Permit n CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00558
i DEVELOPMENT SERVICES DATE ISSUED: 8/4/2005
` - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 DC -03800
SITE ADDRESS: 07190 SW SANDBURG ST 10 ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: 5 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: 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: 4 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 LH MORRIS ELECTRIC, INC
7415 FAIRWAY LOOP 7051 SW SANDBURG ST. #100
WILSONVILLE, OR 97070 TIGARD, OR 97223
Phone: Phone: 503 - 639 -2334
FEES Reg #: LIC 1838
ELE 20 -39C
Description Date Amount SUP 3006S
[ELPRMT] ELC Permit 8/4/2005 $73.45
[TAX] 8% State Surcharge 8/4/2005 $5.88 REQUIRED ITEMS AND REPORTS
Total $79.33
•
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- ;s 4 -332 -2 � — �
Issued By: 41)t91,[ 4C4°1161 Permittee Signature:
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.
71101
• Electrical Pelrinit Applicat' O® FOR OFFICE USE ONLY
Cl of Tigard Received /G{
�J g ® (�` � Date/B : or Air 66 Permit No.,,,,. _ / • 5 - t'� 0 5
13125 SW Hall Blvd., Tigard, OR `a9 Plan Review
Phone: 503.639.4171 Fax: 503.59 1960 tr �'
• '� Date/By: Other Permit:
Inspection Line: 503.639.4175 \,4,",'' ":„..„ c' ,. Date Ready/By: turfs: El See Page 2 for
Internet: www.ci.tigard.or.us O �l\l�� . sNO Notified/Method: Supplemental Information •
TYP t V�� f PLAN REVIEW
❑ New construction a Addit dNtteration /replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling >a Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
12 Multi family ❑Master builder
Building over three stories ['Feeders, 400 amps or more
❑ Other:
['Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: 71101 Job site address: 7190 SW SANDBURG ST ❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City/State /ZIP: TIGARD 9 7 2 2 3 The above are not applicable to temporary construction service.
Suite/bldg. /apt. nog Ul ,Project name: FEE* SCHEDULE
Description I Qty. I Fee. I Total I **
Cross street/directions to job site: 10 /ft `� _ �. New residential single- or multi - family dwelling unit.
• �" ' Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
TENANT IMPROVEMENT dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
•
❑ 'PROPERTY "OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
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: ( ) 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 100.30 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
❑" "APPLICANT " , ' ❑ CONTACT-" PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: L.H. MORRIS ELECTRIC INC branch circuit
B. Fee for branch circuits
Contact name: SCOTT CARLSON without service or feeder fee 1 46.85 46.85 2
each branch circuit
Address: Each add'l branch circuit 4 6.65 26.60 2
City/ State/ZIP: Miscellaneous (service or feeder not included)
Phone: (503) , 639-2334 ( ) Pump or irrigation circle 53.40 2
Fax:
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: L.H. MORRIS ELECTRIC INC
Address: 7051 SW SANDBURG ST #100 Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: TIGARD OR 97223 Investigation per hour (I hr min) 62.50
Phone: (503) `• 639-2334 Fax: (503) 620 -7405 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 1838 Electrical Lic.: 20 -39C Suprv. Lic.: 3006S Subtotal ,73 _ 4 5
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: GARY OPLES Date i ) I bs_� State surcharge (8% of permit fee) 5.88
l TOTAL PERMIT FEE 79.33
Authorized signature: This permit application expires II a permit is not obtained within 180
d ays after It has been accepted as complete
Print name: C Date: • Fee methodology set by Tri -County Building Industry Service Board
•
Number of inspections per permit allowed.
is W Building \ Permits \ELC- PermitApp.doc 12/03 440- 4613T(10 /02/COM/WEB
CITY OF TIGARD _ : = /
BUILDING DIVISION PE RMIT #: ELC2005 -00381
13125 SW Hall Blvd., Tigard, OR 97223 \ DATE ISSUED: 6/6/2005
Phone: (503) 639 -4171 T I r�
Inspection Requests (24 Hrs.): (503) 639 -4175 1, .' I
INSPECTION WORKSHEET FOR DATE: 0/0Q5 / TIME: 7:13AM PAGE: 1
SITE ADDRESS: 07190 SW SANDBURG ST 20 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MCCORMACK BUILDING
DESCRIPTION: 12 (ranch circuits.
OWNER: MCCORMACK, WLUAM L + DARLENE T, PHONE #:
CONTRACTOR: L H MORRIS ELECTRIC INC ivy PHONE #: 603-639-2334
Inspection Request Scheduled For: Date: 8/29/2Q05 Pour Time:
Code # Inspection Description C• it • Contact # Message
195 01 1 503830 1599 Y
- - - - - =
! ruc ti ons :
(35 P EL e. 2-00E— a066 g `S, 9- N.AVNO
O W t.) - e. R- SZfc.oiv ► IUG� 1 `A1eig.) 0 L! 01 ► it
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r n' 2�A b
Inspector: C� T" �� Date: % E ' Phone #: (503) 718 -
CITY OF TIGARD , ,
BUILDING DIVISION PERMIT #: ELC2005 00558
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2005
Phone: (503) 639 -4171 a Inspection Requests (24 Hrs.): (503) 639 -4175 ..., _-
INSPECTION WORKSHEET FOR DATE: TIME PAGE:
9/30/2005 7:05AM 82
SITE ADDRESS: U1190 SW SANDBURG ST 10 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MCCORMACK BUILDING
DESCRIPTION: 5 branch circuits.
OWNER: PHONE #:
CONTRACTOR:
MCCORMACK, L + DARLENE T PHONE #:
LH MORRIS ELECTRIC, INC 503-639-2334
Inspection Request Scheduled For: Date: 9/30/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 017099 -01 503830 -1599 Y
Corrections /Comments /Instructions: 10 /
‘7 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t tie Lt Date: 91 Phone #: (503) 718- 244
CITY OF TIGARD = . ,
BUILDING DIVISION PERMIT #: 8/412005 5 -00558
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 U Ili
Inspection Requests (24 Hrs.): (503) 639 -4175 R ..
10/24/2005 7:02AM 3
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
07190 SW SANDBURG ST 10
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: MCCORMACK BUILDING LOT #: TYPE OF USE:
PROJECT NAME: 5 branch circuits.
DESCRIPTION:
MCCORMACK, WILLIAM L + DARLENE T,
OWNER: LH MORRIS ELECTRIC, INC PHONE #: 503-639-2334
CONTRACTOR: PHONE #:
10/24/2005
Inspection Requ - e: 1 - • • r: Date: Pour Time:
Coa # l ailing co Descripti' n SM eggill599 McIage
Corrections /Comments /Instructions:
- SS 111 PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
s
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: JO Zy- O f ° Phone #: (503) 718-
_______Ligs6
CITY ARD F TI `�
O G
BUILDING DIVISION PERMIT #: ELC2005.00558
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4 /2005
Phone: (503) 639 -4171 /air �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/27 /2005 TIME: 7:16AM PAGE: 3
SITE ADDRESS: 07190 SW SANDBURG ST 10 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: M ORMACK BUILDING
DESCRIPTION: 5 bra h circuits.
OWNER: MCCOR CK, WILLIAM L + DARLENE T, PHONE #:
CONTRACTOR: LH MORRI ELECTRIC, INC PHONE #: 503 - 633.2334
Inspection Request Scheduled For: Date: 1/27 /2005 Pour Time:
Code # Inspection Description ' onfir • Contact # Message
199 = lectrical fins 019558-01 503.830-1599 Y
Corrections /Comments /Instructions:
1 --- Nc P 6\
------_____..)
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El F IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N LE Date: 4 Phone #: (503) 718-