Permit CITY F 'TI GARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00377
COMMUNITY DEVELOPMENT DATE ISSUED: 6/27/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AA -01500
SITE ADDRESS: 11343 SW IRONWOOD LP ZONING: R -4.5
SUBDIVISION: ENGLEWOOD LOT : 068 JURISDICTION: TIG
PROJECT: HAINES
Project Description: 3 circuits for A/C & Heat Pump
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:
PAT HAINES TYLER ELECTRIC LLC
11343 IRONWOOD LOOP PO BOX 807
TIGARD, OR 97223 MULINO, OR 97042
Phone: 503 - 524 -4284 Contact #: PRI 503 - 829 -2498
FEES
Description Date Amount Reg #: ELE 3 -497C
[ELPRMT] ELC Permit 6/27/2008 $60.15 LIC 144089
[TAX] 12% State Surchar 6/27/2008 $7.22 SUP 4709S
Total $67.37 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
'27 08 11:02a GRFELECTRIC 5038295747 p.1
lectrical /! riit A 1, V4
,� p� >ICation
Y''• City of Tigard Re , - • .4.4 11 .4,,M Nt ' .
i 13125 5 W HJvd , Tigard, OR 0 ... Datelay: � permit No -9 a 06 F" b 0
Phone: 503,639.3171 Fax 503.598,19'\ Plan ItaH 3 • IN
aft \,r inspection Line 503.639.4]7 � j� ' � a1t?ucB y : ew
Other Permit: m � 00 3(10
Internet www,tigard•or.gov �� G S1' Da le A endy/$Y Toni la Seepage 2 for U
G9 1 NWifetYlyelhod:
l
L Supplemental Information
"TYPE or . •:..:.:.
D New construction r Additioa/alleati"r . ' T; t he ':: 2 4 ap p l ° - `' ti
acerletlt Please check ill th apply (aabtnit t; aces of plus w /items checked below)_
El
Demolition ❑ Other:
El or feeds 400 amps or more ❑Building ova three atodca
where dtc available oat amen! ❑ Mantas andhoatyaids.
CATEGORY OF COOSrRUCTION. exceeds 10,000 amps et 150 volts or
❑ Floating buildings,
• 1 and 2- falrrily dwelling ❑ Commercial/industrial ❑ Accessory building Isar to grotmd, or accede 14,000 ❑ Cern meroial•rracagriculture
J_'- amps Ern rill other enatatlatioms. buildings.
D Multi - family ❑ Master builder ❑ Other: ❑ Fite pump.
❑ Installatstra of 75 KVA or
• 00$ SITE INFC1Rl4 riot ° AND 'LOCATION ❑ Emergency system, larger separately derived system.
❑Addition of now motor load of ❑ "A^ "E" ..r -z_ •7.3"
- Job no. Job site address -3 5 L J Q 10071p pr ma e. occupancy.
y- ❑Sixc ui uni4
i l�Hi�Ln"` t ❑ rteereat iana l vehicle
C tty(StatC/7_IP: ]
narks
❑ iicalM-cars facilities. ( � 2.-z_ L ❑ Supply voltage for morethan
Stith/ /R no.: j� ❑ Hazardous locations 600 volts nominal.
Project name: �f l 1 e � Q Semite or feeder 600 ampsor rnore,
Cross street/directions to job site: FEE . SCHED7JLE.
merry!/.. I P4. I ,Fes. I Total I
New residential single -or multi: - family dwelling unit.
Includes attached garage.
Subdivision: i Lot t10.: 1.000 s9 ft. or less i I45.15 i . 4
Tax rnaplpeccet no.: Ea. add•1 500 sq. $, orporoon 33 40 l '
Limited energy, residential
. DESCA[PIIk7I11 Or'WORK. - with shove Eq. 6.) 75.00 2
C • Limited energy. multi-family 75.00 I 2
residential (wits above se. A,) J
Scrritrz or feeders installation. alteration. and/or relocation
0 �, 200 amps or less 20.30 2
1 • d TENANT 201 amps ro 400 amps 105.83
2
Name: ( A I vl C� 401. amps to 600 rumps 160.60 2
Address r 1 / 60I amps to 1.000 amps 240.60 2
3 F S T r e , }p d tk La f Over 1,000 amps or volts 454.65 2
City/State -.lip: T (I 5 A ,...-d_ 6) 7 Z Z 3 Temporary services or feeders installation alto a ' on, and/or
relocation inpur !i
Phone: ( ) .5 ?-‘1 -44--2, ey-- Fax: ) 2C0 amps or leas 66.85 1
Owner installation: ThiS installation is being made on property that I own which i$ not 201 amps to 400 amps 100.30 2
intended for saie. lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 tarps 1 133.75 ' 2
Owner Signature; Date; , Branch circuits - new, alteration, or extension, ptr panel
A. Fee for branch circuits with
----T C�t? 1'Ti1CI PERSON above service or fmrJer fee,
Business name: l ` each branch 6.65 2
1 e ' 1 E l e i_ %�i•, • . LL_ L._ I D. Fee for branch c ci7crruit uirs
without service or feeder f
Contact name: ( n 11 rwithout oe,
first breath circuit i 46 - .�y 2
Address: 6 !: )e. ( 7 j Each 466'1 branch circuit 1- 6.65 1 3 2 6 2
Ciry/5tatrfZlP: C / Miscellaneous (service or feeder not included) I
Ail e. i c") i� r f L' `f- -L- Each manufactured or modular
96.94 1 2
Phone: { t�1i i) i - �' I _ 4.1 cax. ( � •;) ,_, Redline, service and/or feeder l' I Z ='i `> 1 Reconnect only 66. 2
E Pump or irrigation circle 53.40
CONTRACTOR 2
Sign or outline lighting 53 40 2
Business name; 1 i I t v � ,� Signal elrcuit(s) or limited- •
'r `� energy panel, alkratiotl or
Address: 15 l ?. e: p
s - `.. 1 extension. Describe: 2 2
City/State /ZIP: 1 1 1
/1" L f l c 64 ' - --z C - F Each additional inspection over allowable in any of the above
Phone; S
■ PCS inspection
( ) G I F ax: (y� 2....1 ,f-7 investigation per hour (l6rmn) 62.50 ! -,
CC")) Lie,: ‘, v,�.c1, Electrical Lie.:3- _4C \ Suprv. Lic.4 •Zk'c--, Indust-la] plant per hors 73.75 I
• E LTCfl ICAL .P1 EMT
Suprv. Electrician signature, required: � 'FEES
Print name, ` Plan review Subtotal: !_ 1 I 5
� Q..'3.+':.,\ � , 1 � � Bate: '�� L 1 r) // {25Y, of permit tee} lY � Auth orized si ature: ( 1 S State surcharge (12% of permit fee): 1
r . TOth.3 PERMIT FEE: - r 1
Print Warne: � � �l ��, per: The perm ma
per! stication aspires if a perm!lis not obtained t o 180
days after it te been accepted at complete.
1 9A 1 dInA�amilrlfiGGPamtAppCoc 0:1111.115 " Number of inspectionssllowedeetpermit
440..U1 5 T(I 1) 0 5)Cb mAvER
• . • ,
CITY OF TIGARa
BUILDING DIVISION PERMIT #: ELC2008-00377
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6127/2000
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ILL
INSPECTION WORKSHEET FOR DATE: 7/1/2 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 11343 SW IRONWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLEWOOD LOT #: 068 TYPE OF USE:
PROJECT NAME: HAINES
DESCRIPTION: 3 circuits for NC & Heat Pump
OWNER: PAT HAINES, PHONE #: 503-524-4284
CONTRACTOR: TYLER ELECTRIC LLC PHONE #: 503+129-2498
Inspection Request Scheduled For: Date: 7/1/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Messase
199 Electiical final 072056-01 503-233-6566 410.
Corrections/Comments/Instructions:
Pv
roo A-c.Z •
`to ke-tr 60 4e
(
A
(in PAS • PARTIAL APPROVAL El CANCEL El NO ACCESS
n FAIL CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
Inspector: Date: - 77//0g Phone #: (503) 718- Z--‘17/r'