Permit CITY OF TIGARD ELECTRICAL PERMIT "
PERMIT #: ELC2004 -00228
i L DEVELOPMENT SERVICES DATE ISSUED: 5/4/2004
AM-
• ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 110 D A -053 00
SITE ADDRESS: 10506 SW NAEVE ST ZONING: R -3.5
SUBDIVISION: ERICKSON HEIGHTS LOT : 014 JURISDICTION: TIG
Project Description: 1 branch circuit to AC.
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:
MCPIKE, CINDY WESTMORELAND ELECTRIC
10245 SW ELSIE CT. P.O. BOX 82865
TIGARD, OR 97224 PORTLAND, OR 97202
Phone: 503 - 639 -6369 Phone: 503 - 238 -5362
FEES Reg #: ELE 26 -1050C
Description Date Amount LIP 1638
SUP 46385 5
[ELPRMT] ELC Permit 5/4/2004 $46.85
[TAX] 8% State Surcharge 5/4/2004 $3.75 REQUIRED ITEMS AND REPORTS
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. Thos
rules a re 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 >800-332-2344.
Issued By: • , i��— Permittee Signature: c)2
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 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. •
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. ► ,
Inspections Required for:
✓ Code I Inspection Description PASS Date I By I I ✓ Code - I Inspection Description I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service /reconnect
205 Footing 120 Electrical rough -in
805 MFG - Structure grading/footing • 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage •
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final.
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set-up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in . •
• . 295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection • 635 Smoke detector shutdown _
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit • _ •
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain •
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 325 RP/backflow preventer •
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading • 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: • 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I :\Building \IVR \InspCard- AOP.doc 02/02/2005
CITY O,F TIiaARD 24 -Hour _ _. �
BUILDING (" Inspection Line: (503) 639 -4175 ( MST
INSPECTION DIVISION Business Line: (503) 639 -4171
; BUP
Received Date Requested 6 7 AM PM 1, BUP �/
Location / 0 5 0 (0 , .a_.0 -- � Suite A0E a0 2- 3
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR �,/
BUILDING T enant/ er � 1- op A 06f -6o
Footing q q b - 4 7 1 7 51 ELC
Foundation AC ess:
Ftg Drain r e_ �: -�� vv ELR
Crawl Drain
Slab Inspection Notes: , , .. __ - - SIT
Post & Beam _ It !! 6 : -- %
Shear Anchors
Ext Sheath/Shear , ` :r - J
Int Sheath/Shear - ' CS I
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ( - / F ire Alarm 1 I 'q ) P �QV\tC4) . OC
1 66. L 1 tV Lr S )3 ,. / "V /
Susp'd Ceiling
Roof
Other:
Final _
PASS PART FAIL
- PLUMBING ) ,�/�
- Post &Beam a\\6' N d\o \VY } O C CD 1 n 1 ' l / .,c, tiV
Under Slab 1
Rough -In 1` ,/� t�-i c0 A �`� (� S .
Water Service
Sanitary Sewer ' A A Q1 V\ D D t 1 , V , D 1
Rain Drains
Catch Basin / Manhole Ni. V 00 \ ' \U- o _ \ (4 ,
Storm Drain
Shower Pan q, 10 —I 5- 0'5 pi S '
Other:
Final •
PA FAIL
, Post : : earn
Rough -In �" `C.
-
Gas Line
Smoke Dampers
PASS PART -' /
ELECTRICAL
Service
Rough -In /
UG/Slab Low Voltage
Fire Alarm
f�
PART Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 l
Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Lire: (503) • 39 -4175 MST *'
INS • CTION DIVISION Business Line; (50 .39-4171
//,,,, BUP
Received D ate Requested a� `� PM BUP
Location a —0 % - .1 ' Suite / / 4 )6% Gd ?
Contact Person ��� Ph ( ) T7� 7 ,C7 PLM
Contractor Ph ' ) SWR
BUILDING Tenant/Owner () 0 ?)-e
•
Footing
ELC
Foundation Access: I(4-3L4
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: L �� SIT
Post & Beam J r ,-
Shear Anchors � 5 Z D '7 L U - MSt 5
Ext Sheath/Shear
Int Sheath/Shear /Z ; 5S
Framing
Insulation
Drywall Nailing ^
Firewall C � NA LC //V
Fire Sprinkler
Fire Alarm PLEA 5
Susp'd Ceiling
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
P T FAIL
ECHANI L
Post &Seam
Rough -In A,/ £j
Gas Line
Smo e Dampers
- ASS p FAIL
Service
Rough -In
UG/Slab
Low Voltage
Fes: rm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PAR FAIL
SITE Please call for reinspection E: Unable to inspect - no access
Fire Supply Line 1 `
ADA Date " D 0 Inspector ector / Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 - 4175
MST j
,
INSPECTION DIVISION 'Business Line: (503) 639 -4171
G BUP
Received Date Requested / AM PM BUP
Location / 0 �22(o -- nQ-P ' t -e. - Suite / oq& 9 £7 — OD a3 D--
Contact Person Ph ( ) 7W- Z - 1?/3 T PLM
Contractor Ph ( ) SWR (,
BUILDING Tenant/Owner a 02-09 � C 7 y — 0 0 b
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall P `m ) 0 14
Fire Sprinkler J
Fire Alarm
Susp'd Ceiling } A
Roof NP b N k 1tiD r(\ 1='- ' Y I/ �� i ��I t. � p t
Other: 1 �Ix
Final
PASS
PLUMBING PART FAIL T� r'
,� (` L I i(v
Post & Beam � �
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS 4ART FAIL
CH tAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
PA PART
ELECTflTCAL-
Service
Rough -In
UG/Slab
Low Voltage /4 - k\/ - C
Fire Alarm
PASS PART
0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE 0 Please call for reinspection RE: 'Unable to inspect — no access
Fire Supply Line
ADA �/ / n /
Approach/Sidewalk Date Inspector •d.■. jiere Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL 7: 2- e ' ))7'-
CITY OF TIGARD 24-Hour ,
BUILDING Inspection Line: (503) 639 -4175 MST
IN 1 ECTION DIVISION
44 J Business Line: (503) 639 -4171
1 4 `r"
, � / BUP
Recei e4 d D t es d l 0 /s AM PM BUP
Location `O5 - Z90 Suite ,23tV 5
Contact Person Ph ( ) 53 PLM
Contractor Ph ( ) SWR 02/2 V-- � d ? -0)-g BUILDING Tenant/Owner
Footing 714 C gje-
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler �I r
�(%
Fire Alarm \ d � W)(4 VO , S < e / 0
Susp'd Ceiling . V )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
'NIECHANJY
`Pogt: & Beam
Rough -In
Gas Line
Smoke Dampers
ina
S ART
CT AL
Service
Rough -In
UG/Slab
Low Voltage 1VF ,fi PN/6. P
Fir= • . larm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
'ASS PART FAIL \,
SITE ''-" Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line c
ADA 16 � �
� ��
Approach/Sidewalk Date I nspector cJ "`��
Other:
Final DO NOT REMOVE this Inspection record from the job si .
PASS PART FAIL