Permit 1111 , , CITY OF .TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00749
COMMUNITY DEVELOPMENT DATE ISSUED: 11/7/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 DA 12300
SITE ADDRESS: 15389 SW HARCOURT TERR ZONING: R -7
SUBDIVISION: APPLEWOOD PARK NO. 3 LOT : 116 JURISDICTION: TIG
PROJECT: HOWA
Project Description: (3) branch circuits for bathroom remodel.
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: 2 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:
PHYLLIS HOWA 205 ELECTRIC
15389 SW HARCOURT TERR 7831 SE JOHNSON CK BLVD
TIGARD, OR 97224 PORTLAND, OR 97206
Phone: 503 - 620 -1229 Contact #: PRI 503 - 771 -5491
FAX 503- 771 -5491 same as above.
FEES
Description Date Amount Reg #: ELE 3 -452C
[ELPRMT] ELC Permit 11/7/2007 $60.15 LIC 34255
)TAX] 8% State Surcharge 11/7/2007 $4.81 SUP 3805S
Total $64.96 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
suspen•-. or mor- -n 180 says. ATTENTION: Oregon law requires you to follow rules adopte the Oregon Utility Notification Center.
Tho-- rules are set forth 'AR e '01 - 0010 through OAR 952 -001 -0100. You may obtai opies of these rules or direct questions to OUNC at
51 or. 1 .800..32.1 •
I ued By: / l / PermitteeSi_sature: • GPI � ur � (��/Mi
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' 1 i nl" 7& ' DATE:
/ 7
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.
Nov -07 -2007 11:28 AM Walker Interior Remodeling 503 - 244 -4667 4/4
EA ect!'ical Permit Application F E ONLY
) rr City of Tigard . r �7 �� Permit NO eiefer7 7 9
� � R
.'a ' 13125 SW Hall I31vd.. Tigard. OR 97223
f t ( Plan Review Permit
4 2 : Pltunr. 503.639 4171 Fax. 503.598 1960 DatclBv:
ri'ItGARD Inspection Line: 503.639.4175 Date Ready /By: lures p See Page 2 fur
• z
r, , .. T.! �,. Internet: www.Iigard- or.gov Notified/Method 7 ra Supplemental Information
TYPE OF WiORI( PLAN REVIEW
❑ New construction ❑ Addition /alteration /replacement Please check all That ap (submit 2 sets of plans t /items checked hciuo )
❑ Service or feeder 400 amps ur more ❑ Building over three stones.
❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards
9: r ;'-J2r-. j ; ' ; •/ TM s + =; ,,I- exceeds 10,000 amps 150 volts or
CATEGORY OP CONS;F[tUCTCON• s- � ti.i�,. .�
r � t ., t , . G P• ❑Pleating buildings
' ' $ '`' less to ground, or exceeds 14,000
❑ 1 - stud 2 dwelling t ❑Conuncrcml useagncuhunl
} ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings
0 vl« lti- lhtaily ❑ Master builder ❑ Other: 0 Fire pump. ❑ Installaunnor KVA or
JOB siTE INFORMATION AND LOCATION ❑ I':niergcncy system larger separately derived system
❑Addition of new motor loud of
t Job no.: Job site a(Idrt•'• 15 C 3bGl • I "'C.�u,..4_ "� L �
100111' or more. occupancy
0 Six or more residential minx ❑ Recreational vehicle parks
Cll} /5lale / " /.I1': ❑ Health -care facilities. D Supply voltage for more than
` �i9nc L N I Q2 G `72zy
❑ Hazardous locations. 600 volts nominal Suite /bldg. /apt.no.: Project name: VJIa� ❑ Service or feeder 600 amps ormore.
a; ,' Yi • : ( FEC :SCHEDULE
Cross street /directions to job silo: nrscriptios I Qty. I Pee. I 'roust I •
New residential single- or multi - fancily dwelling unit.
Includes attached garage.
Subdivision: Unknown Lot no.: ? 1,000 sq. B. or less 145.15 4
Ea. add'! 500 sq. Il. or portion 33.40 1
'I'm map /parcel no.: Unknown Limited energy, residential
DESCRIPTION OF WORK `' + (with above sn. 0.) 75.0 2
f � � ��{� Limited energy. multi- lantily
1. �f k V l is-1 4- 4- - residential (wills above so. IL) 75.00 2
Services or feeders installation, alteration, and /or relocation 4
1
200 amps or less 80.30 2
OWNER
® PR01'ER"I'V "` ❑ v ^ice _7f t • f fit 201 amps to 400 amps 106.25 2 1
c �., ; A! 1
i Ntume: 401 amps to GOD amps 160.60
P In �� f i s )f x�c� 2
A .
(Idress: 1 � )) - � 601 amps to 1,000 amps 240.60 3
1� ' Sty r tx _r TP c roc re Over 1.000 amps or volts 454.65 2 j
City/Slate/ZIP: l a� ( �f O2 vim 7_2_9 Temporary services or feeders installation. alteration, and /or l
relocation
Phone: (r-3) c -1 Fax: ( )None 200 amps or less 66.85 I !
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 1 00.30 2
intended l'or sale. lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 1
Owner signature: Date: Branch circuits - new, alteration, or ex_ tension, per panel
A. Fee for branch circuits with
® APPLICANT ' "� - 'TrfiC10tiR.CR §.'1.- .i, }; l:;- above service or feeder fee, G,GS 2
each branch circuit
Business name: Walker Interior Remodeling, Inc. B. Fee for branch circuits
Contact Hanle: Gary Burkhart without service or feeder tee. t 46.85 k(a.Es 2
first branch circuit i
Address: 6775 SW 111 "' Avenue, Suite 201 Each :WWI branch circuit a 6.65 t3 RI 2 '
Miscellaneous (service or feeder not included)
City /State/ZIP: Beaverton, Oregon 97008 _............-- Each manufactured or modular
90.90 2
dwelling, service and /or feeder
Phone: (503) 452.1333 / Fax: : (503) 244.4667 Reconnect only 66.85 2
E-mail: None Piano or irrigation circle 53..10 7 I
CONTRACTOR, C' ... • .. .'r' `'c •k`•T ' :'> . ;/' Sign or outline lighting 53 40
Business name: 205 Electric
Signal circuits) or limited- ,
--- energy panel. alteration. or i
Addre s: 783 t Se Johnson Creek Blvd. extension. Describe: Page 2 2 {
City/Stale / %lit: Portland, Oregon 97206 Each additional inspection over allowable in any of the above 1
Per inspection 62.50
Phone: (503) 771.5491 Fax: (503) 771.5491 Investigation per hour (I hr nun) 62.50
CCB Lie ?. 34255 Electrical Lic.: 3 -452C Suprv. Lic.: 38055 industrial plant per hour 73.75
.', . > t -' ELECTRICAL PERt1.117• FEES
Suprv. Electrician signature, required:
r Subtotal: ( O. (S I
Print name: Robert Caron Date: I t . 7, 0---( Plan review (25 °/a of permit lee): .00 -1
Stale surcharge (8 %ul' permit lee): eI, CJl
Aulhorired signmurc: c�z- -- I'O'i'AI. PERMIT PEI:: ( ( Cj(
Print name: Robert Caron Date: permit application expires if a permit is not obtained within ISO
Date: )j .'7 _ O days :rifer it has been accepted as complete.
• Number of inspections allowed per permit
t• IHnldmgll 'erwilvtit.t'•I'crnulApp d„5 55/) Mb 440.4515T( I I /05 /COM/WBl!
CITY OF TIGARD ,.
BUILDING DIVISION PERMIT #: ELC2007- 00749
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007
Phone: (503) 639 -4171 o+ ��i ��
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 12/10/20Q7 TIME: 7 :01Alvl PAGE: 59
SITE ADDRESS: 163139 S`W HARCOURT TERR CLASS OF WORK:
SUBDIVISION: APPLEWWOOD PARK NO. 3 LOT #: 116 TYPE OF USE:
PROJECT NAME: HOWA
DESCRIPTION: (3) branch circuits for bathroom remodel.
OWNER: HOWA, PHYLLIS PHONE #: 603620 -1229
CONTRACTOR: 20f ELEC °l'RiC PHONE #: 503- 771 -5491
Inspection Request Scheduled For: Date: 12/10/2007 Pour Time:
Code # Inspection Description - Confir.. # Contact # Message
'199 Elect,ical final 061116-01 503.7568267 V
Corrections/Comments/Instructions:
- 1\ AAA
kiv
a- \ ' y , S 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1\1 v 6 L Date: I2- t' (Y7 Phone #: (503) 718 -i4'1
CITY OF ��mo n n��n TIGARD /
BUILDING DIVISION ' /
| ~°~~"~~~°^^~~° ~="°"~~^~~"~ '�� ' PERMIT #: ELO2007-00749
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2807
Phone: (503) 639-4171
Inspection Reque�e(24Hmj:(503)630'4175 .���- �
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 50
SITE ADDRESS: 16389 SW HARCOURT TERR CLASS OF WORK:
SUBDIVISION: APPLEWOOt) PARK NO. 3 LOT #: 116 TYPE OF USE:
PROJECT NAME: ||0WA
DESCRIPTION: (3) branch civxuiho bathroom remodel.
OWNER: MO\NA, PHYLLIS PHONE #: 6O3-820-1229
CONTRACTOR: '05 ELECTRIC PHONE #: 5O3-771-6491
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description --Confirm # Contact # Message
12U E]mcthcduxuoh'iO 069512-02 503-756-8267 `f
Corrections/Comments/Instructions:
A- ---
X\PASS [l PARTIAL APPROVAL El CANCEL 7 NO ACCESS
0 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
_ n� � �� � �~ � � � �� � �o�
Inspector: v�� ' �~0 ���� ��� Date: v"A8 ���� � Phone #: (503) 718- �/���»
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