Permit C ITY O E TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00608
''''''4' I DEVELOPMENT SERVICES DATE ISSUED: 10/25/2006
.. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S102DD - 00903
SITE ADDRESS: 08880 SW EDGEWOOD ST ZONING: R - 4.5
SUBDIVISION: EDGEWOOD LOT : 006 JURISDICTION: TIG
Project Description: Temporary power.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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: 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:
MCELEVEY, MICHAEL J AND ROCKY MOUNTAIN ELECTRIC
ROSS, CATHY 8615 SE 257TH AVE
8880 SW EDGEWOOD GRESHAM, OR 97080
TIGARD, OR 97223
Phone: 503 - 939 - 9025 Contact #: PRI 503 - 618 - 9379
FAX 503 - 492 -1953
FEES
Description Date Amount Reg #: ELE 26 - 748C
[ELPRMT] ELC Permit 10/25/200( $66.85 LIC 75210
[TAX] 8% State Surcharge 10/25/200( $5.35 SUP 2872S
Total $72.20 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more tha � 80 days. ATTENTION: Oregon law requires you to follow rules adopted by the-Oregon Utility Notification Center. Those
rules a� R t forth in OA F1'9 - -00,10 through OAR 952 - 001 -0100. You may obtain copies of th riles or direct questions • OUNC at
503-24p-6699 or 1 -800 3 2 2344' / . - ( .7
Issu By: k _ / l 1t4 kid_k
Permittee Signature: e.: igz �
� / r
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
—� CONTRACTOR INSTALLATION ONLY
I
SIGNATURE OF SUPR. ELEC'NL._ - - 0" / A._//(/ DATE: / CJ6
LICENSE NO: o g 7a .5
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1.
_. 10/24/2008 08:10 FAX 5035981960 CITY OF TIGARD Q 001
Electrical Permit Auplicatior fc g , f A %
' .J s 11 i r - : - . ' -. ' - --.1 ,--. ., .d ' _ 1 I : I - A. ),, i:,
, . .1, • „ 1 ..._ 1 4 - ' - Received
: . ' City of Tigard cuids /egErWliff..4 P 'd -
• ' ,- .: 13125 SW 14a11 Blvd., Tigard, OR 97223 Plan Review
- . . .
i li i
Phone: 503.639.4171 Fax: 503 598.1960 '-) 2006 Datn/B . Ceiba Puma:
,( Inspection Line: 503.639.41 75 oc r, , t Mee Ready/By IFFB. 69 See Page 2 far
: .... Internee www.ttgard Notified/Method Supplemental Information
, k ,••• •
" ■ ''•' '''' , '.. . ' - ' :: 1 q$ Trp,::::,,iva,v.:.
New construction [3 Addition/j ticenr.T N r 1 0, ti .01-, Plume cheek all that imply (submit 1 sets of plans *items checked below):
0 Service or feeder 400 ampe or room ['Building OVI:r three stories.
0 Demolition 0 Other: whole the available (salt current 0 Kunnas and boaryards.
, v ., It compayeastoi. ... i, .,.,,,:, , ylit , rateeeds 10,000 amps et 150 volts or CI Floating buildings.
Mee to greamd, or exceeds 14,000 0 Commerelid.ore aariciarond
- ii 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations buildags.
CI Multi-family 0 Master builder El Other: 0 Fin pomp. 0 Installation of 75 KVA or
larger separately derived system.
T
4& ixi i■ jawgiii(riilliiiktindliAIC 1,0 04
. - *: .):. • ' ,'•! •.:' . - ' . ' ', -!I ., . . ., , . ... . ‘ 0- '-, ' , .-; ".., ' • . ,. -' El Addition of rkeW motor load of 0 "A", "E", "1-2", "I-3",
.1013 no.: Job site address: yFy t ( 5 Ad i 0 100BP or mom. ommmy.
El Six unwire residential urats. Damming:a vehicle parks.
City/State/ZIP: ' zo 0 Health-cam Enclitics. 0 Supply voltage for mom than
- 0 Hazardous locations. 600 volts nominal.
Suite/bkig,/apt no.: I Project name: CI Service or feeder 600 amps or more.
mescarizeleit.'',4. -,J.•:::,.--,,,.:?::::•..:It •
. ,., „ •
Cross street/directions to job site: ,
Drseripiim I Q. I FOE f Tod 1 •
New residential ewgle- or muld-family dwelling unit.
Iscludts attached garage.
Subdivision: I Lot no.: 1,000 sq. ft_ or less 1 ] 145.15 I , 4
Ea. add') SOO sq. It or portion 33.40 1
Tax rnap/pareel no.: Limited energy, residential
75.00 2
: .. • '.;.....::.',.."'"-' ' ''^:-' '.: ltErseltlir:TION" OiCWORIe ".,. , . • , ."; ..':..'n-''....":''''';.•'....',Ii•' (with above sq. ft.)
Limited energy. multi-family 75.00 2
___ __ -- __e_. ,-- 1 ) ,o i. Wee-o-e-4---- residential (with above sc ft.) _
_ — -
Services or feeders lastallatioa and/or relocation
200 amps or less 80.30 2
•'....171,:pligitizsirie:ortirse,:; 4: -:: :..:,-_-:,:, ' 201 amps to 400 amps 106.85 2
. ,
• Name: 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 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
. relocation
Phone: ( ) - I Fax ( ) 200 amps or less . / , 66
Owner installatiell! 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
Besot h circuits - new, elteratio", or extension, per panel
Owner signature: Date: . . , A. Pee for branch circuits mat
'
1. Y'' f%: Er :' ':':i';' ' 1. '4:.**411 34-.:* above saviee or feeder foe,
6.65 2
each branch circuit ..
Business name: B. Fee for brand) circuits
without service or feed fee,
Contact name: 46.35 2
first branch circuit
Address: Each addi branch circuit • 6,65 _ 2
Miscelberoas (service or feeder sot included)
City/State/ZIP: Each manufactured or modular ,
90 90 2
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
. L: s.„ . • .; . ''.,,.:, . ',..- '-', -. -.... : Ai" 1,:>, S'fAiditItgIdg..'J (.. .-,, ' ':: -; ;:i.• :r 1 1 :;..' '';''-‘,''''.': Sign or outline lighting ' 5340 2
. _
Signal cireuit(s) or bruited
uslil . iness name' - ...,e • :' 7
_i , 4,
At energy panel. alteration, or
Address: //6/ rk9 j? , 7 e -- -i/Le___- extension. Describe: Page 2 2
i C
. City/State/ I' c ... ,./ te LI .4r../../1e,f24_,„ ' / . 0 Each additional inspection over allowable in mayor the above
-- / 1 Per inspection 62.50
Ph°11c ) b/ F — ?a 29' i Fax: ( 4e92 — /5 investigation per hour (t hr min) —
CCB Lie.: 7,57: / 0 I Electrical Lic.: ' - 2i/ &TM. Lic.326 5 ind. bial plant Per hour 62.50 .:
73.75
— --
, 71 dog , 7 _•:' ;. ..... •••.:!..'.;.:'
Suprv. Electrician signature, req e..eZie-- Subtotal:
• Print name: 7 4 I Date: /0/: v/66 Phu, review (25% of permit fee):
State surcharge 004 of permit fee): t "*"---; i _.:3 5
Authorimd signature: TOTAL PERMIT FEE:
This permit application capon permit is n obtained et obtain within 150
Print name: I Dale: (lays Aar it has boss aseepted ea complete.
• Number of inspections allowed per permit
1:lBuildiespreirsithELC-PerailtAtr dot OVUM 440461ST(11/05/CONOW511
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2O6 { - 0. 06W $
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone. (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: C2.-' $" b TIME: PAGE:
SITE ADDRESS. 8 c a a 6 W cr-TwE60 4T- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: It- - % -b6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
lk PASS PARTIAL APPROVAL CANCEL I NO ACCESS
FAIL I I CALL FOR INSPECTION f I ADDITIONAL FEES ASSESSED
Inspector: • N � Date: 11-1 `b\ C),10 Phone #: (503) 718 - 2 - 44‘0
•
CITY OF TIGARD ., •
BUILDING DIVISION PERMIT #: ELC2006 -00608
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 10/2512006
Phone: (503) 639 -4171 A m!llt
,� '
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 111712006 TIME: 7 :03AM PAGE: 11
SITE ADDRESS: 08880 SW EDGEWOOD ST CLASS OF WORK:
SUBDIVISION: EDGEWOOD LOT #: 006 TYPE OF USE:
PROJECT NAME: MCELEVEY
DESCRIPTION: Temporary power.
OWNER: MCELEVEY, MICHAEL J AND, PHONE #: 503 - 939.9025
CONTRACTOR: ROCKY MOUNTAIN ELECTRIC PHONE #: 503 -6W -9379
Inspection Request Scheduled For: Date: 11/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # --sag -
110 Temporary electrical service 039393 -01 503-618-9379 . Y
Corrections /Comments /Instru ti ns:
g Lin 1 1 + 00 ��� ��
(0 vtrl-IP
J ASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Gi/ Date: i = Phone #: (503) 718- _ ffr
L. _ ,
ti
CITY OF TIGARD "
BUILDING DIVISION PERMIT #: ELC2006.00608
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2006
Phone: (503) 639 -4171 /emu h�iiV� i f
Inspection Requests (24 Hrs.): (503) 639 -4175 _!
INSPECTION WORKSHEET FOR DATE: 11/1/2006 TIME: 7 :03A1v1 PAGE: it
SITE ADDRESS: 088130 SW EDGEWOOD ST CLASS OF WORK:
SUBDIVISION: "EDOEWOOD LOT #: 006 TYPE OF USE:
PROJECT NAME: MCELEVEY
DESCRIPTION: Teriiporary per.
OWNER: MCELEVEY, MICHAEL J AND, PHONE #: 503.939 -9025
CONTRACTOR: ROCKY MOUNTAIN ELECTRIC PHONE #: 503- 618 -9379
Inspection Request Scheduled For: Date: 11/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Tempoiary electrical service 039163 -01 503 - 618.9379 N
Corrections /Comments /Instructions: I'
Ti * i t U 1\1 1► 00 T 'To ` d �I (1 F
n.
Rc. I \MA 1 '
O 744 ii A� s�c.6 Ap c-gti �� Q ` , F
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The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918-271-0030
I I PASS PARTIAL APPROVAL n CANCEL NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: I S 6 L y Date: 1 I • 1 • b ‘ Phone #: (503) 718- 24 Vb