Permit C ITY OF TIGARD ELECTRICAL PERMIT
II PERMIT #: ELC2006- 007.25
` COMMUNITY DEVELOPMENT DATE ISSUED: 12/22/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DC-03500
SITE ADDRESS: 07071 SW BARBARA LN ZONING: R -4.5
SUBDIVISION: THE RAZBERRY PATCH LOT : 028 JURISDICTION: TIG
Project Description: Furnace and AC outlet (3).
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: 2 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:
SCOTT JACKSON BOB'S ACTION ELECTRIC INC
7071 SW BARBARA LN 2700 NE BURTON ROAD #A
TIGARD, OR 97223 VANCOUVER, WA 98662
Phone: 503 - 977 - 9028 Contact #: PRI 360 - 254 -7200
FAX 360- 254 -8219
FEES
Description Date Amount Reg #: ELE 37-431C
[ELPRMT] ELC Permit 12/22/2001 $60.15 LIC 53136
[TAX] 8% State Surcharge 12/22/2001 $4.81 SUP 4322S
Total $64.96 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: X kA, � /IX Permittee Signature: C ' ,.4-
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.
Electrical Permit Applic ` E I VE J - y ` „''FOR O FFICE USE ONLY ; ,
City of Tigard DateBya 06' .4 Permit Ns lO '0 Q, , 5
13125 SW Hall Blvd., Tigard, OR 97223 DEC 22 2 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 4411 ' Date : Other Permit
Inspection Line: 503.639.4175 CITY OF TIE -;:41- ' B U Date Ready/By: El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method Supplemental pp mental Information
BUILDING ntutstoni
TYPE O W PI AN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
lit El Other:
Service over 225 amps, comm'I Hazardous location
❑ Demolit ion
" h , µ ',:.'',,,x1.- Demolition { xT l Ot er: ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF'CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
® 1 and 2 family dwelling El Commercial /industrial ID Accessory building ESystem over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
111 Multi family El Master builder CI Other:
Occupant load over 99 persons ❑Manufactured structures or
;; " JOB 'SITElII�`FORIIIATION AN D LOCATION r `' e-` ❑ E Egress/lighting plan RV park
EHealth-care facility ❑Other:
Job no.: 06 -1126 Job site address: 7071 SW Barbara Lane Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
Z4 :1,4' . g; `= FEE' SCHEDULIE .. ;
Suite/bldg. /apt. no.: Project name: u **
Description Qty. Fee. Total
Cross 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 no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00 2
h, 4 . , M DESCRIPTI ON /OE ,VI 'ORK' ` t
.4- .., ._ :•..._- ". � rN �_� «a,K, , ._ . r, ��,.. 4�_�sF�.,_ , - ..9� �'4 ....�n-ft.W Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Furnace & A/C & service outlet Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
•
r;, . ® `OWNERt - t ® TENANT' " ' . 201 amps to 400 amps 106.85 2
w .. 4. ._ ... 401 amps to 600 amps 160.60 2
Name: Scott M. Jackson 601 amps to 1,000 amps 240.60 2
Address: 7071.SW Barbara Lane
Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and /or
Phone: ( ) Fax: ( ) relocation
503 977 - 9028 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
,,, ., ° " '
®APPLtICANT 4 y i t - . , ,, �; C O .. . NT A CTiPERS
. ,,. .. _,,, . ON , ; T A. Fee for branch circuits with
.4,.4.. °,_'i:,: , " x ._ . .,,,
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
1 46,85 45.85 2
each branch circuit
Address:
Each add'1 branch circuit 2 6.65 13.30 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
4 $ ' .�' CONTRACTOR a I energy panel, alteration, or
._. . -a. _ . ...a�` P.__. _ ... ,
extension. Describe: I
Page 2 2
Business name: Bob's Action Electric
Address: tt tt Each additional inspection over allowable in any of the above
2700 NE Burton Rd. A Per inspection 62.50
City /State /ZIP: Vancouver . WA 98662 Investigation per hour (1 hr nun) 62.50
Phone: ( Fax: Industrial plant per hour 73.75
360) 254 - 7200 (3 60) 254- 8219 ';_�:`>;`fit'ELECTRICAL ; PE"RiVIIT.,'.FEES *'_ - .
CCB Lie.: 53136 Electrical Lie.: 37 31C Suprv. Lie.: 4322S Subtotal 60.15
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of permit fee) 4.81
Print name: Kevin Broselle Date: 12/18/06
- TOTAL PERMIT FEE 64.96
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed.
i \Building\PermitstELC- PermitApp doc 12/03 440- 4615T(10 /02 /COM/WEB
_._. . . Y.
CITY OF TIGARD
BUILDING DIVISION .
PERMIT #: ELC2006-00725
„..,
\ ,\,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2212006
Phone: (503) 639-4171 ,... katlI i i
Inspection Requests (24 Hrs.): (503) 639-4175 .
INSPECTION WORKSHEET FOR DATE: 2/16/2007 . TIME: 7:00AM PAGE: 39
SITE ADDRESS: 07071 SW BARBARA LW CLASS OF WORK:
_
SUBDIVISION: THE RAZBERRY PATCH LOT #: 028 TYPE OF USE:
PROJECT NAME: JACKSON
DESCRIPTION: Furnace and AC outlet (3). . .,
...: OWNER: JACKSON, SCOTT PHONE #: 503-977-9028
CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 360-254-7200 .
Inspection Request Scheduled For: Date: 2116/2007 Pour Time:..
Code # Inspection Description Confirm # Contact # Me _.:,st-
199 Electrical final 00460-01 360-264-7200 • 441/41
. ..,
Correc ions/Comments/Instructions:
,Ilde- /IPA) I
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0 PASS I PARTIAL APPROVAL i I CANCEL n NO ACCESS
1 I FAIL fl CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: CH' p _ _ 744_ Date: Z '‘ Phone #: (503)