Permit _ - ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT #: ELC2006 -00589
DEVELOPMENT SERVICES DATE ISSUED: 10/18/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134BD-02000
SITE ADDRESS: 11795 SW SCHOLLWOOD CT ZONING: R-4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT : 108 JURISDICTION: TIG
Project Description: (4) branch circuits. Job No. J31335
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: 3 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:
KEN BROWN WEST SIDE ELECTRIC CO INC
11795 SW SCHOLLSWOOD CT 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 971- 219 -6601 Contact #: FAX 503 - 736 -0677
PRI. 503 -231 -1548
FEES
Description Date Amount Reg #: ELE 26 - 135c
[TAX] 8% State Surcharge 10/18/200( $5.34 LIC 13306
[ELPRMT] ELC Permit 10/18/200( $66.80 SUP 46545
Total $72.14 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
suspend - than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules . - set forth in O • • 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of thes es or direct questions to OUNC at
503 6-6699 or 1 - 800 - a
Issu d By: Permittee Sign , ture: p.q 0 ; _
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:
_ . ONTRACTOR INSTALLATION ONLY
—
SIGNATURE OF SUPR. ELEC' �- -•L��✓ ! / DATE: / 1 c
LICENSE NO: c
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 Application • FOR OFFICE USE ONLY
Clay UP Tigard i �q Xtx ca ;
o ved � •
T llty. t /7 eG ....... 4X Yi N o.: .i..c lot �JV /
1 . 1 1 2 5 SW I l a n Blvd.. Tigard, Olt 9722. _ A : .. I 'Ian Kevicw
['hum!: 503.6.19A171 Fax: 501.59S. IN) ' 'lI flab' /Ity, (ldtrrPenult:
Inspection Line: 50 :k( ).4175 a gate Kc ynty: C url //// re fatty 2 1w' -
lutcruet: ,vww.ci.lit;arJ.ur.us OCT nn Nu Metluxl: /( LIZ fi Supplemental lnfurmalitm
- . of WORIk PLAN . Wi Vl1LW
I) cntulfliult (15(I13i? _... !^ 'll r -l ti e C e
ie :III Mai apply:
U New construction ittutb•lluriltii.AdjlL`ldii rli n
U P �T , I Iticr over 225 amps, cuunn'I ❑ .m, :.oeat.on
-'- _ -- -..._ - '-- --•_ -- ❑s, :tvtttt l)Vcl 320 • rating nlluildng Over 10,(00 ay II.,
(:A'I''Ii(( OF (YIN.STR1ICl il)N of I soil 2 family dwel limp: 4 or more new risi,lenli:rl
. ... ....... .. __ ____ _ ..- --- - -____ — _ ___- •-- ______ ........ . .
. ' I - ;Ind ? -I mily dwelling ❑ (':onimercial /industrial El Accessory building F h over 600 volts nunmc.l units ill OW struituri
❑Uuildlint: uvrr IluCc ntoiit:: ❑(4•od&rs, 400 :tonne: Set n,n,r
1:. ] Multi. family [] M builder n Others O
Decupaul load over , 9 per :mss L]M :uudarlun d slnu'Iniri „r
Jott SI'l IN1:OItMATIC N AND LOCATION ❑Iysr /fitthuiuy, pima I:V y:l,l.
. 5 3./ J L J ^ h t 1 I c o _ I7fl 1111, Carl' facility ['Other;
.lib nu.; I .. i s adJ ` ( /
_____ _. l �� l... - .-V_- •_ -- ` -. Submit = sets of plans with uhy of taw above.
City /Suite / ZIP: / Z -2 ila + a)arvC are not applicable It) 1eI1 purmy cutslnlcllon gcrvu:■:.
Suitt: /bId;;. /apt, no.: I rOject name: ,- 1 F.1,. 1( 1 1.1)1 l.tv .
I
-
Su . Ob ✓�1 r v."... - c 11e..aa 1)ty. 14s. l
�t-g � , N ew residential single- or ut
iI'ymil dwelling unit. ,
010:;5 sliwt/diieclions to job ;:ilea (..� �+ )1 y (.
_. ....- -•- -' --.._. _. ' Includes attached garaur.
1.0(X) so. 0. or less 1 41
subdivision:
I l cn nu.: lia, add'I .500.9_ 11. or portion 11.'10 1
_.. _
I n,als/lwrt cl no.: — _....._ Limited Cnri�;y, residential — 75.(X) _'
- - - -- - —.. -. _..•..... —_.- Limited erneagy, raon- re,sidenlial 75.00 2
DESCRIPTION OF WORK _ iiu mannfaclured or modular - - - --
�_ dwelling, st•rvice ;1101 , fristei 90.90
_- - -, -.• � / ~)� C! (Q•� C.• C '. �.._ � K t K /• .. - .. S ervic es or fee ders installatiuu, ullera1 , and/or ndo crtiun 1
2(IU amps ttr less ) 0 (0 ' - 2
142. p. (-Tf v.. —_ _.......
- '- — —'- - — ° 201 amps to 400 amps 10r,.I:.S
1'Iti)1'1 ?It!'Y OWNER I U ...... NT ......__ _ _.. . .•___-___. -..... ..
. ._ ._.. .... — .._.._._ -- ... -- .. ... ._ • - • '— 401 amps to(>l0U lye; 160.60
t :
Name: 601 amps 1,1 1 000 ••••11•••• 740 0(t
___... -- . -__. rte...-- •- ___ ...- - - - - --
Address: Over 1.000 alig lIt vnhs 4i4 b5 2
_.. - --. _ . . — —' -' — - - - Reconnect Only 0,85 •
City/State/ZIP: 'Temporary services or feeders installation, alteration, and /or
-- -- -. _ . rclo ell liotl
f IIOne• — Fax: ( SOU 8ntp:: Uf loss
Ow r nc installation: This ulslalla g,' tion is bein made nn property that I own whjelt Is not 201 :imps to 400 amps 100..10 2
intended fur sal louse, rent, or exchange, aec0rdinp to ORS 447, 4.19, 070, and 701. 401 amp -- - --- _ an to 600 anyo:; 133.75
_... ..
Owner signature: Utitt•: It1.7Ouh eirCn1I5 •-- IICw, allef alit I, Or exlcnsiOn, Per panel
.
❑ AP('UCANT _l ❑ CONTACT PERSON A. 14:0 (o1 brooch circuits with
...._..._-- ._. -__.. _. ..._'_ -- _ —'_ ' tciviee or feeder lit:, estth 7
Business name: lrutel riiet _.. ...- _. .. _
il _ __
' - -- . - - --- - --'-- - ' ° ' _ --- o .. _.. n: — f t . I +cc for branch ctu,fs
Col duct name: without Service or reeilc, a■r,:, r 4(,.8) /4
. Sy '
-- -_ ___ _ ___.... . .. __ - ._ ... .. _ _..... -. ... _. --
• . hi :inch ..- ----- ._ .. _..-
. Alllrt:SS: li.'tch :WW1 brunch circuit 0,0 1 q 1s 2
City/Stale/7.P: Miscellaneous (service or feeder no ittcludedl .--_ _
-- - - - -- - - .. pomp - e
..... --•- -.._ _ .... .._-- - - - -.. urint)•aunne 53..10 .
c
('hone: ( ) lax: ( ) — ........ .. -- - ... - ...._..... • _..._
tiit:n or outline lit htinr s.1.4O
1, -moil: Signal circuital Or li nlited-
C'ON'I'RA(.'TOR energy panel, alteration, up
- - - -- - _. - -- — • .. _ - extension. ik :ribt:: Page 2
Litt mess name: West Side Electric Cu, Inc. _ __ — -
AlltheSS: IS ;d S1. X 111 AVE. l?ach additional inspteliun over nllowsIde in )4443'4)1 the abul•c
• __ - - -- .. .. - • •--- --- .-•._.._ • •• -.... _...... . - _____ . Per inspection 6''..511 ...
City/Stater/1P; PORTLAND, OR 9721.1 Iuvcctila1tt,n per hour Ii hr ,,,ml - --
-
_ . U I s plant per hour 73.75 Phone: (503) 231 -1548 Fax: (503) 734-0677 - -'•' - •---•-
... _ ...... __ - • ...... . ... • ---- .... _. _..__ ...... .... -- . ELECI'RICAl. PERMIT
CC.'I Lie.: 13306 I I ?lectrical•l.wt•.: `26. 115(.' Sut Lie,; 4654S — - -- _ uln u l a l l'^� W . Pi -
— � r Plan of permit fee)
Su prv, Electrician Electrician slsignature, required.: rc, required.: / c' - l -- . review ( %o..... .. .
� l'
t-
Print name: % r r -� - t ):Ilr.: ..._ tiulasurc. _.. • - - -- -- ;'
' l a• 4' r-'
_. fffll! LL. =.S c l. - �. :: � �. _ l Qfl�/ � .._ = I'OTAl PERMIT FEE • �2 .1 -/
Authorized signal arc: This permi II ppliealiat exp i f• a permit i t not ubla 1 1 h a
• _. ill
• ••• — - -- - • • • .... _...._._. _ _..... _. .. ..••. _ ..-- --_ days 111'0.'11 has been acet'llletl 04 enrltplelt•
I'rintn: � I)are: • Fee mcthndotnf: y net hyTri. l'., ablyItuikill :Iudiuttry Servirclltaol
_••• - • • - •- ... •- - • --- ----- ---• _ . --- .. "•
- Nautdler of itrpuruots per pencil allawtd.
i11,uliJntxtnn,4l4Ci .tax. I 210.4 440451 <'f(Inm ? /(.uMIWalt
a 'd LL90 -9EL IEOSl '03 0><.413aT3 apIs zsaq dOir:20 90 LT zoo
CITY OF TIGARD • L.
BUILDING DIVISION PERMIT #: ELC2006.00689
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/27/2006 TIME: 7:01AM PAGE: 26
SITE ADDRESS: 11795 SW SCHOLLWOOD CT CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 108 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: (4) branch circuits. Job No. J31335
OWNER: BROWN, KEN PHONE #: 971 - 219.6601
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503-231-1548
Inspection Request Scheduled For: Date: 10/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038936.01 603-231 -1548 N
Corrections /Comments /Instructions: it
p v '4. Mme" - bo wt.) vJ &I I S'T kimi q1 •
to>aA v �� N`f 5 i 6 CAA r4Er- AT AN to tf L.
V
- I 4 PA p 1 c L. tyta4( -
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
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
01 FAIL N CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G- 1\10 r`C Date: 1 1- Qb Phone #: (503) 718- 111410
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00589
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006
Phone: (503) 639 -4171 � +
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 5:07PM PAGE: 14
SITE ADDRESS: 11795 SW SCHOLLWOOD CT CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 108 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: (4) branch circuits. Job No. J31335.
OWNER: BROWN, KEN PHONE #: 971 - 219-6601
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 # Message
199 Electrical final 039327 -01 503.231 -1548 N
Corrections /Comments /Instructions:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 'L1 Date: 1,1
�° � Phone #: (503) 718 -