Permit ELECTRICAL PERMIT
4
�. CITY` OF TIGARD
COMMUNITY DEVELOPMENT PERMIT #: ELC2007 -00117
DATE ISSUED: 2/23/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103AB -00403
SITE ADDRESS: 11285 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: CLOUD
Project Description: Replace overhead mass on barn.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500S 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`. 1 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:
CLAUDIA CLOUD , ROSS ELECTRIC INC
11285 SW WALNUT ST 2870 SE 75TH AVE #203
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: Contact #: PRI 503 - 642 - 2800
FAX 503 - 642 -5815
FEES
Description Date Amount Reg #: ELE 34 -436C
[ELPRMT] ELC Permit 2/23/2007 $106.85 LIC 157891
[TAX] 8% State Surcharge 2/23/2007 $8.55 SUP 42325
•
Total $115.40 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
i 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 . - f j-L 2 Permittee Signature: _sp.e- s>s`e
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.
02/23/2007 07:25 5036425815 ROSS ELECTRIC INC PAGE 02/02
11
Elecrca
til Permit ' h----- 1 j
1 �p e
1 OFF1C'E USE ONLY
,; City of Tigalyd c Received ll' G 7 ��
13125 SW Hall Blvd , Tigard. OR 97223 L B 2 t ` 2007 >t�a � 3- Permit lvo.: 6 t-e- 2417 Q) ) ) 7
_ , PiaaRev' iew
•
Phone: 503.639.4171 Fax: 503.598.1960 ,� pn , i � 'y k p Other Permit:
Inspection Line: 503.639.4175 + � --e { `� i ate Readyi y: rwio: 61 See Page 2 for
Internet: www.ci.tigard.or.us �� � ,T n , , h J Ai ' 1 D Notified/M
T • �f ti r t �1 ►.1 i Supplemental Information
=. ":��1�' -f' W,,,lr M,r��r�i•�t �,, •�-,., F{ik't �,; r- , .- �'- -f � � ,�� ��8" 'Ti' �, , • a^
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: �t.1 ,.e.,.. {�t d 1 *0,F5ri afiu, =tl a � 1 1.1 m..= 't kaill 50.1 ,_. fit it II ^t ' a, h . r ` , E 7 i. At ,tir ,tl,.` , 3 t' ,i 4
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❑ New construction ►: Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other ❑Service over 225 amps, comm'I QHazardous location
4 �� y r "" �, i lu P "'o Ery +raw u , u �,.,• r` y
DI Service over 320 amps - rain
�I .f} \ p i try rY r' f� � l rJ t`/, II G ° � .f_' r D g ❑ o r m g over residential
s i
+lei+ il<.v�'�•�..r,a > i, �,� r� ur:.�,�.1.�,:,;ff� ,a�- �•�3F'I g,:ali;�,p; ;' a.; � �, e, 113�`,r � ,rt�,l�,�� o£ 1 -and 2- family dwellings 4 or more new residential
❑ I - and 2- family dwelling ❑ Commercial/industrial ba Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ❑Feeders, 400 amps or mo
(] Multi- family ❑ Master builder ❑ Other:
d � im ", rtr. „ rrt l rh ,1rSr�"ttia - P• i Ir - lf� t�?�VC WEIR an d
.� �fS�`fii �1� tiEt� 1�`i k�1�1 g ➢ �, \ I �q��ar f� #� ; � •'rs � c� ���)�1 u t� Gu N,S �� 4 ��.�h� ° ' ,{ � � - ❑Occ � t load over 99 persons ['Manufactured structures r
m apt. r �eF�.x�ltYFa: ., ,, a,s<t1-k:..:r fiicrr, � �,V�J .r r � n ! ' f( i0 ��,. DEgress/lighting plan RV park
Job n0,: Job site address: ,,^^ e - ❑Health -care facile ['Other. �: 1 3( l r t ' i Submit 1 sets of plans with any of the above.
City/State/ZIP: -j-,C• t Y ) 0 Q. ' 72.- The above arc not licable to temporary emporary wnstruction service.
Suite/bid ./a t. no.: ew, t:t -III ; "' �:c, e.. .l,... j , :� .ter,• ;c ;, % ;-� ;� S "s 1'
S p Project name: 54 nds r; iL rr ATI ri i ii r R 1 ,7 ?_ , ; L-r, �' s'�i `dra
- Ascription Qty. Fee. Total •
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
includes attached garage.
1,000 sq. it or less 145.15 T
Subdivision: I Lot no.: _ Ea. add'( 500 sq. it. or portion 33.40
-
Tax map /parcel no.: Limited energy, residential 75.00
I�Ar 1 .. r t t JJ �ln 'p �u fy {p` : r u rscntv: r��au^ir -m ia • Limited energy, non - resider •
wo \ ;li., ]E} r }la,lyl lfl� S\'l,L�{i �T�il -1 Q��K� �W5 lY fa5 ���A�' I ��: SStt",{i 4t F,�. � A �'f? n } ,u j i x� non-residential 75.00 ,
s.a.na,-s�� t {r,, . �' x t,i+..ls, •� t..,ry.t s iu4.... �J. n.. r. ,1, ,.- 31d`.n fee. ar,.lt.r 1,,..E- Each manufactured or modular
C 4 l` G C }>,J -.f' �� f � (� S � � � _
dwelling, service feeder 90.90 _
` --� �� } S ervices o f eeders installation, alteration, and/or relocation
1 , e r [, , 200 amps or less 80.30
r J• 1�; �? r ,+ eta, it ",V_IIM C:Mili. iii "; IT Rr -Fi e`er . am i ^'
iLt .2fi.,i0.4',n iii 4 .1 iiiil'it.''ia l; i't,ei Y 7 ' i r 1v ∎;1 `P. ., ytUE-RtIti d:�VIV.ask!dtL :iL e N 34 „,,..„ r ,�p an =Ps to 400 amps I 106.85
'1.. -. r rt�Uiyl,1 +i:�,i'�v„Twi;{ 201 1�: r t ( � 5
401 amps to 60011mps 160,60
Name: kw e U 601 amps to 1,000 amps 240,60
Address: Over 1,000 amps or volts 454.65
City/State/ZIP: Reconnect only 66
_ Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
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 600 133.75 2
ps amps
Owner signature: Date: '
Branch circuits- new, alteration, or extension, per panel
�' 34 l' !A `K ti �9 n K 1 cm n a Y p r branch circuits with
t r`d i,.il}t r , r,i � .iln cl r �r ' i��� t G s . E[litrs , aka i.11'r l oll rl { yfl R raj f 1
l' i ,^ / i f 1 ifrZ �,`` ,�r 5 , rte, 1E n I q
IIiSr t .dL. -u .iso., .Iv le .s,.. �i5x.4c3.6 }�ek�'i�.yif F��.,,`.t.'._�� �,et �\111��1:',l:t ��nEr�. �: -� t � � R •�r',1. r
1 A. Fee
service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: wit/mu/ service or feeder fee,
Address:
each branch circuit
46.85 2
Each add'I branch circuit 6.65 2
City / State/ZIP: y Miscellaneous (service or feeder not Included) -
Phone: ( ) I Pax:. ( ) Pump or irrigation circle - 5340 2
_ Si- gn or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
gla tLr+. 51.2 ; ralti ePa itr 1lEl t ' liikPat t1"a glSa ga-1 i a r x;l;i;,J energy panel, l
C) SS eLee 12z � i C ext ensi on • D on, Or
Business name: Page 2 2
Address: a g 70 S6 7 S"'71 -- 4- je I263 Each additional inspection over allowable in any of the above
-
_ Per.inspeaion 62.50
City/ State/ZIP: l)) 5C00) 1 O r q 7 (' 'a investigation per hour (1 hr mitt) 62.50
Phone: (f ) ti 4 12 Z 'WOO Fax: (s03 (,r y a Sle l.- Industrial plant per hour 73.75
CCB Lic.: 5 ?�� ( Electrical Lic.: 3 y•y3�o C Suprv. Lic.: 4itf �s 3x ; ` l'.I. 7-7J� V,t},;stt;l' . " ;_; !7t` !" 1:
z a 5 a1 ...: .
p �� - Subtotal ` [`� (-, '>
Suprv. Electrician signature, required: Jam" " ' Plan review (25 %of permit fee)
Print name: S ` -P_P hiv∎ ,. p S S Date:
State surcharge (8% of permit fee)
TOTAL PERMIT FEE 1 15 r IAD
Authorized signature: This permit application expires if a permit is not obtained within 180
days atter it tins been accepted as complete
Print name:
1 Date: • Fee methodology set byTri -County Building Industry Service Board
" Number of i nspections per permi allowed•
i. u3uildingTotoi tsV3LC- PenoitApp,doe ?2/03 44O- 46l5T(10/02COM/WP8
CITY OF TIGARD .
BUILDING DIVISION' PERMIT #: ELC2007 -00117
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2007
Phone: (503) 639 -4171 14, 14 +l
Inspection Requests (24 Hrs.): (503) 639 -4175 "'
INSPECTION WORKSHEET FOR DATE: 5/25/2007 TIME: 7:17AM PAGE: 40
SITE ADDRESS: 11285 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CLOUD
DESCRIPTION: Replace overhead mass on barn.
OWNER: CLOUD, CLAUDIA PHONE #:
CONTRACTOR: ROSS ELECTRIC INC 6 11ti PHONE #: 503. 642-2800 '
Inspection Request Scheduled For: Date: 5/25/2007 Pour Time: •
N Code # Inspection Description Confirm # Contact # Message
115 E : M ' -1 service 049087 -01 503 -642 -800# N
- - - ' • • - -__ = nstructions:
•
Q.---
PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Ili • ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .
Inspector: i N.66 Date: 4q Phone #: (503) 718- Z b
CITY OF TIGARD .- • -
BUILDING DIVISION 4, i t < .. PERMIT #: ELC2007 -00117
13125 SW Hall Blvd., Tigard, OR 97223 ; _ DATE ISSUED: 2/23/2007
Phone: (503) 639 -4171 144
Inspection Requests (24 Hrs.): (503) 639-4175 ' .. •
INSPECTION WORKSHEET FOR DATE: 5/18/2007 TIME: 7:02AM PAGE: 31
•
SITE ADDRESS: 11285 SW WALNUT ST CLASS OF WORK: '•
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:, CLOUD
DESCRIPTION: Replace overhead mass on barn.
•
OWNER: CLOUD, CLAUDIA PHONE #:
CONTRACTOR: ROSS ELECTRIC INC PHONE #: 503 - 642-2800
•
•
Inspection Request Scheduled For: Date: 5/18/2007 Pour Time:
Code # Inspection Description f Confirm # Contact # Message
115 Electrical service 048628 -01 503-642-2800 N •
Corrections/Comments/Instructions:
o
i
ey 1 L ` � � �w �� , � - t■ .
Air/ L14 I I+ /al 1
.94 D) aid P . . 41)/
/
Mil Mir
•
•
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
t N661.0 � Q 1 1-44/ '
Inspector: Date: � Phone #: (503) 718- `1�
CITY OF TIGARD
BUILDING DIVISION � PERMIT #: ELC2007 -00117
13125 SW Hall Blvd., Tigard, 'OR 97223 DATE ISSUED: ' 21231 2007
Phone: (503) 639 -4171 Are!^ itio�
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 6/14/2007 TIME: 7:01AM PAGE: 57 .
SITE ADDRESS: 11285 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CLOUD
DESCRIPTION: Replace overhead mass on barn.
OWNER: CLOUD, CLAUDIA PHONE #:
CONTRACTOR: ROSS ELECTRIC INC PHONE #: 503642 -2800
Inspection Request Scheduled For: ate` 5/14/2007 Pour Time:
Code # Inspection Description Confirm - Contact # Message
115 Electrical service 048188 -01 503- 642 -2800 N
Corrections /Comments /Instructions: 4 1
(i "CLDNIIQJ Ric\+o 1 va-4 J1T rV « V'Oi'L
csvaletki)kb ��,o
ra. ,p, 0 % ► L. 3 () p,41)
C - Q '1=2 a N rte 5 2 bF P6-Es
V I
54 6 N./ U61 ■ r aiL
sal? vto. 3 k k its . o� PGA tt r(L cg.- � 1
t % �IC__s 5- kLsoi ink 53 ! .
• The electrical installation defects noted
on this report shall be corrected and
an Inspection request made within 20
calendar days per OAR 918-271-0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G I V Date: 611 01 Phone #: (503) 718- MO
CITY'oF TIGARD 1
BUILDING DIVISION l� PERMIT #: ELG2007 -00117
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2007
Phone: (503) 639 -4171 ala
Inspection Requests (24 Hrs.): (503) 639 -4175 1.L
INSPECTION WORKSHEET FOR DATE: 4/17/2007 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 11205 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CLOUD
DESCRIPTION: Replace overhead mass on barn.
•
OWNER: CLOUD, CLAUDIA PHONE #:
CONTRACTOR: ROSS ELECTRIC INC PHONE #: 503 -642 -2800
Inspection Request Scheduled For: Date: 4/17/2007 Pour Time:
p q
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 046631 -01 503642 -2800 Y'
Corrections /Comments /Instructions: a /jy 1 ti' {�
ar Ai
j 4 44- 1
9VO •iz
I(
PlAri 130 xe-s 1444,L.,(1-- k).4 q IIMAA1-44., 434- 7/ti 1
3) Ra hate-5 s/I t.,,.f L v/ W . .
- et5-ed /114 3( eZ
4 ) Q W(O, -j '4 * L //D ,, -
S) Df_ . , , / , p;,t4 i 4v
•
❑ PASS ❑ PARTIAL APPROVAL )CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
., Inspector: C.,"" ` ° . 1'`l ob L Date: A 11 01 Phone #: (503) 718- 2'I lit