Permit 'CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: E 1/2008 - 00380
DATE ISSUED: 7/1/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134BD-06500
SITE ADDRESS: 11545 SW SPRINGWOOD DR ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT : 153 JURISDICTION: TIG
PROJECT: LEHMAN
Project Description: Installing (4) 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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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:
WAYNE & MICHELLE LEHMAN OWNER
11545 SW SPRINGWOOD DR
TIGARD, OR 97223
Phone: 503 - 816 -2765 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 7/1/2008 $66.80
[TAX] 12% State Surchar 7/1/2008 $8.02
Total $74.82 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: P ermittee Signature:_r�` g:7
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.
JUL. 1.2008 9:50AM First Aid Only' _ -- •
�� - N0. 1511�P, 2
____ rival Permit A lication � ��
City of Tigard �� �� a ruu (err• Ici.: utir•, ONLY
1
e 13125 SW }{all Blvd., Tigard, OR 97223 � . Dale/13 ® Received
I IIII
uL Revtev �� /}8- iyII Permit No.: i _ 8---r/c) Phone: 5 03.639,4171 Fax: S03.598.1960 J GPtt v v
T I t ;,� h �� Inspection Line: 50 3.639,4175 0 �� � Nl •t ms's' : ' Other permit:
Internet Line: C 03.63 .gov •
N + El See Page 2 for
E () WORK. °4i ': ; ' , p ' ' ,�, F .rR, • C � I Supplemental Information
New construction zl terati0n/replaCe m ent " 4 1 t << .y l - r;'' : 4'• .
® Addition/ l
❑ Demolition ❑ Other: Please cheek all that apply (submit 2 sets of plans w /itoma checked below):
❑ Service or feeder 400 amps or more ❑ Building over t
where the available fault cwieN three stories,
ucoRlr Or cONSTRuctio V' .: , ' '., '1 ❑ Mantras and boatyards.
. CA
' d
` `� exceeds 10,000 a
®I - and 2 - family dwelling " t` ' i_h amps a 150 volts or ❑ Floating buildings.
g ❑ Commercial/industrial El Accessory building as tot all ar ezceeda Id,000 ❑ C tjdtng cisl
❑ Multi - family •uae agricultural
amps te for ell o ther installa
❑ Master b builain
� . ❑Other: ❑ Fire unt p es
JOB 811E r<fIFQxMd7 builder
AND P' y 1) Installation rger separately derived system,
• of 75 KVA or • CA [ , '�t ❑ Emergency iaq of 1111W motor . load ° f larger • Job no.: Job site address: 11545 SW Springwood loo 12 '',4", ° t "l -z ^, "1 -5 ,
p gwo Drive IOOHP or more.
❑ Six or more residential units. ❑ Recreational vehicle parks,
City/State/ZIP: Tigard Oregon 97223
❑ Health-care facilities. ❑ Supply voltage for more than
❑
600 volts nominal.
Suite/bldg. /apt,no.: Project name:
A/ _ ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: Scholls Ferry and 121st e se r ' N "'T+ ,�� .
r.•... «,i „sci ;i3ii1l+_,,,_ •:i ';t,
Dgerl•Ilort � 1. - " ••
New residential single- or multi-family dwelling unit. •
Subdivision: Includes attached garage.
Lot no.: 1,000 sq. ft, or less ��
Tax map /parcel no.; Ea
Limited energy, 500 sq, ft, or portion 4
D OF WORK ited 33.40 l • sy, residential
Changing existing light fixtures to recessed lighting in four rooms. `"'d' above a•. ft. 75.00 2
Limited energy, multi- family
residential with above ,. ft. 75.00 2
• Services or feeders installatio alteration and/or relocation
®O' OR'1V�4I2, ''.i,�' ti; ' t :.� b ' y ,, 0 T 71, _ri }yielAl..•i 200 amps or less
Name: Michelle Lehman
401 amps to 600 amps " I. 4e 20 amps 10400 amps 106.85 2
1 60.60 MI 2
Address: Same as above 601 amps to 1,000 amps 160.60 2
P 240.60 2
City/State/ZIP: same as above Over 1.000 amps or volts 111..=.11111 2
Temporary services or feeders installation, alteration, and/or
Phone: (503)816 -2765 relocation
Fax. ( ) 200 amps or Ices
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 1111111.=.1.11 1
intended for sale I. re l t, or r h. : e, : • • rdin 1 to ORS 447, 449, 670, and 701. 401 amps to 599 amps 100.30 2
Owner signature: ,� F • • 133.75 — 2
L� Date: i • • h 0 13 Branch circuits —new alteration. or extension . r •anal
❑ APPLICANT, r t A. Fee for branch circuits with
Business name; Ni COIV`Ytei; ••�1P a `� above service orfeedorfee, •
each branch circuit 645 2
Contact name: Wayne B. Fee for branch circuits
y Lehman u is
wnhorrr service ui feeder fee 1111111 Address: Same as above lust branch circuit 46.85
2
City/$fate /ZIP: Same as above Each add'I branch circuit am 6.65 19.95 2
Miscellaneous service or feeder not included
Phone: (360) 609 -5365 Each manufactured or modular
Fax:: ( ) dweilin service and/or feeder 90.90 2
E-mail: wa yne 3509 2 003(a�yahoo.co m Reconnect only Illinali
—
2
Pump or irrigation circle
' ' CbN'l�RACTOkt • � � - : « ' : • '' ' �, '. . , � , � 53.40 � 2
Business name: / Sign or outline lighting NE 53.40 1111111 2
Signal eircuit(s) or limited-
Address: energy panel, alteration, or
____, extension, Describe: Page 2 2
City/State/ZIP:
Phone: ( —
Fax: ( ) Each additional Ins , tion over allowable in an of the above
Per inspection 62.50 MEM
CC$ Lic.: _ Electrical Lie.: Investigation per hour (1 hr min) MEW
Suprv. Electric's/1 iGt3n si Suprv. Lie.: Industrial plant per hour �
g,naltlrG, required: �t�! - r " u� r J ~om y }
Tint name:
Date: Subtotal: 66.80
Plan review (25% of permit fee):
P
Authorized signature: State surcharge (12% of permit fee): 8.02
Print name; TOTAL PERMIT FEE:
Date: This permit application expire, if a permit is not obtained within 180
1 . 1 BuildingTeremsteLGPermitn doe os
days artcr it has been accepted as complete. DD rl7rpa • Number of inspections allowed per permit,
44 0- 4 6t5T(I lrosicomnvga P
CITY OF TIGARD R
BUILDING DIVISION PERMIT #: ELC2008.00380
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/9/2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 11545 SW SPRINGWOOC) DR CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 153 TYPE OF USE:
PROJECT NAME: LEHMAN
DESCRIPTION: Installing (4) branch circuits.
OWNER: LEHMAN, WAYNE & MICHELLE PHONE #: 503 - 816.2765
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 072339-01 503 - 816.2765 Y
Corrections /Comments /Instructions:
PiRti F1oArr ,y
\\" i N \
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6- . N 080 Le Date: 1 • 1 t Phone #: (503) 718- OIL