Permit 7 / �, : y G -��G / 7.
PO Y CITY-OF TI GARD ELECTRICAL PERMIT
\ 4 V
PERMIT #: ELC2008 -00345
COMMUNITY DEVELOPMENT DATE ISSUED: 6/18/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103C B -04300
SITE ADDRESS: 12250 SW MARION ST ZONING: R-4.5
SUBDIVISION: WILLAMETTE NO.2 LOT : 022 JURISDICTION: TIG
PROJECT: FUNDERHIDE
Project Description: Installing (2) services and (10) branch circuits. 7/11/08 ADDED (4) branch circuits.
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: 2 W /SERVICE OR FEEDER: 14 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDA 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:
RACHEL FUNDERHIDE GARNER ELECTRIC
12250 SW MARION STREET 2920 SE BROOKWOOD AVE A
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: 503 - 710 -7610 Contact #: PRI 503 - 648 -4552
FAX 503 - 642 -7925
FEES
Description Date Amount Reg #: ELE 34 -305C
[ELPRMT] ELC Permit 6/18/2008 $227.10 LIC 121159
[TAX] 12% State Surchar 6/18/2008 $27.25 SUP 37075
[ELPRMT] ELC Permit 7/11/2008 $26.60
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $284.14
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 _ �u..- i -• Permittee Signature: >< 'e c�iy/ /
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.
O :GARNER ELLLCTR I£ FAX N0. :5036427925 Jun. 17 2008 03 :16PM P1
R ECEIVE 1 FOR tit l' IC Iitii: ONLY
Electrical Permit Apul><cation
Keceiv remit Na:
City of Tigard JUN 1 7 2008 I)a OT• , C�
II 11, i ° 13125 SW Hull Blvd., Tigard. OR 97223 P Review Other Pamir.
Phone; 503.639.4171 Fax: 503.59p OF TI GARD �a
Inspection Linc: 503.639.417,5 Ready/By: d f See Page 2 for
0 7
TR.; I i.: n tl f7 BUI DIVISI Not nine ified/Method: Supplemental Information
!Tile-net: www.ligard- nr.gov •. -•- ry
r l , ; r 1 1 to : = Ig rWnsn: '14.4,',i,.:*, t r . I1 I tr': �;{ � 1'i '.'r , l i " 1 • ' 1 fi6W+ 1., Y. 1M n ' rl'7A I � !)i l l ,' ,i,, " } h��` , .,
� 11 li.� • i � � i pppp e .�. I r •I �.(-� � •� � ' : :' � � ` ' �1 liE, . i �� �a !� ' . : & =- 1.- l :tl!, ire :'' ;.
, ,;lilt, Ii�A :i! t �.' lC'`' . : .d t3G t ' a mit setaorphan w /itetretcheckedbelow)!
Please chock all that apply (
0 New construction 111: Addition /alterMinn/replllcement ❑ Service or feeder 400 angle or nmtt ❑ Building over llu'ce stories.
❑ Demolition • Other: where the nvaitahIe fault current ❑ Marinas and boatyards,
ij ; ' r , :n :..�' ' r t u p g } "Iolq„rars y �ywsu< Ng4 Tii l- . t - i l f!1-Gttia i u4i'' { i1� 9' ":r e:tueuda 10,00n nnq,v at 150 volts i t ❑ Fl bwldinn.
i f ' ' ! I I Il .� Nh 9kl, ' 1 N ap • . �' K'.'7 i C t fa i Jl7 1 i flf 1 n t� -' iI]" 11; ❑
�d1 11 R!' Oil' i n ; otha+1 !P (fl' t.,Inil�,�Cti , , “ ,,N, I �:at l II,W;, : =( , }14 dih.1:;'tt t {cr>a •
u, ground, arexceeds 14.000 Commerc -Use agricultural
:1 I and 2 family dwelling [] Commercial/industrial ❑ Accessory building amps for 411 other installations. buildings.
❑ Other: 0i rite pump, ❑ Installation of 75 KVA or
❑Multi fttnrily ❑ Master builder ❑ pn system. larger separately derived system•
r rtWa• 4•: , �-K• , nt 1 rl '+ a� P " lli'_Ik -0� �PN;ik410_.Z1i f:1• i� . ,� -9 ..
�} ,' i' 1LI 1, rf {t! ,, I I. t a�,7y*�wy u� �mt1 ; U, U + _ q 4 I l`•, 4 1 l ! . j iii r ' y : , r''' Forth nil ❑ Amnion of new tooter kud of ❑ larger
r�.
NXYJ1i(!IliAi�i �� :4i1) +,a +lltll{�lLu ,i Y'-�4 nt 1 :$• 1>zt�ir.N'1t.. .:l� 1
,�{� 100HP m m tp�
o re. nrFOy•
Job no.: Job site address: 1 12.5 0 t k y_ ,r 1O r „CA 1 ❑ Six or more residential units. CI Recreational vehicle parks.
❑ Health t arc facilities. ❑ Supply voltage more fmore than
(;ity /StatcJ7.lY: i /3 y Q G��2' �j 0l rdet,s 10 01160Ua. 600 Volt r,entinal.
Suite/bldg. /apL no.: U / ❑Service or heeler 600 amps or cone.
Project nam q l wC.�—� , P�1+ Il1� r { i 1 +r. {I a :a f1
� t'1jl'. IFi ' 'I I1 �ti^. 1 Na61� i R 1 p .7:,: .'`;n:IE I.,. �J4ry1u,�4�jijiil
Cross street /directions to job site: _ tttumripslo 'ly' Res Total
New residential single or multi - family dwelling unit.
Includes attached garage.
Lot no.: t, sq. ft, or less 145.15 4
Subdivision: add'l 500 sq. ft or portion ME , 1
Ea.
Tax map /parcel no.: Limited energy, residential 75 00 2
y, m 2
(din i t , �J il n, uwu, n y � .+ m v. �PN v .l I n5 1 1 x P
t IN I111181111; n+ , @ ;* K it � t f ib /1t,1)ks e..t � ' Pl,. Mkt' x i; +if !1,fi .! wilh,hovc sq, ft,)
i'I Ili 1.. 1 ! ll rl !I ' 1�, al
s Limited energy, 75.00
v s ce eel fr.- — �. 6p-PI p • -4 residential (with abor $, .-
_ - Services or feeders Installation, alteration uud/or relocation
0 V -+'•9 , VIVO 4'6D IL% W'IC _ o
y�( I L� 200 amps or less 80 30 ! 0,14 2
• `. :� i t T ", " F IIi p iRI4. f t r :]II n. _ + i -';: +t � r
.. � um - ;t •:: Cal 'r• ,,
rip r it • i '�8 '. a; ,I 9i 'Yc I ce �� � ' i dl� 1 : 3p,i.� n, t i1 ; 1' '.;l k ?. i i lsl iF` 'y ..201 amps 10400 amps 10(1.85 2
iI. .i., J f;' :',. '6 ul!.ri ` I le �l; ta6 , y f b' f!, , y , , '. - 401 maps m GUU amps 160,60 2
Name: �(A(Nl�'l RA 'ic L'r s 11 L fti. -. 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 strips or volts - 454.65 2
C ry/Statrizl'P; _
Temporary services or feeders Installation, alteration, and /or
, relocation ,. _ ._
Phone: 1 3) '71 0 - d Fax: ( ) 200 amps or less • 66.85 1
201 amps to 400 amps 100.30 2
Owner installation: This installation is being made on property that I own which is not 401 amps to to 599 amps 133.75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension per panel ,
Owner signature: _ , . _bate' A. Fee for branch circuits with
r , amew�yla �l -'t � 51
, . i , " !f i i i :1' a serv ur f fee tt , (J 2
1a 1� �ip'i�(�yiiil �'IC'tfQt , a 1'?j� „l ,` :u ! 1 #: a� u :t :'c t'fl' t'- ' ,�I . i :t ,- P '�
6.65 �V
. t ' l iGfl1= 11 d i soi r ,mr�tltl.a 1 s ) 113 6.6.
each brands circuit ,
Business name: B. Fee for branch circuits
- without service or feeder fcc, 46.$5 2
Contact name: Lest branch circuit
Each add'l branch circuit 6.65 _ 2
Address; -.
Miscellaneous (serv or feeder not Included)
City/State/ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone, ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: � Pump or irrigation circle 53.40 2
I , 1 ,^ ,, , ,, ,. V mm ( - I t n n, �(.. °a Sign or outhne ll tm 53.40 2
RiT {I 7t; �',�y,l 1 `k.'1 `' aJ�i ir'l infer! l , 0'' - '1'fil� i , E,<,.: l B
4'n)f1111t FbilYlnf!Irtn , I ( l I. a7Y.IW , 1 t . P i ..
—
Signal circuit(9) or limited-
Business nam R N Eg E L C. ..1 C.- energy panel, alteration, ur
,� ' l ^ . � � extension. Describe: Page 2 2
Address: 2c1.2.0 5 - 1 . o I'Nr*s — L � — _
City /State/ZIP: . 91 1 Each additional inspection over allowable in an of the above
(�� Per inspection 62.50
Phone: ( I ) ,, z _ 4 2__ Fax: (C•1 (04z:792:5 -
0 4 2.' I9 I nvestigation per hour (t hr min) 62.50
CCA Electrical Lie,: Su' V. l.ic.:3'� p'] Industrial plant per hour 73.75
Li c.: ('mil �� r �. � IMla)i • i TiBiJI' l:F gar m L IJETEr. t.. r X19 ' 'it. 7 7',1 +�1'iil1'iil'1-
Suprv. Electrician signature, required: _ Subtotal: 'd - 7. i 0 _
; ��;, r
Plan review (25% / ^1 of permit fee): -
Print name: s & I Qgr State sttrch a (12% of ermit fee ; _(J_ -
y� 4 aTb ( P ):
Authorized signature: TOTAL PERMIT FF.l : _254, 2 .
This permit application expires If a permit b nut obtained within 180
Print name: Date: duya after It hat been accepted as complete.
•
• Number of inspections allowed per putout.
,.,u,,n. :....,o -- ...;stet f•_O.,mn Au. Mc U5/23/06 44n- 46I5T(11,05 /euM/W®
CITY OF TLGARD
BUILDING DIVISION PERMIT #: ELC200800345
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/18/2008
Phone: (503) 639 -4171 u ,I��
Inspection Requests (24 Hrs.): (503) 639 -4175 F __..
INSPECTION WORKSHEET FOR DATE: 9/9/2008 TIME: 7:00AM PAGE: 31
•
SITE ADDRESS: 12250 SW MARION ST CLASS OF WORK:
SUBDIVISION: WILLAMETTE NO.2 LOT #: 022 TYPE OF USE:
PROJECT NAME: FUNDERHIDE
DESCRIPTION: Installing (2) services and (10) branch circuits. 7/11/08 ADDED (4) branch circuits.
OWNER: FUNDERHIDE, RACHEL PHONE #: 503710 -7610
CONTRACTOR: GARNER ELECTRIC PHONE #: 503. 648.4552
Inspection Request Scheduled For: Date: 9/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 075103-01 503-648-4552 N
Corrections /Comments/ Instructions:
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 9 - Q "4 Phone #: (503) 718-