Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: E 8/2007 00139
COMMUNITY DEVELOPMENT
DATE ISSUED: 3/8/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102CA -00203
SITE ADDRESS: 13335 SW ASH DR ZONING: R - 4.5
SUBDIVISION: VIEWCREST TERRACE LOT : 001 JURISDICTION: TIG
PROJECT: LACHLAN
Project Description: Service change & rewire house from fire damage.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS • MISCELLANEOUS
1000 SF OR LESS: 1.00 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 1 201 - 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: 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:
LACHLAN MACLEAN CLACKAMAS ELECTRIC INC.
13335 SW ASH AVE PO BOX 51
TIGARD, OR 97223 BEAVERCREEK, OR 97004
Phone: Contact #: PRI 503 - 632 - 2420
FAX 503 - 632 -2421
FEES
Description Date Amount Reg #: ELE 3 -606C
[ELPRMT] ELC Permit 3/8/2007 $178.55 LIC 161932
[TAX] 8% State Surcharge 3/8/2007 $14.28 SUP 5041S
Total $192.83 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: � j Permittee Signature: .� 0
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.
MAR- l; -2E107 OS:07A FROM : CLACKAMAS ELECTRIC 503E322421 TO : 5035981960 P.2'2
Electrical Permit Application IOU Ot. 11(1. t 1I ()SIN
y
City of Tigard Received /
1 ;. C �V E° D R e ive - 7 U Pell" No.i 1 L 46 7 jQ /J9
a 13125 SW Nall Blvd., Tigard, OR 97 � g, @a Plan Review -
Phone: 503.639.4171 Fax: 503.598. 9: Date/By: Other Permit:
1 1 1. A R I) Inspection Line: 503.639.4175 MAR 0 8 2007 Date Ready /By: lulls: 69 See Page 2 for
Internet: www.tigard- or.gov Notified/Methud. Supplemental Information
1 �( �� T . C I \E i®
TYPE OF WOIC0. Drdl PLAN REVIEW
El New construction ® Addition /altera a nt ent Please check all that apply (submit i! sets of plans widens checked below)•
❑ Service or feeder 400 amps or more ❑ Building over three stones.
El 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 Q Commercial -use agricultural
►1 I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building snips for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
J013 STfE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ". "E ", "1.2", "1 -3 ",
Job no.: Job site address: 13335 SW Ash Ave. 1001'P or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/ State/ZIP: Tigard, OR. 97223 ❑ Healthcare facilities. ❑ Supply voltage for more than
['Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: netedption I Qty. 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 1 145.15 145.15 4
fax map /parcel no.: Ea. addl 500 sq. ft. or portion I 33.40 33.40 1
Limited energy, residential 75.00 2
• DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75 00 2
Service change and rewire house front fire damage. residential (with above s9. ft.)
Services or feeders installation alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: �w t \ „ � \ V \ \' �- 401 amps to 600 amps 160.60 2
i 601 amps to 1,000 amps 240.60 2
Address: 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
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel
8n A. Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
- each branch circuit
Business name: Clackamas Electric Inc. B. Fee for branch circuits
Contact name: Scott Johnston we st branch service or feeder fee, 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: (503) 969 - 5684 Fax: : (503) 632 -2421 Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited
Business name: Clackamas Electric Inc.
energy panel, alteration, or
Address: PO Box Si extension. Describe: Page 2 2
City /State /ZIP: Beavercreek, OR. 97004 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 969 -5684 Fax: (503) 632 -2421 Investigation per hour (1 hr min) _ 62.50
CCB Lic.: 161923 Electrical )06 De: uprv. Lie.: 50415 Industrial plant per hour 73.75 -
ELECTRICAL PERMIT FEES
Supr. Electrician signature, required: Subtotal: 178.55
Print name: Scott Johnston 03/08/07 Plan review (25 % of permit fee):
State surcharge (8% of permit fee): 14.28
Authorized signature: TOTAL PERMIT FEE: 192.83
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.
I\ nuil dia&J'mmits'ELC- PcrmitApp.doc 0523 /06 4404615T(1 t /05 /COM/Wau
8:
SEP -24 -2007 055A FROM : CLACK MA
AS ELECTRIC 5036322421 T0: 5035981960 P.1/1
_ -- -- - ; �c - t ' -- 6� _... 63 —ea X a.,/
,,Y, _ F (4 RECBVED
• Community Development SEP 2 4 i i r U
for Permit Action CITY Of- nc i rj
Request £ Billow oivisioN
Tlc
0
TO:
CITY OF TIGARD
Building Division Services Coordinator
13125 SW Halt Blvd., Tigard, OR 9722.3
Phone: 503.718.2430 Fax 503.598.1960 •mod ot•gov
FROM: ❑ Owner [ - Applicant !� Contractor ❑ City Staff
(cheek one)
.�I� ig - d -1 .r,.►-t. s —
MaiiingAddrees: ea Qa)4 S
City /State /Zip:gg lL t S 7 O 04
Phone No.: 5 6)3- 94.1 -.56
PLEASE TAKE ACTION FOR THE ITEM(S) CHECN.ED (✓):
Permit #: ELL .1490 — • a / 3
Site Address or Parcel #: I 33,S 6 ' £ R . .. • - -J ' 2 Z 3
Project Name:
Subdivision Name: Lot #:
EXPLANATION: 4 _ i . _ e . . ' 4 : ( -vi.&c 11
Si t re: Dam: AO lifh I.
Print Name: Se rr s
RaEund touts
1. The Direct= or Buflding Official iney authorize the ecfrurd ofi
a) any fee which was enormously paid or collected.
b) not more than Hine of the land use application fee when an application is withdrawn or emceed before any review effort has been expended.
e) :rot more dun g046 of the land use a nbc h fee toe i aaue d ppllea ecpended.
d) not mot than S 0% of the builduag pl revie fee when ma t apllcadon is canceled before any plan review effort has been
e) not more than 80% of the building permit fcc for issued permits prior to any inspection requests
2 Refunds will be retuniad co the original Payee in the nine method in which payment was received Please allow 1 -2 weskt for processing refunds.
FOR OI I ICIi USE ONLY
Rte to S • a Admira: Date Rte to Bld _ Admin: Date By
Refund Processed: Date By Invoice Processed: Date
Permit Canceled: Date Parcel Tit; Added: Date B'
Receipt # _ Date Method Amount $
Ir\Rsuldmg \Fomu \Re Pa tstAcron.doc Rev 07/26 07
CITY OF TIGARD 4--
BUILDING DIVISION PERMIT #: ELC2007 -00139
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7 :01Alvll PAGE: 28
SITE ADDRESS: 13335 SW ASH DR CLASS OF WORK:
SUBDIVISION: VIEWCREST TERRACE LOT #: 001 TYPE OF USE:
PROJECT NAME: LACHLAN
• DESCRIPTION: Service change & rewire house from fire damage.
OWNER: MACLEAN, LACHLAN PHONE #:
CONTRACTOR: CLACKAMAS ELECTRIC INC. PHONE #: 503 - 632-2420
Inspection Request Scheduled For: Date: 3/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 044653-01 503 - 969.5604 Y
aML'j _
Corrections /Comments /Instructions:
1 c q F; A L: —
&vr.ST By CA N1 1C q1 0ri CAA
•
E 'DA (11
02 -ASS ❑ PARTIAL APPROVAL ❑ CA • EL I I NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITI• AL FEES ASSESSED
Inspector: � Iv dB us • Da - S I 2-' hone #: (503) 718- 24