Permit CITY OF T I G IT'D ELECTRICAL PERMIT
PERMIT #: ELC1999 -00386
A
DEVELOPMENT SERVICES DATE ISSUED: 7/9/1999
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639 -4171 PARCEL: 2S111 BB -00500
SITE ADDRESS: 14185 SW 100TH AVE
SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -12
BLOCK: LOT : 014 JURISDICTION: TIG
Project Description: Residential electrical work.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 49 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 0 401 - 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: 0 W /SERVICE OR FEEDER: 52 PER INSPECTION:
201 - 400 amp: 0 1st W/O SRVC OR FDR: 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:
ROBERT RUEDY OWNER
14185 SW 100TH AVE
TIGARD, OR 97224 R9_
Phone: 620 -5997 Phone: ov
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT DEB 7/9/1999 $110.00 99- 316752 Wall Cover
Underground Cover
5PCT DEB 7/9/1999 $5.50 99- 316752 Elect'l Service
Elect'l Service
Total $115.50
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 -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
CITY OF TIGARD. ELECTRICAL PERMIT
PERMIT #: ELC1999 -00386
s i DEVELOPMENT SERVICES DATE ISSUED: 7/9/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111 BB -00500
SITE ADDRESS: 14185 SW 100TH AVE
SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -12
BLOCK: LOT : 014 JURISDICTION: TIG
Project Description: Residential electrical work.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 49 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 0 401 - 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: 0 W /SERVICE OR FEEDER: 52 PER INSPECTION:
201 - 400 amp: 0 1st W/O SRVC OR FDR: 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:
ROBERT RUEDY OWNER
14185 SW 100TH AVE
TIGARD, OR 97224
Phone: 620 -5997 Phone:
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT DEB 7/9/99 $110.00 99- 316752 Wall Cover
5PCT DEB 7/9/99 $5.50 99- 316752 Underground Cover
Elect'l Final
Total $115.50
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 r - -• • . • the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obt, copies of these tries or direct questions to OUNC at (503)
246 -1987.
•
Permit Signature: 1 AL Iss • - s B : ' — 4060
OWNEIe I STALLATION ONLY
The installation is being made on roperty I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: ?C 11� L DATE: 9 11 (1
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD • Electric Permit Application Plan Check# b -57 Z
,13125 SW HALL BLVD. v wsv 'f 1 ti Rec'd By
TIGARD OR 97223 Date Recd eP"� / -`r.
Date to P.E. G.--as
Phone (503) 639 -4171, x304
Print or Type Date to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit# FLGt999 - 603
Fax (503) 598 -1960 Called -7�
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business- -7 ' UENDA Service included: Items Cost Sum
Address 14 .(3 S2 (or-5 1T� 4a. Residential - per unit r I Ti-/
(� 1000 sq. ft. or less l $110.00 I (] 4
City /State /Zip �<-, �cR� ( ED . - ll 22+ Each additional 500 sq. ft. or
portion thereof $25.00 1 o o
Commercial ❑ Residential INI Limited Energy p•
Each Manufd Home or Modular (DO •
Dwelling Service or Feeder $68.00 2
-
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders aS
Electrical Contractor Installation, alteration, or relocation y • -�
200 amps or less j �. 2
Address 201 amps to 400 amps v ; ' " • �. • -- - - -
City State Zip 401 amps to 600 amps ------- $120.00 2
Phone No. 601 amps to 1000 amps - $180.00 2
Job No. Over 1000 amps or volts - $340.00 2
Reconnect only - $50.00 2
Elec. Cont. Lice. No. Exp.Date
OR State CCB Reg. No. Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Su r. Elec'n 201 amps to 400 amps $75.00 2
9 P 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. Exp.Date see "b" above.
Phone No. 4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name .. ; , 7 'A feeder fee. q
■ Each branch circuit 6f 2
Address �* S • .. ■ . b) The fee for branch circuits
City" `'t r State t✓5(Z Zip qg 2 • without purchase of
Phone No. 0.1 (Q In- C r] service or feeder fee.
First branch circuit - $35.00 2
Each additional branch circuit $5.00 2
The installation is being made on property I own which is not
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):*
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over
4 or more residential units in one structure the allowable in any of the above
' Service and feeder 225 amps or more Per inspection $35.00
System over 600 volts nominal Per hour - $55.00
-
Classified area or structure containing special occupancy In Plant $55.00
-
as described in N.E.C. Chapter 5
5. Fees: ,n
ubmit 2 sets of p ns with application where any of the above apply. 5a. ter total of above fees $ v .
porary cons services. /° urcha rge (.05 X total fees) $ '")
1 to� $
NOTICE 5b. Enter of l 5a for
Plan Review if required (Sec.3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Subtotal $ -
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK ,
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ❑ Trust Account # \ II- ,
TIME AFTER WORK IS COMMENCED. Total balance Due $
I: \DST \ELEC98.DOC REV 4/98
CITY OF TIGARD ` _ .
BUILDING DIVISION PERMIT #: ELC1999.00386
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/9/1999
Phone: (503) 639 -4171 : i'
Inspection Requests (24 Hrs.): (503) 639 -4175 ...'
INSPECTION WORKSHEET FOR DATE: 4/1/2005 TIME: 7 :10AM PAGE: 56
SITE ADDRESS: 14185 SW 100TH AVE CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 014 TYPE OF USE:
PROJECT NAME: RUEDY, ROBERT
DESCRIPTION: Residential electrical work.
OWNER: RUEDY, ROBERT PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 003523 -01 503 - 819 -7898 N
Corrections /Comments/ Instructions:
J
z ,4 riv..7
❑ PASS EZI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �' Date: 1 -3 Phone #: (503) 718 -
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 •
• INSPECTION DIVISION Business Line: (503) 639 -4171 "MST•
BUP
Received Date Requested —U I AM ✓ PM BUP
Location 1 51 1 0 /06 7-&u Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR C�
BUILDING Tenant/ fie / 1 6 a� — � ` 7 ELC / / ICS g !
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear )1. J ch, ,, I
Framing JJ �I V F
Insulation C1 q \\( J`� J n I fw\IL
Drywall Nailing �
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 451",eV/ ,�- Other: / 4�C" 5; t o l ')) y"-z
Final c ' ND's-
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab q
Water he
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
oug - 1
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA /
Approach/Sidewalk Date C a G Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from th ob site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
ns ection Line: (503) 639 -4175 •
BUILDING Inspection P ( ) •MST
INSPECTION DIVISION' Business Line: (503) 639 -4171
BUP
Received` Date Requested g'-°),6"- AM PM BUP
Location /t// n c S A v Suite MEC
g
Contact Person 4414 Ph (� / 7''
PLM
Contractor Ph ( ) SWR
41iL/
13Mid Tenant/Owner ELC 3 0 6
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain p
Slab 7ection Notes: Gt/� / G%fd / SIT
Post & Beam
Shear Anchors l �( /j� I
/.1 4 (1141e4^/ �� /
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
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
Post &Beam
as ine
Smoke Dampers
Final
P PART FAIL
Service
A t
Rough-In f /Z / d u6 PpHet. •
UG /Slab
Low Voltage
Fi • larm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA /.? ��
Approach/Sidewalk Date inspector � - Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST *-4. g.A...11
INSPECTION DIVISION' Business Line: (503) 639 -4171
BUP
Received _. • - Date Requested — AM PM BUP
Location I '( 1 Fs' f 66 pcCJ -' Suite MEC
Contact Person Rth Ph ( ) to o1D • s'J9 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation t Ftg Drain Access: - 3 6 ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
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
moke Dampers
641g1401\ PART FAIL
Service I
Rough -In
UG/Slab I"'"
Low Voltage
Fire Alarm
(t!/ PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S 0 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Wil Inspector Est
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING • Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: r____V639-4171 MST .
BUP
Received ate Requested I ' AM PM BUP
Location / 2 W 1� Suite MEC
ice. , � ' Ph (_ ) � ° � D - f 7 PLM
Contact Person
Contractor (at Ph ( ) / — 7 Egg SWR
BUILDING Tenant/Owner ELC /19
Footing
Foundation ELC
Ftg Drain Access: y , � _ /)."440; ELR aid Crawl Drain v p Slab Inspection Notes: L SIT
Post & Beam �r
Shear Anchors OW -71,k1 \ Z u � %�
61 77
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
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
atEX
Service / / f 1
oug - n /i i . AV Ai...6E
• a.
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_® PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date /CJ[/• � O Inspector —. • s Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour Air
BUILDING • Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST .
BUP
Received Date Requested 5 AM PM BUP
Location / '- / `� AT ', Suite MEC
Contact Person .'_t Ph ( (w� ) < ?/J k'� PLM
Contractor Ph f) % 7 . %T `7 ,? SWR
BUILDING Tenant/Owner v- c�►4xa 6 2 -( 2, S 7 c 7 ELC e'
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: J f SIT
Post & Beam i ���
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall 1+
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS
PLUMBING FAIL (� S f\ 16 I'� Pk l/( V 91).-A, �Q a v
Post & Beam r ,
Under Slab V��� � �� t ' 0 j
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
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Li Please call for reinspection RE: Li Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date `- Q - 2___ Inspect ' . i Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD BUILDING INSPECTION DIVISIO"', MST . ' ' •
24 -Hour Inspection Line: 6 4175 • . ' Business Line: 639 - i1 •
BUP
Date Requested t (- 7 A M BLD
Location 1' -{ f 8 s / ` Ft-u-- Suite MEC
Contact Person Ph 6 2v .S-r19 -- tr) PLM
Contractor Ph 2- — 8/5 CO SWR
BUILDING Tenant/Owner ELC . �� q Do 3� .
Retaining Wall \ ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes ��flYl .ma
Slab SIT
Post & Beam 2
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation .
Drywall Nailing / / m 441 _
Firewall
Fire Sprinkler ! — r - dr. . _ 4
Fire Alarm '
Susp'd Ceiling be /-C �'92c - '' r e 9 11 4
Roof ✓ /g
Final
PASS PART FAIL 7i—‘11 /.-r 2 � L hCe- `/?) /
PLUMBING
Post &Beam ��se� i"iJir� /sC tns 1�`
Under Slab r 4 r , 4i
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL Mr r / --- SIP 4 i
MECHANICAL 4 O� / �.
Post & Beam ! y
Rough In v
Gas Line
Smoke Dampers
Final
PASS PART FAIL
SLEOCAL �( = • , A �
ouglUa
UG /Slab
Low Voltage
Fire Alarm
Final
FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D ate >A) Other i 0 i Inspector t 4 . A f Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / Z- AM PM BLD
Location /6/45 5 -54./00 t%t Suite MEC
Contact Person Ph 533 57Z- 2/Y - PLM
Contractor Ph V 75' /776. SWR
BUILDING Tenant/Owner ELC vYk%.-
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm � v` 4 S�
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
LECTRICAL
ough In
UG /Slab
Low Voltage
Fire Alarm
ART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Otheoach /Sidewalk Date) "A Inspecto a � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 AM PM >< BLD
Location / 4( (1 (6 Z ` �� Suite MEC
Contact Person f�- 4 Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC (Q99- 3 '
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: e"uct Ptruyv eQ -(' SIT
Post & Beam p �
Ext Sheath /Shear ? f�e /" pe .
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 64F Roof Z ' 4/ GUer
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspect' Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk D ate t , - �CJ
Other Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
U
Date Requested l 00 AM PM BLD
Location 1 L i l 5 / ��' " / C , Suite MEC
�0 of
Contact Person 171 1 Ph y(.f & " S � PLM
Contractor Ph SWR
w - Sqq 7 Cr01 Rqg -00 SgG
BUILDING Tenant/Owner O
Retaining Wall g« -7X 9g ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final J 4
PASS PART FAIL
PLUMBING 6 P1 �Q S
Post & Beam �/
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
CTRI
, gervice
Rough In
OiSlab
Low Voltage
Fir m
'a
PASS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required beforo inspection. . - ity Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk — 7 --00 r
Date (/ L Inspector 1 40 ✓�� / Ext
Other p Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITv OF TIGARD 24 -Hour .
BUILDING Inspection Line: (503) 639 -4175 • ‘1 � _ 00`1g
INSPECTION DIVISION' Bus'ness Line. (50 3) 639 - 4171 L
,)/2-51 /O; 0S /30 64/ BUP
Received quested " r > �1; . M BUP
Location / / I l U0 - Suite MEC
Contact Person Ph ( <5 2/ 9 — 7 ef" 9 P PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ei g - Oa 8 eF6
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ,, /�,, - �} SIT
Post & Beam `� - .4 -c..
Shear Anchors X Cede _ /. �e� Le ,� 'y}1 --
Ext Sheath/Shear `/ 4
Int Sheath/Shear
Framing
Insulation
Drywall Nailing 5 Firewall clot S. / � 'i2 5 rv/ 3 D /
Fire Sprinkler
lc
Fire Alarm
Susp'd Ceiling
Roof
Other: (
Final i 2i c -
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 Lam-
Post & Beam
Rough -In
was Lin
Smo
Fi
ART FAIL
CTRIC
Service t.,,i (" jyy„
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
`rim PART FAIL
S ❑ Please call for reinspection RE: Ei Unable to inspect - no access
Fire Supply Line
ADA 7 / -7 / 7" U
Approach/Sidewalk Date I nspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITv OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 L _ 00/i°
INSPECTION DIVISION Bus'ness Line (503) (50 639 -4171
,3/21 <0; 06 u � 130 BUP
Received cak e quested ":7�? ° " ' � �" .M BUP
Location 1 �
/ oo d�ti i�F-lJ Suite MEC
Contact Person / Ph ( <5 S/ '7� - 9 PLM
Contractor I Ph ( ) SWR
BUILDING Tenant/Owner dri q9 - OD 2 IC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam 1 f -6&(
Shear Anchors C � Z _%� Q_ C _ „ �f, T /„ U '
Ext Sheath/Shear �� am! J
Int Sheath/Shear
Framing
Insulation
Drywall Nailing 5 Firewall S 5 Tv d ) f (, v
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: /
Final m �� r -
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 L —
Post & Beam
Rou h -In
Gas Lin
Smo ampers
Fi
ART FAIL
CTRICA ✓
Service
Rough -In 6
UG /Slab
Low Voltage
Fire Alarm
Final I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
P PART FAIL
I I Please call for reinspection RE: F 1 Unable to inspect — no access
Fire Supply Line /
ADA
Approach/Sidewalk Date Inspector / /
Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
________ __ _____ _ i
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST `-
/ BUP
Received - r
Date Requested `7 — AM PM BUP
Location I L e I W 5 l 66 mil_ 41,-t/.-Q-_, Suite MEC
Contact Person 1 4. b- -211 Ph ( ) 6 a - s1? 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC / L G�
q g --663?
Footing
Foundation Access: / ELC
Ftg Drain _� / � 6 ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear •
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm .
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
N.,..............
1 Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
I Storm Drain
Shower Pan
' Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
:roirit
moke Dampers
Adatil ti PART FAIL
TRICAL
Service
Rough -In
UG/Slab P`""'"""""
Low Voltage ' ' I p(
Fire Alarm
.; / PART FAIL RemspecUon fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S 111 Please call for reinspection RE: lil Unable to inspect — no access
Fire Supply Line I ADA ` /l Approach/Sidewalk Date ! k / U� Inspector Ext
,Other: a
'Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
•
\1
MST — Master Permit q g ? — oo - 3g6
. 4 Inspection Description Date Passed By Notes
Vial.,.._ - -= - V 7 o F sew #
a t
E V. D 2. G— &
- 2 ' - _ .a2.vTJ , LB - 751 1 H " - / ` ,.a.
• �,,,._IP v r K y / -_C
A , ,:i.:r n .ing —
Un.- m sulati •
r �� / /
Po • . • ,
- :
71..ut
ir .4 0110:0 ugh -in
- . ca • - . -
Low volt.__
r e roug
Bac _„„„.,.a
F oo• fir Ma
- ome set -u. —
' tio.
_ Ra'... • .
S. rtary se. -
r.t " . • -
/ r eeC- .'_ • -
Gra- . mal
A Mechnical- `rrrah"
a P • _ •
"'° ca mal
Fi '•
SWR - • er Permit
-4 Inspectio I escript • _ Date Passed By Notes
Sanitary sewe � / •
Final . J• ection limitii►�/ , A 7
ow malg - '' ,• � _I*" ` ir may - - ,_ co 1) c e
r '' -.:." ......-■• - ..diatillill ro -.- - 17 - : ' -'.-7 : 16":0170P 7!..F. F.,n 1 eT -3 /Les.
„.„___,........ :__ ..._ „,..,.1 _.............._•!,.......51R
Inspection Record — MST (Master) Permits l/K
is \dsts\forms \InspRecordMST.doc 04/17/01
BUP - Building Permit _ ELC - Electrical Permit
4 Inspection Description Date Passed _ By I Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls _ Wall cover
Footing drain _ Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab _ _ Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural _
_ Shear walls /anchors ELR - Restricted Energy Permit _
Roof nailing 4 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
4 Inspection Description Date Passed By
Drywall nailing _
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils
Welding Lab Final _ Mechanical rough -in
_ Concrete Lab Final Fire damper _
Duct work
Bolting Lab Final _Smoke detector _
Structural observation Mechanical final
Fireproofing Lab Final —
Final inspection
PLM - Plumbing Permit
4 Inspection Description Date Passed By
BUP — Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
_ Water service
SIT - Site Permit Sanitary sewer
J Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection _ _ — Final inspection
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts \forms \InspRecordBUP.doc 04 /17/01
C I T OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC1999 -00386
'''-'1 , I �, DEVELOPMENT SERVICES DATE ISSUED: 7/9/1999
"-'' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 111 BB -00500
SITE ADDRESS: 14185 SW 100TH AVE
SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -12
BLOCK: LOT : 014 JURISDICTION: TIG
Project Description: Residential electrical work.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 49 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 0 401 - 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: 0 W /SERVICE OR FEEDER: 52 PER INSPECTION:
201 - 400 amp: 0 1st W/O SRVC OR FDR: 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:
ROBERT RUEDY OWNER 1
14185 SW 100TH AVE n
TIGARD, OR 97224 fy £ / 4/ /
Phone: 620 -5997 Phone: \' + Cyr,
Reg #: 4 i,
FEES — Required Inspections ( A Type By Date Amount Receipt Rough -in \
PRMT DEB 7/9/1999 $110.00 99- 316752 Wall Cover
Underground Cover
5PCT DEB 7/9/1999 $5.50 99- 316752 Elect'l Service
Total
Elect'l Service
- i 4
$115.50
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 -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:
0
OWNER INSTALLATION ONLY O
The installation is being made on property I own which is not intended for sale, lease, or rent.
kji OWNER'S SIGNATURE: DATE:
(lb
CONTRACTOR INSTALLATION ONLY
6
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD 5/19/2006
5:29:33PM
13125 SW Hall Blvd. Activity Listing
,i 1I Tigard, OR 97223 503- 639 -4171
Case #: ELC1999 -00386
See 1 —00 //
Primary Name: RUEDY
Project Name: RUEDY, ROBERT
Site Address: 14185 SW 100TH AVE
' DATE DONE
CODE DESCRIPTION DISP DONE-BY NOTES
(king Order)
530 Permit expired by limitation 4/1/2006 DONE AMS Expired by limitation effective 4/1/06. Last documented activity 4/1/05. Met with owner on -site
4/4/06, plans to continue work at unknown future date. Roughed -in circuits appear secure, found
no exposed and live terminations. Work may not resume until new permit received. Please retain
120 Electrical rough -in 4/1/2005 PART HFY 003523 -01 - 503- 819 -7898 - VM - N --- 180
700 Rough -in 10/4/2004 PART HFY Attic fans, circuit 9, main panel.
730 Elect'l Service 4/4/2003 PASS TLP Sub -Panel IA
700 Rough -in 11/4/2002 PASS FG
730 Elect'l Service 5/3/2002 PASS HFY sub -panel #4.
ask about 50amp plug at panel.
510 (F)Reprint permit 5/1/2002 DONE HAP
700 Rough -in 11/7/2001 PART FG Pass on sub -panel #2 only.
730 Elect'l Service 12/20/2000 PASS CD by BRP
920 Miscellaneous action 9/25/2000 FAIL CD not ready. owner still working on project & will reschedule when fmished
730 Elect'l Service 7/3/2000 PASS BP TEMPORARY POWER ONLY
845 Request inspection research 6/8/2000 DONE AKJ
920 Miscellaneous action 2/18/2000 DONE JMT research inspection request
725 Underground Cover 1/7/2000 PASS BRP
500 (F) Issue permit 7/9/1999 DONE DEB
115 Approved plans routed to DSTs 7/8/1999 DONE CD No plan review required.
117 DST Post - Review complete 7/8/1999 DONE BON
400 (F) Ready to issue 7/8/1999 DONE BON
003 Permit created 6/25/1999 DONE DEB
102 Plans routed to Plans Examiner 6/25/1999 DONE DEB
001 Application received 6/21/1999 DONE GEO
720 Wall Cover
CaseActivityShortForm.rpt Page 1