Permit CITY OF TIGARD ELECTRICAL PERMIT
fN - ° PERMIT #: ELC2007 - 00623
COMMUNITY DEVELOPMENT DATE ISSUED: 9/6/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102BA - 00501
SITE ADDRESS: 09740 SW TIGARD ST ZONING: I -P
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT : 060 JURISDICTION: TIG
PROJECT: ELLIOTT
Project Description: Reconnect only.
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
CURRENT -- ELLIOTT, JAMES R
29979 SW HEIPLE RD
Phone: Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 9/6/2007 $66.85
[TAX] 8% State Surcharge 9/6/2007 $5.35
Total $72.20 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 I rough OAR 952 - 001 -0100. ou may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: / // / /jJj /' Perm Signature: Pa... * G` l�P
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.
07 12:20 5032458260 ESP PROPERTY PAGE 02/03
cal Permit Application roil ohhlc 1'; i' v oml.V
City of Tigard
'�:.. �� /_ , 5' perrnitNo � ‚•
.. I
CEIVED �
■ 13125 SW Hall ) lvd.. Tigard, Oli ' , + plan Rcvicw pthcr purnit:
o Phone' 503.639.4171 Fax 503.59 0 ® C 7 AsdB ' 9eo Page 2 for
a J i9 2 Q U / Date Rcady/fiy:
lns action ww,t ignrdor.gov � 503.639.4175 N • S Supplemental Information
l -ic.initn lntemc p v ®FT1� '
t: mrw,t•' � { i , '11 'drlitt'1;I !` �!�i�! ;IIi'l}Rlfj,'If�' • "4 i " "!1 Y�1 :)��;�•' .,
li r .r I •i •f 'ii r. 1 l',s ` u ki rIIk�K lfiv� t' ' �'
f fl♦ 1 V r 3 , '� 1 t t '1�!.,�.� . ':,, I i a��n � ' Plcoeo check all that troply (�b'"'t 3 seta of plans w /items obeekcd below):
❑ New construction ❑ Addition/alterntion /replacement [] service or feeder 400 amps or more ❑ Bwldinp over three stories.
where the avafablc fault Current ❑ Marinas and boatyards.
❑ lition ►:1 Other: reconnect only eeds 150 volts or ❑ Floating build nga'
Demo M1llr 4 G,,, at
y � ' ... .. • 4, X1 , . � ,iii r ! i fl t i x 10,000 amps
�, •l; •" rintla' r I � III � l 'i , . �, �; r yn• , „P , +: of •, rt ll ,.r �a �. `�, �^ 4,1 less M ground, or exceeds 14,000 ❑ Commc�sial. nee a�•ie,dtural
i •I''F.�I ..� ,.. '^6ihlfi 1^ i.�,., � buildings.
❑ 1- and 2- family dwelling ® Commercial /industrial [1 Accessory building ampq for all other installations. ❑ buildings. of 75 KVA or
❑ Other: ❑ Fire pUmp In l separately derived system.
n.
❑Master builder ❑ i ❑Emergency system.
T t l 3i. • ' � a .a c i n •. P n��c . -' ,l �, ijl . ', 1' I d t 'I 1�. [j AO HP of new motor load of 0 "A : � � " - � "• "l •
• "�i� t l '���" , ,tetr n "� ',he'd!; h.
' ocet
M mO1C
Job no.: Job site addre 9740 SW Tigard Street _ ❑Six or mere reaudcatial units. ❑ Recreational vehicle parks.
- — ❑Healthcare faelitics. ❑ SuPP1Y voltage form than
City /State/ZIP: Tigard, Oregon 97223 ❑ Ha�tdws loratiana, boo volts nomin
[]Service or feeder 600 ttra05 or mots.
Suite/bldg. /apt. no.. bldg rProjcct »arnc: )Elliott III pgtd, IqI ;' ,) q. ^ .' "kar
• Cross street/directions to job site: Main street to Tigard street Doa1Qlen Qty. P ee. wt Total
New residential single- or multi- family dwelling unit.
_ Includes attached garage.
1,000 qq. ft. or leas 145.15 _ 4
• Subdivision: l Lot no.: _ add'l 500 sq. ft. or portion 33 -40 1
pf`Tax map/parcel no.: Limited ens ,residential 75.00 2
, , '�I +Yid; 'n ++N `, > iM ,,l►i 1; fr , •.,•�r.1 'Limited cnergy .mulh 75.00 2
power has been aft one year. inspection for Reconnect only Services or feeders st Ilah n alteration, and/or relocation_
200 amps or leas 80.30 2
_
O � i Y)�� r ` T3 Ii '� �GkU��` fit; N +�;lb, , GI,' 201 amps to 400 amps 106.85 2 -
401 amps 10 600 amps 0.60 _
Name: Stevie Ray 601 amps to 1,000 amps 240.60 2
Address: 9740 SW Tigard Street Over 1 ,000 amps or volts 454.65 2
Temporary services or feeders installation, alteration, and /or
City /State/ZIP: Tigard Or 97223 relocation _
Phone: (503)929 -4476 Fax:( ) 200 amps or less 66.85 I
201 amps to 400 amps 100.30 z
Owner installation: This installation is being made on property that I own which is not amps 133.75 2
9 59 a
to to 59
intended for sale, (case, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch 401 amps s 9 a new, alteration, or extension, cr panel
SS
Owner
signature'}4 DStc: A. Fcc for branch circuits with
,r. „1. a t i �', Pl t � f�, ... I I E i't. above service or ftxder fcc. 2
� I �' .',�>.�: .''w• � "'.. `� �'f l?I t f� � dfR� t f`� of ���i '' - f 1 � ,� "'�
cACh branch circuit G.GS j.
Business name: Manager ESP Properties B, Fcc for branch circuits
wllhoul service or fecdcr fcc, 46,85 2
C ontact name: Robinn first branch circuit _
Each add'! branch circuit 6.65 2
Address: 1522 SW Sunset )Blvd Miscellaneous (Perviee or feeder not included)
City /State/ZIP: Portland, Or 97239 Each manufactured or modular 90.90 2
dwelling, scrvia and /or feeder
Phone: (503 -) 2454177 J Fax:: (503 -) 245 -8260 Rtxonnect only -0�0 • 2
E- [flail. Pump or irrigation circle 53.40 2
Signal circuit(s) or limited -
Business name: energy panel, alteration. or
extension. Describe: Pagc 2 2
Address:
- Citl /Stat Each additionnl Inspection over allowable in an o(x the above
Per inspection 62.50
Phone: ( ) I Fax ( ) Investigation per hour (1 hr min) 62.50
CCB Lie.: Elcctrieal Lic.: Suprv- Lie.: lndu t ial plant per hour 73.75
iSo'I R' ". t ��sl� "f'RI'4�'S ,�. �"�I�.fu+ W� A111���!rX�}8
Suprv. Electrician signature, required: Subtotal: �n
Plan review (25% of permit fee):
Print name: Date: State surcharge (8% of permit fcc); 5 , 3 S _
Authorized signature: TOTAL PERMIT FEE. ' 7J•'
This permit application expires If a permit is not obtained within t
Print name' Date days gftrr it bin been accepted es complete.
_ � Numl,er of irtepocUoaa allowed per permit
1;113uIldlrrirlPermiaViLC -PUiT tApp.doC OV .Mo 440 4r,15T(11/0!/COM/WEH
CITY OF TIGARD
BUILDING DIVISION PERMIT #:240)23
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0 /.6.0 -1
Phone: (503) 639 -4171 4� A
Inspection Requests (24 Hrs.): (503) 639 - 4175 , ' 'I I ..
INSPECTION WORKSHEET FOR DATE: 1 I I ti c57 TIME: PAGE:
SITE ADDRESS: ab\40 6L1.) ‘TI INu—
CLASS OF WORK:
SUBDIVISION: .LOT #: TYPE OF USE:
PROJECT NAME:
3
DESCRIPTION: k�• CzN 1:5114-$3 OWN E117 ,_ PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Ct ft i Pour Time:
Code # Inspection Description Confirm # Contact # Message
Oa•a s 1010)
Corrections /Comments /Instructions:
CZ HOC .ss O[a RIViLiii teas ki M W1`Dg
fkluaG5 06J -. v I •, �. ,• :IL Al k,• ! \`iI
S Sri 4 ANb PTV etcJ `'zt At3f Lt. w ,
a) e ikm LV;7 L ice;, iti' R t co'l- csrrNz P-
? Pt i•ra-1 - 1 VafSOb rtISZ`b:4-- NO ‘ 1 0 - i LA) .
Oh ?CtliSq % '441, 4 el l V IkZ
c.4N C∎i 10 . Pa/ • Nco. 3 CAJ
mai cth bL o `Kts6 b t4 P
iNCP ritniii Yrol i)() Vibee■ 4
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
0. FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4 ' v tat Date: c t I ibi Phone #: (503) 718- VP&
CITY OF TIGARD
— A BUILDING DIVISION PERMIT #: EI_C2007 00G23
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .J °'f �..
INSPECTION WORKSHEET FOR DATE: 9/7/2007 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 09740 SW TIGARD ST CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 060 TYPE OF USE:
PROJECT NAME: ELLIOTT
DESCRIPTION: Reconnect only.
OWNER: SNYDER, DAROLD D SUE A, FORMER -- PHONE #:
CONTRACTOR: ELLIOTT, JAMES R, CURRENT -- PHONE #:
Inspection Request Scheduled For: Date: 9/7/2007 Pour Time:
Code # Inspection Description a - arm # Contact # Message
199 Electrical final
5324-01 503-913-7621 N
Corrections /Comments /Instructions:
ms■s U ► a. 1 le 5 : 1 ^ AKA [ I I
• Ni ki ngt.4. 1 .1.11K11.11all
_
`r Kks rte.
0T ` \'5 fil)t ss - % SSA o n11,Xi
0 4 A
ft
Irk ► 5 pa-n41 1 S 6 t•
j L.4-AS ; < •p C3 I A l rJ N w wi
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
,FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (3 t 4 E� Le Date: ell T\( fin Phone #: (503) 718- 24141