Permit Ac._ CITY OF TIGARIT ELECTRICAL PERMIT
PERMIT #: ELC2004 -00141
�l DEVELOPMENT SER DATE ISSUED: 3/23/04
�' "�I II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S111 BC -01400
SITE ADDRESS: 10145 SW VIEW TERR
SUBDIVISION: GREENBRIER ZONING: R-3.5
BLOCK: LOT : 004 JURISDICTION: TIG
Project Description: (6) branch circuits, lighting, gas fireplace wiring, change out 2 duplex plugs.
Job No. Buehler
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: 5 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:
BUEHLER, GREGORY J + SARA L MIKE'S ELECTRIC
10145 SW VIEW TER 11070 SW ALLEN BLVD
TIGARD, OR 97224 BEAVERTON, OR 97005
Phone: Phone: 503 - 649 - 6991
Reg #: LIC 50209
SUP 4230S
FEES ELE 34 -I8c
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 3/23/04 $80.10
[TAX] 8% State Surcharge 3/23/04 $6.40 Rough -
Elect'I Final
Total $86.50
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- rough OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1- 800 - 332 -23 .
Issued t _41111k 4 ( Permit Signatur•' j--,
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:
NTRACTOR INST • LLATION ONLY
SIGNATURE OF SUPR. ELEC'N: / DATE:
LICENSE NO: 0>-5*-S
Call 639 -4175 by 7:00pm for an inspection the next business day
Sent By: MIKE'S ELECTRIC; 591 7847; Mar -22 -04 3:15; Page 1/2
03/31/2003 12:25 FAX 3035981900 CITY OF TIGARD '' 002
Electrical Perms Received 1:012.
/4 Flechicel o �
gelds. i . ' Na: . . _ i ••• O 5�
City of Tigard MAR 22 2004 mgr • ,SignSign
Permit No.:
13125 SW Hall Blvd. Phut Review Other
Tigard, Oregon 97223 CITY OF TIGAR► Datdar- Pcnnit
Phone: 503 - 639-4171 Fax: 13014.50tif6 )IVI , • Poo- Roviaw Land Us°
Oate/By: . Cate No.:
Internet warav- ti.tigatd.orus
ectlon Request: 503-639-4175 °` ! " ,� -. Contact 7 , .. Sw See ant 2
24 -hour Ina if
p �qo Name/Vied: - Sapplemmtallnformatlon_
•
•
fix' �� t ' 1 ' ' ! ' 1 R a.' P.� C
R . �n 'GG4L 01'5 i1 0 S;L,1 :v i I.i•: i • °n ' ; r :� 1�F. 1 _ • ;771= _t $ 4L: ? ?'
rE New construction 10 Demolition Service over 223 amps. Ito Iietildt.oart tacititr
, t i
4 Additionaltcrato • placement IN Other:
commercial over Building over er 10,0
� . _ - ['service over 220 a:ttpt•raling of ❑Building over 10,000 square Rat,
► , ti + ,E Li.; , ,LT', t 4".t E '� ] I Q 2 00flily dwelling, four or more residential units in •
:.111 1 & 2 -Fan m
dwell' • 1■ Commercial/Industrial ❑ Systcn+ over 600 voles nominal one etnsautte
Building over three eterlm mere - ❑ Feeders, 400 asps or
I II Accesao ' B t • 1 r _� IU Multi -F g Occupant load over 99 permits Manufactured Structures RV p
N Master Builder . G■ Other: ❑ Egres Aighting plan 8 o, park
1 . ,, i < ?i� •; �wN""�" sue-_ , it submit sato piano with any of the above. wna �y i `: ��i,..L...:. 1 '4 ��it:: " iL._ The above are not e • Orablo ter t,vc M
ueg sees.
J
.,, .. . ob site , ' .. .w . a ... :.Is: l: I :0. ;i ;r i `i yT , ? 1 , ,...4 : .. ... - ,I''�4
S<u2C #: Number of hap ectloag per permit allowed
Project Name: B u e h 1 e r Deteription ._ Q4 Wee (ea.) Twat I
Cross Bt1CCCt/DffU'CL1CA6 to 0b site: Plowrutd'adat -daate or muI6.fs ntly per i
dwelling noit. includes attached avast.
Servtee lociadod:
1000 sq. R or less _ 145.15 4
Each additional 500 s , ft. or portion thereof &It t
'
SLibdilkiioA: f Lot #: inked energy. residential 7Loo 2
emirltr. not. residential 75.00 1
•Tait.ma Js arcel #: p Bach manhood home or modular dwclltag
41, ,,..:;-,,I., ::,•.,1%.,g31; •I ;e•: :7 •t M'.'i IFIT tl'tWQ!� 1 .. . :' ;. :_a=t J.1 817VICC=dim' 90.90 2
. Services or feeders - Insral1 don,
Light i ti 8 gn u f i r cip la r. e w t r i n g 4lterado• or month -:
200 amps or lea 10.30 2
. t • • A - e r r A - 201 amps la 400 snaps _ 10615 2
401 mops to 600 en9w 160.60 ,_ I
ill FILI .t�l 'etu,,iL - R.• e!. a EH.. :a :, ii` , 'd ,,,t;.:, 601 amos to 1000 amps _ 240.60
Tame: over 1000 amp. err volts _ 454 .65 2
S a r a h 3 rt a h l e r Remo :tog only 6615 , 2
' Address: 10145 S W View T err . Temporary services or teedsre - installation,
- .CI /S tate/ T i g a r d 0 R • 7 2 4 erup or TIP � 66.84 1
S (1 ?bone: .. 6 • Fax: 201 amps m 400 i 100.10 :
Irrg 7} ', `4114' v u ^, <r_Qr �'.' ti :yul; Branch n 00 amps 193.E 2
:: E.; � ><r: - - - -- - Br+aeh eltralte - tae •+, alteration, or
Na de: „ • - - • . - extension per panels
; Addis: 11070 S W Allen Blvd . A. service or lbedcr branch of 6.65 2
' . of
Cf /Siate/Zi . 11 . e purchase �/
ri �73 e a v P e p 0 R 9 7 0 0 5 Fe for 1:coach elrewo without •via or lbeder tux, Bruton:eh circuit / 46. as Y6 • Sr 2
Phone.: 5D 3.6 4 9.6 9 91 I Pa,S 0 3.6 41 .1.9 0 2 FAA odds real bratichhsket _ s " 6.65 34.014 z '
limas : Mac.(Sorvice or fea not Included):
q ` � I. . � Each Rri1Pdiort 53.40 2
or 1
,i `: .4�;, ut,u. iiijll i l�I.;aa • r 4 .. - i' u✓ . o'er ". r. p,. y; , • ,i: •,'•i :i �p or _, 53.40 1 t m _ r .
' Job No: 13i.1>1-r' S eircuit(a) or A limbed energy panel,
BiisiniSS Name: dike ' $ Electric r a�nilen ram z 2
Address: - e e . : - . : t
Each additional ibepaetlen over the allowable In of the above: . _
/ S t a t e / .•: : - a v e r t o n I Z 97005 for intaretioniver hour (ate 1 bow) 6240
0 3 Phone: 649 - 6 9 91 Fax n 3_ 6 41 -19.02 iavesngationireg ,
CCB Lic. #150209 Lic• #: 14-35.a. . - ,- ^ ,°c:= 'k :i i ' . "cif- �h'''-",r''' ::
Supervising eleottio %, "_" Subtotal 5 0.
re • ,red: :1 / ` - P1an Review (25% of Permit Fee) S
Print Name: IIo _ - - • : ,finimmiranseims State Surcharge (8% of Permit Fee) S b. 0
' : ' TOTAL PERMXT FEE S Er b. „s v
Atithofizcd - Notice: This permit application 4c6pIrea en permit In not obtalaed repels
Signature Date: tao days after it has been accepted as complete.
*woo methodology set by Tea - County Building Industry Service Beard.
Mourn print name)
i:\bstrAim ritFarnm%ElePermh/►pp,doc 01/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection, U . (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
UP
Received Date Requested � " / AM PM 7IE - 00/6
Location / � / is Suite MEC 01604/ ` / as
Contact Person Ph ( ) 3/ cI - S PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 4 1- 0i l4
Footing ELC
Foundation Access: rn 2
Ftg Drain C U' T , 1 V O ELR
Crawl Drain
Slab Inspection Notes: n SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
•
Other:
Final C
PART FAIL C .
G
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains -
Catch Basin / Manhole
Storm Drain -
Shower Pan
Other;. •
a L
S PART FAIL
M ICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
• ,SASS PART FAIL
ELECTRICAL ,
Service
Rough -In
UG/Slab
. Low Voltage
•e Alarm
Fina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. •
PART FAIL
SITE E Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA 1 Approach/Sidewalk Date P` _g 5 Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record fro the Jo site.
PASS PART FAIL