Permit 11‘ CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00282
COMMUNITY DEVELOPMENT DATE ISSUED: 5/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DC-01600
SITE ADDRESS: 07125 SW VENTURA DR ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT : 006 JURISDICTION: TIG
PROJECT: WHITFORD
Project Description: (2) branch circuits for heat pump and GFI.
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:
ELEANOR WHITFORD, TRUST WEST SIDE ELECTRIC CO INC
JOHN EBLINE 1834 SE 8TH AVE
7125 SW VENTURA DR PORTLAND, OR 97214
PORTLAND, OR 97223
Phone: 503 - 246 - 0163 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 5/16/2008 $53.50 LIC 13306
[TAX] 12% State Surchar 5/16/2008 $6.42 SUP 46545
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: Permittee Signature: d./ /570/CiC' 0/\,/
- 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: D// IP /JC'( 0 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.
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`5032319987 • 02 38 11 0 5-1 5 2008' 2 /2
Llty of Tigard `-� Receives j S / off
` l - tt 13125 SW Hall Blvd., Tigard, OR 972 ,4, \, ® ®� Plate/B / / � tit No.��eaOO�_ dd � /�a
`'' ' ., Phone: 503.639 4171 Fax: 503.598.1 ''r '
Plan Review fff G
Ins eetion Line: 503.639.4175 � Due /By Other Pertmt:
TIE •' G • Internet: www_iiSard- Or.Bov D P . \V` G it RenJ /t dy /Bcthuy: d. lur '�
\`t` c l 1 -�� l See Page 2 for
O S, �A), -
Supplemental Info '
TYPE OF WORK , • 1 1v
PLAN REVIEW \ \
❑ New construction �� t
Addition/altetatiott / rep �� Please check all that apply (submit ?sets of plans wh[ents checker ,clo,•�
❑ Demolition ❑ Other: $ ❑ Service or feeder 400 amps or more ❑ Building over tluec stet .
t where the available fault cuueni ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION ' ' • exceeds 10,000 amps at ISO volts or
❑ floating buildings.
1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
pound, Multi - family ❑Master builder ❑Other: less toound,orexceeds I•1,000 ❑Commeretal -use agricultural
amps for all other Installations
❑ Fire pump. buildings.
Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency s ystem taiga separ ately dcnved system.
_ ❑ Addition of new motor loa o f ❑ ^A " , "E ' I.2 "I.3"
l 0t7-5 Job Site address: 1 [ 51._) \ e` �� f t ( I00HP
I v / t�J
r.." ❑ Six or morore res idential onus. Occupancy.
❑ Recreational selucic parks
City/State /ZIP: ❑ H ealth -care facilities
- Sc:-...r (' Ch ? 3 ❑ Supply s oltage for more than
❑ Hazardous locations 600 volts nominal
Suite /bldg. /apt. no.: Project name: Le ❑ Service or feeder 600 snips or more.
Cross street/directions to job site: , FEE SCHEDULE
�•� ' - � Description
1 Qty. I Fcc. i Mini i •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145.15 I 4
Tax map/parcel no.: -- Ea. add'I 500 sq. 0. or portion 33.40 p
Limited energy, residential
DESCRIPTION OF WORK ,, (with above sq. 0.) 75.00 2
k � ; "`� �- - .p n 1 L energy, multi - family
�' �`s`� 1 CAA; - dLtT 0 . -I _ residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 l I 2
PROPERTY ,OWNER w
: 4 201 amps to 400 amps 106.85 2
•T CNANT
Name: I_ I,, p 401 amps to 600 amps
R - L, k n � ri r✓�� p t 160.60 2
Address: (
7 � � 601 amps to 1,000 amps 240.60 2
Over 1,000 amps of volts 454.65 2
City /State /LIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: (C .0 ) "ii--1 k, - Of 6 3 I Fax: (. ) 200 amps 01 less I 66.85 1
Owner installation: This installatton 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, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
-_ A Fee for branch circuits wish
APPLICANT •❑ CONTACT PERSON above service or feeder fee, 1
Business name: WEST SIDE ELECTRIC CO.
each branch circuit 6 65 2
B. Fee for blanch circuits
Contact name: GLENN GROSSMAN u'irhour service or (ceder fee, f 46.85 `
first branch circuit
Address: Address: 1834 SE 8 AVE., Each add'l branch circuit , I 6.65 ‘ /
r t- 2
Miscellaneous (service or feeder not included)
City /State /ZIP: PORTLAND, OR 97214 Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: (503) 231 -1548 Fax :(503)736 -0677
Reconnect only 66.85 2
E - mail: GLENNG a WESTSIDEELECTRIC.COM Pump or irrigation circle _ 53.40 2
CONTRACTOR I. • ' Sign or outline lighting 1 53.40 2
Business name: WEST SIDE ELECTRIC CO. Signal circuit(s) or limited-
energy panel, alteration, or
Address: 1834 SE 8Tit AVE. extension. Describe: Page 2 2
City /State /ZIP: PORTLAND, OR 97214 Each additional inspection over allowable in any of the above
Phone: (503) 231 -1548 Per inspection 1 62 50
( ) Fax: (503) 736 -0677
Investigation per hour (1 hr mm) 62.50
CCB Lie.: 13306 Electrical Lie.: 26 -135c Suptv. Lie.: 4654S Industrial plant per hour 73.75
Electrician signature, required: //� ELECTRICAL PERMIT FEES . ' ' , ..
Suprv. Electrician
`ZG.e.-- — ' f )12 : ,. _ Subtotal: $' "Z U
Print name: RANDALL ROBEIt fS Date: L../ /1 /Q Plan review (25 of permit fee):
State surcharge (12% of permit fee): 6 2
Authorized signature: '
TOTAL PERMIT FEE: 9,1 2-.....
Print name: Dale: This permit applicatim[ expires if a permit is not obis Wed nithhf 180
days after it has been aceopted as complete.
Lt blpp.Joc 05/23/C6 • Number of inspeclona allowed per permit.
440.4615 rl t I PoS /COMAV L•l3
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CITY OFTIGARD -- 1
BUILDING DIVISION PERMIT #: ELC2008 -00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/200£3
Phone: (503) 639 -4171 Akro #
Inspection Requests (24 Hrs.): (503) 639 -4175 I IL
INSPECTION WORKSHEET FOR DATE: 6/6/2008 TIME: 7:01AM PAGE: 33
SITE ADDRESS: 07125 SW VENTURA DR CLASS OF WORK:
' SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: 006 TYPE OF USE:
PROJECT NAME: WHITFORD
DESCRIPTION: (2) branch circuits for heat and GFI.
III
OWNER: WHITFORD, TRUST, ELEANOR `V - ;DC'
D O PHONE #: 503 -246 -0163
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503 - 231 - 1618
• Inspection Request Scheduled For: Date: 616/2008 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
199 Electrical final % 071001 -01 503-` 1 - 1548 Y
Corrections/Comments/Instructions:
0 ..." '6 1;.- ....." --: —
• a/
' :___,._.., 4.......: ,
�S L il.47 01%4 t ,
S -ASS ❑ P• - TIAL APPR�� ❑ CANCEL ❑ NO ACCESS
❑ FAIL Y/ALL .' /:∎ ION ❑ ADDITIONAL FE ASSESSED ' 0.7.3
le e.
Inspector: Date Phone #: (503) 718- •
CITY OF TIGARD -..,-, A A
BUILDING DIVISION I PERMIT #: ELC2008- 002132
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2008
Phone: (503) 639 -4171 u
Inspection Requests (24 Hrs.): (503) 639 -4175 ,I I..
INSPECTION WORKSHEET FOR DATE: 6/3/2008 TIME: 7:00AM PAGE: 28
SITE ADDRESS: 07125 SW VENTURA DR CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: 006 TYPE OF USE:
PROJECT NAME: WHITFORD
DESCRIPTION: (2) branch circuits for heat pump and GFI.
OWNER: WHITFORD, TRUST, ELEANOR PHONE #: 503 246 -0163
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503 -231 -1548
Inspection Request Scheduled For: Date: 6/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electiical final 070700 -01 503.231 -1548 N
Correcti ns /Comments /In tructions:
sue — ' 4,0 / 3/si / /re c xB� io 1t9 .
P ' re • " � � '
7
. / e.-CiOle_ ___<..' ‹Scirc-)76 --= MeD 1/;
____ j...A,E._, '
•
•
•
❑ P '-'
SS ❑ ;'TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL MCA L Ilgliv ❑ ADDITIONAL FEES ASSESSED
/IC moo Inspector: � .�`A.L. Date: "' 3 0 - :'hone #: (503) 718
F
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2008•00282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2008
Phone: (503) 639- 4171+quy
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/21/2008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 07125 SW VENTURA DR CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: 006 TYPE OF USE:
PROJECT NAME: WHITFORD 1 c
DESCRIPTION: (2) branch circuits for heat pump and GFI.
OWNER: WHITFORD, TRUST, ELEANOR PHONE #: 503 - 246 -0163
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CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503 -231 -1548
Inspection Request Scheduled For: Date: 5/21 /2008 Pour Time:
Code # Inspection Description ,Cenfirrn.# Contact # Message
199 Electrical final 070207 -01 503.231 -1548 \ Y
Corrections /Comments /Instructions:
G V1W 6 i N 6 la. oiri ►M
V L '216n1 (a■(kI
I- A( L yin) 6TT v g of ® - Z.�- 4 8 X611.
0 -rsnA ®A�3
Dos ' Lt V t2 IN ear '1o&\ ? NO?
tAA fop PKiTazi (6( L46EL___.
NS��? tbN a c6
The electrical installation defects noted
A 1 on this report shall be corrected and
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an inspection request made within 20
ca en ar ays per -
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .
Inspector: G 1•%120 LG Date: W Phone #: (503) 718- 134146