Permit t;t, ELECTRICAL PERMIT
4 r T Y OF F T,�(. R®
PERMIT #: ELC2006 -00532
� �� DEVELOPMENT SERVICES DATE ISSUED: 9/21/2006
�-" 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 110 BC -00400
SITE ADDRESS: 14550 SW HAZELTREE TERR ZONING: R -1
SUBDIVISION: AMES ORCHARD LOT : 001 JURISDICTION: TIG
Project Description: Install (3) branch circuits for water feature and outlets.
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: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WILLIAM & C REIN STADLER GARNER ELECTRIC
14550 SW HAZELTREE TER 2920 SW 247TH AVE #A
TIGARD, OR 97224 HILLSBORO, OR 97123
Phone: Contact #: PRI 503 - 648 -4552
FAX 503 - 642 -7925
FEES
Description Date Amount Reg #: ELE 34 -305C
[ELPRMT] ELC Permit 9/21/2006 $60.15 LIC 121159
[TAX] 8% State Surcharge 9/21/2006 $4.81 SUP 3707S
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
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 0A: , 111 -0010 through OAR 952 - 001 -0100. You may obtain copies of then afes -or direct questions to OUNC at
50 - 246 -6699 •r 1-80t -932- �
� �
Is ued By: f /'i ��
Ali Permittee Signa # . 4 1 _ . i P .1morri■
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:
NTRACTOR INSTALLATION ONLY
�
SIGNATURE OF SUPR. ELEC -- , — - ' "
--�� �� � � DATE:
LICENSE NO:
7 _�
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.
, Ff •RNER ELECTRIC FAX NO. :5036427925 Sep. 21 2006 09:31AM P1
Electrical rmit A lcation f " .. v ;FOR'OJ VICE USE ONLY
.City of Tiglalr'd ® n . °' D(P M >?ermitlso. �`�CL' �� �Ot�� -
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review p Perarit;
Phone: 503.639.4171 Fax 503.598.1960.5 E p 2 1 2006 /saan + I `` Dam
�ii ; Jeri • ® Sat Pn e 2 for
Inspection Line: 503,639.4175 .w-- - a b ate Ready/By; Su lemeatnl Information
Internet; www.cl.tigard.ar.us CITY OF TIGARD Notitiodllviethod: i Pp "
at I t > h; p i ir i�at a� kfi i g '( ° "" ''11 " ,' I s ". i :, h . 't r r p i T: , ,,,I'(
t' .'; I �` S ,,, 'r • k , i t M ��a li i i 1 2/ 1 1 i ,,,,,it , it f � ' mow �` ,1 . h . : 1i �, +dt�K- • CA'• ,�r •
'�� �hi w�L +MC3+ ft�l ! m��4T� )i3��1i •,c} , tr. �kwfi�n, �� l�l�: �n�??r;rSSn�L�t l s' r., i;'"i ;') lie �
0 New construction M Addition /alteration/replacement Please check ail that apply:
(] Demolition 0 Other:
[]Service over 225 amps, comm'I [f Fiaaardous location
°Service over 320•amps - rating 0Buildng nvcr 10,000 sq. f
7t ` M e , � 7 ` w i � e t r•� a " , 1 i '
��� '� i M1��I,/ � �t� �� t�'��� 0. rlr��^ ,� �Y /,�4G�h'�t"ri �''�it� �"� e �` 1 { 'Y t� y�
�i� } 1i�� {,arUJf'I6 i, �5} LtA.} i` �S. bG,'nk,'Jl4irtilu?•�1�n9UY�4m��� I +��i�t�s; }y�fs'!!� it h ,��,w.�PW +a:( �1� , of 1- and 2-family dwellings 4 or more new residential
❑System over 600 volts nominal Units in one Structure
i• 1- wad 2- family dwelling C] Commercial/industrial ❑ Accessory building °Building over three stories QFecders, 400 amps or mare
• IM Multi 0 Master builder ❑ Other: ,
❑Occupant load over 99 persons °Manufactured structures or
,�11,I {�`` ��t (ti`+� 1r;�',, �1 t V1y�Q " ^ j
tri , � ° 'C` � yy � a f� l 4t tM1 ,t ' d��� n t r� m +�r ^ �� ;r�yic�t�r �q,��i q �t1�� p, }�^ � r t t� ,,� �y�. 3;� I RV i E f i i Iii �h nr ., 1 , ll, In i, grtr ./ ; ` i � {l0, ,�� I ❑Egress/4116ns plan R
fv , ��:< �I "J�F� UL'^Md,,b a 1a Ga ' ,+kU�rlAYd_ ��. J5 A,..lt >« iI s ince:
Job no.: Job site address: ► ' -(5�� �/ -a Z�� ;'�r ' re r ElIicaltb -care facility
Su bmit 2, sets of plans w any of the a
City / State/ZIP; The above are not applicable to temporary construction service.
-� �u�rlli'Lf' Iit1Jl't`I7���dii� e b'3st�l��,Atil; .4 T'` ''-r-!
5uite/bldg. /apt. no., Project name: 1 /v 6- /2-- Description UtM F. _ 'torsi
Cross street /directions to job site : New residential sinslle- or midti- family dwelling unit,
- .- Includes attached garage.
1,000 sq, ft. or less _ 145.15 4
Subdivision: - Lot no.: add'l 500 eq. ft, or portion 33.40 1
-- Limited -- Limited energy, residential 75,00 2
'CU map/pa rcel no.: Limited energy, non-residential �- 75.00 2
7, ,y p� r l �lrr h l +l r Ei1 #! n�tit11F ��4 � ,' n j P t� ��' P Vl�t�g f r; t� �y i:7 '" l I{�
1 t �I1}i !} ikaff..,ki,: ,' 'f,. 1 � ,.1I,'M1 �1 t ,,ib, - ?reia'in��. . 14� i iia41;" '4 t'. . • v ,, F 1 4,1; h , Each manufacnired or modular
_ r ,J., dwelling, service and /or feeder 90.90 • 2
i� -. - .6 • • „r -f' l ect- ,6'6' Services or feeders installation, alteratio and/or relocation _
200 amps or leas - . 80.30 2
�j , Z � ��� r , t rs* , �, *,� u ,„ � , 201 arms to 400 amps
IF11 � r n � 9 r u�� z , s , R ��r ti t , x ,, 3 l rl r ,, Y , ,� y ;,irit p p 106.85 2
,' a .11 i i ' 1 r ' m ".2i.'l t, ' � 41 , ,at ilvt i 1. i; a, 0, rr s l!° a , 1 . • ; d eli " .i':� il4li lr: - . -_- 160,60 2
i r d u _ 401 . amps to (i00 amps -
Name:
Address: om 601 am s to 1 000 am s 240.60 2
- 1 7 _ ��il�iiwi >ri�s..:.�w�rr�rii�i�.9il�►I p p
- _ o C ( '•F %/L Over 1,000 amps or volts —. 454.65 2
• f t i�ST ►9'►> L4 I LL�I l�Ll FF �t? _' y Reconnect only _ 66.85 ME 2
City /State /ZIP: .rte- Temporary services or Feeders iustallatlnn, alteration, and /or
relocation
Phone: ( ) e i Pte: ( ) 200 amps or teas T 66 -85 1
Owner installation: This installation is being made on property that I own which is not 201 artlps to 400 amps 100.30 - 2
intended for sale, lease; rent, or exchange, according to ORS 447, 449, 670, and 701. 4oi a mps to 600 an -T- 133.75 ' • 2 -
Owner signature: _ Date -_ Branch circuits - new, alteration o r extension per. pane ^
R trrsv �m ; b ra n t t� t' wi ep "? °
F � , " i A. Pee for branch circuits with r i ' � 11 . tita,,PiNit+ i I li• : � 4 iegAtilli,e t� , 1 414, , } 1B tee adoe,,. , A[7 _ , . ,, � ., , service ar feeder fee, eaoh 6.65 2
i ,
branch circuit
Business name: —
-. ° " "' 13. Fee for brunch circuits
Contact name: 5 without service or feeder fee, J 46.65 I� G5 2
- _ - each branch circuit
• Address: .. .. , , _ Each add'l branch circuit -) 6.65 1'110 2
City / State/ZIP: H Miscellaneous (service 'Or feeder not Included)
Pump or irrigation circle 53.40 , 2
Phone; ( ) Fax: (—) • Sign or outline lighting ~" 53,40 „ 2
Ir il7ail Signal circuit(s) or limited-
S'' . W$•" r 'r x t k + i ,l 4t of f L 1' �,Sy"e i �, 1 a . '" t w 111 r:s° . "'41rii 'ti energy panel, alteration, or
Nl 11 i .11 1}� >i 1q i�i�,ll�i
r?n t „�1"�awyt>adi:,'��J 2
`,��1t ,i131�.� 1�,1�.r1 �r,tcw�et� '�'�lU extension. Describe: Page 2
Business name: C - -r-5ij �-7 - El_G_.L'� • T f! - –
- -- _ Each additional inspection over allowable in any of the above
Address: --7 61 • C.? ,S LA) .-_ 1 1 ' 1 Lie , ' A W
P er inspection _ fi2.50
City/Stare/ZIP: � ( ( 5 l . ) L;)f V L) p.-. `'1 1 l 2,.." Investigation per hour (I lir nun) 62.50
� , =7 — Industrial plant per hour 73.75 T
; P
Phone: (` ()� (� / , Fax 4 ) ( v t � `.� �' / y .. ;" {> d' ;Pl „ , ' �? -' w;a' '::- - --':, .
air.. - ∎ di� n r .t••C> CR I2/ ? .l '� J.," r
� � / Electrical Lic.r) ��� S ic.: , Subto 15
CCB Lic.: � G,• 1 1 ' "-q " - -- IjL�Ltrr.� t -7 --- 5 _ = ' -
J/r r �` - ^ Plan review (25% of permit fee)
Supra. Electrician signature, required: �� _.._._ • f
.- ” . c hrtrpc (A °/n ai peun fee) ��
Print name: ,. N3 "'- , ( _ Date: State sir _
_ ' f ��(� (° �"i 1= . ( � ..,.._ TOTAL PERlvx FEE � g.�, �
Authorized signanlrc: This permit applleatien expires If a }permit is ono obtained w thin 180
_ _ __ ._ days after it has been accepted as cumplste
F rint name: _J Date: • Pet methodology +et by Tri - Cowry Building, Industry Service Board
- ,,, -, ._" •• Number of inspection per ptntvt allowed -
iiketsildinwermivABLC- Permi 12/03 4.10 -4 Rt. 1,1(1u/o7JCOM/WES
CITY OF TIGARD
BUILDING DIVISION t, PERMIT #: ELC2006- 00532
13125 SW Hall Blvd., Tigard, OR 97223
A DATE ISSUED: 9/21/2006
Phone: (503) 639-4171 hoodo
Inspection Requests (24 Hrs.): (503) 639-4175 Aar 411.
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7:03AM PAGE: 45
SITE ADDRESS: 14550 SW HAZELTREE TERR CLASS OF WORK:
SUBDIVISION: AMES ORCHARD LOT #: 001 TYPE OF USE:
PROJECT NAME: REI NST ADLER
DESCRIPTION: Install (3) branch circuits for water feature and outlets.
OWNER: REINSTADLER, WILLIAM & CHERYL PHONE #:
CONTRACTOR: GARNER ELECTRIC PHONE #: 503-648-4552
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040295-01 503-648-4552 Y
Corrections/Comments/Instructions:
. •
k .
I
ASS n PARTIAL APPROVAL 7 CANCEL ID NO ACCESS
I I FAIL CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
Inspector: ' L i --- Date: Phone #: (503) 718- M
.... ,,