Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00488
In DEVELOPMENT SERVICES DATE ISSUED: 7/8/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 1S133AD - 14800
SITE ADDRESS: 12676 SW SORREL DOCK CT ZONING: R -7
SUBDIVISION: SUMMER LAKE LOT : 029 JURISDICTION: TIG
Project Description: Replace panel.
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: 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:
WRIGHT, GAYLE K SOHLER ELECTRICAL CONSTRUCTION
12676 SW SORREL DOCK CT 41131 SW BURGARSKY RD
TIGARD, OR 97223 GASTON, OR 97119
Phone: 503 - 524 -8668 Phone: 971 - 832 -0807
FEES Reg #: LIC 158285
ELE 34 -667C
Description Date Amount SUP 594S
[ELPRMT] ELC Permit 7/8/2005 $80.30
[TAX] 8% State Surcharge 7/8/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86.72
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: „Me. A
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.
•
R.Egcl
Electrical Permit Appbca o veD FOR OFFICE USE ONLY
City of Tigard . ,
2005 Da a t B ved y , 7 -7 -1) -T- ermi
eiL, Pt No.: LAlot)s" - 04 v51
13125 SW Hall Blvd., Tigard, OR 97223 - L'' PLsn Revierw
b .
Phone: 503.639.4171 Fax: 503.598.19fflry 0 Ti GAR :i" ' t WI ' Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: . Fa See Page 2 tor .
Internet: www.ci.tigard.or.us BUILDING 74‘11SIO---- Notified/Method: Supplemental Informabon
. .: :: : .:.:.- :: :-.':. ' ...".. 1!: • :, ' :.: AT*E7".:(1 WORK ;.: '7' : • ''.+ . ":.1::::Ys':::;..' ..:::.-T '. : ' '1 ::7i: ' - . 1 : 1 *ViEW
0 New construction '10 Addition/alteration/replacement Please check all that apply;
°Service over 225 amps. conun't °Hazardous location
0 Demolition 0 Other: °Service over 320 amps - rating °Buildng over 10,000 sq. ft.
' • . ' ',... , .." . . :: ' : • '0:Kgq.{ ....OF':-.01`1MIJG".tION:: ' :- .-:"-..,.. -- .:.......-•:: , .: : . • • ,. of 1- and 2-family dwellings 4 or more new residential
'V.‘ 1 and 2 dwelling 0 C,onunercialfuxlustrial 0 Accessory building °System over 600 volts nominal units in one struciure
°Building over three stories °Feeders, 400 amps or mon
0 Multi-family 0 Master budder 0 Other: " ClOccupant load over 99 persons °Manufactured structures or
JOB
- • '''' • '' - .- : ' - - '"-• o 121K "''' ''' - ''...:.' • ' t'''
: SITE .1rt ‘.. : didif . A .„ IVi ....• : cititktriiii r • : •: , .: ...., .... -: °Egress/lighting plan RV park
°Health-care facility °Other:
Job no.: Job site address: I3 ( - 26 SW .,c Dg_gc i CT
Submit 2 sets of plans with any of the above.
City/State/ZIP: - r 1 7' A-A C) 9 7.7a 3 The above are not applicable to temporary construction service.
::;;;:,:::.T.'..!:3::::: :.,f sOltKiAk:•. '': .. •
Suite/bldg./apt. no.: I Project name: PIN) .. C t-I N gr, , Den:lipase I Qty. I Fon I Total I_ '"
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add, 500 sq. it. or portion 33.40 1
limited energy, residential 75.00 2
Tax map/parcel no.: . Limited energy, non-residential 75.00 2
ptscjitft7014 Wcoge. ! ::..,:: ::..... 7 :-:' :i Each manufactured or modular
-) dwelling. service and/or feeder 90.90 2
nrC
ifr e-10 in c.a.. Ele_c....4-ric:A I Pei.i•Jq... 1 Services or feeders installation, alteration, and/or relocation
200 amps or less - i 80.30 136126 - 2
:": •'. ' . :-..- , ..--1- . .:-.:•:::..: :.- . .. - • • 201 aims to 400 amps 106.85 2
. • - • . • : • - • •. - .•• • .. . . , ... 401 amps to 600 amps 160.60 2
Name: (r A- a. G-i e-1 &I-1 T 601 amps to 1,000 amps 240.60 2
Address: 1 C, 7 6, 5 vi/ Sc gizCL 0 cc. k. CT Over 1,000 amps or volts 454.65 2
Reamneet only 66.85 2
City/StatelZIP: 9 792.23 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( 5 5;74 g c6 n I Fax: ( )
. 200 amps or less 66.85 1
_.
Owner installation: This installation i s being made on property that I own which is not 201 amps to 400 arnps 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
it APliLICANT .:::. : ' : .. -1 I
',': :.:;:. •:' yirjetliii i: 1 • , .. ' A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: 1 0 k k
Fig. r - I - E I c414 I C-0 I 5-- 4-, branch circuit
B. Fee for branch circuits
Contact name: "T" 2.... cn Ix (e..4( without service or feeder fee,
46.85 2
. each branch circuit
Address: L/ 1' ? 1 s-' e a rc Air' r )( %-f g-el Each addl branch circuit 6.65 2
City/State/ZIP:
5 r‘.1 1 U g 1 9 7 / it Miscellaneous (service or feeder not included)
Phone: ( 9 71) • : - 0 " 0 - Fax: : -g _ w. Pump or irrigation circle
53.40 2
- Pu
4.,,,7 If ...._ Sign or outline lighting 1
53.40
2
E - Signal circuit(s) or limited-
.'. •'..:: :. • ...: .:' .- , . '' :05N *:;,, ,:.: : : t . „... :: .., .:.: -. ,s • ,j:, .: , : .-..': , • ' ". : .• energy panel, alteration, or
• extension. Describe: Page 2 2
Business name: Co 4 l EJecd-r, co. I (L , r' s 7
Address: Each additional Inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Investigation per hour (1 hr min) 62.50
Phone: ( ) F a x : ( - 7( 3 )G.? ) LI -- 4.:2 96 I plant per hour 73.75
•
:: •--:-:•7.-:...:'•.'-iocAr. tERmir.
CCB Lie.: ) 5 8,28 c F Electrical Lic ir L/ 7 .4 Supry: Lie.: 514_5 .
Subtotal B
Suprv. Electrician signature, required A r ,. . „..
Plan review (25% of permit fee)
•
AL/ if .... State surcharge (8% of permit fee)
......0
Print name:
0 (11U - lur
d tc
II-U s-
..;. p Date: 7 7 / 6 .5 ---
7 ,...,
TOTAL PERMIT FEE 66 , feo ' - - -
Authorized signature: 1 This permit application expires if a permit is net obtained within 180
- .'_ day after It has been accepted as complete
Print name: 5 A t c_ k 6. Date: 7/ 0 S • Fee methodology set by Tri-Coanty Building Industry ce Servi Board
`• Number of inspections per panic allowed.
ABnilding‘PermiLAELC-PcnititApp doe 12/03 a■n...e.g a cr 1 uures.r.".•ntrola
BLOT -8B-EDS
-la I 1 -10 S e go go Lo Inc
W OFTIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00488
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/8/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/14/2005 TIME: 7:11AM PAGE: 51
SITE ADDRESS: 12676 SW SORREL DOCK CT CLASS OF WORK:
SUBDIVISION: SUMMER LAKE LOT #: 029 TYPE OF USE:
PROJECT NAME: WRIGHT
DESCRIPTION: Replace panel.
OWNER: WRIGHT, GAYLE K, PHONE #: 503-524 -B668 14'
CONTRACTOR: SOHLER ELECTRICAL CONSTRUCTION PHONE #: 971 832 - 0807
Inspection Request Scheduled For: Date: 7/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 011416 -01 971 -832 -0807 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
kb e..../44Inspector: Date: N 7 — / ( 7' - OS Phone #: (503) 718-