Permit i CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00201
E, 4 ' COMMUNITY DEVELOPMENT DATE ISSUED: 4/4/2007
;!{ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 125 D D -08000
SITE ADDRESS: 09715 SW VENTURA CT ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT : 088 JURISDICTION: TIG
PROJECT: RANDALL
Project Description: Reconnect. Clip in meter base burned.
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
AARON RANDALL WEST SIDE ELECTRIC CO INC
9715 SW VENTURA CT. 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 503 - 265 -8189 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 4/4/2007 $66.85 LIC 13306
[TAX] 8% State Surcharge 4/4/2007 $5.35 SUP 4654S
Total $72.20 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 e , a
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.
Flpr 03 07 11; West Side Electric Co. (503)736-0677 p,
"`� ~
�Cl l'or ^t./k|xi»lication FOR OFFICE USE ONLY .
('i i.�w� ���u�d Received
' ��, �� °="~u ��m7 ��� '�"*
,3 / 2, xn//"xy/.u'omw ^ ox,oz ` mN�������NY� 7� '�- �/~ -�� -'- '' 4:24 ;������^���—
n.°". m3xov� a"". xo/.�m.i,^o '~^ «�m'°"*' �
� xum,�/t` APR - 3 ?op - c
' " = � _
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^ .""vc w°w.c/.ti^w°uu NO116e41/114eltul/; _ _ � "�^^~'°"
intended (-11:4.11301ilion I Oilier: l' (wet 22ci amps. eligib Lel 1=11111ZurdoliN locution
1...i N'11.1111-1:1111ily [1 Ma4:1Cr builtkr 1 01'13C13
Cit y/6taie/Z,11': 0.. ( est' Y._ c/ 1 2 3,,, -; .1.1. ,Lb.ve Are !gut applicable lu imiriporary ei 11 istroettOtt ticiVii,..e,
CI us:, su eel/direct tole; to job ski:: New eesulent tat single- or multi-family dwelling unit.
--- ••-- Limited ennity, residential 75.00 )
200 mutts or less 80.30 2
Iteconneet only
) . __ j
°NY ilef installation: This installation is being made on property 111;11 I own which is not 1
201 amps 10 400 itinix 100.30 , - 1 ‘
sale, _ lease, rent, - exchange, occurring; ` ORS --..'`..~..~'
401 amps to WO Limps - .
u=/.usi*ux"z ___ � _ ____/ _ _______ lIrtirtelt circuits - new, tiller :1 lion, or e tonxinn, I) 'r panel
---- '---- -------'--� |- ------------- -----
LJ / [l CONTACT PERSON A. Pee titr branch citettits with
service or reader fee, Chell
uuui^"ssu"= . branch circuit
---__'----__-_� + -- ---_'_' — _---- - _
R. Foe tor brunch circuirs
`'"`*'/",.*' .
_ . � -_--------
_______
cacli branch circuit
xuuess: ,,,,, .
_' -__- • _-_ -_-__--_---__-' _ 1:44ch 3(1(1'1 branch circuit 6.65 '2
• `^`/Z/r�
[ Ph~ �
L ~'', ( ) ________ � 'u» .( ) ____ , Siitn or outline lighting .5:t.40 .i
|.-x"^l: Signal eireuit(s) or limited .
--'__-__ -_-_-_-__'_ _----_ -----__--- __
m�u��m
cocrIty panel. alteration, or
uux.u`s.a`e. West xWt: Electric co., /"u
_-__--__----_--- -_----_-_---_-- ---_-_-_ _-_-
^ud".ss. 1142.1 SK S m AVE.
Emelt additional illSpeelinn over Allowable in any of the ;Ab
__—_. ___ —_— -- ...... ___-- _ - - - .- Per IONpunliffn 62,50
oty,;I,^/z|p: VOWEL AND, OR 9721.1 Invcstigatioo pt:r hyue (I In win) 62.50
• '-- —' -
____/... ,L,
Supi Elccu sie,ilautic require . 4‘71 Plan ALt_vi a of parnit ii.._)
Prim reame• r ...:,„,,..„ ., r).....: 7.),
__.,.„.....„.....( -.,_t,,_,,,.___t. 5 TOTAL PERIN:HT FEE --/ ") , 2 ro _
---'-- — - -- --- --- � � ' �-----
'--- clays urger o Isms heed =°,"~~w"pm°
rmxmuu: ~ Fee by 'Fri-County Build Industry Service Board
_________ • • _________________ ______' - Number "' inspections per "°""^ *lo°~l.
4)),, ^.1.m" .i11 \,u`,""°^* .z°. ~* 46'//«/w"2Kossiwa