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Permit a CITY OF TIGARD ELECTRICAL PERMIT 17,... COMMUNITY DEVELOPMENT DATE ISSUED: D : 10 5/2 07 DATE ISSUED: 10/5/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 . PARCEL: 2S115AD SITE ADDRESS: 10729 SW RIVER DR ZONING: R SUBDIVISION: DOVER LANDING LOT : 036 JURISDICTION: TIG PROJECT: WILLIAMS Project Description: 2 branch circuits. AC and furnace. 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: 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: ALISON WILLIAMS WEST SIDE ELECTRIC CO INC 10729 SW RIVER DR 1834 SE 8TH AVE TIGARD, OR 97224 • PORTLAND, OR 97214 Phone: 503 - 332 - 3909 Contact #: FAX 503 - 736 -0677 PRI 503 - 231 -1548 FEES Description Date Amount Reg #: ELE 26 -135c [ELPRMT] ELC Permit 10/5/2007 $53.50 LIC 13306 [TAX] 8% State Surcharge 10/5/2007 $4.28 SUP 4654S 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 1.800.332.2344. • Issued B y : l v Permittee Signature: 0 — A - 1 •Ce, i1 7 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. 05 07 01:32p West Side Electric Co. 15031736-0677 p . 2 ectrical Permit Application FOR OFF1CF. USE ONLY . p.. _ . City of Tigard t , to. ‘ . tri r , . _ . l'ennil Nop_t A oci , ' 0 . •••: . 13125 SW Hull III vd., Tisul ;1, OR 9722:1 RECEIV ___ l'ItuiReview .. • '' Mune: 503.6J9.4171 Fax: ill.I.N9S.1960 0 0 T 5 2007 ilp.mx:___..... ____ . ---- 0 See l'ag lux- 0,,...., p..,..;,, t 2 -- - tiCrARI) Inspeelion Lim; 5034).1%4175 mie Iteialy/Ily; Iwo: ...■ . ' .. 'ena: i. W W W.I i ea fif-Or. E V CITY OF TIGAR 1: .... ."'"'"..Y. mc"km: _. . .. sup IllfUrill,finq ..... .. .. . . ...... .. . ........ .. . . .. .■..... . ..... .... . T OF WORBUILDNGUIVISIO 1 ! pi ,AN REVIEW eu e all thaupply out,;i, a sei.J w/ilesitti elic below); - 0 NJ t.t 1.:00s111ICIun ilm i N 0 Selvige vs reeder 40(1wupA .11. inure 0 I/Withal); ever dm; atnrieq. D 1),Allolitioo LI otilci.: whore d....luni. (.1, ...., 0 Kirlikkli and Innoyards. CATEGORY Ole CONSTRUCTION exceeds !ONO innie. in 150 vele; or 0 Howe% buildings. 1 2-...I'a mi 1 w I n I li LIT:0 ; Li:eft:tit WituTustritdLf A bail:li . .1 Multi•fluiiily n roto;le. buil, lei. 0 otlicr: I. io pum.I., 14,000 0 Carnirseicial••use ugricillethal mum Am ull nate( aislulluti D P�• Ming'. builaitt. LI Iledulluii00 ut 73 KVA or Diiillergen.ysymciu. Latzer sepurautly Jdtive:1 wawa'. JOB sat,: INvottmATION AND LOCATION _... C1 Ad anew motor laud el _ _ I WI W ur nhAu. occiViatcy. .... . : " 3 3 ( . 4 .'. 9 .! .1 . -hill site :iddrcsS: ... I ..° 7z Q. ; oe" ,,/- • .• risk ui more re.siacutial titian. 0 Reereilliultal vehiele parlo. (..)1y/S1:11C/Z1r: .T_LS CV CJ._. - / 7 .7 ." .7'.4. Cl lleall/i•eure Cleililles. 0 Supply vr • ..... . i - • • ---• .---. nIlaturams locatiaus, druge rar ma, . awn 600 v014., uunanul. 4 Suitc/1 no.; i'lt/ii'd itairic• 1 1/ I i r . •__. . ' a .... . .: ... . . .. ', . L.Gt NI cl...6 i ' . . 0 s. vie: r leetlei 600 a WI m ur umbre.. ... ----.... . .. -.-. . • ---- FEE NC/W.10.JLE Crow: Nrreeth.liwellosis Il/ jl)() NILO: CCP SC ' h .-1 1. : !7 , :-. .. :_-.... 1 . ' 1 1 7 .1 ... V7 =7 .- - -. - -. 97 .. • .-- ...- . -- .. ... ..- .. - New residential sinte- or multi-Camay a wyellina waif. _ -. . -- _ . Includes artactunr garage. _ ... .. _ ril.)klivi•auil• .01 no.: 1,000 sq. li. or leSS 145.15 4 -" • --' ' _.. ..._ . -•-••• --- - - -- -- • - - •••• - " •- 16. :u11,1'1 500 sq. 11 or portion • 33.40 I lax 111:1p/purcel no.: • ••-• •-• I .iiiMed energy, residental i . - - . 75.00 2 DINCRIPTION OF WORK i _. (win. Anv e• .. 1) _ ..... ._ .... __ _ _ i.imitecl enerEy. . toulti-cmoily __-... l'Z.)--C-• C.4.4.C-t-c• Qa_.._4 e_si <rizz_ez/L44.._ ......i.i.ini ..1.,.. n. ..... 75.00 2 - • • -- • • • • ' Services or feeders hodollotion„,alter:Iiimb atulior relocation 700 amps or loss H0.30 - -. . . ----- PROPERTY 0-W--- -- NER ---- .. .-.. ' . Li Tle.N A-N71:- . -- ! . - -- 20111111p to 400 amps 106.N5 2 m r ... _ - Nae: ¥), , A I 1 , . ., tc.' LA AZ‘j,11 . ../...:Lni7.1... 5 401 :111111S1.0 WO amp!: -' - • WI ;11111):410 000 ;11111)S _taii.cia 240.60 .... 2 2 Addres::: (-. , .2 cu. . - Over 1,000 amps or VO1N _._ _ 454.65 2 _. .. ,. City/Slaw/ZIP: Temporary services or feeders installation, :th anw Iviorttion --- .„ - . . • I'llone: ( i 3 ) -- '73 ? 3 -2 0 e) - Trax: ( ) 200 amps or It-ta; • - 66./0 .,_ -..-.. I . .. - -. . ... -.... .. OWner installation: This insiallaliun is being iliadc on property LliaiTc.7vn ilic not ... '. II; .4.1)91111-113 - f0) -; 100- • .- 2 • intended ror sale, lease, rm_ in ext.:kluge, ace, mime, tu ORti 4 449, 670, and 701. 401 amp: to 59.) autos 133.75 2 .___.... _____ . ._ _ ._ ___ . ._. Brand, circuits - nevi, nherarinn, or - exteoqion er ( el owner signal mi.:: / .):i le: ..--- - - ••• -- • --. • • A. Fee for In auch circuits with I . . 0 APPLICANT 1 0 CONTACT PERSON above selViel; or (*ceder ree, 6.65 2 each brainli el, eui L BUtiiitc:ki name: II. Fee fin 1111111C11 ens:slits .. ._____-..-• .. . ____... . - . -- .. .. -.. _.-_ . I./A.( wryiec or reedci lee, 1 ( 0111:1ct liallIC: 4 3 2 Ill'Si bRiliell c 46.0 - ircuil C . Addres:.; • - . ...-•--•- - --.... ..--.-- .. .---- • .---- • ------ . . - -- . -- -- . --- . _- --..._ - 4 .-. . _ 6.65 4 2 EaCh add', brat Limon i - • .._____ ••--- • ---- -" • • •----• .- • --- - • -•-••••- - • ----••••• - . iVliscallancons (ire Or reellOr not hielliolvd) ( i Iy/Statc/Z I P: Each Iowan:loured or 1110111.114if • 90.90 6 () 2 _ _____ __•___• ....---- 1 .. . ___ . . __ .. --. • • ---- • -- clwollint•,, ; unalLU ruCtkr 1.110.11C: ( ) 1•ax; ; ( -- --- __ ) __ - _ _ Rcegunioet onlv , 66.85 2 . _______ . . .... . ___ • • •-•----- ----• ; • ••-••• --• • • .. _, : 1 --• gleang(24wcsi le sideeetrie.euni - Pump or irrigation circle 53.40 . . . • • - - -••• ---------- • . CONTRACTOR . . ..Sigo tar ouilinc lie,oung 53.40 2 Si1:11111eifelli160 lianiled- IILISi11;;S:: naine: West Side Electric Co., lue. -- energy 1111 ocl, &termini', in --- - • • ------ •-•-•-- - • .--- - ----• ---- • • - -- • • - - Address: 1834 SE 8th Ave. _ __ exosion. Deseribc: Page 2 2 -, . ..._---.. ......____ .....__... . . __ .. ...__...... tv __..... City/State/ZI P7 Portland, OR 97214 , .- .Each:tflAitioual inspect: over allinvulile lii any of ilu! above . .. - P ... _ 62.0 • '0' invcclion PI woe: (503) 21 • i48 I Fa (503) 73o-0677 Iv x: . . ..__.... ..._.__ ••••••• - - ---• nestigaiiini per hOut (1 hr la ..) .. - ... ..f12,50 C(1 1..1e.: - 1 . 331)( - 1 -- .. - ---- 1 Lie.: N1-135C Suprv. Lie.: 4654s _IiiLlnyar ol_nli per hou_r __ .._ 73.75 .41. ._ --___. ... . . . .. ._ --___,...,-•- .......--, - • • 7 - 1:1 PERrvirr Fres S , - . ., up, E v. lectrician lI igallIre required. „, • • ba . ....f .t.... ... C7(..,„ Solmot .. al: .....,,, , ... wir- ... ...... . ,. . ... . . _..... ...._..__ ..._ ...... . .. Mao ro..vi (25% u e permt rix: Prior name; Randall Roberts 1)aie: 7 / 9 7 7 ... . v i ) .-- --------- -----..----- -- . _ Stale surcharge (11% of permit lee): q , Air ..___. . ...___. Amhoni.....d signature.: _____ _ '1UPAl. prilcmF1* I•1 C.7 7 ,„, .? , -- -- • • •• • .._.-- . • •_. -- - • ....___ . ... ..._..... __ ...... ...... _ . ...___ Thic i)ermil 144%1;44.6ton expirgs 'C u permit I. mg uheath.1 wlibi. Imo IN•illl 11;telkt: 11110: (WY% Mel' it nu% lown Limp red us ---.-,- - ---- . ---- .- - -. Nuiloal a Oispeelioe.; iltiowed per permit. . i gl.11.1 f•PVIIII■1:11)11.1■18 1/N....),tp, 44 0. 4 U1Th I 1..0%! 4 NAVial CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC %007..00690 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5t'200% Phone: (503) 639 -4171 Inspection Bequests (24 Hrs.): (503) 639 -4175 '. ill INSPECTION WORKSHEET FOR DATE: 11/26/2007 TIME: 7 :00AM PAGE: 43 SITE ADDRESS: 10729 SW RIVER DR CLASS OF WORK: SUBDIVISION: DOVER LANDING LOT #: 036 TYPE OF USE: PROJECT NAME: WILLIAMS DESCRIPTION: 2 branch circuits. AC and furnace. OWNER: WILLIAMS. ALISON PHONE #: 503 337 - 3909 CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503 -23'1 -1518 Inspection Request Scheduled For: Date: 11/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 060153 -01 503- 231 -1548 N Corrections /Comments /Instructions: • ( ----- C " 1 0 { \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I i 1 A(0 107 Phone #: (503) 718- Ho