Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00199
COMMUNITY DEVELOPMENT DATE ISSUED: 4/4/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112 BB -06300
SITE ADDRESS: 14205 SW FANNO CREEK DR ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO. 2 LOT : 046 JURISDICTION: TIG
PROJECT: WILEY
Project Description: Installing (2) branch circuits for furnace and heat pump.
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: SIGNAUPANEL:
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: 1 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:
DENISE WILEY SUNSET HEATING & COOLING
14205 SW FANNO CREEK COURT 0607 SE IDAHO
TIGARD, OR 97224 PORTLAND, OR 97239
Phone: 503 - 620 -9727 Contact #: PRI 503 - 234 - 0611
FAX 503 - 234 -0439
FEES
Description Date Amount Reg #: ELE C117
[ELPRMT] ELC Permit 4/4/2008 $53.50 LIC 161085
[TAX] 12% State Surchar 4/4/2008 $6.42 SUP 4638S
Total $59.92 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 ma obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: �./ = �� Permittee Signature:
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.
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ricai Permit Applicat t'c►l� c ►1'I i� 1 t �l t,�l,
y 13 125 r SW Hall B llvd.,Tigard, OR 97223 Q `O � v '�� et ® P ` A� DateB 4. Permit No.: 2•"----00 . q q
C $ Review
t ' ' z Phone: 503 .639.4171 Fax: 503.598.1960 q `i nr ' s S\' Other i dB
1' t`�,j R Ii`s Inspection Line: 503.639.4175 �� \ I f ®,N' Dais Read B hair • ��
Internet www ttgard"or gov
®\ Notified/Method: y y i /f
El See Page 2 for
�` Supplemental Information
c x a t y ty,,. Il.7- S "Yt „" '� "r'S^"rc' �i 'Vi r d t t .,p z r'Y at n,$' 451 !i ++. •X -.. :., . +*, ` .••La'4 :..4. .n..Y.r._ s tti � s- =•.... >s • �t i tyt a, r .` - •
Please cheek all that apply (submit sets of plans whtems checked below):
❑ New construction (` ;Addition/alter ation/replacement
0 Service or feeder 400 amps or more 0 Building over three stories,
❑ Demolition ❑ Other:
�°� t t z � where the available fault current 0 Marinas and boatyards.
:"' :.c z �:, ' k.S,. N S J +i "� :1 a �.E t, l5�. Kzz l _ + m'-x s
,i'~. i ., x u •.ir&'b rv"X.'e ;4t. , ,,,, .., ,y .s " less to exceeds ground, amps at exceeds 1 volts or ❑ Floating buildings. • a t, I- and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building amps for oal� ther installations, � '� ""Se agriculnaal
❑ Multi - family ❑ Master builder ❑ Other: 0 Fire pump,
^ +v �'r, «r a +rac a , ysr,� 0 Installation of 75 KVA or
s �t K+ q x n + u ti e "tr . y x�t t; !ty' 'r r a x
y '`"sd�' r� � �¢ ❑ Emergency system.
t� •.+ r anh`�s?n>t xra 't „t,:` ,.,W w - "F $ It t fit+ largersaparat ", system.
M ti, �,r. ,. .a 0 Addition of new motor load of 0 Job no Job site address: 21 ' Z' 05— 51,10:FalAnz ` 100HP or more. occupancy.
o Six or more residential units. � Reercabonal vehicle parks.
City /State/ZIP: ` t �--- L, p A ❑H ealth - care facilities. g
t - � l .� ,e-e. � " � `--'( El voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: 1 Project name: ` -e...\_qg® a ❑ Service or feeder 600 amps or more.
Cross street/directions to job site:
Descrip was on Q i, _. z, }k �t ). y • P ti r Total m Sri
ti ,t, s < •
7 Total
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: 1,000 sq. ft, or less
Lot no.: q 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40
, , " "� "` %3 w' . : !k = :, [� ��+/ yy • ((��� Limited energy, residential 1
. ' '� e "_` , r% � , f ' � 4.;r �t �«: (with at`ve sq fl.) 2
�' b / ���` '�� Limited energy, multi - family
�` (......C_ >�� row ' residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocatio
ttti .. _ o, 200 amps or less 80.30
",.,,. 4 , P :. > '� 3 ,.:.,. ° 'a:` . ':. 1, " t `x y ja l r` � `', 201 amps 10 40 2
Name: ��•�• P 0 amps 106.85 2
i r IL 401 401 amps to 600 amps 160.60 2
Address: l L...k - LOS - t) ., cA. vk 0 601 amps to 1,000 amps 240.60 2
Cv-, Over 1,000 amps or volts 454.65 2 '
City/State /ZIP: ;- i C&.® • '!r el ��'; Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( a' Q 1:7 Fax: ( ) 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 strips to 599 amps 133.75 2
Owner signature: Date:
'B
ranch circuits — new, alteration, or extension, per panel
" °; r` signature:
w <:'. _ A. Fee for branch circuits with
._.as. ,i '1'
., , ,.. r` . ,,._� at' x,�,,, a =r�,:,.. ^ca': a bove Service �' " . ,.`� . a. .:,T��,'�k:. :AVOW. tee or feeder fee,
Business name: each branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, I 46.85 �� Q ' �✓ 2
first branch circuit
Address: Each add'I branch circuit 1 6.65 0.05' 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Each manufactured or modular
Phone: ) 90.90 2
( ) ` Fax: : ( ) dwelling, service and/or feeder
E -mail; Reconnect only 66.85 2
: Pump or irrigation circle 53.40 2
E� r.xtV ss�+s+,,., e-`rzv a .� � �.._., F c�K.c. r.; � �.
.a .c . +'^!CE')N'I,R{i.( 1 €`,:, ..,1 ", , 3 ;3 S o outline lighting _ , . �'su �� .. .. Sign g g 53.40 2
Business name: Sunset Heating & Cooling Signal circuit(s) or limited -
Address: 0607 SW Idaho St energy panel, alteration, or
extension. Describe: Page 2 2
City/State/ZIP: Portland, OR 97239 Each additional inspection over allowable in any of the above
Phone: (503) 234 -0611 1 Fax: (503) 234 -0439 Per inspection 62.50
Investigation per hour (I hr min) 62.50
CCB Lie.: 161085 _ + Electrical Lie.: c117 Suprv. Lie.: / ( 35 S Ind ustrial plant per hour
.� 73.75
Suprv. Electrician signature, required: � #" 2.' ;
rare Subtotal: 5 • 5
Print name: Randy Ess Plan review (25% of permit fee):
Date: ® y
Authorized signature: ` — • State surcharge (12% of permit fee): (p . -
���� 1 �� TOTAL PERMIT FEE: 5 , 01
Print name: Casey Wiser Date: _f "-° / I ®' 0 ' F This permit application expires if a permit is not obtained within 180
f V
•
days after it has been accepted as complete
t:V DuiidingTermits\FrC PcrmiiApp.doe 05/23/06
Numts� of inspections allowed per permit.
440.4615T(1 1/05 /COM/WE8
z•d dEE :2T BO i0 Jdd
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200t3-00199 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/4/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 J --a
INSPECTION WORKSHEET FOR DATE: 4/25/2008 TIME: 7:01AM PAGE: 21
NI/ CO LAI
SITE ADDRESS: 14206 SW F ANNO CREEK IX CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES NO. 2 LOT #: 046 TYPE OF USE:
PROJECT NAME: WILEY
DESCRIPTION: Installing (2) branch circuits for furnace and heat pump.
OWNER: WILEY, DENISE PHONE #: 603-620-9727
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 603-234-0611
Inspection Request Scheduled For: Date: 4/26/2008 Pour Time:
Code # Inspection Description Confirm-# Contact # Message
'199 Electrical final 068905-.01 503-620-9727 N Y
Corrections/Comments/Instructions:
172 PASS I I PARTIAL APPROVAL 1111 CANCEL 0 NO ACCESS
' III CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: N()GL. Date: 261 01 Phone #: (503) 718- 244A4
„ , ,