Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00714
� DEVELOPMENT SERVICES DATE ISSUED: 12/10/03
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S134DD -01600
SITE ADDRESS: 11825 SW TIEDEMAN AVE
ZONING: R -4.5
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Install 1 branch circuit for elec heat.
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:
NOFZIGER ALOHA ELECTRIC INC
11825 SW TIEDEMAN 1741 N JANTZEN AVE
TIGARD, OR 97224 PORTLAND, OR 97217
Phone: not available Phone: 503 - 289 -7060
Reg #: ELE 34 -224C
LIC 54799
FEES SUP 2426S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 12/10/03 $46.85
[TAX] 8% State Surcharge 12/10/03 $3.75 Rough -
Elect'l Final
Total $50.60
This Permit is issued subject to the regulations contained in the Tigard Muniapal 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-,-4''-2344.
Issued By: . ,f Permit Signature:
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
12/09/ ?003 18:14 50328970602 ALOHA ELECTRIC INC PAGE 01
Electrical Permit Application
RECEIVED RR �1��i2, 0 o £ Fi-c) oo7r
City of 1Ygard Phoning
proefisr " Sips
13125 SW Hall Blvd. U LC 9 2003 P1111 Ithview Other
Tigard, Oregon 97223 _ tNo.:
Phone: 503- 639 -4171 Pax: 503-598-1960
Pm - Use
oreat: www.ci.tigerd.or.us WY OF TIGAP ' " .,iii, tun ao.:
Int i See rage 2 be
24 - hour Inspection Request: 5a i ' I V I ` �� --- kar S
t 1 ® iirntes td t.Po.wutks.
111111 w construction I ■ /Demolition `O Soviet ever 223 Hcsldratw Gorilats
S2o a
■ Addition ; •-..1.1.3.11111 Other: Service ov ecierri trial Hazardous lowiar
_ _ . ❑ er mps -sting or Q Building over 10,000 opus hen
•`c i4_I .--� 1'=—' . � J T:JIIi \ . " 1 A a fire lY &tabula four or nen residential mite m
. 18b2 -Farm/ dwell o : RIB Comnmerciul/Induatrisl Stern over 600 volts nomWnvi one esvedid
Building over Oven Tories ❑ Feeders. 400 amps or more
`■ ACCOSSO Buildin : 11101023ZSWIEM occupant lord over 99 persons (] Msnueastund swoons or RV psi
I. I
Master Builder I ■ Other: ❑ Ewan/limn pun ❑ other -
, r .. � ' ITs d' ,��:' . : y' °yJ : h `_ ,!-Ials7' ` Solana sab WO a�rs above. � T he above A • bb es melee.
Sic
Job site address: / / , o?S' . T/ E j) G` f i9 ,_i, ..... s: e `mm ton
: -
Suite #: Bid J • .t. #: Nambar etfair pas t spec
'(SW S
Pro' - t Name: l er per �+y fwrr
Crow street/Diread to job sine: &rang spit tatelaasesteed guar.
gases Omelette*
1009 ea. R or lee 145.1
S .eh sdditictol S00 sot b. R seam hoar — -- nig .
SubdiriaiOf: Lot #:
���es"�� n rea.ea 73.00
Tax » » L' l #: m+a�cotasd hone a =oldie d Ain
x� ;-c a t'_.'2,14 savlosstndlortltsdar 90.90
' +!:'a :.<<:, '1 �., '.S'!h r / ". : = `i�`�, tlwvl -_____ iss.
alteration or rebsathre:
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Name: b F H F' �.1x_
Address: Tamperers eerviea or beders - installation
*iteration or relocaalosr
'.1. •: _ 700 sous or — 166.30 .
If Se1 : : i''' icOtt, "y �v- F �nf t ► \ 'k_`'; :.i;i : - r; Bluth- drealIs - Ilea s i t ma i m . or
133.
Name: excealea VW peach
A. Fee Retrench circ dot with porde= of
Address: orric s es
a /State/Z. : a Fee b an& cical a wanner pr.dsw of
.:nice or bekeler 4e. rhos beach Omit I 46.13 A6 , SS
Phone: Fax: :1 2 6.65
E-mail: M1a,(9ervios or ibodor nor isOio0edlt
.. r • '. t!t ,�1'.b" T a,s us gr carlrti�0i 53A0
. :it - ► ' .'f. �n"� P.seh ,pao�taIs q> 33.40
Job No: sisal dreg aT er r timed mew pawl.
Business Name: /..d • E ec V ata•ad«ie*.eresierr Pepe 2
oamplir.,
Address: / , ri i V — •
Cl /SrateIZi i ' )teak 4ddidoeal Impieties over the aIiawabla fat may the abevt:
l i ar _ ' h oar !deft)
Phone: ' 3 .R8 - • Ere i sir • - ' ' tb: -
c �c�� .,. ,..�..:::' .L ":_.':y - .,reeky. -...t
L�rD C. 1 .5' �� • : -_!. .2 .� �% 1TCISRE?£ . • 1.1 ' m= ' r!
Supervising electrician � ��� subtotal %,
3i :, . store -' . uired: I • � tah • Au,-0 Pion Review (2594 of Permit Ftc) S
Print Name:: , nl ' , a, State surcharge • of Penh P14) $ .. s
Authorized (� < f ironic.: This Pratt apptkedee opine • Foods b .ee ebodeed •h1,i
Signature: ,� , t� l - !0 -D 3 1=p days dm, a boa snot accepted as coati ace. •
'Ite• tsteteoaoagy est b7T I-Coltnty Mendisi Industry Service Seer&
4 D A. Fu cHgX. 9,65-
- (Pletee print name)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received 1- / . 0& P Date Requested 1 2/36/03 k3 AM PM BUP
Location // g 2- �/L���i� 2v�-- Suite MEC
Contact Person Ph ( ) b2e7— ri gQ P PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ,3 -00 7/4Z
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: 4 / ��j SIT
Post & Beam .l� , `77' ( a
Shear Anchors G
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation Vi L ��j��> , i �� 1 \c-? Y� S
Drywall Nailing \ 1 'V��� 1.- t v 1-il�
Fi rewal I
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
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
L
Service
Rough -In
UG/Slab
Low Voltage
Alarm
PA ART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SI 111 Please call for reinspection RE: Li Unable to inspect — no access
Fire Supply Line
ADA /� - 3 0 - a
Approach/Sidewalk Date �� Inspector /� Ext
Other:
Final DO NOT REMOVE this Inspection record fro the Job site.
PASS PART FAIL