Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00840
COMMUNITY DEVELOPMENT DATE ISSUED: 12/14/2007
eT[GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DD-09400
SITE ADDRESS: 09650 SW VENTURA CT ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT : 102 JURISDICTION: TIG
PROJECT: SPELMAN
Project Description: Panel change, (5) circuits. Meter base replacement.
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: 1 W /SERVICE OR FEEDER: 5 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:
SPELMAN, THOMAS G + LORRE J WEST SIDE ELECTRIC CO INC
9650 SW VENTURA CT 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 503 - 539 -7968 Contact #: FAX 503 - 736 -0677
PR1 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -I35c
IELPRMT] ELC Permit 12/14/200' $113.55 LIC 13306
•
(TAX] 8% State Surcharge 12/14/200' $9.08 SUP 46545
Total $122.63 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 throu• 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: Or--2,,,t / ' C M
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.
G'ec 12 07 02:10p WEST SIDE ELECTRIC COMPAN (503)231 -9987 p.2
r LiC1ct71 reI .�ppttc. t M -I ; „ti t, Y � �M t rrn non y �,
>i_ r .". 0 a l ", „ xw' t � �t , i GFR orctcr use ONI,Y a; V , .' ' t ' J y4
City of Tigard ' _, CE1V Reeeivea :.; ;mod
ili
I}tte/By; / •a-/ / /p') Permit No La�� — d» /7 %�/
i 't . 13125 SW Hall Blvd., Tigard, OR 97223 - Plan Review
•, Date/By
,, • Phone. 503,639.4171 Fax 503.598.19�Q j' Other Permit:
lnsp Et ection inc: 503,639.417 V 1 G_. 200? 0 See Page 2 for
T Date Rcodyl9y: h is :�
Internet: www tigard- or.gov
CIP nF TiGAA Notif1ed/Merhod; Supplemental Information
D -
TYNE of Riq}}1nlr 11.IVIS1ON F •
• P i a r t IU vow
❑ New construction Addition /alteration/replacement Please check all that apply (submit 2 sets of plans wlitetns cheek d below):
❑ Service or f mare .
eedtr 400 amps or 0 Building over three stories.
121 Demolition ❑ Other:
where the available fault current 0 Matins and boatyards.
CATEGORY OF CONSTRUCTION 1 exceeds 10,000 amps et 150 volts or Q Floating buildings. •
1 and 2 family dwelling ❑ Commercial /industrial ial useagrical[ oral OJ0 ❑Com
Less to ground, or exceeds l4,merc
❑ Accessory building imps for all other exceeds 14, . but: mere
Multi - family ❑ master bcilder
❑ Other: Fire pump. ❑ Installation of 75 KVA or
J013 SITE 1NFORIVIATION AND LOCATION i ❑ Emergency system. huger separately derived system.
1 c"
ID Addition of new 7L13107 load o.`
: 5 � .,�,,. • •E •• l.p• ••1,3
Job no.�0 S3 tub sire address: �`� "� � eyf l,( -v ! 00HP ornte. occupancy.
• or
_ ❑ S;x or more residauia2 writ.. f] Recreational vehicle parks
City /State /Z c et &c' q ?.:2.--- ❑ health -core facilities. ❑Supply voltage for more [iron
�� "1 �. (] Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Pro; cot rants: �� tz P'‘-'1 ❑Service or (ecdtr 60U amp; or more.
FEE. SCHEDULE
Cross srreet/direcltol1s to job site: Drsrripriau ,
I QM i Fee. 1 'f etal
New residential single- or multi- family dwelling unit.
. Includes attached garage.
aubdivisio.l: Lot 110.: 1,00 sq. ft. or Less
1 145.15 4
Tax map /parcel no.: ' Ea. add ' I 500 sq. fr. or portion ' 33.40 1
Limited energy, residential
DESCRIPTION OP WORK (with above sq. 0 75.00 2
mited energy,
( r - Cu C Limulti-family
Y l�i l C'n 1/�-P -1- s L ' { J t f a T r ,„, ,hl ( 1. 75.00 2
G D t residential wi th above sr $,}
�^P— e (0- ezvozi -vrj' Services or feeders instnllrtiou, alteration, andlor relocation
200 amps or less ( 80.30 E0,39 2
h PROPERTY OWNER 0 TENANT I 201 amps to 400 amps i 106.85 2
Name: C) v1/l CC �{ �� ri t 401 amps to 600 amps 160.60 , 2
l 601 a mps to 1 amps _ 240.60 2
Address: r . Over 1,000 amps or volts 454.65 2
Ci[y1StatelZ1P: � Temporary services or feeders installation, alteration, and /or
reloca lion
Phone: fd3 ) 7, t61 7q / G7 e Fax: ( ) 200 amps or less 66.85 1
Owner installation: his instal is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2.
Branch circuits - new, altera or extension, oj_cr panel
Owner aigita Date:
A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee
—
each branch circuit b.651-ZS ? ,
Business name: 13. Fce for branch circuits
withorct service or feeder fee, 46.85
first branch circuit
Contact name:
Address: Each add'l branch circuit 1 6.65 2
Miscellaneous (service or feeder nor included)
City/State /ZIP: Each manufacred or modular
dwellin tu g, service and /or feeder 90.90 ?
Phone. ( ) Fax: : ( ) Reconnect only 66.65 2
E- mail: dlenng(westsideelectric.curn Pump or irrigation circle 53.40 2
CONTRACTOR • j Sign outline lighting 53.40 2
Business name: West Side Electric Co., Inc. Signal circuit(s) or limited-
•
energy panel, alteration, or
Address: 1834 SE 8th Ave. extension. Describe: Page 2 2
City/State /ZIP: Portland, OR 97214 Each ;additional iospection over allowable in any of the above
Per inspection 62.50
Phone: (503) 231 -1548 Fax: (503) 736 -0677 Investigation per hour (1 hr min) - 62.50
CCB Lic.: 13306 Electrical Lic.: 26 -135C Suprv. Lic.: 4654S industrial plant per hour 73.75
ELECTRICAL PERMIT FEES Supry. Electrician signature, required: ./ l `$
Subtotal;
Print name: Randall Roberts Date: Plan review (25% of permit fee):
I Zit State surcharge (8% of permit fee): '
•
Authorized signature: TOTAL PERMIT FEE: r 2.1.. (
This p ertnit a la application expires if a permit not obtaiucd within Itta
Print unt
ae. Date: days after it has been a cepted as complete.
Number or inspections allowed per permit.
1:•041J1■ PenTIc,' 0b1110 140 lalYf(L JCOICOM/WEtt
CITY OF TIGARD •TAvi /w5f4,„4
i)„
BUILDING DIVISION' Alik",4/1- PERMIT #: ELC2007- 00840
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /I4/;)Q)7
Phone: (503) 639-4171 Ar!
Inspection Requests (24 Hrs.): (503) 639-4175 ,-44 Ai!
INSPECTION WORKSHEET FOR DATE: 12/2012007 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 09650 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 102 TYPE OF USE:
PROJECT NAME: SPELMAN
DESCRIPTION: panel change, (5) circuits. Metei base replacement.
OWNER: SPELMAN, THOMAS G + LORRE J, fr - -
PHONE #: /968
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503-231-15eI8
Inspection Request Scheduled For: Date: 12/20/2007 Pour Time:
Code # Inspection Description \ I Confirm # Contact # Message
199 Electrical final 061931-01 503-231-1548
Oaf i" 6
Corrections/Comments/Instructions:
ka/e- box useik-e-tAl
44
C A W "
CU ) Mil
'ASS Lil PARTIAL APPROVAL la CANCEL I NO ACCESS
• FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 1 6 ' Ohone #: (503) 718-