Permit -CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00272
izz.,�_s DEVELOPMENT SERVICES DATE ISSUED: 5/13/03
' 111 13125 SW Hall Blvd.. Tioard, OR 97223 (503) 639 -4171
PARCEL: 2S115BB -01900
SITE ADDRESS: 16405 SW ROYALTY PKWY
SUBDIVISION: ZONING.
BLOCK: LOT : JURISDICTION: KIN
Project Description: Install (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:
BILL WARNER WESTMORELAND ELECTRIC
16405 SW ROYALTY PKWY P.O. BOX 82865
KING CITY, OR 97224 PORTLAND, OR 97202
Phone: 503 -636 -3727 Phone: 503 - 238 -5362
Reg #: ELE 26 -1050C
LIC 140551
FEES SUP 4638S
Description Date Amount Required Inspections
[ELPRMT] ELC Permit 5/13/03 $46.85
[TAX] 8% State Tax 5/13/03 $3.75 Rough -in
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- 2 -23 .
Issued By: A� tir /� ( /� Permit Signature: IA • I fI
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: 4/0 3 8'
Call 639 -4175 by 7:00pm for an inspection the next business day
,FROM : Westmoreland Electric FAX NO. : May. 11 2003 07:50PM P1
06/09/2003 Q8:16 PAZ 5035981980 CITY OF TIGARD 2002
REcp /f D
Electrical Pernu p�_cation Remind Electrical
MAY 12 1003p '° Ba Permit N. — 's aoa
City of Zllgard 1>a . Porea% No.:
13125 SW Hal181vd. C A I ITY OF TIGARD ; ;_
Phone: 5 9.4171 97223B I F a = - 39--1, t I nteret www.ci t igard.az us ` � P occurs � L � ' N�o : _ See Page 2 RR
241- hourIaspectien Request 503 - 6394175 .,•. , aai /Marmei •
-!i yf . R- . '�. 717,.. - ' •• •.� :iJP 3O +r'
gm New construction . Q Demolition ■ Service over 225 amps- 0 t � .
A.dd; /,lt � • �� Ott. Other: ❑ amens ® 14Ailedngavaf0,000aq , mrr &et,
" • �;, ;i : i e :. ': +:. • ,c i n: t. -, ; .'.� I & 2 family &manes $Haar m1SR rccidutial unify le
I &2 Fanu dwv1 t 0 =1�•: /,. ,, systemova600�ms 1141 oaies�umma r_ over e0pefes: ❑ Ferdeas.400 amps or more
Ii • , , . Bin1 ,, - ❑ MultiFaml k oa rpae[ over 99 moms ❑ Mmlufmrfiaed Proms or RV pek , _
(t Master Builder 1S Other. __ r�11aC 0 i sPlan MIDI
Y1 ]:��' e -- , , r. n l � F_?L: n c Submit ^ sets orphan with Rely adze above.
. '.. if; : ".� _ . 1�' Theal.s a,. =Me to tent _ . cum - .:.:.. . ..
Job *site : iI / % a40 S SW. '.. t1g +a .a27-, rzt ; :.i:L - -",„ : ,ll:il.li ",;: y� •n" '•.i
Suite #: Bl4RJ - •. - . •. NiauDer o inspections per permit allowed
Qty l Fro (m.) 'total
Project N Now or malrrmmlti per
Doss sireebNDifeCT1011S tO job site: d.,e� Includes Mashed ff�
SarnoeInclude&
1000 sa lLar lom 1 11$.15 •
?:aeb additional SOD s4 fr. se rm M
tie eof MMAO 1
Snbchvision: 1 Lot # Luittel '. 'eskloi_ 75
l i oo 2
oratud !roe tat �s.00 2
Tax . ;J• -• - 1 #: saci, ea Bomeormoesetsdwtl>be8 -
F " :'" J -; _. : :',31:T,T.i Ci fl a i�tae rawer feeder . SOSO a ,
;� , , �'' Sweesor feeders -moo. •
At — e_ / re.Lu / * - .amradra R.aerOICSoa
2 200 arms 9r lees 5030 2
701 EMS to400 - 10U5 4 2
• 401 arms ID ,tams fa�6o a
a : -. ^,7:r- - - .., r . 1 „ ; ! : ; :. . ::ii:1.'_,:::•: , ij • : -'., Ii1i. ? ' 6Q11�Ia - X 240 0 .00 2
Over i000 olr
- ._ ;f�l'. °:•tl � � .r- - _a 4 ..: .iCi : ; 'fL' 'ta:�- dd �t�� 1 43't.� 2
Name: ' ■ l Act l Remmers cagy j . 64•85 2
Address: 16 4 O S SW • goy' gI P. Temporary services or fieeders- lee aitaiiun,
spy,arrelocation:
w /SW ;. •: ki Es a O C., -.3 200 arm oil= 66t54 • I
P110na Ca - 7a F a= S 40 1 t� %s� 1
• IM 'r3,..7:1,,,:' I C� � ',':i'i, kl 7 •,i_t1r'F'!.�. - :'I: id .:ice I:;T;�. �C+ Placall rhyme -sew, alteration, or
Name: A. »edairada withpac:bareof
am
Ads: maim ar tYader fee, eada branch do de 6.65 .^ . ' 2
C /S - • ' = s circuits valiant
fee. p of d ds 4 , i3S 2
Phone: Fax Oath ad@itieoal brsneh circuit
E-mail: . Afisc.(Servioe or feeder notfuetodedk
u n. i , r t ; ,.. . ,- r, .., Fad, . , •,.. ,, .,, . artme Za0 2
�t? :':�tY7�c ?:�� ,. , i ?..�.r e.,4i�z ':_w�, -_ ;'�i =iQay __�. �.4. °.'l P�t
or emir= � .4a
Job No: S at+salscs) or a tlmiad energy pore'.
Business Name:L )tSfmore_l Elea-rec. TJC. " roman - ? 2
Address: 7 C �oX 818 ce5 p addiiioml inspection or er eiYe a Durable la • • Orbs above --
CiLy/Stato :'P ,JO 1 Ose. 4 - lac a- p , Irm mianoertwar 1 het 6150
Phone: 3 8 53 to Q Fax: .P.35 18 a b
i -7 CCB Lic. #: - • S5 i Lic. #: �10--1O b G _ :: �.
'O �� 1 t ' . A � { i ..ss i 1:: } FI' .j � .r L ' %
: t ' fh A.4
Supervising clectrkien Snbt>stat $ - !y.. S
signature required: Plait Review (25% atf Permit Fee) S
Print N R -. • _ St SChWR (5% of Pt FCC) S "' . !S
TOTAL P ERD1I T PEE S 5 • �O
• _ . peraldt ill soeebtadred vnlSto
Aalllati�d Notic ='Mt permit a ppac oR taperer ff Y
1 5._,-.) -0 3 150 drys aim it has beet amepted as complete.
Mee Medrodalagy set b y ' n ' t 4o u g i t y l 3 a i l e r m g W e a r y Service Board.
Row ay 3/ S
Meeseptwtettaame)
Imer rmtPorne > tAPP.doa 01103 •
•
2 -
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested S — ) / AM PM BUP
Location ' 0 /t . Suite MEC 3 - tea 3 7
Contact Person -a.o., ± � 1.k..04 Ph ( )
a3 -dG ! PLM
Contractor Ph ( ) SWR
BUILDING Tenant/G1> r 6L-e_e 1oc_) vV` .&4-- ELC
Footing �Z ( (`� poN. ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: r SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing SAO -7 \ 1-
Insulation , r �!� x`c
Drywall Nailing W 1 1
Firewall
Fire Sprinkler
Fire Alarm
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
FAIL
MECHANI
Post & Beam
Rough -In
Gas Line
S Dampers
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab (�_^
Low Voltage N U \ a 11C •
Fire Alarm
El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PAS PART FAIL
E LI Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line /
ADA
Approach/Sidewalk Date pr / Insp / / Ext
Other:
Final DO NOT REMOVE this inspection record fr n the Jolite.
PASS PART FAIL