Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00323
DEVELOPMENT SERVICES DATE ISSUED: 6/8/2004
'' 13125 SW Hall Blvd.. Tivard. OR 97223 (503) 639 -4171
PARCEL: 2S 103CC -08800
SITE ADDRESS: 12130 SW KELLY LN
SUBDIVISION: WHISTLERS WALK ZONING: R-4.5
BLOCK: LOT : 035 JURISDICTION: TIG
Project Description: Install (1) branch circuit.
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+ amplvolt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
SCHIELE, SCOTT SOHLER ELECTRICAL CONSTRUCTION
12130 SW KELLY LANE 41131 SW BURGARSKY RD
TIGARD, OR 97223 GASTON, OR 97119
Phone: 503 - 590 -7290 Phone: 971 - 832 -0807
Reg #: LIC 158285
ELE 34 -667C
FEES SUP 594S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/8/2004 $46.85
[TAX] 8% State Surcharge 6/8/2004 $3.75 Rough -
Elect'l 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 -3 -23 ..
Issued By: itIr '' i Permit Signature: 61,/
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
•
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503 985 1078
JUN-04-2004 02:40 PM JOE M. SOHLER
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1 CI T V
, ' ' OF TIGA
noUILDIN D ivisioN
I
CITY OF TIGARD 24 -Hour
BUILDING Inspection Luse: (N3) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested AM .PM BUP
Location 1. / 30 5iiJ /6 L fri Suite MEC
Contact Person Ph ( ) 97/ F3r)-" - ' PLM
Contractor Ph ( ) d ?0 7 SWR
BUILDING Tenant/Owner HMO - 0
Footing
ELC
Foundation
Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors -
Ext Sheath /Shear
Int Sheath/Shear -
Framing
Insulation - ���
.' `�`I11F._- ! - • I% � �lr �
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm ■•■L�,.�«..._��
Susp'd Ceiling - -71/1/0
Roof JZ'
Other:
ASV,
Final
PASS PART FAIL
4.7
PLUMBING
Post & Beam
Under Slab s ����
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
kCECTR! '_
`gervice
Rough -In
UG /Slab
•
Low Voltage
Fir- Alarm
P —� El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_
��) PART
�..
S ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line - — -
ADA qi>t E
Approach /Sidewalk Date r Inspector
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL