Permit 4;1 '' CITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2007 -00852
° . COMMUNITY DEVELOPMENT DATE ISSUED: 12/18/2007
'I'I 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 1108 D - 07200
SITE ADDRESS: 11852 SW ASPEN RIDGE DR ZONING: R -4.5
SUBDIVISION: ASPEN RIDGE LOT : 044 JURISDICTION: TIG
PROJECT: GRUN
Project Description: (2) circuits to lights and outlets for office.
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: 1 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:
GRUN, PAUL A + ELIZABETH U WEST SIDE ELECTRIC CO INC
11852 SW ASPEN RIDGE DRIVE 1834 SE 8TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: 503 - 639 - 5585 Contact #: FAX 503 - 736 -0677
PRI 503- 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
JELPRMT] ELC Permit 12/18/200' $53.50 LIC 13306
ITAXI 8% State Surcharge 12/18/200' $4.28 SUP 4654S
Total $57.78 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: Z5'7—■
1/4
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.
Electrical Permit .pplic >tF e- , i,r , g ii K ra x •� , >_ .a �.
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t' . �� y" +„s z i s ' x.rv, e rr * T ° . , FOR ,,OI�FICE I1.SE ONL ,4 u «: i s, rot - `s`
1:. 4< 1LC -1 . s,,Ae. }}.; a ; ' , 1 f , :. is
s. Cite I
Of' Ti Received ard ry . Received / /
< ` 13125 S 1 JH a l131 v d ., lig ar d ,OR ,E_S 1 f riles Jalc'B 1�1To Ba PernitA' a ? mQ S'5
" = Phone: 503.639.4171 Fa : SU3. o. i'l,u[ Review
}'.. r- OtherPerour
, I GAR D inspection Line: 503.639.4175 CiAR Da D
Dare Ruady/t3y: Jai,: . . .. -- Intenet: w'w'.v.tigard- or.gov BU9LDiNCD!lolsiort Noctied/Method: �/ 121 Sce Page2 fur
J Supple[vental lufnr[natiuu
'1'Y.PE OF WORK -
PLAN REVIEW • ❑ NeW C0r1StrluCLIJr1 `1.ddi; ion/ l[er'at1017/replacernenr Please check all that apply (submit 2 sets of plans .v /item, checked below):
❑ DCnlolition ❑ Other: ❑ Sevvize or feeder 401) amps or more 0 Building over three stories.
• where the available fault currant 0 'vlalinas and boatyards
CATEGORY OF CONSTRUCTION 1 exceeds 10,000 amps ar 150 vol ts Cr ❑ Floating huiidings.
1- and 2-family dwelling C less to ground, or exceeds 1000 ❑ Commercial agricui[w J
eg
6 ❑ onr bu stria] ❑ Accessory buildin amps' for ell Dater ixslall�tiens, buildtngs.
R'lulu lamily {: Master buitjer
ED O [htr ❑ l ire pump. ❑ Ias[alia:ion of 7' KVA or
_ kntcr8e =y system.
larger separately derived system.
JOB S31E 1NFOltt'1.+T10N ,ND I QCAT'fQN
_/ ``f it Addition GI rIeN' t[IOWi load of ❑ ••A °, ••F•• ••1 2' ••l - J"
Job nc T .: / _ � I JUL site address: IOnd or MOM. occupancy -
uu - I ! I ' / , ' ❑ Six or mom residential units. D Rcotea[iunal ve icic pants.
City /Statc/ZfP: .-- # / 7 7 - 4 0 H tallt.rare O ilitics.
ll �r l! 1 ❑ Supply voltage for unary than
❑ J lazardous looations. 600 volts nominal.
Swrcrbldg. /apt. no.: I Project train.: O Sarvice or feeder 60C amps or more.
� nA w FEE $CIIEDUL[
Cross suaet'direrions :o job sits: .
Ue)eriprion ' L rv. rec Y a+u a .
New residential single- or multi - family dwelling unit.
includes attached garage.
Subdivision: I Lot no.: 1,00) sq. ft. or less 145.15 4
- fax map /parcel no.; 13a. mid') 500 sq. ft. or portion 33.40. 1
Limited dncrgy, residential
DESCRIPTION OF WORK I 75.00 2
(with aboyt sq. ft.)
Limited energy, multi- family
1 I i i Qv t ttl r[/l ) 1 20T (.r0 residential (with r:bove sq. 11,) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
PROPERTY OWNER I C1 TENANT � 201 amps to 400 amps 106.85 7
Name: } 160.60 2
�` �� � /K 40 t amps Io 600 amps
601 Limps to 1,000 amps
Address: � p P p 240.60 2
GLL " ' LtT
Over 1,000 amps or volts 454.65 2 :
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
z relocation
Phone: SO7j ) b Jq_ S S es- I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This innst is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended fur sate, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 _ 2
Branch circuits - new, a1tera[ioo, ore tension, per panel
Owner signature: Date:
E A. Fee for branch circuits with
APPLICANT ❑ CONTACT PERSON', above service or feeder foe, 6.65
Busntes3 name: each branch circuit
B. Fee for branch circuits
Contact name: wirhotar service or feeder fee, ( 46.85 `fbr js 2
first branch circuit
Address Each add'1 branch circuit ( 6.65 6 .b5 2
-
Ivliscellancous (service or feeder not included)
CityiState/Z]P: Each manufactured or modular
Plume: ( ) I Fax:: ( )
dwelling, service and /or feeder 30 90 2
Reconnect Only 66.85 2
E -mail: gleaigCwestsideeleutric.coln Punip or irrigation circle t 53.40 2
CONTRACTOR ! Sign or outline lighting 53.40 2
Business name: West Side Electric Co., lie. Signal circuir(s) or limited-
energy panel, alteration, or
Address: 2534 SE 8th Ave. extension. Describe: Page 2 2
City /State /ZIP: Portland, OR 97214 Each additional inspection over allowable in any of the above
Per ins ection '
Phone. (503) 231 -1548 Fax: (503) '736 -0677 _ 6_.50
investigation per hour (1 hr min) 62.50
CCB Lic.: 13306 Electrical Lic.: 26 -135C Suprv. Lie,:
TIN 4654S indlastriol plant per hour 1 73.75 ,--.. Suprv. Electrician signature, required: / '. ELECTRICAJ, PERMIT FEES
� Subtotal: s 3.
Print name: Randall Roberts Date: 1 Z 1 f } / _ Plan review (25 %ofpermit fec):
f! ( 0 I State surcharge (8% of permit fee): 14, 2,-3
Au1110rized signature:
TOTAL P6121vi[T FEE: Z
Print naiT.Z; _ -- This permit application expires it a permit is not obta d within 1
Date: days after it has been accepted as complete.
Nt.rnb.a' of inspections allowed per permit.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200T.00852
13125 SW Hall Blvd., Tigard, OR 97223 ; '. DATE ISSUED: 12/18/2007
Phone: (503) 639 -4171 °i p , 1` � ilk
Inspection Requests (24 Hrs.): (503) 639 -4175 A L
INSPECTION WORKSHEET FOR DATE: 12/1912007 TIME: 7 : 00AM PAGE: 31
SITE ADDRESS: 11852 SW ASPEN RIDGE DR CLASS OF WORK:
SUBDIVISION: ASPEN RIDGE LOT #: 04 TYPE OF USE:
PROJECT NAME: ()RIJN
DESCRIPTION: (2) circuits to lights and outlets for office.
OWNER: GRUN, PAUL A + ELIZABETH U, PHONE #: 503- 639 -5585
CONTRACTOR: WEST SIDE ELECTRIC CaO INC PHONE #: 503 -231 -1548
Inspection Request Scheduled For: Date: 12/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Eloctiical rough -ire 061829-01 503-231-1548 N
Corrections /Comments /Instructions:
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 7J 1 1 l/ hone #: (503) 718-