Permit C / • p
CITY O I- RD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00497
COMMUNITY DEVELOPMENT DATE ISSUED: 8/29/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CC -19100
SITE ADDRESS: 10345 SW GREENLEAF TER ZONING: R -12
SUBDIVISION: SUMMERFIELD NO.5 LOT : 250 JURISDICTION: TIG
PROJECT: LOFFELMACHER
Project Description: Installing (1) service.
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: 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: SVCIFDR >= 225 AMPS: CLASS AREA /SPEC OCC:
Owner: Contractor:
SHARON LOFFELMACHER REDS ELECTRIC CO INC
10345 SW GREENLEAF TER 6336 SE 107TH AVE
TIGARD, OR 97224 PORTLAND, OR 97266
Phone: 503 - 781 -2696 Contact #: PRI 503 - 233 -6467
FAX 503 - 233 -1281
FEES
Description Date Amount Reg #: ELE 26 -152C
[ELPRMT] ELC Permit 8/29/2008 $80.30 LIC 4443
[TAX] 12% State Surchar 8/29/2008 $9.64 SUP 5010S
Total $89.94 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 �j Permittee Signature: /G sc// Cs/
4,0' 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.
Aug. 28._ 2008p • No. 6561 P. 2
• �" FOR OFFICE L►SE.ONIN
ltceived
City of Tigard y'!CEIV�� e
13125 $W Hall Rlvd., Tigard, OR 9722 r, 1J Dalc/0 : Permit No.: ^ �
�+-' =.ice
. Phone: 503,639.4171 Pax: 503.598.1. Date Plan ttrvicty
/n Other Permit:
15 Date d o: rur
ns Li no: 503.639.4175
Interact: www.0 an d - or. o v Notified/Method:
.. . .... I meat
b
j
28
_
See
rage or
R
Su t Je
_ ... ... , : �. ;. � - ;;PL'A'N -
a u rtrt
o aeon
.,.. ..,. '_��' }Jp��`�Q��p°fi ,, , ., ; : '• , :, ; �; ... ... .. ,.. li� .Ea�>Lw .
L "'o' +.... 1r' di h s or ...... ),
- c or tha apply (submit acts anions w/ ,..
❑ Demolition El El Other: B 0 p a 0Buildn5 verthree.uori
❑ Addition /alterati IVISIU Please eh PP Y t - (remit checked below),
o es.
where the available fault current ❑ Marinas and boatyards.
�' ; CONST �
�1 exceeds 10,000 . rap
s it 150 volts ....,. : ..> ............... ... ... , . , ;`: ; ;' `, " ? ; ): ;::..i ":::: ;:� � tes or ❑Floating buildings.
and 2-family dwelling i .. !cos to 4,000 ❑ Commcrcisl -use agricalwrnl
a y g ❑ Commercial /industrial Q Accessory building all a, io exceeds l
g amps for sll other mstallatious. buildings.
Multi-family
0 Mager builder ❑ Other: ID Fire pump. ❑ Installation of 75 KVA or
.
:Jnl3 SII; INFORM TION�ATID � TION ", Add gCsCy .tyglem,
' ._ I .. ,_ • " , _ ❑ ;'ion of new motor load of 0 separately .". "1 derived s} em
•st
Job no. �( 5 .Job site ad: ress: . 100HP or more. occupanc
.
y
❑ Six or more residential units ❑ Recreational vehicle parks.
City /State /ZIP: ❑Health -cam facilities, :Supply voltage 1 './� I � ❑ 60 I to to for more than
`4 • ❑ Hanirdous locations. fi00 volts nominal.
Suite /bldg. /apt. no.: 0 Project — 0 7 - J1 :: r 600 amps or more. 1 � p - n [] Scrvtee UT feed e `
Cross street/directions to job site:
a, . Na,t , FED Chcni� h
'- �- - thwerinticn I Qty, 1 per_ -- 1 •
New residential single- or multi - family dwelling unit.
Includes attached garage.
—
Subdivision: • _
La no 1000 sq. ft, or less 145.15 4
Tax map /parcel no.; — Ea. add'I 500 sq. ft. or portion 33.40 1
` .:: ;.. Imtc nergY, residential
,......, ..;;.•;. .. � S�IitIPTIONO }�' ���' u.�, •� ;�i� , ; .. �
,...,., -DIL �+ l(11�ri� ti i -' ,,, wnh above sq. ft.) 75.00 _
(J , Q Limited energy, multi - family
f i C :., residential (with abov sq. ft.) 75.00 2
Services or feeders installation. alters ion, and /or relocation
r ; >i ;' 1 : k•„ ;, �!i, :: ; \ ',•ax , 't „r:_ - 200 amps or less - ) 80.30 /�, 2
" iiti7z '• "6 1DR r g. lI'I�'?-m. - , r M1 i� `,'_< :•Ae1 Q
K _.. •r n, 4 %•�TE�� ° ( 201 am to 400 amp 106.85 2
,[��
Name: S, a. rept L 0 gas/ m 4.4 A. Cr 401 amps to 600 amps - 160,60 2
Address: 1 03 r-^ 601 amps to 1,000 amps 240.60 2
Su.) ( Q.4 Jo ,� f T r Over 1,000 amps or volts 454.65 2
City/State/2,1P; I- okra 0 Temporary services or feeders installation, alteration, and /or
relocation
Phone: cgs T _ 24 9 / - Fax: ( ) 200 amps or ion ------r--1 66,65 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100,30 2
intended tor 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, er panel
•' re ;�+,��,� �: ty '
A. FCC for branch circuits with
�f''Ja'� . gII:14 'e.4*, lif, ;ran ! �'' t�" :•�rA"•,rt'I�,.F.'. ‘11.11'1::, p:r :,r o o ;:,� ,'
r:, ", :..,n••, "P.i'i.: -�' �r.•.� .: , , ,, C�':a ;�:.: &<... - "fix J _�,.,. „ :� ?��! y about sctvice or feeder fcc,
r. each branch circuit 6.65 2
Business name:
l3, Fce for branch circuits
Contact name: without service or feeder fee, 46,85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
City /5talelZIP: Miscellaneous (service or feeder not included)
Each manufactured or modular ` 90.90 2
Phone: ( ) - I F ax:: ( dwelling, service and/or feeder
Reconnect only 66.85 2
E -mail:
Pump or irrigation circle 53.40 2
`:� F- ,<I - T �"iv' Ii , \iY {o�iR.:A:' ii.u��iih.li Jl�1"r'�:�'/:, ..l "1,:'C' .7":: ,.j, 'r„� �. Sign or outline 1i _
%
F > -k: . 3".�k,ssy;�' I 1 7sli4iE(: X ; ? °yi ^�� �;? , ; ,, ay r r ya. g
�"� �^,� ^Y+k�:�'La lighting 53 40 2
Qugln Signal circuit(s) or limited-
RED'S ELECTRIC CO. INC. energy panel, alteration, or
Addr extension. Describe: Palle 2 2
6336 SE 107TH AVE
Cily /$
• PORTLAND, OR 97266 Each additional inspection over allowable in any of the above
5 03-233-6487 FAX 503-233-1281 Per inspection 62,50
Phone C CB;r! 4443 ELECRICpt_ LIC 26 152C SUPRV LIC 6010S
. r-� Investigation per hour 0 hr min) 62,50
CCI3 '�.. ' Industrial plant per hour 73.75
Suprv, Electrician signature, required: • r - ` ; .,,,ni N C; ; lK1E; A1:,T2asiztJl '17t:,-tiE>5:, : ; ",:'': ;.:.; ":;';t
i� • 11 1111. Subtotal:
Print name: ' Date: plan review (25% of permit fee):
- - State surcharge (12% of permit tee): '
Authorized signature:
_ I _ TOTAL PERMIT FEE: ,
Print name: I Date: This permit application expires if u permit is not obtained within 181
JJJ days after it has been nceepted as complete.
I'Uluildin 1Permim \F' ' Number of inspections allowed per permit.
B l,C PcruinApp.doc 05h)lot, 440 - 46157(11 /osiCOmAym
•
CITY OF TIGARD a. .„
6,2
BUILDING DIVISION PERMIT #:0 (5—e3e" Ug 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
atilt iigEl
Inspection Requests (24 Hrs.): (503) 639-4175 �'. L
INSPECTION WORKSHEET FOR DATE: q / /Z / TIME: PAGE:
SITE ADDRESS: / Q 3 VS r~ ii•ei�'�''' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: •
DESCRIPTION: �/��
OWNER: L a��. v, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: I2efime �Z�,yq "_
Code # Inspection Description Confirm # Contact # Message
/ 0 14e- c/41,1111 .0 igi „w„q 4,
a /
Corrections /Comments /Instructions:
L / i U U L/h'?frfi'
6,11/01 A f 9' , v / i 6 ow
•
V2 ( L/pJ/a/e _:__.-;\ _y/-te—S- \)_
------
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ` IN CAL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: r 1 :1 Date: /Z Phone #: (503) 718- Yl-V/2
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2008 -00497
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/29/2008
Phone: (503) 639 -4171 is l�iYN (a„
Inspection Requests (24 Hrs.): (503) 639 -4175 '�I I�
INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME: 7:01AM PAGE: '12
SITE ADDRESS: 10345 SW GREENLEAF TER CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.5 LOT #: 250 TYPE OF USE:
PROJECT NAME: LOFFELMACHER
DESCRIPTION: Installing (1) service.
OWNER: LOFFELMACHER, SHARON PHONE #: 503 - 781 -2596
' CONTRACTOR: PO,EEMI11E4 ,( itiON PHONE #: 503 - 233 -6467
Inspection Request Scheduled For: Date: 9/3/2008 Pour Time:
Code # Inspection Description - onfirm # Contact # Message
199 Electrical final 075007 -01 503 -233-6 467 \ Y
Corrections /Comments /Instructions:
1'136 cNtt a ag2W 4 r
\I eok_A`f\w ` ARTF 110.2.4, ° w ,K, t \)t 5 i
ft, Ls(); q(TF. 1(0. 26 00 03 AND I 06 , 2b (iv (Z)
P 6 Ael it) ftc ■br
p & A, - t.04 . - bo" ti:kfka. vilbl fl .
--- 4. via_ N/ kewvo cityo ; rik4d4,E
•06 04\7 oupiv i ,... c_c 1 bN 1 s embF ,
0 PCzov- FZMArP s1'% c1G Pp44. P o a 1g .
M y
d ° G Cc �.,06 ? 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
❑ PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS
K FAIL [X CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
Inspector: Q" 1 Date: R " 31) Phone #: (503) 718 - }~