Permit C
T
..� CITY OF TIGARD ELECTRICAL PERMIT
u R l l DEVELOPMENT SERVICES
PERMIT ISSUED: 1/26/04
: ELC2004 -00035
DATE ISSUED
ll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 2 S 103 D B -09800
SITE ADDRESS: 11490 SW SONNE PL
SUBDIVISION: GENESIS NO. 3 ZONING: R-4.5
BLOCK: LOT : 077 JURISDICTION: TIG
Project Description: Circuits for HVAC
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: 2 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:
BRUMMETT, RODNEY L + REBECCA S BOONES FERRY ELECTRIC INC
11490 SW SONNE PL PO BOX 628
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Phone: 682 -4936
Reg #: SUP 3170S
FEES LIC 88482
ELE 3 -223C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 1/26/04 $60.15
[TAX] 8% State Surcharge 1/26/04 $4,81 Elect'l Final
Total $64.96
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: P ermit 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 639 -4175 by 7:00pm for an inspection the next business day 9
Jan-23 -04 09:20A P -01
e l ect rical Permit Appiicatiou � .,.t..,.-. . FO R o 1 i c 1: I'S 1: ONLY
Received
i~ : r
City of Tigard RECEIVED Approval Sian 6 -
13 125 SW Hall Blvd. Plan Review Permit No.: _�
Tigard, Oregon 97223 JAN 2 3 2004
Date/By; Permit No.:
Phone: 503- 639 -4171 Fax• Post - Review Land Use
C 01 [IW1RD Date/By:
Internet: www.ei_tigard.or. i' 4 • ' Case No.:
24 - hour Inspection Reques83PYIS1' : �' � n � ' .5-. Contact turns.: El See Page 2 for
Name/MOW: I Supplemental Information.
•
.::_ ;: ' E It4VORIC . F;.° tV::: ; :.,. '... • • .PLArr RE EW, '.l .Finch a F .- 't a :",..15) . _ —
New construction Demolition d Service over 225 amps- • Hcalthure facility
-- commercial ❑ Hazardous location
Addition/alteration/r laccmenl
Other: ❑ Service over 320 amps-rating oC • • ,• . '4cATECIOit ` �'?lL� .NS7RUGCION • :. ::.: : -' ` : : ! i t om" 6 ❑ Building over 10.000 square feet,
1 & 2 family dwellings four or more residential units in
I & 2- Family dwelling Commercial/Industrial 17 System uver 600 volts nominal one structure
ACCCSSO Building ID Building over three stories ❑ Feeders, 400 amps or more
IY K Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV Master Builder Other: ❑ I {grass/ lighting plan ❑ part
Other:
:.' 90B :SITE' O $ION CE&LoCAAVION ` = "i. `rlf.A1 Submit stets of plans with any of the above.
r Job site address:_ / / tt �O Sig ,.r,, so n c, The be ro! llatbk to ra construNovi.
Suite #: BBId / PL - aovI .: ae n :; �� "''' ; in : % : '' ser : '= ce : :..
I •Apt. #: Number of In one (e permit r
Project Name: O H% c -- B ✓ u p en a -f — Description Fee (ea.)
Cross street/Directions to job site: New resldeatlai s1ngle or mptlt -fim� per
dwelling unit. Includes attached garage.
Servke Included:
1000 sq. 11. or less 145.15 _
Each additional 500 sq. ft. orposlion thereof 33.40
Subdivision: . 1 Lot #: Limited energy, residential 75.00
Limited energy, non residential 75.00
Tax ma. /.arcel #: Each _
::_ ,� manufactured hone W modulo dwelling
"ii.i %� : � r • i 7I co . t RR < 311 r : : -x: v1: _ Serve« and/or feeder •
_ . , ..,: 90.90
3 C� k C r �V Services or feeders - Installation,
alteration or relocation: .
_200 am or less 80.30
- - - -- - - " — 201 amps to 400 amps 106.85
401 amps to 600 amps 160.60
,'17 2102MR8 -.Ji amE t;' R _ �r.-} eff r ;: . 601 nips to 1000 amps 240.60 —
Name: tR o c B 1 V i e., c7 -1 k Over 1000 amp, or volt 454.G5
Address: 5 7a• R`COnn"` only 66,85
- Temporary services or feeders - Instaliation,
Ciy /StateJZip: _ 200 am or leas cab 66.85
Phone: 5 °) 96 9 - 9 7/ Fax: 201 ampli to 400 am(uc t0030
:: ■ APPI:ICALVT:'� :�„ :.,i'ti ai' m t '� -rr - 401 to 600 amps - 133.75
Branch circuit! - new, alteration, or
Name: ertenslon per panel:
Address: A. Fee for branch circuits with purchase of
_. service or feeder fee, each branch circuit 6 65
City/Slate/Zip: B. Fee for branch circuits without purchase of
Phone: Fax: service or feeder fee : first brunch circuit % - 46.85
. Each additional branch circuit ..:.• 6.65 1 - , = , ■
E - mail: Misc.(Service or feeder not included
:11:'..:••• '..110: ` • ;• 0.; e'c.Nrja; rows Each pump or in_ iigation circle ) 53.40
Job No: / 7_ , 2 t} / Each signor outline lighting _ 57.40
Signal
circuit(s) or a limited energy pared,
alteration, or extension
Fi Page 2
Business Nance: Boones Ferry e � t r i r Description:
Address: P.o. Box 628 _
.
Clt /Stale/Z1 : Wilsonville Each additional inspection over the allowable In erg of the above:
} � p O R 97070 Per inspection per hour (m in. I hour) 62.50
Phone: 682- 4936,.: Fax: 682 -7946 Ievestigatloofee:
CCI3 Lie. #:88482 ic- #: .3_223C O
Supervising electrician / -- - -" t3F
b
r es�
signature required: _,,,/ j o Subtotal $ 60 . I S
Plan Review (25% of Permit Fee) $
Print Name:, "' e rro Lic. #: s 1g'$' . State Surcharge (8% of Permit Fee) $ 9 . s? I.
Authorized — TOTAL PERMIT FEE $ G'-t .1_g
Notice: This permit application expires If a permit Is not obtained within
Signature: Date: 180 days after It has been accepted as complete.
*Fee methodology set by Tri— ounty Building Industry Service Board.
(Please print name)
i:\I);ISwenrot F 01/03
CITY OF TIGARD 24 -Hour �I
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
0 AM PM BUP
Received � / p Da te Requeste
Location /1 Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph (50-3 FZ` 4/9:3 SWR
BUILDING TenantOwner 4 €? 1= -- �)O3
Footing
Foundation ELC
Ft Drain
g Access: // ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation m L <J cl ( e'3 `-
_
Drywall Nailing C
Fire wall L J r
Fire Sprinkler /
Fire Alarm
Susp'd Ceiling
Roof — Ci (‘-) vet / r
Other:
Final _ C) — �,c-" /
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In U
Water Service / U L`' / L
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan /0 O fi—
Other: —$ /
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers , 2 C %
Final �/ 0 , +a- r-• p C
PASS PART F L f U G ..- e
ELECTRICAL C R r,v r J-y, 14 f
Service
Rough -In
UG/Slab
Low Voltage
, rm
Fina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
V Approach/Sidewalk Date O Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL