Permit CITY OF TIGARD ELECTRICAL PERMIT
51
° � PER ELC2008 00309
COMMUNITY DEVELOPMENT DATE ISSMIT UED: #: 6/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 12CA -08500
SITE ADDRESS: 07568 SW ASHFORD ST ZONING: R -7
SUBDIVISION: RENAISSANCE WOODS LOT : 011 JURISDICTION: TIG
PROJECT: VANDEHEY
Project Description: Installing (2) branch circuits for exterior outlets.
RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 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:
MARK VANDEHAY WEST SIDE ELECTRIC CO INC
7568 SW ASHFORD ST 1834 SE 8TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: 503 - 684 -5206 Contact #: FAX 503- 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 6/3/2008 $53.50 LIC 13306
[TAX] 12% State Surchar 6/3/2008 $6.42 SUP 4654S
Total $59.92 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:. _ • - mittee Signature: • C'•-c �r✓
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.
•
r
A
. - C...
se
. . . .
Electrical Pernirt A mitpitt
ED ,,,,,,,,,,,,,--,•..,,,,, - -, ,,,,,,, - .- .,,,, • :,-- ,
,..,,-. ,:, :,,,, r ' ',," ' '' 'FOROFFIC 5 . sp,oNur,,,,,,N.,,,z,,,,,,,,,llk,'
I 1,1 • I:ii,' - ',.:" I":,„;-': :,:&.-. - . - FOR .‘, ve. ,.,. ,
'4- I C i ly 0 t' Tigitrd Received
Date/fi : Of e5,7 1 i ''''''''' 7_!_:: d71 '
I ti, , ," 13125 SW Nall Blvd., Tigard, OR 97223 3 „ 0 - _____
Plan Review _ - . ___
0 : ;., ''. Phone- 503 639 4 t71 F•0 503,4i a 2uuo Dillel3V: OLL'Y PCIIIIII:
..:1,1"':b.......f..1 111.1)Cili011 Litt: 503.63941 .
Dall: Rvavly/Ily: - jr. I Sve Page 2 for .
.1ifvrow ,
,.. , !.A.•,, •,', alltl:CMU WNW tiV ')I ' V
' ' :CITY_O.F I I GARD ...__ tt
____:___
Notiit,i/Methe_M_________ I SuppleatelLIL121/ut tuaott _
l i - --- ..,--- --- -- - - ." . - .. imwRopvISION p LAN REVIEW
_______
) _,J d-•\\ Q0-1Ist-Alt1--31)1:7)----- i
Pt! Adeldiut Please cheuk all that apply ttitbuttl 2 setS of IJIans wit(em, uhe,:keti bciov ). •-■
0 Service or (ceder 400 arhy, of more 0 liliildni4 over 1177,e
__
Dt.f1110111.i011 0 oih,:f:
wt,e,,, the available ranit ee:,1 0 •Ntiiriaa, :aid Miatyard, 1
CA'r EGORY 01I' CONS'rittierrioN exceed:: 10,00U :Imps at I ftj ,k.i:s or 0 Flottitag bldI.
--
les tugtuutal, ut c.vcca-ch. i .0)00 D Coinnien.iliii-iise iigiiitnial
■ KT: and 2 dwellimg El Commercial/industrial 0 Accessory building
i
amps for all other Mutillatia.t, bid.
I ri NIulti-hunily 0 Master builder 0 Other: 0 tine pump. El ins1,11,,,i, KvA in
- ---- 0 1. .l e8c.tc> Nystetti. lat gtre input tacly jet In ed n) Sin t;i
I JOB SITE INFORMATION AND LOCATION
0 Addittoli uint w motor Lvt.I...r I
---------------- -
l0011P ot 111Ult:. 0.,:l:p.111,).
r
} jUi) "' :i c. )..... 7'. . 3 kth suc diess: 7 56 '.: 5c- .--' A-7. M ri ID mute residemi.11 coit...
City/ST:t tc/Z I P:
... ___
( r " - •
014,..h.c...„
D i lazindous toeatiens. 0 keereial,,,,,ii ,e14,:ie iiiiiiiii. I
0 SL:pply vuliagc for 11101:: ii,,,,
i Suitei>ld
rniapt. no.: Project nante• .
17-1 , :1
11i 0 Idef 600 :Illip,: o: 1:1l11
--- '
[ ...._____
FEE SCIIEDIILE . ..
„_.
I Cross street/directions to job site:
Otv. 1
---------- - ---- ------- NOV residential single- or ion Iri-randly ilivellin unit.
1
Includes attached miray..
_
&Ail% isioti: 1 Lot no.: 1,000 sc). ft. or less --- I 145_15 1 4 I
- I
Ea. add'! 500 sq. ft. or pertiohT 1 33.40
Tax map/parcel no.:
:1
_
Limited energy, residemi_.1
1 75.00 I 4
DESCRIPTION OF WORK (with above sq. 11.)
I
Limited energy, multi-fat:id-
I 7:3.00 I s
.1 1
( c r u c - ( r - . -A (- 1 (c residential with above .)..)...:•:.)
Services or feeders installation, alteration, andlor relocation
200 amps or less F--1 00 .301 - I 2 l i
_
l'Ig PROPERTY OWNER EN.ANT
r - 0 )T -• . -
201 ups to 400 am timps
I E06.85 I I ' I
Name: All ' LA \I 0 i
401 amps m
to 600 aps 1 160.60 1 2
i----.: n. vs.....CA-..e.- \ " - `.(1.).- 1.--c
001 amps to 1,000 amps -- I 240(30 I __ 2 . 1
Address:
4 CiAA4\-- Over 1,000 amps or volts 1 4i4stii r 7 1 .
_
I City/Statt,./ZIP: Temporary services or i ceders installation, alteration, and/oz 1
relocation
'Thom:: ( ) & 1..-I - cZ, 6)6 Fax: ( ) 200 amps or less r I 66.S5 l F 1
201 amps to 400 stops Tioo.371-1
rdyvner installati This inSUITLIIi011 1.7b 111:1 62 property that 'Co -- \\ri which -
,---.- 1 - - -- 2- --
I intended for sale, lease, rent, or ext.:it:loge, according to ORS -147, 449, 670, and 701. 4 0 1 arrips to 599 dlnpS r I I 33.75 I 2 I
Brandt circuits - tiew, alteration, or extension, per panel _ 1
I
LOwner
1
1
Dal - -----=---- - A. Fee for branch circuits lefdi I
[
I fig APPLICANT
0 CONTACT PERSON above service or feeder fee, 1
6 .65 2
each branch circuit I I
- I . ---
I Business name: WEST SIDE ELECTRIC CO.
B. Fee for branch circuits
[ Contact 1: ..ilhotir sen. of
1Inte: GLENN GROSSMAN L.
I 46.83 tk,s5 2
first branch circuit I
1------- I
Address: 1834 SE S A \'1I.:._.
I
- • .
- -- Each adri'l branch circuit i I 6.05 6 6721 2 1
Miscellaneous (service or feeder nor (ncluded)
City/Statv/Z1P: PORTLAND, OR 97214
Each manufactured or modular I I - 1
1 90.90 1 ..) i
dwelling, service author feei.lei I
-
Phone: (503) 231-1548 I Fax: : (503) 736-0677
1
Reconnect only
1 CI.ENNGg \VESTSIDEELECr RIC.00111 Pump or irrigation circle
_
_
`s. CON'IRACTOR Sign or outline lighting 1 I 53.40 l I 2
I
• • ted r
-
Business name: WEST SIDE ELECTRIC CO. Signal circuit(s) or !mu
energy panel, alteration, or
---
! Address: 1834 SE 8 .111 AVE. extension. Describe: Page 2 7
_________
City/Statc/ZIP: PORTLAND, OR 97214 Eaeli additional inspection ailowable in ativ of the above _ _
..,,.
Per inspection I I" 62.50 1 ---
rptionc: 231-1548 Fax: (503) 736-0677
Investigation put hour (1 hr min) I --- 62.30
I
CCU Lie.: 13306 --- Electrical Lie.: 26 Suprv. Lie.: 404S Industrial plant per hour 73
,
....„2....--
ELECTRICAL PERMIT FEES
Stith - v. Electric:kin signature, retduired:Z/f ...- c //------\;-/ i j i .-- - _ Subtotal: Lc:3
-- c..G.,..f•-_,'-,•,....,"" .- " l•-• -• (-."-
Plan review (2.5';',, 61 fue71 ,
i'l'illI na=rie: RANDALL ROBERTS I Date: ( /tR
, State surcharge k i2 elpermit
A tithorized sign:Juin:: •
TOTAL PER.MIT FEE:
Tiri applicat e.,..);it-,....srf a pc,rnit is IIOf Obi:Ill3Cd Wilitilrii30
Print name: Dine:
I
. , days :met it ttan butt aceupted :15 vomplcie.
--• - i
Numbet aitispeetions a/IJ'Ar.111:r p,:imil.
1 :‘ , L 1, :fl.li■vi'..1:W.L . I_Ct'cialli.Ap,),I, 03;23:Uu
-140.4015TO 1.1.IC RWEB
L966 £Z£05
8006 17g: CZ oe
... ..
. .„ ... . „ „ .. . .. . .. . .. . . .. _
. .. „„... „.. ........... . . .... . . .. .. ........„ .., . .
CITY OF TIGARD
BUILDING DIVISION A ..
PERMIT #: ELC200S.00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 67312000
Phone: (503) 639-4171 Joal T
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/11/2008 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 07568 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: RENAISSANCE VVOODS LOT #: 011 TYPE OF USE:
PROJECT NAME: VANDEHEY
DESCRIPTION: Installing (2) branch circuits for exterior outlets.
OWNER: VANDEHAY, MARK PHONE #: 503-684-5206
CONTRACTOR: WEST SIDE ELECTRIC CC) INC PHONE #: 503-231-1548
Inspection Request Scheduled For: Date: 6/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 071209-01 503-231-1548 Y MO/
04 €..
Corrections/Comments/Instructions:
L
1K PASS 7 PARTIAL APPROVAL fl CANCEL NO ACCESS
I I FAIL 1 CALL FOR I SPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Gi ( ii ( o Phone #: (503) 718-