Permit A . CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00748
III
DEVELOPMENT SERVICES DATE ISSUED: 10/5/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 AB -01604
SITE ADDRESS: 07307 SW BEVELAND RD 200 ZONING: MUE
SUBDIVISION: GILROY BUILDING LOT : 016 JURISDICTION: TIG
Project Description: Elec. for TI
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: 29 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:
STOBER, LOUIEA + JESSIE L JARMER ELECTRIC INC
7305 SW BEVELAND RD 5105 SW45TH AVE .
TIGARD, OR 97223 PORTLAND, OR 97221
Phone: Phone: 246 -5381
FEES Reg #: LIC 6924
tion Date Amount SUP 26
Description ELE 26 -144C
[ELPRMT] ELC Permit 10/5/2005 $239.70
[TAX] 8% State Surcharge 10/5/2005 $19.18 REQUIRED ITEMS AND REPORTS
Total $258.88
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
3 4 4
Issued By: / � , I %� /J Permittee Signatu • �� . / 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.
. .
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard E1VED A Received
Date/By: (0 ( 6 06 '66 Permit No.:RX J. _007 4
13125 SW Hall Blvd., Tigard, OR 91:AFC Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 44 " 1/ 0011 6 \ Date/By: Other Pennit:
.
Inspection Line: 503.639.4175 OCT 0 5 2005 AU- Ail., Date Ready/By: J : 6f1 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: ,..1 Supplemental Information
i'-';':;:c ' - i .'-- ...'.' ..f: ' '' ,' -, ' ' , - c o n om.-Rtfahip • . .. - :- ' - „, -,,.:: . , : .. .-.- :. . i.:„4
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XNew construction IStakaillagleellaYiacement Please check all that apply:
ke ['Service over 225 amps, comm'l ['Hazardous location
0 Demolition 0 Other:
['Service over 320 amps — rating OBuildng over 10,000 sq. ft.,
....CATEGORY OF CONSTRUCTION ,. ;: - : ''. - ::=: [ L'i:: 7 ' . gi: : of 1- and 2-family dwellings 4 or more new residential
0 1- and 2-family dwelling "Commercial/industrial 0 Accessory building ['System over 600 volts nominal units in one structure
0Building over three stories ['Feeders, 400 amps or more
El Multi-family 0 Master builder 0 Other:
['Occupant load over 99 persons OManufactured structures or
„ 7,, - .::;':-. ", .
JOB SIT ,INFORMATION AND LOCATION , .::; DEgress/lighting plan RV park
Job no.: k,
L. L/ it
Job site address: 73 I 6,9 v et 6_444 ,4-2, 0 0Health-care facility ['Other:
Submit 2 sets of plans with any of the above.
.......--•--;
City/State/ZIP: i t cf (t.. IT The above are not applicable to temporary construction service.
...1 :4E,Ct..:'.
Suite/bldg./apt. no ellt.9aRKOPR,8.4=
Project name: 4 ' i ire it
Description I Qty. I Fee' Total I *'
Cross street/directions to job site: i 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 75.00 2
'f.'-:',; , • , :: -- '::: - .:',1::•E" — ". :-' . .: .
DESCRIPTION OF . WORK : ',. - . ..:'. -,.': , -. - ..: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
..--- ---;
-K-ULCIAA:f I VILr")(vve tfw i;t 2t Services or feeders installation, alteration, and/or relocation
I
200 amps or less 80.30 2
,::,;:e:LO".,":_Wii ' t::' , ' : 11114ENANT :4,7,q2; 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
', - .x --, -,-• -' - - --- ,''''=•• 11:' • l' -, F 1, - - -' ,,, A
APPLICANT , .. - , .F: . , LJ-:CPNTAcTrg!WIN Fee for branch circuits with
:-: •
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
, 46.85 ig,
'IC 2
each branch circuit
Address:
Each add'l branch circuit im 6.65 i9d,r_S
City/State/ZIP: Miscellaneous (service or feeder noi included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
,,.;.,,.YJ'I''' ...: !. .: CONTRACTOR , energy panel, alteration, or
extension. Describe: Page 2 2
Business name: :1-,?2, ,A.-N E.a... Et_Ec-r
Each zi zo 0
Address S, 0 s-- additional inspection over allowable in any of the above
: 6- ,s Sre
Per inspection 62.50
City/State/ZIP: 600-1? 74. Aj 4 0 , el 7 2 2 / Investigation per hour (1 hr min) 62.50
Phone: (S63) 2 q (, - (573 4' / Fax: (S) 24 i q - ez) 3 7 Industrial plant per hour 73.75
;
CCB Lic.: jp e'2 If Electrical Lic.: 26,- / 4E4_ Suprv. Lic.: itegy5 Subtotal ;2 31_
.,..
Suprv. Electrician signature, required: . _7( e--.---_,_ Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: s5-z 4- /2 ( 7 - ,_69--,g /Pi e 4._ ate: q......2 f_o_s----- TOTAL PERMIT FEE i q jg
f
-
0 ? S ST
Authorized signature: t kd FPI_ Z
: This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete
Print name : . or,) y.---e C A s ykLIAA..// Date: q -- • —
„--, 0) • Fee methodology set by Tri-County Building Industry Service Board
C., '• Number of inspections per pemiit allowed.
I: \ BuildingTermits \ELC-PermitApp.doc 12/03 440-4615T(10/02/COM/WEB
CITY OF TIGARD E7______ BUILDING DIVISION PERMIT #: cL7200, -C--44 744'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: v
Phone: (503) 639 -4171 atjm�pig6'lll�
Inspection Requests (24 Hrs.): (503) 639 -4175 ':� °:_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 73 A i , / i ' 2-e.96) . ASS OF WORK:
SUBDIVISION:
LO -•: ' YPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 °a % -Q (o Pour Time: •
Code # Inspe 'on De,,�cription Confirm # Contact # Message
/
Corrections /Comments/ Instructions:
TkeN ius s - ioz X 1f ;
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1 7 ‘ ' 51 erf iRf 0 It .
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1
rat \ilt wzok, x' 11. 60 %1 Ito°
0 N a N 4cge V ftl Cfi\. --
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: V 461' Date: 1 '4 Phone #: (503) 718- 2.4
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: �c- _°0747.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 a/4490111\
Inspection Requests (24 Hrs.): (503) 639 -4175 °`__..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 73 &eve-1AA/4 Rd S I ��� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: I
OWNER: PHONE #:5173--09"4/6"-5-3 8
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: -- ..--/ — co Pour Time:
Code # Inspection Des ription Confirm # Contact # Message
/9 / . _ r_; ._-_ y,__o _ I)
Corrections /Comments/ Instructions:
�R.ovrOW FEE S Fay Abbili vI(Z).) S-
4 VA NM Ai V-140 F; a UctiZ ol, 81,MK cv
m ZC
ftcr. INWI 'itiNN L s i ct $ .
I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
' FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G4t 06 LC Date: 3 Z-{ ® & Phone #: (503) 718- Z
CITY OF TIGARD _ , r.
BUILDING DIVISION PERMIT #: Fl C2005-00748
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1015/2005
Phone: (503) 639 -4171 eirdoH 1
, l
Inspection Requests (24 Hrs.): (503) 639 -4175 I L
INSPECTION WORKSHEET FOR DATE: 1/612006 TIME: 7;00AM PAGE: 37 •
SITE ADDRESS: 07307 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: GILROY
DESCRIPTION: Elec. for TI
OWNER: STOBER, LOUIE A + JESSIE L, PHONE #:
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 248 -6381
Inspection Request Scheduled For: Date: //612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 0245024)1 503-246-538 Y
Corrections /Comments /Instructions: P .0Y\
\cwa 1 g FLAN_
L.fr„,,,,,,. f Ne.241 1 1U - 1-saki3v i:TNI.Ro
R.Evzs,fiN4 %•:12. ) 103 1 1 totl ) ‘ oi 1 1 t ‘ \ 0 . "
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[lam/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSP ; TION ❑ ADDITIONAL FEES ASSESSED
Inspector: iLti Z Date: 1 ° 'V' Ot Phone #: (503) 718- t
CITY OF TIGARD z 4Y
BUILDING DIVISION , PERMIT #: ELC2005 -00748
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2005
Phone: (503) 639 -4171 /ru 01hi u'k
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/2012005 TIME: 7:30AM PAGE: • 36
SITE ADDRESS: 07307 SW E3EVELAND RD 200 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 018 TYPE OF USE:
PROJECT NAME: GILROY
DESCRIPTION: Elec. for TI
OWNER: STOBER, LOUIE A + JESSIE L, PHONE #:
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 245.5381
Inspection Request Scheduled For: Date: 12/20/2005 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 023750-01 503 - 245 -5381 Y
Corrections /Comments /Instructions: 1
C i D O\Cf\ a — \)) \� _ ��i -k
•
•
, PASS II] PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
!!!!!! I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: C.7" ^ t Date: 1� O Phone #: (503) 718- `T LD
CITY OF TIGARD ; BUILDING DIVISION PERMIT #: ELC2005-00748
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2005
Phone: (503) 639 -4171 47/40
Inspection Requests (24 Hrs.): (503) 639 -4175 A __..
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 131
SITE ADDRESS: 07307 SW BEVELANC) RD 200 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE. OF USE:
PROJECT NAME: GILROY
DESCRIPTION: Elec. for TI
OWNER: STOBER, LOUIE A + JESSIE L, PHONE #:
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 246-5381
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 021079 -01 503 -246 -6381 N
Corrections /Comments /Instructions:
''t:?.;.!' _-
- 44 1 141‘.417 111 4MI 4 ,1m61,.
GIV
0 offi
\ } JA Cob) (dog\ ,
\o N'yv6)A-).NN
I I PASS *PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
`:;)AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a _ . / ' / �`�` ' Date: / / Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00748
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2005
Phone,: (503) 639-4171 uq@
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/7/2005 TIME: 7:05AM PAGE: 13
SITE ADDRESS: 07307 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: GILROY
DESCRIPTION: Elec. for TI
OWNER: STOBER, LOUIE A + JESSIE L, PHONE #:
CONTRACTOR: JAMMER ELECTRIC INC PHONE #: 246-5381
Inspection Request Scheduled For: Date: 11/7/2005 Pour Time:
Code # • _ : - •. : = ription Confirm # Contact # Message
115 Electrical service 020491 -01 503.246 -5381 N
Corrections /Comments /Instructions:
t palutbutli E to = 0 (Y)
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G L Date: - h `U Phone #: (503) 718-