Permit 9 CITY OF TIGARD ELECTRICAL PERMIT
1,,
T PE: ELC2007 00558
° COMMUNITY DEVELOPMENT DATE ISSUED # : 819/2007
T1GARu 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103C D - 02500
SITE ADDRESS: 13775 SW 116TH PL ZONING: R -4.5
SUBDIVISION: HOLLYTREE LOT : 007 JURISDICTION: TIG
PROJECT: VOYTKO
Project Description: Install (10) branch circuits for appliances and outlets for kitchen remodel.
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: 9 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:
JENNIFER VOYTKO COHO ELECTRIC INC
13775 SW 116TH PL. PO BOX 40
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: 503 -NA Contact #: PRI 503- 582 -9774
FAX 503 - 582 -9840
FEES
Description Date Amount Reg #: ELE 3 -575C
[ELPRMT] ELC Permit 8/9/2007 $106.70 LIC 157169
[TAX] 8% State Surcharge 8/9/2007 $8.54 SUP 5255S
Total $115.24 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 -0' t e ! hrough OAR 952 - 001 -010' ou may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issu - • = . 11 /VV , A wi PPermittee Signature: 3____Vt, Apfift‘Caiar l
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
,FROIii -: C0Ft0 ELECtR I C FAX NO. :5035829840 Aug. 09 2007 09: 23AM P2
Electrical Permit }
' VEI � 1 � r � r l1 P, :, r I' ' .h ' Id F "�{ w. 4' .'��'is rC, I j �r I` y'�� �i p {'' ?1 1 4. I ic)1 ,9I F, I( CIUSF ()NLV " 1',N1106-1`I• � Ih r
City of Tigard '� Received O/ a r,ro . Y. 41 i ;,1 tat •
13125 SW Hall Blvd., Tigard, OR 97223 Date/73 : 1' m a 7- A Permit No,: C Z nT
t ,O S
Phone: 503.639.4171 Fax: 503.598.19QU G ®' 2001 „ . Nun Review
- c/Crr W
x I Datelt3 : other Permit: ! �- di Cnspection Line: 503 639.4175 / r/� pp ID Ills Ale, Internet: tvtvw cl hgard.or us CITY ` lO A JI '' I -' Date Ready /$y: n Soo Page 2 for
U Notified/Method: Igni
b 9 f I�I „ r ► -, it Supplemental Information
lit, ;,71, it, 11 " . i , ..,7 r : Iti tiF v kGll !f 7 sTI i G i 1 4F' 't flhj l' } t�'711II. b`1' +1,1 1 i I l
{ tl ij t4 `I 0 ,14 . 'p r" I, t i' nvv77:1r, ,.
,,,, t._,. l :ele,l: 1 ,.. 7 t r l . '!i�i1 r 1 .!:',1!dri i ) 1 .'litti, �k ,i /I�l : ktp,i0i lktlit4J ∎ ∎! J 'MS. -. s rljl {I ' '{ua r'
lx.,rau 4 �,dixm, -' II
0 New construction ►:1 Addition /alteration/replacement Please check all that apply;
❑service over 225 amps, comm'I 0Hazardous location
0 Demolition • Other
t S ervice over
' -%''''',.:
'';',,"t; " I l i r 1 + r tf' 1 ' Vt "d t l - l'' ' '' l t I x t r I H S , ' ° m 1 +��t �' 1 lil y t i ye — er 320 amps — rating ❑Isuildn over 10,000 sq. fit.,
„ i i.. , t R,.- .i :IF :1 , , . 4 , e l l / ,l � I , t y ,,r , i l l �lll'Ul {r1 1 ni! ppl [
I! { ;. Y dwellings g
l ��- ',I/'.., . , ill, t,: r v l, , t,, J !,I f�lfll 4�n , .' , � of 1 -an 2•fhrrlil dw ellln 4 or more new residential
►.1 1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one structure
Q , ly ❑ Master builder El Other; (]Building over three stories ❑Feeders, 400 stumps or more
Multt faint
n Y r t ' I I I a 1 - {;I y hu1 1 r �(dp t� I i lc } , t f i q .,I ' r� . Occupant Toad over 99 persona ❑Manufactured structures
S.. -1--. .� .,i ,I { �,.i +I -If 1 f 1 1)inll, r }thik., 0 .11 ,IIII� I r h uctufes or
. i „�t, r... t ; >f: , a ` ! ? f; ❑ Bgress/lightiug plan RV park
Job no.: V6 i 5 7 Job site address: I ... 1 a II 6 441 cI a QHealth -care facility °Other:
- City /State/ZIF • 'T 1 O A 't Theme a sets of plans with any of the above. 3 arc not applicable to temporary construction service. ` j
Suite/bld / t. n I ,, I , „ i , „
g.ap o.: Project ►�.rr�dt- tY1;�11 ,... 11' Pa.i,. rI+hii.;,- , lii,�;ilfl:��f d `;,�t,r ^, ..
D
aQn� 4/erlptioa Qty. no. Totnl
Cross street/directions to job site: � � New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 111111 145,15
Subdivision: J Lot no.: Ea. add'l 500 sq. ft. or • ortion w 33.40
Tax map/parcel no.: 1
. .., .' 1 . i , „ + rp. it Il ltrl� r P , t I, J' � 4 1. I J , + , ” {� ., ' Il I : 11,,,, onn manufactured or modular
yr Icuett4- - 4k ' .-41111111. Services or feeders installation, alteration, relocation 2
= 9 flr / •, , ,gip, e r 1 tr ^ I 11 NE 80.30
106.85 2
r , .t I I {ml {�I I .1,,,K I i tnt lli 1 1 1 ', 1' 17 91 g 'hi'v't g 1)rilrill�frl(« i ^71t' PY f ll anIPS
Name: -- 4",Tltfy; .. c . es
^ 61 arms 4 lil 1 240-60
Address: ` ` P(c. City /State /ZIP: i15
--7 Q a i
��33 II Installation, I and/or
relocation
Phone: ( ) •-Otgp , j ( Fax: ( )
200 amps or less 66.85 1
Owner lttstallatlont This installation is being made on property that I own which is not , to 400 • 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
new, alteration, or extension, per panel
401 strips to 600 amps � 133.
Owner signature: Date 133.75
-
} Branch circuits n
l ,y ,,,,,I.:' M ., ', . • 1 1 S 1 111 1..� 1 p, I ` ai "1 d C ( I t r l w I'r l f i ; 4 f {, ,; f l :1,
Business name: feeder
branch circuit
2
Contact name:
B. Pee for brtmch circuits
without service or feeder foe,
each branch circuit 46.85 4 ',„ • 2
Address:
Bach addl branch circuit 6.65 'N t. , 2
City/State/ZIP: Miscellaneous (aervice or feeder not included)
Phone: ( ) J p ax; ( ) ' 1
E mail: ' 1
I': .., C I ,':' I4 M1. + { . ',111'.1“-N' l > 11 { 7i� F ,�, Y , ,I "erg): '
1
f r r ..: l „14 , 1 a (V{ 1 llSl ' i1�L II'I .: , 1
11S.I 5x1, .L..X. In
Business name: • '
Address: GAG � �L
Each additional inspection over allowable in any of the above
City/State/ZIP: 0 \1 1 62.50 \ ” ) Cs ON c'ci, a - 1,6 Investigation per hour 0 hr min) 62.50
Phone: ( 45) 5 Qsa•- e�11' I Fax: ( ) 5 .-c_2 how- y 73.75
l I';tl f iy i ril t Ill J6.! :1 4If{ °�11r2 ri )'9i''} 1+'' .�,: vi
CCB Lie.: \Si l 61 Electrical . c.: . '575 - 15 L. S rv. Lie.: 5a 55 1. I I, rn6.
- --I
Suprv, Electrician signature, required: ``
grt , r eq / � ' Plan review (25% of pormit fee)
Print name: a Date: _ O,
State surcharge (8% of permit fee) NIL , 1
i t TOTAL PERMIT FEE II
Authorized signature: 1 11' �! , a
This permit application expires If a permit y not obtained within tgU
Print name: ' days after It has been 'iterated as complete
Q� X1,0 ' .T Date: �„ O(_ o7 ' Fee methodology act by TrbCounty Building Industry Service Hoard
a. Number of inspections per perniil allowed.
isIFluitdlna\Pomut lBLC•Pemliapp.doe 12/03 440 -4615 Tt10/02/C0bf/WEB
CITY OF TIGARD
A
B .flLDING DIVISION PERMIT #: ELC2007.006fi8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W9/20(37
Phone: (503) 639 -4171 ' ,ii A,
Inspection Requests (24 Hrs.): (503) 639 -4175 �'L,
INSPECTION WORKSHEET FOR DATE: 5121/2018 TIME: 7:00Aivf PAGE: 30
SITE ADDRESS: 13775 SW 116TH P1. CLASS OF WORK:
SUBDIVISION: 1- 1OLLYTREE LOT #: 007 TYPE OF USE:
PROJECT NAME: VOYTKO
DESCRIPTION: ln::tall (10) branch circuits for appliances and outlets for kitchen remodel.
522
OWNER: VOYTKO, JENNIFER PHONE #: 503-NA
CONTRACTOR: COHO ELECTRIC INC p PHONE #: 503 -582 -9774 X 2_
Inspection Request Scheduled For: Date: 5/21/2008 Pour Time:
Code # Inspection Description Confirm - # — � Contact # Message
199 Electrical final 070203.01 503 582 -9774 Y
Corrections /Comments /Instructions: 11
-,_.
1 \
Z PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
, n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: �7"r �� Lr, ' Date: "7tgiaa1 Phone #: (503) 718- 2t1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL {:20017.00658
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2001
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 - 4175''...
INSPECTION WORKSHEET FOR DATE: 4/21/:008 TIME: 7:00Atvl PAGE: 37
SITE ADDRESS: 13775 SW 116111 PL. CLASS OF WORK:
SUBDIVISION: HOL.L.YTRfE: LOT #: 007 TYPE OF USE:
PROJECT NAME: VOYTKO
DESCRIPTION: Irisi; ?ll (10) branch circuits for appliances ;4nd outlets for kitchen remodel.
OWNER: VOYTKO, ,JENNIF=ER PHONE #: 603 -NA
CONTRACTOR: COHO ELECTRIC: INC Ij E - PHONE #: 503-58 7-9/7'1
Inspection Request Scheduled For: Date: 4/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # essage
199 Eloctricai final 068621 -01 503 - 582 -97 /4 Y
CALF. 14 5 z L 5i
Corrections /Comments /Instructions:
k
P(k-0 ►0 Ot•att- '1 4 � �l-s 6PA c:� Pat.
. 2 ►e .SZ A14) lF► v 2-1 .�2 .
•
bi605..gag
6 ? ,iv � 'b`�' �- I PA fit -
C-t c0/ �a( w i'Z' G� qt- , • o�
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
n PASS I 1 PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � K br3 Date: 1 41 0 Phone #: (503) 718-1"
CITY OF TIGARD Cm
BUILDING DIVISION L tyr PERMIT #: ELC2 00558
13125 SW Hall Blvd., Tigard, OR 97223 L / U / DATE ISSUED: 8/9/2007
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 VIt
INSPECTION WORKSHEET FOR DATE: 8/16/2007 TIME: 7:ODAM PAGE: 57
SITE ADDRESS: 13775 SW 116TH PL CLASS OF WORK:
SUBDIVISION: HOLLYTREE LOT #: 007 TYPE OF USE:
PROJECT NAME: VOYTKO
DESCRIPTION: Install (10) branch circuits for appliancos and outlets for I remodel.
OWNER: VOYTKO, JENNIFER PHONE #: 503-NA
CONTRACTOR: COHO ELECTRIC INC PHONE #: 503 -532 -9774
Inspection Request Scheduled For: Date: 8/16/2007 Pour Time:
Code # Inspection Description CC nfirrm Contact # Message
120 Electrical rough -in 054046 -01 `� 503 -582 -9774 N
1
Corrections /Comments /Instructions:
/.
- Pm \) ►pa pra - cTi 4. I N 6AAL,
PASS 1 PARTIAL APPROVAL n CANCEL NO ACCESS
1 1 FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G-- • N u L C Date: 1 1 9 Phone #: (503) 718- v t•
Community Development
Building Division
•
13500 SW Hall Blvd.
Tigard, OR 97223
Phone: 503 - 639 -4171
T I GARD
FAX TRANSMITTAL
NOTICE OF EXPIRED PERMIT
Date: May 14, 2008
Contractor: COHO Electric
Permit Number: ELC2007 -00558
Owner: Jennifer Voytko
Site Address: 13775 SW 116 Pl.
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 4/21/08, 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
I:\ENG1FAX.DOT