Permit 1111 CITY OF TIGARD ELECTRICAL PERMIT
a � PERMIT #: ELC2008 -00030
• COMMUNITY DEVELOPMENT
DATE ISSUED: 1/14/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 AD -15200
SITE ADDRESS: 09059 SW REILING ST ZONING: R -4.5
SUBDIVISION: MALLARD LAKES LOT : 018 JURISDICTION: TIG
PROJECT: BURR
Project Description: Remodel bathroom. Add (2) 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: 0 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC:
•
Owner: Contractor:
NORMAN BURR DOUG JENKINS ELECTRIC
9059 SW REILING 1023 E 14TH ST
TIGARD, OR 97224 THE DALLES, OR 97058
Phone: 503 - 620 -4538 Contact #: PRI 541 - 298 -4653
FAX 541 - 296 -3641
FEES
Description Date Amount Reg #: ELE C247
[ELPRMT] ELC Permit 1/14/2008 $53.50 LIC 174128
[TAX] 12% State Surchar 1/14/2008 $6.42 SUP 5070S
Total $59.92 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 la -. • II
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 susp -nde• or
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are s: fort 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.: 4 .
Issued By: Permittee Signature:
// / 4
-
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: 4A/ /9" C 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 06 08 01:21p P -2
Electrical Permit Applica o CE IVE® I =oa „Flcr� l:se ONLY
City of Tigard JAN 1 4 'Nu.) Received / :. -s P h :
q L31 SW Hall Blvd , Ti ard,OR ° Y / /y 0I 1.- EZZA e Oo 0.3D
g ►. O fIGAt D Plan Ravi Other Permit
Phone: 503.639.4171 Fax: 503 '. •' /� Datday.
T 1 G \ R D Inspection Line: 503.639.4175 ' 1 AI INl 011 1810(%' Date Ready/By: hair. @1 See Page 2 for
intoner www.tigard- or.gov NatiftedlMethod: //6' I Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction Va Addition/alteration/replacement Please check all that apply (submit 2 sets of plans widow chocked below*
❑ Demolition ❑ Other: where Service or feeder 400 amps or more ❑ Building over three stories
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating hnildiugs.
El, 1- and 2- family dwelling ❑ Commercialfindustrial ❑ Accessory building a to for all of or exceeds 1 n 0 Commercial -use agricultural
ry dmg tops for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ F pump. ❑ lnindlation af 75 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency C. larger separately derived system.
(] Addition of acw motor load of ❑ "A", - E", - t-2 ", "1-3",
Job no.: I Job site address: ICoHPormore. occupancy.
❑ Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: 96:24'? , - / / t ❑ Heahh-cam facilities. 17 Supply voltage for more than
v c W IL / !!%GGr`+ f7/ r /✓ �0 13amtd ous locations. 600 volts mminal.
Suite/bldg. /apt. no.: I Project name: t v S 0 service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 sty. I Peg I Tout I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 145i 5 4
Es. add'l 500 sq. R. or portion 33.40 1
Tax map /parcel no.:
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
822 1 ,�,,// Limited energy, multi- family
, 0 f(cC�e !?" ofe.n44. A.� n? A ' D tCi � residential (with above se.. f.) 75.00 2
Services or feeders installation. alteration, and/or relocation
200 amps or less 80.30 2
PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: N0 R mA� �U 4R ^ 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 9059 5. cd. R e i, . ;1 5T Over 1,000 strips or volts 454.65 _ , 2
City/State/ZIP. �// 77‘ 9 %lay Tem porary services or feeders installation, alteration, and(or
/ el oeat i oo
Phone: (J) 4.20 — 9S38 Fax: ( ) 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 10030 2
intended for sale, lease, rem, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration. or extension. per panel _
A. Fee for branch circuits with
❑ 'APPLICANT I ❑ CONTACT PERSON above service or feeder fcc, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name without service or feeder fee, I 46.85 5/( " 2
first branch circuit
Address: Each add'l branch circuit / 6.65 4 6 S'' 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) I Fax: : ( ) • Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuits) or limited-
Business name:
„ .2U tit � ,..7.7; A.. k, ^- S G / e C C energy panel, alteratioq or
Address: /t) 2 z Z7 / y i-t <7,-_ extension. Describe: Page 2 2
City /State/ZiP: 71,e_ /)A//e S / G 9 2 �sg Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (Sy/ ) 2.9g- v6$3 I Fax: WY/ 2,6 3 6 5 '/ Investigation per hour (l In min) 62.50
CCB Lic.: / 7� /f . l Electrical Lic.: C 2 '� 7 Suprv- Lic.: rj 070 S Industrial plant per hour 73.75
Suprv. Electrici�n.signafure, requi • 7 / 7�jod' KCAL PERT FEE
S .> 3 1'0
1 �/ $3.55
Print name: �vu7 N �.,-, ,� a Date:,,ii ' ' G6 Plan review (25 %of permit fee):
State surcharge (12% of permit fee) 6 . y.,0
Authorized signature: TOTAL PERMIT FEE .59.902..
Print name: Date: 'This twit application expires if n perms is not obtained within 180
days after It has been accepted as complete.
• Number of inspections allowed per permit
CITY OF TIGARD ' -
BUILDING DIVISION PERMIT #: ELC2008 -00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2000
Phone: (503) 639- 4171t�
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 3/19/2008 TIME: 7:01AM PAGE: 23
SITE ADDRESS: 09059 SW REILING ST CLASS OF WORK:
SUBDIVISION: MALLARD LAKE: LOT #: 018 TYPE OF USE:
PROJECT NAME: BURR
DESCRIPTION: Remodel bathroom. Add (2) branch circuits.
OWNER: BURR, NORMAN PHONE #: 503
CONTRACTOR: DOUG JENKINS ELECTRIC PHONE #: FA1 -298 -4653
Inspection Request Scheduled For: Date: 3/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Elertiical final 066947 -01 503- 888 -9953 Y
— Corrections /CommenTS7Mtructions:
qii/D
,\
)\1\t-\,
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G t1v Date: 314• Phone #: (503) 718 -
CITY OF TIGAR -
BUILDING DIVISION PERMIT #: ELC2008.00030
13125 SW Hall Blvd., Tigard, OR 9 1' DATE ISSUED: 1/14/2008
Phone: (503) 639 -4171 :N,1e�,11�1
Inspection Requests (24 Hrs.): (503) 639 -4175 . PLL.
INSPECTION WORKSHEET FOR DATE: 3/18/2008 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 09059 SW REILING ST CLASS OF WORK:
SUBDIVISION: MALLARD LAKES LOT #: 018 TYPE OF USE:
PROJECT NAME: BURR
DESCRIPTION: Remodel bathroom. Add (2) branch circuits.
OWNER: BURR, NORMAN PHONE #: 503-620 -4538
CONTRACTOR: DOUG JENKINS ELECTRIC PHONE #: 541 -298 -4653
Inspection Request Scheduled For: Date: 3/18/2008 Pour Time:
Code # Inspection Description (onfi# Contact # Message
199 Elect.iical final 066886101 503 - 888 -9953 Y
Corrections /Comments /Instructions: )
)(- M )
❑ PASS ❑ PARTIAL APPROVAL (. CANCEL ❑ NO ACCESS
' ❑ FAIL ❑ CALL FOR INSPECTION ❑ • : = = 1 AL FEES ASSESSED
Inspector: 1 V (36LE Date: 3 • n' Q Phone #: (503) 718- 1476►
CITY OF TIGARD
BUILDING DIVISION #: ELC2008 -00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2009
Phone: (503) 639 -4171 171�, �
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE: 3/3/2008 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 09069 SW REIL.ING ST CLASS OF WORK:
SUBDIVISION: MALLARD LAKES LOT #: 018 TYPE OF USE:
PROJECT NAME: BURR
DESCRIPTION: Remodel bathroom. Add (2) branch circuits.
OWNER: BURR, NORMAN PHONE #: 503. 620 -4538
CONTRACTOR: DOUG; JENKINS ELECTRIC VF PHONE #: 541 - 298 -1653
Inspection Request Scheduled For: Date: 3/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Nsage
199 Electrical final 065997 -01 603-1388-9953 Y
Corrections /Comments /Instructions:
4 -- -Ba Q I AKP 4042.4 -
0 P- FL-0a_ KAY w ik ctc,l .
ActR. 1k
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CS I € Date: 3'3 Phone #: (503) 718- 2
CITY OF TIGARD .
•
BUILDING DIVISION PERMIT #: EL.C2008.00030
13125 SW Hall Blvd., Tigard, OR 97223 \ DATE ISSUED: 1/14/2t)0@
Phone: (503) 639- 4171 ����
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I � ..
INSPECTION WORKSHEET FOR DATE: 2/19/2008 TIME: 7 :01AM PAGE: 12
SITE ADDRESS: 09059 SW REILING ST CLASS OF WORK:
SUBDIVISION: MALLARD LAKES LOT #: me TYPE OF USE:
PROJECT NAME: BURR
DESCRIPTION: Remodel bathroom. Add (2) branch circuits.
OWNER: BURR, NORMAN PHONE #: 503 -620 -4538
CONTRACTOR: DOUG JENKINS ELECTRIC PHONE #: 541 - 298.4653
Inspection Request Scheduled For: ate: 2/99/2008 Pour Time:
Code # Inspection Description (Confir'T'# Contact # Message
1�0 Electrical rougli•in 065211 -01 503-888-9953 N
Corrections /Comments /Instructions:
Urs aft FLo6(Z 1A v CA■61.1g Aet? b4'll
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� �� D ate: 2 ' U o Phone #: (503) 718- 1.-44)
CITY OF T1GARD
BUILDING DIVISION . PERMIT #: ELC2008 -00030
13125 SW Hall Blvd., Tigard, OR 9722u DATE ISSUED: 11141 ?008
Phone: (503) 639 -4171 u� Ilitl
Inspection Requests (24 Hrs.): (503) 639 -4175 ,
•
INSPECTION WORKSHEET FOR DATE: 1!16/2008 TIME: 7 :00AM PAGE: 10
SITE ADDRESS: 09059 SW POLING ST CLASS OF WORK:
SUBDIVISION: MALLARD LAKES LOT #: 018 TYPE OF USE:
PROJECT NAME: BURR
DESCRIPTION: Remodel bathroom. Add (2) branch circuits.
OWNER: BURR, NORMAN PHONE #: 603620.4538
CONTRACTOR: DOUG JENKINS ELECTRIC PHONE #: X41- 290.4653
Inspection Request Scheduled For: Date: 1116f2008 Pour Time:
Code # Inspection Description 'Ern # Contact # Message
120 Electrical rough -in 063329.02 603-888 -9963 \ Y
Corrections /Comments / Instructions:
II- 2.
I LoOQ Ht26 IZ . vi[tE IN6`0 eM esN A
azJAL klet, sU NNW,,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ---, N 66 Date: II 1 (In Phone #: (503) 718- pf yp