Permit ,, CITY ITY O F TIGARD w H R® . ELECTRICAL PERMIT
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PERMIT #: ELC2008 -00047
COMMUNITY DEVELOPMENT DATE ISSUED: 1/28/2008 •
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 110AC -01100
SITE ADDRESS: 11300 SW BULL MOUNTAIN RD ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: STARPLEX
Project Description: moving outlets and switches. (3) branch circuits
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:
KENNETH & LYNNE FINCH STEIN ELECTRIC
2966 NW TELSHIRE 17375 S. SUNRISE LANE
BEAVERTON, OR 97006 BEAVERCREEK, OR 97004
Phone: Contact #: PRI 503 - 784 - 5054
FAX 503 - 632 -5096
FEES
Description Date Amount Reg #: ELE 34 -313C
[ELPRMT] ELC Permit 1/28/2008 $60.15 LIC 76005
[TAXI 12% State Surchar 1/28/2008 $7.22 SUP 3775S
Total $67.37 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: c 7/ �/l,
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.
01/26/2008 21:55 63250% STEIN ELECTRIC PAGE 01
le.tric> Pelr AipplicationitCEIVED 1
t ilc t l l f It I I, I t,u, f
City of Tigard
jI 13125 SW Hall Blvd., Tit3ard, OR 97223 I A N 1 U U oDrati view I a $ Rye
Plan R
a Permit No. : — U L 4
Phone: 503.639.4171 Fax: S tither permit: ° / r -- jq
Inspection Line: 503 639.4175 CITY OF f1GARD Date ansayrny: fa see page 2 for
Internet www.tigttrd -or goy
NotifiediMe wd:
A
IP §ij)4pr�x ex:rr aI�Mx +.� I A I' UISIOR SuPppd lnlbrmAttpp
i '74�'�YIIA`idl!.�Pt�6.Clfli�.,: �� i 4 1 yp �3 d' , ,�,�r 1, h�I ��I�yp,17y,;!,�y��v �q }
�Irsrrraua¢IIHIi+ i;:h8•SS r Ga.hhh�, ( ��'r�il`. "^! l) lWi'"G's , tfi�7wFpN�i iu aWlllwwxui': n kin
t ❑ New construction ► • r di tion /altcratiorl/replacement Mew check all that apply (submit 1 m s of plane w /ite checked below); t ] 1]emolltion ❑ Other ❑ Service or feeder 400 amps or more 0 Building over those stories.
Oitil e m o r .0, 1 � IMkf tY Il l Other: �: NV,�"S; IVIM 0.kyM ",'llq,�il�µ, � where available fault current 0 Marinas and boatyards.
it 4� V t 1 t I. Yiil r y b 6 exceeds 10,000 amps at 150 volts or 0 Floating buildings.
cate'nAwWls>•v •il .tr;,:w��/ r" varawla;lCaalli .� lass to ground, or exceeds 14,000 ❑ Continental-use agricultural
❑ I- and 2- family dwelling fi Commercial industrial ❑ Accessory building amps for all other ina[anetions, buildings,
O Mutts family ❑ Master builder El Other: ❑ Fire pump. ❑ Installation of 75 KVA or
k'.' ': t ;'IT •' t ' n 7. YaaMU .*�w,.ag n t;xl ea aA!"
i:��� w {� �, e .gJ! a. t �tf [) Emer[iY system larger separately derived System.
Ewa ap;�AAr sews 7r" [] Addition of new motor load of [] "A", "E ", "1 -2" "1-3",
Job no.: Job site address; 1 % 30O SW a w1 ( I00L 5 or more. 000uputtoy.
a' " • • ❑Six or more residential unite. 0 Recreational vehicle parka.
City/StatuzIP: — 41‘--"' G s O tA 0 Health -care facilities. ❑ Supply voltage for more than
0 H or locations 600 volts nominal.
Suite/bldg. /apt. no.: Project name: S{,� y , ❑ Service vioe m seedetr 600 or more.
Cross street/directions to job site:
�';;#�
..... Description
- Qq. Fee. Total 0
New residential single- or multi- family dwellin unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 9. ft. or less 145.15 4
Tax map/parcel no.: Ea, add') 500 R. or portion 33.40 [
!} ° ^"a } I c° ara<' u::;ra y, W, y. , Limited energy, residential
k p °I°" d. N aP ti w. s4 )
' , i S � eMwwloa'ww+�. "ulwwd l=l� as i 3 r+b:.i,: : :' � (with above , ft. 75.(10 2
110 • «. Limited energy, multi - family
_ residential with above ft. 75.00 2
Services or feeders installation alteration, and/or relocation
o ..la ulws ,ate, �i, il pp � 200 amps; Or toss 80.30 2
_ _ _ __ __ a riAn �e •" 'li r at e ' i' ': f 201 amps to 400am.ti 106.85 2
L - 401 amps to 600 amps 160.60 2
Address: ' - i '' 601 amps to 1,000 amps 240.60 z
i Over 1,000 amps or volts 454.65 2
City/State/ZIP: I Temporary services or feeders Installation, alteration, and/or
s:.... t ' 1 . . U _ 1 U relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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: Branch circuits -- new, alteration, or extension, ■ r panel
Date: A. Fee for branch circuits with
MP 1,1)'. I fit '� !
"E7 7ZN above service or feeder fee,
Business name:
each branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder flee
first branch circuit I 46.85 4 r 2
Address: Each add'! branch circuit le 6,65 W.MIEll
City/ State/ZIP: Miscellaneous (service or feeder not included)
Each manufactured or modular 90.90 1) 2
Phone: ( ) Fax: dwelling, service and/or feeder
x :: ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
yy,•,�
it ira: • 1 /'. O,`. "ki�l.ii.n�F wF.n,»,a Sign or outline lighting 1111 3 . A0
Business name: On_ k. Signal circuits) or limited -
energy panel, alteration, or
Address: t / 3 5 5 - 5,. r ` s t_ extension. Describe: Page 2
City /State/ZIP: I q_ s ) c _ S - _ - , ` C i n c - - + “ Each additional Inspection over allowable in no of the above
Phone: (o) 3)$ S 1..( Fax: ( • 3) Per inspection 62
,3 2 `�
,� � Investigation per hour (1 h m � M
CCB Lic.:
/� ( Suprv. Lie.: , � 7 Industrial plant hour , -
ee(t I t '. - a ` r ' �� ,� / dr/ s I J.Rq r,r a • 1 ; :? .., •, .., r . 7"7i�..'
up ec I signature, i qui .: A►'Ali v A _`__ " Y ' S Subtotal: + � �r 15
Print name: c_p �`,, r\— Date: i 0 6 b Plan review (25% of permit fee): `
C1 State surcharge (12% of permit the): M ! azr-
Authorized signature: TOTAL PERMIT FEE; 5 cj . H 2 1; 7.
Print name: Date:
permit application expires if a permit is not obtained within 180
Date: days after It has been accepted as complete.
• Number of inspections allowed per permit.
I. WultdiaplpmmueaB L.C-PermitApp.doe 05/23/% 440.40 1 514 I 1/03/COM/WEB 1' I l'%/c—
•
. .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008•00047
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1I28f2008
Phone: (503) 639 -4171 � 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2126/2008 TIME: 7 :00AM PAGE: 4
SITE ADDRESS: 11300 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STARPLEX
DESCRIPTION: moving outlets and »:hitches. (;3) branch circuits
OWNER: FINCH, KENNETH & LYNNE PHONE #:
CONTRACTOR: STEIN ELECTRIC PHONE #: 503 - 784 - 5054
Inspection Request Scheduled For: Date: 2/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
109 Electrical final 065664 -01 503- 702 -7158 \ Y
Corrections /Comments /Instructions:
0w/ 99
RE (no \). N VY\ 1 06 f3() r 1)(63
13
C� ec v, PA NEL b - 1 2 tTOCz plc A 08
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i)E o C.�ut C i ctf,_ S t rt k rest . E4 v,ip
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PAS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
= =" CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: NQ61 -fir Date: l() - C 0 Phone #: (503) 718 - )-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: Et x2008.00047
` 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 112812006
Phone: (503) 639 -4171 imerit �u��fi�#
Inspection Requests (24 Hrs.): (503) 639 -4175 .,
INSPECTION WORKSHEET FOR DATE: 2/25/2008 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 11300 SW BULL IvMOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STARPLEX
DESCRIPTION: moving outlets and switches. (3) branch circuits
OWNER: FINCH, KENNETH & LYNNE PHON #:
CONTRACTOR: STEIN ELECTRIC PHONE • 503-784-50A
1-50&
Inspection Request Scheduled For: Date: 2725/2008 Pour Time: 0
Code # Inspection Description onfirm # - - • .ct # Message 1110/ C (Ark.
199 Electrical final 065533 -01 503.702- 71.58 Y
Corrections /Comments /Instructions: N6 ` 16,0
FRo t - � O.
--(it ,G`b N
No �►N 6 w pa A T ffioN i
1 v. r 'rp(\
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
0 )S \ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: -L qv x 063 �_ Date: 2-- IS 61, Phone #: (503) 718- i1140
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: FLC2008-00047
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1128/2008
Phone: (503) 639-4171 Azo "SO I t
Inspection Requests (24 Hrs.): (503) 639-4175 .,..,-ga- IL
INSPECTION WORKSHEET FOR DATE: 211/2008 TIME: 7:02Am PAGE: 20
SITE ADDRESS: 11300 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STARPLEX
DESCRIPTION: moving oullets and switches. (3) branch circuits
OWNER: FINCH, KENNETH & LYNNE – PHONE #:
CONTRACTOR: STEIN ELECTRIC: c , , PHONE #: 503-784-5054
)
Inspection Request Scheduled For: Date: 2/112008 Pour Time:
Code # Inspection Description Confirm #\ Contact # Message
120 Electrical rough-in ' ) 603-784-5054 ' Y
r
Corrections/Comments/Instructions: /
I (9ai
•
c PASS —
_ PARTIAL APPROVAL fl CANCEL 1 NO ACCESS
1 r r7 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C5 1 66 Lw ------ Date: - 0 Phone #: (503) 718-
— _