Permit (‘
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00544
DEVELOPMENT SERVICES DATE ISSUED: 9/27/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111BD - 02100
SITE ADDRESS: 09755 SW PEMBROOK ST ZONING: R - 3.5
SUBDIVISION: CLOUD CAP LOT : 003 JURISDICTION: TIG
Project Description: Wiring for new shop area. Job No. 424. 10/11/06: Adjusted permit to (1) 200 amp service & (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: 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: 6 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 0 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 0 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:
ANNETTE SAARINEN WILLAMETTE ELECTRIC INC
9755 SW PEMBROOK ST PO BOX 230547
TIGARD, OR 97224 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 624 - 3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 9/27/2006 $86.75 LIC 75059
[TAX] 8% State Surcharge 9/27/2006 $6.94 SUP 19655
[ELPRMT] ELC Permit 1 /l 1/2001 $33.45
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $129.82
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 , p (�
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 27 2006 7:39AM WILLAMETTE ELECTRIC 5036242938 p.2
• ' I life ' i �_�t
Electric Apra FOR OFFICE ICI? ti' i ONLY
Cl Tigard Received P emrit No.:
City O� g 7BQ' 4/ ,.,:
Date/By: X A' o G 1AX EL _ to -e,05 «/ft
1 3 1 2 5 S W Hall Blvd., Tigard, OR 97223 SEP 2, 2006 Plan Review
,.
Phone: 503.639.4171 Fax: 503.598.1960 1. ► Datr/By. Olher Permit:
Inspection line: 503.639.4175 . . Date AeadyBy. hu ® See Page 2 for
Internet: www.ci.tigard.or.us L.Ll 4 I Vr 1 , Ali( NotifieeJMethod: / i (i. Supplemental Information
_ c �_� C ...":"1.1,.:..7,f t5,.--- _______C_.� - � i _ ._. .m ,+^ $� S ." - S - r` @p ..
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❑ New construction Addition /alteration/replacement Please check all that apply: -
❑ Demolition ❑ Other: OService over 225 amps, comm'l ❑Hazardous location
. - , ,,,'; .:.r' r .., t .7, s ,� .--�• 1° , w r . '4r ..:: ;, ;: a: ❑Service over 320 amps - rating ❑ Buildng over t 0,000 sq. ft.,
4 . M1i '.. i '( v ; .3 -.r Ji '' .. r ^ il t �y . & i _ _ � '. v - -- t . ._+ ; of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2- family dwelling ❑ Commercial/industrial 0 Accessory building ['System over 600 volts nominal units in one structure
OBuilding over three stories ['Feeders, 400 amps or more
❑ Multi-family ❑Master builder ❑Other:
a ,,, .. - - ,1 � '-,: - _ ❑occupant load over 99 persons ❑Manufactured structures or
c.'- _ � „ . - ;1, ;�f. a 3 r ,7�Y ' k :l ._ �t-t _y._ , ga ,. ° ❑E s/li tin plan RV park
- ,-.7-,. e. �; �- ' � * ^C 1:�'���"st���i�7r7L��" "1•�`J��� t�rSln�faE �4tr• .� ri t� 6'• gP
Job no.: Lay Job site address: 9 f 756 3,,,,/ 1 m h 5 / ❑Health -cote facility ❑Other:
Submit 2 sits of pleas with any of the above.
City/State/ZIP: / , p t ief OA 974Z4 The above are not applicable to temporary construction service. _
�.�xa ..: -- '-r.. x -� ur ■
Suite/bldg. /apt. no.: Project name: . -.
. - _ , :,� :• . -�r -n - .1::-::�Y :.w. .
Description _�' _. Qty.I Pea I Total "
a
Cross street/directions to job site: LLCt A)d:,v New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: 1 Lot no.: Ea. add') 500 sq. 11. or portion 33.40 1
Tax map/parcel no.: Limited and', residential 75.00 2
e _ n . � Limited energy, non - residential 75.00 2
1.r.: ; :� �1.; _ ; : , . .:�.�• � = �. .._ 4 A;g4 . __ = = �'.':�� '....r,:- -� Each manufactured or modular
///Gtod Aif , dwelling, service and/or feeder 90.90 _ 2
Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 1 2
. -x i , , , y qxm+� ,.
�: V . : :LI IN � . �^ °' 201 amps to 400 amps 106.85 2
rte , r ,_ ' Z. -� ;..r t o _ s� .. , ,' � . i'„ 1 i1 :hl L im :fT = 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or loss 1 66.85 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
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel
- `.» - L L : - ' !l� '.. -_ 1. =5- 7-' a te-- , q. y 4 '... ' . «._ :.s. ail: 7t� •'
- s. F .- ,._ two._ .., .2.-,- ^ z..-. =n- ` . = ' s1 4 `r, n .
i.,7 :'g r_._ .. -•,_ A. Fee for branch circuits feeeach
ch �'- service or fender fen, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
firstbranch circuit
46.85 I/ 4, 2
Address: Each add'l branch circuit (p 6.65 442, 40 2
City / State/ZIP: Miscellaneous (service or feeder not Included)
Pump or irrigation circle 53A0 2
Phone: ( ) I Fax: ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
• . r i -r. - Tt .E -•--- .. �• I -- ,, Y-analkt: EY energy 1, alteration, or
>c5_c rm ,z� 3s..
. r i �rz�- L�zr�v 2
extension. Describe: Page 2
Business name: (Ai; 1 a pr et-/-t elect.... x.. s
Address: P Q p j s z @ se7l Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: T t • 9 d..- c/r t7 v 9 72 Pi Investigation per hour (1 hr rain) 62.50
(5 ) 6 2 y - 3 6 ! [ F ax: (, 3•.J ) 6 z. y - 2 9 3 P Industrial plant per hour 73.75 -
Phone: rte - 131 lay[ii tiTq . :r1.M l' : t f. . :•_:,' t
CCH Lic.: 75o5 , Electrical Lic.: 33V -2r,3 C Suprv. Lic.: V Z Z if --S Subtotal S6 . ?S
Suprv. Electrician signature, required;.,----....-•--.614.-^-••••••"-"' Plan review (25% of permit fee)
State sumhatge (8% of permit fee) L , 9 q
P rint name: P a iJ : ;: 6 I- f -e I Date: f - 11 - 40
// TOTAL PERMIT FEE 3 (,€)
Authorized signature: This permit application expires If a permit Is nut obtained within ISO
days after It has been accepted as complete
Print name: 1 Date: e Fee methodology set by Til- County Building Industry Service Board
•• Number of inspections per permit allowed.
iAnuildingWe,mitaELC.PCnritApp. doe 12103 440- 4615T(I 0/02/COM' BB
CITY OF TIGARD e gO
BUILDING DIVISION w - PERMIT #: ELC2006-00M4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/26)06
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 212212007 TIME: 7 :02AM PAGE: 48
SITE ADDRESS: 09755 SW PEMf3ROOK ST CLASS OF WORK:
SUBDIVISION: CLOUD CAP LOT #: 0D3 TYPE OF USE:
PROJECT NAME: SAARINEN
DESCRIPTION: Wiring for new shop area. Job No. 424. 10/11/06: Adjusted permit to (1) 100 amp service & (6)
branch circuits.
OWNER: PHONE #:
CONTRACTOR: WI LLAME1TE ELECTRIC INC PHONE #: 503-624-3631
•
Inspection Request Scheduled For: Date: 2/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 0437/ 503805 -3585 / Z
Corrections /Comments/ Instructions:
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�2 >
Ins
Inspector: Date :9 in Phone #: (503)
P ( ) 718 -
CITY OF TIG ARD -
BUILDING DIVISION PERMIT #: ELC200&.00 &44
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2006
Phone: (503) 639 -4171 I1II
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIME: 7 :01AM PAGE: 28
Mcl ia( 1
SITE ADD 09755 SW PEMBROOK ST CLASS OF WORK:
SUBDIVISION: CLOUD CAP LOT #: 003 TYPE OF USE:
PROJECT NAME: SAARINEN
DESCRIPTION: Wiring for new shop area Job No. 424. 10111/06: Adjusted permit to (1) Damp service & (6)
branch circuits.
OWNER: PHONE #:
CONTRACTOR: W 1LLAMETI E ELECTRIC INC PHONE #: 503 -624 -3631
Inspection Request Scheduled For: Date: 10/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 038096 -01 503 -624 -3631 N
Corrections /Comments /Instructio :
.mnf� /1"°' o 6 MI') c�224:ZT CIS c.,O m PLOVert::).
•
' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ti/ Date: /d , /Z -06 Phone #: (503) 718- ZC‘ii/
CITY OF TIGARD ••
BUILDING DIVISION PERMIT #: ELC200& U0544
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 9/21/2008
Phone: (503) 639 -4171 ' 1 � �
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I..
INSPECTION WORKSHEET FOR DATE: 10/10/2006 TIME: 7 :06AM PAGE: 24
SITE ADDRESS: 09755 SW PEMBROOK ST CLASS OF WORK:
SUBDIVISION: CLOUD CAP LOT #: 003 TYPE OF USE:
PROJECT NAME: SAARINEN
DESCRIPTION: Wiring for new shop area. Job No. 424
OWNER: PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 - 624 -3631
Inspection Request Scheduled For: Date: 10/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 037935-01 503 - 624-3631 N
Corrections /Comments /Instructions:
NI /S p i�i/ 4 ; e C / W U /04zM p si Vt
Vo t6 /
❑ PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
FAIL VCCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-