Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00907
87 11I DEVELOPMENT SERVICES DATE ISSUED: 11/21/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25111 DC -05300
SITE ADDRESS: 15705 SW ALDERBROOK DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.7 LOT : 353 JURISDICTION: TIG
Project Description: Panel change & (2) branch circuits for exterior. Job #J26000.
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: 2 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:
KAREN BACHOFNER WEST SIDE ELECTRIC CO INC
1685 CARRIAGE WAY 1834 SE 8TH AVE
WEST LINN, OR 97068 PORTLAND, OR 97214
Phone: 503 - 317 -7219 Phone: 503 -231 -1548
FEES Reg #: LIC 13306
Description Date Amount SUP 4654S
ELE 26 -135c
[TAX] 8% State Surcharge 11/21/200` $7.49
[ELPRMT] ELC Permit 11/21/200' $93.60 REQUIRED ITEMS AND REPORTS
Total $101.09
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: P
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 Apprnatt FOR OFFICE USE ONLY
C :it of Ti and L Receiv ed J�p( / ` ' �j /f
Y Date /Ilv: f I 1 V', f �) /i �� Permit Nn.: t< 4
13125 SW 'kill Blvd., Tigard, OIL 97223 ' flan Review
�f
Phone: 503.039A Pax: 503 V i 8 2UI ,+++ Dole /13y: Other Permit;
inspection Line: 503.639.4175 n " __ i)are keatly /lly: kris: VI See Page Z for
Internet: www.ci.tigard.or.us Nei lied/Method: U , .Junolctuental Information
C1TY OF TIGARD -� 1'1 -'
L iluDlN4t )VISION PLAN REVIEW -`
❑ New construction ® Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑ Other: ❑Scrvicc over 225 amps, comm'I ❑l lazartious location
❑Scrvicc over 320 amps - • rating ❑t3uildng over 10,000 sq. ft..
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
® I - and 2- family dwelling ❑ Commercial /industrial [] Accessory building ❑Systern over 600 volts nominal units in one structure
❑lJutldutg over three stories ❑ feeders, 400 mops or niure
❑ Multi-family 0 Master builder ❑Other;
❑Occup:tnl load over 99 persons ❑Munulacturcd structures or
JOB SITE INFORMATION AND LOCATION ❑ tigress /lighting plan RV park
❑health- care Ihciliiy ❑Other:
Job no,: J26000 Job site address: 15705 SW ALDERBROOK DR. - -
submit 2 sets iii plans with any oldie above.
City /State /ZIP: TIGARD, OR 97224 'the above are nut applicable to temporary construction service.
Suitc/bldg. /apt. no.: Project name: iIOIJSE /BACIR ON ER FEE* SCHEDULE r
Dercripllon Qty. I Nee. I 'Total I --
Cross Street /directions to job site: New residential single -or multi - family dwelling unit.
__... __... InrInd attached garage.
1,000 sq, (I. or less 145.15 4
Subdivision: 1 1,of no.: lia. add') 500 sq. It, or portion 33.40 I
-- Limited energy. residential 75.002
Tax map /parcel no.
- ._._......... - 1.imited energy. non- residential 75.00 2
_ DESCRIPTION OF WORK l manufactured or modular
PANEL CIIANGE + 2 CIRC. POR EXTERIOR OUTLETS dwelling service and /err feeder 90.90 2
Services or feeders installation, alteration, and/or rclocatiuu
200 amps or less _ ( 80,30 s®, 3) 2
- - -- -® I'Itpl'Ht'1'Y OWNER 0 TENANT 201 amps to 400 amps 106.K5 2
• ^ 401 amps to 600 amps 160.60 2
Name: KAREN BACiIOIiNER 601 amps to 1000 amps - 240.60 2
Address: 1685 CARRIAGE WAY Over 1.000 amps or volts 454.65 2
-- . -...' . Rcconneet only 66.85 2
City /Stale/ZIP: WEST LINN, OR 97068 Temporary services or fe•dcrtt installation, alteration, and /or
relocation
Phone: (503)317 - 7219 I Fax: ( ) 200 amps or less 66,35 1
Owner installation: This installation is being mud 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 60(1 amps 13.3.75 2
Owner signature: Date: Branch circuits- new, alteration, or extensiOo, per panel
❑ APPLICANT ❑ CONTACT PERSON A. l:ee for branch circuits with
service or feeder fee, each Z 6,65 1Z,30 2
Business name: branch circuit
13. Dec for branch circuits
Contact name:
without service or feeds ;' fee,
-._.._ ...._ each branch circuit 46.345 2
Address: Bach add'l branch circuit 6.65 2
City /State /ZiP: Miscellaneous (service or feeder not included)
Pump or irritation circle $3,40 I 2
Phone: ( ) _ .. _.... _. Fax :: ( ) ... . - --
Sign or outline lighting 53.40 2
E -mail: Signal cireuit(s) or limited- _
—
-- CONTRACTOR - energy panel, alteration, or
extension. Describe: I) Page 2 2
Business name: West Side Electric Co., inc.
t n _ Each a dditional inspection Over allowable in any of the above
Address! 1834 SE 8 AVE.
.._.__ Per ilttW.11 m 62.50 __
City /Statc/Z1P: I'ORTLAN», OR 97214 investigation per hour 1t hr min) 62.50
Phone: (5Q3) 23l - 1548 Fax: (503) 736 - 0677 lntiusinitl p lane p er hour 73_7',
.. . - --. ..__ F.LEC)RICAL.. PERMIT FEES"'
CCI3 Lie.: 13306 Electrical Lic.. -I35C - / Siiprv, �/
J,ie.: 46545 Subtotal 22 ki0
�
Suprv. Elcctricia ribnaturc, required i:,-/,..--- , ,� Pla r eview (25% of )emit fee _ % 1 )
�/ I l .._ C State surcharge (K' , or fee)
Print name;
r.. D a t e; 11/13/05
• TOTAL. PERMIT FEE i D ( foci
Authorized signature:
This permit application expires it a permit is not obtained within i sO
_. — .__.. . - days utter it has been accepted as Curtlpiete
Print Marne! Date: • tree methodology set by Tri- ('ouuty Building leduary Service hoard
•' Number of inspections per permit allowed.
jan,ril sink \Peuni.111. '- i'crmitApp.dnc 12/0) 44(1 45I5T( I ll /0;. /('f)M /Weil{
2'd LL90- 9EL(EOSI 'o0 ot,aa.oa13 ap'S .asam d8E:20 SO BI AoN
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: ELC2005 -00907
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2005
Phone: (503) 639 -4171 /�� o�l
Inspection Requests (24 Hrs.): (503) 639 -4175 °`:_..
INSPECTION WORKSHEET FOR *ATE: 11/28/2005 TIME: 7:06AM PAGE: 35
SITE ADDRESS: 15705 SSW ALDERB" 10K DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO : - LOT #: 353 TYPE OF USE:
PROJECT NAME: BACHOFNER
DESCRIPTION: Panel change & (2) bran circuits for exterior. Job #J26000.
OWNER: BACHOFNER, KAREN PHONE #: 503-317 -7219
CONTRACTOR: WEST SIDE ELECTRIC CO C PHONE #: 503.231 -1548
Inspection Request Scheduled For: \Date: 11/28/2005 Pour Time:
Code # Ins•ection Description nfirm # Contact # Message
1 : Electrical final 02' , 16-01 503 -231 -1548 N
Corrections - . - -- - - .
PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑/ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ L
Inspector: Date: ` Z. Phone #: (503) 718- 2yL,
Inspections Required for: ELC2005 -00907 •
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading X 115 Electrical service /reconnect
205 Footing X 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
s { ; 285 Drywall nailing 610 Gas line
" 287 Suspended ceiling 615 Mechanical rough in
295 Misc. inspection: 620 Hydronic piping
' 625 Duct work
899 MFG - Structure final
498 Grading final 630 Fire damper
■ 299 Final inspection
635 Smoke detector shutdown
640 Exhaust hood
e 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: 320 Plumbing rough -in
998 Alarm final 325 RP/backflow preventer
999 Sprinkler final 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
L \Building \IVR \InspCard- AOP.doc 02/02/2005
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00907
4‘, DEVELOPMENT SERVICES DATE ISSUED: 11/21/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 25111 DC -05300
SITE ADDRESS: 15705 SW ALDERBROOK DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.7 LOT : 353 JURISDICTION: TIG
Project Description: Panel change & (2) branch circuits for exterior. Job #J26000.
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: 2 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:
KAREN BACHOFNER WEST SIDE ELECTRIC CO INC
1685 CARRIAGE WAY 1834 SE 8TH AVE
WEST LINN, OR 97068 PORTLAND, OR 97214
Phone: 503 - 317 -7219 Phone: 503 - 231 -1548
FEES Reg #: LIC 13306 P ole
Description Date Amount SUP 4654S
ELE 26 -13 I35c
[TAX] 8% State Surcharge 11/21/200' $7.49
[ELPRMT] ELC Permit 11/21/200` $93.60 REQUIRED ITEMS AND REPORTS
Total $101.09
I
0
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 0
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 Q
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set 0
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:
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.
•