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Permit (7) CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00299 IjOi� DEVELOPMENT SERVICES DATE ISSUED: 5/27/03 .44 ��� I � 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 1 S135DD -00800 SITE ADDRESS: 11847 SW PACIFIC HWY SUBDIVISION: HOFFARBER TRACTS NO.2 ZONING. C -G BLOCK: LOT : 022 JURISDICTION: TIG Project Description: Install (10) branch 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: 9 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: . SANOKEE CENTURY ELECTRIC LLC - 375 NW GILMAN BLVD STE C -203 PO BOX 10646 ISSAQUAH, WA 98027 PORTLAND, OR 97296 Phone: 425 - 391 -0570 Phone: 503 -429 -4218 Reg #: ELE 5-51C LIC 146978 FEES SUP 4804S Description Date Amount Required Inspections [ELPRMT] ELC Permit 5/27/03 $106.70 [TAX] 8% State Tax 5/27/03 $8.54 Rough -in Elect'! Final Total $115.24 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 (5e r 246 -6699 or 1- 800 - 332 -2344. Issued By: 44/,44_0( Permit Signature: 11 ' _ 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 639 -4175 by 7:00pm for an inspection the next business day Electrical Permit Applicatio n ,_ . • a -o p - E. OD3 oo,;_R" City of Tigard IRgiallill Ow' 13125 SW hall Blvd. base • Tigard, Oregon 97223 RiiiiIIMIll Pamf No.: Phone: 503- 6394171 Fax 503 -598 -1960 _ ' ' Lod Use IR Case No.: • • Internet wrww.eieigacd.o us =_, ' -1 i Contact See Page 2 Ise 24-hour Inspection quest 503 -639 -4175 r0. lMetbod: . .rrllc.`t.'feC'iS_ r• LY s ;ZiF ,��v�f�l T�IC.:.�: '.__?� � ���.', S _ i i i Service orw an s- r ired0lcJre NEW y f• New caslsttueti� It Demolition ■ Ie.rtoo • 0 Additions torah - • t LU Other: p Service ova 320 for O r 10.003 square Oat. ' ' .,- .r7 --: Y & (unity dwellings f .': Y :. i��f i:♦•�G :s „ ti � (a] ,�:' tR 2'�a'r• 7 """"n' � era �Q i oats ■ • --'i 111 r .'7• i.��.?" I1.•i �. *.: Spam over GOO vokenominal ono *wan - Budding; ova date stories O Feeders. 400 some of more II .L.... : nF _ N Multi-Family a Mr 99passes ❑o� M.emed smarms erRV - (I Master Builder _ • /Other _ O ova: Job site address: // FPI '' .S6r✓ 'a e cf , r y - N = ' -r �° = - . - c. , < } 4` � Suite #: j Rld #: I:ebb Wet , : . ; i Nam X 7. I LI I Ti ml II ' • - olV WEST Cross street/Directions? jo se~ Hof �4r�b� II b it dr ret n sale. bla des attacked irate. "MU__ a-i , 4G C r s'nia o a alas MIS 11PF1r7"-TT.'17113:111 M111111111UX711 MINN RI Subdivision: 1 Lot 11: a C� - .. -- . 1 • ©� El T ax - ...4.... #: _ �, ..... , : , . e„, ■ :,771.7W1,1:1-7:-.::,k- -- I . I Jr �' ' - - . - _ t ' -, u . '. - liar --7 - Swabs er Wm. __ III shandies Or PI 8030 N 201 _1.. ►: !♦ _ - J MIMI Ii 401 to ! , IM MO= 11 Name: _. Om 1 _ .: mi. =MAI tamer t© Address: 'resPerars - .. .Il City , : , : r watl,w Phone: 1, Fax: � _ d4ao �lttidi7� r = ^ :1- �.- �t:E._: �ilteW E7: ..1' _ -_- y- -_c`-` �i#+ Are &aelei dm", • YsIb amain. � �'•f1e'� - e -. NUM: A bask eke& w i t h of Address: re vies sr ,_ meli • • . • cheek &a e Pee e - .:. of Q (-W. City/State/Zip: a or tinder sit ooa►o+em .sari PI Phone: I Pa= IF,= '•'Si --'r t ■ tiilil<r'- It mcri h E-mail: y *scowl= Q teeaaoot' N II J ob No: � © Business Name: C, NTLe / E L Ec 7 C- �_ ■ . Address: PO j0 X l o Raeaadatbeal , • , ., aver On is , d City/State/Zip: Po rt( r► , 0 f-- -, 7 Z �' tTZ=n==II, .: ,.1111111=1 11= LTi � � Nil y ,o ph one: So3 i /Lq z(8 Fax: 5-43 11e4 q 30 . $ t mom mom IN -' GCB Lic. #: C q R L # : S S/ L` x ..€ ._ E:'_ - - ,- n W Supervising electrician _ �n=FT�� j , �-.. l t required: �Lr'l.r^"'I signature Print Name: 7 r-r • et I Lie. #: qSoci - --✓0.:r*- ,3':,_tza. _ _1 to _ / 0.V TOTAL PERMIT FEE 11:11111MWM1111111 p°de°ized f ` 6 O Thk ponds agspliemIon fires Bra pen* to eat �lned Simoemwa =; j. / i Data � resisoklegy Way' misIditg Won, Service Board. ., - , a /- . - (Ptwse print mutes) t•�1DelsWerrtil FomnEtcPaeftAwdoo 01103 TIGARD 24 -Hour f �• NG Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 / !L BUP Received Date Requested �P ° 7 AM PM BUP Location / / 8' Suite MEC Contact Person ' Ph ( ) ya` 9 - ti a-ief PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC f3 "0t) ,Mq Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing I U `k_ \(� %k l� V v , _ . _ 1,0 Insulation Na. ♦ � , ` ` 1 ' d Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL / PLUMBING �/ Post & Beam Under Slab •. Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm PA 1 PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line / ADA Date s� Inspector ector /�i� / � Ext Approach/Sidewalk p � Other: Final DO NOT REMOVE this inspection record fr i the job te. PASS PART FAIL