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Permit CITY OF TIGARD ELECTRICAL ENERGY - RESTRICTED ENERGY ro�r'r DEVELOPMENT SERVICES PERMIT #: ELR2001 -00093 .• - a 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/30/2001 SITE ADDRESS: 14455 SW 128TH PL PARCEL: 2S109AA -04000 SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R -7 BLOCK: LOT: 006 JURISDICTION: TIG Project Description: Installation of irrigation controller. Job #10069 -110 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: IRRIGATION : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: O'BRIEN HOMES HIGHRIDGE CORPORATION, THE 34444 SW LADD HILL RD. 21400 NW CHERRY LANE WILSONVILLE, OR 97070 HILLSBORO, OR 97124 Phone: 503 - 789 -8359 Phone: 629 -0193 Reg #: LIC 6221 FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 03/30/2001 $75.00 2720010000 Elect'l Final 5PCT CTR 03/30/2001 $6.24 2720010000 Total $81.24 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 -1987. Issued by ,& / L/ %f«�� Permittee Signature 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 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date tea dyed: 3/99 6 Permit no. - aji ®oo3 .. . _ �_ I ' , " . t ity of Tigar Pro;ecth p pl. no.: Expire date: Cit of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 gate isst ed: 1331/6 Receipt no.: P r o ' 0ishone: (503) 639 -4171 iiii l Fax: (503) 598 -1960 Case file no.: Payment type: COMMU!�I -Ci O ' i , Land use approval: TYPE OF PERMIT 110 .- .71 7. & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement . 0 ew construction Addition/alteration /replacement 0 Other: 0 Partial :JOB SI "I F IN EORI\1 ATION lob address: / yi 5 a 5, LA.) • /e.• ae-e Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: 1 Blocic j Subdivision: Project name: !Description and location of work on prey rises: /No. S so ,.} i p i UocV.. co r E Estimated date of cam .letion/ins ection: :N e r o c . r S • CON litACT0ll 11PPI.ICAT -.".;. Job no: / Q D 6 9 — / /t0 Fee Max Business name: 'T � r Description Qty. (et.) Total no. !nap Newreddend d- single ormaid.famfy per Address: al/ 00 A) W • O1 - V'�1 dwellIngtatit .:acludesattachedeywage. City: Ili \ \.S\p State: O(. ZfP: »/a ii Serrlc6111'dd oh I Phone:$03 -6 131 Fa: 4 -0y /S E -mail: 1000 sq. ft. or less 4 CCB no.: ( 0 2 e . / 1 Elec. bus. tic, no: Each addition d 500 sq. ft. or portion thereof Limited energ r, residential 2 Cit1{1��liC 4 0 0 g 9/ Limited energ r, non- residential 2 C Each manufac !red home or modular dwelling 1 Si tu7 of sung electrician (required) Date 3_ a,.*? -DI Service and/or feeder 2 Services Sup. elect, name(pnnt):Serl -vj I-- De$ot.trNt -}� License no: orhedera- inshUation, alteration or ideation: 1'ROI'FIt "fl' OWN 200 amps orl ss 2 Name (print): 0 3■- s e,,,„ \.4 O n/ ec-, CgO is 201 amps to 430 amps 2 401 amps to ti 30 amps 2 Mailing address: q S . uJ. 1. a . _ 141 1\ - 601 am .s to 1300 amps 2 - City: \A .)' t \ s o IQ V t \\ State: OR. ZIP: 7 O I>0 X Over 1000 an ps or volts 2 Phone:an. q Fax: I E -mail: Reconnecton y 1 Owner installation: The installation is being made on property I own Temporary a niece or feeders - which is not intended for sale, lease, rent, or exchange according to Installation lterat .ee . orrelocation: 200 amps or l ses 2 , ORS 447, 455, 479, 670, 701. 201 amps to c 00 amps 2 Owner's si nature: Date: 401 to 600 reps . { 2 Branch arcs its - new, alteration, 1 or extension per panel: Name: A. Fee for br inch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: !State: I ZIP: B. Fee for br inch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E-mail: Each additior al branch circuit: • Pt, ■N HF%IE\% (I'kase check all that apply) Misc. (Servi :e or feeder not included): O Service over 225 rumps commercial O ftealth- carefacility Each pump o • irrigation circle 2 CI Service over 320 amps - rating of l &2 O Hazardous location Each sign or Milne lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circui (s) or limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration, or sstensioa* / 2 0 Building over three stories 0 Feeders, 400 amps or more Description /r - k-. 0 w C)k9 Cr - 1 c..-f,1tf -'4-\n +.v i J Ac.-IL ,, O Occupant load over 99 persons 0 Manufactured structures or RV park " Each additic tral inspection over the allowable In any of the above: 0 Egress/lightingplan 0 Other: Per inspectio i I I i I Submit _ sets of plane with any of the above. Investigatior fee ■ The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more Infermatioa Notice. This permit application Permit fee $ ?S.. , OC) 0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number / / within 180 days after it 1 Las been State surcharge (8%) .... $ 4,, 9..24 Expires accepted as complete. TOTAL $ �/ , - 2 / Name of cardholder as shown on credit card $ Cardkolde: signature Amount 440 -4615 (6/00/C0M) Toon ���� GAVDIZ AO ALIO 0961 860 £05 KVd LI :51 am, TO /LZ /00 CITY OF TIGARD BUILDING INSPECTION DIVISION " ` 4,5 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST ••,_• 1 - BUP r Date Requested 9 AM PM BLD _ Location /' S' SIX) /2R' Suite MEC Contact Person Ph - 7 , K 3 PLM Contractor (o Ie� Ph _ SWR B ri; ' Tenant/Owner ELC Retaining Wall ELR ,P —0 0023 Footing Access: FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab ' Post & Beam - / .Z 3 , II Ext Sheath/Shear / 1\ i f dl�&7 Rt../ ¢ T � �,,J _ 1 Int Sheath/Shear ` W Framing O d er Insulation ,(/ �, Drywall Nailing S_ I- -/2 2-6?-6, 1 ° d 0 l 3 ©lam / /iM L . Firewall Fire Sprinkler A47AI r� e/r (l e f L, its /t� fo aCS / ) Fire Alarm Susp'd Ceiling , . .."),_/-17---, .."),_/-17---, l / / a € l ex. .. Roof Misc: //' b,/( / ' -, Final PASS PART FAIL I / / �' P.L�UMBINO V I S7414l O‹ !� i,JR- e_ --c Post & Beam Under Slab Top Out n Water Service 1 `+ ' - f -- ab fii D i t ` `" - Sanitary Sewer Rain Drains r Final / q PASS PART FAIL 5 . 9 , G� (, J , tr.. dn/l LG V r � O ` U MEGUAN fi J • 0 Post & Beam Rough In 10Ji�_ v AI a, e--r- s G; / /... . / © V Gas Line Smoke Dampers C� �p C-- / i /+/S74 6i/‘...3 o - Oo /� PASS PART FAIL � . I / i a/ �� g p��, ice_ �O - u/CY! Service l p Rough In UG / ��9 Low e ( V Fi Alarm I �'- i e- _ '4 _ -- IliIW - b i PASS PART FAIL • i !—� illiev. _ - ‘ _ .v . Backfil /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 D ate - 9 O/ Inspector� Ext Final \_ PASS PART FAIL DO NOT REMOVE this inspection record from the job site. BUP - Building Permit ELC - Electrical Permit 4 Inspection Description Date Passed By 4 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 J Inspection Description Date Pa sed By Firewall Low voltage Tilt -up panel Electrical final f D / Gib Masonry/Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing NI 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 BUP - Fire Protection S stem Permit Inspection Description Date Passed By y 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 Ni 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 A CITY OF T I G A R D ELECTRICAL PERMIT - RESTRICTED ICAL ENERGY ' +r! .% 1 DEVELOPMENT SERVICES PERMIT #: ELR2001 -00093 �'-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/30/2001 PARCEL: 2S 109AA -04000 SITE ADDRESS: 14455 SW 128TH PL SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R -7 BLOCK: LOT: 006 JURISDICTION: TIG Project Description: Installation of irrigation controller. Job #10069 -110 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: IRRIGATION : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: . TOTAL # OF SYSTEMS: Owner: Contractor: O'BRIEN HOMES HIGHRIDGE CORPORATION, THE 34444 SW LADD HILL RD. 21400 NW CHERRY LANE WILSONVILLE, OR 97070 HILLSBORO, OR 97124 Phone: 503 - 789 -8359 Phone: 629 -0193 Reg #: SIC 6221 FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 03/30/2001 $75.00 2720010000 Elect'l Final 5PCT CTR 03/30/2001 $6.24 2720010000 Total $81.24 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 -1987. Issued by C_� r 44.i Permittee Signature OWNER INSTALLATION ONLY It 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: Q LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day ILA 4/9/01 Activities for Case #: ELR20O1 -00093 • 10:42:17 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRA003 Application received 3/29/01 MAIL RECD No Hold BFB 3/30/01 ELRA010 Permit created 3/30/01 BFB DONE No Hold BFB 3/30/01 ELRA725 Low Voltage Inspection No Hold BFB 3/30/01 ELRA799 Elect'I Final No Hold BFB 3/30/01 ELRA500 (F) Issue permit 3/30/01 BFB DONE No Hold BFB 3/30/01 • Page 1 of 1