Permit ill CITY OF F TIGARD ELECTRICAL PERMIT
s � ° PERMIT #: ELC2008 -00491
COMMUNITY DEVELOPMENT DATE ISSUE 8/272008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134CB-01400
SITE ADDRESS: 12250 SW SUMMER ST ZONING: R -4.5
SUBDIVISION: SUMMER HILLS PARK LOT : 013 JURISDICTION: TIG
PROJECT: MACHAN
Project Description: Ground electrical service. Installing (1) branch circuit.
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: 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:
GEORGE & MARYANN MACHAN ATLAS ELECTRICAL CONTRACTORS
12250 SW SUMMER ST 4403 SE ROETHE RD
PORTLAND, OR 97223 MILWAUKIE, OR 97267
Phone: 503 - 201 -7355 Contact #: FAX 503 - 659 -4944
PRI 503- 659 -2212
FEES
Description Date Amount Reg #: ELE 3 -2C
[ELPRMT] ELC Permit 8/27/2008 $46.85 LIC 1532
[TAX] 12% State Surchar 8/27/2008 $5.62 SUP 5009S
Total $52.47 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 thr.ugh OAR 952 - 001 -0100. You ►opies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
, ' 111111 11
Issued B . . ----,,,‘„..,...6. _.mil — Permittee Signature: . 5N "Ii r,A 4 ,775 . ` a v -
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.
ATLAS ELECTRICAL Fax:5036594944 Aug 26 2008 15:51 P. 01
�� 1 roli:Ort'IC:E USE Otil.v
Electrical Permit Ai lication
• C11y Of Tlgar(i O ther Femur:
a 13125 SW Hall Slvd., Tigard, OR 97223 r �� H e p , _¢ 2'ror
.. • ? • Phone:. 503.639.4171 Fare: 503.598.1960 P��, _ . t �,r; �� r Supplem; lnfoemadon
, cc � :.
. Inspecuonl,ine: 503 OS ```� . h „.,. .,• .;:•
T 1t,AR.1� ,u ardor ov 1 y , + •�7 ' ' • Internet: wwN g •g ' _ - .n ^` � ,. :,' r .:4 * ,*Qi t '''1,4 ;1:it ...,
<' :; p' ,9+ , :' that aPP1y (Submit`2 plans w
s''',71-. S; si, � • • . ;c'w(: k' >, checked • I , � , p kedbe three stories •
.,r.4 F ; " e ;.[' ? ■ ..'L. . ''t� _ .: Please check all Building 3 flu
Addition/alteration/replacement ❑ service or feeder 400 amps or mote ❑ g d hoop suds.,
[] New construction ® where the available fault current ❑ Mariass
Demolition 0 Other w exceeds 10 000 amps at 150 volts or ❑ Floaang wl��'
�, �.', .' y+ ,?1;r ,` ti, q 0 Flommct�tal-use a
.:ai :r.,:_° ;`r + 4;1' ' ,di ''-' F. C - _ - ` 3 Y^ ^ r'r:'''''' .T. ar ex exceeds ❑builds
+ MQ a - � - less to found: s l 0
� __..:..,,..... : ' ; { �'. " �:,. g other KVA or
Commercial/industrial ❑ Accessory building amps for all o 0 !w ding . of 75
• O 1- and 2 fatn4ly dwelling ❑ ❑Fm prone
❑ builder ❑ Other ❑ Emergency system. larger separately derived system,
Master b er en s „ ,.F± �1_Z < °1.3"
CI Multi-family W ' : "1Y?, : yy7',�' 0 Addition of new motor load of 0
.,.1_...�:`�= ;.:.'•:' ;': - _ E' ; .. �... _ �..... - - 1001fpo .
.. i..' Y;O ;, �� 0 ?` ..'t, +t%,e :11 ° " -'a'� occvp ry.
�Q : 9 >4: " o mate ❑ Reotea al vehicle pads
Job site a El six or more more.
units. 0 Supply 4oltage for morn than
Jobno;:178Z7 address: ' 12250 SW SUMMER STREET i p Hcalth - carefac
❑ Hazardous locations. 600 vots nominal.
City/State/ZIP: TIGARD +OREGON 97223 , •
❑ Service or feeder 600 amps or more. IJN113T '. . y , is: L .
• Suite/bld /a t. no.: Project name: BEA'VERTON PL :`, } , N .,. h ; .._':li`E ' CT .. „' rppl
pescriptiuu ■
Cross street/directions to job site: New residential single - or multi - family dwelling unit.
Idcludesattached garage. 4
1,000 sq. ft or less 1' .15
Lot no.: 13.40 �4
Subdivision: Ea. add') 500 sq. ft. or portion Mill Tax'tnap /parcel no.: ' k ,, ,� �` with above flat
Limited denial I . .00 t. ::< ?<'>¢o» bT' ;0 ;., ., ,_..: Limitcdencrt�,.mulcifamily 1 5.00
•
0
�•� ;i�'_: % :.. ;` residential with above s•, ft.
GROUND ELECTRICAL PANEL Services or feeders installati afteratio �, and /or relocation
200 amps or less II .. 0.30 WI
+6.85'
,• r v .r 201 amps o 400 amps a
f3p . ;� . sc "` ., , , ; ;:` }'r r:, i= 1
t amps 1160 .60
- r�•':':�2' ::,.;..,.., 401 amps to 600 ps
! 1,000 amps �? t0 . 60
Name: 601 amps to 1, 2
Over 1,000 amps or volts .4.65
Address: Temporary services or feeders Installati a n, alteration, and /or
City/State/ZIP: relocation .'66.85 EMU
amps or less
Phone: (. ) Fax: ( ) 0 amps 11111 � 00.30 Min •
'Owner installation: This installation is being made on property that I own which i not 201 amps to 401 amps to 40 40 0 amps 111111160111.1111131 intended Salo, lease, rent, or exchange, according to ORS 447., 449, 670, and 701.. Brooch circuits — new • alteration, or exterition, • er +anal
Owner signature: T := '?,via! A above service or
Date:
ti 6.65
;, _. i�,::: :.N. F y `. z , .&. ..p, 1; .50 : each branch circuit
I 6s
B. Fee for brsoch circuits Business name: without service or feeder f ee, . . i 46,85 .
4 5
'
first branch circuit
Addre c'narxle: Each. add') branch circuit R 6.65 . if
Address: Miscellaneous (service or feeder not inclluded • • •
Each manufachired or modular . i 90.90
dwellin:, service and/or-feeder �� �� •
F ( ) • . • ; Reconnect only
66.85 �
Phone: ( ) Pump or . irrigation circle 53.40
-mail: ' gn or outline lighting t 53.40 �Q
.; :.:,._ ; ,.:: :i,' ; >: �,,: ' :.._•_ _ .:.....;may :, ,.. .. ' ' . Signal circuits) or limited-
P.
. I;:: =.^ �.�' i
energy panel, alteration, or Page 2 2
Business name: Atlas Electrical Contractors extension. Describe:
Address: 4403 SE ROETRE ROAD '
City/State/Z IP: NIILWAUIQE, OREGON 91267
I Each additional ins +ectlan over allow' ale is an of the above
Per inspection. • • 111111' 6250 111111111'
(503) 659-4944 Investiiation per hour (1'hrmin).. 1> 62.50
Phone: (503) 659 2212 Fax: ) '
industrial plant per hour + ' 73
0095 ^„ ' ''
CCB Lic.: 1532
uprv. Lic.: 5 � rou� i t !>I : +,'_ '�= ;i'> ::',.:
c
S}ibtotal: 46.85
Suprv. Elecrrii0n signature, required= �'I►r1T, /1r • Plan review (25% of puffiit fee): . .
ate: 8/26!08 . State surcharge (12% of pe MIMI • ' 5.62
• TOTAL PE' l FEE: 52.47
Authorized signature; 7tt ls permit oppficaticn expires if a permit is not obtained within 160..
W SHEPERS Y Date: 826/08 days after it bas been accepted as complete
•
Print name: T Y 1 a Nranber of Ins p�oas allowed pt:rPermrt:
• •
a ao asl sT(I tms/COnvwt a .
I; \auildinglPermlrsU ?1- C�emtitAPP.d� 0523/06 ..
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Et.C2008.00491
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/77/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 J4
INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 12250 SW SUMMER ST CLASS OF WORK:
SUBDIVISION: SUMMER HILLS PARK LOT #: 013 TYPE OF USE:
PROJECT NAME: MACHAN
DESCRIPTION: Ground electrical service. Installing (1) branch circuit.
OWNER: MACHAN, GEORGE & MARYANN PHONE #: 503 - 201-7365
CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 503.659 -2212
Inspection Request Scheduled For: Date: 8/28 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 074781-01` 503.901 -9343 N
Corrections /Comments/ Instructions: �/
v " 7•
I4PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I] CALL FOR IN PECTION ❑ ADDITIO AL FE S ASSESSED
Inspector: Date: P one #: (503) 718 -