Permit 1 I ,_ CITY OF TIGARD ELECTRICAL PERMIT
' ° PERMIT #: ELC2008 -00413
COMMUNITY DEVELOPMENT DATE ISSUED: 7/18/2008
rR
IGA) 1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 104BA -11800
SITE ADDRESS: 13515 SW LIDEN DR ZONING: R -12
SUBDIVISION: CASTLE HILL NO. 3 LOT : 148 JURISDICTION: TIG
PROJECT: WOODS
Project Description: Installing (1) branch circuit for A/C.
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/ SVCI 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: 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:
MARK & KRISTEN WOODS WEST SIDE ELECTRIC CO INC
13515 SW LIDEN 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 801 - 721 -2310 Contact #: FAX 503 - 231 -9987
PRI 503- 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 7/18/2008 $46.85 LIC 13306
[TAX] 12% State Surchar 7/18/2008 $5.62 SUP 4654S
Total $52.47 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: _,,..-.�Li��/ ,_iii Permittee Signature: �� ie 7 .‘" .119 fit/
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.
Jul 18 2008 8:25AM West Side Electric 503-736-0656 p.2
. ' - , -•
Electrical Permit Application roR oFFicr. LSI ()Nix
City of Tigard A % r
Receiv ...-711)17 .._....
oaten -. f i Or f,drAim PenTlil 14 '
NI . 13125 SW Hall Blvd., Tigard, ed OR 223 1,, - . in n ....t pi R ev i ew
: ..• Phone: 503.639.4171 Fax: 503.598.190. (Vpt,W Date/By: Other Pennit:
TlGARD Inspection Line: 503.639.4175 c4 SN''\S‘' Date Ready/By: Joris: 0 See Page 2 for
Internet: www.tigard 0 i..SN Notified/Method: 77„,...‘9 . Suppkmeut al I nform at ion
. . ' . .'" • . S .\‘-'
A __ . .. . . .
0 New construction . Ininkddition/altera replacement Please check all that apply (submit a set ofPlans widems checked below):
U Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
6ATiGdiiroOXISTRU.17Iiii4 exceeds 10,000 amps at 150 volts or 0 Floating building
le t ground, or exceeds 14,000 0 Commercial-use agricultural
s.
1- and 2-family dwelling 0 Comm amps for all other installations. Commercial/industrial 0 Accessory building
Multi-family 0 Master builder 0 Other:
ss o
0 Fire putr,p. 0 buildings.
Installation of 75 KVA or
. . 0 Emergency system. larger separately derived system_
JOBS SITE INEORP•IATION • AND LOCT1p.N:. ].....• 1 : i -',„ . ,, 171Addition of new motor load of
Job no...3 041 Job site address: 1 7 ,J ty,, pr
-
„........1 0 sx Ho: mo reresidesulal its. occupancy.
0 Recreational vehicle parks.
City/State/ZIP: (., ... ,,f,.1 q - 1 2:2--2, 0 Health facilities.
0 Hazardous locations. 0 Supply voltage for more than
600 volts nominal.
Suite/bldg./apt. no.: Project name: tj p i ,./ .: 0 Service or feeder 600 amps or nrre.
...:
Cross street/directions to job site: .." 4- 1 - 21/ ' Description 1 Oh% 1 Fee- Total 1 • I
New residential single- or multi-family dwelling unit.
- Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 . 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential
75.00 2
DSCRIPT1ON OF WORK (with above sq. 10 ,I -
Limited energy, multi-farni ly
75.00 , 2
---/'( t_i"--4 A-c, residential (with above sq. 0.)
- Services or feeders installation, alteration, and/or relocation :
200 amps or less 30.30 ! 2
. . '
i'ROTOICY: O*NER. • -: : • ';.• ,:::: r.... , •El, TENANT. . • . ;- 201 amps to 400 amps 106.85 2
.. .. - ..... ... ,..
Name: Ail j- k c_ j iz. 0 c _ 3 401 amps to 600 amps 160.60 2 ,
, 601 amps to 1,000 amps 240.60 2
Address: 4__Cl_.A. Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders insullation, alteration, andlor
relocation
Phone: ( ,:::-%, gol - -2_3 1 v Fax: ( ) 200 amps or less 66.85 1
Owner inst: lation: 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
Branch circuits - new, alteration, or extension, per panel
Owner signature: _ Date: A. Fee for branch circuits with
. .
0 APPLICANT ; : : : .. i ',. , .,', ..7,....a:CONTACV. PtRSOpt. .:, Yf,-- above service or feeder fee, 665 2
.
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 1 first branch circuit
Contact name: 4685 4.93 2
Address: Each add'l branch circuit 6.65 2
— Miscellaneous (service or feeder not Included)
City/State/ZIP: Each manufactured or modular I
dwelling, service and/or feeder I 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E-mail: GLENNG®WESTSIDEELECTRIC.COM Pump or inigation circle 53.40 _ 2
7 - , ' ...1 '''... , : • .,: . • 'CONTRACTOR ; . . •:• • ' :.• :5ri .1 :*- ..: Sign or outline lighting 53.40 _ 2
Signal circuit(s) or limited-
Business narne: WEST SIDE ELECTRIC CO. energy panel, alteration, or
Address: 1834 SE 8TH AVE. extension. Describe: Page 2 2
- . I
City/State/Z1P: PORTLAND, OR 9'7214 Each additional inspection over allowable in any of the above
Per inspection 62.50 1
Phone: (503) 231 Fax: (503) 231-9987 Investigation per hour (1 hr min) 62.50
CCB Lic.: 13306 Electrical Lie.: 26-135C Suprv. Lic.: 4654S Industrial plant per hour 73.75
— .: '::- . ;: ..'. ' : ,EEEeTfitiCAL.-0ERMIT TEES 1 1
,._
Suprv. Electrician signature, required:,- o ff, . -1/ Z 216
Subtotal: 4
Print name: RANDALL ROBERTS Date: -7//g io s Plan review (25% of pertnit fee):
- State surcharge (12% of permit fee): C bi--
Authorized signature: TOTAL PERMIT FEE: J 'I 7
.. - This permit application expires Ira permit is not obtained within 180
Print name. Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I, \DuildingTemits\ELC•PermitApp.Coc 05/23/06 440.4615TO 1/05lCONCWEB
CITY OF TIG RD
BUILDING DIVISION .... PERMIT #: EL C200B -00413
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 7`18 /200
Phone: (503) 639 -4171 I* � ie,
Inspection Requests (24 Hrs.): (503) 639 -4175 'I1.
INSPECTION WORKSHEET FOR DATE: 8/12r)008 TIME 7:00AM PAGE: 38
SITE ADDRESS: 13516 SW LIDEN DR CLASS OF WORK:
SUBDIVISION: CASTLE HILL NO. 3 LOT #: 1 TYPE OF USE:
PROJECT NAME: WOOD -
DESCRIPTION: installing (1) branch circuit for A/C. r
OWNER: WOODS, MARK & KRISTEN PHONE #:. 801 721 - 2310
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503.,731 -1548
1
Inspection Request Scheduled For: Date: 8/1212006 Pour Time: 1
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 074039-01 503- 231 -1648 N
Corrections /Comments / Instructions:
s �
1,1,A., le �i/ l �1; / , . ., ice -
AI . (' f ISM
❑ PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
F AIL 'CAL FOR INSPECTION ❑ ADDITIONAL FEES ASS:SSED
' 2
Inspector: i /
1I Date: • 1 , Phone #: (503) 718,%1
I
CITY OF TIGARD
BUILDING DIVISION ' ; PERMIT #:
LLC:200 8-004 13
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7018/1 - 0108
Phone: (503) 639 -4171 use +
Inspection Requests (24 Hrs.): (503) 639 -4175 J' 1.L
INSPECTION WORKSHEET FOR DATE: 7f28/2008 TIME: 7:03AM PAGE 41
SITE ADDRESS: f3;'f5 SW LIDEN DR CLASS OF WORK:
SUBDIVISION: CASTLE HILL NO. 3 LOT # 14th TYPE OF USE:
PROJECT NAME: WOODS
DESCRIPTION: Installing (1) branch circuit for NC.
OWNER: WOODS, MARK & KRISTEN PHONE #: 801 -721 -2310
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503- 231 -1548
Inspection Request Scheduled For: Date: 7128/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073257 -01 503 -231 -1548 Y /1/41
Corrections /Comments /Instructions:
VY
y ,q,,
❑ PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL n CA FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
0 i )1g C b _ _ _ . . , . Inspector: Date: Phone #: (503) 71 8
, : .