Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00110
COMMUNITY DEVELOPMENT
DATE ISSUED: 2/28/2008
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136CA -03200
SITE ADDRESS: 11255 SW 79TH AVE ZONING: R - 4.5
SUBDIVISION: FRIENDLY ACRES • LOT : 017 JURISDICTION: TIG
PROJECT: AURELIA - CIMPAN
Project Description: Electrical work for remodel in existing house.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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: 20 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:
JOHN AURELIA - CIMPAN AZOV ELECTRIC LLC
11255 SW 79TH AVE 204 NE 111TH AVE
TIGARD, OR 97223 PORTLAND, OR 97220
Phone: 503 - 670 - 7553 Contact #:
FEES
Description Date Amount Reg #:
[ ELPRMT] EEC Permit 2/28/2008 $141.30
[TAX] I2% State Surchar 2/28/2008 $16.96
Total $158.26 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: = - rmittee Signature: 4, 0, •
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.
Feb 27 03 05:54p p.1
_Electrical Permit Application r FoR oh11 .c 141,E 0 1%1 � •
Received d a �� e . -I / o
°' City of Tigard Dare3Y: � Permit No.: L' ° �Y'�' �
1 3125 SW Hall 3Ivd., Tigard, OR 9722' Flan Rc.ie x 0th ;r Permit `' :; Phone: 503.639 4171 Fax: 503.593.1960 D:aer3v:
1ns,ection Line: 503.639.4175 Date Ready/By: I'' 1 Id See Page 2 far
;)S. -.. -, '.t> .Interne,: uu ^,v.tigard•or.gov NotirlciJMlethod: f ' I Supplementallatormadon
TYPE OF WORK
PLAN REVIEW '
?lease abed: all bet apply (submit a sets of planes. :'liens checked below):
Naw construction Adciliortra'.terzt,ort!rep acernent • DSc - Ace 5; eedes 400 amps or more ❑ Building over three stories.
D Den:alition D Other: where the available fa.1: current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds lis,OM amps as 130 voila of Floating building.
less tr, sound. or exteeCs 14•000 Q Commercial-1: a seism.
0 l- and 2- family dwelling ❑ Commercial/industrial 10 Accessory n::ilding amps for ail ott:cr installations. buildings
❑ ?ire ?um7 0I:stJltrion o: 75 KVA or
Aluli- family ❑ Master builder ❑ Other: _� Q e t r mcy !armsmeruelydcr:.vs1 sysr .
L. JOB SITE INFORMATION AND LOCATION ❑ eme r ge n or new :not= Ina of ❑
, I N I-ZP o.- snore. occupn
acy.
Jab nc.: Job site address: //ZS W ` 1 ! r I Q S armere residential units. ❑Rec>rarieua'. vc:1 cic par
e ^+� �� � 0fieal:h- careFxilities. ❑ Strap: Y ^ Cos raret:tan
� it)'!$Cate ;ZlP: 1 _t � � - ' 0 Hazardo'.rs locations. 600 volts armies :.
S u l tri b ldg..'apt. no.: q Project name: . I p Service or feeder 600 amps cr more.
FEE SCHEDULE I
Cross streeL'd:reCCieT15 to job site:
Ilaeri�tien 1 c° .1 F ee. j_ onal i • i
New residential single -or multi-family dwelling unit.
Includes attached garage.
Subdivision: ; Lot nc.: 1,000 sq. ,. or less )45.15 '' ' 4
Ea. add' 1 500 sq. ft. or portion 33.40 i 1
Tax map/parcel no.: Limited energy, residential i 75.00 i 2
(t.ith above so ft.)
• DESCRIPTION OF a'ORf: l
Limited every, multi- family 75.00 2
(1 residential (with above sq. ft 1
J '
C✓n ?��.k (� r 4 !�! i Services or feeders installation. alteration, andrar relocation
Q 2Cd amps or I:ss ( I 803.0 i go 3l2
0 TENANT ; 207 am to 400 c 106.85 1 . 2 J
PROPFIZTY OWNER ❑ I � '" amps 160.60 �F 12 1
- n n /�,��/� i^ ,� T I r i' 401 amp; to 600
Name: l(�t 1CC Z r y /1 (.j " t /� ' J(2/iN r - LeM-P/a -H
6Q] asps [o 1,000 amps 2 I ?
Address: ;, 3--5S G>iX■ - ;--q 4 VE • Over 1,000 amps or volts 454.65 j ■ 2
�� ^ Temporary services or feeders installation, alteration. and.'or
Cie.; / State ;ZlP: 7 ic I � I eL ! relocation
111 5 I
Phone: (50�) 0'� C; �• 7,51S' 3 ' Far.: ( j � 204 amps or less 1 ti6.8_
201 amps to 400 amps 100.33 I 133.75 2 2
Owner installation: This installation is being made on property 401 amps t`lat'_ . vn •.+'hick is not am to 599 amps
intended for sale, lease, rent, or exchange, according to ORS 447. 449. 67 :i, and 701. I I I l
Branch circuits- new, alteration, or extension, per parcel
' Owner signature: Case: A. Fee for branch circuits with
0 APPLIC.A I' 0 CONTACT PERSON above semis or feeder fee. /�j5 y
each °ranch circuit 20 6.65 l p III
.
Business name. B. Fee for branch circuits
without service or feeder fee,
I Contact name: firs: branch circuit 46.85 '� 2
Address: Each add'1 branch circuit � 6.65 2
Miscellaneous jserviee or feeder not Included)
CityiStatilZIP: Each manufact red or rr.odular 90.90 2
--1 dwelline„ service ar JJor feeder 1
Phone: ( 1 Fax: : ( ) Recorne aonly i 66.85 2
E -mail: Pump or irrigation circle 53.40 1 i 2
CONTRACTOR j Sign ororiline lighting • 53:40 1 ` 1
J Signal circuit(s) or limited -
Business name: 2 0 1J 0 2 L. /C L d_ rnerp• panel, alteration or
t fy i t / - 74' � 4f � extension. Dcscriba: Page 2 2
Address:
� TAT L= '
City.'StatefZ1P Each additional Inspection over allowable-in any of the a
• �Q Q+ r r �GD - Per inspection I I 62.50. ,
Phone: (R)3) egO --4s 4-..§ 1 P ax: ( ) L ^ .vesagaricr. Per hetn ; t hrmtn) 62.30
/65 D Supry Lic.:22 Z to 5 Industnat planttper bour 73.75
CCB Li ^.: Electrical Lie.: ELECTRICAL PERMIT FEES _ i
L. ii.: 7/1 1 z o, io/1 /p ! Subtotal: l / 3
` j Sap 'Vie? signature, required: R, -
i ! Pl an re vie •.v( 25 % t�
Date: <0•-
Scat:. surcharge (12% ofp`rmit fee): (0. g& Pint tams: g. Al' t? jy Cf *..% be r I Dte " z
Authorized signature: . 3- A ye e -e------ I
TOTAL PERMIT FEE:
This permit application expires if a parosit is not o b e w t m i 80
V D days after it ha► been accepted 1.1 complete.
Print name: '�1 I
c' T r � 1 � ��'�� Number o finsped:ona allowed per perroit
r:a.dryt^e,'+.r,,, ;r:,F!.e.aan. tApp.eoc � /23 /06 4'04I •
T(Plcsirow.wan
CrY (*F 111G,*, ', I #1. c->
u -.;,,
BUOLDVjG DIVOSION , -' , f i._ ,. ,_. :
' PERMIf#: MS72007-00025
13125 SW Hall Blvd., Tigard, OR 97223 ' i'l DATE ISSUED: .:1,r79,
Phone: (503) 639-4171 kg,o/plilltit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: . 2122r200e TIME: 7;00AM PAGE: 4
SITE ADDRESS: 11266 c,..W 79T1 AVE. CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA-C4/1,4PAN
DESCRIPTION: 3000.i Addition and Intetior alteration to existing residence. 6/12/07, ADDING Ali.. E:NCOMP LOW
VOLTAGE. 112M08, ADDING (7) biancii fitcuib) 01/29/2008 ADD di$Iimithei 2111/0B Added 8
OWNER: AURELIA . CIMPAN, JOHN PHONE #: 503-670-7653
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 2122/2003 ' Pour Time:
,
Code # Inspection Description 7 ptYrifirm-#-.. Contact # Message
120 f:lectrioill rougli l 0E6479 01 ' 61(1 7553 Y "A•1
Corrections/Comments/Instructions: -- ,__ _-
----
- PNE -1 — - 110 )4 sew G itl ( 14 it, ;4L BNII. GJFLA
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— 1......... ---s . j
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$ i
R " A S PARTIAL APPROVAL fl CANCEL NO A CESS
CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: 3- t... Date: 9-) 2 \, 0 6 Phone #: (503) 718- 2..Li
. . . _.. _ .. „ . _ _. _ .. _ ._ _ - .. .. _ _ „ ._ " • - - -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2009-00110
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/29/2008
Phone: (503) 639-4171
, n) :011101
Inspection Requests (24 Hrs.): (503) 639-4175 . !L 1
INSPECTION WORKSHEET FOR DATE: 7115/2008 TIME: 7:00AM ' PAGE: 12
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: Electrical work for remodel in existing house.
OWNER: AURELIA- CIMPAN, JOHN PHONE #: 503-670-7553
CONTRACTOR: AZOV ELECTRIC LLC PHONE #: 503-969-6691
Inspection Re. Scheduled For: Date: 7/16/2008 Pour Time:
,•de # • section Descriptio (Confirm # Contact #
1\.lessage
t;nal 074654-01 503-670-7553
Corrections/Comme1 instruc ons:
•
•
, PASS fl PARTIAL APPROVAL El CANCEL fl NO ACCESS
1 FAIL CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED •
Inspector: 6" t Date: 11 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00110
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2008
Phone: (503) 639-4171 ot ft\
11 I
'Inspection Requests (24 Hrs.): (503) 639-4175 JW IL.
INSPECTION WORKSHEET FOR DATE: 7/14/2008 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 11266 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: Electrical work for remodel in existing house.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: i
CONTRACTOR: AZOV ELECTRIC LLC PHONE #: 603-869-6691
Inspection Request Scheduled For: Date: 7/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact #
Message
199 Electrical final 072678-01 603-670-7553
Corrections/Comments/Instructions:
,
4 ` ■ 'is Icr7S. .."11/ 4
' • 111
••• • 1 •
. 6;) Ta...tocx €41A--$0,642. PAL 1 1 - 15(..
\c\ • k •
otz Crike.kaft Gc NArves- JF g EF gooic•
•
•
fl PASS PARTIAL APPROVAL CANCEL n NO ACCESS
r e FAIL X CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: G 066 Lc:, Date: I 141 't Phone #: (503) 718- 2-111/b
CITY OF TIGARQ
.„
BUILDING DIVISION PERMIT #: ELC2008-00110
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 272812008
Phone: (503) 639-4171 "ffetiltilff
Inspection Requests (24 Hrs.): (50116:39-4175 12—
' INSPECTION WORKSHEET FOR DATE: 4/7/2000 TIME: 7:01AM PAGE: 7
SITE ADDRESS: 11266 SW 79TH AVE::: CLASS OF WORK:
SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: Electrical work for remodel in existing house.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 603-670-7553
CONTRACTOR: AZOV ELECTRIC LLC PHONE #: 6031889-6691
Inspection Request Scheduled For: Date: 417/2008 Pour Time: •
Code # Inspection Description Confirm Contact # Message
195 Misc. inspection 067991-01 603-670-7553
Corrections/Comments/Instructions:
1 I/l\
■Als itceti4a.
PASS fl PARTIAL APPROVAL Lil CANCEL 1 I NO ACCESS
A n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Z rm NUS Date: 4' 1 • CA Phone #: (503) 718- 1414)
, . .
CITY OF TIGARD. •.. ..
4 . „ .
BUILDING DIVISION PERMIT #: ELC2008-0011 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2008
Phone: (503) 639-4171 14 /4101■I i
Inspection Requests (24 Hrs.): (503) 639-4175 A- 'AL
I
INSPECTION WORKSHEET FOR DATE: 414/2008 TIME: 7:02AM PAGE: 6
SITE ADDRESS: 11255 SW 79TH AVE CLASS OF WORK:
1 SUBDIVISION: CIMPAN PARTITION LOT #: 017 TYPE OF USE:
PROJECT NAME: AURELIA
DESCRIPTION: Electrical work for remodel in existing house.
OWNER: AURELIA - CIMPAN, JOHN PHONE #: 503-M-7653
CONTRACTOR: AZOV ELECTRIC LLC PHONE #: 503
Inspection Request Scheduled For: Date: 4/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact #
\sage
195 Misc. inspection 067931-01 503-670-7653 Y
Corrections/Comments/Instructions:
P (Y\
1 z I 0 6 / ALL, ts,63 Lc eax_ iNsl'‘z,vi s tir) CLA6
L1.\
- l'skis. 2 RE - ( 74(9 - rs -I k Cl-.L 6 IA Li:
181-. wgRo 'F'401t. ‘(..,1 6C- lav;13 001)&216 ,
.....,
1\00 vo Aird-6 •
1
C.AGLI .. 1 c . k\1 sTPLUZ in 2 1
0 1.1iYao. <J 1'c t4 1 nretTs Q
,
L ,3 s owL 20
n PASS n PARTIAL APPROVAL 0 CANCEL ri NO ACCESS
FAIL CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED 1
, ...
Inspector: "----, NOIII I0 LZ a,
Date: 41.4\ Phone #: (503) 718-144