Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 - 00588
COMMUNITY DEVELOPMENT DATE ISSUED: 8/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: - 2S102CC -06800
SITE ADDRESS: 09930 SW GARRETT ST ZONING: R - 4.5
SUBDIVISION: BEREA LOT : 024 JURISDICTION: TIG
PROJECT: DRESSLER
Project Description: Panel change and (4) branch circuits.
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: 4 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:
LEE DRESSLER WEST SIDE ELECTRIC CO INC
9930 SW GARRETT ST 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 503 - 639 -7248 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 8/21/2007 $106.90 LIC 13306
[TAX] 8% State Surcharge 8/21/2007 $8.55 SUP 4654S
Total $115.45 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 246.6699 or 1.800 332 2344
Issued By: // / ./ /y, f j � , // Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
PIM ....
1
Electrical Permit Appiica till . No,' I +Ott (St�ErIC il�t? ulvt<, . ' ECE1 fi • Tigard 1 ae _
TlrwtcJl3 : I s -,.. I erm,t �ti' � —�/ 6 ` (
I 1312$ SW Flail B City o� Tigard
Tigunl, OR 97223 "L/
' i ° 2 1 2007 L ie/13y aw
Phone: 5 03.6J)4l7! tux: 503.9tS.l�JG L?e[c /sy Other Permit:
.. ricARD. ' Inspection Line: 503.639,4175 ll lc ltepilyaly: Juris: 8 bee Yarn __ for
Internet: www.iigan!•ur.gov CITY g �� ��� (^ ® -- -r— t67MCihuJ: S upplemriltal Iflforu,Llivo
T PE (3- 1 ,, VA 1 ,51Vt6'iii ' u _ fi r
. ;, • �...i ': � '' :�'.; I'Nl.t� t Ji � , :.,- �.�, ii t, •
❑ New constr uetlOn Addition /ollerntion/rcpiacernent Please check all that apply (submit 2, seta (Volans whiting choaked below):
Ef Demolition Q Other: 0 Su vita or feeder 400 amps or more CI Building over three stone.,
L whets the availhLlc fault current 0 M arinas andbouryards.
_ CATEGORY OF CUPISTli1(JCI1't(!N ' cxnucrLx 10,000 amps in 150 volts or Floating buildings.
1 and 2-family dwelling 0 (Otlunercial /i,idualriat ❑ ACCCSbury buildin * less to ground or oxcoeaN 14,000 0 Cotnmeleini -use apa•ieolturul
h amps for ell other hugunxums. suit lingo
Multi - family ❑ Master builder
Other: Cl Fire pump. 0 Ltxwlla{ion of 75 K V A or
3013 SITE IIIII UltMn 1 ION AND I:O A'I'[ 0 Emergency system, larger sep uateiy derived .y.rotat.
' ['Addition of now motor loud u(
l0uar 0 " ^" "L' 1 -z , 1 -3".
- S - 55 . 7.47., Job site address: ZC 3 O S l — ✓ f } or inur occupancy.
Job no.:
_ 1 r _ - ❑ Six or room rc►identliAl um,... ❑ fLcCrertiuru,l veh,Cta pucicn
City /State/ZIP: 1 0...i--,c„,, / ' 1 2 ❑ t ieahh -cars faeilittex, ❑ Supply voltage far more than
/' 0 11azardous locations. 600 volts nominal.
Suite/bldg. /apt. I Project name: 0 / - 0 So vr�o =v. ur feeder 600 pn or gtorc.
Cross strcet/directioll5 to Job site: !� I'k : > > '1u EU ULI� ;
-- -- ^ nrh•luaua� Q l+er Tutu • , ,. W
- New residential aincle- or multi - family dwelling unit,
— . 1 Includes attached garage.
Subdivision: Lot no.; ; 1.000 sq. ft. or less 145.15 4
Tax map/parcel no. - Ea. midi 500 sq. ft. or portion 33.40 ] •
DRS1Cl21P'1'IUN Of WO1t i Limited energy, iocidcnuu! z
, (with iii ive sq. ft.) 95.00
Limited energy, multi - family
'i ce' ! ' ' r - - e c - .f,. • ' .e ICSidenual wqh above sq. ft.) , 75.00 2
�� ` services or Seeders Inrtutlatlon, alteration, and /or relocation
--Q42. 'J)kiOP1G1 {xY OWNlwlt f ' ^ 200 amps or less I ' 80.30 ,��j
t "l',ii' h `1'l`' 201 Amps to 400 amps 106.85 2
Natnc: L v0 S f 401 amps to 600 amps 160,60 2
- 601 amps to 1,000 amps 240.60 2
Address: - AA _.— Ovc,' 1,000 amps or volt. 454,6$ 2
City /StateJZlP: ~ Tciltpurary services or feeders installation, alteration, altdfor
rclocntion
Phone: ( ) ) (03 9.::::32: ` 14'.x: ( ) 200 66.85 1
Owner Install tion: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, act:ordulg i0 ORS 447, 449, 670, and Vol. 401 amp!' to 599 amps 133.75 2
Owner Signature: _ _ _ _ Dare: n
fruuch circuits _. new, alteration, or e5cten,vtoo, per Eauel
A. Fcc for branch circuits with
. ] ASNLICANT I •,Q 4 1 ]Flint ON :above service or feeder fee, L4 6.65 24_b4 2
each brunch circuit
33uSinCSS'Immo: _ 4 li. fee for hi such Circuits -
Contact name: without service or feeder fee, 46.85 2
r. first hrAOCh Circuit Address: Each add'1 branch circuit 6.65 2
, • _ M isecllancous (service or feeder not included)
City /Slutc/ZIP: _ _ Each mn„ yliicturcd or modular -
', dwcltin�;, service and/or feeder 90,90 2
—
Phone: ( ) 1-ax: : ( ) Reconnect o 66.85 2
E - mail: gleaug@westsideclectriexom Pump or irrigation circle 53.40 2
CONTRAC'L 0R . 1_ _ , ' , I ^ Sign or outline lighting 53,40 2
Business name: West Side Electric Co., Inc. Signal Cirt uit(a) or limited.
, energy pane], alluretiun, or
Address: 1834 SE 8th Ave, 1 extension. Describe: Page 2 2
City /State/ZIP: Portland, OR 97214 I itch additional inspection over allow In any ur the above
pee inspection 62.50
Phone: (503) 231 -1548 Pax: (503) 736 -0677 I ii ��
cal igratton per hots (1 tit ruin) f 62.50
CCB Lie,: 13306 I_leclrae•al Lle.: 26 -1350 Suprv. Lie.; 465.1 ludustrt.l pliant per hour 93,75
S uprv. )electrician signature, requited:
��� — I rC t4� ire I ' I [
r Subtotal: 0 & - 4 V
Print name: Randall Itobctts Date; Plan review (25% of permit foe):
°�- Stair surcharge (8% of permit tee):
Authorized signature': _ __ TOTAL P13Rna11' PER
Print name; Date: 4 This pariah appltcatluu expires if a permit Ia not obtained within 150
days alter it has been accepted as complete,
• Number of inspections allowed per penult.
l;UluiWmoerm,utLL.C.L ...ii[App.duc 05/11/06 440.46131(1 I /t15K :UM/WEB
2' LL90 -9EL (EOS) .00 oT -moai3 aPtS zsaP1 e20:01 LO 12 Zed
Label Number: EL S 132343
Contractor Name: WEST SIDE ELECTRIC Property Owner: LEE DRESSLER Installed By:- AARON WATZIG
Phone: 503- 231 -1548 - Phone Number: (503) 639 -7248 Installer License: 220941 _ v
Fax: 503- 231 -9987 Job Address: 9930 S W.GARRETT ST Install Type: 1 & 2 Family c
Address: 1834 SE 8TH AVE TIGARD 97223 Issued Dale: 611912007
PORTLAND OR 97214 Work Description: ADD 2 GARAGE DOOR OPENER Install Date: 6/28/2007 CJ
- I
License: 26-135C OUTLETS Imp R Sent: 8/21/2007
CCl : 13306 Comment: TELEPHONE COULD BE: 503 - 639=7243 Insp Rpt Revd:
Supv Lie: 1st /2nd /3rd Pass/Fail z o
PJ
Supv Reg: - D D ❑ ❑ ❑
Metro #: w
r.-1
r
BCD MINOR LABEL PROGRAM - MINOR LABEL TRACKING FORM .AND INSPECTION REPORT "b
Phone: 503- 378 -2804 Fax: 503-378-2799 c)-_
I 3z.,
' JURISDICTION: TIGARD, CITY OF minor label # FT, S 132343
Contact log - Three contacts must be attempted within five (5) working days of receipt.
D are Time Initials Results -
i L3-1
0
t • W
i W
-J
00
1 N
CD
CD
❑ No Contact ❑ Owner Denied
. If the owner is unavailable or refuses the inspection, the jurisdiction must notify the- Service Center within 10 working days.
❑ Inspection Approved Date Approved:
If the inspection is approved, the jurisdiction must send or fax a report to the Service Center within 5 working days.
0
0
W
❑ Inspection. Failed Date Contractor Notified of Failure: _ o
If the inspection fails, the jurisdiction must notify the contractor immediately. Contractors who wish to dispute the inspection results '4--
must notify the Service Center within 10 days of notification by the jurisdiction. Contractors who accept the failure determination must
call the jurisdiction for a re- inspection and pay the jurisdiction's hourly re- inspection fee.
CITY OF ��wn � ��w on��u��m���
BUILDING DIVISION PERMIT #: ELC2007-00588
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E12112007
Phone: (503) 639-4171
Inspection Reque�a(24Hmj:(503)888'4175 ~ ^�
INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7:00AW PAGE: 46
SITE ADDRESS: 0E930 SWGARRETTST CLASS OF WORK:
SUBDIVISION: BEREA LOT #: 024 TYPE OF USE:
PROJECT NAME: DRESSLER
DESCRIPTION: Panel change and 4) branch circuits.
OWNER: DRESSLER, LEE PHONE #: 5O3-636-7248
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503-231'1548
Inspection Request Scheduled For: Date: 9/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 055465-01 803-231'1548 N
`. Corrections/Comments/Instructions:
r~� / '
�- v7^�_ /
PARTIAL APPROVAL I |CANCEL NO ACCESS
I I FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
~� J�
Inspector: 6 ~/�/ Date: 9. ///7
�� Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00588
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2007
Phone: (503) 639 -4171 / r�e09040
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7 :00AM PAGE: 32
SITE ADDRESS: 09930 SW GARRL.I I ST CLASS OF WORK:
SUBDIVISION: I3EREA LOT #: 024 TYPE OF USE:
PROJECT NAME: DRESSLER
DESCRIPTION: Panel change and (4) branch circuits.
OWNER: DRESSLER, LEE PHONE #: 503.639 -7248
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503 - 231 -1548
Inspection Request Scheduled For: Date: 8/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 054527 -01 503-231 -1548 Y
Corrections/Comments/Instructions:
c-k e ect- c •
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918 -271 -0030
I I PASS n PARTIAL APPROVAL I I CANCEL I NO ACCESS
FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: c p --'2.3 °d ?- Phone #: (503) 718-