Permit ELECTRICAL PERMIT
, C ITY OF TIGARD
PERMIT #: ELC2007 -00162
COMMUNITY DEVELOPMENT DATE ISSUED: 3/15/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104BA -03800
SITE ADDRESS: 14034 SW NORTHVIEW DR ZONING: R -12
SUBDIVISION: CASTLE HILL #2 LOT : 071 JURISDICTION: TIG
PROJECT: YATSKOV
Project Description: 3 br. circuits.
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: 2 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:
ALEK YATSKOV HILLSBORO ELECTRIC
14034 SW NORTHVIEW 21185 NW EVERGREEN PKWY #110
TIGARD, OR 97223 HILLSBORO, OR 97124
Phone: 503 - 806 -7177 Contact #: PRI 503 - 439 -9666
FAX 503 - 601 -3680
FEES
Description Date Amount Reg #: ELE 34 -4399C
[ELPRMT] ELC Permit 3/15/2007 $60.15 LIC 134481
[TAX] 8% State Surcharge 3/15/2007 $4.81 SUP 4941S
Total $64.96 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: �� GL
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.
03- 14 -'07 10:52 FROM- Hillsboro Electric 503- 601 -368U. T -754 P002/002 F -006
Ii ii 1rncai Permit Application r y ,� s i - ,. I OI OI:I Ic l: t si: O.. \I.\
r pity of
c o. _ N �y /6c;`- •
13125 SW hall Blvd.. Tigard, O 23 ; a `,°` , - \
DPv 7 Permit N. , /o e { Pl
Phone: 503.639.4171 Fax: 503 9811460` ib,,r /y�.; l� Other Pamir:
Inspection Line: 503.639.4175 , . �a� i I _ , Dine Ready/By:
Internet: ww
20o + S Sea P tbt 2 ror
www.ci.tigard.or.us Notified/Method: j
:.. :. ::.. eiardorus i- 1
_ mental Yb rmadon
❑ New construction d �'t%i t /al' apotl/repclti m e et Please check all that apply:
❑ Demolition ❑�`� r T ❑Service over 225 amps, comm'l Cl location
:: :..• .....:.:.:........ a ' . OP ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
ONSTRUCTION: : : '
• � .: :. . .CATEGOR'Y : C : . .: of 1 - and 2 "d a!
. .... . . .. 2 dwellings 4 or mor new residential
nti
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building °System over 600 volts nominal units in one structure
El Multi- family ❑Master builder ❑ Other: ❑Building over three stones ❑Feeders, 400 amps or more
.; .. :: ; •:..:..:.:: _ t load over 99 persons ❑Manufactured structures or
:..,
.•:: ::.:::::::::::::::: JOB : �
�., ...: ::...:..::.�. I.taCA E ess/l "ghti g plan ..::.:. .......:::.:.,:,. :. ...,,..,... .�: ;: �: ❑ t�' 1 n an ''park
. = R
.7);"1 .: a Job site ad dress; 1 , b '7 \ A AA ❑Heald► - tar n faciliry ['Other, Ciry /State/ZIP:'�' 106/AY Submit seta of plena with any of the above
\ �• 3 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: `' �/ �` ' : - .. . ., .. .. : E* TS B : `.:. .
�� \ WV . DmcriptWq .•� � ., : I Qty, I Fee. .' • Total , I . ..
Cross street/directions to job Site: New residential single- or multi- family dwelling unit.
Includes attached garage.
_ 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'! 500 sq. ft, or portion 33,40 1
Tax map /parcel no,: Limited energy, residential 75.00 2
. . Limited energy, non ...... .... .::::.:....... .111 .......:
ESC
75.00 2
.` '...1 , i :::. )Each manufactured or modular
Q � � ' s dwelling, service and/or feeder 90.90 2
• ( ` kc t bA-Vv� r -p `� (1jt1 Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
.
..
• R t amps 6.$5 2
401 amps to 600 amps 160.60 2
amps to 400
P 10
`, �^� : : ' " ::
Name: � - V �i'\ V 1 ,t pi r 601 amps to 1,000 amps 240.60 2
Address: a 6. Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ) - 1r1 Fax: ( ) relocation
200 amps or less 66,85 1
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 exchange, according to ORS 447, 449, 670, and 701. _ 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new a lteration, or extension, per panel
. n ,, _ , C • d
�i: r ,.,4,. : ..... GXC'�11�17' :.: A. Fee for branch circuits with
service or feeder fec, each
Business name: branch circuit 645 2
B. Fee for branch circuits 1 Contact name: without service or feeder fee.
Address:
first branch circuit 46.85 ' - p 2
Each add'l branch circuit 7,.... 6.65 i? 30 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone; Pump or irrigation circle - 53,40 2
( ) Fax„ ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
....:...........
:: . C QN . �?otACTOB: • energy panel, alteration, or
1 )5 tv"■ 0 l�,l i\ r IV 1 �,�� extension. Describe: Page 2 2
Business name:
Address:2 \`' VoM1 eN cr r- y1 e,,A/ -i to _Each additional inspection over allowable in any of the above
Per inspection 62,50
City /State/ZIP: •rtii,1s \. ICU l � . O \;) `►y Investigation per hour (I hr min) - 62.50
Phone: ( i� 1 L k t o - ✓ Dl�( LO Fax: �� )(47O I '' 80 Industrial plant per hour 73.75
1 ✓'1 ��1 ✓"1 ' "l"l� p "r' 1L1 < <? Subtotal ( O. 1`J
CCB Lie,: ` Electrical Lie.: Su rv. Lic.:
Suprv. Electrician signature, required: /► i Plan review (25% of permit fee)
Print name Jbct A V \ �C W . 1 Datet State surcharge (8% of permit ft) l,1 1
TOTAL PERMIT lFEE 4 p
Authorized signature: This permit application expires if a permit is not obtw'ned w ithin 180
days after it has been accepted as complete
Print name: I Date: Fee methodology set by Trl- County Building Industry Service Board
" Number of inspections per permit allowed.
is lBuildingWo .mMAELC- ParmitApp.doe 12/03 440.4615T(10/02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION . L - PERMIT #: ELC2007 -00162
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/15/2007
Phone: (503) 639 -4171 ,, +y h ;;llhl
Inspection Requests (24 Hrs.): (503) 639 -4175 ____W `:_..
INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:00AM PAGE: 59
SITE ADDRESS: 14034 SW NORTHVIEW DR CLASS OF WORK:
SUBDIVISION: CASTLE HILL #2 LOT #: 071 TYPE OF USE:
PROJECT NAME: YATSKOV
DESCRIPTION: 3 br. circuits.
OWNER: YATSKOV, ALEK PHONE #: 503-806-7177
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503.439 -9666
Inspection Request Scheduled For: Date: 3/28/2007 Pour Time:
Code # Inspection Description Confirm : Contact # Message
199 Electrical final 045544 -01 503-538-2953 Y .
Corrections /Comments /Instructions: piY\ Q�1Gr J r
� Pckov t G s-r % C Pae", 1 c PANS.
had q rt. blk, ,x,yjX3(
l( NA)a Cr F LI c�T( G i i ()1 L_,
vita A IN 20 6~ ' () - L vN .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
iqz1 AIL jgr CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:- C9 • N og I' Date: 511.8c n1 Phone #: (503) 718 - 1.4-46
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00162
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/15/2007
Phone: (503) 639 -4171 ln
Inspection Requests (24 Hrs.): (503) 639 -4175 W I
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 54
SITE ADDRESS: 14034 SW NORTHVIEW DR CLASS OF WORK:
SUBDIVISION: CASTLE HILL #2 LOT #: 071 TYPE OF USE:
PROJECT NAME: YATSKOV
DESCRIPTION: 3 ter. circuits.
OWNER: YATSKOV, ALEK PHONE #: 503 - 606-7177
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503-439-9666
Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 046869 - 01 503. 636.2953. Y
Corrections /Comments /Instructions:
AA
\,-A 5 e.-621 ► 61s _ /
L14 ` " 6n) 3 V z-e t
4 &o .,' 4 ? act.m.11' 6 '8 i crE6L. a 0 l'ANd___ •
P ')v bD. a-Q‘ ct. , 31 Lin
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calenarar days per OAR 918- 271 -0030
❑ PASS ❑ PARTIAL APPROVAL CANCEL III NO ACCESS
X FAIL CALL FOR INSPECTION A ADDITIONAL FEES ASSESSED
Inspector: Date: I ll t Phone #: (503) 718- t ' "
CITY OF TIOARD
BUILDING DIVISION f PERMIT #: ELC2007 -00162
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 311&2007
Phone: (503) 639 -4171 V1 i
Inspection Requests (24 Hrs.): (503) 639 -4175 °° "I —
INSPECTION WORKSHEET FOR DATE: 6/10/2007 TIME: 7:02AM PAGE: 31
SITE ADDRESS: 14034 SW NORTHVIEW DR CLASS OF WORK:
SUBDIVISION: CASTLE HILL #2 LOT #: 071 TYPE OF USE:
PROJECT NAME: YATSKOV
DESCRIPTION: 3 br. circuits.
OWNER: YATSKOV, ALEK PHONE #: 503-806-7177
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503-439-9666
Inspection Request Scheduled For: Date: 5/1012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 048040.01 503. 538-2953 Y
Corrections /Comments /Instructions:
a 4' , e---e--See--, — de., .1/- .
1 1
AO4 ?bA ! - 4- 3o A ci
) ASS ❑ P. - TIAL APPR•' • L ❑ CANCEL ❑ NO ACCESS
❑ FAIL /CA L FO - WI; PEC ION ❑ ADDITIONAL FEES ASSESSED
0/P AD e7---
-
Inspector: _ Dater Phone #: (503) 71 s