Permit -fir �CIT 1 OF TIGARD ELECTRICAL PERMIT
�' PERMIT #: ELC2004 -00732
r DEVELOPMENT SERVICES DATE ISSUED: 11/15/2004
III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S125DD
SITE ADDRESS: 09715 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 ZONING: R-4.5
BLOCK: LOT : 088 JURISDICTION: TIG
Project Description: Panel change & add circuits for plugs, add circuit for 240 v 20amp plug.
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: 1 W /SERVICE OR FEEDER: 2 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
RANDALL, ARRON BUCKAROO ELECTRIC
9715 SWVENTURACT 31601 S WRIGHT RD
TIGARD, OR. 97223 MOLALLA, OR 97038
Phone: 503 - 372 -5135 Phone: 503 - 829 -5207
Reg #: SUP 3954s
LIC 154750
FEES ELE 34 -36Ic
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 11/15/200 $93.60
[TAX] 8% State Surcharge 11/15/200 $7.49 Rough -
Elect'l Final
Total $101.09
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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 1 332 - 23
Issued By Permit Signature: , e,
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
11/11/2004 06:21 15038293853 BUCKAROO ELECTRIC PAGE 01
L l..a al Permit r .c;Wo`1N t tlit,il l l( 1• 1 , 1• 11
City of Tigard 2 20 1 { A i ' 177 0 ' „v� p.m& )4... 1, c„2 QG ,1 _1�
11131 SW Hal HIv4.. Tlpnd. OR 97223h1OV 1 OR Kw Otltar Punk 101639 4 Fax 503 !911.1960
Inrlaetttat 5C3 39 41'3 . Y pF1 . . I 4.- 1 r ; Wore ° see a _ rtwna.
UArnetl Weew.CI.dlarel D: ,s CV” tl.If�;, 1 NociM/Mteflgd.
-- -- �"'+OF WORM _ -- r—, r. PW►;i RsVJIRV►' ---
F Je w r aassucuan AdE *:an.tairrraetun :eAlac•mor pi chick of *At ugly:
( t75avue ova 223 amps, corn111 1 l ti•zraour [wailer
r] Demolition Q Other: '
054rt'tet over 320 ant - ra:.ng Oliylldng ov.r t a,fAO aq R•,
• CA7lGORY OP CONSTRUC :ON ar I- and 2•t,OUly 4wrfUtie 4 a, mots new relativist
1 ,- ar.d 2•famlly Qd ralling C rntuteerrtslluldtcacrlal ACOOYSar btl.I4u g ag avet 600 vo)tt mui -:al urtu in one I "at>l'
�a y t diol ovefllUSa m Ofeed rn ,401►umns w e
.00r
I Muhi•fouly _1:3 M aster builder � Dem. Occupant loon nee^ D➢ persons DAdaaufscratW woman ar
J(>a 37TH 7111tdTtfNAl tOI.1 A' D LOCATION Hditaa t !<hn -.b plan r RV ptlr'
,: -- RMA ]He dlttr <ve tac L.tt)r . _ _.
Job no : Job 4tt •ddresa. e, n�cti r
9-`] S w )[, 6u bntl; sots urpions Wirt an) vt'tbe ebovc CerylS;otG�lY ► e� (�, C as . The sb"'c d'e Hof appiicaek to an,porat> oenrttuIivra rrr.lee -�
Sct tee _ rapt. no, ! pcviect na.C:s• ( --r:.
cross ietet/duaclivta to 30b site C a � b G� _ r 4 w rtrWSatlal $4111141- or multi- farwIy dwelling on .t
S. ltidtltwstlaa ►ud�aEa._
i WO e4 P at teas ��- 1►1 I s ° __
r sttbe.':Vlslan 1.3% no ��. _ 10 rq. A. tlD
.r poen 11 - 33.0 _ , t- 1
'v.am44 aql/ , ies drop I — 73.00 t 2 I
Tax map /paro:• no (n 5
_ i:101663 cm . ono-reb(dertta' 7S eft
-- PF.SC7ilPPTU1� OR tWVAK —_ -1 ■ Each T W11>Lti.1 ld at Q704i11aT _7
awel6Di. -wmav and /or fwd.! L _ 90.90 -, 3
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_ ��'�C.•�.��(_�b • SaWkM Or fwOaH 1E040664" aWNrisn. anE,el rab:atwn - I
d ;6G ara.s er 1aa. 1 f0.)O 3
�FAlStrxY 01!7�7[R a 201 imW 11 sOtt "'"Fr
atapr 196.15 .
Tg N AAT
�� -•-; 1. 401 mire to 600 anon t
>rslr�s r rG�O-t�- 1
__ QO vet t�r�a 1,000e�r�pa -._- ( 1240.40 1 1 ---1
AddmS: ( X4" - O TAuO szte w votu _4s+dl Reconnect w+ ` i
66.1 Ctry'Stato/Z•iP; 'temporary serriers Dr fei6enTs, abentlea, andior
Phony (b&) � — '( " ✓ I Fax ( 1 _ _
20C rope c-: leas ff ����1�� _ 1 a
Owner Installation; Th.s Imrallatior a beats mode ...to p psfry that I c wu which to net 201 am; GIG • . • - alli MO'
I tntendec :or tale. 104$., reoc, et eitehenbe. a:col flint to ORS 4 6 and 701. jO ansdt W 600 unyr 133 ,> 2
` Owner sig - _ C] ,� Dater ty' �_. r � - J - 1. drains - - sex, - 7, oR.— nrioY.y.r
- 0 APPLICANT _ CONTACT MOON 11. ee En trrtia::h rucam n de - Z
1 I
cute or reeds, coo, each 6 • 3 30I 1
BO t1i11 new rG. : breach ... l:t - ,
-- 3 Foe for breach ciicdits 1
I Contact faint: ! wlho,d WRAC or feeder fed,
- -- CsG bt h decal 40 1$
1 AdtrssS. . ESC$ add 1 Omen ctreatt � ^ ti_6,, 2
C ay:State.Zl ?. ^ -- - - - -- - . - _ M ieed Is ous l4ewke or feeder Oil Included)
- pv,r,p or Mises:ion c'tCIc I 33..F4 i • - _ -1 I
' 111011e t ; __. Fax ( i Si or otH,ns ,i hr:ttlt : •C• 2
Ei nliiil: Sipa cif/LA(11yr limited.
CONTRACTOR - :r.so panel s2trattoti or I I
t --1.....—......-.............---.---- Pap I j .al j l�wl 11041 rwae' � �.1.O E, e-411 C L L .maim Nimbi,:
Addle ..1o=,.. It ever at1 its saTof the alto`
,� I �OD � .... � -- � "' � P e r ms ( 62 SC 1 I
• ± City /Slole/71?: (� (�. t �p +. _ _ t i 0 a lm•^st;p1ior Per boor (t ry mY. 1 Fir Sl^
1'!tos. ( sc Q (.D �� , F".• (s o "' D 5 '1p I Inducers, lamer kw, i._ - -- -�
t —. T _ ..% g �i - - 6 iiic re A.wt vi r8-
rea Lk.: 1 5 y 1 altar IS her MOW aces ted Or r /� E1e:,trical LL... 3y • _56 led Su L,,..___3(9 S q subtotal ! - , kfi J 1
d e e, 't ier , _ , .td -- -- - - plan review (2SY .,,1 perr.t4 feel . .—.1
S.tpry EJectrwcan a:S tiu- a,� F _ — _-
��� 1 al."--j) f l 9rau ufabras (11% of Ge leer i ,
Prt name Y ►'� _j_____11. �1.�� Tarim► r,tu,►nr rtsc
s
• A utltnntled s Q _ - . -- -- - - I I ii prrrie ll t;;;' iiprAi •r. lsr"l.'�T ni+voui 4.iit s a
_ ow ear.ptate
Pr ' name .,...• -.. -. ' r •r.atwo.�r d Yn- Co.arh p,,,ld, kid,,,,,, st.,,,..a le.aa
.,...• -.. -. _ _ ._. _�.. --�. •-- •�' -- -a +• ti ., n , :ror�n DCrper7r
sal. H4r•..w,.o•aLt` pr..•■iV.1•r•.7.111
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 63 175
INSPECTION DIVISION Business Line: (503 6 9 -4171 MST
1 BUP
Received. Date Requested / es < — M PM BUP
Location ( 1 7 / S I 4 , I Suite MEC
Contact Person ( /L- J Ph ( ) 73a - . - 6 7 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner . ` 1 —DO 73�
Footing
Foundation Access: _' - ELC
Ftg Drain y 3 " ELR
Crawl Drain
Slab Inspection Notes: /d c SIT
Post & Beam
Shear Anchors -
Ext Sheath/Shear /1�tAJl , y /
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
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
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL •
Service
Rough -In
UG /Slab
Low Voltage
larm
❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA . t
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT EMOVE this Inspection reco d f: om the job site. •
PASS PART FAIL