Permit CITY TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00023
pEVELOPMENT SERVICES 53 - 639 -4171 DATE ISSUED: 1/12/2006
13125 SW Blvd.,
PARCEL: 25111 DB -02500
SITE ADDRESS: 15455 SW ALDERBROOK CIR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.8 LOT : 484 JURISDICTION: TIG
Project Description: Wire AC and furnace.{ � mr ,
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: I 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: 1 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:
TOM PRINCE WEST SIDE ELECTRIC CO INC
15455 SWALDERBROOK CIRCLE 1834 SE 8TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: 503 - 430 -0981 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: LIC 13306
[ELPRMT] ELC Permit 1/12/2006 $53.50 SUP 4654S
[TAX] 8% State Surcharge 1/12/2006 $4.28 ELE 26 -135c
Total $57.78 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 V.0-332-2 •4.
Issued By: : A / / � �! Permittee Signature: 92-
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.
, ...
Electrical Permit ApAqs;2.111El
FOR OFFICE USE ONLY
, hD
City 0 lTiga rd • 1lVaL- v k /../a,,a, ii.t, pc,,,,i,N,,ks__up04,—et>e
f ralc/Ily: .
131:5 ,SW I LH 10V4.1., Tigard, OR 97223 • plan Review
Phonc: 50.),039./1171 Fax: °x ' AN 1_ 2 2006 4.,.. IMIeflty: ()ill•I Perm&
--.
loves:000 1.11IO: :i0.1•6-19A175 . t),.cadwiiy: ge z ror
.... .. _ . ... . ‘4 ffl ; si p ,: Al 1: 0 ii. 1.,.. t..
Ink/Met: WWW,k:i.t igard.or. us Nouiicd/roethod i ui , len 4 n in .
.. Inn
• canF TIGARD --• --
lult."dtatIoR _ PLAN REVIEW
E) New cons(' uetiOn i.iti.nonfalteration/repluccinent Please. check all that ap)ly:
Otierviee over 225 amps. coin! o'l ri 1 laziirililos location
n I h•molition Other: OSery ;eV i ivur 320 amps rating D iiiiltIng owl' 1 0,0 00 sq. n .
CATEGORY 01: f!ONST KucrioN of I. a 2-11imil dwellings 4 or rnoro new rcNi/lential
1)ti - al id 2 i I y dwelling Li Commercial/inclustrial I_D Accessory building - ['System over 600 volts nominal units in one struettne • DI Suilding two three storer: 0 i;cetlers. 400 ailio or /Imre
LD M m
ulti-faily El Master builder I_1 Other; ['Occupant load OVVI 991).21.,;ons OfVlanufactmed NI.RICIllro: i a
JOB SITE INFORMATION AND LOCATION 0 ligress/I iv,lit Mg plan RV part
• -.... i A O 0 ii,,,,Ith-eare l'aMlity DOther: ... ..
' 1°1) 1 nu 1 -1 -1 7,49 1- ..4, -1 .7.4:_....... liti_d7 T
54-115 P" /416-r s. u b in; t 2 sets of pla with any attic above.
City/Slate/ZIP: ( r 3 ,.....,• 9 z 72-. hi, ;.1„,„,, ..,, no, appii,,Aile. to temptwary construe' ion service
.. __
FEE* SCHEDULE 1uk/bI(I,
i Pro naine: . ,...,....i i n i I
suite/biog./apt. no,!. .43101011 (fly. f Yrv. 1 •r;tha
. .__.... ._____. .- ._._ . .____...
.1 I
CrINS street/dircel C- 1
ions to job site: New residential sinale- or multi-family dwell:Ina unit.
• •-•---- ---- -• • — •• • Includes att2Ciled garage.
1,000 sq. ft, or loss 145.15 4
--...-.. ____ .. .. - . -- ... ..— - ----- • • --- • • - ---- .- • ---. -•-----
1: rIdd'I 500 sq. 0, or rorti011
33.49
Subdivision! I Lot no.; -----
1,iinited energy, residential 7.5.00 2
l'ax mrip/nareel no.: _
_ I muted energy, non-residential 75.00 2
__ ___
....__. .... • • .--------- •----- • - • • ---
DESCRIPTION OF WORK liacli otantllaCtured Or modular
..... dwellitv, serviee and/or rectler 00.90
_ . _._ . _. 7
_ .-
. . s • i• or i ,-, , , i
, el Les ol . Mt" MAI...H.11/El, Ilitera(1(111., 311d/0 - r4411)CatiO1
..--. . . .....-
....—.. _. . _ _ . . --...
200 amps le' less 80.10 2
_ ......
-- •-•-• 201 :nuns to 400 amps 106.85
....._ , ovv ER _ -- __.._ _ 1:NANT
./._.. ..______ . 401 amp:i to 600 alup:;
1 10460
Name: 10 "A ,i G—e___ (101 amps to 1,000 amps 240,60 - 2
5 Over 1,000 amps or volts 154.6, 2
AtIcliess: e.-...■_....n.A....e.._ •—• •
___.... . . ..• --. — — ---- - It . --- econnkiet only (16.10
....._ •
City/.S --
tate/ZIP: TeillpOrary 50'1/W1:S or 'leerier% installation, aiteeation, audit i
.._
_ •--- eclocal km
P1100C! (n J 1 4 Z, n — ,,e 7 1 l„,.( ) ._ 200 amps or less 66.S5 •
I
... _, ,,-.... _ .__,, V _ v _.....
OWnel' installation: •Ibis installation is being nude on property than I Own which is not 201 amps to 400 limps 100.30 -
....._
intended for sale, lease, rent, or exchange, aceorcling to ORS 447. 449 670 ond 701, 401 amp: , to GIX/ anips 33.75
__. .....__ ------ -•
Owner signature: Date: Branch Cia'CUitS I1CW, alter:ilia ii. or e 11...11:ii()11, p •r panel
• - • • . • - -:-. _ _ • • -• — • - --...
._.. ..
0 APPLICANT 1 El CONTACT PERSON
,.. A. l 1 Or branch circuits with
-- ----- .._. service or il.Tder Ice. elicit 6.6S 2
Business mine: brancb eirciln -----. ----
• •..-- - • — -• - ---- - - - it, Fee IOr branch circuit:I
Crifituet namC: ",; ,let or feeder ['cc, 1 4().X5 1-/4. ,C 2
. . ___.. . _... ____ . .___ .. -_____ -- . .. __ . —_ . —
each branch circuit .
_.__....
Athlress: __ ___ __ _ __ cli addl branch circuit 6.65
..__ .—_. - 1,.a
city/State/Z1 I): miscellaneous (service or (veilet not included) ... ......
. ..__. _. _
_. .__.... _ .._._ ..._ . • • ._ pomp or i ri•MAtion cicele 53.40 • 2
Phone: ( ) ( ) Sign isi ouilinulir,laing 53.40
. .
It-111161: — Signal eireilit(s) or limited-
.. .-
_ . .._. ...
CONTRACTOR energy panel, Pheration, or
• • -----• ----- —.• extension. Describe: Page 2 2
ltusiness mune: West Side URA:Erie CO.. Inc . ..._. . __ . ...
Ruch additional inspection over allow: the in ally or the ntro 'e
Address: 1834 SE 8 1.11 AVE. .._ .
62.50
-
..___.
City/Stute/ZIP; POIZTLAND, OK 97214 i per hoar (t lir min) 62.tiO
_.. --•
.--- . -------- ----•-• • • — ..--. • .-- --
Phone: (503) 231-1548 V Industrial plant per hour 13.75 ay.: (503) 736-0677 - . .
__ _ ___ __ ____ __ _ EI,ECTR1CAL PERMIT FEES . C _
v
( Lie.: 13306 Neetriett : 4 .ie.: 6- I 35C St.i.prv. Le.: 165 Subtotal 53T_
._..._ ....____ , . _ . ..
I.14n revivw (25% t.ii porno lee)
Sulu . L lectrielait signa tuie , r Nutted ,. . C./ -- _,- . (_ "L--
' - ' -. ' ' • 4 ( ." -.7) e ' _ ..
.•---
_...... .. _____ -- t/ ' ' s;t sw -e.hurgc M of err
pnd ILL
Print WNW; 0 ' ..) . ' Date; 1 A /
l 2. oh_ TOTAL PERM
-• - • ------ ---• •----•• .----,
'''• 4 vi- •.,:. c•-i( / I_ i '-‘).L'-e-r:..-(.5____.. IT FEE
...._____ .
. •
Autborrted signature: This perinit upplicatiini expires if 3 periniils not °Wailred Wlilli;; in
...
— .__ --.. .—.. . .—.. - - ---- days after it Mi. liven accepted as complete
.
Print name: 1 Dille: • K r ocoodoiory Rct by 'Fri cOunly I Wilding Industry Sorviro I ImIed
•-" - -- -- --. ' — ' --- • *---- • - —" • -- ' --- -- •• Nombor of inspectithts per penilit allow.d.
i tit,utaluovelnioNtiti.c roolitAilo doc 12/01 44041.i vrow02/com/wiiii
a•01 /../.90-9EL 1 COSI •00 OT-1.zoalI3 apTs .asam eGg:90 90 21 uler
CITY OF TIGARD . ... ,.,
BUILDING DIVISION Ai
PERMIT #: aC2006-00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED..
Phone: (503) 639-4171 011060ilifi
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/14/2006 TIME • -
2:22PM PAGE: 23
SITE ADDRESS: 16465 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO .8 LOT #.
• 484 TYPE OF USE:
PROJECT NAME PRINCE
DESCRIPTION: /1301 7
Wire AC and furnace 2/13/06 add service panel change.
OWNER: PRINCE, TOM PHONE #:
CONTRACTOR: WEST SIDE ELECTRIC Co INC PHONE #: 50::Q31- 1548
Inspection Request Scheduled For: Date: 2114/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 026865-01 603-231.1648 N
Corrections/Comments/Instructions:
•
----
PASS n PARTIAL APPROVAL 111 CANCEL 0 NO ACCESS
1 FAIL fl CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector:
tt l)
Date: /_Lc o k Phone #: (503) 718- Y:0_
•