Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00176
ili&I DEVELOPMENT SERVICES DATE ISSUED: 04/05/2001
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1046A -15800
SITE ADDRESS: 13620 SW LIDEN DR
SUBDIVISION: CASTLE HILL NO. 3 ZONING: R -12
BLOCK: LOT : 188 JURISDICTION: TIG
Project Description: Installation of branch circuit to NC unit.
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:
CHAN, ERIC IPWAI + LIANA WIDJA WEST SIDE ELECTRIC CO INC
13620 SW LIDEN DR 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Phone:
231 -1548 •
Reg #: LIC 13306
SUP 1556s
ELE 26 -135c
FEES Required Inspections
Type By Date Amount Receipt Rough -in
5PCT CTR 04/05/2001 $3.75 2720010000( Elect'I Final
PRMT CTR 04/05/2001 $46.85 2720010000(
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 of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE � II I� ISSUED BY: / /
OWN R 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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ii�ation —Go
Electrical 1'
�P ,
,, Dote received'
- Y �Q� `fa r � ,�.
r , ,�_ • , i Cit of Tigard 5 2 PloJecve t. nt... Emilie ;lino:
Cllr 'Tigard Address: 13125 SW Doll p Olt ait}3 rJee Issued: Ely; , Receipt a .:
Phone: (303) 639 -1171 �Offi
pm (5031 598 1960 � - Ire me no,: Payrteeril type: •
Land use Approval: _
.
Tl l'f. r►1' 1'I.It:111T
la 2 family dwelling or accessory U Cotnmer i.Wixu1ustritrl O Multi -famlly O Teaynt i/nprovemellt
•ter tMarllx;IlUp U AdJilln:t/dlernticaleTlecetnenl U Other: ,..•.•_.. _" .. _ _ U Pnttl
Awl ■l I I: INI oil( 'I•u IuN, ,
• __ I' , few: 4 . , j .17., El . • .. • Lot: ) Block: Subdivision: •
. PruJe • nanie: j t,,.,�,� . Decciip,lon and luehtiun of work tin premises: & j',,,�
Estin tar date ' ietki:✓ia. vviium' '
t 1) Iltn(ll►lt �1PPl It;1I11)N I I:.I• Will 1)1'1.1
Ecclamirgwv x+:LT i � r r OH! Desert.Ilea '.r
Add �� . , ■ %-',.4e..-c___3___ � elm •-- T-. Inns Clly: T , State: x�P dn
t L 1 r eloy oak. lneJ.dr.tta�,drN pimp. .
Piton i $ 741, 0,11 E n►a11a',c k ' .11 - • ; !ll ! 5:... or • cation Nweo f NM an
Ci Oro Ile. nu.: 2
__ -. ��,.,�_•. �,_,,_ eater ,non•reridentid _�� :
� - ► - , –„ sebn ufade )l en`sorm ;
91- . A0 of ru sT eelr r a �requl ^ — _ Date • 9&Mae wid/ot feedev 1
HO! - • I
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Sup el rt nuns t w I. ente nn. 2. 6 3 S - al e t or a am- le f ,
PRI ill .It71' 0N1 NI . R ]00 otleu 2
Nara l : arm ) - I •
MWG g address: j ' j : 2p 54. ,' . �. .� . �4 A? ri' � � I
_ay: Stale: ®�!'LlF':� a ..�
r _ _ . . z 3 O ver ODD sropl or vole Mill '" 3 •
Phon• ' Fnx: E• Mail! Recrozecto
Own Installation: The installation I; being (rin on property I own paean ponies or - • •
which is not inlollded for ago, lease, runt, of cxchongr aecerdlu$ to IrstallolottiAMerollso , orrsloeatlear
OILS 447. 453, 479, 670, 701. 1M errgs or I® _ 2 .
owner. El nal�re: 4 01ea�1ltpsUO empe I •
Dot: 401 to amp „ _
*wet deadly -ow sllerstloo, - .
Name: per paed
A. fbeIor *such cln :uilswith pursbaasof
Address: 'more or feeder fee, each ers:tdi circuit 2 .
City: Stale: 7.P; 9, lbe Ibl bnrafi drcal,s wahOpt pustule •
Phone: Fax: k,ttail: or�120Of e,MIDreli:hOc:ulr MOM yl,tt • - •
1•L•1\ III ' IF 11 I1 c rk all 11rirr ;,rid)) or ea.gMlinelud
( dery aeo►f2Z6aa;,aeornmerei4 011aalth•eerrMalik. Pad1 porItelaee 1 .
0 Ben ee over 320 amp.xrtb+a of I LI U Hrxerddoc Inenim, Each al n or outline 110114 , 2 •
Iamlydwellings 0Ruiidlrlp over l0,memutlrreu tow eir Igo! circalttelora limited clew panel, Milli '
U SysM alover 600vottlrmraino; room reI Wl %lido mate eWeosre elleratla l' 2
•
OBulMOing overtime onto CPcakra snits ur(uns •perch•'low _ •
U PI load over paves U Wolf MUM) aWetarar or RV pat Earl c alai ln� ectlai ever nano kin y sflh..o,et . .
I7 E ghdospl f
Per upeytlee - I 1 I I I
8u1rw11 KO of plans with shy of lbe dom. Invert! ationlio
into shove areiai applicable to ternporury construction service. ,�
Net ell . 6ao mega etade cads, plena Loftirdr,hUl„ far tt.:re iltmnutml Notice: 7111a permit application Pe111111(EO S '!
•
O Visa U Mow Owl enphea lr a permit IA Sot oblaiut 1 nen It Vic ly (at _.. 90 S _ .
t:'redlt e .. nusba: (__ within 1 60 trays after It pas been State surcharge (8%) ,... S _ -_ .
.7i,r etrepted as complete. 3UTAL $ - - - ien._
res au i of a s, hew v, ee44 ea --`
1
— rim � 'etf ¢ r .• -- " - _ Ainoiili •
e4e- 4415la'Cr UJW
•
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i 0 - d LL90 9£L £0S X 21133"13 3Q I S 1S311 Wd 9G:170 TO —VO —dad
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested c,,- 2- AM PM BLD
Location / 3 G Zvi S' ✓ Suite MEC
Contact Person Ph 5 Z3'( &' (/ PLM
Contractor Ph )( / 3/ SWR
BUILDING Tenant/Owner ELC / - G 0/ 74.
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
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final /I C A / Q e
PASS PART FAIL �'t'
PLUMBING
Post & Beam
Under Slab M Q x /g ye p kQr 17
Top Out
Water Service
Sanitary Sewer
Rain Drains ) Yf Cf ) iQr S'
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In on - . ,//3 — L9
Gas Line
Smoke Dampers
Final
PASS PART FAIL \ ,,
RICA
Service /
Rough In
UG /Slab .
Low Voltage
Fire Alarm
PASS - ART FAIL
SI t
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 Date ^d / Inspector �DJ� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.