Permit CITY OF TIGARD
ELECTRICAL PERMIT
PERMIT #: ELC2002 -00492
; DEVELOPMENT SERVICES DATE ISSUED: 9/20/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112BC 08600
SITE ADDRESS: 14796 SW 81ST AVE
SUBDIVISION: RAZE MEADOWS ZONING: R -4.5
BLOCK: LOT : 009 JURISDICTION: TIG
Project Description: Job No. 10 485
Circuits for hot tub
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: 1 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:
WHITE, RODNEY P AND GAIL T BOONES FERRY ELECTRIC INC
14796 SW 81ST AVE PO BOX 628
TIGARD, OR 97224 WILSONVILLE, OR 97070
Phone: Phone:
Reg #: ®4905
LIC 88482
ELE 3 -223C
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 9/20/02 $53.50 2720020000( Elea! Final
5PCT CTR 9/20/02 $4.29 2720020000(
Total $57.79
This Permit is issued subjed 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1- 800 - 332 -2344.
Permit Signature: Issued By:
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
Sep-18-02 08:56A boones ferry el ectr ic
,.... .. ______ , __..........._ •
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i E City of Ti ledriadPermit Application
0-tT
66 ,.. "..i .. i
gard , , --) Daaercodved:
Projectiappno
l..: Permit no.. -- /f . , ,2 irp,, - y <
ELpisethue: _
........ City ofTigard AddreSs: 13125 S" Hiiii w R 97223 Date issued: By: 1 Receipt la.: _
Phonc: (503) 630-
t •
Fax: (503) 598 N 15a Case file no.: Parma type:
r_ e• 46 ,.,
Land use approval: ff,..? . A :e TIMAt... 4. s•
. .....-rt 11-&
CI 1 & 2 family dwelling or accessorrA3VCommcuctalAndustsi
Cl !Auld-family 0 Tenant improvemeni
O New construction 0 Addition/alterationheplacement 0 Other. _ _ cl Partial
MTh SITE I:\ FORN1 NT ION
lob address: j lt -2v, Sei,./ c'' l il v Tlyo.e.(-1 B . .. no.: Suite no.: Tax . tax lot/account no.:
Lot: Block; Subdivision:
• Pro cct name: 14 h',-I 't Description and location of work on premises : 2 c - )c 4 (c»' 0 Ho # ,... I
Estimated dam of completion/I . - 'on: •
CON I it .% C• TOR APPLICATION FEL SC III.D1 LI:
Job no: 0 4- 4 5 e n Fes Max
Ihmlitti" Qt1. , Om) Total
Business name: 13 ries Fq-Cely .
. New ralafiai -sicie ortallitHima9 pre
ParidleSS: ) 0 6 a X ( 2 B . .., issilingmh. Laois gerbil garage.
City: N..../ilsorv;II't Uri DR, I ZIP: 9 7° 7 0 Scridreineladtik
Phone: 6 /3 2. - . 3 6 77% VE-mail: kcirni9. &to., r 1(44) 5q- ti. el tVg 4
3 223 Eath additional 500 ni. ft. or ponies Merest ,
�B no: -g 8 4 fi / tElec. lic. no: - __ (
_-- ...k. Limited energy, tesideacial , 2
City/me. . fc. no.. iv 14 boo 0 'Z' 9 5 ) Limitedanemy.non — 2
'
- / 8 - 0- Each manufieturad hoine or modeler dwelling
Si ., • •
r. of • • . 1 electrician (Lambed) Date 54mrice andior feeder ... _ 2
/8 5 sovicesor reacts -taseilirdatt,
alterstion or edemas/ow
200 amps or less 2
N._ Neutc (print): o4 W nl i tz 201 amps to 400w' .. -, 2
401 amps to 600 sew - 2
Mailing address: s AR . ...
. MI amps la 1000 sops 2
City: (State IMP: Over 1000 amps or volu 2
Phone: (Fax: 1E-Mail: lbleaenect only I
Owner installation: The Installation is being made on prOperty I own Temp/MEI apices re reedoes - -
indallellon,ekeralkek oereieettier
which is not intended for salc, lease, rent, or cadwage according to
p ,
ORS 447, 455, 479, 670, 701. • 200 ams or less 2 201 amps to 400 amps 2
Ownet's signature: Date: 401 Io60051rt 2
ernes - new, elteritilet,
or exteneitte pet weeh
Name: • k Fos for branch circuits whit pa:chase of
Address: service or feeder fee, each brooch cireait 2
,
may 1 Stire; • I zip; B. Fee for breach circuits with purchase . 8 ,
of service ee feeder fee, Gret bomb circuit I L K) " 2
Phone. Paz: E-mail: Eacb additional branch eiresic . / U
m. feeder mat •
CI Service over 225 amps-contreercial C1 limidocarefacility Each„pwee or brigade. circle 2
O service over no ampaester or 1&2 CI ilacanioes lacunas Each wiper outlet lighting ' 2
facrelychoillingi 0 BOAC* over 10.000 squat feet foes or VS"' circuit(*) or a limited enemy pito.
o s over 600 volts nominal more residential units in one macre alteration, or encash:In. — _ 2
0 Building over aces nodes 0 Feeders. 400 :rev or mom *Description:
0 occupant load over 99 venom CI 164.440fiesprod strect4fac or RV park Each adelittaaal basertetion over the allemehie be any aeon shoe:
0 Egressilightingptim CI Other: . , Partesjecaos i ij I
Sesionitt _sets of plass with say of tbe stogie. Investigation fee ....---
The above are mot applicable to tempoeat7 coaltractios service. Other J
Permit fec $
Na sll JerisSakols accept coldit cm*. Om* On *tided= for maw laarsolio4. Notice: This permit application
0 vLea CI Masuneard expires Ifs permit is not obtained Plan review (at ____ 96) S
creao....t.moac _ f within ISO days after it has been State surcharge (8%) ... 5 1- __..'; '22
accepted es complete. TOTAL S 5-7,
Name at owinoldar la amp o s car& alr4 - •
$
".......- -
6a444ef fignmot 4.40.r4 4.04613 414334:040
• V ■ S
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested / � �I AM PM BUP
Location / 7 q 0 / � 11 Suite MEC
Contact Person Ph ( ) PLM
Contractor &On Qp � L (:).)-:4 - 4.. Ph ( ) 6 ga 3k SWR
BUILDING Tenant/Owner 3 / '?0 ELC p[ - Od 4.69°Z
Footing
Foundation ELC
Ftg Drain Access:
ELR
Crawl Drain
Slab Inspection Notes a - SIT
Post & Beam „��� !%_ �r _ ? 1
Shear Anchors ✓�
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing f
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final � � r ��
•
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains /
Catch Basin / Manhole
Sto rm 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 •
F' rm
i I ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S PART FAIL
S E ❑ Please call for reinspection RE: ❑ Unable to inspect —' no access
Fire Supply Line
ADA //
Approach /Sidewalk Date �� 6 C /, 0)-- Inspector d v c Ext
Other: � J
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL