Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00440
��� DEVELOPMENT SERVICES DATE ISSUED: 8/8/2006
`�� II 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171
PARCEL: 1 S 135CC -00600
SITE ADDRESS: 11730 SW TIEDEMAN AVE ZONING: R -4.5
SUBDIVISION: GREENBURG HEIGHTS ADDITION LOT : 007 JURISDICTION: TIG
Project Description: (4) branch circuit for kitchen remodel.
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:
CORALYN CHANEY THREE PHASE ELECTRIC
11730 SW TIEDEMAN AVE • 493 NE 3RD AVE SUITE B200
TIGARD, OR 97223 CANBY, OR 97013
Phone: 503 - 639 -7641 Contact #: PRI 503 - 263 -2558
FAX 503 - 651 -3540
FEES
Description Date Amount Reg #: ELE 24 -390C
[TAX] 8% State Surcharge 8/8/2006 $5.34 LIC 128282
[ELPRMT] ELC Permit 8/8/2006 $66.80 SUP 44985
Total $72.14 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: Permittee Signature: _ski
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.
08 09; 08 4 _ 113: 2 r JL 5JJoaoieou 503,-,651.7,,3544 ,. three phase electric -P • 2/2
:'V
Elece 'al ' . • mitA• •ili . EIVED FORi in. iti: titiEO‘
City of Tigard , G 8 200 r > ` , - 1 6 7 ' Permittlo.:Cit , . M. '0't D
13125 S W Drill Blvd., Tigard, OR 97221 Pka Rcvicw Other Pertain
Phone: 503,6394171 Fax: 503598.1960 CITY OF TIG ' 1 '411 nom . a dy tBr
Inspection Line: 503.639.4175 BUILDING DIVs= ' - xetised/4tamea: WitAlliEERE
Internee warw.oi -dg rd -onus
t - .v r, " < Ir7 r�: l m m { . I r i� Lt �; v t �. '� , :..: ..
✓� Please check all that app y,
❑ New conatruet[on �Additioddllelatios +IreF>nreat�t °Service ova 225 amps, co m'I QHazardoua location
[1 Demolition ❑ Other. ( ] Service over 320 amps p1 ►ring over 10,000 sq. ft.,
x".7,",", . l' ,, µ • : - . ';tI + fv. ;' °u \ c r . t 'f_• lti •L � l
1? : r more new residentta)
�� R.. , i r 1 ;E., LDI . f ai i :, 1 .'' �'I' 1;. u , � 'h' , -.• Of l- lm d2 rdlydWWelling 4o
`'� ; } °�.`'ii _ ,', ' �'., ;;i !' _:
-,-2 . .s..�l� ..' � =1: i•� �r'�."- 3E: nominal Wits 1r1 one iQ1rCNfC
1- and 2- fenlily dwelling • Comme:rcral/ind11lstiai CI Accessory building • USA= over 600 volts
OBurlding oven' erree stories [Weeders, 400 ansas or mote
❑ Multi - family El Matroer builder ❑ Other, °O load over 99 persona OMsneletured structures or
l
u5 P
sr ❑ essibgh g � piT
r � ,.• 'P _�^ r- 'l�"— "�''� I. - :';',.;,7;:,': . , . :; •�. ^r' . i- !^•":� . �Ttr�l' � ` '� � � RV
h ,,]�, � R r: -
; . :.li: ;,+:, f �' : . L _i1, , : ..,,„,s...---(-,, _ _ - 1 U7: '' Other:
� r_ OIlesit .c*re facility
Job no.: aYmi Job Site address / 7 05 ♦ , • ,-- / r . I h Submit 2_ sere of plans with any of the above.
The above are not applicable to tetttparaty 0011entction st Mich.
Gry/S�trJZIP: r r. �r lt °w r ° a '' ' _
: ' • r, w�5' s31a�i' p. �'.° GJy, �ywF',, - �
�=fs+�T, ".�:.,:sl ",•' .
SuitenbldBJspt nA.. Project name �� • b. sunrise. Qtr . ye., MIMS '
Crone street/directions mph site New residsntlal stogie -or mum-family dwelling unit.
Includes attached garage. _
1,000 sq. ft or less 145.15 4
3ubthvisicm: Lot no.: Ea. add'! 500 al. ft. or Portion . 33.40 1
_Immom, residential ... __tial 75.00 .2
Tax snap/parcel e.0.: _ a 17.7 Limited energy, natt•relidential 75.00 2
•, -r ,r- - ;r;- ,- ; _ , : :77 ^ n ; ' r,: * ! ;771;; l
1. . : :, -L. , f � d'�ii: . i ` l ' : r: '',., i Y,.'r y-5 np: I[t service ffiLLI fEeLItCd WttlOe171af
4'. i t :: _,k r; 7 ` ::., , : .. . • „ haler feeder 90.90
N NW . , , , .4.4 • it ,a Iff-IMIIIMMIIIIIIIIIIIIII Services or f.sdat's Installatloo, alteration. and/or relocation
200 arr>pe or lqa _ 80.30 2
= -r., --- � , ::.- ..;7''' ,: -: c: i t >- d''l�g a : 4-e. hiF: 281 amps to 400 empt 106,85 Z
_ v'. ,: 1, � '2 .. .- •_!_,. ��, � r � i .,.) .• __. 6 • '• < l. ,. ,k� l�z.,�1.:Ew
, 1 c'b6 164 0 2
40! amps to 600 amps .6 � •
Name: , p a.- Got ads to 1,000 amps ` 240.60 � 2
Over 1,000 acme or volts 434.64 2
Address
Reconnect only 66.85 2
City/State/ZIp; Temporary aawleea or feeders lasta11at100, attarettlea, and/or
Phone: ( ) a • - gee ( ) • relocaaoe
ends or less T 66.83 I
Owner Installation: This installation is being made on property that I own which is not
_200
201 amp TO 400 sops 10030 ' z
Intended for sale, lease, rant, or exchange,, according to ORS 447, 449, 670, and 701. - 401 amps to S00 amps 133.75 , 2
Owner signature* Date: Branch straits Dew, altaratton. or ataneloo,per panel
}`;:T,'• _ :;•- i.T : - - ;��I. ;'.: •'' ,:.;, A- Fee forbtaach eiltoilt with _.. ' .1' ... _ ..�� . •• • service Or feeder fee, each
Business try branch circuit 6.65 ` 2
A. Pee for branch circuits
Contact name: wilho,d service or feeder Ike, 46.85 ��, SS 2
each branch ciiwit
Addrean:
Each add'! branch circuit 1 6.65 j i1, ys 2
city /staterra3: Mhcdlaaeoua (service or feeder sot inclu
Pump or irritation circle 53.40 ' 2
Phone: ( ) Per : ( ) Signor outline lighting 53.40 2
&!sail: • l Signal cuettit(S) or limited -
W � - ',71. I -„�-r77-::
. ,7 F.! : :, : " 1 .
71:.,' r•YC7W4':Pi' 4`�i L+'t' r� ^• i i_ E i.-'• energy panel, alteradoo, or .
?_ . _ = : : ., =i:}:' .I. a•- - ;' .i...pe. crtragicn. Describe: Page 2 2
i •
L , Each additional inspection over ollowaele in any of the above
i r 62.50 _ 1
♦ 1 4. - ` Investigation per here (1 hrmre) 6Z50
- g + ' IndureQiol pleat per hour 73.75
�' �� d p an ( • CD q y . tip , . w . ..
0 i� ♦ - "2,,1,,„Td._;4,,,i, r.. J. ,�: '1yi. " . 4 , 11 N- 7 . $'t; `,. ,.
CO Lk! g t`J _ y : :.l_ �,Jl; subtotal CiG , yV
Suc1'v, Aectl scitrt+ aigneture, required: 40111M-
- ' I # INZ4 . Plan review (25% of permit fee)
- s• . 'ate: state surcharge (8% of psrmit tea) $, .D tf
,
Print name:e e► 4 .. a i? ` b . a. - TOTAL PERMIT PIE 7c , i 4
Autho'r'ized signature. : I �� { / Tali parfait applleatloa a ini Ira permit N nog obtained within ten
�Lt•' o .. \1 - - ='"'r• - • days after Is ha, been acEPad as compute
Date: • Fm matbadelepr sat by Tri Colwgr Building mania)' Service Roma
Pant wane •- Number of laspectiona rice perm,e allowed -
BlIcatfmOl owkhoodes 17+03 4440 srr,ae3/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2000 -00440
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2006
Phone: (503) 639 -4171 1�41N �
Inspection Requests (24 Hrs.): (503) 639 -4175 s: !+ ` P. ..
INSPECTION WORKSHEET FOR DATE: 8/10/2006 TIME: 7 :04AM PAGE: 98
SITE ADDRESS: 11730 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: GREENBURG HEIGHTS ADDITION LOT #: 007 TYPE OF USE:
PROJECT NAME: CHANEY
DESCRIPTION: (4) branch circuit for kitchen remodel.
OWNER: CHANEY, CORALYN PHONE #: 503..639.76Q )
CONTRACTOR: THREE PHASE ELECTRIC PHONE #: 503- 263.2558
Inspection Request Scheduled For: Date: 8/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 0346760/ 503- 263 -2&6 Y
Corrections /Comments /Instructions:
t.1 ' e, LL P i ciAL s SAW"-, l "0 p, ' • 2.1 3.5 - 2 .
*PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr-' 0619 Date: I %.D Phone #: (503) 718- 2 4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00440
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/29/2006 TIME: 7:01AM PAGE: 20
SITE ADDRESS: 11730 SWTIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: GREENSURG HEIGHTS ADDITION LOT #: 007 TYPE OF USE:
PROJECT NAME: CHANEY
DESCRIPTION: (4) branch circuit for 14tchen remodel.
OWNER: CHANEY, CORALYN PHONE #: 503 - 639-7641
CONTRACTOR: THREE PHASE ELECTRIC PHONE #: 503 - 263.2558
Inspection Request Scheduled For: Date: 8/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 03573001 503-263 -2557 N
Corrections /Comments /Instructions:
NAtil USW' 1---(141-S
tN 6N6 uJ 64, PRGNE
I 1_ '5 And
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL X1 NO ACCESS
FAIL El CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED ` `
Inspector: 004 L6 Date: t-2,1,-(A) Phone #: (503) 718 - 2,1405
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200C- OUM190
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2006
Phone: (503) 639 - 4171 1_ y '
Inspection Requests (24 Hrs.): (503) 639 -4175 „„ 1, � r L
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AM PAGE: 53
SITE ADDRESS: 11730 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: GREENBURG HEIGHTS ADDITION LOT #: 007 TYPE OF USE:
PROJECT NAME: CHANEY
DESCRIPTION: (4) branch circuit for kitchen remodel.
OWNER: CHANEY, CORALYN PHONE 503 - 639-164
CONTRACTOR: THREE PHASE ELECTRIC PHONE #: 503 - 2163 - 2558
Inspection Request Scheduled For: Date: 10/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038815 -01 503-263 -2557 N
Corrections /Comments/ Instructions:
Q \ Dw c*, 'iv G F t t
R.710F7 csvc
Cavt \- "t oi.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL
)<CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G"' 068 LE Date: I Of 2b` Phone #: (503) 718 *at
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: E1,C70f)600440
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81812006
Phone: (503) 639 -4171'
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' ' I �..
INSPECTION WORKSHEET FOR DATE: 10/27/2006 TIME: 7:01AM PAGE: 23
SITE ADDRESS: 11730 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: GREENBURG HEIGHTS ADDITION LOT #: 007 TYPE OF USE:
PROJECT NAME: CHANEY
DESCRIPTION: (4) branch circuit for kitchen remodel.
OWNER: CHANEY, CORALYN PHONE #: 503- 6337641
CONTRACTOR: THREE PHASE ELECTRIC PHONE #: 503-263-2558
Inspection Request Scheduled For: Date: 10/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038938-01 503 - 263-2558 Y
Corrections/Comments/Instructions:
■4
Q_
_,/*
PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6—f N tj L. Date: Phone #: (503) 718 - Z.ttifit