Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00452
COMMUNITY DEVELOPMENT DATE ISSUED: 8/6/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136AD-07100
SITE ADDRESS: 06976 SW PINE ST ZONING: R -12
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: SCHOCH
Project Description: Install 6 recessed lights in living room
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:
MICHAEL SCHOCH OWNER
6976 SW PINE
TIGARD, OR 97223
Phone: 530 - 305 -5580 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 8/6/2008 $46.85
[TAX] 12% State Surchar 8/6/2008 $5.62
Total $52.47 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: f�!
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.
Electrical Permit Applicati ECEIVED l.Ol� orrlcl: liSF ONl
City of Tigard Received .ail/ PermitNo.: c,?pv ?� e46 I. -
a. 13125 SW Hall Blvd., Tigard, OR 97223 \ U G - / Plan Review •
C Phone: 503.639.4171 Fax: 503.598.1960 D : Other Permit:
T I G A R D Inspection Line: 503.639.4175 1yy of Date Ready/By: kris: El See Page 2 for
Internet: www.tigard - or.gov X 11 i Notified/Method: Supplemental Information
TYPE OF ' I • PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. •
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. •
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder . ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or '
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A , "E ", "1 -2 ", "I -3 ",
Job no.: 08 - 101 ' Job site address: 6976 SW Pine St tooter or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard/OR/97223 ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal. .
Suite/bldg. /apt. no.: Project name: Recessed Lights ❑ Service or feeder 600 amps or more. .
FEE SCHEDULE
Cross street/directions to job site: Flag Lot - Between 68th and 71st avenues Description I Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
off of 99 /SW Pacific Highway Includes attached garage.
Subdivision: 1993 -075 Lot no.: 2 1,000 sq. ft. or less • 145.15 4
Ea. add'( 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: R2034012
Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Install 6 Recessed Lights in Living Room Limited energy, (with above s multi-family 75.00 2
g g residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
0 PROPERTY OWNER I ❑ TENANT . 201 amps to 400 amps 106.85 2
Name: Michael and Penny Schoch 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 6976 SW Pine St Over 1,000 amps or volts 454.65 2
City/State/ZIP: Tigard/OR/97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (530)305 -5580 Fax: (503)292 -9846 200 amps or less 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 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: „.••••e--- Date: g /6/,'43 Branch circuits — new, alteration, or extension, Qer panel
A. Fee for branch circuits with .
. ® APPLICANT I 0 CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: Same As Above without service or feeder fee, 1 46.85 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/ State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: mischoch @hotmail.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: N/A Signal circuit(s) or limited -
energy panel, alteration, or
Address: extension. Describe: Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( )
Investigation per hour (1 hr min) 62.50
CCB Lic.: N/A Electrical Lic.: N/A Suprv. Lic :: N/A Industrial plant per hour _ _ 73.75 _
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: ' 46.85
Print name: Date: Plan review (25% of permit fee):
. State surcharge (12% of permit fee): 5.62
Authorized signature: TOTAL PERMIT FEE: 52.47
Print name: �✓1 ' �C e G nn/ Thi permi application expires if a permit is not obtained within 180
/Gil ‘6449A D 3 t/ d days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ BuildinggPermita %ELC- PermitApp.doc 05/23/06 440.4615T01/05 /COMM'EB
•
CITY OF TIGARD . ,
BUILDING DIVISION PERMIT #: ELC2008 -00452
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 8/6/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s " �..
INSPECTION WORKSHEET FOR DATE: 802008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 06976 SW PINE ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: SCHOCH
DESCRIPTION: Install 6 recessed lights in living room
OWNER: MICHAEL SCHOGH, PHONE #: 530
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 802008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
g4O
120 Electrical rough -in 073943 -01 530.305 -5580 Y
Corrections /Comments /Instructions: e
Kust SSE ARC A To too.
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K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
, (IVY°
Inspector: \/ . Date: i i v Phone #: (503) 718-