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Permit ELECTRICAL PERMIT I I TY OFTIGARD PERMIT #: ELC2002 -00259 I DEVELOPMENT SERVICES DATE ISSUED: 6/11/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134AA-01000 SITE ADDRESS: 11346 SW IRONWOOD LP SUBDIVISION: ENGLEWOOD ZONING: R - 4.5 BLOCK: LOT : 017 JURISDICTION: TIG Project Description: Install 1 branch circuit to A/C. 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: PAUL JOHNSON SHARPE ELECTRIC INC 11346 SW TIGARD ST. 22605 SW RIGGS TIGARD, OR 97223 BEAVERTON, OR 97007 Phone: 503 -521 -1194 Phone: 642 -7937 Reg #: LIC 81518 SUP 3344S ELE 34 -217C FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 6/11/02 $46.85 2720020000( Elect'I Final 5PCT CTR 6/11/02 $3.75 2720020000( 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 ofthese 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: d / DATE: LICENSE NO: 3 3'1z/ s Call 639 -4175 by 7:00pm for an inspection the next business day Jun 08' 2 02:02p Specialty Heating 503 598 0718 p.4 110 1. - A Electrical Permit Application Date received:4 -7 /..i ,V Permit no. ©� � - UG„L - t. , y" � ' lil + Cit of Ti and _ ''.... Y g 1 >roject/appl. no,: Expire date: City of Tigard Address 13125 5W Hall Blvd, Tigard, OR 9722 Date issued: 13y Receipt n o.: Phone: (503) 639 -4171 — _. - -- _ .. Fax: (503) 598 -1960 Case file no.; Payment type: Land use approval: TYPE OF PERMIT • ' I X I & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi - family 0 Tenant itnprovt :ment ❑ New construction 10 ddition/altcration/replacement V Other: 0 Partial ' - JOB SITE INFORMATION , OM • Job address: f / '9 L/G 5t t) eC,!760 4,, ire5 . 70 Bldg. no.: Suite no Luc, Ituap/tax lot/account. no.; Lot, Block: Subdivision: EZZ O Description and location of work on premises: 'P e& i ' C. Estimated date of completion /inspection: CP /5 . 0.7-. .. CONTRACTOR APPLICATION FEE SCHEDULE I Job no: /209. f3 / Fie Max. Business name: , hQ " fc_ &i—eC k_� / Description Qty. (� s) Total no. insp Address: ,g.„..4, p `2>c.1.) ! �. 6 New residential - singleormulti- family per r L� ♦ dwelling tutlt . Includes attached garage. ZIP: q'a )`7 Service included: Phone: S) 3 4- • 79 Fax: ' E -mail: WOO sq. ft. or less 4 CCB no.: -/ S/ g Elec. bus. lic. no: 3/ - ,,/. 7 C/ Each e energy, 500 sq. ft or portion thereof e1 Ly /rtlelYr) lie. nn.: R�,.S_3/ Limit e - resi .. 2 C. Limited energy, non-residential z ">//i.t ; 7 G rj . Each manufactured home or nodular dwelling Signature of supervisi g electrician (required) Date Service and/or feeder 2 Sup. elect. name (print): L. , Per License na: 3 ,/,-4_.s Services or feeders-Installation., alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name (print): MM. • . . >p(J'Lt/ 201 amps to 400 amps 2 401 amps to 400 arnp;a ' Mailing address: (( C. SL) ( 6 / O' / 6Ul at to 1000 amps 2 City: // .27 ' ' State: c) Il l ZIP: 4' __ ? Over Woo amps or volts 2 - Phone:53$' qv -7( l:'ax: E -mail: Reconnect only - t Owner installation: The installation is be madc on property 1 own Temporary services orfeeders - "' -- which iS not intended for sale, lease, rent., or exchange according to installation, alteration, orrelocation: 200 amps or less 2 ORS 447, 455, 479, 670, 701. 701 r` to d00 amps - 2 1 Ut ? Owner's signature: Date: 401 to 600 amps 2 • ENGINEER Branch circuits - new, alteration, • or extension per panel: Name. A. Ycc tor branch cn'cUtls with purchase of Address: service or feeder fee. each branch circuit _ 2 City: Stale: ZIP: B. Fee for branch circuits without purchase Phone; Pax: I✓ rtt;uL' of service or feeder fee, first branch circuit: ( 2 act additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): O Seivice over 225 arapa.commerciad ❑ Health -care facility F,.ach pump or irrigation circle – 2 U sell ice uvci 320 utups- taiiug Uf 16;2 •7 hazardous location Lash sign of outlnto lighting 2 lanuly dwellings LI $uilding over 10.000 square feet four or Signal circuit(s) or a limited energy panel, 0 System aver 600 vole nominal more ossideetiel units ltl one structure alteration, or extension. 2 LI Building overthrnt. ❑ Feeders. 400 amps Of more. Description: ..._..- .._.--- -- U Occupant load over 99 persons ❑ Manufactured structures or RV pack Each additional inspection over the allowable in any of the albo +c: ingress /lightingplal 0 Other: l - cr inspection 7—T---1- Submit sets o f plans with any of the above. trivestig:aion fee I "ho shore are not applicaLlc to rn:q►Ve':+k] construction settler. 1 ()tiler -- Permit fee $ ' Not all 1urisdictions accent credit cards, ()team call jurisdiction for more information. Notice: This permit application _ -- O visa 0 MasterCard expires it a permit is not obtained Plan review (at — %) -- r:redlt taro minim': / / within 1St) days after it has been State surcharge (8 %) ..,. 11 _ _ _ txpiie3 accepted as complete. TOTAL AL _ e� T� Name. of caniholder as shown nn credit card • - -- caral,olecr .,g,,:,i„iu.^ y ,�,.,,.aai J m 0.14i5 (4 C7alCOM1 CITY OF TIGARD 24 -Hour BUILDING • Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received Date Requested r] - 7 - Z AM PM BUP Location ) 1 Q )4' T J V\.) 1)D L\ Suite MEC Contact Person Ph ( 3 ) i7 9 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC 0 0-Q5 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post &•Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation • Drywall Nailing Fi reveal l F) I N' 1 ( \ � Fire Sprinkler 1� v Fire Alarm Susp'd Ceiling (.1 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 r PASS PART FAIL "CET Service Rough -In UG /Slab Low Voltage Fire Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PA PART FAIL SITE Please call for reinspection RE: Unable to inspect - n6 access Fire Supply Line ADA Date Inspector rr^ Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL