Permit CI ZY OF TIGARD' ELECTRICAL PERMIT
PERMIT #: ELC2005 -00159
DEVELOPMENT SERVICES DATE ISSUED: 3/18/2005
I
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S115AD-03100
SITE ADDRESS: 10714 SW TUALATIN DR ZONING: R -4.5
SUBDIVISION: DOVER LANDING LOT : 012 JURISDICTION: TIG
Project Description: (1) branch circuit for blower on new gas fireplace.
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:
LOUANN RICHARDS OWNER
10714 SWTUALATIN DR
TIGARD, OR 97224
Phone: 503 - 968 -0628 Phone:
FEES Reg #:
Description Date Amount
[ELPRMT] ELC Permit 3/18 /2005 $46.85
[TAX] 8% State Surcharge 3/18/2005 $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. Those
rules are orth in o • R 952 -101 -0010 through OAR 952 - 001 -0100 You may obtain copies of these rules or direct questions to OUNC at
503 -246 699 or 1 -800 3 -2344 _ C c
Issue By: � : . / Permittee Signatures✓
OWNER INSTALLATION ONLY
The installation is being made o property I own whi is'not intended for sale, lease, or rent.
OWNER'S SIGNATURE: -�� 64,` DATE: 'ff 4
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.
it 7/2005 12:34 5036910185 GRAPHIC EXPRESSIONS PAGE 01
03/17/2003 14: 0•I1Ax 6035981980 CITY OF TIGARD Q002 .
El Pct.. t o YY` E � % E � - 47' j
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City of Tigard
13125 SW Hall Blvd,. Tigard, OR 97223 PM eM' Osar
pitons: 503.639 4171 Pax: 503.598.1 960 M A MAR 1 �' 200 0 ,— ,�,,�,' 9a rune >{ far
impose/ onLlna. . 639.4115 '- __.. NotlAe ld I�ae: / /Q7• S�� annul f ahraiatloD
Littman www r.i.lillErlillor-ds _ ---•.",- .. I: ' a'i�`�' . : ' • :;I . , . all g ist apply
- a s . m,fir!! w.' i tomm9 QFlaaadous loatiotl
New tenon 74 "' a ❑Sawoe aver
p� ❑Satvice over 37A wigs- ,,tang I�+> over 10,000m. IL,
Detaolitioa. . , owe 4 or mare new residential
. • ; , . ; CAT .GOIt`'i OE Ciw74S a RUC12O , . r,' 1, of 1 vela t limigs l wits i s n structure :
�'1- and 2 oily dwelling ❑ Comm / ❑ Accessory b> S QBnildioa over tl nodes OFeeders, 400 MIMIC
0 i 1y Q p Motor builder Mar 00cau�K load over 99 persons L e+% smurmees Of RV r
••• ' :
a tilt° s1�1'1; ll!1Fbt9lMATION t.00AtI ° " "" � °Mee
� ❑per �a'tity
Job no, : • I Job site addtess: I Q - 1 ii 4... Di m i edr a ilitY with any of 'he above.
� m term �eRary connection =vice.
hh O /� Theabo o c
` �"� 1 V et • _;' •; ' ., .F izia■ •ainaisOLE L.. ••• ' 1 I .
Suite/bldg./0E i. nm . Project n2ftlrsL ran toffy dwelling malt: •
'Kew rapid mdIl stogie- or mull >sY
(�mse stteebd: aliens to job site: f " ��.�p1f'h — � � 1sc1udes Itmdz
145.15 4
1,000 _ R or lawn -- 1
135 add'1 S00 xi, R ar patdea 33A0 i
)<,ot no.. 75.00 2
Subdivision: 2
---.......7 Li 75.00
Tau map /par"1 nm.: li mited saw noo-resklartia1
_ .. D .OF.Vyt?ItK �i a ; ever 9090 Z
��� stoke
a 1 • A l • 8erv'ICes oreleders irtltW4 alteration. and/Or Felt/colon n 2
.� 1 _•� WAR WAR 200empaorleis
201 nape to 400 amps 106.85 2 ,
' " Q �'1'BtYA. = .r'• ' j—i RIOY' OWNER to 1,000 erne_ 2
Nam h rv � orwlts 454.63
rr Overt 1,000 amps _ 2
Addrt ss:
O `I lc • ver 0 gemmed oelY 66.05
• Tentpordq' parole
feeders tasuast9oo altet*don, saltier 1 . t'D lag I - D 5 66
Phone: (5p •, _332. -#1 3 � Fax: zoo �r or teas z
that I own which is not 201 em w 400 10030
Owner installation: This gr8mllation V
be made on property 4'AA 670, sad 701. _ � L33.iS 2
or exchange, t0 ORS • • 7. 401 s m 600
intended g a• sale, l '4 hang s ∎ / Date: 31 7-0 1 Branca circuits - won, alteration, or r ttene l
. ^ son, Int • Owner siglto°•t Mb / / % /� • . , A . Fee *sr branch circuits with
' • .i • , d; Cp A,t:� '1?3i:t90N' 1 er feeder ex, each 2
Q /►t!F'L"ICA1V7 soviet! jj�am //\��� breech cito�tt, it
_. 4
wlthou service= Bede' fee. 46.85 ui, 2
Contact man! _ each branch circuit - 2
- - o --- Baehad b 6 .65
Address: - J Miscellaneous (service or feeds :sat ins ed)
City/Stare/ZIP: Palm irrigation circle 53.40 _ Z
Fax : ( ) — 9ig o r mullet N8 53.40 2
Phone: ( ) ,� Signal aacaii(') or limited-
E- � I R ; '.., .. ' . . I ' extern 'rasa d, a rra n.Or page 2 2
BuSiDESIS t,ar e : additional is . ^ • . over t-newel/la In any of the above
� 62.50 MIN
Add - vesotadea per brn M 6
o (1 4411) 250 NMI
CitylState/� °: � Indoehial ;Lent ' hour 62 73 IMP
Pbene: ( ) F a x : ( ) : r . , . E L P1 1 ' . te a.. , .. .
Snow. Lie.: Subtotal la r 0
CCB T-Ic.: Electrical Lim.;
_ Pam review colt of Omit frn)
gttPrv. H i n e , : Ioiet+ signature, t i n y ' Sore sntoharae ( 8 • r 6 cf p•'mir tr c) lb • '1
Date: TOTAL Klein i 4
Print name: atam �
O ptsaaretrtflaea ' tan
Missrmlta�O * a lt p- t�ateaptadse e
Authorized m ology salty Tri.0 untyBundlesInd 9awiee
Print dame;
Date: •• Number[
ber[ of • F rsm+bod uipe:1km per 1p'udt e Iowa
lenuadteorermkgr:-..C.tenithApFedo• men ate•re►sttl vlauor6lw®
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2006 -00159
- A
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/18/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/21/2006 TIME: 7 :10AM PAGE: 36
SITE ADDRESS: 10714 SWTUALATIN DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 012 TYPE OF USE:
PROJECT NAME: RICHARDS
DESCRIPTION: (1) branch circuit for blower on new gas fireplace.
OWNER: RICHARDS, LOUANN PHONE #: 503-968.0628
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 3/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 002313 -01 603. 267 -1532 N
Corrections /Comments /Instructions:
0 / 11 C . V N es t o Yc— C-C_ r •
ZaxtS
►� -ASS b IJ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• Fl • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ■■■. Date: 3 2 f 0 5 Phone #: (503) 718-
\ •