Permit - CITY OF TIGARD
ELECTRICAL PERMIT
PERMIT #: ELC2008 -00437
COMMUNITY DEVELOPMENT DATE ISSUED: 7/29/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103DB - 08300
SITE ADDRESS: 11140 SW MORGEN CT ZONING: R -4.5
SUBDIVISION: GENESIS NO. 3 LOT : 092 JURISDICTION: TIG
PROJECT: EDSON
Project Description: Replacing panel and (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: 1 W /SERVICE OR FEEDER: 4 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
DAVID EDSON BOONES FERRY ELECTRIC INC
11140 SW MORGEN CT PO BOX 628
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503 - 682 - 4936
FAX 503 - 682 -7946
FEES
Description Date Amount Reg #: ELE 3 -223C
[ELPRMT] ELC Permit 7/29/2008 $106.90 LIC 88482
[TAX] 12% State Surchar 7/29/2008 $12.83 SUP 4918S
Total $119.73 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: _re...e /e e rn d
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.
E i Ju1. 29 2008 N lic O ES FERRY ELECTRIC No, 4712 P. 1
(. ~� � ~, n I FOR OFF•I('E USE ONIS
C ity of Tigard g !�.�`
Ii .
13125 STi a OR . CEIVE �.� r 11 - omit No.: r 7
Phone: 503.639.4171 Pax: 503.5 i Plan Review
1' �: R u 1 nsPe on Le 503.639.4175
Line: Date /13 other Permit
Internet: os wti : d or Nelt
ov Da te Read
g JUL L' 9 2�0 Ready/By: - Seepage i For
•r- fied/Method �
•• �..�•
�! ,1� l�r,�sr -�rk,c r,,r� ��� Sup lemeutatla ortaaliaa
"` .� ; 3t' ' & v u � c .i r r � rq y: n d.. , p -� f
,_tS , , :i: .M.;', .1`.-,t 1: _.lt � sr .F < + � v 1� I _ r t 4 . I c X L ,, A! ,. r D__ s f � �.... 7
v.i�x� l ; . i a.?2�Y, a '14..'�t '- E:'h Va 15 &F+ i t r �'yt, ru . 1
ddition/ •.a....- .Itr..: ��.. .�.: t r , ` I•, 9 � 1. �. t 'N % % :
0 New construction �,q i 7 . e ms checked sa eck ed be
-
�] � 1 � Please check all flat apply (submit � sets of plans w /heeck belo
❑ De m oli tion Service 0<
�� Other: ❑ feeder 400 amps Or more ❑ Building over three stop
i d�l� y"^rr-a. 4 T c T, .
where
`eta E;it 1- tt r , r!r } ; l:sru��yr..,.,�, r�i_�i B ;e� a 1�F:-�p' :,,1- ,, , •• rt'`- ^r1'?t:, �,,;' :�kt�t;:; - 'h the available fault current es.
J 4 7171 s 1 i d. SVI-7 c ; �f,; 1 �t17 + n ,.;`t- t �. ❑ Marinas and boatyards.
-ur M... k� •;.1 :1', :zi,( -, v i + exceeds 10,000 amps at 150 volts or 0 Floating baildiags.
S, 1 and 2 family dwelling d Commercial/industrial less to ground, or exceeds 14,000 ❑ Commereial-use agncuttural
Q Accessory building amps for all other installations.
❑ Multi family ❑ Master builder P buildings. talati
z'•.�1! t :�;�;7 � r.r_ -, , � ❑ Otller ❑ Fire pump.
�1 �,���,--�� ❑laslallationoC
'i�;ji3,st z( r s..H �u +fff t ��l r3sr ' g *�. � 1, ;: s �t ` 3 ' , ❑Foci
•
;:mf_.a:S r _ _ !:tc _,y E :.,',1 1 "t:,'� . . I c - :. 3 is .� = 6° o sum. anger separately derived system.
❑ Addition of new molar load of ❑ "q ", °E", ``1 °l -3 ",
Job no.: b 3960 Q fob site address : // /If O SW lM0 en C-( mote armore. tee
0 ant
/State/Z1P: Six ar more residential units. ❑ Recreational vehicle parks.
Ci
l I O c1 Q s 1 7 2 z) ❑ Health -care facilities. ❑ Supply voltage for more than
Suite/bld / t n0.: - ❑ llarardous locations. 600 volts nominal .
g aP Project name: E d so A ❑ Service or feeder 600 amps or more.
Cross street/directions j Sr- '+ir,� i•.1"tt�; f.�rtinf�,�Yi 1 t i"�" '.'.yea'
tldirections to job site: ' ,.i= a_k. �, ; rRYE f
nest , don ,I1r..,.....1 -_ : .., ' ,;. • � :..,, .
New residential single- or multi - family dwelling unit TOW
Includes attached garage.
Subdivision; 1,000 s
Lot no.:
q. ft. or less 145,15 1 4
Tax map /parcel no Ea add'I 500 sq. ft. or portion I I
33.40 L
�`` •:t `�'� '���'• " Limited e
- i I ` i .e.- i 47 1 ,7;7 ° r � 47 r t C � ;t j1. d 7, . 3 ,1 ,, f j,
I , 6 7 energy, residential 7500 2
! c � s. __ 1: :. ,r3 . --.,11 r 4`;; m, it r , : t j„ _ (with above so, R.)
f p rye (/-j Cn k F r Limited energy, multi- family
'" residential (with above sq. R.) 75 2
,y�,(q p Services or feeders installation alteratio and/or rel tion
1 I�G . .�:y a i �4�T 'j� i( 7 r 1 ,Lai l y r +, r i r r t 200 amps or less j 80.3036 2
1
b �'i .. .J1 i,: a rl .!.! .. s i.
, s � ,: .: l t�?1¢,, . i2 1i_yw.n i. : ' ,: 201 amps to 400 amps
106.85 2
Name: l J et) GG,, e� / /+ 401 amps to 600 amps 160.60 2
]arcs: I 1 I O W C T 601 amps to 1,400 amps 240.60 2
n Over 1,000 amps or volts • 454.65 2
. City/State/ZIP: (( Cn � d2 q 7 9.2^ Temporary services or (cedes installation, alteration, and/or
Phone: ( ) relocation
Fax: ( ) 200 amps or lass 66.85
Owner installation: This installation is being ade on property 201 am s to 400 amps 100.30 I
c
intended for sale, lease, rent, or exchange, according to ORS 447,449, 670, and 701. ot _ 401 amps to 599 amps 133.75 2
Owner signature
Branch circuits -new alterati 2
, _„ t , Date: oa, or extension, per pond
1 ?d t xH l� i � , �r 7,n, a j�� C -f �, rr p ^ r =R -� a A. Fee for branch circuits with
I:ra Su�itS.t �,a_,... .fl:t .r.ot att_'s,.�?r:,. t.�' _ ...;s ' -�t,5 51: i ! i +. ,• ,, a feeder fee
t �-, rs. �, � �� � boys service or f e
Business name: • 1 each branch circuit 6.65 Z E' C o 2
9. Fec for branch circuits
Contact name: without service or feeder fee,
•
_ first branch circuit 46.85 2
Address: Each add'I branch circuit
6.65 2
City /State/ZIP: - Miscellaneou service or feeder n or included)
Each manufactured or modular
Phone: ( ) Fax: ; ( ) dwellin , service and/or feeder 90.90
E-mail:
Pump
Reconnect only
; p" rry �^t h , r or irrigation 53.40 2
,; r F`� ltir F e�l,1L'r;J�.:, rEs_!Ri;, r' �y'i, ,p t{ 9 t,�>ui a"� e ` ��r „ P 8ation circle 53.40 2
'.: �{ • i i ' + ' . r . . : t�- � � �?' Ea..., Sign or outline lighting 53.40 2
Business name: Boones Ferry Electric Signal circuit(s) or limited-
Address: P.O, Box 628 energy panel, alteration, or
extension. Describe: Page 2 2
CIty/State/ZIP: Wilsonville OR 97070 Each additional ins. lion over allowable in an of the above
Phone: (503) fi82 4936 Per inspection
Fax: (503) 682 -7946 62.50
Investigation per hour (I hr min) 62.50
CCB Lic.: 88482 Electrical Lin.: 3- 23C Suprv. Lic.: L9 /, S Industrial plant per hour
73.75
:�'
Suprv. Electrician Signature required: mr141 li ?' iY� °l i='it jl° ? �1` rt �� _Ty
gn r ired: di i r�l- L ,msl]•e.;,.'.Iri� T.•vesa I,Tr - h t ter %`s ?!„l i�i .
Subtotal: 1 0 a , of 0
..._. int name: 5 -40,1 H e , r D n Date: Plan review (25% of permit fee): �,
eai Authorized signature: State surcharge (12% of permit fee): ) 2 . i3 a
TOTAL PERMIT FEE: 1 143 7 3.
Print name: This permit application expires if a permit i5 sot obtained within 180
Date;
days after it has been accepted as complete.
1:Iau 1dia8tPesm tstPl G_PC17 ➢.6oc 05r23b6
• Number of inspections allowed per perntit.
440-4615T(I I/o5 /COhYwEa
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2008 -00437
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ";1 I 7/29120011 Inspection Requests (24 Hrs.): (503) 639 -4175 `''I �..
INSPECTION WORKSHEET FOR DATE: 8/13/2008 TIME: 7 :00AM PAGE: 5
SITE ADDRESS 11140 SW MORGEN CT CLASS OF WORK:
SUBDIVISION GENESIS NO. 3 LOT #: 092 TYPE OF USE:
PROJECT NAME EDSON
DESCRIPTION: Replacing panel and (e1) branch circuits.
OWNER EDSON, DAVID PHONE #: '
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503,687 -4936
Inspection Request Scheduled For: Date 8/13/2008 Pour Time:
Code # Inspection Description 7 Gonfirm # Contact # Message
i
199 Electrical final 07414(1 01 503682 -4936 N
Corrections /Comments /Instructions:
1 f t a 1 ■ a€ k 1 3 AL..) . w i 2' - *- b i s 6t) 1.1) ALLOvS r Q
a t4 3 0 A AT . Wg , 1 \)alb, cwxc a. la
AWC. 3 ►
'• c I - ='. �" 4 Rya,, v 41 _.. bCL. w41.-.L. i .4 V
P4'.\ N 0 ; Q AT c- 4' i a4 . 114 114 1-t of fii\h4i.\-
c■rasL,S G coLik(Lki 00 (YAbllb i
laRA, v t 0 - 1 ( . 0■01 t$1 0 4049a- it'4'e_,
The electrical installation defects noted
on thls report shall be corrected and
an inspection request made within 20
calendar days per OAR 918-271-0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: & N5 Date: 1` 1 3 61 Phone #: (503) 718- VILA
ITY- OF TIGARD
ARD � OF G
BUILDING DIVISION PERMIT #: El C2008-00437
13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 7/29/2000
Phone: (503) 639 -4171 1 , �1
Inspec Requests (24 Hrs.): (503) 639 -4175 P __..
INSPECTION WORKSHEET FOR DATE: 8/20/2008 TIME: 7:02AM PAGE: 9
SITE ADDRESS: 11140 SW MORGEN CT CLASS OF WORK:
SUBDIVISION: GENESIS NO. 3 LOT #: 092 TYPE OF USE:
PROJECT NAME: EDSON
DESCRIPTION: Replacing panel and (4) branch circuits.
OWNER: EDSON, DAVID PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503- 682 -4936
Inspection Request Scheduled For: Date: 8/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 074412 -01 603 - 682 - 4936 N
Corrections /Comments/ Instructions:
(%)
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
L FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: CY v Date: l'ICJ ''t Phone #: (503) 718- __q_c)__