Permit r 4r CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00118
COMMUNITY DEVELOPMENT DATE ISSUED: 3/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 111 CC -02900
SITE ADDRESS: 10340 SW CENTURY OAK DR ZONING: R -7
SUBDIVISION: SUMMERFIELD LOT : 052 JURISDICTION: TIG
PROJECT: KRAUSE
Project Description: Reground service for new water piping. Job No. 1958
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: 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:
LEBRECHT KRAUSE WILLAMETTE ELECTRIC INC
10340 SW CENTURY OAK DR PO BOX 230547
TIGARD, OR 97224 TIGARD, OR 97281
Phone: 503 - 620 -7942 Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
(ELPRMTJ ELC Permit 3/3/2008 $46.85 LIC 75059
ITAXI 12% State Surchar 3/3/2008 $5.62 SUP 4226S
Total $52.47 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 -00 1•0 - thf ugh OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued - Ct /�'V vV�4, Permittee Signature: ---.41111 .',!�1/ / /
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
.CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: (--
)-C__ i` �� r /�-- - DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
--FEB 29 2008 7:45AM HP LASERJET 3200 p.2
Electrical Pe mi Applicati FOR OF (CC LSE NL)
(., tty ®$ 'ggard D ECEI V E . 7ete iveC .. -. . ,- O 4
13125 SW Hall Blvd Tigard, OR 97223
> ' air" P er m i t N0. e∎ / i' ��/4
' - 7223
7 ., gar Phone: 503.639.4171 Fax 503.598.196 0 Plan Review
L Q
FIGARO, Inspection Line: 503.639.4175 CB 2 92008 Date/ By:
0111:.r Permit:
Date Ready/13y: .„ See Page for
Internet. www.tigard Nouhed /Method
Supplemental
Information
t•
�g ; ; ; • , : .- pti.lN REEY I� S 'tfs`
(� v # SIGN ;.
[1] New constntctionAfldltiOn / a •' �d�rjt�� Please ch eck all that apply (submit 2 seta of plans w/items checked below).
❑ Service or feeder 400 amps or more ❑ Building ever three stories.
❑
Demolition ❑ Other:
.i where the available fault current ❑ Marinas and boatyards.
„ , rc ;l1iEGQR':,;lOt'i`'CO1 T•tON:, •, - - - _ '; :::'!.,zt exceeds 1 amps at 150 volts or ❑ Floating buildings.
ags.
�
I - and 2-family dwelling - less to ground, or exceeds 14,000 ❑ Commercial•use age icultural
' '' y g ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder
❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
0: ' ";;Pe ; :!)'•', - n,! •:;, .
.:,. v..... mer s stem.
•
, ; .r % < m.' �.� :j .,..,,, t Oj ,.. ., -. . "'Ia',; Y Y larger separately derived system.
' ,. "" •. ,,,.,,. :• .. ' ' ? • ;,:,� " -, .• ❑E ❑ Addition of new motor load of ❑ "A - E! , ., l z" " , 1.3"
Job no.: / `30'2? Job site address: /03 / 0 c ,.. I0 ore. occupancy.
S C e. � , as$�.
or more
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: 7 —,- 5 z✓ ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: ft, a . 4 J e ❑ Service or feeder 600 amps or more.
Cross street/directions to job site' �1, , z , lil( +; i "11 1 1'! - p /5 1 . .! °1 ,,N' i •. • . 'ty7 '`; ;! i;,:, *,`.<m . e ,
J ' •t . ,;.e a `I afi %?" tt: o ty Jl s:�+ ir..; " .:t.,
Dercription I Qty. I Fee. 1 Total ` ` f s .
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less
145.15 4
Tax map/parcel no.: Ea. add'1500 sq. ft. or portion 33.40 1
�y::ca ,,. Limited energy,
S:rda''fi ° Pi'- 1-r;!:IPtr!te �et�� (tip'l:L "i;rl.•nx ia�a= - +a::. :��,.,: - .,m :. �r-, : -,� en gY> residential
11. tti^ + 1 !:.':' M �� g�� I,, " ' ": /':� 5�r:. a •� li =
,."a; .,t... ,.,i'?Pt ': ' = id1i'k,.:00Hj+ut ?I,F�`I''!.OV`t w�a,0 *. {�� j'!it;ICtiv2'o-, ? {: .., �+.,o' r, y �l�.
. _ , . , V�Y %� a . ::� . , n �, .., a +, 6. �lr�,� - t.,. .t• �: , ' a,! fl
..y: *;r �,. _, 's`$- �ai+;�t+.�!'e��:i(� (with above sq. ft.) 75.00 2
�
^ Limited energy, multi- family
S -�...J a. ,,. -. e. fJ + 41 !r* u t i 1, t residential (with above sq, ft.) 75.00 2
/fir
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
OP
'PRERT 1 , 1 ::'OU,FINEit,. ii i; ':.: -- 0 TENANT ::
• an to 400
- .. ' . � • �;> •:: 201
.._. ., _,.;;.. �:j � amps a amps 106.85 2
1
Name: {� Q gi., / f /</e/91-1- 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address:
Over 1,000 amps or volts 454.65 I 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( t3) 1 .-74L/� f Fa x: ( ) relocation amps << 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
i . t, rc; „ it + A. Fee for branch circuits with
�`�^ �li.ai t�','i�'„„: %: R +�a,.�.. r ev ., ft .,. � .
, , ., r�:�,a� `.,. w „ l`1�..; ; ,:,a =; �� "< above service or feeder
f
�., • �' %! ' '; - . � - ,��N'�' +� .. _ ., fee, 2
;:' '' ... 6.65
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 4685 -
first branch circuit . 4 / 6 2
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
Phone: ( ) Fax::( )
dwelling, service and /or feeder • 90.90 2
Reconnect only 66.85 2
E -mail: •
N,, tt`Y Pump or irrigation circle 53.40 2
BAZv 6i:::,.
:., ..:. ..... . .... •: ,::: ... GQi VT...,..�..., . .;,,- ,a. - s Sign or outline lighting 5340 2
Business name: Willamette Electric Inc. Signal circuit(s) or limited -
energy panel, alteration, or
Address: PO Box 230547 extension. Describe: Page 2 2
City/State /ZIP: Tigard, OR 97281 Each additional inspection over allowable in any of the above
Phone:
(503) 6 24 -3631 Per inspection 62.50
( ) Fax: (503) 624 - 2938 Investigation per hour (I he min) 62.50
CCB Lie.: 75059 Electrical Lie.: 34 -283C - 1 Suprv. Lie.: 4226 - Industrial plant per hour 73.75
Suprv. Electrician signature, required: r..+,I`,ti.+':i0IT° ! 4 - .”
quired: K1�'E.1?CI,.:y`',l .;..
Subtotal �/� Ca- ..
Plan review name: David Fife ew (25% of permit fee): - m I. u t ( F ):
State surcharge (12% of permit fee): . ti C
Authorized signature: TOTAL PERMIT FEE:
Print name; Date: This permit application expires if a permit is not ob e el w
days after it has been accepted as complete. I
* Number of inspections allowed per permit. 5 , t , • J -i
L: 1 Build ing\Permin\ELC- PermitApp. doc 05/23/06 440.4015T(I I/ 05 /COM/WEB ttt
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2008-00118
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/30000
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 st a4-
INSPECTION WORKSHEET FOR DATE: 4/21/2008 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 10340 SW CENTURY OAK DR CLASS OF WORK:
SUBDIVISION: SUIVIMERFIELD LOT #: 052 TYPE OF USE:
PROJECT NAME: KRAUSE
DESCRIPTION: Reground service for new water piping. Job No. 1958
OWNER: KRAUSE, LEBRECHT PHONE #: 503-620-7942
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 412112006 Pour Time:
Code # Inspection Description Confirm # Contact # "\Message
199 Electrical final 068669-01 503-624-3631
Corrections/Comments/Instructions:
/ \
PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 6 14 e, Date: Mit Phone #: (503) 718- AL