Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 00671
COMMUNITY DEVELOPMENT DATE ISSUED: 11/27/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AB -00500
SITE ADDRESS: 11310 SW IRONWOOD LP ZONING: R - 4.5
SUBDIVISION: ENGLEWOOD LOT : 004 JURISDICTION: TIG
Project Description: (1) 200 amp service, (5) branch circuits. Job # 60193.
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: 5 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 0 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: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
MARTIN WOLF OES LLC
11310 SW IRONWOOD LP 5285 NE ELAM YOUNG PKWY # A600
TIGARD, OR 97223 HILLSBORO, OR 97124
Phone: Contact #: PRI 503 - 693 -6000
FAX 503 - 693 -8660
FEES
Description Date Amount Reg #: ELE 34 -572C
[ELPRMT] ELC Permit 11/27/2001 $113.55 LIC 159395
[TAX] 8% State Surcharge 11/27/2001 $9.08 SUP 4587S
Total $122.63 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: . , _Apr Permittee Signature: 4 \ 1,.�
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.
Electrical Permit Application FOR OFFICE USE ONLY
City g of Ti and R C ` 1 \! Receive /
}�� Permit No /�
Date %By: D • i �/�♦
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 NOV 2 7 ? - / R i i M ' +� I � Date /B : Other Permit:
Inspection Line: 503.639.4175 e W
CITY OF I'iUHFf® Date Ready; By: t See Page 2 for
Internet: www.ci. tigard.or.us Notified /Method: Supplemental Information
T YPEIIFTiWOIikt D IVISIQ�4 PLAN REVIEW •
❑ New construction [Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
2 and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other: ❑Occupant load 'over 99 persons ❑Manufactured structures or
,YOB SITE INFORMATION AND LOCATION I ❑Egress /lighting plan RV park
❑Health -care facility ❑Other:
Job no.: C9/ 3 Job site address: ; y „' 3 f;) .5 -I'M ,.l let/ti 6 c.c ;,,u a Submit 2 sets of plans with any of the above.
City /State /ZIP: /, //i 1 ,-4 (fi ` a) A.P. 3 The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name: �� F 1v *`SCHEDULE
t
'� 4Y %� v� 1 Description I Qty. I Fee. Total I
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
y 'r Q wb” `/ Includes attached garage.
1.000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 l
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK . . . Each manufactured or modular
-� , , ,.. ` dwelling, service and /or feeder 90.90 2
r/
4 /r C . //' ✓`s ./ r` A 4 f X r 77:: .) / C2. .e2 y • ( Services or feeders installation, alteration, and /or relocation
.mo t i / - 1 /✓ vI 5" 6. ;/ Mlle G Cal L I.S 200 amps or less 80.30 I 'f�,C 2
[] PROPERTY OWNER
1 ❑ TENANT 201 amps to 400 amps 106.85 I 2
401 amps to 600 amps 160.60 I 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1.000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) 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, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. . 401 amps to 600 amps t 133.75 2
Owner signature: Date: I Branch circuits - new, alteration, or extension, per panel • ❑ 'APPLICANT: • , .. ❑ CONTACT : PERSON , f :PERSON, A. Fee for branch circuits with
service or feeder fee, each
Business name: branch circuit 6.65 3 d.
B. Fee 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 /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited- 1
CONTRACTOR . energy panel, alteration, or
f � extension. Describe: Page 2 2
Busi ness name: ( /i' „? G -
,,,
Address: 4" `/ f:',,:-. Y / t ; Each additional inspection over allowable in any of the above
Per inspection 62.50
1 Ci f” ty /State /ZIP: ,' /`1 _' 6 f0 72/2-- 97/2 V' Investigation per hour (1 hr min) 62.50
Phone: (SG 3) 673 C , 0 O Fax: (f,• /s �
) �� ' Industrial plant per hour 73.75
• / yJ / ELECTRICAL PERMIT PEES*
CCB Lie.: J 5 c / ', 3 .." Electrical Lie.: ✓ 5./...._
,. y C Suprv. Lie.: C// ;7_2 5 Subtotal //X ,a
Suprv. Electrician signature, required: •-" %'..\ Plan review (25% of permit fee) -:fi
P g 9 1� — . -` %` (J
R
`z- State surcharge (8% of permit fee) -7 „I Print rani • C 1 / � d, Y`fj A ,� Gr '/`< Datc. TOTAL PERMIT FEE Z, e '
r /
Authorized signature: This permit application expires if a permit is net obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed.
mhuildingl Permits 1E LC- Permit App don 12.'03 440- 461ST(10 %02/COWWEB
T'd 099B —E69 (E0S) aoung Rpnr + wit dIE :E0 90 Ez Aol
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006•00671
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27/2006
Phone: (503) 639 -4171 divi Oli @j � l � \
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7 :03AM PAGE: 26
SITE ADDRESS: 11310 SW IRONWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLEWOOD LOT #: 00.4 TYPE OF USE:
PROJECT NAME: WOLF
DESCRIPTION: (1) 200 amp service, (5) branch circuits:. Job it 60193.
OWNER: WOLF, MARTIN PHONE #:
CONTRACTOR: 0 E LLC G (\`■ ; C� �/ PHONE #: 503 - 693 - 6000
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040324 01 503- 710 -7986 Y
Corrections /Comments /Instructions: 22
X PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: N 6‘'€ L Date: Z b b Phone #: (503) 718- 2--414L--