Loading...
Permit 't!I CITY OF TIGARD ELECTRICAL PERMIT ! PERMIT #: ELC2008 -00096 COMMUNITY DEVELOPMENT DATE ISSUED: 2/22/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 CC -11300 SITE ADDRESS: 15910 SW GREENS WAY ZONING: R -12 SUBDIVISION: SUMMERFIELD NO.2 LOT : 140 JURISDICTION: TIG PROJECT: GILLILAND Project Description: Re- ground service. (1) branch circuit. 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: 0 SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC: Owner: Contractor: SEDIA GILLILAND WILLAMETTE ELECTRIC INC 15910 SW GREENS WAY PO BOX 230547 TIGARD, OR 97224 TIGARD, OR 97281 Phone: 503 - 639 -4152 Contact #: PRI 503 - 624 -3631 FAX 503 - 624 -2938 FEES Description Date Amount Reg #: ELE 34 -283C (ELPRMT] ELC Permit 2/22/2008 $46.85 LIC 75059 TAX] 12% State Surchar 2/22/2008 $5.62 SUP 4226S Total $52.47 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: 2' �jl���Gj/✓ 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. l/ '' F B 22 2008 7:58AM HP LASERJET 3200 p.2 E1ectlrwca1 Permit Application FoJit'Ol l iCE I1SF ONl % IN q C 4 r ®f Tigard Received ) � l Date /B, ad � - . � �M� Pent t No: � O ° 13125 SW Hall Blvd. Tigard, OR 972 Plan Review Phone: 503.639.4171 Fax: 503.501$0 2 2000 000 Date/By: Oilier Pe rr ZQpfj —000k 7— TIG.\RD` - t Supplemental Inspection Line: 503.639.4175 ua Date Ready /By: Juris• El See Page 2 for Internet: www. Notified/Method. pp mental Information t 3 T. 11:F,, � A �( , r , 11 .,• t ❑ New construction d n/ te�atio ieplacert�en''t ;,7 1 , >,, Please check all appl 2 sets of plan ' w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. >,• 'C4G d:Rltii F :SCONsTIcu T oM,.; .. - i ii' t exceeds 10,000 amps at 150 volts or ❑ Floating buildings. rig less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory buildin as for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or -'• s r::: 4! ! h _ : .� - ; , :t :.' r.•w, p _ : . y .. ;i., ;, 1;;;: gs ; ,i: ; ❑ Em erge nc y system larger separately did stem. . gpy er s ;s 1 , : ;i1 . e ? +2b,.,„tt - •,.108;J „- OIKa': : 1 ` - ,, , : '�7? +{rli••,, < ,.`.'' -,(., Y ,., ..: .. -, ..:_:: .... , � ... ...... ... .. ' :�`? �..,, - .r , r, , fir ,.„ .., . „ � ..,! ,� •; , . ... ' : :F.! %;'.., . ., `;t' ' <`, ❑ Addition of new motor load of „ A , • / � ., ., , _.. ,. 100H ?or more. ❑occupancy. t "1-2'', "1 -3 ': Job no.: i 5 Job site address: /..5 9/ o 5 w G r . e. p ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ,5" .,,,, ,. ✓ /./-oil / J i , ?.Z z4-/ ❑ Health facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: I Project name: C-, t t ( . c/ ✓.. d G / / ❑ Service or feeder 600 amps or more. / : tI Pni tl''' �, ,, �y,�� , *�:# t d:"1; -'k i( " . : ;;�: s l i:lY:'� �� < {.+�i6 "ia1 $ "'�,';r�4 > ,,� '5ti ' � 4'•;� {' t= )�:` ^ "its' Cross street /directions to job site: D e C °a l t 1 U,ira , F ee ..i :'. J.ip :; To t � •� � � Qty. � Fee. � 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 t ,�a : <G °t4¢ :rl;?' =,f F,' :.. ,r. +.- y : :. : ,•�,,;, :;,•t ';li.,'fi n•rx: Limited energy, residential 75.00 2 Limited energy, multi- family 75.00 2 „t;l �S,°r„'}lp,t�;�,},;w.i�1,13 •I `l• . .!s. 1 ?' ii;S'i' : ,Y .r", y ,, ii'1;'�i °,... � .� . , . �, � t, if :r, ��� �-��' ...� :© _. ; ,:.,, i , ; ,,',lt f �r 9ti.cx- : :,�.11! .l• '�' with above ) , �a. :.. ; . - , :IYri •, ,iir.ltr ... -: i :i6 -i. _ sue, T,,Grh ,.r, � . _: A4t�`.;`?' i_ i,. t�2,;,,, 1,, c�:,,€, �, a :,�{.c�pu•,- ,, :,S,;Y €i.,� :;` :: ( sq. ft. n • c, e• ® ! _ ...,..1 Se„. r, % u .,4": i a" -u.. residential (with above sq. R.) 0 f .. S /-..... °j Services feeders amps or les installaho s2 / installation, alteration, and/or relocation '=,', ❑ PROPEtftT'Y OV('1�,Eit `. :❑ :,TENANT . 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/Z1P: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 strips 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 Branch circuits— new, alteration, or extension, p,er panel Owner signature: Date: ;!4l`,) =4rii� "` ^!�i; "`` .. t, +; = aft,.,'; s : r,� ^'a rt., ; 1,,, x�.,..rar :• A. Fee for branch cir cuits with <' ; < :; ; 4 i .ia 5i i4ii C "11'1: 'f''' „ +: t:. ^. i above service or feeder fee, 2 each branch circuit Business name: B. Fee for branch circuits without service I ice or feeder fee, G Contact name: 46.85 • b 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 -90 2 Phone: ( ) Fax: : ( ) Reconnect only — 66.85 2 E-mail: Pump or irrigation circle 53.40 2 ? -' ;, :,��';, - { -• .:il!t ^0 i ' 1 �i�;; ; , J r,.. , r..- - - %Il l t - - _ .I ; ,1; >4GQ T • '•'i?OIt,fs <�:' ;Rt' Sign or outline lighting 53.40 ,_., _. ,.. ., .,r.:.... .,.,:�, �,,�,�, .... -sari. „ .,� . ... .. . .. ...: r. . g g g 2 Business name: Willamette Electric Inc. Signal ci rcuits) or limited - energy panel, alteration, or Address: PO Box 230547 extension. Describe: Page 2 2 City /State /ZIP: Tigard, OR 97281 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 624 -3631 Fax: (503) 624 - 2938 Investigation per hour (1 hr min) 62.50 CCB Lie.: 75059 Electrical Lie.: 34 -283C Suprv. Lic.. 4226 - Industrial plant per hour 73.75 . ". ..:S =1 ::all• _ ' T:::..:,. L Et''>,++i� ....- . :}> 'R11111:;�F,:'C' }9::.:.:. ' Suprv. Electrician signature, required: Subtotal: ` !t . 87 Print name: David Fife Date: Z-- 'Zj -- o-� Plan review (25% of permit fee): _ State surcharge (12% of permit fee): a "°r" 5. C Authorized signature: TOTAL PERMIT FEE: . t_4 Print name: Date: This permit application expires if a permit is not obtaine 7 days after it has been accepted as complete. " Number of inspections allowed per permit. 1:\ Building \Permits\ELC- PermirApp.doe 05)23/06 4404615T(I I /o9C061 -wea 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006-00096 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2122/2008 Phone: (503) 639-4171 J.. 1 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/26/2008 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 1691() SW GREENS WAY CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.2 LOT #: 140 TYPE OF USE: PROJECT NAME: GILLILAND DESCRIPTION: Re-ground service. (1) branch circuit. OWNER: GILLILAND, SEDI A PHONE #: 503-639-4152 CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631 Inspection Request Scheduled For: Date: 2026/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 065647-02 503-624-3631 N Corrections/Comments/Instructions: • PASS El PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED . Inspector: G .- Date: 9.-- ( Phone #: (503) 718- ____ CITY N�x����N�������� ��n n n OF TIGARD , BUILDING DIVISION PERMIT #: ELC2008'00096 13125SVV Hall Blvd, Tigard, DRQ7223 DATE ISSUED: 2/72/2000 Phone: (503) 639-4171 Inspection Requests �4Hm�: (503) 639-4175 -_,14-- -_,L, INSPECTION WORKSHEET FOR DATE: 2/26/2008 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 15910 SW GREENS WAY CLASS OF WORK: SUBDIVISION: SUkAkAERF|ELDM().2 LOT #: 140 TYPE OF USE: PROJECT NAME: G|LULANQ DESCRIPTION: Reground service. (1) brnch circuit. OWNER: G{LULAWD,SEC4/\ PHONE #: 603-639-4152 CONTRACTOR: WILLAIvIE[TE ELECTRIC INC PHONE #: 503-624'3631 Inspection Request Scheduled For: Date: 2126/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message . 115 Electrical service 065647'01 503-024-3631 N Corrections/Comments/Instructions: ' IF5 PAS fl PARTIAL APPROVAL 0 CANCEL Li NO ACCESS El FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: G NOb 1_1E1 1-1/6 • 01 1,111A