Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00051
COMMUNITY DEVELOPMENT DATE ISSUED: 1/29/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CB -01740
SITE ADDRESS: 10460 SW HOODVIEW DR ZONING: R -3.5
SUBDIVISION: HOOD VIEW NO.2 LOT : 039 JURISDICTION: TIG
PROJECT: BOWEN
Project Description: (2) branch circuits for heat pump and air handler
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: 1 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:
MARK BOWEN HILLSBORO ELECTRIC
10460 SW HOODVIEW 21185 NW EVERGREEN PKWY #110
TIGARD, OR 97224 HILLSBORO, OR 97124
Phone: 503 - 708 -4431 Contact #: PRI 503 - 439 -9666
FAX 503 - 601 -3680
FEES
Description Date Amount Reg #: ELE 34 -499C
[ELPRMT] ELC Permit 1/29/2008 $53.50 LIC 134481
[TAX] 12% State Surchar 1/29/2008 $6.42 SUP 4941S
Total $59.92 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: eip/[a..75U,✓
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 t, 01- 28 -'08 09:55 FROM- Hillsboro Electric 503 - 601 -3680 T -169 P002/002 F -674
Electrical Permit Application
CEI W \l
• I tlf� t)l 1 11 i. l m('. tl�l.l
City of Tigard • ''.. -i
11 : X o - 7 Permit No.: (r> __ , 5
13125 SW Hall Blvd., Tigard, OR 99223
Plan Review
Phone 503.639.4171 Pax; 503.598.1960 hOter Permit: 1-'1
Inspection Line: 503.639.4175 JAN 2 8 2008 v: s 8 or 3
'I'It.,. G Ready/By: • ranee !a t>eePage 2for
Internet: Www.tigard -or.gov . = a = otifnd/Method: Supplemental Information
TYPE OF WO L . , I • N PLAN REVIEW
o New construction Additionialterati ' 'rep acement Please check all that apply (submit a sets of plans w /items checked below):
❑ Demolition Other: ❑ S�"co or feeder 400 amps or more I] Building over three stories.
whore the available fault curtgnt ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
lees to ground, or exceeds 14.000 ❑ Commercial -use agrieulturu)
C 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings,
❑ Multi- family 0 Master builder ❑ Other: ❑ Fare pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION • ❑ Emergency system. target separately derived system.
❑ Addition of new motor load of ❑ "p ', "1?^ ' 1 -2 "I -3 ",
Job no.: / 1 Job site address t J� n (�� IOOHP or more. occupancy.
Lee " I �ur^ J 1 •`1 /d! _ ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/z1P:•` t /� a t , eATC [] Healthcare facilities. ❑ Supply voltage for more than
v � 't t �" 1 ❑ Hazardous locations, 600 volts nominal.
Suite/bldg./apt. no.: f V Project name: _-/r ./1 t ❑ Servive or feeder 00 amps or more.
FINE SCHEDULE
Cross street/directions to job site: nncriptioa • 1 t►tr. 1 Fro I - Tome 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') 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRfPTION OF WORK • (with above sq. R.) 75.00 2
Limited energy, multi- family
JY c res idential (w ith above sq R.) 75.00 2
• Services or feeders installatio alteratio n, and/or relocatio
200 amps or less 80.30 2
PROPERTY OWNER TENANT 201 amps to 400 amps _ 106.85 2
Name: M 1 tak �e
6 0 � 401 amps to 600 amps 160.60 2
r 1 601 amps to 1,000 amps 240.60 - 2
Address:
D 511D 471 ) ( UGw L Over I,000 amps or volts 454,65 2
City /State/ZIP: -- f2- pia 9 7 9--"?.51 G, • Temporary services or feeders Installation, alteration, and/or
relocation
Phone: ( ) I 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, l ease, 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 alter or extension, per panel
A. Fee fbr branch circuits with
.0 APPLICANT
0 CONTACT PEIISON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee fbr branch circuits
Contact name: without service or feeder fee, i 46.85 A '85 2
first branch circuit
Address: Each add °1 branch circuit 1 I 6.65 Co ,tp5" 2
Miscellaneous (servlec or feeder not included)
City /State/ZIP: Each manufactured or modular . - 2
90.90 dwelling, service and/or feeder
Phone: ( ) — I Pax :: ( ) _ Reconnect only 66.85 2 _
E -mail: — Pump or inigaation circle 53.40 _ 2
• . CONTRACTOR CONTRACTOR . Sign or outline lighting 53.40 2
Business name: LBS Signal circuit(s) or limited-
__ HIBORO ELF,CTRIC, LI energy panel, alteration, or
Address: 21185 NW_ - EVERGREEN PKWY #110 extension. Describe: Page 2 2
City /State/ZIP: H I LL S BORO , OR 97124 Each additional ine o ver a llowable in any of the above
Per inspection 62.50
Phone: ( 5 0 3 439 F= 5 0 3 ri 01 - 3 6 8 0 Investigation per hour (I to min) 62.50
CCB Lic.: 1 3 4 4 81 I Electrical Liu. 34 -Suprv. Lic.: 49418 Industrial plant per how 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: y� /�
' 1C /► Subtotal: 63 ''/ .
Print name: JOEY V ITACCO Date; Plan review (25 %ofpermit fee):
State surcharge (12% of permit fee); i '► lZ)
Authorized signature: TOTAL PERMIT FEE: all Si . r
Print name: Date: This permit application expires it a T .permit is not obtai , wit , , 180
days after it has been accepted as complete.
Number of inspections allowed per permit.
I:tBuilding)P Pure) ;Ape.dee 05x13/06
4+o -461 sTtt Iro
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00051
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/29/2008
Phone: (503) 639-4171 k ."
Inspection Requests (24 Hrs.): (503) 639-4175 ,A).4r
INSPECTION WORKSHEET FOR DATE: 7111/2008 ' TIME: 7:01AM PAGE: 25
SITE ADDRESS: 10460 SW HOODVIEW DR CLASS OF WORK:
SUBDIVISION: HOOD VIEW NO.2 LOT #: 039 TYPE OF USE:
PROJECT NAME: BowEN
DESCRIPTION: (2) branch circuits for heat pump and air handle'
OWNER: BOWEN, MARK PHONE #: 603
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503-439-9666
Inspection Request Scheduled For: Date: 2J11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Elechical final 064798-01 503,538-2953 1/14k4
Corrections/Comments/Instructions:
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PARTIAL APPROVAL CANCEL NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector:
Date: t Phone #: (503) 718-