Permit ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT #: ELC2007 -00008
COMMUNITY DEVELOPMENT DATE ISSUED: 1/4/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103DB -02700 .
SITE ADDRESS: 11390 SW NOVA CT • ZONING: R -4.5
SUBDIVISION: GENESIS LOT : 003 JURISDICTION: TIG
Project Description: 200amp service.
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: 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:
GECK, HAROLD E + CONSTANCE M WILLAMETTE ELECTRIC INC
11390 SW NOVA CT PO BOX 230547
TIGARD, OR 97223 TIGARD, OR 97281
Phone: Contact #: PRI 503 624 - 3631
• FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 1/4/2007 $80.30 LIC 75059
[TAX] 8% State Surcharge 1/4/2007 $6.43 SUP 19655
Total $86.73 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: al o�?.42 -6e %'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
•
SIGNATURE OF SUPR. ELEC'N: ' DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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+ --�Ve({'> 9'9t✓`�l� Permit > `c�$E ®llgl A, A ; .'.I . . . , . . .. f O OI 1 it I L O\I'l _._..., Y _. . _ r 1J.
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No 13125 S W Ilan Blvd., Tigard, OR 97223 RI lP : -. `' " Pion Re:ic �
Phone: 503.639.4171 Fax: 503.598.1960 4 '��' ! ' n � 1 � ; i l. a r . ;' - "i cs,. • Date Other Permit: -
Inspection tine: 503.639.4175 1 , t 9- M'y y I , Date Ready/By. turfs: El Sec Page 2 tor
Internet: www.ci.tigard.or.us i-" 1 Notified/Method: Supplemental 1 dor nmti
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idi ". .'�'a J:., .'t; 1 .. r;cq .w q!T' --r• r�, i'.�::;:.:� - -
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❑ New construction r, E Ptdditiort • en T Please chec all that apply:
OService over 225 amps, comm'l DHazardots location
❑ Demolition ❑Other:
,....,r OService over 320 amps - :filing ❑ Buildng over 1 0,000 sq. tt.,
, iNgtv\- , 'Of i.E. :,• A . P. : of l and 2- family dwellings 4 or more r.ew residential
154 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: ❑ Manufactu *ed structures or
Y ❑Occupant load over 99 persons
_ { %r- ' � .1 y j= i W' ' W ,°'' - .'W_ '
i L, E = F' - =fi ['Egress/lighting plan RV pat'k
: N u e _a ^ t°� =
. •,:_.' 1:,: su e -, A ���e.o _r�: -A: ::".•:: � . - -�4x .:•:-.;.�:_' � __. -=..: rs-- X ''x: "c ,.• -: M .'4: rr :.e.. e,;'.,_
4/CI / L Wow. Gr [Wealth-care facility ❑Other: _
Job no.: Job site address: r 3 �� 7 /v Submit 2 sets of plans with any of the above.
City/State/ZI P: 79l6r rig. 9 7Z Z 3 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no -: roject name: 1.1 II C o ,"" ••
Descrption Qty. F ee. T ota l
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
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 i
Limited energy, residential 75.00 2
Tax map /parcel no,: Limited energy, non - residential 75.00 2
", r.;� s t:. -`... , T -% =sir xl:� _ .
`l ^ : :
'c.. f Sx a r= y -• • ' - -,-• Each manufactured o r modular
:,.: a.. -•_: � .:. . [:r .s.: r t �,+:� �. ..tax'- : ln: ;.? .
• dwelling, service and/or feeder 90.90 2
C 0 y C• p6441 G J , Services or feeders installation, alteration, and /or relocation
200 amps or less I 80.30 gD .50 2
•
�. t91351 ems r y.: . a _ x s s -.�_.4 • 201 craps t0 400 amps 106.85 2
•. 3 ` ,r.. -4 ," a' ,r ._ li '' _ 'S h a` •� ` 4= -0. .7 . i t:_ a �,- ' 401 amps to 600 amps 160.60 2 •
Name: �� 601 amps to 1,000 amps 240.60 2
Address:
City/State/ZIP:
Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
Temporary services or feeders Installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85
1
Owner installation: This instal anon 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 m 600 amps •
133.75 2
Owner signature: Date: Branch dreuits- new, alteration, or extension, per panel
r u -- , F y ;rl R� �1v ;- 1 �•.. t A. Fee for branch circuits with
:. .. � � - --r service or feeder fee, each
branch circuit 6.65 2
Business name:
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 /Z1P: Miscellaneous (service or feeder not Included)
_ Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
• ; •. -• -., :: 's; „ - -y, t3ti. f i; - �� � - ... =s ti extension. Describe: Pag 2 2
;' ' Y ' " _ . A energy panel, alteration, or
Business name: ( a l lil a fen et.-/- e 67 e a tre4: r.. e.
Each additional Inspection over allowable in any of the above
Address: P p el 0A ZS @ S l 7 Per inspection 6250
City /State/ZIP: T4 9 1 ,31 ti Q ✓ 9 7 2' ! Investigation per hour (1 hr min) 62.50
d - Z `>' 3 4 Industrial plant per hour 73.75
Phone: (.9 ) b y Fax: ) t V t: "{„
ti
CCB Lic.: '75 - 05 - `j Electrical Lic.: 3� / 'trig C. Supty. Lic.: �2 C4 - .S ' Subtotal 1, , 3i,
....
Suprv. Electrician signature, requires . __ Plan review ( 25% of permit fi e)
_.�..••-
State surcharge (8% of permit fee) . r j r i/ 3 _
Print name: O 7 w; 0.1 Ph- .'t`' Date: J. Q 4
TOTAL PERMIT FEE ,,/,, 13
Authorized signature: This permit application expires If a permit Is not obta ned within Inn
days after It has been accepted as complete
Print name: I Date: ' Fee methodology set by Tri- Cotmty Building industry Service foam
J' Number of inspections per permit allowed.
tutu il ding \Perrn its \ELC- Permii App .doe 12/03 440-061 ST(IO/02ICOM /W8B
, /5ii.ett ,,f-az
CITY OF TIGARD 6 -, ,
BUILDING DIVISION ` A u PERMIT #: ELC2007 -00008
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 1/4/2007
Phone: (503) 639-4171 911i
Inspection Requests (24 Hrs.): (503) 639 -4175 \ ..
INSPECTION WORKSHEET FOR DATE: 2/23/2007 TIME: 7 :01AM PAGE: 79
SITE ADDRESS: 11390 SW NOVA CT CLASS OF WORK:
SUBDIVISION: GENESIS LOT #: 003 TYPE OF USE:
PROJECT NAME: GECK
DESCRIPTION: 200amp service.
OWNER: GECK, HAROLD E + CONSTANCE M, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 2/23/.7007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043736 -01 503 -624 -3631 Y Oil # ` L
Corrections /Comments /Instructions:
r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ft , Date: ) C7 Phone #: (503) 718-