Permit : e CITY OF TIGARD ELECTRICAL PERMIT
\ • - PERMIT #: ELC2005 -00400
&ilk, DEVELOPMENT SERVICES .. DATE ISSUED: 6; ;9'2005
13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171
PARCEL: 2S 109CA -04100
SITE ADDRESS: 13733 SW CHARLESTON LN ZONING: R -7
SUBDIVISION: MOUNTAIN GATE NO.3 LOT: 132 JURISDICTION: URB
Project Description: (1) branch circuit for hot tub.
EXPIRED
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 HMI SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERMEIFEEDER 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: 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: it
Owner: Contractor:
CRISP, IAN J + AMIE F WEST SIDE ELECTRIC CO INC
13733 SW CHARLESTON LN 1834 SE 8TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: 503 -590 -5075 Phone: 503 - 231 -1548
FEES Reg #: LIC 13306 EXPIRE
Description Date Amount SUP 4654S
• ELL 26 -135c
[UELPMT] ELC Permit 6/9/2005 $46.85
[UTAX] Rib State Surcha 6/9/2005 $3.75 REQUIRED ITEMS AND REPORTS
Total $50.60
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: 2.Z i ;,,[ %? Permittee Signature: -f c „ ,
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: I
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
8
This permit card shall he 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.
eit
Inspections Required for: ELC2005 -00400 •
✓ Code I Inspection Description I PASS Date I By I ✓ Code I Inspection Description I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation V( 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service /reconnect
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 , Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit ci cuit
225 Post/beam structural X _ 150 Hot tub /spa/pool f �Q 1�65 q�J)
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors X 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set-up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 325 RP/backflow preventer
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \IVR \InspCard- AOP.doc 02/02/2005
• CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 00400
COMMUNITY DEVELOPMENT DATE ISSUED: 6/9/2005
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 109CA -04100
SITE ADDRESS: 13733 SW CHARLESTON LN ZONING: R -7
SUBDIVISION: MOUNTAIN GATE NO.3 LOT: 132 JURISDICTION: URB
Project Description: (1) branch circuit for hot tub. 12/29/06: THIS PERMIT IS REINSTATED FOR PURPOSE OF AL IN
FINSPECTIO
N
F O R
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: 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:
CRISP, IAN J + AMIE F WEST SIDE ELECTRIC CO INC
13733 SW CHARLESTON LN 1834 SE 8TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: 503 - 590 -5075 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -I35c
[UELPMT] ELC Permit 6/9/2005 $46.85 LIC 13306
[UTAX] 8% State Surcha 6/9/2005 $3.75 SUP 4654S
[UHRBLD] Hourly Electric 12/29/200( $57.87
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $113.10
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: .,= V: :211 _ , Permittee Signature: ....al _ . c l
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.
12/26/2006 15.03 5036243601 • TIGARD BUILDING DEPT PAGE 01/02
Community Development ■
Building Division !1,4
13500 SV1/Hall Blvd. �.
Tigard, OR 97223 •
Phone: 503-639-4171 TI G A RD
FAX TRI1NSME 1 1 A.L
FIB[. NOTIC.
Contractor. West Side Electric
Permit Number ELC2005- 00400
Owner: Crisp, Ian + Arnie F.
Site Address: 13733 SW Charleston Ln.
Date: Dec- 26, 2006
A second notice was faxed to you with regard to the inspection worksheet attached.
The second notice was faxed to you on 10/24/06
We have no record on file that the defect(s) noted on this report have been corrected,
and it must be corrected. Also, per OAR 918 -309 -000 ON the permit issued for this
work has expired.
This does not preclude the necessity to conform to OAR 918- 309 - 0000(8) and obtain
a new permit to cover correction(s) to the suspended work
You are hereby directed to apply for a new permit to cover the correction(s) noted on
the worksheet attached within 10 days of this notice. Failure to do so will result in
your being in violation of City of Tigard TMC 1.16.410.1 which carries a maximum
penalty of S250.00 per day.
If you have questions concerning this notice, you arc urged to contact this office.
Gary Noble
Senior Electrical Inspector
503 - 718 -2446
Fax: 503- 624 -3681
Email: gar - ymg ard- or.go
d LL90- 9EL(EOS) '00 0tJ.Oa13 aP'S tsar eLS :TT 90 62 0,90
Electrical l'ci imt Ap a "i1- , , ?r FOR OFFICE USE ONLY •
City of Tigard iteeelved pewdt No.`A L #05-- V d y/, d
i .? sW !lilt Blvd.. OR OR ')7223) EC 2 9 ?0 06 I)ut.Jrl�t, i�
I. _OM �► _. —•- - - -' - -- V
ph, me. Y4,.� ricw QIIK
: t,6 }y.4171 lax: SU'J.S')li.l!J I Da e
.LW : ' • I ilk,: 503.6.n).41 7.1 • a r .. — ._. _ ... .. _.._.._._. _ . .... _._ -.._ ...--' -- ...
-Aikk � IL' cnwl:
I
r , , 4AI �'! Daw Itcudym Jura: )d Id S ec 1'aLv 1 cur • l ltIer11Cl: WWW.Ci.ligartl.Or,us (� -ii • i U it . - - NWir. i,t charts; a ` .�A Supplenu:n l.d�..•..... '
`� _ -. -. ._.....- '---' 111111
___ .� � 1 L V c( PLAN 1 EVIEtW
L.l Ncw CW1Sll'uCt - Additiull/aliCration/replaCeine IL Please cheek all nit's apply:
[ ] I)GUWlltinn �(')lhcr: L_I`crviec ov 225 amps, conun'l L Il la,al dun, I.:;U i url
- ,- I_j crvice Over 370 amps •• rating Di Witch% Ivor 10,000 Sq. Il..
CATEGORY OE c:0Ns'1RL,(TI()N of 1- and 2- family ctwcli ii: 4 or n m:w Ik•adrlIII;ll
•
VI I - - 01 . 17.1 - 2 - - - 11u [lily JWellinL n C olu /industrial 0 Acicssury building L)systcn. over 600 volts nu ulnas unity in one su,t.:
I hlulli • family ( ... � N1nSlcibuildcl' ❑ftuilding over three swties ❑Ieeders.40Uamps too..
- - - I - I Otll _. — ...._ noecupaili load Over 9') J er;uui C MWtIIIur.LwcJ stturl ur
_._._ -... Jou syn.: INI•'UI(AIA'I'1()N AND LOCA'T'ION I 'grctie/lightin plan RV hark
Jul, no.: -7 2 7.-5. ❑, least t -care facility DOlhct:
.Z:� • 2 ' - 1 I Jul) sit arltllc 3 - » w �� 1lOn c, -.
- -- _t3! S I.t , ub111 •,, sets of plates with ally ,u•ohc above.
CIly /;il .t k' / /_ll': .r Awn arc 1111 applicabl," m I/:tnpuraly construction ,c:rvi,:.
Suite/I∎1J.g /apt. no.. flop -t1 manse: ' _ r _ _ -.._ _ _
... - -' -- � J __I ) / " 1 , v t 1� .. . __..__ nr,..t.,h� 1 I Qtr. M 1,rt i -.
FEE` S(: 111.
C_ •Item /,ltl'cctjom. Co J ob silo: New residratial mingle- multi-family dwelling i t.
- -'
Includes a ._.__ tiara__- ___......._.
- . _.. 1,000 ;In. fl. or Icsa 115.15 4
:oibJiVISI011• Lot no.: lid. add', 500 sq. it. or portii,n .1.1.40 I
_ - - -' - - Limited cncti•);y, residcolial 75.00
Tax I '.q) /parcel no.: -- . —.. . .... ..._._ .. -_.. _.. _.' _
- - - -" • -• - . . --- I,imilyd energy. non- residential 7.5.110 ,
. .
DESCRIPTION OF WORK li uh manufactured or modular
r dwcllinl;, service and /ur feeder 90.911 2
\ c. .a �. , -.. C� V\ £�E .1 v t — -
- Scrnccy Or feeders in,wllutiuu, alters' ion, autUue r'cloc ocauuu
(D t v� , t" T O 1 �� f7 p 2(Nf • Imps nr Ics — 80 lU
_. _ t 7 am to 400 a lups 106.85 * * -� �_M ' .
r 'Lp 1 k( PEIt'I'Y OWNER - <> n ❑ TENANT ----- - .•• --•-----• •
- -- - ' , — • -- - -- -- -- -. ' --""- - • - 401 amps 10 600 amps 1 60.60 1
NJIIIL: - -• - ..._.. -- • -- .. _.
.. . _ . ... .. .. `. �Q_A _. 6 .–r � f 601 atttpi It) 1,000 :alp: 240.60 2
/WJrISS: Over I.00U amps or volts 454.05 2
1
. .
Reconnect only 66.65 66.65
-- • .---- ..._._.. .. Temporary services or Redo, installation, alter r udio,
I'h( tc`: ( t) ) �q Q �S 7 lax: ( ) re location _..._
�1 -- — — _....
L_ .._..�_. —._ 5 ...-- -• 100 amps nrIL,;s 6 1
Owner install This installJLlull a bclntt blade nn property Mat I own Which Is Ilnt 201 amps to 400 amps 100. 7
intended for sale, lease, lent, or exchange, according to ORS 447, 444, 670, and 701. 4 UT np y to 600 amps - - - i :i.is
OWncl' :;igltatUi•e: Date: 11r:inch circuits •• new, alteration, or extension, per panel
0 APPLICANT l 0 C()NTA,(,'t' PItRSON A. Fee tier IirJnch eire1111N with
- -- - - - - -- •- -•--
•
— • —• .__
_... °— _ -... _.. _ .... .. service or l•cdur It•r, each
LJusitl.ss name: branch circuit
D. Ice fur branch mew's .. - -- - - - .. _. _
C.'unlu.'l name: wit /taut service or feeder fee,
- -- —.- _ - .__... . --_ - -- _._ Each lll;lrlCh c 'cu 46 _ ' y `
Add ress: -- . -- .. .• - ••••• .
-. -. _.. - -•- •- - �� - -.._ .. ... _ -- ••- __ - - -•
Each add'I branch circuit 6.65 2
City/State/ZIP: MiserllaneeMS (service or feeder put It eluded)
Pump or irrigaliun circle 5.410 L
. . _ . -- • - • -- - . .. .... _- . -- _ Sifq) or outline lighting, 51.40 _
. -_ _ - - .... ..- __•, •_- Signal circuit(s) or limited-
CONTRA( !TOR - _ - -- energy panel. alteration, ur
--------- - • . ..... - - -- .- - - ---•- " - ---. . . .... ...' extension. Describe: Page 2 2
Business name: West Side Electric Cu., Inc.
Address: 1834 SE g1'11 AVE_ Each additional inspection over allowable in any of the ahuvr
•- - -. —._ - .. • - ...-- •- --- - - ---- Per inspection / 62.511
City /Stale /LlI': I'Olk'1'I,ANll, OK 4721 - I Invcsli}alinn haw- (1 hr win) 6150
Plume: (503) 231••15413 Irax: (503) 736 - 0677 Indu,oiul plant per hour 73.'/5
..._ - - It- FEE`*
('( Lie.: 13306 I Lleetrlea ' - - --
2G I 4pt'v I,ik.:. 654
Supiv. LICCIrici:ul si� retluir. . / / I ' ' . �' Plan review (2S %of permit fu:) .
` ,�
1/2,..-i - - `,s� • I / y - c - • _ .. - .. State surcharge (S'.:, ul•permit lee) _ 3.
Print Itante� ...Le, 1 ' 4 . 1 I v ( 2 tz gio 6
Y ds r{ 5
TOTAL PE1tMIT 1tLL:� 6
Autlioliced signature: T hat permit ayplicalb,ecxpIrri it a norms t not ubtutnrd within lilt'
• - -•- -' — •-- - - -. • _ ._ .._ .. _. __...... . _ . —_...
' ' ""' ' •. Jaya after it has Lren urccplrJ 011 C01
r n :1111•: I • c• .
- . - ' + • '- -' -' - -•— —.. . _....._ I Date: -- pe bera : m i u by l ' ouwy Itw 6 hul; IuJucrry ..ttr,ct 1l,wtll
LLL Number of iny,acnalry per vomit allowed.
. Vl...hl. 01'. IJU■ 141146us7(10/o icOMVWuu
a • d LL90 -9EL (COS) '03 ot,4l0ai3 ap c s 1.sam eLS s T T 90 62 oaQ
Community Development UI
Building Division
13500 SW Hall Blvd.
Tigard, OR 97223
Phone: 503 -639 -4171
T I GARD
FAx TRANSMITTAL
SECOND NOTICE
Contractor: West Side Electric
Permit Number: ELC2005 -00400
Owner: Crisp, Ian + Amie
Site Address: 13733 SW Charleston Ln.
Date: Oct. 24, 2006
This is the second notice faxed to you with regard to the inspection worksheet
attached. The first notice was faxed to you on 8/22/06
The electrical installation defects noted on this report shall be corrected and an
inspection request made with 20 calendar days per OAR 918- 271 -0030.
You are urged to contact this office if you cannot make the required correction(s)
within the 20 day limit.
Gary Noble •
Senior Electrical Inspector
503 - 718 - 2446
Fax: 503 - 624 -3681
Email: garynna. tigard- or.gov
1. \ENG\FAX DOT
CITY OF TIGARD • ,• f
BUILDING DIVISION PERMIT #: ELC200'r00t100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6!912005
Phone: (503) 639 -4171 All ,
Inspection Requests (24 Hrs.): (503) 639 -4175 _.
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AM PAGE: 50
SITE ADDRESS: 13733 SW CHARLESTON LN CLASS OF WORK:
SUBDIVISION: MOUNTAIN GATE NO.3 LOT #: 132 TYPE OF USE:
PROJECT NAME: CRISP
DESCRIPTION: (1) branch circuit for hot tub.
OWNER: CRISP, IAN J + AMIE F, PHONE #: 503 - 590.5075
CONTRACTOR: WEST SIDE ELECTRIC CO INC /off ?EA..tcrfEtl PHONE #: 503 - 1548
Inspection Request Scheduled For: Date: 10/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038841.01 503 -231 -1548 Y
Corrections /Comments /Instructions:
tvb t\i\Sswaic, > 7 bc5(5
‘ •, o p
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
' j FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G'`. 1s) tip Date: lt Phone #: (503) Tilik
CITY OF TIGARD p f� ELECTRICAL PERMIT
(f PERMIT #: ELC2005 -00400
� n DEVELOPMENT SERVICES DATE ISSUED: 6/9/2005
A- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 109 CA -04100
SITE ADDRESS: 13733 SW CHARLESTON LN ZONING: R -7
SUBDIVISION: MOUNTAIN GATE NO.3 LOT : 132 JURISDICTION: URB
Project Description: (1) branch circuit for hot tub.
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: 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:
CRISP, IAN J + AMIE F WEST SIDE ELECTRIC CO INC
13733 SW CHARLESTON LN 1834 SE 8TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: 503 - 590 -5075 Phone: 503 - 231 -1548
FEES Reg #: LIC 13306
Description Date Amount SUP 4654S
ELE 26 -135c
[UELPMT] ELC Permit 6/9/2005 $46.85
[UTAX] 8% State Surcha 6/9/2005 $3.75 REQUIRED ITEMS AND REPORTS
Total $50.60
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: , ; r , 7 2Z Permittee Signature: 3,-C_ (a
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.
t
Electrical Permit A liicatjon
FOR OFFICE USE ONLY
City of Tigard �c Received ... D '� '741 - C-C..,7a 5 dO
fkn eive Ychtlit Nu. ��
13125 SW Hall Blvd., Tigard. O 9 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 4 .1 ,: tip, + +, i , '1 m t �g y Oil r P
Inspection Line: 503.639.4175 III 0 2005 ,ne ,• '+ M Date Ready/fay: : Mt M RI $ page 2 for Internet: www.Cl. tlg1rd.Or.us )U Notified/Method: Supplemental tnfMmstipn
E { � jInisi ' t VIEW
0 New construction i i ( O P � n/alteration/replacefient Please check all that apply: ^
❑SCrviCe over 225 amps, comm'l ❑Hazardous location
El Demolition ❑Other,
CATEGORY OF CONSTRUCTION ION ❑oervice over 320 amps - rating ❑13uildng over 10,000 sq. R..
• of 1- and 2- fancily dwellings 4 or more new residential
•
1- and 2 family dwelling ❑ Commercial /industrial 0 Accessory building ❑System over bars volts nominal units in one structure
r=1 Multi Master builder ❑Building over three stories ❑Feeders, 400 amps or more
Y ❑ ❑ Other:
JOB SITE INFORMATION AND LOCATION : ❑OC css/li loud over 99 persons ❑Manufactured snrtcn,res or
_ ❑Egcss/liy;tttinp, plan RV park
Job no -: 5.14Lj� ( I Job site address: 13-7 . 3. c h ❑ Health -c facility ❑Otter: _.._ _ ....
�ltrI S`I 0 ►� ... l � , Submit 2 sets of plans with any of the above
City/StateJZTP: c � ( .., o P _ el.---) Z Z 1 -- The above are not applicable to temporary construction service.
Suite/bldg. /apt, no.: 1 Project name: C ` ^ v �-.^^ n 1rEIZ' SCHEDULE
{- • r - ,. . . Desertprten Q t)'• I Fee. Tout Cross street /directions to job site;
V
New residential single- or multi - family dwelling unit.
Includes attached garage.
_ 1,000 sq, ft. or less 145.15 4
Subdivision; I Lot no.; lsa. add'l 500 sq. R. or portion 33.40 1
Tax map/parcel no.: _ Limited energy, residential 75.00 2
Limited energy, non -residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
mil, v' a r1 b \ �� ` Services dwelling, � crvicc and /or feeder 90.90 2
J . } r Services or feeders installation. alteration, and/or relocation
200 amps or less 80.30 2
( kROP)EItTY OWNER N 400 201 amps to4amps 106.85 2
401 amps to 600 amps 160.60 2
Name: ,A C `'� r amps to 1,000 a •
`�� .4. _ 601 a m n amps 240.60 2
Address: i e Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone; (c6 5) 5 -- C,0'7_ 1 Fax; ( ) relocation :-
1 201 a 200 amps or toss _ 66.35 _ 1
Owner installation: This installation is being made on property that I own which is not ' mps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.15 2
Owner signature: - ,, . _ - Date: Branch circuits - new, alteration, or extension, per panel
❑ APPI,1(CANT I_ •Q 'CON1`ACT PEpsoN A. Fcc for branch circuits with
• service or feeder fee, each
Business namc: _ branch circuit 6:65 2
B. Fee for branch circuits
Contact name: without service Or seeder fee, l 46.85 qt., 2
AddreSS: -- - each branch circuit __
Each udd'I branch circuit 6.65 2
•
City /State/ZIP: Miscellaneous (service or feeder not included) --
Phone ( ) I Fax: ; ( ) Pump or irrigation circle 53:40 �
--- — Sign or outline lighting 53.40 2
_ E _ Signal circuits) or limited.
CONTRACTOR • . • energy panel, alteration, or
• - extension. Describe: Page 2 2
Business name: WEST SIDE ELECTRIC CO.
Address: I834 SE 8 AVE. Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZTP: PORTLAND, OR 97214 bwestiga(jon per hour (t Iv mia) 62 '
Phone: (503) 231 -1548 -] Fax: (503) 736 Industrial plant per hour 73.75
ELECTRICAL PERMIT Faars-
CCB Lic.: 13306 Electrical L' • 26 -135C • Suprv. Lic.: L Subtotal
,
Suprv. Electrician signature, required: p �t�s S
� •lr >`'r (25% permit fee)
4 4 S
�Q.t_ . Plan review (2S iL o pCtm
Print name: Lem a em _ .. r, „ Date: 6 q G State surcharge (8% of permit fee);
�t1�v� ? 2 TOTAL PERMIT FEE , a L7 0
Authorized Signature:
This permit oppueauon expires If a permit Is not obtained witbtn ego
days after it has Deco accepted as complete
Print name: Dutc: - Pee methodology set by Tri -County Ituilding Industry Service mowed
— " Number or inspection,: per permit allowed.
i :{nuudineeernnaAme- emnitApp.dae 1V01 4.10.e61ST(uv02/COrvw8n
i r - d LL90 - 9E1. [EOS) •03 0TJa0ai3 OPTS asa0 eOS i T T SO SO unf
TRANSMISSION VERIFICATION REPORT
TIME : 08/22/2006 14:57
NAME : TIGARD BUILDING DEPT
FAX : 5036243681
TEL .
SER.# : BROD4J479592
DATE, TIME 08/22 14:57
FAX NO. /NAME 5037360677
DURATION 00:00:15
PAGE(S) 01
RESULT OK
MODE STANDARD
ECM
CITY OF TIGARD p "
BUILDING DIVISION *NA PERMIT #: »G2046.00400
13125 SW Hall Blvd., Tigard, OR 97223 1111111M DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 -- INSPECTION WORKSHEET FOR DATE: 6f2i/2005 TIME: 7:11AM PAGE: 48
SITE ADDRESS: 13733 SW CHARLESTON LN CLASS OF WORK:
SUBDIVISION: MOUNTAIN GATE NO.3 LOT #: 132 TYPE OF USE:
PROJECT NAME: CRISP
DESCRIPTION: (1) branch circuit for hot tub.
OWNER: CRISP, IAN J + AMIE F, PHONE #: 503690.6075
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503-231 -1548
Inspection Request Scheduled For: Date: 6/21/2005 Pour Time: 5 - 5 0 " -°111
p,, Md�
Code # Inspection Description Confirm # *Contact # Message
199 Electrical final 009761 -01 503-231-1548 Y 5
Corrections/ Comments /Instructions:
- r '
/ / / I
f t4 %L. i Nsfis.G`T 1410
TRANSMISSION VERIFICATION REPORT
TIME : 10/24/2006 15:18
NAME : TIGARD BUILDING DEPT
FAX : 5036243681
TEL .
SER.# : BROD4J479592
DATE, TIME 10/24 15:17
FAX NO. /NAME 5037360677
DURATION 00: 00:21
PAGE(S) 02
RESULT OK
MODE STANDARD
ECM
CITY OF TIGARD A,r1.h. –111'x'7-
BUILDING DIVISION PERMIT #: ELC2005.00444
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2005
MAIM Phone: (503) 639 -4171 >' - A'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6121/2005 TIME: 7:11AM PAGE: 40
SITE ADDRESS: 13733 SW CHARLESTON LN CLASS OF WORK:
SUBDIVISION: MOUNTAIN GATE NO.3 LOT #: 132 TYPE OF USE:
PROJECT NAME: CRISP
DESCRIPTION: (1) branch circuit for hot tub.
OWNER: CRISP, IAN .1+ AMIE F, PHONE #: 503580-5075
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503-231.1548
Inspection Request Scheduled For: Date: 6121/2005 Pour Time: getr
h,,, " 1KdAk'-
Code # Inspection Description Confirm # Contact # Message og
199 Electrical final 009161-01 503231 -1548 Y 5 C
iti
corrections/Comments/Instructions:
--(111L—(4
• itJAt. iN6 +G`� � �� iZsa.v.1 Rc
Case Activity Listing 3/7/2007
� CCEL
Case #: ELC2005 -00400 7:18:43AM
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
ELC1010 Application received 6/9/2005 None . RECD FAX .6/9/2005
DER
ELC1020 Permit created 6/9/2005 None DONE DER . 6/9/2005
DER
ELC1030 Check for parcel tags 6/9/2005 None DONE DER 6/9/2005
DER
ELC1280 Issue permit 6/9/2005 None DONE DER 6/9/2005
DER
ELC2199 Electrical final 6/20/2005 6/21/2005 6/21/2005 None FAIL HAP 6/21/2005 009761 -01 — 503 -231 -1548 VM -
STI Y —X80
ELC2105 Underground/slab - 6/21/2005 None PASS HAP 6/21/2005
cover FLAP
ELC2120 Electrical rough -in 6/21/2005 None PASS HAP 6/21/2005
HAP
ELC2199 Electrical final 10/25/2006 10/26/2006 10/26/2006 None FAIL GN 10/26/2006 038841 -01 — 503- 231 -1548 — VM -
STI Y — 1 8 0
ELC1,470 Return to "I" status F o0. 30 DA S• 12/29/2006 None DONE DER 12/29/2006
DER
ELC1290 Reprint permit 12/29/2006 None DONE DER 12/29/2006
DER
Page 1 of 1 Casenctivny..rpt
CITY OF TIGARD &A -1111
BUILDING DIVISION `~ PERMIT #: ELC2005 -00400
13125 SW Hall Blvd., Tigard, OR 97223 A- DATE ISSUED: 619/2005
Phone: (503) 639 -4171 4', I °h
Inspection Requests (24 Hrs.): (503) 639 -4175 -- I ..
INSPECTION WORKSHEET FOR DATE: 6/21/2005 TIME: 7:11AM PAGE: 48
SITE ADDRESS: 13733 SW CHARLESTON LN CLASS OF WORK:
SUBDIVISION: MOUNTAIN GATE NO.3 LOT #: 132 TYPE OF USE:
PROJECT NAME: CRISP
DESCRIPTION: (1) branch circuit for hot tub.
OWNER: CRISP, IAN J + AMIE F. PHONE #: 503-590-6075
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503231 -1548
3 o ..u..e - t✓tcD -, A,1
Inspection Request Scheduled For: Date: 6/21/2006 Pour Time: 5 o I Q q
M0
Code # Inspection Description Confirm # Contact # Message • •
�dgn1
199 Electrical final 009761 -01 503-231 -1548 Y 3
Corrections/Comments/Instructions:
ii.%/ / / /
. t.J _ i o s ,• e-1 ON v /2.6 )
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
X - FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
''Inspector: fir Date. Phone #: (503) 718-
Community Development II
Building Division �
13500 SW Hall Blzxl.
•
Tigard, OR 97223
Phone: 503 -639 -4171 T I GARD
FAx TRANSMITTAL
FINAL NOTICE
Contractor: West Side Electric
Permit Number: ELC2005 -00400
Owner. Crisp, Ian + Arnie F.
Site Address: 13733 SW Charleston Ln.
Date: Dec. 26, 2006
A second notice was faxed to you with regard to the inspection worksheet attached.
The second notice was faxed to you on 10/24/06
We have no record on file that the defect(s) noted on this report have been corrected,
and it must be corrected. Also, per OAR 918 - 309 -000 (7)(b) the permit issued for this
work has expired.
This does not preclude the necessity to conform to OAR 918 - 309 - 0000(8) and obtain
a new permit to cover correction(s) to the suspended work.
You are hereby directed to apply for a new permit to cover the correction(s) noted on
the worksheet attached within 10 days of this notice. Failure to do so will result in
your being in violation of City of Tigard TMC 1.16.410.1 which carries a maximum
penalty of $250.00 per day.
If you have questions concerning this notice, you are urged to contact this office.
Gary Noble
Senior Electrical Inspector
503
Fax: 503- 624 -3681
Email: garyn(a, tigard - or.gov
I: \ENG\FA%.DOT
TRANSMISSION VERIFICATION REPORT
TIME : 12/26/2006 15:03
NAME : TIGARD BUILDING DEPT
FAX : 5036243681
TEL .
SER.* : BROD4J479592
DATE,TIME 12/26 15:02
FAX NO. /NAME 5037360677
DURATION 00:00:30
PAGE(S) 02
RESULT OK
MODE STANDARD
ECM
Community Dezwela • ment wf
Building Division
13500 SW.Hall Blzd. 1114,
•
Tigard, OR 97223 -
Phone: S03 -639 -4171 TIGARD
FAX TRANSMITTAL
FT AL OTICE
Contractor: West Side Electric
Permit Number: ELC2005- 00400
Owner: Crisp, Ian + Amie F.
Site Address: 13733 SW Charleston Ln.
Date: Dec. 26, 2006
A second notice was faxed to you with regard to the inspe ion worksheet attached.
The second notice was faxed to you on 10/24/06
We have no record on file that the defect(s) noted on this report have been corrected,
and it must be corrected. Also, per OAR 918 -309 -000 (7)(b) the permit issued for this
work has expired.
This does not preclude the necessity to conform to OAR 918- 309 - 0000(8) and obtain
a new permit to cover correction(s) to the suspended work
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200F,-00400
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 619/2005
Phone: (503) 639 -4171 IC
Inspection Requests (24 Hrs.): (503) 639 -4175 ,.•
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AM PAGE: 50
SITE ADDRESS: 13733 SW CHARLESTON LN CLASS OF WORK:
SUBDIVISION: MOUNTAIN GATE NO.3 LOT #: 132 TYPE OF USE:
PROJECT NAME: CRISP
DESCRIPTION: (1) branch circuit for hot tub.
OWNER: CRISP, IAN J + AMIE F, PHONE #: 503 - 5%0.5075
CONTRACTOR: WEST SIDE ELECTRIC CO INC (,FF- ?EAcarTAtt) PHONE #: 503. 231 - 1548
Inspection Request Scheduled For: Date: 10/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038841 -01 503-231-1548 Y
Corrections /Comments /Instructions:
N � iNo s witt,, Y tb.zsc
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
F AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � . 1 IV8 L Date: 1011-4,10 Phone #: (503) 718- L
CITY OF TIGARD bi, 't14A9T „
BUILDING DIVISION PERMIT #: ELC2005 -00400
13125 SW Hall Blvd., Tigard, OR 97223 rA DATE ISSUED: 6/9/2005
Phone: (503) 639-4171 j 1
Inspection Requests (24 Hrs.): (503) 639 -4175 �- "''�
INSPECTION WORKSHEET FOR DATE: 6/21/2005 TIME: 7:11AM PAGE: 48
SITE ADDRESS: 13733 SW CHARLESTON LN CLASS OF WORK:
SUBDIVISION: MOUNTAIN GATE NO.3 LOT #: 132 TYPE OF USE:
PROJECT NAME: CRISP
DESCRIPTION: (1) branch circuit for hot tub.
OWNER: CRISP, IAN J + AMIE F, PHONE #: 503 -590 -5075
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503.231 -1548
644.e - C1c0-r444
Inspection Request Scheduled For: Date: 6/21/2005 Pour Time: 5 I R q
Code # Inspection Description Confirm # Contact # Message N
MP
ogill
199 Electrical final 009761 -01 503-231 -1548 Y 9
7
Corrections/Comments/Instructions:
! i. "� /..
F -
AL N S•- c1' ON t_ _ v i R.6i
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
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I nspector: fi Date. Phone #: (503) 718-