Permit •
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00228
ti :11, , DEVELOPMENT SERVICES DATE ISSUED: 4/28/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S110BB -05500
SITE ADDRESS: 14210 SW 121ST AVE ZONING: R - 3.5
SUBDIVISION: ARLINGTON RIDGE LOT : 032 JURISDICTION: TIG
Project Description: (1) feeder to poolhouse, (1) low voltage for control wire.
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: 1
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
ROBERT & D HOSMAN ALL PRO ELECTRIC INC
14210 SW 121ST AVE 5224 SW DOSCH ROAD
TIGARD, OR 97224 PORTLAND, OR 97201 -1255
Phone: Contact #: PRI 503 - 246 - 0361
FAX 503 - 246 -0406
FEES
Description Date Amount Reg #: ELE 26 -1099C
[ELPRMT] ELC Permit 4/28/2006 $155.30 LIC 148108
[TAX] 8% State Surcharge 4/28/2006 $12.42 SUP 4630S
Total $167,72 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: ,
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.
Apr 27 06 07:40p All Pro Electric, Inc. 503 - 246 -0406 p.1
Electrical Permit Application- " " i n t tra ^t � w
p �`� e i J 1 0124 0! FI( l S[ i \ I� 1 t, �' Nair, a
•
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City of Tigard Received,'”
13125 SW Hall Blvd., Tigard, OR 97223 DateBv:7 ��� \ � T PamitNo.e � 7 � /
Phone: 503.639.4171 Fax: 503.598.1960 APR r Plan Review o
.y i 7� Date/Bv: Other Permit:
# l !
Inspection Line: 503.639.4175rya fiyb Dare Read
Internet: w«vv.ci.tigard.or.ug - - "'1•+, Ready/By: Juan El SeePage2for ass. CITY OF TIGARD Notified /Method: �, 1 Supplemental Information
TYPE OF WADING DIVISION t PLAN REVIEW
❑ New construction ® Addition /alteration/replacement Please check all that apply:
amps, comm'l ❑Service over 225 am
P aHazardous location
0 Demolition El Other:
CATEGORY OF CONSTRUCTION ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft..
of 1- and 2- family dwellings 4 or more new residential
El 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
0 Multi- family ❑Master builder ❑Other: ❑Building over three stories ['Feeders, 400 amps or more
JOIE SITE INFORMATION AND LOCATION ❑Occupant load over 99 persons ❑Manufactured structures or
❑Egress/lighting plan RV park
Job no.: 06 -2961 1 Job site address: 14210 SW 121' Ave. ❑Health -care facility 'Defiler:
Submit 2 sets of plans with any of the above.
City /State/Z1P: Tigard, OR 97224 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: i Project name: FEE* SCHEDULE
Description 1 Qty, 1 Fee. I Total 1 "'
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: 1 Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK Limited energy, non - residential 75.00 2
Each manufactured or modular
�( �) dwelling, service and/or feeder 90.90 2 I
, POD L / 40u c Pl L \/ Pfd
t Services or feeders installation, alteration, and/or relocation
0 r r x— - L (,r3 1 t 200 amps or less 80.30 SO4 34 2
20] amps to 400 amps 106.85 2
0 PROPERTY OWNER ❑ TENANT
Name: Bob Hossman
401 amps to 600 amps 160.60 2
601 amps ro 1,000 amps 240.60 2
Address: 14210 SW 121" Ave. Over 1,000 amps or volts 454.65 • 2
City /State /ZIP: Tigard, OR 97224 Reconnect only 66.85 2
Temporary services or feeders installation, alteration, and /or
Phone: (503)720 -9411 Fax: ( ) relocation
200 amps or less 1 66.85 I •
Owner installation: This installation is being made on property that 1 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 600 amps 1 133.75 2
Owner signature: Date: Branch circuits— new, alteration, or extension, per panel
❑ APPLICANT 1 ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: first branch circuit
Each add', branch circuit 6.65 I 2
City/StatcfZlP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail: Signal circuits) or limited -
CONTRACTOR energy panel, alteration, or
Business name: Al? Pro Electric, Inc. extension. Describe: r Page 2 '7506 2
Address: FMB 280, 6327C SW Capitol Hwy Each additional inspection over allowable io any of the above
Per inspection t 62-50
City/State/ZIP: Portland, OR 97239 • Investigation per hour (1 hr min) 62.50
Phone: (503)246 -036[ , Fax: (503) 246 -0406 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic,: 148108 Electrical Lic.: 26 -1099c I Srv, Lic.: 4 Subtotal / ,
SS 3o
Suprv. Electrician signature, required: / Plan review (25% of permit fee)
8
State surcharge name: g7�J) Nj �� /0 L ge (8% o permit fee)
l v 1 D a t e: 4 /26106 f i
/Z . f2__
TOTAL PERMIT FEE /407 72-
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: ( • • • N u Fee tnmclhod ology sct ioos tt by Tri -Coty bBuildinwed g Industry Service Board
be oci
Pn per
i sruiIding ,Pcmits\El.C- Pamit App. doe 1 2103 440 -16 5T(10/o2'COM/WEB
CITY OF TIGARD
BUILDING DIVISION ---e . PERMIT #: Ei_.ft1Ufi.002:?t
• 13125 SW Hall Blvd., Tigard, OR 97223 �� DATE ISSUED: 4/20/2006 Phone: (503) 639 -4171 ,
Inspection Requests (24 Hrs.): (503) 639 -4175 °_.
INSPECTION WORKSHEET FOR DATE: 7/19/2006 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 14210 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: ARLINGTON RIDGE LOT #: 032 TYPE OF USE:
PROJECT NAME: Ht `MAN
DESCRIPTION: (1) feeder to poolhouk.e, (1) iow voltage for control wire. 7/11/06, adding (11) branch circuits. Job No.
06 -3073
OWNER: HOB =IRAN, ROBERT & DARCI PHONE #: N
CONTRACTOR: ALL PRO ELECTRIC INC PHONE #: 503 "246.0361
Inspection Request Scheduled For: Date: 7/19/2006 Pour Time:
Code # Inspection Description - . ' -: Contact # Message
199 Electrical final 033334 -01 503-516-7635 N
Corrections /Comments / Instructions:
( 0 %Gle1C-a 1\jk 4( imi 0 to Of 1 N) -i.--k cl (LP c-AL rQL,v i
4 ) t.‘..v..1,7-4)61:st.) cs43>6 . . 4€0 4 1 k=.wioa
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The electrical installation dRffnts noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
1119` 01
PASS 1 PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL U CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ‘--"• O ES t Date: 111910 (;) Phone #: (503) 718- 244
Community Development
Building Division
13500 SW Hall Blvd.
Tigard, OR 97223
Phone: 503 - 639 -4171 a
T= �I,GARD
FAX TRANSMITTAL
NOTICE OF EXPIRED PERMIT
Date: 3/12/08
Contractor: All Pro Electric Inc.
Permit Number: ELC2006 -00228
Owner: Hoseman, Robert & Darci
Site Address: 14210 SW 121 Ave.
This notice informs you that per OAR 918- 309 -0000 (7) and TMC 14.04.065 the
above permit has expired by limitation. A notice informing you of outstanding
correction(s) written to this permit was faxed to you on 7/17/07, a copy of which is
attached. These corrections shall be completed under a reinstated permit within (20)
twenty calendar days of the date of this notice per OAR 918- 309 -0000 (8).
Reinstatement of this permit will require payment of a fee of $70.00 authorizing (1)
one inspection. Additional inspections, if required, will be charged $70.00 each.
Failure to reinstate the permit may result in the issuance of a summons and complaint
for violation of OAR 918- 309 -0000 (8) per TMC 14.04.090, which constitutes a Class
I Civil Infraction with penalties of up to $250.00 per day per violation.
You are urged to reinstate the permit or provide cause as to why you cannot make the
required correction(s) within (20) twenty days of the date of this letter. My desk phone
is 503 - 718 -2446. Please leave a voice mail if I am out of the office.
Gary Noble
Senior Electrical Inspector
503 - 718 -2446
Fax: 503-624-3681
Email: garyn(a,tigard- or.gov
1 \ENG\FAX, DOT
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC7006.0022B
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/281200:;
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3125/200B TIME: 7 :01AM PAGE: 36
SITE ADDRESS: 14210 SW 121,'T AVE CLASS OF WORK:
SUBDIVISION: AtRLINGTON RIDGE: LOT #: 032 TYPE OF USE:
PROJECT NAME: 110SMAN
DESCRIPTION: (1) feeder to poolhouse, (1) low voltage for cont►ol wire. 7/11/06, adding (I1) branch circuits. Job No.
06 -3073
OWNER: I ROBERT & DARCI PHONE #: NA
CONTRACTOR: ALL PRO ELECTRIC INC PHONE #: 503-246-0361
Inspection Request Scheduled For: Date: 3/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1�.
Electrical final 067259.01 503 - 246 -0361 f3
Corrections /Comments /Instructions:
\ •
\ 3s. '
24 PASS 1 1 PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: v ` 1V�� Date: 31-tT0i Phone #: (503) 718 - 7.
• CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC,2006 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' 1 L
INSPECTION WORKSHEET FOR DATE: 7/7/2006 TIME: 7:O2AM PAGE: 10
SITE ADDRESS: 14210 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: ARLINGTON RIDGE LOT #: 032 TYPE OF USE:
PROJECT NAME: HOSMAN
DESCRIPTION: (1) feeder to poolhouse, (1) low voltage for control wire.
OWNER: HOSMAN, ROBERT & DARCI PHONE #: NA
CONTRACTOR: ALL PRC) ELECTRIC INC PHONE #: 50:3.2A6 -0361
Inspection Request Scheduled For: Date: 7/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Eleclric:al final 032B25 -01 503 -516 -7635 N
Corrections /Comments /Instructions:
T ReN % O�' eL A Z ici N c� �k) ex0gr 6P
u- L€ c t c G AL. p ek,,kL- _ 60. V I C).
.114,secCX► bra 1 o-o it U ..
r
}
PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL x CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector; r O '-'`^ Date: ' 1 ` Phone #: (503) 718- - 1.- 1 "1 1 4 "
CITY OFTIGARD
BUILDING DIVISION PERMIT #: ac2oo; -00221
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41:80.004
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6111/2000: TIME: /:OOAMm1 PAGE: 4
SITE ADDRESS: 14210 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: AI tI.JNbT()l' I tllata,+le LOT #: 032 TYPE OF USE
PROJECT NAME: HOSMAN
DESCRIPTION: (1) feeder to poz lnouse, (1) low volt for ooiltrro.i wire.
OWNER: I ROBERT & E.)ARCI PHONE #: NA
CONTRACTOR: ALL PRO ELECTRIC INC PHONE #: 60; ;10.03( 1
Inspection Request Scheduled For: Date: 5/11/200€ Pour Time:
Code # Inspection Description Confirm # Contact # Message
t� �� 0.r 5• -.p,.,s
.i..., ir�f�,cgo�9x��r�c #/..r.rL cover C:..i, 1�3 . 1Fit).�- ::,Its -J ,��.., ; )
Corrections /Comments / Instructions:
PASS PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
AIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: tv 68 Date: 06 Phone #: (503) 718- 2141-1
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2(J06 0022a3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41120120W
Phone: (503) 639 -4171 i l l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/1112005 TIME: 7:00AM PAGE:
SITE ADDRESS: 14210 SW 121`1' AVE CLASS OF WORK:
SUBDIVISION: ARLINGTON RIDGE LOT #: 032 TYPE OF USE:
PROJECT NAME: HOSMAN
DESCRIPTION: (i) feeder it; pt3+ lhoil: :e. (1) low voltage e for control vt4re.
OWNER: HOS iAN, ROBERT 8, DAR CI PHONE #: NA
CONTRACTOR: ALL I'F ELECTRIC,' INC PHONE #: 503-246-0351
-0.351
Inspection Request Scheduled For: Date: 5/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
150 Hot. itibf :; arpool 0297111 -02 503-516-7635 Y
Corrections /Comments /Instructions:
' AI w % (ZE u 1 'Q.E �(3 c a4 tt.f■ r
PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: $q) Date: S t I 6 Phone #: •• (503) 718- 21 444)
4