Permit 'PI CITY OF TIGARD ELECTRICAL PERMIT
RMIT #: ELC2006 -00711
° PE
COMMUNITY DEVELOPMENT
DATE ISSUED: 12/15/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136AB-01700
SITE ADDRESS: 10230 SW 72ND AVE ZONING: R
SUBDIVISION: METZGER ACRE TRACTS LOT : 004 JURISDICTION: TIG
Project Description: (8) branch circuits. Job # 32166
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/ 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: 7 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:
AL MCBRIDE WEST SIDE ELECTRIC CO INC
10230 SW 72ND AVE 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 503 - 246 - 7372 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 12/15/200( $93.40 LIC 13306
[TAX] 8% State Surcharge 12/15/200( $7.47 SUP 46545
Total $100.87 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: --__ ...... c . ez26 . Permittee Signature: S 2 8
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.
I
Dec 15 06 07:54a West Side Elece.ric Co. (5031736 -0677 p. 2
s - a
nectrica.l Permit An ilication FOR OFFICE USE ONLY
City of Tiburd 9742 Keceivea , i
1)ate/rty: Petro No. (X
I112:i jW II;111liIvJ.,3'ig11r1,UtC .1 �� - �6• .-- ...__..W
Throe: 50,1.619.4171 Fax: 50,1,$9$. l9 •1 Plan kcview
t u,t<nf : Other Permit:
C 1 5 2006 AIL el eini;— • - --
bus 7a.uuu 1 1114:7 501.639.4 � Owe Keudyllfy -- ----- - -.. -.. ) td S Pape C bur . .
Internet: Www.ci,Ivird or.us Nutilini/Metllo tiul I information
C1I1! OF T _.. - - ) opt _...
� +
_ ... __._..._..._... 6 _ __ PLAN REVIEW
L] New construction Add itiWl/ultcraliurVrcp aCetucnl .. - I'Irrrr. clrt:ck all Umr apply: - '
L 1 Demolition [71 Other:
❑Service over 22i amps, curorn'I ❑I hazardous location
-._ „ .__ ...__.____ - - -- .._ . _..- - -- ••_•- --. _ -• ❑SI.•rvicc over 32Oantps•••rating ❑Ltuildug 10,000 ,I. n.,
C:A1 01; CONSTRUCTION ION ur1 and 2 -
-Eir
_ annl dwellings 4 Of mare acw residential
1- au1J ?•d:uuily dwe llin g (-J C ulrutwrcial /ind u strill U A cc.. s oiy b CJSysrent over 600 volts ninon tal uni in tale +uvclure
IA Multi- Ihnilly 1 f M : builder
[l Other: ( .Jfluitding over three :tturies 0 Fecdcrs, 400 amps in nturi•
-- - - -” ' - -- — ❑Occupant lu4d over 99 persons ❑MarlUlaclurcd struC:1Ulti di
-- - - - _Uu Sl7•E INVOnmA'1•UON AND I,0(AT1ON ❑tigiev/lightinY.. RV park
. ••-•- - � p - 1 - -- .�k ❑licalth- C.S1Y: r;u�lln L1Udtc
Jul' nu.: 3 7)�,� .t.._. Jai site address: I10 2 .3 0 SL.) 2 2 Q,�, y ° - -....
Submit 2 See: In' Mims with any of the above.
City /Suit /Z11 :
�,/ Z Z , z j I c1)lputary construction service.
_. —_ .. _ ;Move a ai4 nut applicable to t
k /bldg. /apt. no.: h name:/ (/1 _ F1'1 t sc mi l
Sul .. -- -
l ... f � "••YS ..._ - -_ _ Ur...rtptlou _ l e1y. l Fcc, 'twat
cl'OsS trcct /dircehuns to job site: New tcsidettlifti single -or multi-family dwelling unit.
—.. • - .._.._ ._... ...,. ---- ....___ -_.._. Includes atraelltd garage.
-- -- -- - -- -... 1.010::q, 0. or less 145.15 .. - -- a
Subdivision: Lot no.: - 1_, ad11'1 500 sq. 0. or portion 33.40 I
- -- - - -
:. ......._ -• --• . ....— _ .. -- Limited energy, rCSidenlial 75.00 2
Tax Itlap/pbred no.: -. - -- ---•-
- • • --- - - -... - -- ..._..... _ Limited encrg,y,non -residential 75.(00 2
_ _ DESCRIPTION Or WOW( Each mutufactoicd or modular "' — •
�. � It OaS[ wtF- 1fb dwelling, service andJur lecdcr _._. , 9 0,90 • ____ . .. 2
( 1 I A / lL t_ti-t'� : et _dwelling,
or feeders inatallalien, alteration, audio r refutation
200 amps or less _ 811.'i0 2
' �'A I ! ...... _.._.._ _ 201 and to 400 amps
PROPERTY OWNER TENANT — -- - -• -!' ._ -- I(1G:ti5 ----- ---
401 amps ro 600 amps 160.60
Nunes:
. -_ . .... _. 7X C l L c � GOl amps to 1,000 amp, 240.((0 •1
Address: ` -
Over 1,000 amps ur volts 434,65 2
- - -..._ .. .... f. �1L _ -.. __.._.. -- Reconnect only 66,65 - - -- 2 • ('ily /St.o iZ11' _ - - - - — _- _... Temporary set-vices or fev4ers installation, alteration, and/or
relocation
S
Phone: ( t�3 ) 2 -46 ..-1 Fax: ( ) - - - -- -
. _ . -- _ - --... 200 amp,: or less 0.85 l
Owuer installation: This installation is being made on proper that I own which is not _ 201 limps to 400 amps IO0.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 n1rrl.:: to 600 antes - 133.75
Owner signature: Dote: Urauch cit emits • new, alteratiou. or eXIOniion, per paid d
❑ APPLICANT J ❑ CONTACT PERSON A. FCC for brunch circuits with
. - - -° - -- - • -- - •- - --- urvrcl: or feeder Its, each
13usittas moue: . brannit c 6.65 3
- - -- • - — - - - -- _ ft, Fee for brunch eircults -
( mono; without service en. (ceder ti:,:,
46
.- T._.- .......... ..- - - ,
- - - - - .81 1� , r
Address: each branch circuit
•--• -.._ - -••y - -.. -.- • --.- - -- Each 'WWI branch circuit
.--1 6.65 ‘ 5 2
City/State/ZIP: MLceella (service or fi'vdlel nor included)
Phone: ( ) I: ue: ; ( ) Pump or irritation circle 53 40
2
__. tic or li • grin!
- - - - -- _ _ -- - -- -- - g t 53.40 r
E-mail: -. .. - -- - .....- - - - --
-. _ ail: -. .._. ....._ -• -_ - - -• . -.. _... Sr(�t;tl circtlir(s) or limited-
CONTRACTOR energy panel, alteration, Or
- - -- - - •• -- - ..... - -- -... ..___ - -•-• - -• --
extensiun, I k::erit>r: Page 2 2
Business name: West Side Elecrric Co., Inc.
Address: 1834 SL S lIl AVE. _ Each addition Ws/motion over allowable la ally of the above y
...._ .._ -.__.. -__ _. -- ---- .. -... ... -- -- .._.. . _ leer ittspcctiolt 62.50
C'ity /SItodZ1P; PORTLAND, OR h o u r
Investigation per Iwur(J bu run) 62.50
Industrial plant per hour 73.75
Phone: (503) 231 - 1548 - -- — - 1 Pax: (503) 736 - 0677 -- - - ...
CC'1J Lii. %: 13306 1'Ic4lr I • • •., • 2( 135(: rely 1 ' 65.1 ^ il
Subtotal Al S'
U
sued v. Electrician Sil i �tiµrirc. ,, .45/ �� i ®� /� ,/ � `_ Plan review (25% of pernlit tCd) —
_ . /a • .. _ _ _. - -- ,'J
/ Sou: su c (8% of permit lye) r 1 4
Pr int same ; 0 - kit • TOTAI• r - L.7� .. L)7,tt' � �� '�` O - -- - PERMIT FEE . . ....� �O• $ �
5 I
i \uthni i7,Cd si I hn hermit applu•arnln emir', if a prrmn is not ubll w'ttltiu 1110
-•---• --- .. . . _.. -- _____________ -- . ...._...- - ... _ • - -... - _• - -. -- •--.... • • • days After if L$% bee. a,•er1l t4 in routplclr
t'
1' name: I_ Dalc: • Fee methodology set by Tel -Cowry nodding Industry Service (load -- ... - -..__ ...... -- - LL -- •• Nwul><r of ulSluctiuus per permit allowed,
W,.,1•44S1Ycu,n)t1U.0 -Pn roinkIlp t&Os 440 46 I Yr(ltvll2 /t•)W/W1;a
CITY OF TIGARD - c
BUILDING DIVISION _. PERMIT #: ELC2006-00711
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/15/2006
Phone: (503) 639 - 4171 474,1 ^ Ii
Inspection Requests (24 Hrs.): (503) 639 -4175 -__..
INSPECTION WORKSHEET FOR DATE: 1/5/2007 TIME: 7:0OAM PAGE: 14
SITE ADDRESS: 10230 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: METZGER ACRE TRACTS LOT #: 004 TYPE OF USE:
PROJECT NAME: MCBRIDE
DESCRIPTION: (8) branch circuits. Job # 32166
OWNER: MCBRIDE, AL PHONE #: 503-240372
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503 -231 -1548
Inspection Request Scheduled For: Date: 1/511007 Pour Time:
Code # Inspection Descri • ion Confirm # Contact # Message
199 Electrical final 041850 -01 503-231 -1548 N
Corrections /Comments/ Instructions:
V
` PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: S Date: ‘ '5 -O') Phone #: (503) 718 - *1/4\10