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Permit
CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC1999 -00360 A o$101 n, DEVELOPMENT SERVICES DATE ISSUED: 6/17/99 -y,11! • 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S114BB -16100 SITE ADDRESS: 10252 SW PICK'S CT SUBDIVISION: RIVERVIEW ESTATES ZONING: R -7 BLOCK: LOT : 007 JURISDICTION: TIG Project Description: Ad a first branch circuit to an existing dwelling. 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: • ANNETTE HUTCHESON GRF ELECTRIC 10252 SW PICK'S CT 15460 SE PARADISE LN TIGARD, OR 97224 MULINO, OR 97042 Phone: Phone: 503 - 829 -4146 • Reg #: LIC 001015 SUP 3003S ELE 26 -878C FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT GEO 6/17/99 $37.50 99- 316223 Elects! Final 5PCT GEO 6/17/99 $1.88 99- 316223 Total $39.38 '0RIG1NAL This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. Permit Signature: Issued By: ey S OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: • DATE: • CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �f - DATE: " --7 - �� LICENSE 3003 - S CENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day 06115/1999 22:13 5038295747 GRF ELECTRIC PAGE 02 RECEIVED . rte► of TaARD JUN 61999 Electrical Permit Application Plan C 2 13126 SW HALL BIB Redd By TIGARD OR 97223 UNITY DEVELOPMENT Dla Aadd Om t0 P.E. PhOM (5011) 6394171, x904 Print or Dm to DST Fax (509) 684 -7297 175 Incomplfits or Illegible will not be aeospted � �'�� 1. Job Address. 4. CornPJaa• Fee .Schodulo Below: . Nana of ,_ Number of I napadlana Fox 0 allow_ 4 ----i Name or named business) A h ekt-e. FhJr. h e$o pp soma Included: Bon Cog sane Addnas j o.• SLA) Iii c: s C . , 4a. R.ldanim. pm Wit 1CODore.ft alma P i.rJ A 7 27, t< �1to40 , 4 � « ..._ i LWOW Pow • 1 I tall Hotel Nome or Mc riche Denby Send or Foam 00240 � 2a Contractor installation only: i4-(. _ 0 (AMA 'h7 0 4.2. 401 am — 2 Folders Socolcd Con traao o r t a aurlrre lama.) , c h-+"U . . : .ae «« �.bawan 200 amps «tnr — RIO= 2 _ t Apan* pan* 1 � c9 P p L.1. ..e. an amps M 900 rope eSWIM City M .1 . r. A � It amp a exams Phan No It 6tiatr 2- -4 49' L 901 snip. a t $1!0,00 , it MOW - Ow 100D anq. or mete _. WOAD , 2 R000 moot 260 00 Mo. Cant UDa. No. , - b ^ fen P t. �.Da4 Sa 2 OR State COB Reg e , No. / s'# A . EXP 4a, Taa r ny SaMe.e or Peadare COT Wanes Tan or MSBo N f 0. ...Dat4 imam , ormor ok « rdeseaon J / 000 amps or 1w 26040 Signature of Sugar, Elwin � Lj 201 ampa a as amp. 1175.110 = .01 amps a e0o amps 2,00.09 , a D.aa sir 1000.au. Worms No-___4 Phone No. � q 't `FLA• ; Od boob Ciroula 2b. For owner Inatallatlons: " y ' TMa� tor e or asesraloo per rani _ . oureaaaa a woea ar Print Owners Nano_ thaw ko. Each branch *cult CIh 8 _ 0) The torte. damn >s6 0o r 2 sip Phone No, tad" ao . I 3 The I Is � made on wvvar4+ I own ankh is not Oman anal IUD — 2 Intended for salo Maas or rant Is atooaianaoua _ Orrrle�'s 8i5r+atwe - � p�a rnti.s.n eta. 540.00 2 . Er eat t agii «- - Van 540.00 2 3. Plan Rlvlrw section RI ripulr.d :' .. S pa* «o loam! gram p n+aL aMa aeon « soerislan Mato �..�.. 2 • — PM Chink appropriate horn and be In wotion5B. :.. nor !natal. (10) 2!090 4 or tram a.sl.rvl WO In are MOM 41. Ikon aeell.nr In.poo ion aver Santis ad bade Mi anion ar Brow . m a lowaelo la WI of GO Om i —"` �^ so daaalead in N.E.C. Chola 6 In Plant — $66.00 • Submit p orate of pane wlln here application w a of Oa above apply. a Flea: 3/. i11 Nat nquirad for teroparary a.ne uaeoa a.ayraa. li. Elea total of aim has �/ ■/��p/ s sa. Enter 20% 0 Ins Woe PERMITS MECONE VOID If WORK OR CONSTRUCTION AUTHORIZED II Plan Pala. t0)mh (Sac.3) $ NOT OO•d!NCED WITHIN 140 DAYS, OR IF OONsTAUCT1ON OR WOW( &Mobil $ — IS BUSP@IDED OR AQMOONED POR A PERIOD OF 120 DAYS AT ANY "a A000vt. 16/ j 211QC TeM AFTER WORK IS COMMENCED. . . _. ... Told be/enar Oua 1$.38' CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 a � ` / BUP Date Requested S j 1 � AM X PM BLD Location (OZSZ P,I C Suite f' MEC 19 2.7( Contact Person 1 .10i9N Ph (A 2'7 OO PLM Contractor Ph SWR BUILDING Tenant/Owner ELC (`f RQ'00 - 3& v • Retaining Wall ELR Footing Foundation AC� r /f FPS Ftg Drain � VU ` 44--M Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing /L LJ /V e3-1■/ l� Insulation Drywall Nailing / 9 - C> U Ca Firewall Fire Sprinkler / .1.14--/ -�� Fire Alarm eL� /97? e O3 -© Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ECH NIC Post & eam Rough In „/G Gas Line l Smoke Dampers `ms PART FAIL ' RIC Service Rough In UG /Slab Low Voltage Fire Alarm PART FAIL S E 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 Date S / 9/012 Inspector Other .�- •t',.( � Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.