Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00373
Ail ' il DEVELOPMENT SERVICES DATE ISSUED: 7/10/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S136DD 01000
SITE ADDRESS: 06860 SW ATLANTA ST ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 002 JURISDICTION: TIG
Project Description: 5 branch circuits Job #2331
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: 4 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:
JOHNSEN, BRAD + LAURA PERFORMANCE ELECTRIC
PO BOX 762 14674 SW SUNNYSIDE RD #170
BEAVERTON, OR 97075 CLACKAMAS, OR 97015
Phone: Contact #: PRI 503- 656 -0496
FAX 503 -656 -0693
FEES
Description Date Amount Reg #: ELE 3 -582C
[ELPRMT] ELC Permit 7/10/2006 $73.45 LIC 161535
[TAX] 8% State Surcharge 7/10/2006 $5.88 SUP 42105
Total $79.33 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: err‘ Cejp g
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 07,2006 12:56 PERFORMANCE ELECTRIC 503 656 0693 Page 1
0
//A h ti v ii ti i
Electrical Permit Applicationc g r -- . - pl 1.01:01.114 1 1.1 0.1 \ ,
, i V---= ` 4 • - --,
City of Tigard Received 4 .7
DataRy I ic Ilia l'ernut Ni).. z;,,„ 313
13125 SW Hall Blvd., Tigard, OR 97223 'Kin Revii: / °aim Nru
Phone: 5(13.619.4171 1 503.598.1960 'JUL ', 200
A L 1 jl ..patc/13x: nt:
,,
Inspection tine: 503.639.4175 M* 1 1 I kilt: lecadyfrly, kris: 63 See Plagt 2 for
Internet: www.citigardimus
CITY OF i 1.0i2ittii Notified/Method: suppletnentat Information
•:-
i-ITTYrii9rtil,PukIT\ /IQ InIs PLAN REVIEW
. ____________ .. _....... ...__. ......
EJ New construction DAti-diiionialteration/replacement Please check all that apply:
DServicc over 225 amps, comml DI - la7artions location
0 Ocmotition El Officr:
OService over 3211 amps rating EiBuildng over 10,000 sq. It,
CATEGORY OF CONSTRUCTION of I- and 2-family dwellings 4 or more new residential
_,.
say I - and 2-family dwelling 0 Commercial/industrial D Accessory building DSysteni over 600 volts nominal um in one structure
Elf:Sodding over three stories Ell'ecticis, 400 amps of moo;
0 Multi-family D Master builder 0 Other:
DOcettpant load over 99 persons n Manufactured structures or
1011 SITE INFIIRMATION AND I OCATICIN DEgiessilighting plam KV part
' • "
Job ElHolth-eare facility 1:1011ars.
no,: p 3 i rob site address: ) ,. ,,) j ..i.. a .. • ,
1 _ Submit 2 sets of plans with any of the above.
City/State/Z1P: FT.F.' SCIIIED111
.T O K Ela.--)_-- The above are not applicable to temporary ennsimetion service.
„ -
Suite/bldg./apt_ no.. I
Project mune: 4 4 ,1 a Ai ,....k_ a_ c , .E
. • . nr.,..ape.,.. FITayi Fee. 1 Tout 1 ..
Cross street/directions to job site: New residential single or mnItl-tatnily dwelling unit.
includes attached garage.
1,non sq. IL or less 145.15 4
- -
Subdivis 33.40 1
ion'. f 1,01 no,: Ea. addi 511U sq. Il. or portion
.... .
' I
' limited energy, residential 75 00 2
Tax map/parcel no.: ., ..
limited energy, non-residential 75.00 2
oiscatrtioN OF WORK FWCh manufactuard or modular
awning. smitx; anslitit fixd..T 90. 2
i .
L4/1 Q ( litik R-eyne) ade?-( Services or feeders installation, alteration, and/or relocation
- . .
2111) amps I.17 kss 80 30 2
... _ U
5 'fl' OWNER -- T n .11INANT 201 a to 400 amps _ 106 85 2
— ...-. .. .. ......
., ,.., 401 amps to 600 amps 160.60 ' 2
Namc
• FOC.... 0.4 4'4 601 amps to 1,000 antes 240.60 2
...
Address: Or / 5 - ti j 4 6 13 \,.. i __. C ___. a ovc(1,000, volts 454.65 2
' ' . 11(1 " • r Reconnect only 66.85 , ?
City/Stale/7TP: i e,..y o 1' 7 --. - .
1 - / )-..,,?,'" _......._..... _ ....... ._
Temporary services or feeders installation, alteration, and/or
Phone; (37)1 ) 54 4 / - 2 JeciV
' 1 '
1 ( 5 ) ( a -a.5-4..:*7 relocation
Rs I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchang,e, according in ORS 447, 449, 670, and 701.
. 401 amps in 600 amps 133.75 2
Owner signature: —- - Date: Branch circuits - rieW, alteration , or extension, per panel
.----... . .._...
0 Arnit:Arrr I . - 1:1 CONTACT PERSON A. Fee for Nandi eittatiis with ..... ._
-- " ' • - -.- gerWiCe 1W fcctIcr foe. each
Business nacne: branch 6 65 2 circuit ___.... . ......_
.. •••- ----- — • • . '' Th. Fee for branch circuits
Contact name. -
withnur service or feeder fee, f
4
--- - • • 6./45 i./6 (e') 2
first branch ciretM
Address:
...... Each add'I branch eitenit It 6.65 16 416 2
CitVFit2itet7.1P:. Mistrilarovos istrvict or feeder owt inctotIrsD
...... .._ _ .
P111110 01 itrigation circle 40 2
Phone _ ( ) Fax - P
: : ( ) - • -- -
._____..... . . Sign or outline lighting _ 53 40 2
.
it Signal circuit(s) or limited-
"
concrammat crony panel, affinities', es-
c ....._
. ' ' — • --- extension_ lkscnbc: Page 2 2
Busines une
s m' p
' • ei..eg./Acto (. e- ViC (.-.,..4e7-. .. .. . ,...
Addr.N: i? -71/ -.: I: ."--
additional inspeetion nye allowable)» any uf Ihr abovr
... --
, Per inspection 62.50
ity/Slate/ZIP: /I \. 0 ... c _1< z - ,.. .,c i ,A\ .P 0 , --'
IC-- V investigation per hour (1 hr min) 62.50
- --1 (-/
i. , ax: 1.9 _ _ indi l
.... ustral pain per hour 73.75 Ell
Phone '. 5 ) 4, . _ (:),r496 3 .. .
- ELECTRICAL PERMIT fl:IS"
CC,/ 3 Electrical Lie.: (,5 ,,, Spry. 11.'i e so .. ... . .._
Subtotal 7 . ,y5
. .....
.....
su 'clan signawrr, required; ' - 7/, /O i Plan 1TVJCW (75% of permit fee) ----
-- ... .. ...........--
. ..........__ . . •- " . -.. • -------
n ame:
State surcharge 1.11°A, of permit feel
n . 1 , t ik . - •
r - Illrliiiill'
O
1.... , _....._ 4 A
. ... .. ......._._ _
*
.. , ....,__.
- --- I __ . .. TOTA I, PERMIT FEE 7 cf .3
Nutilotized stgpatur -. - . or - JA- 1 ‘4_ Aro
iiii,i,rini...,..,x..-.--,-..-,-.7.-„;;-.7.,e,Tni-, /SU •
.- ■ . .. .
'V . "'.' 0 day i aver it bast been accepted • complete
hint name: - _ ' • . e alpih el D .. ote: ' Fee ntothodo/ogy Set by Tii Building Indiuory Servic.e !Wirt
gilig■
Community Development q
Building Division
13500 SW Hall Blvd.
Tigard, OR 97223
Phone: 503 - 639 -4171 T I G A R D
FAX TRANSMITTAL
NOTICE OF EXPIRED PERMIT
Date: 3/31/08
Contractor: Performance Electric EX' ME
Permit Number: ELC2006 -00373
Owner: Johnsen
Site Address: 6860 SW Atlanta St.
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 7/19/07, 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 @tigard - or.gov
I.\ENGTAX.DOT
- I
CITY OF TIGARD _(
., .
A
BUILDING DIVISION PERMIT #: ELC2006-00373
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1012006
Phone: (503) 639-4171 AMI\
Inspection Requests (24 Hrs.): (503) 639-4175 ._,_464 II
„, ___.
INSPECTION WORKSHEET FOR DATE: 4/8/2008 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 06860 SW ATLANTA ST CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: FOX CAPITAL
DESCRIPTION: 5 branch circuits Job #2331 4/3/08, REINSTATED FOR 20 DAYS FOR FINAL INSPECTION.
OWNER: JOHNSEN, BRAD + LAURA, PHONE #:
CONTRACTOR: PERFORMANCE ELECT1-21C PHONE #: 503-656-0496
Inspection Request Scheduled For: Date: 4/8/2008 Pour Time:
Code # Inspection Description ln Contact #
Message
109 Electrical final 067950-01 50a 656-0496 Y
Corrections/Comments/Instructions: 809'1;0-11 0 I
•• b. • ° - • 0 b I 24iQr=
1 ■
',..
Ail /
' V
' 0 PASS I J PARTIAL APPROVAL ---ic- L 0 NO ACCESS
FA 7 CALL FOR INSPECTION , e e e ., A L FEES ASSESSED
Inspector: H's N6(61 Ii Date: 4 %It Phone #: (503) 718-
CITY OF TIGARD -4 •
BUILDING DIVISION PERMIT #: EL -00373
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1012006
Phone: (503) 639 -4171 1m��i tii �
Inspection Requests (24 Hrs.): (503) 639 -4175 J.W °:_..
INSPECTION WORKSHEET FOR DATE: 7/18/2006 TIME: 7:03AM PAGE: 65
SITE ADDRESS: 06860 SW ATLANTA ST CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: FOX CAPITAL
DESCRIPTION: 5 branch circuits Job #2331
OWNER: JOHNSEN, BRAD + LAURA, PHONE #:
CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503- 656 -0406
Inspection Request Scheduled For: Date: 71/8/2006 Pour Time:
Code # Inspection Descriptiononfirm Contact # Message
120 Electrical rough -in 033213 -01 503-656.0496 N
Corrections /Comments /Instructions:
- ?ck61 . 4 UL R.xyrts.tz%j , N 0 e) Fie-(561t.
INU 334, •
The electrical installation defects noted
J on this report shall be corrected and
0 K.. 1® GO VY an inspection request made within 20
calendar days per OAR 918- 271 -0030
ffi "
w‘i L L cAket, P �1 16A
oNl E; (\(4.L__.-
R E (1v1 a: F 1 01% 1 -- i Ns - E ' 1.0A i
Ail (to) ft l. ,
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
l FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 16410 Date: )1 (86 Phone #: (503) 718- VI '
` � •
A CITY OF TIGARD _� e . f
BUILDING DIVISION PERMIT #: ELC2006 -00373
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/10/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 7/17/2006 TIME: 7:04AM PAGE: 27
SITE ADDRESS: 06860 SW ATLANTA ST CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: FOX CAPITAL
DESCRIPTION: 5 branch circuits Job #2331
OWNER: JOHNSEN, BRAD + LAURA PHONE #:
CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: a03- 656.0496
Inspection Request Scheduled For: Date: 7/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 033148-01 503-307-6659 Y
Corrections /Comments /Instructions: i 'N C\,( IY .
35
11 ILL *u'e b 1AIAu-. WA g NE L
\II b ON) vki • 0 SI kkj..: Etk, a 1.15 1 LSt�
•
❑ PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v 1k 1\iQ Date: 1 111 64 Phone #: (503) 718- 2 -4
c