Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00616
DEVELOPMENT SERVICES DATE ISSUED: 10/27/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S125DB-01700
SITE ADDRESS: 07140 SW TAYLORS FERRY RD ZONING: R -4.5
SUBDIVISION: SHADY DELL LOT : 017 JURISDICTION: TIG
Project Description: 2 branch circuits to AC and furnace.
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: 1 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:
MEGAN SAGE OWNER
7140 SW TAYLORS FERRY RD.
TIGARD, OR 97223
Phone: 5971 - 219 -2766 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 10/27/200( $53.50
[TAX] 8% State Surcharge 10/27/200( $4.28
Total $57.78 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: X 41 / _/ ii Permittee Signature: t pja14‘,4-17, O WNER INSTALLATION O NLY
( /
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.
hie - leat Permit Application 0 r � ` � v FOR`OI;FICf USC On CI � M r, fr
• City of Tigard � � i. Date ew v + �V �� �.17 "W !Y Y
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e1 13125 SW Hall Blvd., Tigard, OR 7 t/�r Pl
Other Permit
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- Phone: 503.639.4171 Fax: 503.598.1960 `\ P� "t a an Re
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Inspection Line: 503.639.4175 � - c\� .X.I Date Ready /By: Jury ® See Page 2 for
:PI G A:R P' �
Internet: www.tigard- or.gov r� �p�� Notified/Method: Supplemental Information
TYPE OF WOR ��� PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below):
El New construction El Addition/alteration/replacemenl
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
p I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "l -3 ",
Job no.: Job site address: (, ' ) (J I00HP or more. occupancy.
�' ] Q (1W �OS-��ct (3 /\ /.... A ❑ Six or more residential units. ❑ Recreational vehicle parks.
-rig V tora D � ` ❑ Health -care facilities. ❑ Supply voltage for more than
1� q t 9-2.23 2 El Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: T `I I g{ j_ - fi r 1 l cli Description I Qty. I Fee. 1 Total
New residential single - or multi- family dwelling unit.
Includes attached garage.
Subdivision: StACAS
� Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family 75.00 2
nsk> p - PurY ct (' ( c_ ur k residential (with above sq ft.)
((f Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
pt PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: ) o � .4-� ( I I S ) ( p _
401 amps to 600 amps 160.60 2
`�-��'
601 amps to 1,000 amps 240.60 2
Address: -ql u D & £) - I � " j Over 1,000 amps or volts 454.65 2
City /State /ZIP: T� CP t J og_ 07.7 7 � Temporary services or feeders installation, alteration, and /or
l relocation
Phone: (4-4-i) Z 19 _ Zi6G Fax: ( ) 200 amps or less 66.85 1
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 599 amps 133.75 2
Branch circuits new, alteration, or extension, per panel
Owner signature: � �, L ���� i_ l Date: /0 - Lei — 06 A. Fee for branch circuits with
g APPLI ANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 46.85 i 2
Contact name: first branch circuit / �S
Address: Each add'I branch circuit f 6.65 , 4,5 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: energy panel, alteration, or
Address: extension. Describe: Page 2 2
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( )
Investigation per hour (1 hr min) 62.50
CCB Lie.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 53.50
Plan review (25% of permit fee):
Print name: Date:
State surcharge (8% of permit fee): g',
Authorized signature: TOTAL PERMIT FEE: 59.7 g'
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per pennit.
I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(I 1/05 /COM/WEB
CITY OF ��nn m ��n mu�m��nu��
BUILDING DIVISION PERMIT #: ELC2006-00G16
13125 SW Hall Blvd., Tigard, OR 97223 ^ DATE ISSUED: 10/27/2006
Phone: (503) 639-4171 \ ./
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1030/2008 TIME: 7:05AW PAGE: 69
SITE ADDRESS: O714OGWTAYL0RS FERRY RQ CLASS OF WORK:
SUBDIVISION: BHAOyDELL LOT #: 017 TYPE OF USE:
PROJECT NAME: SAGE
DESCRIPTION: 2 branch circuits to AC and furnace.
OWNER: SAGE, MEGAN PHONE #: 5971'219-2786
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
39 Electrical final 038966-02 603-718'2426 N
Corrections/Comments/Instructions:
1A9 ' ' -
�:i PASS | PARTIAL APPROVAL ri CANCEL NO ACCESS
I I FAIL | I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: ^~' a4 Date: )00/ca Phonm #: (503) 718- Z._6
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CITY ��`����N��������
�*n n n OF m o�m��x���
BUILDING DIVISION ' PERMIT #: BC2006-00616
13125SVV Hall B|vd, Tigard, ORA7223 DATE ISSUED: 10/27Y2008
Phone: (503) 639-4171 OM/
Inspection Requests (24 Hrs.): (503) 639-4175 ffdak
INSPECTION WORKSHEET FOR DATE: 10/30/2006 TIME: 7:06Ah8 PAGE: 70
6f- `7°
SITE ADDRESS: O71409VVTAYL0RS FERRY RD CLASS OF WORK:
SUBDIVISION: SHADY DELL LOT #: 017 TYPE OF USE:
PROJECT NAME: SAGE
DESCRIPTION: 2 branch circuits to AC and furnace.
OWNER: SAGE, MEGAN PHONE #: 5971-219-2766
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10130/2006 Pour Time:
'
Code # Inspection Description Confirm # Contact # Message
145
NC or hoatirig unit circuit 038986-01 503-718-2426 N
Corrections/Comments/Instructions:
PASS PARTIAL APPROVAL I | CANCEL | I NO ACCESS
El FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: / Date: e Phone #: (503) 718- 24^-9y
CITY OF TIGARD
BUILDING DIVISION .. PERMIT # (,D640'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 .. � N .' ii /t7 2 */C co
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 7/46 Yt. o e / 2 7 i CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT TION: Cs '�G
DESCRIPTION: 73 ,
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspectiop Description Confirm # Contact # Message
/°I q �i iV4z_-- 9a -0 -O 3
Corrections /Comments /Instructions:
Z ? .. 7 ,. // --- 1 li
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AZ 07 - Z/s — I T-- ,k_, - s
PASS PARTIAL APPROVAL I I CANCEL I NO ACCESS
)CLEAIL ; ALL FO' ,. - -- • N n ADDITIONAL FEES ASSESSED
- V
Inspector: 5 Apr , Date 7/ DCPhone #: (503) 71