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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2001 -00231 1, DEVELOPMENT SERVICES DATE ISSUED: 05/04/2001 I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 109AB -RR025 SITE ADDRESS: 14264 SW 132ND PL SUBDIVISION: RAVEN RIDGE ZONING: R -7 BLOCK: LOT : 025 JURISDICTION: URB Project Description: Installation of private street. Utility vault located on SW corner of property line of this address and the NW corner of 14308 SW 132nd. 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: 1 W /SERVICE OR FEEDER: 1 PER INSPECTION: 201 - 400 amp: 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: RAVEN RIDGE SUBDIVISION LLC R J ROUSE ELECTRIC INC P.O. BOX5930 19450 SW CIPOLE ROAD SALEM, OR 97304 SUITE 107 TUALATIN, OR 97062 Phone: Phone: Reg #: 612 SUP 661S ELE 34 -359C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 05/04/2001 $86.95 2720010000( Elect'I Final 5PCT CTR 05/04/2001 $6.96 2720010000( Total $93.91 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: ist 40, 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: (� 0. i ,/l 24., DATE: LICENSE NO: 6 Call 639 -4175 by 7:00pm for an inspection the next business day i FROM : R. J. Rouse Electric, Inc. FAX NO. : 5036120891 l V May. 03 2001 09:00AM P3 Electrical Permit Application Date received: 5 0/ Permit no_; v40 -0 ,,,,,, A. City of T i d ��t y �, an PrOjcot/appl,no.: Expire date; City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no. Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT 0y& 2 family dwelling or access.ry 0 Commercialindustrial 0 Multi- family 0 Tenant improvement New construction / 0 Addition/alteration/replacement 0 Other: 0 Partial JOB SITE INFORMATION Job address: S1,4) ) 302 NO 7 Pear P Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot : 1 a( Block: Subdivision: /a(/1/1 la ,5 - . ,'Ibis on Project name: a veli - % t? I Description and loc lion of work on premises: t/p44 1L i �- b Estimated date of completion/inspe Lion: - ,,, • , L CONTRACTOR APPLICATION FEE SCHEDULE Job no: ,5- 3(n Fee. Max Business name: ', f f A : 1 . f . d. , _ Description Qty. (ca.) Total no, rasp New residential - single or multi- family per Address: iy'rsO S,(,0, w (p jcJ, * (0 dwel4ngunit. Includes attached garage. City : 1ULL,fru., /1 Srate:0 1 ZIP: 1 90 6 2 Serriccincluded: Phone: (j - ()Y Fag. 2-Q E -mail: I coo sq. ft less - 4 CC/3 no.; q 0 liS i { Elec. • . , s. lie. no: ( 3q - 35q c, Each additional 500 sq. fL or portion thereof NMI Limited energy, residential ■ 2 City /metro lie. no.: Limited energy. non residential 2 Lc 3 -6 Each manufactured home or modular dwelling ,/r Signature of supervising electrician (required) Date i Service and/or feeder 2 Sup. elect name (p " ' u __ i it License no; g4[ Scrriccsor installation, � alteration or relocation: gb PROPERTY OWNER 200 amps or less ` g0,30 2 Name (print): 201 amps to 400 amps 2 • Mailing address: 401 amps to 600 amps 2 - 601 amps to 1000 amps 2 City: I State: I ZIP: Over ] 000 amps or volts 2 Phone: IFax; IE -mail: Reconnect only i Owner installation: The installation is being made on property I own Temporary services or feeders- • which is not intended for sale, lease, rent, or exchange according to llalion alteration, orrelocation; ORS 447.455, 479, 670, 701. 200 amps or less 2 , 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 am •s 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee. each branch circuit I ,, ,6,2.i- C, &A 2 City: State: ZIP: B. Foe for branch circuits without purchase Phone: Fax: E -mail: of service or feeder fee. first branch circuit: 2 Each additional branch circuit PLAN REVIEW (Please check all that lipid%) MEse . (Service orfeeder not included): O Service over 225 amps commercial • 0 Health-care faeility Each pump or irrigation circle 2 0 Service over 320 amps - rating of 1&2, 0 Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration, orextension* 2 O Building over three stories 0 Feeders, 400 amps or more *Description: 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: 0 Egress/lightingplan 0 Other. Per inspection I ( I Submit _ sets of plates with any of the above- Investigation fee The above arc not applicable to temporary construction service. Other Not all jurisdictions accent credit cards. please call jurisdiction for more information. Notice: This permit application Permit fee $ , 0 visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ Crcdir card numb / / within 180 days after it has been State surcharge (8%) $ - _,r / t( " Expires accepted as complete. TOTAL $ Named cardholder as utowt on credit card $ Cardholder cignatwe Amount i - r C t c l.-f J C- 4404415 Wot1ICOM) Coy 5" ( 1-----1 D ? IQ) . ■ • P i r D ijA411 *- a; 0 0 e G I Tract B i CM PliA-1 \I C)(- ' 61-' f 2-411-. 0 (ED JATC,CAktA__ 4) 10 , • • -4 Ln ,- Jbal to t i l • -s u) • t31 ? / se 7 lA --- '' SW ST. JAMES LN --__ '04040 1 • up c\I 0 0 --`-- \ ‘ CO `--- C) 0I \\: „ 14050 1) 1 tO cr • 0 Or s:4‘ 14055 m l — 14120 C (9 ® 14185 v cy) LO - o 52), 2 - 14160 r;5 st.T-) ,— ‘— — 1 SW WILMINGTON LN lAiti-mqvanA " CD ©• r E ia 0 w 0 _ . 14183 c 14182 " 5 0 8. ,, - p-,000 - IL-IN'Ar: 1— 1_, ( 14197 2 14192 ® .. 0 - 14195 .1419O\4_.. ILFI S(k) t D) ‘ t 14203? 14202 14205 in i ‘,.....9 ;-')-- @ c rg (r) ; 14200 .14226 0 ... 14229 , SW HOODMSTA Lk/ --(....A, 14230 A-.. K...4 C-4 14245 1 14255 r1-13) — , scc i 14258 3 Tract110.. Tract e),) i @ • ':.;"• ..ij — —------ . . 1 • 4:7 s Tr. G „,---- .----- HAWEI HEIDGE (...) 2S109 (100, 200, 7000) SUB1999-00006 . ,.,,,..,„,-. 4/20/01 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP ' c . • Date Requested AM PM BLD Location / CO— S,,J /3 z - Suite MEC Contact Person Ph 6./Z - 0 . 5 W 6 PLM Contractor Ph SWR BUILDING _ ° ' ' . Tenant/Owner ELC o / - D Z3 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 e Yvl C e-- 4--CL 5 Fire Alarm Susp'd Ceiling . . Roof Misc: Final PASS - PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Anal PASS PART FAIL MECHANICAL `' -. - Post & Beam Rough In Gas Line - Smoke Dampers Final - BASS___PART FAIL Service Rough In UG /Slab Low Voltage Fire Alarm .ASS . ART FAIL SIT 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 D � r3 v - 0/ 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 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 .5 DI 4-4 Crawl drain Electrical final 6N-3 4,9 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 Bolting Lab Final Duct work Structural observation Smoke detector Mechanical final Fireproofing Lab Final Final inspection PLM - Plumbing Permit BUP — Fire Protection System Permit Inspection Description Date Passed By 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 4 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 is \dsts \forms \InspRecordBUP.doc 04 /17/01 CITY OF TIGARD PERMIT . PERMIT #: ELC2001 -00231 u ; � l 1 , DEVELOPMENT H PMENQ S SERVICES 9 S ) 639 -4171 D ATE ISSUED: 05/04/2001 PARCEL: 2S109AB -RR025 SITE ADDRESS: 14264 SW 132ND PL SUBDIVISION: RAVEN RIDGE ZONING: R -7 BLOCK: LOT : 025 JURISDICTION: URB Project Description: Installation of private street. Utility vault located on SW corner of property line of this address and the NW corner of 14308 SW 132nd. 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: 1 W /SERVICE OR FEEDER: 1 PER INSPECTION: 201 - 400 amp: 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: RAVEN RIDGE SUBDIVISION LLC R J ROUSE ELECTRIC INC P.O. BOX5930 19450 SW CIPOLE ROAD SALEM, OR 97304 SUITE 107 TUALATIN, OR 97062 Phone: Phone: Reg #: DV-08919154 SUP 661S ELE 34 -359C k FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT CTR 05/04/2001 $86.95 2720010000( Elect'l Final 5PCT CTR 05/04/2001 $6.96 2720010000( 1 Total $93.91 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: .7 ((24(, , fr Issued By: - 4 , 1 _ _ r 0 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: V CONTRACTOR INSTALLATION ONLY Ili SIGNATURE OF SUPR. EL Cm 0-7212-6/64/14/ h_ DATE: LICENSE NO: 6 Call 639 -4175 by 7:00pm for an inspection the next business day