Permit ' CITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2007 -00408
`0 ... COMMUNITY DEVELOPMENT DATE ISSUED: 6/15/2007
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GArt 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DB-07400
SITE ADDRESS: 07165 SW SHADY CT ZONING: R -4.5
SUBDIVISION: SHADY DELL NO. 2 LOT : 047 JURISDICTION: TIG
PROJECT: SWEET
Project Description: 4 branch circuits. Wire furnace, heat pump, GFI, and microwave.
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):
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:
SWEET, MINOO S WEST SIDE ELECTRIC CO INC
7165 SW SHADY CT 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 503 - 244 -5939 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 6/15/2007 $66.80 LIC 13306
[TAX] 8% State Surcharge 6/15/2007 $5.34
SUP 4654S
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 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: (r) C 2
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.
Jun 15 07 10:14a West Side Electric Co. (5031736-0677 p . 2
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. cis: . c211 P. erinit A * lieation - .
140 ., :..... ,....... : . . ... , . .. . ,.A. ,:,.: ..., - _.. , -..:::::::::,, , ,I , ..,:, , ._ , -,.„,,,,,:,,, 4 ,
ri,f, City ot"l'igard i I ltecetv441/"
PerMil N) - o a .1e:
• 1
13 t 25 SW 1 131 Tigard. OR 97223 ...__
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IN ''--'.. Datelti 4 /5" 0 7
Nall Kcvi w
, :,,,,, Photic: 303.63 9,41 3 I Fax: 5o3.59s.1960 JUN 1 5 zuoi j )„,„, 8y.: . Other ?eau&
CITY' OF TIGARD _...
- --..-' )...cii,iii Lim: iCit.G:19.4175
:TIGARD, ' I Date Kcatlynly: Juitt 1 -0- le
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„..,,,..„ !„,,, ,,: wv,,,,.,i„.„,„,,, ..,Ov Nod liciliNlethod: uppment al InKR
DIVISION ---- • - -_ _.- l ._ - - •
.......-______
0 New COOSIXUCI.r0O ___.-. .. .._
TYPE ' W
tiuidalteratIOntreplaccincot
---- -- --. :--- -----1 '' 19-111--AH.---'11-DIUG
1)killOilli011
i .
...... . ._
cATEcoRv OV CONSTRUC'flON
. I - and 2-fainily dwelling C3 conimerciatiinctuvrial 0 Accessory ht Iditi - g -------
1 tvlulti-Ilimily
___ .... El MiLiter b1.111der o Other;
JOIt SITE INFORivtA'fION AND Loccriont
j ) silk: address: -'7 I bs 5,.._,
-1- t --- 5i;i4Q 7 7 - ( ' ' S..(NA
... _-- . __
PLAN REVIEW ____.
PleaLic elicek till Ilan apply (*olunil 4 sets of plans whictris checked below):
0 Servioe of fccdur /100 amp,: of aloe,: 0 Building over rftr: 4‘,,
D
wherr ihe available rillill CUrIVIII
eXLCCIIS 10 ,000 amps at 1511 vulta: or E mF,:ir:,,zau'uu,',,,b,':,a
. Conunercial-Uic agricultural
C.11.1.c pump.
Ei FiriefuCtiCy system_
Ll Adduion of new mum load a
100111' or nre. buildiligs.
11J IrialillatiOil ul 75 KVA or
ku•ger sep.u•Avly &lived system.
occupancy,
.. - .• .-- L_ . .. 0 NIX Or *Mut: m residential units. f.n Recreational whicle parka.
C ',iv/tit:Ito/ZIP: f./L 17 zz's 0 i.1.41L10-Carc lwilities. 0 Supply vua for r tome Ehtui
/...7.-e•----r-- . 0 t107.1 1rdOUSIOCariOns. 600 v m
olts tauinal.
Ito.; - ---. -- - 1°i'oject wale;
__
..... Als?:citz: claC-6.5.._._ c
- :-
p Servie or feeder 600 lollps or Tore.
.. ---- -•- •----- - .
Cross SONedilifection% to job site; - _... FEE SCHEDULE
- - ---- _
New rmidential single- or multi-family dwelling unit.
-
Includes attached garage,
...... . .. . . . - . . . -
SUN iviSitm: 1 Lot no.: 1 0 ,00 tki. ft. or less
._____.... _ _ 145.15
.... 4_
- • • .. . ....._ - En. add'I 500 sq. ft, or portion 33.40
w i
T;ix op/purcel no.: . _
Limited encri.ry, rosidentioi
75.00 2
DESCRIPTION OF WORK (with abovtt..) .,.
K
Limited encegy, multi ii
A- -
C 75.00
____;:'1 --2 4 4-44,-• 6:rt 4-0 L k L* P / 2
residemiHI 6vitilutiove;:it. it)
. -.... - Services or feederg InsrailatiOn, alteration, antlinir;f0ation
N.A... . e - -- 200 amps Or less E(),30 2
-"- qf PROPERIV OWNER .I El l'ENAN'r ----- .
20 1 ampt tO 400 amps
mps to 600 amps ......_ 2
16.0
Name: _AA a_6 ..t - 2
-----
.--.. ------- 601 amps to 1,000 amps 240.60 2
, .
Address: Over 1,000 amps car volts .--- 4541)5 2
... ...... ___
City/State/ZIP Temporary xerviees or feeders installation, alteration, aThEur
:
rclocatiOn
- . , ,d - ---. -_. .,.. . ...., .
1 (5. 2,94- 93 9 i lax: ( ) 200 amps le
or ss
_ ..._... •• • -•- -- 66.35 t
• ••
' 201 amps to 400 amps 100.30 2
Owu'r ittslupution: This installation is being made on property that 1 own which is not .-. •
intended for sale, lease. rent, or cxchange, according to (.)RS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Deane!' circuits - new, alleration,or cx panel
Otvuer s ism:awe; Date: _... -
- A. Fee for branch circuits tviza
0 APPLICANT 1 -.. 0 CONTACT PERSON above service or feeder fee,
6.65 2 •
each b.sjidi circuit
Busities:t name: - H. Fee 'Or branch circuits
- ..
II . • without service ur feeder fee, I
(lc
0.4
Coutae( itnitte:
first 46.10 2
branch circuit .i.
. ...._ . .
Addis: Each add'I bc
ranh circuit
_-- 3 ... 6.65 ici,g 5 2
_. _ ... '7.- ..... - aiiscolaucons (service or feeder not Included)
City/St:no/ZIP: EZICII inanullictured or modular
90.90 2
_ _...
dwell ,, sc,'vieC and/Or feeder
Phone.: ( ) Pax: ; ( ) Reconnect only 66.85 _.. .-
2
.. •
. ......., . .
E-inai1 : gleut4t(ril,westsideelectric.com Pomp or irrigation - . circle 53.40 2
.,.... ..._ .
CONTRACTOR. Sign or outline lighiing 53.40 2
,... ..._ ._ ._.__
-
Signal eiretlit(s) or lintited-
13usitte:is name: West Side Electric Cu, Inc,
. ___, energy panel, alteration, or
-... -
extension. Describe: Page 2 2
Address: ni34 SE Rth Ave.
City Portia ad, OR 97214 Each additional litst.ntion over allowable - la soy of the above
( ;)01
. . ... _ ........ ....__ _. .. ... ____ ... _ _ _ . Per inspection 2
ectio
Phone: (50.9 231-1548 I FaX: (503) 736-0677 Investigation per hour (t br min)
2.5
, .........,... _
CCB Lic-.: 13306 Electrical Lie.: 26-115C Soprv, Lic.; 4654S Industrial plain per hour 73.75
„.
//'-',,/- - ...,- -. . .....-._ ELEcirtocAL PER/via FEE
quire S
_ ,,.,. ,__.
Stica Electrician si8nature, red: Subtotal: 66, go
,
/ __ Plao review (25% orpeonir fee):
Print mune; Randall Roberts _. . Date: 6 b 5 4., .-
,i,..,,,,„...,,, (S% Of permit fee): 5 4
... ......_,.... .,..,.. ..._.. .
_
Authorized sign .. ature: TOTAL PERMIT FCE: . "1 1 s , u4
___ ..._- -........-...: -.
. .. .. .,... . ... . . _.______._
This permit uppLicatiun expires If a permil li nog obiyainet,i within 1#0
Perth name: j Dale: ii:IP■ atter It Iii ti been arCepted aa complete.
.. ..,_...... . . .... _____, ... ... . . • • Nwober of iv tspecrions allowed per peril at.
.440.440T( 1 ift)%icOmiwiiit
,I.L.N■t: t.C-pami.App.doc aii2i/u1,