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Permit . 7 6 og 1 . M-c.( Pe yin frt ' exGrae ,jrtivvcln C-; t-(A ' f CITY OF TIGARD' . " • • ELECTRICAL PERMIT i . '1114 COMMUNITY DEVELOPMENT PERMIT #: ELC2008 00373 DATE ISSUED: 6/26/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 109AA -02500 SITE ADDRESS: 12990 SW STARVIEW DR ZONING: R -7 SUBDIVISION: WOODFORD ESTATES LOT : 033 JURISDICTION: TIG PROJECT: COOK Project Description: Installing (5) branch circuits for laundry room and garage. 7/16/08 ADDED (6) branch circui s. 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: 10 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: LOU COOK WEST SIDE ELECTRIC CO INC 12990 SW STARVIEW DR 1834 SE 8TH AVE TIGARD, OR 97224 PORTLAND, OR 97214 Phone: Contact #: FAX 503 - 736 -0677 PRI 503 - 231 -1548 FEES Description Date Amount Reg #: ELE 26 -135c [ELPRMT] ELC Permit 6/26/2008 $73.45 LIC 13306 [TAX] 12% State Surchar 6/26/2008 $8.81 SUP 4654S [ELPRMT] ELC Permit 7/16/2008 $39.90 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $126.95 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: ..... .e dy/ "�l / '/ 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. a 1• • r •. ' , �. 1� {c rats ai r tt f ;Pj S, r�P4,0,... 1 . q L+ lectrical Permit Application , '' ''' '' f ', = ze � 6 >, oz. - • n._! , , A ,, ,,a e,� q, s , FOR OFFICE ONLY ` 3 • 4a:; ., .k.. gl ik ',I. -, uv1 ,Xt .. . :a;:.3 .e „vrn, 5 = v m,0 k.. . -,o. id . ,,,_.f .0e a : k ^fit 1; ! J n O� Received 7 /j am milt No.: u City Of TIbATigard 6 1 Dale /Oy: / /6 /o�,J// " •►(� 73 " 3' { ° 13125 SW hall Blvd.. Tigard, OR 97223 I' n Review j � (� r �, • . `� Other Permit: ?' Ph 503.639.4171 Fax: 503.595.1960 J � /By; R , ns cction Line: 503.639.4175 ate head /B %T-1GARD Inspection p �' ��5 Y Y 3uris: �� 8 Sec Page _fur } _ '` "exam Internet: wvvw.tigartl or.gov TYPE OF WOR ��('� ® Notilied/Method: / re Supplemental Information K ` � op PLAN REVIEW 0 New construction Addition /alteration / placement Please check all that apply (submit ? sets of plans w /items checked below): ❑ Service ur feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial - use agricultural I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation or75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load o( ❑"A ","E'. ","1- 2 ",'I.3 ", Job no.: TLt o, � Job site address. Z 7q 0 SL./ f cu _ I Pr.,./ ( J ( -, IOO or metre. occupancy. / / 1 ,, / ❑ Six o or r more residential units. ❑ Recreational vehicle parks. City /Stale /`` /_1P: � � _U Oj .. � ❑ I Iealth -care facilities. ❑ Supply voltage for more than U l (( • r ( u/ / ' 1 1 f� ` ( g ❑ Hazardous locations. 600 volts nominal, J �`' Suite /bldg. /apt. no.: Project name: / 1 ( i' 1 C ` 0 r .,! ❑ Service orfeeder600 amps orore. ttt ��� / /a ( m FEE SCHEDULE Cross street /direct to job site: Description I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. R. or less 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq. I). or portion 33.40 1 Limited energy, residential 75 00 DESCRIPTION OF WORK (with above sq. ft.) ( Limited energy, multi- fancily 75.00 Z ( '7) C' /• ,'t Pi' T `, A--� ,-- lJ t ' 'xM c"-e- residential (with above sq. ft.) _ /� ' i Services or feeders installation, alteration, and /or relocation ((( d 4 7 � - Cl(7Vr ` OO 7 � * 200 amps or less S0.30 2 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 1 J 1/1 401 amps to 600 amps 160.60 2 u 601 amps to 1,000 amps 240.60 2 Address: S r.4 N,, Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) p S L - 2 c( 7 .... Fax: ( ) 200 amps or less 66.35 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 exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 iusiness name: D. Fee for branch circuits u•irhoul service or feeder fcc, Contact name: first branch circuit 46.85 2 Address: Each add'I branch circuit In 6.65 3 1 2 n 2 Miscellaneous (service or feeder not included) _ City /State / ZIP: Each manufactured or modular ' dwelling. service and /or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 3 E - mail: CLENNC «WESTSIDEELECTRIC.CON1 Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: WEST SIDE ELECTRIC CO. Signal circuit(s) or limited - energy panel, alteration, or Address: 1834 SE 8TH AVE. extension. Describe: Page 2 2 City /State /ZIP: PORTLAND, OR 97214 Each additional Inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 231 -1548 Fax: (503) 231 -9987 Investigation per hour (I hr min) 62.50 CCB Lie.: 13306 Electrical Lie.: 26 -135C Suprv. Lic.: 4654S Industrial plant per hour 1 73.75 �j� ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: `2G 1.4.. I G-,... � Subtotal: --5,7, 5 p Print name: RANDALL ROBERTS Date:'? i F9 /D Q Plan review (25/0 of permit fee): J State surcharge (12% of permit fee): C. , - 7 9 Authorized signature: TOTAL PERMIT FEE: La l .6 / This permit application expires if a permit is not obtained within 1110 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I: 1ItuildingV'cnnitO 0t.C- 1•cmijtApp.duc 05/23/06 4.10- 4615T(t 1105 /CO11IAVCm Z/ Z 900Z I. 91-40:0Z L966I. CZCOS r CITY OF TIGARD % �• ELECTRICAL PERMIT ° PERMIT #: ELC2008 -00373 COMMUNITY DEVELOPMENT DATE ISSUED: 6/26/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S109AA -02500 SITE ADDRESS: 12990 SW STARVIEW DR ZONING: R -7 SUBDIVISION: WOODFORD ESTATES LOT : 033 JURISDICTION: TIG PROJECT: COOK Project Description: Installing (5) branch circuits for laundry room and garage. 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: SIGNAUPANEL: 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: LOU COOK WEST SIDE ELECTRIC CO INC 12990 SW STARVIEW DR 1834 SE 8TH AVE TIGARD, OR 97224 PORTLAND, OR 97214 Phone: Contact #: FAX 503 - 736 -0677 PRI 503 - 231 -1548 FEES Description Date Amount Reg #: ELE 26 -I35c [ELPRMT] ELC Permit 6/26/2008 $73.45 LIC 13306 [TAX] 12% State Surchar 6/26/2008 $8.81 SUP 4654S Total $82.26 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: C- i J.--yr Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical v Y -i k . J ,,, N a. •' r i n r � y .� SSr '� " ! aF r 4 a, t n. Electrical Permit Applicatio0C, 0� t g t t gt, 7 'aj ,`;,; FOROFFIttlus ~ONLY�� Sr `"'�''' ,,1 9,' >; 71 ^ h O ri_„. 'k :t'c.r. :i ,r , ..:s.,, .,,,,, ,, i.....23x> . *.,, t� t , J�k?d.. Recewed '` City of Tigard ww \\ � 41/ Tern,;, No.: 7 '� ~ ' 13125 SW Hall Blvd., Tigard, OR 97223 \� \v , a v ` )att' /Q ' /iv/ .... � `- 7..— �og�J • Phone: 503.639.4171 Fax 503.595.1960 �� ♦51, fan Rcvieu• Other Permit: ,yy'' 1 1 Date/By: I nspect ion Line: 503.639.4175 0 ��� Date Ready /By: Suns: El See Page 2 for I i'S90s'!JSVr, cep Internet: w or.gov Cl��� Notified/Meihod: 7• .( Supplemental Information TYPE OF WORI$'S PLAN REVIEW ❑ New construction Addition /alteration /replacement Please cheek all that apply (submit 2 sets of plans ‘v/items checked below): ❑ ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. I- and 2 -famil dwelling less to ground. or exceeds 14.000 ❑Commcrcial•use agricultural 2-family g ❑ Commercial /industrial ❑ Accessory building amps for all other installations, buildings. Multi - family ❑Master builder Fire pump. ❑ Ot her: ❑ P P ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION O Emergency system. larger separately derived systenr. ❑ Addition of new motor bad of ❑ "A" ' E "'l - "I 3 Job no.:3- V Job site address: 1 z 9 Ci 0 c(-..) cJrc rLl Li' I OOt1P or more. occupancy. _ -� '` hJ ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: ( r C U QI Z L' ❑ health -care facilities. 0 Supply voltage for more dent 'J I ❑ llar�rdous locations. 600 volts nominal. Suite /bldg, /apt. no.: Project name: /� i / 19 are JO 0 ❑ Service or feeder GOO amps or more. `'� V FEE SCIIEDULE Cross street /directions to job site: Description I Qn•. I Fee. I Taint I • New residential single- or multi - fancily dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.000 sq. 11. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 / \ ( Limited energy. .multi-family 75.00 2 ( ( , f L u! . 177 J 4 u ,�. r ,., j a n rAl ,4 t1 Z - ) residential (null above sq. n.) J Services or feeders installation, alteration, and /or relocation 1.> u ps ` v1 J cu 5,e._ 200 amps or less 80.30 2 PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.55 2 Name: l/O t /�J <, j , 401 amps to 600 amps 160.60 2 Address: ` V � 601 amps to 1,000 amps 240.60 2 �1 Gt tA.A.4 Over 1,000 amps or volts 454.65 2 City /State /LIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 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 599 amps 133.75 2 Owner signature: Date: Branch circuits - ncw, alteration, or ex tension, Ater panel A. Fee for branch circuits wi ❑ APPLICANT with IX CONTACT PERSON above service or feeder fee, 6.65 2 Business name: 0(.../0_,(2. � ,p y,N /� J r each branch circuit C� - Y�G'✓1 p A'f`c D v\ C B. Fee for branch circuits Contact name: 1n without service or feeder fee. 1 46.85 u 2 Ort vv + • .. first branch circuit i Address: tP 0 c3, sic .7 0 60 C Each add'I branch circuit Lam) 6.65 •it, , 1'.0 0 2 11 ! Miscellaneous (service or feeder not included) City /State /LIP: �C.I ti Cry Lt / / 1N � (l . q 6 . 6 Each manufactured or modular dwelling, service and /or feeder Phone: 90,90 2 (ZjOo) J _ Z J D Fax:: ( ) Reconnect only 66.85 2 E -mail: GLENNG@ VESTSIDEELECTRIC.COM Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: NEST SIDE ELECTRIC CO. Signal circuits) or limited- energy panel, alteration, or Address: 1834 SE 8TH AVE. extension. Describe: Page 2 2 City /State /ZIP: I'ORTLAND, OR 97214 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 231 -1548 Fax: (503) 231 -9987 Investigation per hour (I hr min) 62.50 CCB Lie.: 13306 Electrical Lie.: 26 - 135C ) Suprv. Lie.: 4654 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required:/' Z /e 7 � y (.:�, =`( / /_� !' Gtr/ � . -� Subtotal: C Print name: RANDALL ROBERTS Date: (0 /7C /0 Plan review (25% of permit fcc): State surcharge (I %of permit fee): u . j i Authorized signature: TOTAL PERMIT FEE: 8 ,2 6 Print name: This permit application expires if a permit is nut obtained within ISO Date: days after It has been accepted as complete. • Number of inspections allowed per permit. MI luildies Tennitstil.C•I'em,iIApp.doe 0523106 4-tO•.i615T(I I /05 /CO\IA1'L•n Z/ Z 900Z 17£:60: I.Z Z9661£Z£OS CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200B00373 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1016/2006 TIME: 7:OOAM PAGE: 28 SITE ADDRESS: CLASS OF WORK: 12990, STARVIEW DR SUBDIVISION: WAODFORD ESTATES LOT #: 033 TYPE OF USE: PROJECT NAME: COOK DESCRIPTION: Installing (5) branch circuits for laundry room and garage. 7/16108 ADDED (6) branch circuits. OWNER: COOK, LOU PHONE #: CONTRACTOR: WEST Sf SIDE ELECTRIC CO INC PHONE #: 503-231 -1548 Inspection Request Scheduled For: Date: 1016/2008 Pour Time: Code # Inspection Description ' Confirm # Contact # Message 199 Electrical final 076319-01 503-231-1548 Y Corrections /Comments /Instructions: ia,(LtOj WALL 9 G7 5 o \\\\ AL PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr" N Date: tt (:)(1) Phone #: (503) 718- VA, CITY OF TI ,ARD C f C 1 BUILDING DIVISION PERMIT #: FL.C2O08 0(1313 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/26/200i} Phone: (503) 639- 4171�„ �I I Inspection Requests (24 Hrs.): (503) 639 -4175 .�' �„�- INSPECTION WORKSHEET FOR DATE: 10/1/20013 TIME: 7:02AM PAGE: 27 SITE ADDRESS: 12890 SW STAR VIEW DR CLASS OF WORK: SUBDIVISION: WOODFORD ESTATES LOT #: 033 TYPE OF USE: PROJECT NAME: COOK DESCRIPTION: Installing (5) branch circuits for laundry room and garage. 7/16/013 ADDED (6) branch circuits. OWNER: COOK, LOU PHONE #: CONTRACTOR: WE-ST SIDE ELECTRIC CO INC PHONE #: 503-731- 15413 Inspection Request Scheduled For: Date 10/1/7008 Pour Time: Code # Inspection Description ( Confirm # Contact # Message 199 Electrical final 076143 -01 503.231 -1548 Y Corrections /Comments /Instructions: -ftrN 1-\ 6A 5 s C.v1 Al__ b ji kZ5 Zoe 00 10 'LsL3 AO s 3 1 .1,5 4 k"{zo %tpect, , - Rkt bi sll 3 A l' iia2A . 6NaL4 • Ki A2'Z• O - :1C.. d) s K 1N‘ cie, Rom oN KGTcI .tourtii. - Ty 1Nkc, 33 -310. �.N. t `}'1co f a/�o l ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 1v 66 L Date: 10 4 4' D Phone #: (503) 718- 20‘ CITY OFTIGARD - of • BUILDING DIVISION PERMIT #: ELC2008 -00373 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/200t) Phone: (503) 639 -4171 14 I ` I Inspection Requests (24 Hrs.): (503) 639 -4175 1.L. INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 71 SITE ADDRESS: 12990 SW STAR VIEW DR CLASS OF WORK: SUBDIVISION: WOODFORD ESTATES LOT #: 033 TYPE OF USE: PROJECT NAME: COOK DESCRIPTION: Installing (5) branch circuits for laundry room and garage. 7/16/08 ADDED (6) branch circuits. OWNER: COOK, LOU , PHONE #: CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503-231-1548 Inspection Request Scheduled For: Date: 7/72/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 072965-01 503-231 -1548 N Corrections /Comments /Instructions: 'Int IS? Sts . 460 J a©o l� • i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Y` A O6 Date: 1 ` #0 U D Phone #: (503) 718- Titik)