Permit A r ELECTRICAL PERMIT
'� • 'f TIGARD PERMIT #: ELC2002 -00361
DEVELOPMENT SERVICES DATE ISSUED: 8/1/02
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 103BA -01003
SITE ADDRESS: 12065 SW WALNUT ST
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT : JURISDICTION: TIG
Project Description: Install 200a service panel and 1 branch circuit to smoke detector.
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: 1 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:
ED ANDERSON BOONE S FERRY ELECTRIC'INC
12065 SW WALNUT PO BOX 628
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: n/a Phone:
Reg #: §0P-49A3TOS
LIC 88482
ELE 3 -223C
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 8/1/02 $86.95 2720020000( Elect'l Service
Elect'I Final
•
5PCT CTR 8/1/02 $6.96 2720020000(
Total $93.91
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Permit Signature: 0)) _ ,,y: (� , (DI Issued By: ) 4 -7 6, 14 /1„.i
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: CL,p
Call 639 -4175 by 7:00pm for an inspection the next business day
Jul -29-02 03:58P boones ferry electric P.01
ElectricalPermitApplication _
Daoeroodvet'j - -0 2- Pg itno.: , „,, . -Do , I
;;' :! �_ City of Tigard j3a,'�� A 1 B '
CIry of Tsgard Address: 13125 Tig ard•
Fax: (s 33)SW19 0 - JUL 2 9 20112 Cage 6/51/e.: Paymiait ope:
Land use approval: ( 'i 1 v i 1 ti e{ y� j
0 �induarial O Maki-family 0 Tenant improvement
CI 1 & 2 construction tion or accessory )rAd al + CPI s 0 Other: 0 Partial
O New coestrnction
= .ltlli SITE 1NI ORM1:17ION
; B ldg. no.: Suite no.: Tax asap/tax lothecount no.:
Lou Job address: 1 2 0 6 6 s w w, f n u� i J
: Block: Subdivision: Sean: c e c ham 0 • .. cm name: A a a..5 c, Deiecl • . on and location of work en • -
Estimated dais of complctiot1/i ow 1 41 'E ,,« Sr k c Ira_ o a pr
1Fe mix
Job tea NI 7 5 (ea.) Total , ■o. bap
Business name: 13 o a n a s Fe ra G' e c ' New redde oat - studs arasald4aney pow
Address: V o i o r 62 ,, dwellIn fwaa.radnbaals seigsra0°
stage: o 1 1 V 9 ,0 7 b Se tatindwil t
City: w �,1 cony/11e 1 1000 • R or less Phone: 6 2 - 4 `) 3d Fax: 6 $ Z- 7 y, E-mail: Gam additional 300 sq. iL or pardon *wee +
Limiteda ctg.teidendal
CO3 no.:. 8 a Y 2 Elec. . bus. tic. no: s - Z 2_ 3 C 2 Ci I ;i. . lie.. no.: 9 5 / _ Limited anerty. nomeaidential 2
RIR ,
Each eeanufsetowd Marcos modular dwelling - Dose - A 7 Service andior teolcr 2
Uccom.oc 31 7 0 S
sheradas se reIraendown 6 03 ° 2
PROPI.Itl I (1%1 NI '.I: , 200.mpasxlesc 2
" mows to I00 atn�s
Name (print): 54 An 0 +s do 20 t ow s s o 600 amps 2
Mailing A SS; 601 amps to 1000 amps 2 ,
City: _ $ qte; —�� Over 1000 «vole 1
F S eo ail: ...—.----7 Phone T.a4iear!'arr'� erJBea.es -
Owner iostalladon: The Install lion is being made at property I own iaaoa,alletatiaa,oedwsalist
which is not jarraded for salt, lease, rent, or a according to 200 amps or lei 2
ORS 447, 455, 479, 670, 701 `201 corps b 400.mp_ 2
001 » 600 2
Owner's signature: Date:
elands - saw, altesstista,
or es tension per penal
,� tree kahraorh circuits nada tam of 6 S
Tlamts — I 6 6 2
_ service or racks for. each bomb ci a la
sty:
Address: B. les for blanch circuits without pooh= City I fie' • ?'� of service or fader fee. Cost bunch citesit 2
Phone: Pax: Email:
Raab rddifwoalt dreads ,
arGadaraatiidMdh
Fseh pinup oc irrigation ettcte b - 2
O Service over 223 aaipsmearaaeiai (] tiaatth ease balky w oar0>� �,.1,
O Service cver 320 amps.tning oil &2 Cl Htaadow oa
Imam sg. nerL7� t> � 2
family dwellings O Wilding owes IOA00 tgttse feet thus a Bob i b Kr) ear Vdt 2
0 Sysaernova600vdU nominal sort reaidoniat oat omens sirceatioaa
oememtan•
O B u i l d i n g O Rados. 400 ones err own 'description:
O 000up$rn load crow 99 pertain 0 Maosfatsted rtrocaea or RV park Each WM/sod inspeedoa aver the allowable ha gray of die sbeie-
Cl Fgrewnsshefagplan O Other. Periaspexuaa f 1 1 r .,
Sabot _ seta of pleas with any of idle above. Investigation rm
Tito shows arts wet applicable to temporary teestruuthau service. - Other - r
Permit fee _........ S A (. _
9 5 —
ma% au lwisclicsae+mept nowt cods. Omar can }afedin s far mac wantorlow Notice: This permit application Pl an rtriew (at _ %) S
O Visa O MasterCard expires (t a permit is trot obtained �m evIew r e (B%) --.. S
t �.a .ta.rat _ — wham 150 days fete is has been S 93 , `/ /
N.me d made.: •a owes to tsar mod f •
♦.rats (aoo�ordi
tYtl.etenr signings
-CITY OF TIGARD - 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171
MST - '
BUP
Received Date Requested _ n _ /J� AM PM BUP
Location a-d ( w aJ2 ij Suite MEC •
Contact Person c2.c./v Ph ( ) ��ot —� ! 3 � PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 0 0 3(0/
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
��
Post & Beam
Shear Anchors . �j 9 _
Ext Sheath/Shear c j c/LQCQ
Ina Sheath/Shear /0 - /� / 9 i
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm - ikl
Susp'd Ceiling ,,, - r
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 •
TRICAL
Service
Ro -
UG /Slab
Low Voltage
Fire Alarm
•
PAS ART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ` Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADPAoach/ D a t e Inspecto '/ / � � Ext
P
Other:
Final DO NOT REM OVE this inspection record from the • b site.
PASS PART FAIL