Permit 40%
ELECTRICAL PERMIT
q CITY OF T /CARD
PERMIT #: 00312
COMMUNITY DEVELOPMENT DATE ISSUED: 5/7/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DD
SITE ADDRESS: 09590 SW VENTURA CT ZONING: R - 4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT: 108 JURISDICTION: TIG
PROJECT: MURPHY
Project Description: WORK WAS PREVIOUSLY DONE.
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: 1 W /SERVICE OR FEEDER: 5 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:
MURPHY, SCOTT E + CYNTHIA L OWNER
9590 SW VENTURA CT
TIGARD, OR 97223
Phone: 503 - 387 -8342 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 5/7/2007 $113.55
[TAX] 8% State Surcharge 5/7/2007 $9.08
Total $122.63 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 Notificati 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 OU C at 503.246 699 or 1.800. 2.2344.
Issued By: ATIA) 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.
N �l
Electrical Permit Application FOR OFFICE USE ONLY
Nt;Y 7 `j Received ./ / 1 Permit
a 7 2007 DateBy !/0 $6 '' / � tiO / � —
Other Perrrut
13125 SW Hall Blvd , Tigard, OR 97223 Plan Revi ///
' City of Tigard 0 .'. Phone. 503.639.4171 Fa 5 3 fr 1 �6Q ��,��� Date Ready paDate/By p r Ready/By Juts See Page 2 for
TIGARD
Inspection 5036394 x j��L810L
Internet: www.tigard-oRtP7 rt "'r\T(' Notified/Method /f— Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stones
where the available fault current ❑ Mannas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agncultural
1 E0 - and 2- family dwelling ['Commercial/industrial ❑ Accessory building amps for all other installations buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION
El Emergency system larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", ' l -3 ",
Job no.: Job site address: L V e V ✓z Six or or more occupancy.
5
❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: � r a a 3 ❑ Health-care facilities. o ❑ Supply voltage for more than
J ❑Hazrdou locations 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee- I Total I
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: L ot no.: 1 sq ft. or less 145.15 4
W— f , �� l -
Tax map /parcel no 5 r g 0 D 1 0 QC) 0 Li Limited energy, y, ft or portion 33 40 1
Limited energy, residential 75 00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
"5 n e � � a e tr-- �� n residential (with above sq. ft )
(] fl 1 C n 12-e-, n 0 -'2 D Services or f installation, alteration, and/or relocation
7 Q. C! - Y c- c,. p 200 amps or less / 80.30 g1J, 30 2
d PROPERTY OWNER J ❑ TENANT 201 amps to 400 amps 106 85 2
Name: 401 amps to 600 amps 160 60 2
(1/_/ n t d 6 U � 601 amps to 1,000 amps 240 60 2
Address: C 1 5 0 70 5 L,) 'Ile ^ t.y Y a (4- Over 1,000 amps or volts 454 65 2
City/State /ZIP: D "� - �� Temporary services or feeders installation, alteration, and/or
L relocation
Phone: (11 j) 3 q� GL r p
- g 3 Li D. Fax: ( ) 200 amps or less 66 85 I
Owner installation: i installation is bein made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lea e, ent, or exthange, or • to ORS 47, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature" / v y - Lc- L C 7) Date: J — � '' t ��
"! !� A. Fee for branch circuits with
Gr APPLICANT I ❑ NTACT PERSON above service or feeder fee,
Business name each branch circuit 6.65 33 2,<- 2
B. Fee for branch circuits
without service or feeder fee,
Contact name: ja..N.R._ (AA al 0 ✓i°__.- first branch circuit 46.85 2
Address: Each add'I branch circuit 6.65 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 2
E - mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
�q Signal circuit(s) or limited -
Business name: t�(/ Ai energy panel, alteration, or
Address: extension. Descnbe. Page 2 2
City /State /ZiP: Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone: ( ) Fax: ( )
Investigation per hour (1 hr min) 62 50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal f f .i . j
Print name: Date. Plan review (25% of permit fee) -
State surcharge (8% of permit fee): 0/ , 19 D
Authorized signature: TOTAL PERMIT FEE: /a A . (3
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
Number of inspections allowed per permit.
i \Budding \Permits \ELC- Perm,iApp doe 05/23/06 440- 4615T(I I /05 /COM /WEB
May 11 07 11:45a West Side Electric Co. (5031736 -0677 p.1
05/10 /2007 09:28 FAX 503 690 7954 PAC NW TITLE SUNSET 4002/003
CITY OF TIGARD
:I COMMUNITY DEVELOPMENT -�-�
i ' • 13125 SW Hall 6Ivd.. Tigard, OR 97223 503.539.4' 71
REGE ED
Electrical Signature Form
Vtg 11 2001
OITY
OF TIGARD
IMPORTANT PERMIT NOTICE BUILDING DIVISION
OWNER ,
1
Permit #: ELC2007 -00312
Date Issued: 5/7/2007
Parcel: 1 S 1250 D -10000
Site Address: 09590 SW VENTURA CT
Subdivision: WASHINGTON SQUARE ESTAY ES NO.3
Lot: 108
Jurisdiction: TIG
Zoning: R-4.5
Project Name: MURPHY
Description: WORK WAS PREVIOUSLY DONE.
Your company has been indicated as the electrical contracto' for the permit referenced above. In order for the electrical
permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from
your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to:
City of Tigard, Building Division, 13125 SW Hall Blvd.. Tigarc, OR 97223, or you may fax the form to: 503.624.3681.
If you have any Questions please call 503 .718.2433.
No electrical inspections will be authorized until this completed foam is received
OWNER: ELECTRICAL ONTRACT R:
MURPHY, SCOTT E+ CYNTHIA L t/ F PSG S'cte c L o
9590 SW VENTURA CT Z b Y I u S C- c 3 3 o 6
TIGARD, OR 97223
Phone #: 503 -381 -8342 Phone #: C 3 - Z 3 j - (S 1--F 9
•
.Reg #:
AN INK SIGNATURE IS RE :QUIRED ON THIS FORM
)
k (ail (S
1//,t6S (I c
Signature foe Supervising Electrician Name (printed) SUP LIC #
CITY OF TIGARD , . .., A
BUILDING DIVISION. PERMIT #: ELC2007- 00312
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007
Phone: (503) 639 -4171 i ' � I �
Inspection Requests (24 Hrs.): (503) 639 -4175 1' V it
INSPECTION WORKSHEET FOR DATE: 5/8/2007 , TIME: 7:03AM PAGE: 84
SITE ADDRESS: 09590 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 108 TYPE OF USE:
PROJECT NAME: MURPHY
DESCRIPTION: WORK WAS PREVIOUSLY DONE. 31\ 8; 1.-\
OWNER: MURPHY, SCOTT E + CYNTHIA L, PHONE #: 503-387 -8342
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 047831 -01 503-381 -8342 -. _" Y
Corrections /Comments /Instructions: . 1 (1 ( 0 R.
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PASS P APPROVAL .
❑ ❑ ❑CANCEL
R AIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G. 1 vOV L Date: 6-1. 6'1 Phone #: (503) 718- 2. k
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007- 00312
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7 /2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/29/2007 TIME: 7:02AM PAGE: 61
SITE ADDRESS: 09590 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 108 TYPE OF USE:
PROJECT NAME: MURPHY
DESCRIPTION: WORK WAS PREVIOUSLY DONE.
OWNER: MURPHY, SCOTT E + CYNTHIA L, PHONE #: 503 -3t)1 -8342
CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503 - 231 - 1548
Inspection Request Scheduled For: Date: 5/29/2007 Pour Time:
Code # Inspection Description Confirm_# Contact # Message
199 049123.01 603-231-1548 N
Corrections /Comments /Instructions: •
? 9b 3
VC4. 0 ?
P
•
►: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr N Qu Date: b I l fl Phone #: (503) 718- Z •
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