Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00079
COMMUNITY DEVELOPMENT DATE ISSUED: 2/2/2007
TIGARD • 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S101 DC - 03800
SITE ADDRESS: 07180 SW SANDBURG ST 1 ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: (2) branch circuits for future equipment. Job # 40560.
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: 1 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:
MCCORMACK, WILLIAM L + DARLENE T NEW TECH ELECTRIC
7415 FAIRWAY LOOP 13970 SW 72ND AVE
WILSONVILLE, OR 97070 PORTLAND, OR 97224
Phone: Contact #: PRI 503 - 648 -1900
FAX 503 - 670 -9572
FEES
Description Date Amount Reg #: ELE 26 -418c
[ELPRMT] ELC Permit 2/2/2007 $53.50 LIC 41868
[TAX] 8% State Surcharge 2/2/2007 $4.28 SUP 3849S
Total $57.78 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: �- f Le ; Permittee Signature: Sjzie. to
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.
02/02/2007 07:18 5036709571 NEW TECH ELECTRIC PAGE 01/01
IAE ctr icy Permit A I vFr) + � ,
FOR orl eels USE o�>.�t
City of Tigard - - � -' " •
13125 SiV Hall Blvd., Tigard, 0)t 97223 r � �� Permit No. 7 ,�vVdl /
Phone: 503.639.4171 Fax: SD3 598.1960 ._.3 0 . 200 '; ; :; ' I y�' Dn tom . Other Permit
Line: ne: 503.639.4175 ` r. i • Dam Ready/By: Judie SI Sec Page 2 for
Internee www.ci.tzgnddn.aa V11 Y Vt iii i Nodfmdfdetliod: Supplemental Information
, ,. •.. __: _.._. . -.5 .u' I, ' ,I1) ' N. ': LI VVW � '' 111. 'W 1 I I I 4 11', 7i. J,I I 1n
,.J , I _r ..r ... _,: '.r -,. r.a;: '... „• ...... ....... ' .. .,.,. .,. ' ...,. f r ... ..L :C v . �� S �. r 1 i 5 1 i1
❑ Ncw construction -E ddition/alteration/rcplacement Please check all that apply;
❑ Demolition then over 225 amps, c �rnm' 1
O Haaudooa location
��.i � l . :.'. N ' � :1eI_ P f " 7 N5 ' ,:. ,I..)-.',.' ' I ^21 5.�� _ ;:I;i_J; ; ' 'fl
∎i''- ❑SeNICe over amps rating ❑Buildng over 10,000 . ft. ■ .:::. eT2 '' l 1 X2: ∎? j' yy, 4
' ' !
❑ 1 -and 2-family dwelling �� � � -'' . ; ' ;: :r^: ;'':'�. "..,.' - _' ] ly dwellings 4 or more new rdteidential
Y g orlm ercial /industrial ❑ Accessory building ❑system over.600 volts nominal units in cue structure
D Multi - family ❑ Master builder ❑ Other ❑Building over three stories ❑Ftrdats, 400 amps or molt
1 - _ - :,:, :,:,' u - ❑Occ ant load over
- " _:LS! Tr• - era 99 persons Mdmnfi
- .!;.: "' ' l ist : , uP ❑ Clllredstrllebl
. :r:. II • :y;,,r 11. -)ji) ' 1 1 J I Jf i .i1 Ili' . ;I :i. 67 .. 2.(< %�.
. _.. ' rl ...._ ,. .: ... eG= .�i . c1 .1..r- _. _..,�`:L.7. C .I .,�LLifJ. , IS:!, r; S,.t'. J: r;l
:.I: DEgressilighting Plan RV park
Sob no.: Job site address: _f ■ . ❑Health- carefacility ❑Other -
� �' ry � �
Submit i sets of plates with any of the above.
City /State/ZIP: • 6 t 4 ) The above are not applicable to temporary construct on service.
Suite/bldg./apt. no.: Project name: ` ` ,•_ r I II . 11 y JI I ti f1.1' 114111 ( f ! 1 tf 1 . !' i ti
`` _ :.. Qty. ifj l t Ii:,
Cross sere0f/directions to job site: � � °oO0 44• @de. Total p
Tb1... o -F-0Q. New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 1 4
•
Subdivision: Lot no.: . Ba. add'1500 sq. ft or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75,00 2
",,7-:..7,-,' �...' : . :: < ' �.. • : : ._,L� yii� iKl �. - iv' _ 17 - : .�.. -. - __ .,, �. /tilted energy,
c,. n,,..:,:',.. : yr i �b I• - (�611 l:i 1 7� r : „y 1 .. 11 �s c 75.00 2
_�.' ,.u _..... ,,,�, ,,:. , L,.,L., ,,,.,,.!;, Eachrnanofacturcdorttlodttlar
_
dwelling, service and/or feeder . 90.90 2
- is, T _ Servieee or feeders installation, alteration, and/or relocation
G
C tta IPM
N
200
soticss
I" i' S'�:, , rr,� ''.t74 p -a; :a� v - r n-:- - _ HO 30 2
. =i;' . : a . ;J . , •. .: I •!)1 " , t1, '1: 1 I, Isf„ ?., Y.7 { ji [ C , � i l ,1(17;;:14,
IFr� -.- j '� 1 t, l , l � � t,l 1 ., ( 1 1 i{ �,. q 201 af1At 2
_ .:,..: _: . ., , .,. r .7 o-_ ; -.?Sl f :!d:1 , .,1 ter, Y r •1, ,.;'r, :J
l , _ r 1 1111_ G ' t.l lif ' .I J1r # , i o 400 a s 1 60 . 60
1 t f� ,. �
Name: 6jFat 401 amps to 600 amps 160.60 2
_ • -i f .- •r D :. ' 601 amps to 1,000 amps 240.60 2
Address: . ,
A , Over 1.000 amps or volts 454.65 2
City/State/ZIP: Reconnect only 66.85 { 2
Temporary services or feeders installation, alteration, andlor
Phone: ( ) flax: ( ) relocation
Owner installation: This installation is being made on property that I own which is not 200 l _ 66.85 1
intended for sale, lease, refit, or exchange, according to ORS 447, 449, 670. and 701. 201 a»� to 400 0 arms 100.30 2
Owner signature: +bt amps to 60o amps 133 � 2
-
' , I) '� '' ^s�:'c' + ,! °r -r.r rr•. -te _ .,,, - -�: - -- vv or panel 1
Branch circuits ��I I alteration, extension, ocl
F,•_, ,t_,'G;i'I,!1,4t.h� `I_l {_J - Li;L',1: tt1 ?I itlf , ;Ill rS {. " 11§411 ::�»_ ' -- i 11',' :t.I, A. Fee for brunch circtlits
Business name:
service or feeder fcc, each
branch circuit 6.65 2
Contact name; B. Fur for branch circuits
without service or feeder fcc, / g5 2
Address: each branch circuit 46.85
Each add'1 branch circuit ( 1 6.65 1 1/
Ct.ry /State/ZJp: Miscellaneous (service or feeder not included)
Phone: ( ) Fax :: (' ) Pump or irrigation circle 53.40 2
E-mail:
Sign or outline lighti 53.6
_ Signal circus 2
[' :i 1 '' ill )1 1 111 4+'� .,• '� 11 T Pl t t 1 '�- -c-,^T r,N ti t t4 ? r r rr - I t(A ) or limited.
-
7 { +i..ul t r l ��F�lls 1, r 1 c 1 (n I I r •
... ,:,,,, ...,L . 1 5 _'�,.1 r .� d!1�Jr11�, y1 �1 tY�'1 , iP",,,- ti I 4 !..i " I % energy panel, alteration, or
Business name: New Tech Electric extension. Describe: Paget 2
Address :. 13 9 7 0 SW 72nd Ave Each additional Inspection over allowable in any of the above
City/stare/7>P; Po land , OR 9 7 • Per inspection _ 62,50
_Investigation per hour (1 hr mini 62.50
Pb°nc: (5 0 3) 648-1900 Fax: S 0 3 )648-3131 Industrial .lent per hour 73.75
CCB 418 6 8 Electrical Lic -: 2 6 - 4 1 8 2 _ _ Imo 1 du:. #I „ 19� : r - ' # ' .\- 7- t-7-1; -,-
I.lc•. . ( 1r,1, ( -!- i!a - _;.. f : \ I!I. l :.l -_ ..N i l l J , tc, ::�::
Subtel #777.6"7
Suprv. Eiecu•lcian signature, required: C P /, / 3 94 q S --� -
i d'044...A.,4:1 Plan review (25% of permit fe fee)
Print name: 1-i IL A Date: , i - 01- State surcha (84'6 faf pe rmit fee) , • 43
Authorized signature: TOTAL PEIRM1T PEE -7 .'7
Th,a permit application expires if a permit le not obtained within 120
Print name: Daze: clays after It has been accepted as Complete
•
Po
.. e methodology act by Tri•county Building Industry Service Baird
I: \BrtlldlogtPq�tta\gl,C_pe�i, ,mac' ia/03 • A4°4615'1'(ID/0]!L^OM/pyga Number of it a cctioon., per permit allowed.
•
•
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: ELC20s • •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/ ., ri
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 y- F._.. (2
INSPECTION WORKSHEET FOR DATE: 2/5/2007 TIME: 7 :02AM • .G • 1E;
SITE ADDRESS: 07180 SW SANDBURG ST400 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BUSINESS CARDS TOMORROW
DESCRIPTION: (2) branch circuits for future equipment. Job #40560.
OWNER: MCCORMACK, WILLIAM L + DARLENE T, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503 -6413 -1000
Inspection Request Scheduled For: Date: 2/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact Message
199 Electrical final 043021 -01 503-849-0157 N
Corrections /Comments/ Instructions:
-SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 Date: jZ ^ " V 7 Phone #: (503) 718-