Permit =--, >',' ELECTRICAL PERMIT
• CITY OF TIGARD
COMMUNI1 D PE ISSUED ELC2007-00468
DATE ISSUED: 7/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S114AB-11700
SITE ADDRESS: 16024 SW 93RD AVE ZONING: R -4.5
SUBDIVISION: KNEELAND ESTATES NO.2 LOT : 130 JURISDICTION: TIG
PROJECT: LOEHMANN
Project Description: Install (2) branch circuits for a/c and GFI.
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:
MO & CHRIS LOEHMANN WEST SIDE ELECTRIC CO INC
16024 SW 93RD AVE 1834 SE 8TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: 503 - 624 -5664 Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 7/10/2007 $53.50 LIC 13306
[TAX] 8% State Surcharge 7/10/2007 $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 -)
G il� /// Permittee Signature: �/ !� �
,SM___O, 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.
; Jul 10 07 01:53p West Side Electric Co. (503)736-0677 p.2
'...,...'_.. - .,-,.. . ..
...., e' t tt tn ' f •
E A.
lectrical 'Permit pplieation pm, Ec vi LL FOR OFF/CR USE ONLY . .
t _ .
Ci tV Of Ti
•-- ' 13127•3 SW Hal17-itvil., Tivitl, OR. 97221
FY. Received II JUL 1 0 ZOO/ l'I'd"I'L - 0 : - ---
Plan Review Permit No:
, .ELL'arff --601.6„
., : v,.. Phone: 503.639,4 171 Fa N : 503.598. I 960 ,,,,.....„, ,...,,.. ,_,,..,, „ ,...... ii
ihnorty: ()It l'ill lir
TIGARD ' i 7_6•1 ^ (11
' . inspection Line. 503.639.4 t75 iji i 11 LA ; iLiPAU - ii;iie - iii.iy .. : -- ----- . ---- ------- - i,;117 "-
interne': v:ws.v.tigthil-ur.,w BUILOINSD111181014.NI"."IN411": i tinpinenwnrat 10tUl'illIlltiani
_
TYPE OF WORK. P1 AN REVIEW
[11 Nw (Sub
t. --- XtAddillUll/LIII):1;101.;:li l't:pLICCIIIC10. ele‘wc ulleek .01 Owl upply illil 1 SCIS 1)1 iiiiiIiikrt7C111.5 O'lleek;_TI 17,:i0u).
0 SOI'vWCW' /Mkt' 400 IllrIO'S or more 0 Building uYug Our hluriu:...
C,1 Demolition Li Oilier; where the available rauli inirreni 0 Marinas and boot yerk1S.
;., CATECIOR.V OF CoNsTRuctnnst (-Attend> MAO aiiiiib in ISO VtiiiS 01 0 l'IMItIng bilildi/lp.
IOU Co around, or exceeds i4,000 0 coinniceei.,-.. imricuilurol
' 1)( I - :IQ(' 2-Glittily &veiling 0 C:onitticreial/indosirial ci ACC•Cssoi,y building amp: fur all other ill:Aill1111iIMIN. hiiililiny„c.
[11 NI uld-Cuilitly El Master builder El (_Alter: 0 vire pump. LI installation or75 KVA or
0 1:117Crgency araern, Wiry:4 sepArately derived system.
JOB SITE INFORMA.TION AND LOCATION LI Addition orucw motor load r u
... .
Job 00.:3 [ JOb Silt: n.ItIrt,SS: / L 02_.11 5 c....) q; t-f
A -e. ... n uo i ffi.1.11 MULE:.
' X or more residential LOUIS. ueinionnvy.
0 iteerentional Velliel. 0:411.S.
(:11y/SC:1(0211'. . .... . q 7 - z _ z _t_f, . 011.1,1,-..cfizaiii,N. 0 Supply vullasc tot little Ohio
.
,. 0 I lazardoun lacauolm. 600 volts ituminal.
S111 tc/))1(ig,/ailt, no,; project minty;
L_ / tf„.c Llsurvice ur fceiler 00 aillini 01
- . ___.--____..--____
. . .. . . . -.--- ----.-.....----. ..-- .......-..
FEE SCIIED1.11.1:,
C't'OSS street/directions to job site: ... __ .......______-
Desa, ( Iv. T..11,1
- -
- .
New residential single- or muld-family dwelling nod.
Includes attached garage.
... . _____. __ ____ ._..._._. --
Stibil it'iSion; 1 Lot no.: 1 sq
.000 . ft. or less 145.15 4
.
- _______ Ea. add'] 500 at. ft. or portion 33.40 1
'1 ',Ix map/parcel no.: .. ...... __ _. ____ _ . ___ ,.._
Limited energy. residential
.... 75.00 2
DESCRIP•130N 01 WORK - (.w! 31) 9` 0 :' { 9:.. It)._
. ._
" ' ------ Limited energy, multi-farnilY ---------------
75.00 2
• ‘._‘_ rc (with above nt. 0.)
.
__Services or feetlerS lt1Staltik11on AIreralinhonsdio relocation
.... _250,30
,_ .. __ ..
... ..- -. .
PROPER:Ili 0 WNE 1 D TENANT 20 I - lt ._ ___......_.
- _ 200 amps or ieSS
Mpg 10 400 amps
;imps to amps
601 amps to 1,000 amps 106.8J
160.60 2
2
2
Nam 401 t 600 e: /14
0 ,C, .V.Y.V;ke.% V 240.60 7
Atidres:,: Over 1,000mps or volts___ ......_.. . 454.65 2
Ci tyitinite/Z
'Temporary services or feeders installation, alteration, and/ur
II':
rook-into.,
, 1 .... . . ____ . ....... ... - .. --
Phone: (50)) 62...4 z , 6 , ‘ Li 1 F„x: ( ) 200 ,„upt; of lesA 66.85 I
, • , • no t 21)1 amps to 400 amps .
owner installation: TI-tis installation is being made on property that I own willeil IS no; 100 30 2 ,
intended fOr sale, lease, run, or exchange, tiCeOrCling to ORS 447, 449, 670, and 70 I . 401 amps to 599 am ps 133.75 2
Branch circuits - new, alter:trion, or extensionoer panel
Ownrr signatory: Date: . . A. f for branch circuits with
D Apet,IcANT CI CONTACT Ph:RSON above service or Iceiler Fee,
6.65 2
• cti•h branch circuit
BlisineSS name: • .. B. Fee for bran cii
ch t:iri I's
*. - Willt011f service or feeder fee, 1
85 tit„,g5
Contact name! •
,
first brunch circuit 46. 2
-•• - - • • • •
Each add'] branch circuit ( 6.65 4 ..6s 2
AkIcirez.:6; A , ...._,.......- ... ,- ....- -
--- --. ' . - ---. " • -----•----- --- MlisceilnilentierVICe Or feeder not included) -
I city/State/Z1P: i':ai,:licirainifactured or modular
90.!)0 2
,
---. - • i Iwoiling, : aitd/r o feeder
Pliuitc•: ( ) i Fax: : ( ) Reconnect only . -- 66.85 2
.....
E-tna il; g1ettin Pump or irrip,ation circle - - 53,40 2
____. .. .. . ----
_.....
- ._.... .
CONTItACTR O Sign or outline Iirlili■ly
. . " 53.40 2
__,........... .. . -.
---- .... ___ ._ ... - Signal tircuit(s) or limited-
fiusiness ininic: West Side kAnctric Co,, bite
- ... energy pone), tilteraliOn, Or
_. ..
- .. .
Address: 1834 St th Ave-
extension. Describe: Page 2 2
i: 8
City/State/ZIP: Portland, OR 97214 Each additional ins2setion over allow; ble in any of the above
- -••• . Per inspection 62.50
phone: (503) 231 I Fax: (503) 736
invetaigntion per hour (i hr [inn) 250 6.
. _ _........._„_
CCB Lie.; 13306 Electrical Lie,: 26-135C Soprv, Lie,; 4654S Industrial plant per hour
. . 73.75
• • .. ---. •,-----.- •••• ''Y
7 .2 1 ' . l -
ELEC'FRICA11. PERMIT FEES
Suprv. Electricion signakure, requited: / , - Subtol 4 0
e.--L.f.-4-- • ••- "''-'•' _ C772 .
Plan review (25% ot*permit fee):
Print name: Rtnidall Robor -
ts Date: -7 , , - I - ..._ State surchare (8% ri
-. . . . . - •
g of p cc.): 4.2/9
.
Authorized sigaaRro.:: TOTAL PERMIT FEE: tolt
..... ......___ _ ..... ... . ....
- -- -- - . • this permit avpiieur:od uypirex if a permit 6 nut ubta:next within 1i1O
Pi 111111kl: Date: days alter It fls been accepted as complete.
_.________........ .• -. -.
` Nun*, of inspections allowed per permit.
1..LluiluineU'citiinsli-.1, C.P:iitiltApp.tkle USi2);(14 .10-461 >II I 110/COMM11.1
CITY OF TIGARD
BUILDING DIVISION, ,. , PERMIT #: ELC2007- 00468
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/10/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AlvI PAGE: 80
SITE ADDRESS: 16024 SW 93RD AVE CLASS OF WORK:
SUBDIVISION: KNEELAND ESTATES NO.2 LOT #: 130 TYPE OF USE:
PROJECT NAME: LOEHIVIANN
DESCRIPTION: Install (2) branch circuits for a/c and GFI.
OWNER: LOEHMANN, MO & CHRIS PHONE #: 503 -624 -5664
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503 -231 -1540
Inspection Request Scheduled For: Date: 7/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 052071 -02 503 - 234 -7331 N
Corrections /Comments /Instructions:
/7
PASS PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Fir Date(` I /0 Phone #: 503
P '� ( ) 718-