Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00399
DEVELOPMENT SERVICES DATE ISSUED: 6/9/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S111 DD -10200
SITE ADDRESS: 08585 SW STRATFORD CT ZONING: R -7
SUBDIVISION: CHESSMAN DOWNS LOT : 028 JURISDICTION: TIG
Project Description: Panel change.
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:
DAN SNYDER DRYER ELECTRIC INC
8585 SW STRATFORT CT. 9409 NE COLFAX ST
TIGARD, OR 97224 PORTLAND, OR 97220
Phone: 503 - 639 -3924 Phone: 503 - 771 -5667
FEES Reg #: ELE 26 -I 142C
LIC 153466
Description Date Amount SUP 2876S
[ELPRMT] ELC Permit 6/9/2005 $80.30
[TAX] 8% State Surcharge 6/9/2005 $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 0- 332 - 344.
Issued By: _ r-f Permittee Signature: p']/? CeclL� -t.
OWNER INSTALLATION ONLY i
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.
Electrical Permit Alppi.crattjo4 FOR OFFICE USE ONLY
l l of Ti and rI cka c l Re c eived
`J g Date/By: W/ O ' J 6P, C
Permit No.: D. 1 5 — 7 510399
13125 SW Hall Blvd., Tigard, OR 9722 v r A Plan Review `'�� G�'r'
Phone:. 503.639.4171 Fax: 503.598.11 6f)i : , 200 �.' r t � t" Date/By: j rParmtt Inspection Line: 503.639.4175 6T Date Ready /By: el See Page 2 for
Internet: www.ci.tigard.or.us a O Notified/Method: (. Supplemental Information
, ,.3t 111 orpits ly : - : . : :i . -1:-: , , , -.',!- . ' PLAN: REVIEW' .
❑ New construction Addition /alteration /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-: -' :' '. ; "a"'• of I- and 2- family dwellings 4 or more new residential
I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi- family ❑Master builder ❑ Other: ['Building over three stories • EFeeders, 400 amps or more
❑Occupant load over 99 persons ['Manufactured structures or
. RV
• JOB SI INFORM AND �... - ., • ,,, ['Egress/lighting plan park
P
Job no. VI ir Job site address: G ❑Health -care facility ['Other: 0� �� Submit 2 sets of plans with any of the above.
City /State /ZIP: 11 b 0 0 P q---) 22 The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: Project name:
.-;' FEE *, SCHEDULE' : - `.
Description I Qty. I Fee. I Total
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: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
E non-residential
-.'' ,, .:. r;'-;; ': ,. D SCRIPTION. OF; WORK; :•c '' , ', "r'` =. '.
• Limited energy, non- es'dential 75.00 2
. •• - Each manufactured or modular
j2� „ / / dwelling, service and /or feeder 90.90 2
.��// i r re) ( 9 Services or feeders installation, alteration, and /or relocation
200 amps or less ' 80.30 el) ,3 2
. " PROPERTY R ' ..•_ ., ❑ TENANT,,.;.' >,' -' - +': ,'' 201 amps to 400 amps 106.85 2
r 1, 401 amps to 600 amps 160.60 2
Name: S pLez►( 601 amps to 1,000 amps 240.60 2
Address: i S - er) / Over 1,000 amps or volts 454.65 2
l / Reconnect only 66.85 2
City /State /ZIP: 1) G 2,4) 02. q--7-2,7t1 Temporary services or feeders installation, alteration, and /or
r _ relocation
Phone: a lrJ .31' Fax: ( ) J •
200 amps or less 66.85 I
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: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'l branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
CONTRACTORf: ' :" .-, , :',.1, ;",. ,,,- ..:•::.7,'..:f energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Dryer Electric dba Rose City Electric
Address: 9409 NE Colfax Street Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: Portland, OR 97220 Investigation per hour (I hr min) 62.50
Phone: (503) 287 -6164 Fax: (503) 282 -1060 Industrial plant per hour 73.75
':' := °;; :.''ELECTRICAL. PERMIT FEES *. i•:::_..'_' : '
CCB Lie.: 153466 Electrical Lie.: 26 -I 142C Suprv. Lie.: 2876S Subtotal go., .53
Suprv. Electrician signature, required: .4.44/..-...---- Plan review (25% of permit fee)
qz, / State surcharge (8% of permit fee) /, rL7
Print name: E ea) G I BS°J Date: c1 05
� TOTAL PERMIT FEE g- r
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri -County Building Industry Service Board
" Number of inspections per permit allowed.
is\ Building \Permits\ELC- PermitApp.doc 12/03 440 461 5T(10 /02/COM/WEB
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Busin : � Line:,. (503) 639 -4171 MST
SUP
Received Date Requeste e4M PM BUP
Location 5 4/ S 7' -. MEC
Contact Person Ph ( ) PLM
Contractor • ( ) SWR
�6
BUILDING Tenant/Owner ELC 0D37
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ��Q
i � !e4gi /2S
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In ✓
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PAR AIL
ELECTRICAL
Rough -In
UG /Slab
Low Voltage
Fire : arm
Jr" 'ASS PART FAIL
Ej Reinspection fee of $ required before next inspe•, ion. Pay at City Hall, 13125 SW Hall Blvd.
Please call fo eins�ec '.n RE: /
ADA .►
n Unable to inspect — no ac ess
Fire Supply Line 3 ZY.4Y
A pproach/Sidewalk Date Inspector �
Other:
Final D • NOT REMOVE this inspection record from the Job site.
PASS PART FAIL