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Permit Era. CITY OF TIGARD ELECTRICAL PERMIT PE #: ELC2007 -00120 COMMUNITY DEVELOPMENT DATE I 2/26/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S109DA -04500 SITE ADDRESS: 15412 SW GREENFIELD DR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT : 022 JURISDICTION: TIG PROJECT: BUTCHER Project Description: 1 SERVICE WITH 6 BRANCH CIRCUITS. 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: 1 W /SERVICE OR FEEDER: 6 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: BILL BUTCHER VETERANS ELEC 15412 SW GREENFIELD 2560 NE LINDEN AVE TIGARD, OR 97224 GRESHAM, OR 97030 Phone: 503 - 679 - 5137 Contact #: PRI 503 - 666 - 6589 FAX 503- 666 -6589 FEES Description Date Amount Reg #: ELE 26 -1066C [ELPRMT] ELC Permit 2/26/2007 $120.20 LIC 14323 [TAX] 8% State Surcharge 2/26/2007 $9.61 SUP 4510S Total $129.81 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: X j_..W OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: • LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ^ .4'�. `"' 'C.� � Ei [ -r ( 3;�4t Y i'�' xF,yt.3 ;7, .fia F . t�' F F t j „ 7 w ft k t Electrical Permit Appl,><cat><on ' E W 1 t 4'" 4 61, '' . ! t FOI c N Cid Oi : l i` t lf x '54?. ,t p ' ;' u t , ; ' Y i ° '}' Ci o f Ti gard ,. Receiv -, DateB f _ 0 Permit Ni y b .. or) / 2 2001 ' ° 13125 SW Hall Blvd., Tigard, OR 72 Plan Review 5 . Phone: 503.639.4171 Fax: 503.58L1 60 Datc/B . Other Permit: T 1 C ATItLI! Inspection Line: 503.639.4175, k r Date Ready/By: See Page 2 for rK; Internet: www.tigard- or. gov�,,.1I V 9.L.. a1L Notified/Method Supplemental Information i. N'''°' �r'E :' •;j:; - x;;"ljK:K,: t;crtZ'. -"' :/+° fit. - ry _. •, ' q i . d'";, 'o •�:at w . - ;.rd. - oS ,,,, ' D ; „ : 1,` i ,•1: . T �F , , ,` . r�l - .� w - "g'ri� kk.. :'Y` -' R'T ;; .T..4".' "" ' ` 1 4. : S �t *4z4, ,y�J," ;r�cii `�a '3s'$.��k. .,. ,..,,u r ;a, t<'r � R,.,•r t�+,,, . a ,y, {�yV� .: " '�pLAT1 R EV. IEW. � "'�,�,'�a�k. t.. „� r , �. 3 4 •.^?�' y,� -., �<�- as r - +it .. n�^^. .1,„,,,,,;, �': ».. r 6 ,@ -�%� ,€,F� t�!' � �t•�..Y �c :.� :.., .� - -. m`.1',v: kS, a,A .v, ........,��a r.., •�'s �- u"}_7e a. F <a' -,' a -- •. , t. ;r- il�xn ^rtn;.. ,P 7k.. m >}'._;• ❑ New construction ,I°Addition/ alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): El Demolition ID Other: where Service or feeder 400 amps or more ❑ Building over three stories. where the available fault current ❑ Marinas and boatyards. y »t L 7 k i! :, y'`' "`' t"�'{ " r ,. ft exceeds 10,000 am at 150 v ; . C4rd.. U itIo7 ,COI i r.: T ': amps volts or ❑Floating buildings. . >r >'.a. .. _ :i�, -- - „ - €€ . �a„ .`L'. „s.� .,, less to ground, or exceeds 14,000 ❑Commercial -use agricultural 12"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 �., , w, Emer enc system. larger se aratel derived system. o,'?: ” :+ ,._. , i , ' ,; y 't4= ' a ," . , ' t r; ,. : . {�. - - 'd.'`x ; 4 �a: ^� r ":! 4' a ❑ g Y Yst separately Y i ,�„ ;• ,_ ;,.,_ "„ .. JB; i . :INF ORMATION ,A ND 'LO CATIONQ ", } + °` t . 4 ' ❑Addition of new motor load of ❑ "A" "E" "1 -2" "1 -3" Job no.: Job site address: /`'442 S' � . �idF�L- ' p �) f or more. occupancy. ��E1� ❑ Six o or r more residential units. ❑Recreational vehicle ;mks. City/State/ZIP: �r ❑ Health -care can es. ❑ Supply voltage for more than 7 i ���� j ®� ❑Hazardous locations 600 volts nominal. Suite/bldg./apt. no.: Project name: ❑ Service or feeder 600 amps or more. Cross street directions to job site: 6 ?NriCtI • * . 4'FEE; SCFIEDILE; ez 1= i¢ > ; 4t 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 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: . , Limited energy, residential ` x:rrf 1err` ^.Tui;� t °'*t-..n;'f- ;..`�. 3 ;, :. x e,,� 'S; �g`'_ ? d.'i' 75.00 2 .: sI'i�a :.M - 4 -a : kq::. Kti.FSCRIPTIOI WORK:'" ri; ,. t : �.' " ., (with above sq.11.) A �n Limited energy, multi - family /V ) ,4�/ ' rEr/e64 ' To 5/(0P/f eE; ,4/ residential (with above sq. ft.) 75.00 2 £ , nt4/( � ,/ (4 i n (//7 2 00 00 am amps or less or feeders installation, alteration, and/or relocation 3 2 t /� /c( K 2 a mp 80.30 g : " ", I 'w , i- ?PROPERTxY OWNER * re" ;'�' 0 ''` 0 ,, it El .�x,-, ° " d, 201 to 400 amps 106.85 2 �, i aTENAIYT.'i�"' �', ° =r �� °' amps o am r � Q� & .E�,.' r.T.. 7*'�� P P Name ( /7 `� �- --- t c .. t� 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: /S' z/ /2 S vs ( &-- = 2 _ 0 p g.. Over 1,000 amps or volts 454.65 2 City /State/ZIP: •-riK9 -A7R,6 0 ie 9 7,7 , V Temporary services or feeders installation, alteration, and/or relocation Phone: (9'3 ) (, 7 9 _ '5"j 3 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 amps to 599 amps 133.75 _ 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with ' . , " .t . ',r ®� T 14 - c' ,,'3; # ' ; °` vi, 'y,; ,., ;1 7 . LI , ., ; ii ,i k .��.�'��- '.�;�s+� �,..� .. : .. „ k. �,���•,s. � :• .. T:".: I�.. � ?GON .;PERSUN i±t'�'h`..,. d�a above service or feeder fee, each branch circuit 6.65 . 70 2 Business name: B. Fee for branch circuits w ithout s ervice or feeder f ee , Contact name: 46.85 2 first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City / State/ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 : 7 `.' ' ..e "4 a ik" ..�8' P '3v', tit,• G?' r..- .:r.' +., r, , �[4�;�:�, .f <r;9" ��,,. :a. " ., us'?;.;,'it �'��,:� CONTRACTOR "•;,a�,` _,. ,.,, .,�' 4 .. �, a �It,,,,' sign outlin li ;�. s� 'A .�,�",�^`,;'�,t� . :c..���a'��x- =�,<;:�"i;.a g e gh g 53.40 2 I/ / Signal circuit(s) or limited - Business name: V C A2i1 �/S 16 E � �� y • energy panel, alteration, or Address: 60 /V C 4 /Am >j f �� extension. Describe: Page 2 2 A City / State/ZIP: 61�' l� (f `S l 4 6 t / e 7 � 3 © Z // C e e Each additional inspection over allowable in any of the above 1 - (� a / o Per inspection 62.50 Phone: ( `7 d� - � Fax: 03) "_6 g/ Investigation per hour (I hr min) 62.50 V CCB Lic. :/1 3 / Electrical Lic.: r /46e " Suprv. Lic.:457 S Industrial plant per hour 73.75 1 -/, // .•: ''' , "a o-i;ELECTRICAIL R ,..- ,�.,,-;: C •,, Suprv. Electrician signature, required: `�i ae__ � x /07 s . , ER Subtotal w a:aa n �; ,'_• an si ature, re uired: � , • � � Subtotal: /ao,aD Plan review (25% of permit fee): Print name: �1�,( ,t��i,'� , L_ Date — 6 -d 7 9-, State surcharge (8% of permit fee): Authorized signature: TOTAL PERMIT FEE: ab Print name: Date: This p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. �y • • Number of inspecti allowed per permit. I �C b t:\ Building \Permils\ELC- PermitApp.doc 05/23/06 440- 4615T(I 1 /05 /COM/WEB l MtT/7v f 677.x" Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: 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. COIVIfM.ERCIAI: WO ONLY f R �'`' `.Ft " 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: Wuilding \Peimits\ELC- PermitApp.doc 03/13/06 - - -' - CITY OF ��um m ��m TIGARD BUILDING DIVISION . PERMIT #: ELC2007-00120 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212612007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 0(202007 TIME: 7:02A1v1 PAGE: 20 SITE ADDRESS: 16412 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 022 TYPE OF USE: PROJECT NAME: BUTCHER DESCRIPTION: 1 SERVICE WITH 6 BRANCH CIRCUI1S. OWNER: BUTCHER, BILL PHONE #: 503'679-5137 CONTRACTOR: VETERANS ELEC PHONE #: 503 Inspection Request Scheduled For: Date: 8/20y2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final OE4316 503-6796197 N • Corrections/Comments/Instructions: • PARTIAL APPROVAL n CANCEL I I NO ACCESS | I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED _�� / Inspector: ``412_14g_,A, Oate: ~d &'�' ^�*~ = �- ~ Phone #: /6O3> 718' . /; `<. CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00120 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007 Phone: (503) 639 -4171 . p OV O Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 317/2007 TIME: 7:18AM PAGE: 68 SITE ADDRESS: 15 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 022 TYPE OF USE: PROJECT NAME: BUTCHER DESCRIPTION: 1 SERVICE WITH 6 BRANCH CIRCUITS. OWNER: BUTCHER, BILL PHONE #: 503.678 -5137 CONTRACTOR: VETERANS ELEC PHONE #: 503"666 -65B9 Inspection Request Scheduled For: I Date: 3/7/2007 Pour Time: Code # Inspection Description J Confirm # Contact # Message 1 20 Electrical rough -in 044420-01 503 - 679 -5137 Y Corrections /Comments /Instructions: • • X PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED , Inspector: Date: Yg/D Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00120 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007 Phone: (503) 639-4171 yin Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/5/2007 TIME: 7:00AM PAGE: 48 SITE ADDRESS: 15412 SVV GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 022 TYPE OF USE: PROJECT NAME: BUTCHER DESCRIPTION: 1 SERVICE WITH 6 BRANCH CIRCUITS. OWNER: BUTCHER, BILL PHONE #: 503-679-5137 CONTRACTOR: VETERANS ELEC, PHONE #: 503-666-6589 Inspection Request Scheduled For: Date: 3/5/2007 Pour Time: Code # Inspection Description anfirm4 Contact # Message 120 Electrical rough-in 044286-01 503-679.5137 Corrections/Comments/Instructions: RO ‘X\kr‘ — 1 Nse srvV 261.,, • PASS ..PARTIAL APPROVAL El CANCEL El NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: N 6 6 LC- Date3 01) Phone #: (503) 718- 2144