. no.: Project name: ❑ Service or feede r 600 a mps or more. ' _
Cross street/directions to job site: << 1 1 ' , °F ie. ,_;« :; 1= . , Twai
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' 1 500 sq. ft. or portion 33.40 I
Limited r residential
75.00 2
°y (with abo ft. ) .
]Di Itii2+115 � -� � � ;:s:� th ve
�' 'S23 P'1C Y�F' W .11tl�;; <. ( �1
l ` ' � � 1 f` �� : r Limited energy, al above sq 75.00 2 • residential (with above sq ft.} _
Services or feeders installation, alteration, and/or relocation
200 amps or less 8030 2
'$1 PROPUfl 'GR'J!L 7i . �.. ^ r�,' ' 'dr N R , : 201 amps t°4°° amps 106.85 2
Name: C \ ' r �' � X ,k �+ 60 1 amps to 1, 0 amps 160,60 2
_ ^ 601 amps to 1,000 amps 240.60 2
Address: , ` '5`) f � ( , Over 1,000 amps or volts 454.65 2
City/State/ZI - d 't� 1S Temporary services or feeder's Installation, alteration, and/or
relocation
Phone: ( _- Fax: 4 ) 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 eacchange, 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
t; "t`: ':;,. above feeder fee
'ipPllC�i' "' :GLN�► bove service or
= .;..,,..,,•,.•,.;, • - .,..,,....�:f. '�'_'�'��'.:z``;' "�r:... .,,.�_,.;,,_,:� -- , ..,. �:��;�`: 6.65 2
each branch circuit
Business name: ; o ., Q,c C-,a5 ( (T.L.9- 13. Fee for branch circuits
�,r • without service or feeder fee, 1 46,85 ( ,35 2.
Contact name: ,, F,.:. '1 first branch circuit
^ Address: a‘,.05(.1 rj j S ` 0 a Each add'1 branch circuit 6.65 2
V Miscellaneous (service or feeder not included)
City /State /ZIP: R � - � a - Each manufactured or modular 90.90 2
\ '1t p (' 5r�,...1 I Fax: 6 e1 �f Q', S^/ n o dwelling, service and/or feeder
Phone: 50 . 9
,'�['"'� .,,7�,�CJSJ �.>✓� 4 . L i. C7aLV+ Reconnect only 66.85 2
E-mail t om_ C A 1C. • i /1 C . : <:.,.. ,..,.. ' .�: ' Pump or irrigation circle 53.40 2
.... . ... . .:.
Si or outline lighting 53.40
Signal circuit(s) or limited-
. . ., :.
Business name: s energy panel, alteration, or
Address: S �� extension. Describe: Page 2 2
1.1.\\ 10 IA
City/State /ZIP: Lfi e92 Q8 8 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) I Fax: ( ) vtT
".� r -/
Investigation per hour ( >8 min) 62.50
CCB Lic.: ! rr r Electrical Lic. Suprv. Lic Industri alptantperhour 73.75
1 Z c5t ,,;; .,,' L .f • AL . „ ,... < , :.g::'_r =:', '-
Supry leetrretan signature, required: Subtotal: L / i '5'
Print name: \ ,� r ,� Date: 1.
Plan review (25% of permit fee):
�✓ � ' ` State surcharge (12% of permit fee): 6 le 2
� �/
Authorized signature: C .,,� TOTAL PERMI FEE: 5 2. . 7
w L
Print name: , V u C 'w `„ / . /� i j6/ m6 permit application expires it a permit is not obtained within 180
Gtr/ r\ ‘ Date: Or [ J J_.. _e.__ .. � 1..--,..............-1 ,
OR 3S
T - d XUd 13CH3Sd1 dH Wd0I:TT B002 Z0 uef
CITY OF TIGARD
BUILDING DIVISION /
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2/2009 PERMIT #: R.0009-00001
Phone: (503) 639-4171 tosim4itilij
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/13/2009 TIME: 7 PAGE: 24
0 - hot , F te.,61 /v6--- ga
SITE ADDRESS: 13130 SW ASH DR CLASS OF WORK:
SUBDIVISION: VIEWCREST TERRACE LOT #: 016 TYPE OF USE:
PROJECT NAME: SCHMIERER
DESCRIPTION: Install furnace.
OWNER: SCHNFRER, CLARENCE, PHONE #:
CONTRACTOR: PIONEER GAS FURNACE PHONE #: 503249.5000
Inspection Request Scheduled For: Date: 1113/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 079522-01 503-249-5000 N
Corrections/Comments/Instructions:
..-
i Al
2 PASS / M PARTIAL APPROVAL
i
-- aimp fl CANCEL n NO ACCESS
0 FAIL ? CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Z6
Inspector: Date: 1 p el Phone #: (503) 718- 1/y
1%11
•
INSPECTOR'S SIGNATURES ARE NOT' ' Inspections Required for: E IC 2009 • O 0001 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspcti "e scr ip tioti + s - .. "te :5 By - ='; ✓, _'In'spectiomDescriptioii_;,- :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 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
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 )( 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wts 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 PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
fi
330 Water service
335 Ram 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
1: \ Building \Forms \InspCard -AOP -Blank doc 02/02/07
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: E-00001
DATE ISSUED: 1/2/2009 2/2009
TIGAR,D, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102CA -00229
SITE ADDRESS: 13130 SW ASH DR ZONING: R -4.5
SUBDIVISION: VIEWCREST TERRACE LOT : 016 JURISDICTION: TIG
PROJECT: SCHMIERER
Project Description: Install furnace.
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: 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:
SCHMIERER, CLARENCE PIONEER GAS FURNACE
13130 SW ASH DR 2636 NE SANDY BLVD
TIGARD, OR 97223 PORTLAND, OR 97232
N
Phone: Contact #: PRI 503 - 249 -5000 Q
FAX 503 - 249 -8260 0
FEES
Description Date Amount Reg #: ELE 173181
CITY OF TIGARD MENU 1/2/2009 $46.85 LIC LIfR92 D
[TAX] 12% State Surchar 1/2/2009 $5.62 SUP QP388 O
Total $52.47 REQUIRED ITEMS AND REPORTS 0
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: 4_0) CA Permittee Signature: Apt k C kor) .
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.