Permit ' 4-
CITY OF TLGARD ELECTRICAL PERMIT
° 'V PERMIT #: ELC2007 -00047
COMMUNITY DEVELOPMENT DATE ISSUED: 1/22/2007 .
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S111CA - 12500
SITE ADDRESS: 09758 SW OAKS LN ZONING: R -
SUBDIVISION: SATTLER PARK LOT : 010 JURISDICTION: TIG
Project Description: Furnace reconnect.
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: 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:
CALLAHAN, DAVID J JR + ROSEMARY BEN'S HEATING & NC
9758 SW OAKS LN PO BOX 80607
TIGARD, OR 97223 PORTLAND, OR 97280
Phone: 503 - 624 -2724 Contact #: PRI 503 - 233 -1779
FAX 503 - 651 -3345
FEES
Description Date Amount Reg #: ELE 49LHR
[ELPRMT] ELC Permit 1/22/2007 $46.85 LIC 64597
[TAX] 8% State Surcharge 1/22/2007 $3.75
Total $50.60 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:41_,..L....„- ( , Permittee Signature: ,n V1'
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.
JAN-22-2007 09:19 AM BENS HEATING 503 651 3345 P . 02
E l g a t i s g h t u n i t a i n li s a t i g g 4 3 I ( IR 4 )1 i 1(1• I NI ()\ i 1
City of Tigard CO -
-gi. =a n zmi
Pennit N• L ... v A ,..... 0 p
IN i4 13 12S SW Hall Blvd., Tiprd, OR • ,,', ■or
% 10 Plan ' al
Phone: 503.639.4171 Fax: 503.5 . ' 1 ', . '..""; • " cl, - *bra Permit:
1 it ,Ap.il Inspection Line: 303.639.4175 0 Z e'llY: /13
s .,\ ... .,..A4. e Ready y: hith)r I la See Pagel fur
Internet: wwwligard.or.gov o f \ P. \SW Nadned/Mabod: I, Snindernental Information
•.._..../
.. • .."'' :•—• . . ......' 'q ---"...--'—'-""''' F' , ''' t •ri'''/k OF WO ' ‘ . . •:' - -;.•;4 . c :."'..• - • . I.. .. ' . . • . PLAN REVIEW
0 Nes ---- ;.T - T --- ag ------ Ake --- oon truction Anditiordaiterati acoment -------. Memc check all that apply:
0 Demolition 0 Other: 0 Sauk* over 225 amps, comm l 01-lazardous location
OService over 320 amps - rating 0 Buildng over 10.000 sq. R.,
. '.'"?.... •. ...:.- tAit0OitYOF • :- .:'' Mi -. .. '•,:. '
■ oft- and 2-family dwellings 4 or more now residential
111
1 - and 2-family dwelling 0 Commercial/Industrial b Access ory building °System over 600 volts nominal units in one structure
0 Multi-tbmily 0 Master builder 0 Other: 0Buildlog over three stones DFoedors, 400 amps or morc
CIOCCUpant load over 99 persons 0 manufactured 'structures or
. .. .
• I ..•'..'''''''.!.` ''.. : BM INFORM ATIO W AND 1 ACATRiPr' ;' . :1 ::' s . : ' 7 • '.71.:. - 1. : .. .. .. El Egress/lighting plan RV park
Job no. L 10b site address: 97 sg .6 itv OHealth-care Oicllity DOther:
Submit i acts of plans with any of the above.
City/State/ZIP: 11'1 0 r q/ZP,Li The above are not applicable to temporary construcuon service.
Suite/bldg./apt. no.; Project name: . . .
Daertalco I Qs7. I F... i Tooj
Cross street/directions to Job site: New/residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or Ito.' 145.15 4
Subdivision: 1 Lai no,: E. add'I 500 sq. ft. or portion 33.40 I
Tax -- Limited energy, residential 75.00 2
map/parcel no.:
,,, . , Limited energy, non-residential 75,00 2
' " . '" ' ' '':•• ':;•':' '•''''''' ::.- (* t!"-" . ::`,:e . . 44' '.... ' ';'' . 51.4f''' .:.‘ ;';'. Each manufactured or modular
P e-WiVnA 4 .-. 64i 6t4444-C--- e- dwelling, service and/or feeder 90.90
- &Mem or feeders installation. alteration, and/or relocation 2
200 amps or Iess 80.30 2
• ..:- 0 pRopERry ow •,,,:.•• • .. 1,::•••f ,• ......:. , 201 amps to 400 amps 106.85 . 2
401 amps 10 600 amps 160.60 2
Name: 6ii1ill 6144 AN 601 amps to 1,000 amps 240.60 2
tddress: ei-7a 44) 4( hi/ Ova 1.000 amps or volts 454.65 2
Reconnect only 66,85 2
---/ City/Stale/ZIP: .75-4 cw' € Temporary services or feeders Instalbtion, alteration, and/or
Phone: ( ) 6 cl- cr, 2 J/ I Fax: ( ) relocadon -
200 arms or less 66.85 1
Owner installation: Is installation is being made on property that town which is not 201 snips to 400 amps 100,30
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. . I 133.75 2 2
401 to 600 amps
Owner signature: , Date: Brooch circuits - new, alteration, or extension, per panel
. • .•: : . Y. a APPLICANT, . ''''.'' .. : 't ' ' .[.....!!''.. 'i iERS°N .: . '. . A_ Fee for branch circuits werh
savice or feeder fee, each 665 2
Business name: branch circuit
Contact name: CI 4 ae a (Ar4od B. Fee for branch circuits
without gervice or realer fee, / 46.85 457 2
first branch circuit
Address:
_ Each addi branch circuit 6.65 2
City/State/ZIP: Miscellaneous (servke or feeder not Included)
Pump or Irrigation circle 53.40 2
Phone: gri ) 11 392v I Fax: : ( )
Sign or outline lighting, 53.40 2
E-mail: Signal circuit(s) or limited-
-- :.'; '.' ' '•'•''.'... s " . .;: ': • '. '..•• • '..- . COW R ::.., . • . :". ''..! '. •.`1:: • . 'Z'. ;:•:' . • .. energy panel, alteration. or
extension. Describe; Page 2 2
Business name: Zeds 1 4, \ A e....
Address: ? 0, CS dA Saw"
Each additional Inspection over allowable in an of the above
Pa inspection 62.50
City/State/ZIP: e a et" or 043 2, gid Investigation per hour (I hr min) 62.50
Ph (51 ) Q72 17,1 I Fax: (al ) 10-51' 334 S • plant pa hour
ELECTRICAL rramrr no
,_
CCEI Lie.: o 1 Electrical Lic.: 41 Li4A Suprv. Lic.:
Subtotal:
Suprv. Electrician gignSIIIre, required: Plan review (25% of permit fee);
State surcharge (8% of permit fee): 3 1
„Print name: I Date: ,A
..
TOTAL PERMIT FEE
.. ,:.1 9 ' (' 0
Authorized sipitatureCWU Uhl permit application expires If a permit is not ........o4 witbin ISO
day. after It haa been accepted as empiric
Print name: Cilattr/ AVerArd I Date: • Fee methodology set by Tii-Cotiray Building Industry Service Board
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imuuumor....mwel.e-perfsmso.eec ausses 440461 ST( I IOM/WEB
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007-00047
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/22/7007
Phone: (503) 639 -4171 , � '� 1
Inspection Requests (24 Hrs.): (503) 639 -4175 "!+� '''' I
INSPECTION WORKSHEET FOR DATE: 1/2612007 TIME: 7 :00AM PAGE: 51
SITE ADDRESS: 09758 SW OAKS LN CLASS OF WORK:
SUBDIVISION: SATTLER PARK LOT #: 010 TYPE OF USE:
PROJECT NAME: CALLAHAN
DESCRIPTION: Furnace reconnect.
OWNER: CALI AHAN, DAVID J JR + ROSEMARY, PHONE #: 503-6242724
CONTRACTOR: BEN'S HEATING & NC PHONE #: 503233/779
Inspection Request Scheduled For: Date: 1/26/2007 Pour Time:
• Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042539 -01 503-233-1779 N
Corrections /Comments /Instructions:
'r∎ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: e,1-41 Date: i 2 6 7'7 Phone #: (503) 718- Z6 4/