Permit CITY OF TIGARD
COMMUNITY DEVELOPMENT ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00222
° .
D ATE ISSUED: 4/18/2008
"I'M A R K 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S133DB-02700
SITE ADDRESS: 11583 SW SHEFFIELD CIR ZONING: R -
SUBDIVISION: BRITTANY SQUARE NO. 2 LOT : 051 JURISDICTION: TIG
PROJECT: BARTH
Project Description: Installing (1) service. •
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
DOUGLAS & JERI BARTH OWNER
11583 SW SHEFFIELD CIRCLE
TIGARD, OR 97223
Phone: 503 - 680 -0291 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 4/18/2008 $80.30 •
[TAX] 12% State Surchar 4/18/2008 $9.64
Total $89.94 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: , . ,,,/ ( A . A Permittee Signature: i '// t ,7 c/!J
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.
1111
7/2008 15 : 24 FAX 0 002/002
I
Electrical Permit Application R,ECE ' 1 ()I.z c. ,I.I)N1 1
' - t City of Tigard mrceived
Npg 1 20 4 4 /7 OfF d'77
N ,5Lz.:actgp- d3:,L
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 „? : - Other Permit
i ii.; ., inspection Line: 501639.4175 CITY OF T IG1'' ''
- . /By: lure: I El See Page 2 for
Iluvi 11 .. l tr ,‘ ‘G n IN 1 Ve:i thod:
Internet www.tigard-or.gov I Supplemental Information
.t.. ,-......- ..;- :-.::,;” - 1 .: , • -- , • ' ' .. .
4fte-'45-,52,..f ,,-,,..... y: . ,' , f;;_--7,.s.::: 9 : .- -.' , ' , x=: - .t - -,:ill•WAtffifft-f - ;:c-fM.4.16,44 , , :., , ,,et.
0 New construction Ea Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current ['Marinas and boatyards.
'''et'v .' . ..,,-- ...c..-v• s,
-- - '-• ..s■e..' ...r" "crweiviru r.riaT ' ' , ; '', -,:-.., -, ,.• .-... .,•.•.::,,,, ' ': • exceeds 10,000 amps at 150 volts or El floating buildings.
-1 Ar04- 7 2: , :fii'P ., ;S ..
; i:::'7`.".'•' Z:4°:"': .-:•;
' - ' - ., - less to grotmd, or meals 14,000 0 Commercial-use agricultural
1E1 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder D Other: °Fire pump. El Installation of 75 KVA or
larger separately derived system.
I. , ,„ - ltft 0R ..„, ii„..,OST r : 1,. -- ' tio(k. ... :1110 .':',,'-. r-, ::','--:-.-'...- i o D Additi EmergencY . of gYige motor load of El "A", "B", "1-2", "1-3",
Job no.: I Job site address: 11583 SW Sheffield 100HP or more. oommancy.
0 Six or more residential units. 0 Recreational vehicle parlor.
City/State/ZIP: Tigard, OR 97223 El Health-care fiteilities, 0 Supply voltage for more than
0 Havxdous locations. 600 volts nominal.
Suite/bldg./apt no.: I Project nameL.Sera4ae4:}pgrirdr & ft/el 0 Service or feeder 600 amps or more
t ' tM 4 1 1 4gWe i itt,
Cross street/directions to job site: Deeniptios ' l(:1;. ) Pee. 1 •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Brittney Square i Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. midi 500 sq. II. or portion 33.40 1
Tax map/parcel no.: W266198
Limited energy, residential
75.00 2
:i:. 01 : .., ‘ , :-.:2.. ,,--,, ,.,::,;. , :...;.::. ::: (with above sq. 8.)
Limited energy, multi
Electrical Service Panel Upgrade residential (wits above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 1 80.30 2
9yeptEA':: -: ,-, ,.1 ::::::,_ - , : , ..:, : a z.,, ,EN,..ory. 201 amps to 400 amps 106.85 2
Name: Douglas C. and Jeri Lynn Barth 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 11583 SW Sheffield Circle 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: (503)680-0291 I 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 1 1 10030 2
intended for sale, lease e or .,: ge, : .. rding to S ! 447, 449, 670, and 701. 401 amps to 599 amps 133.75
y -2
.. Branch circuits - new, alteration, or extension, per panel
Owner signature: • __-_•_4 _ ./ ../ -1.■#:<, Date: itegft5 A Fee for branch circuits with
Vi".. lief ., ':`:'':... ''' :--' : ' r. : ,, : El: itteftstit,*46. above service or feeder fee,
6.65 2
each branch circuit ..
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: Dennis Eimer 46.85 2
first branch circuit
Address: 10180 SW Nimbus Ave Each add'i branch circuit 6.65 2
Miscellaneous (service or feeder not included) _
City/State/Z1F': Portland, OR 97223 Each manufactured or modular
90.90 2
Phone: (971) 645-5478 I Fax : (503) 624-2120 dwelling, service and/or feeder
Reconnect only 66.85 2 ,.
E-mail: Dennis@cooperenvironmental.com Pump or irrigation circle 53.40 2
P,PAVONgiii.V.N:' \ ,-.: 'coitiol*qoR, .: ::-_: : :.--::-.11:i.::':;,'...",,.-;i::_:..,',-:.,:. Sign or outline lighting 53A0 2
Signal circuit(s) or limited-
Business name: Self
energy panel, alteration, or
Address: 11583 SW Sheffield Circle extension. Describe: Page 2 2
City/State/ZIP: Tigard, OR 97223 Each additional inspection over allowable in anyof the above
Per inspection 62.50
Phone: (503) 680-0291 I Fax: (503) 624-2120 Investigation per hour (l hr min) 62.50
CCB Lic.: I Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
' ".--. ' • '.:''''. ' . g
Suprv. Electrician signature, required ' Subtotal: 80.30
Print name: Douglas C. Barth Date:
Plan review (25% of permit fee): 0
4/17/08
.... State surcharge (12% of permit fee): 9.64
Authorized signature: .,
., , . z / e A, . TOTAL PERMIT FEE: 89.94
:'
Print name: /"
Date: lids penult applicadon expires Ka permit is not obtained within 180
days after it has been accepted as complete.
CITY OF TIGARD
A
BUILDING DIVISION PERMIT #: ELC2008 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2008
Phone: (503) 639- 4171gyi�l
Inspection Requests (24 Hrs.): (503) 639 -4175 �' A. _..
INSPECTION WORKSHEET FOR DATE: 9/18/2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 115133 SW SHEFFIELD CIR CLASS OF WORK:
SUBDIVISION: BRITTANY SQUARE NO. 2 LOT #: 051 TYPE OF USE:
PROJECT NAME: BARTH
DESCRIPTION: Installing (1) service.
OWNER: BARTH, DOUGLAS & JERI PHONE #: 503-680-0291
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 075557 -01 503 - 680.0291 N
c i
Corrections /Comments/ Instructions:
2 s p c t k cm • rh v rad . 1 ` 's V L U57 i `.
(i - I 1 0. (a
2 .
0
L P .� 1/44 GICO UND
5-,w RdLE It
\ 1
✓1;
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: W 66 LE"
_ Date: q 1 Phone #: (503) 718- 2if'Iv
CITY OF TIGARD
COMMUNITY DEVELOPMENT ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00222
° .
D ATE ISSUED: 4/18/2008
"I'M A R K 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S133DB-02700
SITE ADDRESS: 11583 SW SHEFFIELD CIR ZONING: R -
SUBDIVISION: BRITTANY SQUARE NO. 2 LOT : 051 JURISDICTION: TIG
PROJECT: BARTH
Project Description: Installing (1) service. •
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
DOUGLAS & JERI BARTH OWNER
11583 SW SHEFFIELD CIRCLE
TIGARD, OR 97223
Phone: 503 - 680 -0291 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 4/18/2008 $80.30 •
[TAX] 12% State Surchar 4/18/2008 $9.64
Total $89.94 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: , . ,,,/ ( A . A Permittee Signature: i '// t ,7 c/!J
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.