Permit CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES
PERMIT #: E -00531
DATE ISSUED: 8/25/03
25 /03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 25111 DD -01000
SITE ADDRESS: 15800 SW 88TH AVE
SUBDIVISION: STRATFORD ZONING: R-4.5
BLOCK: LOT : 048 JURISDICTION: TIG
Project Description: Furnace and heat pump
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: 2 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:
KNUTZEN, DAVID W + CINDY B EFFICIENCY ELECTRIC
15800 SW 88TH AVE P.O. BOX 872791
TIGARD, OR 97224 VANCOUVER, WA 98687
Phone: 503 - 620 -4811 Phone: 503 - 805 -5821
Reg #: LIC 101543
ELE 26 -878C
FEES SUP 3003S
Description Date Amount Required Inspections
[ELPRMT] ELC Permit 8/25/03 $60.15
[TAX] 8% State Tax 8/25/03 $4.81 Elect'I Final
Total $64.96
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1- 800 - 332 -2344.
Issued By: i( Permit Signature: / / ,A / �,
•
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
C loctrial
Electrical Per R . „ e 'n,tt N ac , �s.L. - •_ -
-� - s
i tan ntl;$ A z
City of Tigard Contact 2003 it��i + -- ....__ Other Other 13I2� SW Hall Blvd, AUG 2 5 iiatrli3y': - Ycrmit NoJ ____ _^ ___- -- -. _�
L
Tigard,. Oregon 97223 ross•#rsvi L y.;
Phone: 503- 639.417 Pa> I b C b ;
t p - I)at %� .,- ._....... -_ ._ - _...... S kiln x for
# ! ' 1ut�s. ky P
Internet: www.ci- tigard.o$UILDING DIVISION a f �^, . C ._ (�onri ` ^
24- luaus' Inspection.%(equt:st: 503- 639 -4175 1.- -• _._.- _- _.,.., __. ( 4t:i }I�te ri jOVJj'rt7atlRtt.
ne,
.... :!' — - - -_. ic,c over 225 am � "#'1
New construction _ - - -_ L l L.r no i ;,cirnereiw; 0 Na +utc . l�uat;Dn
t i 3, ,ildin ever 10,000 square feet. !
- - - � , ` Ctlt Other: - _ Sc, vICC Pvc:r 311; k:t?�s•rttiuZ, C 0 $
, ____ wnlalter. atio.�re lacem 'T-- " t & 2 1' 04:I 3 i:l.
0 ttS f.,ur c ,r nu more residential units ,n
T
..: � :i.`�Q>�.i� �;.�..CT[QN` °��`_ °''' :. , 5• test <u�'errrii}vt l+�n(t;1ina1 u n.+.tt'ttcu v�
r P Y rJ Fnedars, 40p amp <, t more r
1 tat 2-Family dwelling_ C:otnrncr ---- -- --.,---------r--- J i C g„iioi,tk /CT three 5lurics t
A.eceststyt' F3rtildinb Nlull.i- ^ a n t,P, i,�ad e ven 0 pera�:n, { a t nuctusr - s or ktV park
!
r -- . �! ...._.- t b5 i�t,tinE nisr f ( } titer:_.._ .__ • •__._
‘ii.___
Masttr Builder _, Submit seth ut'ittans any' afthe ldtave.
3tllor
"n`7:??F '' I 'S" ''r� 6 ['- i', 1 �►S �J, . i- -1 I • �^N�• ■ above are :tom Y S `Ili 'testae 1D Le,A rats ' cDetslruGtiuo service. Job L ..Y µ. - - +i` ,♦� .. : 1; (r +.7. / ^ / � +t (y J�[j I I . � . / .. ^� ltl� # , ��- .. 7 P.xto ,••-'r 17 7, ,ro - •∎• .�' •
.. Job site address: /flop _ ..L.7 � S� c . ... d V T ..� 77 - '! ,' r: , :,,,�f � ��:: •. .,'�f t• i d" , f� �vr
e
�°--- °--�� -• - , I 'M... !�uEnlier'>iCins�e �er�er 8
Suite
•• -- - #: F1s�. / Apt. # - - -, . -- :1,, ^._ •
-- Aescr[ liau Qty Pee (ca.) 1'atal . � _. :
Project N me _ -- -- - • N rcride t- silr Dr, netW- tatnl per
Crass t ection. fo jab srte:� - dWEE #!n� uoK. ipCtlitEeS ug atl acbaK! tlar
C if eSS f / /G� /�:S , serer raid:
�4 5 f6� i(ltl(} sr1. k. or pcaci 1.
c lass_. _ -. -_ -. -- -- -�--.— - M -
1 ts.:s 4
1 aLh additional itN} • it- oily6on thcredf -.•.. _
.l3.Att -�' ,
_ _ -.__ .._. i�~ rea l
_ rviaion: -.____ — a_ #: _,� - - -' -- i l l _ , iS- tial 75,00 W _.. !
_ - - - - - -- -- - •• - --- .- t.itrttu�d c,�e�y, no,, t�a•: . ,
Tax ma al areel #: __ t:aett manufaemed wow OT ;nodular dwelling •
_ ,. -..._, _ v e and c 1 e 90.90
u a Y .-.�, --- - . - %i &m ice i , feeder
!!‘::::2 df':: li! " ^ . .,;i 5:,; x;':" t _ n ✓ t 1 CJaa �. . � ::a n..•- I. SerYkes ur det - initoe, 1
c l s�OG� I-i _t'i �i :v .✓� _Id :iteration Orrelocation: —Y _ Sti,3t) '- '"�— 00 nm ur lwt. � _�. '- -- -... -- _ 0 1 acc r� m 4W arty _ -. ,._... .. _ lOG.65 2 O 1 a mps t fix: _-- -- _ - 1 110-60 2 ' "�'` 01# ant _ ? aQ_GU Z r:7 «. -' 7.., ; , noon, . .,.., rid to00 uropx 240.65 —• Z_ ' ! E 4i {: ' .t tv � ' ` ;t ' a. % ._ .',:' , � -- - ?rc 1000 t Gpi Or VPliy stillA_ pG.$i 2 Name: ul1 b {,v ,_ 6N____--.- _- .�.., —.._ y . ��� , ouparary Services or feeders - lnstaltatian,
l
---, - - -- - u t �_4 6 Q.� - - �t!b� _..,.�- .._, , ... ,, -- - - - -.. _ lteration, or rclacationt
T,OO Ands PY ICSF 66.85 )
City/State/ TEG A_ rleg- _ _� 1 sn s to 4(!t) amEw — : _ � Phoni U • / w ax: r , .,- . t
4�tD60Uam -- 133.75 _
r ' ; • "`^ ` "' .ai C?i�T' -1.. ;r Branelt circ uts- new. Alteration, or � ..
extension per panel:
. :Name: ^ -- —. — ^ ^ -- -__ A. tee ftitr Mach chants with tuac of .y
q g ervi ;e 014 tCOde O�� zaeh brand circuit �c 6.05 - �, � , -AI
• Address: -- - - - --- -_ .,._._..- �.._
•� -- i F. }lea for branch Circuits witht purchase of
• City/State/Zip: -' -1 k service a ur (seder fie, first bhu ch �ix - _ V. / ,,,
Phone: Fax: ! - •
_ I Each additional bratich'ciri'Uit -- 6.6
_ _ :4iscovvics: or easier not included); r- Z
h:-mail ^- - .. - -_.. ,, .«., . -- +^,r T-.. f+�talt um nr itrif sti sn circlet ° — 53.40 I -
" t'1 r s ••:sins~ S ""1 7: (�... . - F - c g 53.40 •
; 2 .I '
i s : le � 'r : A . 1.' '
d' ') . ''i:•7 ' .:. ; ?'���:: . .z' ".e.� - .17:44:h sign outline utline ihan' - - '� 7
noo - r
: %�" _.....- _��
ilAtt
Job No: S1 I citcuit(s o r a limit.Cd amp panel. 2
alteration, m extension -_._. _ - - P3Y`? a
Business Natne / Ciar yG Y•_ �tS ��. _-._. _. ___, - ik ripuo-n`: _ __ -
Address: o r, ,�b� _ 7 � -,1�1 . - -_ • - Each addiilarta1 ins oYer 1 St: iltaw:atie In Yn of Ih t ab ove: ____
CA /State /zl • : [JAI A".< A 0./ s -._ f� rx in otiws tat I,utar (min ! la<�urt , __ ,, ..� 62.5{1 ;
(nvyA,, in 6 I 8x: old g_ ?G 32 -- o...:: _ - - > . - • CCB Lie. #: o /,TL. Li cJ # : � _f Z '..- _.. ._,..� �'',', - ,r- :,'• -' .,• ,, r r� t� r e :'
a, __ Subtotal 4 /
_ _ _ �
Supervising electrician (9 Subt
�- — ' - -
j �P ian Review Q5' of Permit' 'Fee I;
i • . attire re • uired: - -'- •-- -•- _. .... - - _.._ r en _ � � ; -
c. �f ^ = 5 vrcha! 3
' - -. State S c % of Permit 'Ise $ . - .__`. -_.
Print Name: 64)6 G ✓ - - _ . IO i : PF.>Etlti [ F $ ..r
L dava after fralico :"l'hls permit application expires if a permit is out obtained within
Si oture -' - -- 6 - 7 &# it -has been acaeptes# is complete.
� Date: - -.._ 1
Sig/dilute: flew ul2titedOi00 sct,by TA- County Building Industry Service Board.
- ~` (Please print narnc)
,.._.. n e.•.r,;. ruirins\1?IcPermitA.pp.doc 01103
CITY OF TIGARD 24 -Hour
BUILDING Inspection Linei 503)f 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
G BUP
Received Date Requested % 'o AM PM BUP
Location S' 7 0 &g test. Suite M 3 - DO 9j
Contact Person P Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/ 447 i / / c ( ELC � j
- 00 Sir
Footing • s 1 =� 6x 0 -4 O // ELC
Foundation Access: ��,,� /�
Ftg Drain C v !f I' ud ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors C e /
Ext Sheath/Shear �'ZJ
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler Fire Alarm .
4.61MI � �' ` _�,1� ��i� 1�`Lyh
t \m /,,:
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
PAS T FAIL
CH NIC'
Post & 6aam 1
Rough -In yy I
Gas Line
Snl
,e Dampers
IMO PART t 7 %1 \ t j
RI 1
Service
Rough-In
Py
Low Voltag
Fi - Alarm
4 �• Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE 0 Please call f • rein- • ection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA L
Approach/Sidewalk Date ° � Inspe • /1/ QA.' A Jr..:.‘
Other:
Final DO NOT REMOVE this inspection record fro the job e.
PASS PART FAIL