Permit CITY OF TIGARD / - 1 7 - D ELECTRICAL PERMIT
PERMIT #: ELC2007 -00036
COMMUNIT DEVELOPMENT DATE ISSUED: 1/17/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 CA -01600
SITE ADDRESS: 07735 SW GENTLE WOODS DR ZONING: R -4.5
SUBDIVISION: GENTLE WOODS LOT: 008 JURISDICTION: TIG
Project Description: Wire furnace, AC and outlet.
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: 2 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:
JEAN & BONNIE LEAKE WEST SIDE ELECTRIC CO INC
7735 SW GENLE WOODS DR. 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 503 - 968 -1211 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 1/17/2007 $60.15 LIC 13306
[TAX] 8% State Surcharge 1/17/2007 $4.81 SUP 4654S
Total $64.96 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: 1j / Permittee Signature: & em
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.
i
•
Electrical 'Permit / 1 . )lica tion . FOR OFFICE USE ONLY .
City of 'figalli . heceived
ard ,
Datc/Ine: ' / t/v7 313 !aNndi Nt1,; 4.0 6 2 ... 36,
I 311:5 :i W Ilan filvd., *I tg, OR './/:..-2 /
Phan Revie
I hi ate, ! 171 1'4 X 7 50_ Othei•Poinii:
flairiltr.
in'illccl ion I .1110: 503.639.4 1 7) r ,1
Atleam '411 -
t A ow Kcatlyilsy: Allis- 10
Wier, lei: www.ei,tigurt.l.or.us ..IhN 1 i P 2007 Notified/MOWS: Supplemental Inf...., • . .. ...... ......__ .. ...
•.-- ---- . -,...
• •-'
........ ...____, I 3.4_1011.: ■ _NyOR.K. PLAN ItEVIEW
L j Nov construction N4LL , „1 pl...., cheek mil that apply:
D - -1 Demolition Ptitin PINY:: !In ni■ TTCT OSisivice oVI:r 22S amps. contitel t jIltiztollous locution
----.... - - .. ......_..______ • :._ .. -- L'ise.,ice over 320 amps - • rating 011tiildlig over I 0,000 !;,i. it..
CATI:11:4.■ItY 011: CONSTRUCTION of I- and 2-family kIwellmss $1 i If 11101 k; 111 rCSItiellila 1
c i,67,1 . d 2-1: . Ell ( r] Acc building Cymen,,w 600 voi is ilookiiLa . . in Olio Str1h:11Ifl'
0 i3oilding over three ?antic.; El l'eeders, 4001 amp:: or snow
1 I Multi. l'unily FI Master builder [._] Other • ---•----- • DOecopant toad two,• 99 persons DMantiki•ttilvd Larne i ore,.; ol
.1011 SITI.! INFOIRMATION AND LO(WI'l()N uck
110
Li ii plan RV p
....._ . ___.
Jut).: -5 ‘, 6 1 7 Job iii. add' eNs: --- cL)
. . ". l?5 6_ , 1„,.. 0 lean..., f,i,„,„,
'......11).- DOther. .
-.• -es le " vs 1 9 .0. - ' Submit 2 tivis of plans with any ‘st• the abeve. . .
C
CV' 172-2 iq _._ _ ....T UM not applicable to ti:mporary eonstruction ;civic.;
FEE' SCUED LIL II;
. - ;tiitivt)It.II4,/apt. no.. I toy..t .I m inx . /
L.e.tiA L. /c". ,,,„..„ , (,)--rt .D.,,,,..,„..
I Qi I I , rc. .,...,
.. . ... ..._____..... . . .._. ........._ .. .. ...... . ...
(.7,.,,,,s street/directions to job silt.% New residonial Niogh. or multi-family dwellia6 uoit,
• ----- -------- • • --• 111CIIIIICS attached garage.
_._..... .
__
1,000 ski. Ii. or k.„, I-1S. IS -1
••••-------- . _
SON.liViSiOn: 1 I.ut no.: Ea. add') 500 sq. 0. or portion .1.1,40 t
_......._ • ---•-- Limited energy, residential 75.00 ?,
'I ax iiirin/parc•el no.: •-• - ----- •-- • • -
• • - --------• • . ---- - . . . ..______... limited raterp,y, ■Ion-residential 75.00 2
OeSCRIPTION OF WORK Each mainifaCtured or intx1olur -
- - •
- . - . N.
dwc11 service and/or feeder 90.90 2
Ck "?-1..t . -e-- ..'4. [
. C 4- , -.1 i_:_LAA_LZ. A _acA1-1, tr> /- f....crviecs or feeders installation, littera ion, and/or relocatiol
-- .._... ..__
... ___..... .. .._ __._.. .
r
go. t 2
v•e , I r .-tL A fa. 0 {) e . 200
..._ .„)„,...k,„,„
_ .....__...._______ ____._......
N rizol.KRTy OWNElt ,. 1. . ____.... . __. _ _
0 TENANT 201 al1111S In , 100 amos I 06.N5 •
. ----- --- ------ •
_ . __. ... __ ------ 401 aniON lo 600 ;imps I 60.60 _
. .
_ _ .,,
..__...___... . __ ._.. . --6-0,-.-,-s--, (.
1;-,,., .,„,v 240.60 2
. ....
ALItItess: Over 1,000 amps or volts 454.65 1
...--- . .. -. . . . ___----- .. . i(cconnect only 66.85 '
,
(
Temporary 81(!rViCCS or feeders installation, alteration, a cid/or
- -- • ----------- --• -- •• ....
relocation
Plioni:: (c )(Zt 3 _ 1 z I ( 1 utiv. ( )
. 200 :mos or lizs 06.115 I
Owner installation: This installation is being n lade on properly that I own which is:11(11 201 umps to 400 amps ... ....._ _ _ I(A.). 30 _ . . --.' -
-
ion:A for sale, lease, i co i, or exchat igc, according to ()RS 447, 449, 0 . 0, and 701.
401 amps to f.ot)a.ito 133.
_. . _. 7S
Owsicr siL,nai tiro: Date: Branch circniik •• new, aherolion. or el temsion, per panel
_. -
-._-_, - • • - --•--..- - - -• - • ---. • -- . .
0 APPLICANT
1 0 CONPERSON - •• -- ..- - --
'I'ACT A .1:cc lOr branch circuits willi
• • .. ---------- -•• -•- service kH Iceder Ica:. eacIt
. 6.65 2
I SLISitt■:.•ki tlailli.:: brunrls riccoil .
. . . ... . - __._ . __... ....
It. Fee for lirancl, C.irv.iiit,5
r()Illaef IVJOIC; • Wi/h014 service. or feeder fee. I 46,35 q6
Ad 9 ,
, . ..._. .....__ ... . ._
each branch circuit
ilrc ... ..._._ .._ ..... ..
r.lich add 'I branch cit coil 6.65 re, 43 0 2
. _ _ __ t
_
Csity/Statetill-'• Miscellane(jux (NCI I)T feeder rust illeilldell)
• • -- - • .-- - - • ------ • - -- - • - - •
..-... ... . _ _____________
PIIMIl or irrip,:ii ton circle )3.410 '
_
Phone: ( ) I Fax: : ( ) -
Sin or olitlinc i in
lr,lug 53.40 2 - . _. .______ _ ..__ _ . ...__. ..._ . - • Si
•
E-Inail:
Sigoal cilcuit(s) or limited-
-- .• •- • - .... . .
CONTRACTOR energy panel, alLeialit)ii, Of
.----__._.. . . --.-- _ _--_ _._ -..- - .-.- - _
-..____-.--. .
CXICIISithi. 1h:scribe: Page 2 2. I ii..c.iincss monk:: West Side - ___
Electric C'o., inc.,
_ .
• ...._ _. __ ._____________.... ......
Add' c.,., 1834 SE 8 CIL AVE. F:uch uddilionnl inspection over allowable in any of the Ithot
...._.___.___ .___ . .... . . . _.. __._._ ...... . . .........._ ... _. __._ .----- Per inSpotlion 62.>0
.1 .
City/Statc/Z1P: PORTLAND, OR 91214
Iliveslibation ovr hour 0 hi min) 62.50
-
Phone: (503) 231-I54S -{ Fax, (503) 736-0677 InduAtrial plant per hour 73.75
_ .
EC T
1. L( PERMI'l 'PERS'
........ . _ .._.._._.
CCE1 Lic.: l3306 1 1:lectrica . .• 26-I35C . 'oprv 1 i . .
.yr OS4 .
Subtotal
_ .
StlinV. FICCIrin Signature, ---- / require . /7h i Plan review (25% of permit fi.,e) .
. t":Cbt 07d a . fig . -
'
7. :Am: mot:Marge OM a pennit I've) ( -4, I
pm lu
riinc: 7) . 0 `-::(. (/ t -- L: ' P-1 _i
"" - I s t- -4- 12- • " '' 5 Date: LI
1 0 t._ 7 TOTAL PERMIT FEE il, I 6
- ---.- - -- - • • • - • -
Autliot iceLl signature: : . Thi's permit Application expircy, if a orriiiii iX POI VW ililll'il iVillliii ISO
• - .--. - • -•- • - Juys utter Iii I.us bee., uecapied us enmpleit
Prim name: I Date: . • Fee methodology set by Tri lluildiog Industry Service !toad
_ .._ _
'• Number of inspections per perm' album,"
• \ I 11/11,1mg nl'in I ill, \IA_C 1 .140 44151110/02/el/M/Wlill
2 Z. L.90 - 9E L. ( COS) •03 oT-11,0aI3 apTs 1.sam e2g:1230 LO LT uer