Permit -!: CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00728
DEVELOPMENT SERVICES DATE ISSUED: 11/15/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135DD
SITE ADDRESS: 08820 SW CENTER ST
ZONING: C -
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Roof mount A/C replacement.
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:
OLSEN, JOHN W + MARY JO BUCKAROO ELECTRIC
8820 SW CENTER ST 31601 S WRIGHT RD
TIGARD, OR 97223 MOLALLA, OR 97038
Phone: Phone: 503 - 829 - 5207
Reg #: SUP 3954s
LIC 154750
FEES ELE 34 -361c
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 1 1/15/200 $46.85
[TAX] 8% State Surcharge 11/15/200 $3.75 Rough -in
Elect! Final
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 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Issued By:Zi Permit Signature: %tc
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
11/11/2004 b:21 15038293853 BUCKAROO ELECTRIC PAGE 03
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Ling: (5Q .) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re nested // AM PM BUP
Location F Z 6 Suite MEC
Contact Person nix _ Ph ( ) S � (,'3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 0 d `T dd 7a 2
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Not — SIT
.. ° 1
Post & Beam /` '._" d1:
Shear Anchors r
Ext Sheath/Shear �s - '. a .
Int Sheath/Shear
Framing ` '` _.. . .r 41 _.■.��M-d
Insulation '
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm L,
Susp'd Ceiling •
Roof
Other:
Final
V \P14/E--
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
ELECTRICAL
Service
Rough -In
UG /Slab ��/
Low Voltage f/ ) • 4
Fire Alarm
��Y7► ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
AS PART FAIL
-SITE • ❑ Please call for r7inspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA Date / Y� Inspector Ext
Other:
Final DO NOT REMOVE this inspection record rom the job site.
PASS PART FAIL