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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2001 -00034 L �; DEVELOPMENT SERVICES DAT ISSUED: 1/19/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134DA-04700 SITE ADDRESS: 11355 SW 108TH AVE SUBDIVISION: DOREEN COURT ZONING: R -4.5 BLOCK: LOT : 004 JURISDICTION: TIG Project Description: Installation of one branch circuit for hot tub. Job No. S3001 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: HUMES, DAVID E + BEAR ELECTRIC POTTS, MELISSAJ P O BOX 389 11355 SW 108TH AVE DONALD, OR 97020 TIGARD, OR 97223 Phone: Phone: 503 - 678 -1355 Reg #: LIC 20919 ELE 24 -107C SUP 3162 -S FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 1/19/01 $46.85 2720010000( Elect'l Final 5PCT CTR 1/19/01 $3.75 2720010000( 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 -0080. You may obtain copies of these rulet'•rdirect questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE /. `�� � A l ' ISSUE B 1 / f_ji • r O 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. EL / EC'N: 4 /' d % % iii DATE: LICENSE NO: 6 /l'OaS Call 639 -4175 by 7:00pm for an inspection the next business day JAN 18 '00 12 :38PM P.1 • • ' Electrical Permit Application / Datereceiyed:I /9 -47 Permit no.: / -.o Se • . :l'i+ City of Tigard Project/appl, no.: Expire date: Address: 13125 SW Hall BlVd, Tigard, OR. 97223 Date issued: By: Receiptno.: City of Tigard Phone; (503) 639 -4171 Pa Payment t ype: Case file no.: Y Fax: (503) 598 -1960 - Land use approval; 7 h Pt of PElrnlrr GI 1 & O Multi- family cnant improvement 2 family dwelling yr accessory ❑ Commercial/industrial ❑partial O New construction 0 Addition/alteration/replacement 0 Other; .10Il Srrl INE01110,11 ION �j _ Job address: ‘,1, " Bldg. no.: Suite no.: Tax map/tax lot/account no.: Lot: [ Block: Subdivision: �� , Project name: 7Description and location of work on premises: G j ri t 4. - Estimated date of corn •leti.on/inspection: cj ... cON7 it:\CTOtt : \Prim vs toN III: Sf'1IhD1 I.T neat Job no: ft • De seriy' • + s . mi. Total no. Ins Business name: t . ear ,h LI C New -. ∎ deial.- singlearms1H-Gtmllyper • Address; ) . • . C ► _ i' dwetiegieit . Includes attached garage. . T �� `1 Setrioeincluded: City: 1 1000 sq. R, or less 4 Phone: t ; • ' " a , E - mail: Each add►tlo r l 500 sq. R. or portion thereof CCB no.: 0 %I q Elec. bus. lic. no; , - 1b — LC Limited energy, City/Metr0 lie. no.: Limited energy, nonresidential 2 ate Bach manufactured home or modular dwelling 2 Service and/or feeder Signature of supervising electrician (required) Services or feeders- Installation, Sup. elect. name (print): A 4 . t . 1_ 1.4 - . License no: - alteration ar roloeatlort R 2 111011 . IFFY OWNER 200 amps or less • 2 201 amps to 400 amps . Name (print); 401 am s( �to 600 amps • 2 6 01 amps to 1000 amps 2 Mailing address; City: `State: I ZIP: : Over 1000 am g Phone: -----Fax: amps or volts - E - mail: Reconnect only t Temporary services or feeders - • Owner installation: The installation is being made vn property I own llation,,alteration, orrelocation: which is not intended for sale, lease, rent, or exchange according to 200 antps or leas 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Date: _ 401 to 600 are • 2 Owner's sl _ _ Snob eircnits - new, alteration, f l� (: IS F:F: R or extomdoo oar peel: Name: A. Fee for blench circuits with purchase of 2 service or feeder Rae, each branch circuit Address: B , Fee for branch etreuits without par�e !rase City: Ste' ZIP; of service or feeder fee, first branch circuit . - h 2 Phone: Fax: B - mail: Each additional branch circuit: I'1: \N I41it'II:'1' (1'Icaic cht•c all tlt.,I :Apply) Mlse, (Service or eeder not lncluded); u o Signal or outline lighting 2 Each pump or irrigation circle , 2 CI Service over 225 ampacommetctal U Health -care facility 0 Service over 370 emps•rating of 1 &2 Each p u m Q Hazardous location or o t in or a limned energy panel, family dwellings O Building over 10,000 square feet four or S rali ore li 2 O System ovcr600 volts nominal more residential units in one structure CI Building over throe stories Cl Feeders, 400 amps or more epesc jption: Cl Occupant load over 99 persons O Manufactured structures or av path Each additional inspection over the allowable lit any of the above: O Egress/llghtingplan O Other Per inspection I I J - J Submit sets of plans with any rattle above, I gatlon fee The above are not applicable to temporary construction service, permit fee $ t1 4IN■ ' Nd all jettadictioes accept credit cads, please call gudidictia ter nett information. Notice: This permit application Plan review (at _ %) $ U Visa O MasterCard expires if a permit is not obtained / I within 180 days after it has been Stale surcharge (8%) .... $ _ 3 :is Credit card number. ,, aspires TOTAL $ s5 1 t t - accep as complete. Nana of Cat®erdcr as anewn on Credit card S �� ,_ ^ \/`, Amount �cok / v im ` V � \ � 15 (6 Cardholder dQutucn i `1� • - CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 • o BuP Date Requested Zf ?`o / AM g ' BLD Location //31 - �[� g'_— 4c Suite MEC Contact Person Ph PLM Contractor Ze-,4'77 _ Ph SWR BUILDING Tenant/Owner ELC 2_0 ,} / — 0003(/ 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 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 S PART FAIL E CTRICA L erv Rough In UG /Slab Low Voltage Fir • larm 11111 PART 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 Other Date — 7 — / Inspector `/ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. Lea , - QITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested Z ' Z'' ( AM PM BLD Location / / 3) w O .1 4 5 / Suite MEC I.� Ne w Contact Person Ph 6 7f ∎. l 33 5 PLM / Contractor Ph SWR BUILDING Tenant/Owner ELC v/ — ercio3C( 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 Susp'd Ceiling Roof Misc: Final v , 0 OA, i PASS PART FAIL t 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 4I iI \ 1 ► Service iirs A 44 G Rough In UG /Slab a Low Voltage Fire Alarm Final PASS PART FAIL SITE 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 z -6 1 Inspector Other p 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 r do BUP _ Date Requested 2 - 2 — o / AM )0/ PM BLD Location /7 7. S Ste' � O Suite MEC ' Contact Person Ph ( c 3 % ( o —/ 0 PLM St Contractor j � -j1 , ( le Ph 3 " C317 SWR BUILDING Tenant/Owner ELC / — 1I6n3" 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 F G. era Fire Sprinkler ' Fire Alarm ,� S Susp'd Ceiling � O Roof / Misc: �T� Final r . 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 AIL • Rough In 1 ' Low V b Low Voltage Fire Alarm Final PASS PART FAIL SITE 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 Date � ©r Inspector �' Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. BUP - Building Permit ELC - Electrical Permit *J Inspection Description Date Passed By ' 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 - c / a-0 Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing � Inspection Description Date Passed By Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection PLM - Plumbing Permit Inspection Description Date Passed By BUP — Fire Protection System Permit Plumbing underslab 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 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 J Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS CITY OF T I G A R D ELECTRICAL PE3r,117 • - PERMIT #: ELC2001 -00034 o .6 DEVELOPMENT SERVICES DATE ISSUED: 1/19/01 s --- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134DA-04700 SITE ADDRESS: 11355 SW 108TH AVE SUBDIVISION: DOREEN COURT ZONING: R -4.5 BLOCK: LOT : 004 JURISDICTION: TIG Proiect Description: Installation of one branch circuit for hot tub. Job No. S3001 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: HUMES, DAVID E + BEAR ELECTRIC POTTS, MELISSA) P O BOX 389 ( 1114 11355 SW 108TH AVE DONALD, OR 97020 TIGARD, OR 97223 Phone: Phone: 503 - 678 -1355 Reg #: LIC 20919 ELE 24 -107C ril SUP 3162 -S FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 1 /19/01 $46.85 2720010000( Elect'I Final 5PCT CTR 1 /19/01 $3.75 2720010000( Total $50.60 • f 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. Thos rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules -dr direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE , / � � � ISSUE BY: — � y _ d 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. EL / EC'N: 4 ''F d 1,a� ' Lars. DATE: LICENSE NO: 6 /IDaS Call 639 -4175 by 7:00pm for an inspection the next business day