Permit CITY OF TIGARD o ELECTRICAL PERMIT
/ PE RMIT #: ELC2006 -00744
COMMUNITY DEVELOPMENT DATE ISSUED: 12/29/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S135DB -04700
SITE ADDRESS: 11435 SW 92ND AVE ZONING: R -4.5
SUBDIVISION: DOGWOOD RIDGE LOT: 007 JURISDICTION: TIG
Project Description: (4) branch circuits for outlets, WH, washer, dryer. Replaces permit ELC2005-00362
Job #T24029.
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: 3 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:
KERRY GAVETT WEST SIDE ELECTRIC CO INC
11435 SW 92ND AVE 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Contact #: FAX 503 - 736 -0677
PRI 503 - 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
CITY OF TIGARD MENU 12/29/2001 $66.80 LIC 13306
[TAX] 8% State Surcharge 12/29/2001 $5.34 SUP 4654S
Total $72.14 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:
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.
_ . . 4
Perm
==.
Electrica ...-,
C.---.)1- .' tif
Electrical. Permit 1. _ic vi _
. AO ir4tt - r - 'ElDii ) FOR OFFICE IJSE ONLY
■
Cily of Tigard 1 1 ( ::::/ i l Y t ed : .. ' -, .-1‘ - PL-liz-' Pe
1.)12:■ SW Ilall 1 - 11 vd- .1.i UR 97221 /DEC 2 9 2006 ,.._
ph... Review . . .._
PlIa 11 it.: 503.639.41'21 I•Ux: SO) .) 1')
19 Othel Permit:
* Datelly:
lie:peetion Line: 501.1.1.19,4175 „ ori I Dan: Ready/11y: Jul! Ed See rillw 2 loi
, ; ,..
Itit,4•nei: www:eidigard.or.us CIVIL A ur iikj ; -s , -,. '• Nutinotimethod: -- s.pokuten121 III labecnn a - .L. .. ... . ..
....--- .-..., -
. .. -- .•-• • - • ..
. ...- - ( VV/040 4 0 . 0V nrqTaN .--- ?LAN RIWIEW
L] Ncw cuwilftwiluil ddition/allciution/replueernent Please cheek al' t apply:
OServiee I Nix 725 amps, e4n11111 I OIL:Lod,. /a lc:alit/It
II Den InIttiOn ILl 011iCr:
..... --- - ...._ ... _ _ - ..____. ....___ _______ . _. vice over 320 :ma's -• lasing DIJUildlT 4)wr 10.000 N.I el..
CATECOlt V OF CONS-11tUCTION ur I- and 2-funlity dwellings 4 or name new icsident
I - and 2-family dwelling 1 Conunereial/industrial n Accer.sory building •units in one :in,,,tn..:
1T1Itoililing over three storie5 01:ceslers, 400 ;imps or item,:
I....) Multi•Ilimily _____ . I, J (A aster hu ili ler ___ 11 Other:
• •---- -• 1:10ccupant loud 0 vcr 99 peritniS I .1moitil sit an: aul ,•:: Or
• J 0 LI Si INFORMATION AND LOCATION 01.1gresdlighting plan IW park
, , .., e..- ,-.
. ' • _ ... . . 1,11 ICNS: f . ...-
,It AI 110_ 5 2 Li 02 Job ilt • du 1 / Li > -> L 2 - L .10tlicr: ..
1 . . .
• • - - • - -- - -- .. - ...-.-- • .1. -- - ..-. Ne.&.- • . - - --....-. \e....._.. submi, -...,2_ sets of plans with any a Ilu: olmv,
CilyP3late/ZIP: ( 1 ... A The above aill 110( aPillICUIllt: to htinPlially C, Sel IC
... - - .
... ..... - . . . . .. _ , • ---.--. • ............-.- . ______. ... ..
- ..--.... .-.. . . . . .-. -.....
rEe SCIIE1)111.1..:
Slii Le/ bldr./apt. lit, l• rdIceI name: 6
“ LL,2_ z.L. Orwrilulysi 1
04
f . .... .
elVSS SU %.:il/dil'O;(1011:: 10 j01) Ntic; New residential si1iiie- or multi dwelling unit.
_._..
- --- --• • ------ •-- Inellides utiached garage,
-... _ .. . ..._____ _. ... . ....- ---.. . .
1,000 sq. ft. or lanu 14N.15 .4
. ... . ---.. - . .....____... . ..____ _._.. ...___.... .. . .._ ..__.... ... ... ...._ .. _ ___ .. ..._.._ ..
"illbdiVi'llnl•
I -Of I10,. Ea afitrl SOO S4.1 ll or portion 33.-10 I
--- - • •
• • -- ------ • • • ••- . -----
---- • - - Limitod encra, residential 7S,00 1
.
'nix map/parcel nn.: _.
-- ----- • • Limited encre.y. non-residential 75.00
• --•-• -- • ---•-•- •
. ,
DESCRD`TION OP WORK. liaeli mantillietured or modular
____ . ....
ilwellin , service atitlior letuler 90. 2
q e'tie . Lt. - t l
o . ti . 1,t 5 ti.v,. Pv.4 i l ■i" Services or feedeeLl illallallation, allernti011, nildio relocation .....
.-...-._. -
;jNITP-- 1. ri...c z_co‹ - 003G 2_ 700 amps or lens 2.10.30
- 2
s OWNER 0 TENANT 201 A
I urp511.■ 400 amps
-
-- --• • - 10(00
--------••• • • •-----.-- -
• .._ 7 _ 14 ._ . ,r
• • 401 amps lu WO amp.% l).0 ?
_
--. -. --- -- • . • - •- -
Nmliv.
(.01 amio: hi 1,000 ;imps 240.60 /.
Address: . - ) Over 1,000 a mini or volts 434.65 2 • • - ---- • - •• • • ly - e . ' a yvtzt_ Iteconnec t oil
- 7
--__ .. ... ............___. . •.
____._ ._. .. • •-
City/State/ZIP:
Temporary services or feeders installation, alteracion, a od/or
. ..._ _ _... _ ._ . _- ___--
oca
lank.. ( c 05) l'ItX. ( ) l ... __ ...
700 :Mips or less 66.145 l
.... _... _____.... .... • - - ------- • . ----- .. ,
Owner installation: This installation is being imule on property that f own which is not it)] 400
amps to amps 100.10 _
it 'tended for sale, le:ase, lent, or exchalige, according to ORS 447, 449, 670, and 701. 401 amps to 6011 amps 131.75 2
°woo signatuie: Date: Brunch ne.w, alteration. or exteiminn, per panel
• • - - ---- ---• . . ......_.. . . __ - • Br h Circuits • ---- -
0 APPLICANT
I 0 CONTACT PglISON A. Fee Ihr Nna
a citends with
-- ----•-- .- ------- • service or feeder lee, each
6.65 i
llosineSs manic: .
branch circuit
-•-• - -- • -•-• - --- • • - --• • - - 1J. Fee for branch Cifeiii1S
COIllat:1111.1111C: •
Wit/11.00/ !:CPViC.0 or jneder fee, (
46.8", tit
.3
.--- • • . - .--- each blanch circuit
Address:
Each aild'l branch circuit
-5 6.65 jei ti 2
City/Slate/ZIP:
Miscellaneous (service or feeder not incInded)
----------• ••-•• •• - •- --- --- - • - ••-- -- P
• ---•••• ump or irrigation circle. .5 3-10 ,
Phone: ( ) [Fax: : ( ) -.
' ' - -•- -
- • .._ __ . ...- - ----. .. SIgilnr nullity.: lighting ,) 2
1
Signal Circuit(s) or liMilC(1
- -
-. " . -
CONTRACTOR 42111:111Y pOnel, alteration, or
---•••- -
extension. Describe: Page 2 2
Ilusiness name: West Side Electric Co., Mc. -
... .-- ... .. -
A th'lres; 1834 SE -
8 111 AVE. FIncb additional inspection over allmvable la any of the above
-• - - • - - •---- . - ---- • • • • - Per inspection 62.S0
( PORTLAND, Olt 97214
Investigation per hour ti brinin) 62.50
I
i'llutic: (503) 231-154B [ Fax; (503)736-0677 Ilidusnial plant per hour 73.75
-
-- ..---. ELECTRICAL PF.12(v11T PEEN*
.. Subtotal
. • •
-
CCU Lie.: 13306 1 Llectricu ...- 26-135C f . wfv)ik..: 631 . •
__...._.. ---- . - - ---
SuprV. Floarician signaitire, require . a i „,., 4 „, i ., 7. L >/
.,. .. : Plan review (25% or permit fee)
-
---' --. ----... .......
Slate Nolen:Iry (Si;, orpennii fee)
•
Print num - ' L -.) .
._.,..,..4, ...., '‘ tpe..• ( 5 Dlt:: 1 .?... I 7 cy A b
& 0 v
---- -
Turn t., l'El:IMIT FEE 7 L i /A •
_ .
Authori/.ed Signature:
This pOrthil application expires if it permit is not ntuuined within tm.I
-----. . .. _ .___. • -
doye one. it loth been accepted as complete
Print Millie: Daie: • Fee methodology Mt by ni•c" SCIViCC11oUttl
•
• - -*•-- - --- --- " Number of inspections pct 1)01'61 allowed.
I IllmidnisweinuisU-.1..C-.1' %kw 12/01 441.) .1415 ED
s • d L.L90-961. (COS) '00 OT...M0OT3 OPTS asam eLS:TT 90 62 Oaa
12/26/2006 15:02 5036243681 TIGARD BUILDING DEPT PAGE 01/02
Community Development n
Building Division r�
13500 SW flail Blvd
Tigard OR 97223 •
Phone: 503 - 639-4171 TI G A R D
FAX TRANSIVIrrTAL
FINAL NOTICE
Contractor: West Side Electric
Permit Number: ELC1005.00362
Owner. Gavett, Weston + Kerry
Site Address: 11435 SW 92 Av.
Date: Dec. 26, 2006
A second notice was faxed to you with regard to the inspection worksheet attached.
The second notice was faxed to you on 10/24/06
We have no record on file that the defect(s) noted on this report have been corrected,
and it must be corrected. Also, per OAR 918 - 309 - 000 (7)(b) the permit issued for this
work has expired.
This does not preclude the necessity to conform to OAR 918-309- 0000(8) and obtain
a new permit to cover correction(s) to the suspended work
You are hereby directed to apply for a new permit to cover the correction(s) noted on
the worksheet attached within 10 days of this notice. Failure to do so will result in
your being in violation of City of Tigard TMC 1.16.410.1 which carries a maximum
penalty of $250.00 per day.
if you have questions concerning this notice, you are urged to contact this office.
Gary Noble
Senior Electrical Inspector
503 - 718 -2446
Fax 503 - 624 -3681
Email: garyratiigard- or.gov
9 ' d LL90- 9EL I EOS I '03 0I - Moe 1 3 eP! S .asaO eLS : T T 90 62 oaa