Permit A, CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00290
r' DEVELOPMENT SERVICES DATE ISSUED: 5/21/03
IIII 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 - 4171
PARCEL: 2S 11X8 -05600
SITE ADDRESS: 15322 SW 82ND PL
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7
BLOCK: LOT : 070 JURISDICTION: TIG
Project Description: 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: 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:
WAHL, JOSEPH M + LORA OSAKI OLIVERS PRECISION ELECTRIC CO
15322 SW 82ND PL 17035 SW HIGH HILL LN
TIGARD, OR 97224 BEAVERTON, OR 97007
Phone: 503 -639 -5722 Phone:
Reg #: LIC 41435
SUP 2539s
FEES ELE 34 -521C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 5/21/03 $46.85
[TAX] 8% State Tax 5/21/03 $3.75 Elect'l Final
Total $50.60
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: 7c.P/y7 Permit Signature: %1/ • -. ,.
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
05/21/2003 09:08 2035795907 REVILO SAINTS PAGE 02
.
A Electrical Permit Application
Datercceived: Penult n o4 &, 3" h
1';;i . City of Tigard • �� Projecdappl. no.: • Expire date:
_
Address: 13125 SW Hall 0, Dat issued: By: {Receipt no.:
City of Tigard Phone: (503) 639 -4171
O Case file no.: Payment type:
Fax: (503) 598 -1960
Land use approval: Mph 21 0�
AS I & 2 family dwelling or accessory ornmercial/industrial ❑ Multi - family Cl Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other. . ❑ Partial
JOB SITE INFOItMA'1ION
Job address: 2.. APO . . 0 Bldg. no.: Suite no.; Tax map/tax lot/account no.:
Lot: Block: Subdivision: 0
Project name: f: , L Description and location of work on premises: , . , A. _ -. P:Al. =-....•1 1.3 -. !
Estimated date of completion/inspection:
CON I KACTOK APPLICATION FEL SCHEDULE
Fee Max
Job Pot Desetiption Qty. (ea) Total no. iosp
Business nalne:aitie e, / / e ... 11 , 4 --- New residential- singleor MS -fad per
Address: ray . 0 - . �g- dedlingtmit. Includes attadtedMenge-
State Serviceincludeb
City: �_ « ,- . ,. . 1000 sq. ft or less 4
Phone: r . r" E-mail: Each additional 500 sq, ft. of portion thereof
CCB no.: / Elec. bus. lit. no: Li. — Si Limited e : , residential 2
City/metro lie. no.: _
Limited energy. non - residential 2
-
� D Each manufactured home or modular dwelling
Signature of supervising a ectriclan (required) Service and/or feeder 2 tiervicesorfeeders- inatallattoo,
Sup. elect. name (print)' e" ,,1'.' v' License no: L ' alteradoo Or relocation;
PR/)l'l:1111 OWNER 200 amps or leas 2
���� //�� 201 amp to 400 amps - 2
Name (print): �� km eJ tIl 2
Mailing address: r _ 601 amps to 1000 s 2
2
City: I State: I ZIP: l
Phone: l.'"71— 574
,: I E -mail: Reconnect onl
Owner installation: The installation is being made on property I own Tempornry services or feeders -
installetion, alteration, or reloctitiote
which is not intended for sale, lease, rent, or exchange according to 00 less — z
ORS 447, 455, 479, 670, 701. 201 arn to 400 amps 2
Date: _ _ _ . 40 to amps 2
Owner's si>�tatut'e: — '
Br an ch 6°0 ' r lts - new, alteration,
or extension per panek
Name: A. Fee for branch circuits with purchase of 2
Address: service or feeder fee, each branch circuit
I State; I ZIP: B. Fee for branch circuits without purchase kg. 2
City: of service or feeder fee, first branch circuit: / ,
Phone: Fax: E-mail: Each additional branch circuit: t I -
l'I.AN IlI• (Please check :ill that apply) Misc. (Service or feeder not tnduded)i 2
Each pump or irrigation circle 2
[] Service over 225 amps-commercial O Healeh_carefaeility Each sign or outline lighting
[3 S over 320 atrtPs -rating of 1Bt2 O Bu ilding over n 000sg ate feet four or Signal circuits) ore limited energy panel,
fartdlydwellings . O Buildirtg 10,tt t 2
O System over 600 volts nominal more residential units in One structure alteration, or extension
O Building over three stories O Feeders, 400 amps or more • Description
O Occupant load over 99 persons O Manufactured structures or RV Park Each additional ftmpectioa over the allowable to any of the above:
O Egresafightittgplan O Other Per i motion 1 i I I
Submit _ sets of plans with any of the above. Investigation fee —
The above are not applicable to temporary construction service. Other ,
$
Permit fee $ qt.. � j
Not rill jurisdictions adept credit catch. please can jurisdiction roe mare information. Notice; This permit application plan review (at _ %) $
O Visa O MasterCard expires if a permit is not obtained
J within 1 g0 days after' it has been Slate surcharge (896) $
TOTAL ��
creest a t o numbed' wi as complete. Name of eatdb tier u 6bown on ctedh end / $ D
Caidbo dews= Amount 4404615 ( 6 )0 OM)
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
- Received - Date Requested ` — AM PM BUP
Location / S3 Z Z got f 1 - Suite MEC
Contact Person r bra' Ph ( ) —O36 PLM
Contractor ) SWR
BUILDING Tenant/Owner ELC 3 —60 -70
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing 1
Firewall
/ / _i
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 k er 4 ...'
Low olt
A
Low Voltage <14...4.1)--
Fire Alarm
__ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
Please call for reinspection RE: El Unable to inspect - no access
Fire Supply Line 11,
ADA 3 d — Inspector � . _�
Approach /Sidewalk Da t e p actor - Ext •
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
•