Permit 4 C7ITY OF TIGARD ELECTRICAL PERMIT
14 ° P #: ICAL PERMIT 4
a COMMUNITY DEVELOPMENT DATE ISSUE 5/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103CA-04800
SITE ADDRESS: 11560 SW TERRACE TRAILS DR ZONING: R -4.5
SUBDIVISION: TERRACE TRAILS LOT : 004 JURISDICTION: TIG
PROJECT: KNIPE
Project Description: Replacing electrical panel and installing (2) 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: SIGNAUPANEL:
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: 2 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:
RALPH & LOIS KNIPE BOONES FERRY ELECTRIC INC
11560 SW TERRACE TRAILS DR PO BOX 628
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503 - 682 - 4936
FAX 503 - 682 -7946
FEES
Description Date Amount Reg #: ELE 3 -223C
[ELPRMT] ELC Permit 5/9/2008 $93.60 LIC 88482
[TAX] 12% State Surchar 5/9/2008 $11.23 SUP 4918S
Total $104.83 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: `1 � Permittee Signature: i ��/ '
IP
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.
•
l`'. E� 2008
_ a 3• 13PM�. FERRY ELECTRIC
B00NES No. 3601 P. 1
E� FOR OFFICE USE ONLY
City of Tigard ?F ) Received y N - ° 13125 Sw Hall Hlvd., Tigard, OR 97223 Dat : S r V[/ tall p it No.: .. 0 (.11 Phone: 503.639.4171 Fax: 503.598.1960 O g 4OO Plan Review
.
TIC A R D Inspection Line: 503.639.4175 `A n L Date/By: Re
Other Permit:
www.tigard or. ov 1V`�`� Date Ready/By: t °"s See Pagel for
• g Y A/ 1 Notified/Method:
Ne
all. ). t, n � + rTJ � frcF t ? „ t y _ �y Supplemental Information
,1 . r Z r , fir. :l Dt n ? XT., i , F F r n , - . t � 1 17 �i T j � ,, �.1 :it lmr t T r i�.,r 6 d r � ^^ - e
1 �. ..: , 1frk-sc:l41,1 0 i. - -_•: �' aSwl '. s t ja �t m � J'�i Sl -ci
❑ New construction 4lddition/alteratl � Its t `—� e checked -fir o w :
� 3 ant Pl ease c all That apply (submit � sets of plans rvrleoas c bel
1: Demolition ❑ Other ❑ Service or feeder 400 amps or more ❑ Building over three stories.
[' n "' l , TT ii, 'r —, i 4 t;'Tr r n , n when the available fault current
dlt� } uti� ['11 °1 c } A1 y }t m r P Ts" (3 Marines and boatyards.
...:,}.fL � Q t� j-� ;!, 1AC 7: I ,r . (f F t ∎1 ' V. ucecds 10,000 amp at 150 cults or ❑ Floating buildings.
and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building less to ground, or exceeds 14.000 d Commercial - use agricultural
❑ Multi -family amps for all other installations. buildi
• y ❑ Master builder g in
s Vi-9,, �. � � �. 0 CI pump.
,z , , 1 r h • :TRIW `� t � u R 11 - Mi r 'a- j ;•r -'I°e W ❑ Installation separately t ly 75 KVA or
Ls r i zii a ] cY �E / :vi_ ,, , I ) let ,, ,,,, iz tF i tr ., _, I ' - . � 4 , 7,.. ❑ AddlUo n o system. Iatg r separatelyderivedsystem.
+ 3 ❑ Addilioo of new motor load of ❑ •• ,.� "1-2", .•1_3 S V q J ob site address: / S 6 0 s11.,, Tee,* c r IooHP or mare. occupancy.
Job no.
t 1i �S V ❑Six Or men tes,dentiel units. ❑ Recreational vehicle parks.
City /State/ZiP: 1 � o �,, Q ❑ i (ca-care facilities. 0 Supply voltage For more than
-� ❑ lth Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name:
t )1 b e ❑ Service or feeder 600 amps or more.
_ Cross street/directions to job site: _' {If'E [t . _,ur :p_f
nerviption = =i • ,...,�
Qo. Fee. Tow •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: • Lot no.: 1,000 s q. ft or less 145.15 4
Tax map /parcel no Ea. add'1500 sq. R or portion 33.40
•
d'r Z� Imo°'' - 7 r "— d'z gr Limited energy, residential 1
. .A , .;....41g: , ,.� +� t5,. � f?r)a i'c �l` j,q t' ira< ka� }1 ''"'#',f'r"IL' . ' • '. .
JvsM j - sh' cY. f t ' r ` T _ (with above sq. R.) 75.00 2
P q m ./ e h g d- c r kl f o .. Limited energy, multi family
residential (wish above sq. A.) 75.00 2
Services or feeders
_ r O 'A e_ d. Oar Q,Oe1 k„! tp re installation, alt
it ' V Q" !\Rr r alteration and /o reloca
, r ton
gii. , �,5 a ��' I &I C r 7 ' ' 'l7i f l i + n �` : y3 ,n-�'r 7 r , c r 1 : 7 y 200 amps to or less 1 8�.3t)
.k' its, i. rn ta.,..n'rJ.-2, }l�)' a-rli }: :lY4ti1- ...,., �• i rr-,.4. 1 - u ii, 7 . 10 , 1 : :,. 201 amps to 400 amps
7 % h I- . - I(iv - - 106.85 2
Name: 401 amps to 600 amps
160.60 2
Idress: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
C ity/Statd2lP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) relocation
Fax: ( ) 200 amps or less
Owner installation: This installation is being made on property that I own which is not P to 400 amps 00.30 100.30 2
1
201 am s p
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps
Owner Owner signature 133.75 2
- .�, ,,, � Date: Branch circuits- new, alteration, or extension, per poet
�!L_ulldt';. t ll +N, h K h} 3 Y 7:2 7 }� �'i — "F 1 � � _ i �4'' A. Fee for branch circuits with
L L .-ei ilias6.44Id ii . L N ,�s e' l,r .. .trll� 19f ,, ' � - 7 bl : y _
s ° -, �sm �;f Trip Yl �..�L 1 t r - • . above service or feeder fee,
Business name. each branch circuit 6.65 0 2
•
B. Fee circuits
Contact name: without service or feeder fee,
Address:
first branch circuit 46.85 2
Each add'I branch circuit 6.65 2
City /State /Z1P; Miscellaneous (service or feeder not included)
Each manufactured or modular ---
Phone: ( ) Fax:: ( )
dwelling, service and/or feeder 90.90 2
E -mail:
Pump Reconnect only 66
. ` • 7 ' r4 '•, i• I^�o'� r ��i' i yr L+:r�r�^ o or irrigation 66.85 2
p gation circle
uti.. r arig f #: `i 1 Lf §5�`;'y- EN8W'Ir'E� F 3. 5ignor outline Iighting 53.40 2
Business name. Boones Ferry Electric 53.40 2
Signal circuit(s) or limited -
Address: P.O. Box 628 energy panel, alteration or
extension. Describe. Page 2 2
City /State/ZIP: Wilsonville OR 97070
Each additional intion over allowable in an of the above
Phone: (503) 682 -4936 Fax: (503) 682 -7946 Per inspection 62.50
CCB Lic.: 88482 investigation per hour(' hr min) 62.50
Electrical Lie.: 3- 3C Suprv. Lie.: fit 9 j industrial plant per hour
Suprv. Electrician signature, {". a5Y t o " " 75 r•
Bn , required: !.!ifsL'iY, T :`ate,. t �sr �^�;.Y
A Ay
_ .tat name S ,r 1 '
• Subtotal: q 3, 6 0
a"1 rrr on Date; Plan review (25% of permit fee): -��
Authorized Signature: • Stale surcharge (12% of permit fee): ) / Z 3
TOTAL PERMIT FEE:
Print name: Ih� a Pp / 0 . , ,
Date: p rmit a lication expires ira permit is net obtained within 180
days anar it has been accepted as complete
1: 19u i t dingtpetmltftEl ,C_PemtltApp.dpc 05/23/06 ' Number of inspections allowed per permit.
440 -4615 TO 1 /O5/COM/ WF9
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200B 00264
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2008
Phone: (503) 639 -4171 Am° l iPIR9 Il
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 613/2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 11560 SW TERRACE TRAILS DR CLASS OF WORK:
SUBDIVISION: TERRACE TRAILS LOT #: 004 TYPE OF USE:
PROJECT NAME: KNIPE
DESCRIPTION: Replacing electrical panel and installing (2) branch circuits.
OWNER: KNIPE, RALPH & LOIS PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503- 682 -4936
Inspection Request Scheduled For: Date: 0/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact .# Message
199 Electrical final 070678 -01 503 - 639 -9344 Y PW)
eza '5 '/ 1 Corrections /Comments /Instructions:
P
(C:C)
IYPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CA FOR INSPECTION El ADDITIO AL FEES A SESSED
ri - 3/6
Inspector: r Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 00264
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2008
Phone: (503) 639 -4171 m t �ll ■
Inspection Requests (24 Hrs.): (503) 639 - 4175 r -._
INSPECTION WORKSHEET FOR DATE: 5/16/2008 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 11560 SW TERRACE TRAILS DR CLASS OF WORK:
SUBDIVISION: TERRACE TRAILS LOT #: 004 TYPE OF USE:
PROJECT NAME: KNIPE
DESCRIPTION: Replacing electrical panel and installing (2) branch circuits.
OWNER: KNIPE, RALPH & LOIS PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC \L.0 a _ PHONE #: 503.682-4936
Inspection Request Scheduled For: Date: 5/16/2008 Pour Time:
Code # Inspection Description onfirm # Contact # Message
199 Electrical final 070005 -01 503.682 46*# Y
2- Mt)
Corrections /Comments /Instructions:
his 311.1.1
Ct . 312 J 4 0,vb.a Au- bE 1Mka, Ft N 4
- 1 % E �" �\.Ato `S z w i P� -1\ N `fig oC
\
i PANS 6ora,A.
y L fz , �F� A1�, PANS... scC NI. vI - 3(t)
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr NW Date: 511 4 i(St Phone #: (503) 718 - P1