Permit CITY OF TIG p RD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELC2008 00310
r 1
DATE ISSUED: 6/3/2008
TIGARD= 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DD-03800
SITE ADDRESS: 11625 SW 66TH AVE ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 007 JURISDICTION: TIG
PROJECT: KEHOE
Project Description: Installing (1) service and (12) branch circuits.
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: 12 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:
MIKE KEHOE WEST SIDE ELECTRIC CO INC
11625 SW 66TH AVE' 1834 SE 8TH AVE
CLACKAMAS, OR 97015 PORTLAND, OR 97214
Phone: 503 - 635 -6912 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
•
Description Date Amount Reg #: ELE 26 - 135c
[ELPRMT] ELC Permit 6/3/2008 $160.10 LIC 13306
[TAX] 12% State Surchar 6/3/2008 $19.21 SUP 4654S
Total $179.31 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: / � _ 1 • ermittee 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:
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.
•
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: _lam _u_LD REQUIRED ON GREEN INSPECTION CARD.
1. . Code 1 Inspection Description I PASS Date 1 By I ./ - Code I Inspection Description I PASS Date -I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110. Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors x 199 Electrical final
240 Exterior sheathing ' \
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing •
810 MFG- Structure set -up MEC - Mechanical Permit
280 •Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection:
998 Al al 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07
CIA i OF 1 IGARD ELECTRICAL PERMIT
, PERMIT #: ELC2008 -00310
COMMUNITY DEVELOPMENT
DATE ISSUED: 6/3/2008
T t G D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136DD -03800
SITE ADDRESS: 11625 SW 66TH AVE ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 007 JURISDICTION: TIG
PROJECT: KEHOE
Project Description: Installing (1) service and (12) branch circuits.
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/ SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 12 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:
MIKE KEHOE WEST SIDE ELECTRIC CO INC
11625 SW 66TH AVE 1834 SE 8TH AVE
CLACKAMAS, OR 97015 PORTLAND, OR 97214
Phone: 503 -635 -6912 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 6/3/2008 $160.10 LIC 13306
[TAX] 12% State Surchar 6/3/2008 $19.21 SUP 46545
Total $179.31 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:ermittee 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:
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.
1
-w*
k Iltetrical Permit Apr) licatioECEIVE
City of Tigard Received
13125 SW Hall Blvd., Tigarti, OR 97223 JUN 0 3 2008 ljale18
R
Phone: 503.639.4171 Fax: 503.598.1960 , Dateifiv:
Inspection 1.Me: 503.639.4175
CITY OF TIGARu Dai
litIcraet: www.Uttard-oro V NotilietliMethod:
TY P
Acid ilait dal Li:ration/replacement
ikololition 0 Other:
CATEGORY OF CONSTRUCTION
• 0 1- and 2-family dwelling 0CT. 0 Accessory building
Niithi_fainily iMasier builder LJ Otlwr:
L
Li New construction
3013 S1I1 4NF0R\IAVION ANO LOCATION
Job riu.ri 1_,Le Job site address: i ( ( C - I, • *74
a I- -
city/st.,/zw:
-
Suitclbldiapt. no.: 1 Project name:
Cross streeklirectioris to job site:
Subdivision:
Tax inapiparcel
Address:
DESCRIPTION OF 1V0RI:
12. ck/c 4-D 17 t
.../; PROPERTY OWNER
0 TENANT
City/StateiZIP:
phorie: ) bq
1121(00 is being made on property that 1 own %vhich is not
r exchange, according to ORS 447, 449. 670, and 701.
Date:
011'1ler illS1:111:16011: Irish
intended for sate, lease, reni, o
Owner signature:
A PPL1C.kNT
Business name: WEST SIDE Ea:critic co.
Contact name: GLENN CROSSIVIAN
Address: 1834 SE 8"
CityiStatc/ZIP: PORTLAND, OR 97214
Phone: (503) 231-1548 Fax: : (503) 736-0677
E-mail: CLENNC@WESTSIDEELECTRIC.COM
CONTRACTOR
Business name: WES'Is SIDE ELECTRIC CO.
Address: 1834 SE e
Ciiy/Shile/ZIP: PORTLAND, OR 97214
Phone: (503) 231-1548 t Fax: (303) 736
CC13 Lic.: 13306 I 11,:cirical Lie.: 26
/Electician siguitude,
Print name: RANDALL ROBERTS
Authorized Signature:
Prim mine:
.,,.\ Joe (9:23U6
17/
20O-O-90
se oe
11
6(72z •
0 CONTACT PERSON
Suprv, Lic.: 4654S
) ( • b -
1 Date: 1
I Date:
AE11-0E-
Lot no,:
'22 L(
PLAN HY.
Please cheelt all that :!pply Z. sets
0 Service. or feeder -100 :thy.: ‘3■'
0I1010 the available !lad! 0111,0,:i
exceeds 111,000 amps a! uas or
less to ground, or exceeds I -13mo
Limps Cur all other
0 Fire 'pump.
0 ErnerDtacy vstc.111.
o Adduct/1i Of clew motor Iv.
I 001•IP yr !time.
0 Six or more re&id.lici:11
0 Health-care lacilitikts.
Ilaxardous locations.
_0 Service ur I■.:cdur 1;00 t.)!•
ilL SCIIEI)tj
Ell. add 500 sq. 11. or poriion
Limited energy, residentitil
(with itbovc s(. h.)
Limited energy, inulti-lan 1
residential (wit( abo,e it.)
1,000 sq. ft. or less
21 SlIppic)11220t.I■ftjulL....
Set: Page 2 tor
401 amps lo 600 amps 100.60
601 amps to 1,000 amps 2401)1 1
Signal circuit(s) or limited-
energy panel, alteration, or
extension. Describe:
VIEW'
uf plans wiitems eileeked blow
over din,: SIM
0 laria. - anti Js.
0 l'k00 ia
0 Cutantemtialmse ti;;ricultatal
hatidialo.
Insmti,liun .1 KvA ur
s111:11;Iely
0
El Supply censer loy mole Mai,
600 ohs awaia.d.
.ire i (
- si - dential single- m
gle- or ulti-fti
Nev , 1 11110 1 : u"
gat'a;4e.
1-15.15 1 4
33.40 r
75.00 i
75.00
Services or feeders install:((,,,), atiera alutifir rolocatim
200 ;imps or less 50.30 12, 2
201 amps LO 400 amps 106.55
1
Over 1,000 amps or volts 454.65
Temporary services or I'Vedcl t! installation, alteration, andJui-
reiocatiun
200 amps or less 66.3TI 1
201 amps to 400 amps r T100.30
401 amps to 599 amps 133.75
2
Branch circuits - new, aiivratioit, or extension, per panel
1. Fee for !mlch circuits id:
above 5010100 Or leedm
each branch circuit Z_ 6.65
R. Fee for branch eircMis
svithow service or fccdcr fee,
46.85 2
lirst branch circuit
Each adill branch circuit 6.65 2
Miscellaneous (service or reedci not included)
Fact' manufactured or modular
90.90
dWelline„ service :(113/0r II•eder
Reconnect only 66.85 2
Pump or irrigation circh; J 53.40
Sign or outline lighting 53.40
Page 2
Each addilional inspection aver allow:1)1e in alIV of the abo
Per inspection 02.50
Investigation i00 hour (1 lir inia) 62.50 I
Industrial plant per hour 73.75 1
ELECTRICAL •PERAIIT FEES
Subtotal: 1/./C,. 1
Plan review (25.Yi, of permit ,
State surcharge oreenni( fee): .) el • 2
PERMIT FEE: . 7 cj, 3 1
This permit application expire, permit is not ohmitied withitt ISO
days alter 0 has liven occupied as cumpiete.
• Number of inspetions ;xi pet mit.
2 1
/966 lCZCOg