Permit C ITY OF TIGARD r ELECTRICAL PERMIT
PERMIT #: ELC2006 -00527
4 DEVELOPMENT SERVICES DATE ISSUED: 9/20/2006
14.1t 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S136AD-04000
SITE ADDRESS: 11507 SW PACIFIC HWY A ZONING: C -
SUBDIVISION: PACIFIC TERRACE LOT : 007 JURISDICTION: TIG
Project Description: (6) 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: SIGNAUPANEL:
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: 5 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:
SMITH, EDITA M WILLAMETTE ELECTRIC INC
833 NW 170TH DR PO BOX 230547
BEAVERTON, OR 97006 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 - 283C
[ELPRMT] ELC Permit 9/20/2006 $80.10 LIC 75059
[TAX] 8% State Surcharge 9/20/2006 $6.41 SUP 19655
Total $86.51 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: J
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.
SEP 20 2006 7:06AM WILLAMETTE ELECTRIC 5036242938 p.2
Electrical permit A h `e/ I�tllt 01 1( T. 1 si., t)NI,Y n
1 6/ E � . , , • Permit No. . / t . +4e 0✓/ /
City of Tigard DatelB :
13125 SW Hall Blvd -, Tigard, OR 97223 Plan Review Otha Penult:
4,_ -- i : ' . DawBy:
Phone: 503.639.4171 Fax: 503.598.1960 SEP 2 0 200 l r ° 6: ®SPage 2 for
Inspection lane: 503.639.4175 ' DateR /By: -' _ SI See ee mag 2 for
Internet: www.ci.tigard.ar.ue C1 T .. - •
T1t;g Notified/Method: _ t -�
- • _ F , ; i.-'S.: 4 i.::- % :7.1' , , ice � i r•Ai- ,r .-3 �r --
��' " �� L= i ~ � - � - � -• '� ' �` �'��" �, ` Please check all that apply:
❑ New construction Addition / alteration /replaoement ❑Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition ❑ Other. ❑Service over 320 amps - rating DBuildng over 10,000 sq. ft.,
-- -7• Q - T 7 M"'M -2 ' T r i �a , � z and 2-family dwellings 4 or more new residential
;. ,•.. '?+' , e-: y es: _- ,, ~ � a •' i. � _ --i _ as ' .', - : qt of an y
- �:; : . _ ` / �. � : l a te:"- r a, � � T . L
' = '� - � - ��'�_" r "" � " ❑ System over 600 volts nominal units in one structure
❑ 1- acrd 2- family dwelling Dr-Commercial/industrial 0 Accessory building ❑Building over three stories ❑Fe��, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other. _ _ ['Occupant load ova 99 persons ❑Manufactured structures or
t , - .-, - -EF L i ; 1 r �:. 1 y 176 �; ,- : r h
' �.-- r a7 ; i a 1 i i E i ); - i , : ❑ Bgtt:ss/lighting plan RV park
❑Other.
,. � - �.,_,i��;� ?a� �u -_ f‘' ,` ❑Healthcare facility
Job no.: ' 217$ Job site address: J►S 7 s Pm-4A
'" {"` few `! Submit 2 sets of plans with any of the above.
City/State/ZIP: T . ..../ i O A, 9 ? e 2 .1 R The above are not applicable to temporary construction service.
pprry� -z•A'- `L° -; ; � =*�'#F�- �,.::�,: n Q , yy .�
`7G - Ili rcl' . } iT .L _Dice
�Y'JI� 3 '� 1.�AI�uL�.����.:'�1r
Suite/bldg./apt. no.: I Project name: //o.l eA it W i;le i Deserlptloa Qb• F. Total
Cross street/directions to job site: New residential single -or muld- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
I Lot no.: Ea add'I 500 sq. fl. or portion 33.40 1
Subdivision: Limited energy, residential 75.00 2
Tax map/parcel no.: r -. Limited energy, non-residential 75.00 2
I n
c ' V 3 ' "` i` Fr ate ._ , man ufactured or madt modular
, , -mss,
a � -r ': - - c, . _` ., /E 11 �'- _ Each 2
' 1. ' } ..,:r ' �'."�i?vF va dwelling, service and/or feeder _ 90.90 -
T Servlees or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 2
v K• 201 amps to 400 amps 106.85 2
r-- � Viii - P ,� --� rr� .11r -- r<cl,. t . - 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
Address: Reconnect only 66 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 1
Owner installation: This installation is being made on property that i own which is not 201 amps to 400 amps 100.30 I 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Date: Branch circuits - new, alteration, or extension, per panel
Owner signature: _
d --- � ^�"i71 , ���! t r �n �7 i - �`r:;�:l•: -.� T - ��r ,�. � A. Fee for branch circuits with
x 7r 1 1 �; r Wig r i i- t = ° �, erg , . 1 - ' service o feeder fee, each
r� m . 1d. a�,W ig 1 G _ � 5 l'M - - L, 1„ T.� i. r .+i a1 6.65 2
branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, , 46.85 96 i:. 2
first branch circuit
Address: Each add'l branch circuit C 6.65 37 2 _
City/ State/ZIP: Miscellaneous (service or feeder not Included)
Pump or irrigation circle 53.40 2 j
Phone: ( ) I Fax: ' ( ) _ Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
_ - c> 'r � - 4 7 ; ',r ,.,- - � =' _ . 2 c " energy panel, alteration, or
- y w iz., '-' �_ i ,rte ` . . _ _.�. Page t 2
�, . -=s ,,,f; ° - �- „ l , x' ' �•_ , �� extension. d eacn ' 6 e:
Business name: C; 1 I a.A't etrtt E 1 e c trrc z.....
Each additional inspection over allowable in any of the above
Address: p 0 8 O Z; 0 Sy 7 Per inspection 62.50
City / State/ZIP: T i g 3r d O r
7 2 ?) Investigation per hour (t hr min) 62.50
� 73.75
_ 2 9 industrial plant per _ _
Phone: (. ) 6 2 `1 3/ I Fax: (3 eJ ) 6 y 3 C m�T'� `5,MS'! `•. p =s.1gs ' a' :�li^•i'.f .y'
CCB Lic.: 7505 9 I Electrical Lic.:..Vi 4 I Suprv. Lic ij/ Z 6 "Y _ S $O
__ - plan review (25% of permit fee)
5uprv. Electrician signature, requ State surcharge (8% of permit fee) 6 W
Print name: D a v r J p; Fe i Date: 9.--e.,- A 8 6 ,r!
TOTAL PERM111 i F EE
This permit applkation expires if a permit is not obtained within ISO
Authorized signature: days after it has bun accepted as complete
I Date: • Fee methodology set by Tr6County Building tadusn Service Board
Print name: •• Number of inspections per permit allowed.
446461 Sr(10102/COM /WEa
i:1&+ildia8lPLC- Pam6ApP.� 171113
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00527
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 9/20/2006
Phone: (503) 639 -4171 Ai a l l
Inspection Requests (24 Hrs.): (503) 639 -4175 ^__..
INSPECTION WORKSHEET FOR DATE: 9t26/2006 TIME: 7:06AM PAGE: 16
SITE ADDRESS: 11507 SW PACIFIC HWY A CLASS OF WORK:
SUBDIVISION: PACIFIC TERRACE LOT #: 007 TYPE OF USE:
PROJECT NAME: HOUSE OF REPTILES
DESCRIPTION: (6) branch circuits.
OWNER: SMITH, EDITA M, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503.624 -3631
Inspection Request Scheduled For: Date: 9/2612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 037162 -01 503 - 624 -3631 N
Corrections /Comments /Instructions:
•
IA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v" - 1 � Date: 2 00 Phone #: (503) 718 - 2J1gL \
CITY OF TIGARD - -- ,
BUILDING DIVISION PERMIT #: ELC2006 -00527
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/200006
Phone: (503) 639- 4171.1'�
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!!+� °:_.•
INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 :02AM PAGE: 23
SITE ADDRESS: 11507 SW PACIFIC HWY A CLASS OF WORK:
SUBDIVISION: PACIFIC TERRACE LOT #: 007 TYPE OF USE: 1
PROJECT NAME: HOUSE OF REPTILES
DESCRIPTION: (6) branch circuits.
OWNER: SMITH, EDITA M, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 - 624.3631
Inspection Request Scheduled For: Date: 9/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final f*%L 036972 -01 503- 6243631 N
1 r-C•L J c Ai 1 . qjc
Corrections /Comments/ structions:
o (ZtA l 10 t1,
.— (Z1
Zlemo ovaiL ti.L.V . o ji l F S Fo L
7 ES31N _ A A t1 -3 ,
Cs3 ■110 wiNialt- p•frE V6 i3k t_ootp(LzWISZ id
~iv , rl. o Pc w -d. (3 , cy-kzv bl A . ' 1
vv., 0.J, V 1 -,v. ^ (_ � t .' D , a+ ' in i i
wkrei., t' ewes:gist_ Iv
s i3��R.c nc`. kal - 2-4; - O -
& PR% -- 4C c, 68 brE ftg- V . I41e.•
Ae 1 4i 3 (
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • t t J LE' Date: 91 21 I °b Phone #: (503) 718 - '2)(41e