Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00290 COMMUNITY DEVELOPMENT DAT ISSUED 4/30/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102 CA -00918 SITE ADDRESS: 13355 SW VILLAGE GLENN DR ZONING: R -4.5 SUBDIVISION: VILLAGE GLENN LOT : 018 JURISDICTION: TIG PROJECT: WAKEM Project Description: Add (6) branch circuits 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: 5 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: WAKEM JOSH FIREFLY ELECTRIC COMPANY 13355 SW VILLAGE GLENN DR 19330 SW ANDERSON ST TIGARD, OR 97223 ALOHA, OR 97007 Phone: 503 - 419 - 7798 Contact #: PRI 503 - 258 - 7148 FAX 503 - 642 -7049 FEES Description Date Amount Reg #: ELE C176 [ELPRMT] ELC Permit 4/30/2007 $80.10 LIC 170745 [TAX] 8% State Surcharge 4/30/2007 $6.41 SUP 5208S Total $86.51 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: d � iu . Permittee Signature: 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: - 30 - 67- LICENSE NO: 5 20 S 5 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. Electrical Permit ApplicatiofiE V ; FOR OFFICE USE ONLY City of Tigard D e/B . g 3v o 7 i ,� 6 LC oleo 7 OOd q p II ertnit No.: 't 13125 SW Hall Blvd, Tigard, OR 97223A P R 3 0 2007 Plan Review Phone: 503.639.4171 Fax: 503.598.19 0 Date/B . Other Permit•f .2 _ ©Qa T I G A K D Inspection Line: 503.639.4175 C ITY OF T IGARD Date Ready/By: inns El See Page 2 for Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method Supplemental Information TYPE OF WORK PLAN REVIEW E] New construction Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below): ❑ 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 1711_ 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 denved system ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: 13j C [1 n ) , 1 I loos -iP or more. occupancy 1 ✓ 3 t/ / �/ V i `I QQ1L lP iii P• ❑ Six or more residential units. ❑ Recreational vehicle parks City / State/ZIP: q 4 /or / q 7 2-2. 3 0 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. ❑o.: Project name: C-YC - 5 a J 3 ❑ Service or feeder 600 amps or more. � FEE SCHEDULE CI W ..1-0 / Cross street/directions to job site: 9 ;-, 1� re W ; 1:5 . Rre w ; r 6 Description I Qty. I Fee. I Total I • 11 / _ ' I I JW -.11 New residential single- or multi- family dwelling unit. \� i R ole V /' /tvv i . 14'•..A.- 0. 1 11 Dew} / wit . 6n ^ Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) K; d'e 1w 04. Limited energy, multi - family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 N PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: r i I nom] �` Sl-�A N N o lj p LA-!^ EK 401 amps to 600 amps 160.60 2 ! I 601 amps to 1,000 amps 240.60 2 Address: 133 55 ,_s 7 U I LL A- GC ( ,E /OA/ ,2 Over 1,000 amps or volts 454.65 2 City/State/ZIP: -7r +/'� 0 c{ 9 A A..:3 Temporary services or feeders installation, alteration, and/or relocation Phone: D3) 3 _ 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 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with . : ❑ APPLICANT . _ - ' " I ' • '❑ - 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, Contact name: 46.85 1 '1 6 y s 2 first branch circuit Address: Each add'I branch circuit 5 6.65 .13...15 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder 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: re c l y E c4-rl a Co wt,A A n�/ energy panel, alteration, or Address: (q '3 '3 t*} 1 So►� 0 5 W 4. extension. Describe: Page 2 2 City /State /ZIP: A1.6 / R f 9 7-007- Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( 503) 2c g - 7 r y g Fax: (, 03 ) 61i 2. - 7o LICI Investigation per hour (1 hr min) 62.50 CCB Lic.: 1 70 V/5 Electrical Lic.: ' C 1 7C Suprv. Lic.: 5 2o'$ Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: - Subtotal: ,9,0 , /0 Print name: L �la c 14 r ►s^5 Date: LI - 3 c7 - 0 -7- Plan review (25% of permit fee): State surcharge (8% of permit fee): 6, 9) Authorized signature: TOTAL PERMIT FEE: �G , _5/ Print name: r This permit application expires if a permit is not obtained within 180 �A ,L tR c y c inn S Tr i Date: Y- 3 o - p 7_ days after it has been accepted as complete. • Number of inspections allowed per permit. I.\ BuildingTermirs\ELC- PennitApp doc 0523/06 47j9 /!fOO p 7/ j/ 440 -4615T(t 1/05 /C0 • Electrical Permit Application - City of Tigard - Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* - • ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* , • • ❑ Other COMMERCIAL. WORK ON LY: Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems • ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other • Total number of commercial systems: *No licenses are required. Licenses are required for all other installations • I \Euildtng'Pennits\ELC- PamitApp doe 03/23/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -002 30 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 • Phone: (503) 639 -4171! Inspection Requests (24 Hrs.): (503) 639 -4175 .��' 'I INSPECTION WORKSHEET FOR DATE: 5/11 /2007 TIME: 7:01AM PAGE: 66 SITE ADDRESS: 13355 SW VILLAGE_ GLENN DR CLASS OF WORK: SUBDIVISION: VILLAGE GLENN LOT #: 018 TYPE OF USE: PROJECT NAME: WAKEM DESCRIPTION: Add (6) branch circuits for kitchen remodel. OWNER: JOSH, WAKEM PHONE #: 503-419-7798 CONTRACTOR: FIREFLY ELECTRIC COMPANY PHONE #: 543 - 258 - 714[3 Inspection Request Scheduled For: Date: 5/11/2007 Pour Time: Code # Inspection Description Confirm Contact # Message 125 Wall cover 04813 -01 503-268 -7148 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPRO a L ❑ CANCEL ❑ NO ACCESS El FAIL ❑ L F� s +�CTION ' IDITIONA FEES ASSESSED ( 4" Inspector: " v ,`� Date: & II Phone #: (503) 718- 2, 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00290 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007 Phone: (503) 639 -4171 V Inspection Requests (24 Hrs.): (503) 639 -4175 _._.. INSPECTION WORKSHEET FOR DATE: 7/12/2007 TIME: 7 :04AM PAGE: 31 SITE ADDRESS: 13355 SW VILLAGE GLENN DR CLASS OF WORK: SUBDIVISION: VILLAGE GLENN LOT #: 018 TYPE OF USE: PROJECT NAME: WAKEM DESCRIPTION: Add (6) branch circuits for kitchen remodel. OWNER: JOSH, WAKEM PHONE #: 503 - 419-7798 CONTRACTOR: FIREFLY ELECTRIC COMPANY \L PHONE #: 503 25B -714Q Inspection Request Scheduled For: Date: 7/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 119 Electrical final 051885 -01 503 -258 -7148 Y Corrections /Comments /Instructions: • 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ F' IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C" , ► v ( Se) DE Date: 1 11— U) Phone #: (503) 718- •4 •