Permit a
t
•* CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00498
411i DEVELOPMENT SERVICES DATE ISSUED: 9/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1 S135CC -02300
SITE ADDRESS: 10450 SW MEADOW ST ZONING: R -4.5
SUBDIVISION: THE MEADOW LOT : 002 JURISDICTION: TIG
Project Description: Panel change, replace outlets.
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:
RUPERT KOBLEGARDE WEST SIDE ELECTRIC CO INC .
1130 SW MORRISON # 510 . 1834 SE 8TH AVE
PORTLAND, OR 97205 PORTLAND, OR 97214
Phone: 503 - 222 -3135 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 - 135c
[ELPRMT] ELC Permit 9/5/2006 $93.60 LIC 13306
[TAX] 8% State Surcharge 9/5/2006 $7.49 SUP 46545
Total $101.09 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 — . D. /-Z f _E Permittee Signature: czsz,e g ,
OWNER INSTALLATION ONLY 'c'c
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.
I . -..- .
6 ,
Y
Electrical Permit Applicapo,n ,, , II_ FOR OFFICE USE ONLY
'
City of
I Tig Tigard OR 97223 .....-p) Ptintil o.:
1312.5 SW lall d., . --' • --- -------.
visili IteVitlay
11111111... 50.11.19.4 I 71 Fax: 503.598.19N) r. '- 1)314411y: ,-, • ' 1 Odiet Plainit:
IMO:tli011 Lim% )03.1/39.4 s
175 z ,, Lr , . 1 r .. „,,iil -,G,--,„ ..----------...----- • ..i... • o•siii'ime Lin's: -- • • - • ..
1116:111‘.1: WWW.411 .liga aur. us Notified/Method: ..■/ S000lementallorurinutiun
- -- • .• .. - - -.•-•• - ---
, . .
TY.1111E .101i W_ORK -.. PLAN 'REVIEW
- _ _______ ....... .
7
0 NeW COSISI11.1c11011 • --6I,AadltIatirila,:0511/1tPiigkialitrt,' Please chyt•It all lhal apply:
OSCNICI.1 Over 225 amps. elm llo'l 01 krzarthniS location
0m
1)eolittun 0 Other:
. 0 S'erviee over T1.0 amps rating 011uildtig over to,(100 sq. II.,
CATEGORY OE (!ONS)RIRTION of I. and 2 Iiimily 41wellilitvi 4 or MOM new reNitleolial
I - and 2-laindy tlwtHing El (.!timmereial/industrial El Accessory building 0Systcni over 600 volts 1111111in:a units III 11311: SO ucturc
°mimin owl dim! stories 01:ccdces. 4(X) WI upti 171' MO i•
I 1 Mulii-linnily I Muster builder r] Other
--------.••••.. • - • . .. ____ ... nOecupaid loud two !),) In.11•:;1.111S El M :JIM I:W(111'1.'1i structures oi
JOB mi.: INEORMATION AND LOCATION 01:gross/lighting plan ItV park
- 77 - - I licultli-eare (twilit., f :101.1,....... .. .. . .
Jub ,10.3 4)L4 be Job sue address: / 0 5 6 sl .s.)
• •-•-•--- • • .n... ----.....-. / .. rt e.CFLI ) .;ke -. , Stainiiii 2, NC I h or plans with :my a the , 1 . 11 . 1 . . .
..
. . tale/ . i
Cily/Sii r e y !IL 0134,vk. dm mit 0 »It,Jbl, io 6.mporaty c,
e..1 1 12 3 .. . _ . ...._ 4 ,... ...._ _________L_____ __..___. 111h1(.11111 ery .. act.
.. ....__ ....... .. .. . %. .. - ....--- ....
FEE S
* CHEDULE
Stale/bldg./apt. no.: I PrOject film ite: /...(. 7ii L.C. ...,,,,,, •-•••• - • . •••• --• • - •
. . 0 ... l c 6 1Z Drpi - -
rritillen FILATT Fre. I Thal i • .
(.....103:( StrCei/dirOCIlt/IIS (0 job silt:: V _
....
New residential single- or Multi iiWeil
..-. ...-... . ...... _ ..
ing emit,
- ----" --- - '' -" " -- - •-- ---- ineitsileN 4 rlached garage.
. _ . .. ..
1,000 sq. II. or less 1.15.15 .1
_ ... .. . . _._. ._ .
StibdiviSion: Ltd no.: I:3. 2thr I 5(X) Sq. II. or WWI it ii 33.40 , I
'• ' •-• -• - - •••-• -• • • • ---------- - • - • • '"---- 1 itnited energy. residential 75.(X) 1
Tax netp/parcel no.: • •• • ----...----•••• • •
.....-- limited energy. -resitleillial 75.00 2
.- ... ......... . ... • - - •• - -
OESCRIP'FION OF WORK liach inanufactured or modular
-- -- 4- (X{ A . 4- S ..d. ..
ili., ,...vii,
:...(1/.ii ,.,1, ... ... 9(1.90
1 _2 1 " 41 c - I I ... t 'et(a_Ge._ e P. - ._ 5_. r_......_:.__ . Services or faders instatlal . alterati tttt , auttio relocation
2(X) amps ilw less tit) 30 Ais ) 1
_. _ • ..... ...........
- 2(11 amps 12 4(1(1 amp: . .... )06.85
" ". - Il:PR ri; 7 Y OW - N - 1:: - R -----.-- --- - I - - :. - C . j . ' : 1 7 N - A - N:E
I . . _. .
- • -• -•• •-•• -• • •• - • • - ...-----, ,----r -f • ••••• 401 amps to 600 amps 160.60 -I
....... . . . • - • -- - • • - - • - --• • •-• .. •
Milne: 44 4 ) #. - 1.Z.i. . . . . 1/' b. Le c._ j ..c. , .v. - q_____ 601 aril's to I MOO tulips
Addr 240.60 '
_ _
ess. - .. t [1, in Over 1.000 m• volt::
' C.- IVa 4 .: 1 1-.Sillt4 , 71 51 0 . . .. - . - - • • - -- - - it Poi . .. •
y 4:14.0 • 2
. . .... _. . - . . . ... .
City/Slate/ZIP: \ _f2. __272_0 TCMPOrlary Services or feeders installation, alte. olion, A 1141/01'
reit:ration
Phone: (1 ) 7,2.2 - 3 (3 c : ) ........_ _ _ .
200 amps or les 66. • .
I
__. I Fa
Owner installation: This installation is being i rt
lle on p- s /0
On ;;;;ty that I own which iS not 201ampsto 400 ... -- .---.. -- . 10tI. : 10 .
intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 1.13.75 2
. . .....
Owner signai ore: . . !kite: ........__. .. Drawl ei, eui Di • neW, alferation or este:1Ni tttt , par pallet
........
0 APPLICANT I 0 CONTACT PF,RSON A. Fee for branch circuits with
--- ----- ------ - ---------- go' viee la li.:tu.lcx• lee, (awl'
7 6.65 IT.9D
I lusiness name: branch circuit
.. ... ....
_______ _ .... ._.• . . ____._
II, Fee for brunch circuits
Contact name: wiihulit :;erviee or feeder fee.
.... -- _ ....... . . . . -. ..... ..... . . _ . ----___-.. 46.);5
- - ..'
each hrolie.11 eirelt it
1 :Mill branch circuit 6.65 .)
----- -- -•• • . . . .._.. _ .________. . _ .
•
City/Stale/ZIP: Miscellaneous (service or feeder not included)
,
I' p or irrigation circle .S.I.d0 -
!tom. ( ) az. . ( ) .-,. •
:limn nrinaline lip,litim 51.40
------- --------- ---• • • • ••
I ', Signal circuit(s) or limited-
( 'ON'TRACTOR energy panel, alteration, or
extension. I h..scribe: Page 2 I
RirSineSS Millie; West Side Electric Cu., Inc.
Address: 1834 SE li Each additional inspection over allowable in ally of the above
Tai
. . . . . - .. Per inspection 62.)0
...... .... .. ..... . .. .. .
'ity/Staic/Z I I': PORTI .A OR. 9721.1
Innsrigaiim
iw o
riwurthw0 .
. .._ . .. _... 7:
62 50
. .. . .... __....... .__ .._ ..... . ______ __
s
Phone: (S03) 231-15414 F Induhial plant per hplo• 73.75
Fax: (S03) 736-0677 -
. • • • • .._.. ..... . .. -- --..---.- Eincrut WA I. PERMIT FEES
7(',R 1,ie.,; 13306 I Electrical. ..: 26 .0 1.. . - .. Subtotal qi 4 6,0
Smirv. Electrician signatuie, required: 1 i 41( Plan review (25% of perenii fee.)
•
i .- - - A • - ,.' , e 1 1 ( Z - ' - • • ' / , - - " - ' • il- .-t.
...'", . • - .. .
State surcharge (S% or permit ice) 7 4 I/
Proll Mlittc: 1 ,.:Lc.1 I 1 ci 1 .2.-, oe. ,_..{ 5 . Date: • (
_ To.....,.....- FEE / 01, 047
A UI horizecl signature: This permit application expires if II permit is not obtained wilkin no
days after II bas Occ• aerepted ANC
Prill( rIallle! Date; • lice meiboatohicy set by Tr( (molly 'wilding Industry Service Board
_
____________ ......_ .. . ... . • • • "- • - - ••• ." --.. - • • --- ••••-•- •-- •• Nuenbor ufirepeetionS per pen nit allowed.
,uuutamrpfluuswiemmfli,Appa..Im)1 cal000mmmuniftn
a • d L L90 -9EL (EDS) '03 o;..41.3a/3 apt s 2sem dS47:90 90 TO daS
CITY OF TIGARD
w
BUILDING DIVISION PERMIT #: ELC200& -00498
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2006
Phone: (503) 639 -4171 �sua , l
Inspection Requests (24 Hrs.): (503) 639 -4175 � NO- �:_..
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 5:07PM PAGE: 29
t.- . ) 7
SITE ADDRESS: 10460 SW MEADOW ST CLASS OF WORK:
SUBDIVISION: THE MEADOW LOT #: 002 TYPE OF USE:
PROJECT NAME: KOBLEGARDE
DESCRIPTION: Panel change, replace outlets.
OWNER: KOBLEGARDE, RUPERT PHONE #: 503 - 222 -3135 -�'
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503 -231- 1548
Inspection Request Scheduled For: Date: 11/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # M == - - Cof(G
199 Electrical final 039268 -01 503.231 -1548 pi
orrections /Comments /Instructions: Rv 3 Z2 /
iii
oO / <
0
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c$1C' Date: N GA Phone #: (503) 718 - -4