Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00304
DEVELOPMENT SERVICES DATE ISSUED: 5/26/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 102 C C -003 04
SITE ADDRESS: 13435 SW CRESMER DR ZONING: R -4.5
SUBDIVISION: CRESMER HILLS LOT : 003 JURISDICTION: TIG
Project Description: (1) branch circuit for a /c.
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:
BEN STONER OWNER
13435 SW CRESMER DR
TIGARD, OR 97223
Phone: 503 - 968 -1842 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 5/26/2006 $46.85
[TAX] 8% State Surcharge 5/26/2006 $3.75
Total $50.60 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 9 2.001 -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 44.
Issued : L r Permittee Signature: y 4z===
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: 2.69 %
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 _ FOIZ.OFF1Cl USE ONLY .
—r-- - IF � . , // ,1 City of Tigar l Da e/BY > piP Dip �,�. -Q'� Permit No.: EG�e. 616 -- C10 ""
opt 13125 SW Hall Blvd., Tigard, OR 972 Plan Review
C ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T`IG A FKD Inspection Line: 503.639.4175 �p A Date ReadyBy: , J�u r �;� , ® See Page 2 for
Internet: www.tigard-or.gov MAY r ' 20� Notified/Method: / r C%. Supplemental Information
• TYPE OF WpRK () , ) 10 -° PLAN' REVIEW .
93 submit 2 sets of plans w /items checked below):
▪ New construction 6 1 Addition/ ti a l ement ji�y ( � � Please check all that I ' 400Y( :
p )
1 l P.' ❑ Service or feeder 400 amps or more ❑ Building over three stories.
El Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
' - CATEGORY OF CONSTRUCTION ." exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
X 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
' ' . JOB SITE INFORMATION. AND LOCATION . ❑ Emergency system. larger separately derived system. .
0 Addition of new motor load of ❑ "A ", "E ", "I - ", "1 - ",
Job no.: Job site address:
/3 j S �p n � Six or or more. occupancy.
C�r1 S Mi ❑ Six or more residential units. ❑ Recreational vehicle parks.
❑ Health -care facilities. ❑ Supply voltage for more than
600 volts nominal.
City / State/ZIP: n /'} �J
/� r / � /n ❑Hazardous locations.
/ 5•7//4Z ❑ Service or feeder 600 amps or more.
Suite/bldg. /apt. no.: Project name: -1 [ G
FEE SCH EDULE
Cross street/directions to job site: Description I Qty I Fee I Total I ..
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'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK" (w ith above sq. ft.)
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
, 5el PROPERTY OWNER . . ❑ TENANT 201 amps to 400 amps 106.85 2
Name: i /1/t/ 1740/1/.0 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: / 3 y j s s C./ C - J milt jQe Over 1,000 amps or volts 454.65 2
Ci /State /Z IP: f / l ,,/ t ?/ 9 ` 7 ? Temporary services or feeders installation, alteration, and /or
relocation
Phone: (5 ) , / f'47 z___ vR Vp l ) 6k5 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, a cording to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 .
/ Branch circuits — new, alteration, or extension, per panel
Owner signature: ` 'I,ei Date: r/ 2 al &
,� A. Fee for branch circuits with
❑" APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, l 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2 '
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling, service and/or feeder • 90.9.0 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR ` Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
Business name: 0 CO 0 CCj�� /` energy panel, panel, al alteratt ioo or n, or
Address: extension. Describe: Page 2 2
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( )
Investigation per hour (I hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT ,FEES
Suprv. Electrician signature, required: Subtotal: ! . & . � f j �
P name: Date: Plan review (25% of permit fee): I V
State surcharge (8% of permit fee): - 7 S
Authorized signature: TOTAL PERMIT FEE: 511 J a
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PennitApp.doc 05/23 /06 440- 4615T/I I /05 /COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY: �. - •
Fee for all residential systems combined........ $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
j COMMERCIAL WORK ONLY
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls •
❑ Clock Systems
❑
•
Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑
•
Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building \Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION t PERMIT #: ELC200$ -003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6128/2005
Phone: (503) 639 -4171 � a u� / A
Inspection Requests (24 Hrs.): (503) 639-4175 . ���
INSPECTION WORKSHEET FOR DATE: 9128/2006 TIME: 7 :02AM PAGE: 82
SITE ADDRESS: 13436 SW CRESMER DR CLASS OF WORK:
SUBDIVISION: CRESMER HILLS LOT #: 003 TYPE OF USE:
PROJECT NAME: STONER
DESCRIPTION: (1) branch circuit for a1c.
OWNER: STONER, BEN PHONE #: 503 - 968 -1842
CONTRACTOR: ONER • . ' • PHONE #:
Inspection Request Scheduled For: Date: W28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
146 NC or heating unit circuit 037262-01 503- 988.1842 V
Corrections/Comments/Inst . tions: ,
,,
'A PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v 4 04)e t Date: q Vii Phone #: (503) 718- 1,4AL_____
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC700&•003O4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2006
Phone: (503) 639 -4171 fain 1 111 ll�
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME: 7 : 06AM PAGE: 27
SITE ADDRESS: 13435 SW CRESMER DR CLASS OF WORK:
SUBDIVISION: CRESMER HILLS LOT #: 003 TYPE OF USE:
PROJECT NAME: STONER
DESCRIPTION: CO branch circuit for a/c.
OWNER: STONER, BEN PHONE #: 503 -968 -1842
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/6/2006 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
145 NC or heating unit circuit 036090 -01 503-968-1842 Y
Corrections /Comments /Instructions:
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I I PASS I I PARTIAL APPROVAL I I CANCEL I I NO ACCESS
y FAIL C4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G .-- • V ' tJ`u .i Date: t 6 6 Phone #: (503) 718 "i