Permit CITY OF TIGARD ELECTRICAL PERMIT
1 111 el
PERMIT #: ELC2007 00241
'1 COMMUNITY DEVELOPMENT DATE I SSUED : 4/17/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103BD -02400
SITE ADDRESS: 11800 SW CARMEN ST ZONING: R - 4.5
SUBDIVISION: CARMEN PARK LOT : 007 JURISDICTION: TIG
PROJECT: SCHARN
Project Description: Panel change.
RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 1 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:
JEFF SCHARN WILLAMETTE ELECTRIC INC
11800 SW CARMEN ST PO BOX 230547
TIGARD, OR 97223 TIGARD, OR 97281
Phone: 503 - 330 -2968 Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
• FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 4/17/2007 $80.30 LIC 75059
[TAX] 8% State Surcharge 4/17/2007 $6.42 SUP 1965S
Total $86.72 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.
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Issued By: Permittee Signature: �� a ,p y� ,.(p 0/� .
OWNER INSTALLATION ONLY 1 '111""""""
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.
R.P�' 1 3 2007 1 2: 49PM WILL F ELECTRIC INC 555555555 1
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inspection rpeft: Line 5D3.6lr 17:i 1 _ .. .,s:�,�� "- T - - - - -- ef2 Supplerreendat Into /mahun
Notiiiedl�9ethoc. - t l `+_ - J___'-- -- -- - - -- -
Mteriu _ ___„__ ugpril or n;: - - -- _ - ,
N`t1 Please chick all that apply"
[] New construction ' onlateraticr ✓Teplacemen[
Demolition �] Other: ❑Sete ce o e" 22u mps' c i r a i - oil over .) , . '
i • I a n 'I Harald ' location
ervi 'I a rating {�t 3tildngo> �'1 "(`0(iscl. ft �t - - - 4 or more new resddenU Il
_r.' i : _ - of 1- and 2- family dwellings
GITi' (T':' c �5�1H amts in one structure
❑System ever 600 volts nominal
l and 2-family dwelling [ ---- 1 Codnmercial /industrial [] Accessory building
p three ❑Feeders, 400 amps or more
Multi-family ❑ Master builder CI Other: _ ❑Occupant load over 99 pe ❑ Mane fee tu ,e' 9 structures or
1 - . '-'--'-!•-'''''';'.', .. _ - :.s,. , ; i . : "" ; . ; ` `' ;;- ;::ii;2,._F a = ❑ g resslli g hting P
;�, ..e�. - �q .. . - ,- - __.. , Other:
<: ' :- °: _ .. "... •- �r� C � �, ❑H - facilit ❑ -
Job no 5�b I Job site address: `l 09 g _ Submit 2 sets of plans wit airy o t he above.
City/State/ZIP: i 5 0!' /
q 7z z 3 The above are not applicable to temporal y construction service.
itt .n -• a "" -K a s t t:1nl -i ;s ,. 4.
Suite /bldg. /apt no.: Project name: ,�G fir S G �+� ! Description Qty. I Fee' l Total
New residential single- or multi - family dwelling unit.
Cross street /directions to job site: Includes attached garage.
1,000 sq. ft. or less 1 145.15 4
Ex. add'l 500 sq. ft or portion 33.40 1
Subdivision: Lot no.: 1 Limited energy, residential 75.00 2
Tax map /parcel no.: . ; n _r.a - ;_.: ;: rF i ; `n ''& 4 ' :' 3 non-residential 75.00 2
::.. i "i . ,,- ria •. = Each or
.;I ;; -; s..: w - l _ - "'' w.. and/or 90.90 2
' ..; �i�'
dwelling, service and! eeder - f
�j -t G RaJ'i Services or feeders installation, alteration, and /or relocation
- -- 200 amps or less I 80.30 V:).3 2
�r-r : , :._ - - :-w_:, =P, :...:'q . l =s 201 amps to 400 amps 106 2 .
1 -. 7 - 5 , �- ::: t :,• •- c ,, ;... :' •:=,aft_^.._ t .; .iw -;; a - 2
`:n "t: ' E 6' p ' t` ,-1-, Yity .. - :;, : - -,-, Y;i1 r e r, ,, b- '' �-� . . F -- `; e . •.:,•:..„ 401 amps to 600 amps 160.6)
-.
Name: IVIW . J 601 amps to 1,000 amps 240.60
/ 1 , Over 1,000 amps or vo 2
454.65
Address: Reconnect only 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
[
relocation
^
Phone: (� fQ�. )�30 ' d•O' I ? Fax: ( ) 200 amps or less 66 85 1 _
100.30 2
Owner installation: This installation is being made on property that I own which is not 201 a mps to 400 amps 133 - 75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps
Branch circuits- new, alteration, or extension, per panel
Owner signature: Date: K • : :. A. Fee for branch circuits with
r a t ;. -u ; `� ns', r'4.• •;"' 1." ' , x��j , , ; " Fa-.h _1 p± , a _ os � -,t service or feeder fee, each 6.65 2
s branch circuit -
Business name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name' first branch circuit
Address: Each add'l branch circuit
6.65 2
Miscellaneous (service or feeder not included)
Pump or irrigation circle
City/State/Z1P: 5 3.40 2
Phone: ( )
4 Fax: : ( ) Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
E �,-V� -. ; ° i, _. j. energ} panel, alteration, or
:S? = f : : :t , A.. , ,, z- ....- *,,:x7 , ti t r�' f rT_ 2 1 .4 E,.._,, . ,..; -t ib Page 2 2
+� - - - i;g �s , '''3l - :n s•'`�''� ,,.. rs.^ -. ? ' ,r,,;.-- 'Feat= .^- '�._.,.- ..- k ag
,:,t -,�'� F " F, ..�. - , ,.., .,.w,,, --.: _ :.w =� extension. Describe:
Business name: t I) y =�,'ii efr L e f
• ei" dr... e
Each additional inspection over allowable in any of the above
-• , 62.50
Address: C - t:�, +c ~�- Per inspection ,
^ 1? Investigation per hour (1 hr min) 62.50
City /Stale /ZIP: t �$ : „ y i c. it ' Industrial plant per h 7 x' 75
( sic r - ..7� / ( ✓�".', !,W 4f - `f 7 6 0 :` li
F G Y�, t l plant : o u r , ' ,v ' t a .,��ty r 9 .
Phone: ;q ) a r : -may " "; 7 „s,'
CCB Lic.: f,✓ t: s - E lectrical Lie.: .3 Gf r z . Suprv. Lic.: '',.t e. a - ,, `" Subtotal �D ,3 .•
a ' .". ,- _
� Plan review (25% of permit fee)
Suprv. Electrician signature, required - State surcharge (8 % of permit fee) (/ ! _
�, Date: f 3 °� TOTAL PERMIT FEE , L.
Print name: jJ' - l
This permit :epitication expires if a permit is me obtained y(1nil, 180
Alit 11 OTl! - - i 15naCll - - .- -- -- - --._ si ays after it hxa been unepied 115 conlpit to
-'-- - - � -- -- I Date: - , Fee mathndology set by Tri- County Building Industry Service Boa+d
Print Warne' ,* N.unber or inspections per permit allowed.
--- - -- aaa -0fil STt I II'D ^ /CUMi WSS
i "\n„ild iiogworma s.m s: -Pei ∎.,A� i, dm. 1 21 +
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.
CITY OF TIGARD
BUILDING DIVISION PERMIT f^ 00 24
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .1/47
Phone: (503) 639 -4171 aiv�n�n,� i�lj
Inspection Requests (24 Hrs.): (503) 639 -4175 �._�
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / / ,F4 / CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE: 1
PROJECT NAME:
DESCRIPTION:
OWNER: �� _) PHONE #:
CONTRACTOR: ,� l LE — PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # C tact # Message
`?? 0483265 01
Corrections /Comments /Instructions: -- /V C if. „ 44 7- 6,
I
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vaiw
Mr
PASS ❑ PART ' L APPROVA ❑ CANCEL n NO ACCESS
I I FAIL F. SAX • • I IONAL FEES ASSESSED
Inspector:
d Date: !� � #: (503) 718 L
p Phone ( )
.
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007 -00241
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2007
Phone: (503) 639 -4171 u�lAilii�84lj
Inspection Requests (24 Hrs.): (503) 639-4175 ., p.!
INSPECTION WORKSHEET FOR DATE: 5/1512007 TIME: 7:00AM PAGE: 85
SITE ADDRESS: 11800 SW CARMEN ST CLASS OF WORK:
SUBDIVISION': CARMEN PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: SCHARN
DESCRIPTION: Panel change.
OWNER: SCHARN, JEFF - PHONE #: 503 - 330 -2968
CONTRACTOR: WLLAMt. t IE ELECTRIC INC ' W PHONE #: 503 -6243631
Inspection Request Scheduled For: t b ate: 5/15/2007 Pour Time: Sc f
Code # Inspection Description Confirm # Conta Message `
199 Electrical final 048265-01 03.330.2968 Y
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL %I - CEL I I NO ACCESS
0 . 0 .4 01 . P N °
FAIL I I C' i' Fe - n , II 1 ITION L FE S ASSESSED
Inspector: / Date: ¶ / DS Phone #: (503) 718