Permit CITY OF TIGARD d • i^ ELECTRICAL PERMIT
11111 PERMIT #: ELC2007 -00372
COMMUNITY DEVELOPMENT DATE ISSUED: 6/1/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103BC -02100
SITE ADDRESS: 12235 SW ALBERTA AVE ZONING: R -4.5
SUBDIVISION: CANOGA PARK LOT : 005 JURISDICTION: TIG
PROJECT: SITZMAN
Project Description: (3) branch circuits for wiring a /c, exterior GFI and Furnace.
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: 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: 2 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:
SITZMAN, DEANE D /ANNA L WEST SIDE ELECTRIC CO INC
12235 SW ALBERT ST 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Contact #: FAX 503 - 736 - 0677
PRI 503- 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -I35c
[ELPRMT] ELC Permit 6/1/2007 $60.15 LIC 13306
[TAX] 8% State Surcharge 6/1/2007 $4.81 SUP 4654S
Total $64.96 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: ' Permittee Signature: le_z_ fiCath;07)
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.
Jun 01 07 OS:08a West Side Electric Co. (5037736-0677 p.2
..
. ...
,
E leett-ic:11 Permit ARElielltit)11 .
FOR OFFICE USE ONLY
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TIGARD tr):;1),%•iimi I J.• . :: ).1.n.t17.5 !ha• it•.tos•: ill r
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liii mcLww.tigarti -or tw N i
4 1 i I led/Maio& Nappleawnial I raiwiria ion
CITY Ci Ti GARD . . .. • •. •
vi _
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l'PE "'BDIIKIiNG.DIVISION pN REviEw
0 New construction .....tIAJditiontaltecauon/reidacement 1.1va,,,,sii,k au Mal apply (whmil ?,, mst, or plata. v•,..iiic;m: checked bolo, t:
.
DSI plItilldinitwerniree,00ries.
LI I JeittOlittOil [ I ()ther: w (Ite tIVailuitle laud col cnt Li Manna!: :Old Itoatymds.
.
CATCC()ItY ()I C()NSTR(.1("r1()N eXeCefk 10,(00 ■11111):: ;II 150 volts Irr 0 Homing be d
Or Efttaruncicial-mcattlavulowal
41, I - 1.1/1(1 :S -JIM) i ly tIviell tug E c•coonerci:11/ithtto•Nriai CD Accessory Iluildini.; - ---- l
amp,' lor all other imaallatiOM, liniltlitilt
1 Multi family 0 MaslQr builder El Other: Ell hire pump. 0 ii,siaitation or 7.5 li VA or
.....
, .... .....______________—.
0 l'alefV,eney syment. latTersepmnelyderi■cd,ystcm.
.1()I1 SITE INFIllIZMATIC1N AND 1.()CATION
El Atkiiiion ol new moan Mad or
. • , . . .. .... ...............
.1„i, ,iic ...,idi.c,,: A 2.2-.S f A 1 ( , c.k 1()("Ir ('Nnun'' occi Taney,
•
. ., ._:_ 0 six or more reallonlial tank. 17 kecleaniffial v,Iii,:lc park,.
( 'ityilitate//11': ot -- I '2- - z--. 3 Li ile■lilli cart` 1:1Cillli0. 0 ' 1 tliagc li moos Man
D11,1.'11%16%. !ovations (.00 volt IIIu iite/hkit,/ipt, no,: I l'rqjectl nanle: C r 1 _ 7 c ( r ( ..., I Service or reciter 600 ali)PN kt1 IlIt11(
..v-■/
rEv. sullEDEILE
cros:, street/directions 1.0 job site: c_7-, ... ( ,,,.„..,, I 1,>ly. I Vee. -- t DIM L •
. .
New residential single- or mulri-family dweiiing non.
Includes attached garage,.
,Ll _ . ...
ithdivision: i Lot no,; 1.000 s q. It. or les s
....... . . 14.5.1 5 1 4
En. a(ld'i 500 :ii, it. in. purlipa J.1.41) I
Ta :,.. illap/i):ACCel ra.r.: . .............__
Limited energy, residential
75,00 2
i)ESCEIPTioN OF W()121: ty.ou 111,,, u.) .
• " . ..
Limited enere.y, millii •IMInly
.
A 6 eyck...)-,7 ,i- C 1 si' P. c .... e ..... iv,i,,,.„Ii„, (whit al'lVt...“1.
SCrV;VCSfir fl:i 1V InStal alwration, and/0 1
____________.0 _'.-_:t•tc ''..1... Ct. * e . C.- 0 ,t_rk Le.• 70o amps or less ■II..10 1
106 Ii., . ------- ' - -
\ 'cie. II(t)PER ' FY ()VVNEli 0 II NAN'l l 201 amps 0, 400 amps .
...
,t01 amps to 600 amps 160.60 ,
N;110(7:
L . _ 6 v■f)..,-,A,L, .......c.. 4 7... ,....1.,\.,..9,. ,,.:-) . ............
601 ,L,,,pc to 1,000 111110,1 :' i'''iti" - -- .
Address:
. 7,.) , - - .1_■••• , -1.,"--.12
(leer 1,000 amps or volts 454.65 ,
.._ . . .
Temporary service, fir fender, in,D■iia (jun, imeralion., hid/or
t /'-.// II'
' reificatioo
I 5 0 -157 1 V:IN: ; ( ) 200 omps or less 66.85 L.. I
'2., aiis 1
Ownr r installation : This iiisiallai i III 15 h tIillt; Ill ill. 4)11 prOpCrly 11 O
E11 1 W11 W111111 11; 1101 01 amp iii 400 1p 0(1..10
1111,M/it'd lOr N:111.7, lulisc, 1'0111, or LXt1111111ze, :iLct )riling 10 ORS 447, 449, 070, and 701. 401 ;imps to 59 :imps 13175 l l_
liraileli circuits ilvw, .111iii•ralii) 1, or exkirision, per 1
Owner signiutwer I %Ile;
A. Fee iill l'unneh I I I wilds with
..__ ....
0 API'LlICAINT 1 D c<)NTACT l'EltS()N above SCrvice or )6,'.j4. r lee.,
6.65 2
each branch circuit
._._._...... ... . . .. .... ...... ...... _
nosiness name', B. Fee (hr branch circuits
,.ruhuia Kervitte or r0111471' 14.0,
( 1
"WW 1 name; 46.85 ,, -, • _
first branch circuit
• ..
Ilach atlit'l branch cirel Z- 6,65 II . 1 ,,,...i:2 2 .
Address:
MiNCeiiIIIIC(4US (SCI or rccder um included) ...._.
( • Ilyillitett Il ic11 maindactured or modular
90.00 ,
- - ' ''' - - — "'' - ---- 1wel I ine, service and/or fCciler
l'hotie; ( ) I ksx: : ( ) ' '.,
kociniacei inily .. . .... . ........_...... .......
, i'“),:i5
nizti I: glennOr.%vestsideelectric,coni Pump or irrigation circle 5140 2
....
C'ONTItA("1012 'iI Il 0, uuiliuc III luiug 53.4D )
....... ........................... ... .
. .
` I iircuil(;) or limited-
P.osillt_,S 11:101: %Vest Side Vleetrie Co., Inc.
energy panel, alteration, or
cluvosion. l.h..,a4iht•: Page 2 2
Addi'ess: 1834 SE St II Ave.
. .
( 'ity/StaiciZIP: Portland. ()It 97214 lit ii 11(1111111111:11 irlspoction over allow: Iii c ilt :in,/ or i he ahilSt
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•• • - Per IIi.apection . . .. . 10.50 1
Pliftlic: (503) 231-1548 I 111X: (503) 736-0677
111VeSlign11011 per hour i t hr min) 62.50
CCI1 I.u... 13300 I.It..Lltit...$) Lie.. 25v 1.i...(. Stip_ry, Lie,: 46545 todm.triiil plant per hour /13:)
1 lict Si Li required/ ..‘,/ ./ / ,
; ,
--.— . El.1 PEIZNIIT FEES
Submial:
-
'ti Randall
Pi.m fevios.. (2. a pc•ell I if n t.)'
[nt 11111110
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.. .. . ...._ . . . . k... madmrge 0 ot pt.riiiit for.): 1 4 - g (
Au) hurtioti stenatiii1.-
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-; stu‘ TOTAI. i I'll'."
rins pvrmif apra
plitilill e xpifvs ir lit II IS 101 01)1111111.d sv l hum I 'ii) titlini„ 1)Jle:
days alive ii lias levi acvviiivil as cialipicie.
' Nunawr ill im.pectiom illIOWCII 1)1:1 I (CI (Ili).
44(1 . 1 11 1; 1 1 1 1 ' 0 1 1 Al/Wi.lt
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00372
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007
Phone: (503) 639 -4171 a qp���i; "# �1,
Inspection Requests (24 Hrs.): (503) 639 -4175 � ' . .
INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:01AM PAGE: 81
SITE ADDRESS: 12235 SW ALBERTA AVE CLASS OF WORK:
SUBDIVISION: CANOGA PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: SITZMAN
DESCRIPTION: (3) branch circuits for wiring a/c, exterior OFI and Furnace.
OWNER: SITZMAN, DEANE D /ANNA L, PHONE #:
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503-231 -1548
Inspection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049494 -01 503.231 -1548 N
Corre tions /Comments /Instructions:
...._ L.-- PAA/C....<___-- - C.D A / C::3
i c an./ cs Z___%
--------
vAI (7 Mt ^1 16- g IFIA' . L 6
O
PASS ' • IAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL � 4 AL a R INSPECTION n ADDITIONAL FEES ASSESSED
' 'Y'7 1/
Inspector: Date: 6 b Phone #: (503) 718 -