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8895 SW Avon Court
\ CITY O F T'G A R _ ELECTRICAL PERMIT
PERMIT#: ELC2002-00201
DEVELOPMENT SERVICES DATE ISSU►_D: 5/3/02
13125 SW Hall Blvd., Tiqard. OR 97223 i503) 639-4171
PARCEL: 2S1^1 DD-01800
SITE ADDRES:;: 08895 SW AVON CT
SUBDIVISION: STRATFORD ZONING: R-1.6
BLOCK: LOT : 040 JURISDICTION: TIG
Prosect Description: Installation of 1 branch circuit to gas furnace connection.
RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ _ MISCELLANEOUS
1000 SF OR LESS: ^ 0 200 anip: PUMP/IRRIGATION.
EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF NM/ SVC/ FDR: 601+;4mus - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER_ BRANCH CIRCUITS
ADD'L INSPECTIONS__ _
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1 st W/O SRVC OR FDR: 1 PER HOUR:
401 600 amp: E A ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amu: _ _PLAN REVIEW SECTION_
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: y
R,jconnect.on1y:_ SVC/FDR >=225 AMPS:V_ CLASS AREA/SPEC OCC:
Owner: Contractor:
WILTON, JOHN W TR BOB'S ACTION ELECTRIC INC
8895 StNAVON "T 2700 NE BURTON ROAD
TIGARD, OR 972.:13 STE A
VANCOUVER, WA 98662
Phone: Phone: 360-254-7200
Reg #: SUP 4322S
LIC 00053136
ELE 37-431 C
FEES Required Inspections
Type By Date Amount Receipt Rough-in
PRMT CTR 5/3/02 $46.85 2720020000( Wall Cover
Flect'I Final
5PCT CTR 5/3/02 $3.7-5 2720020000(
Total $50.60
This
This Permit is issued subject to the regulations mr,tained in the Tigard Municipal Code, Stag:of OR Specialty Codes and all other applicable laws
Ali work will be done in accordance with approvea plans This permit will expire if nun started wlhin 180 days of issuance,or if work is
suspended for more th,.n 180 Hays 4TTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules er>r set forth in OAR 952-001-0010 through OAR 952-001-008f1 You may obtain copies of these rules or direct questions to OUNC at(503)
?46-6619 or '-800-332-2344
Permit Signature: - Issued By:
i i ��T=TJ{ __ — G•c.t A�:tots K,�-+r,�t, .�'!,u--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:.—
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. EL.EC'N: r +\ GU�S.� DATE:
LICENSE NO
Call 639.4175 by 7:00pm for an inspection the next business day
ilii/2i/el1 11'Et) 14:44 FAX 5(1,1 98 1f ii CI'T'Y OF 'I'ICAI lajOo
77
Electrical PerlllitAlipplicatioll
r -- .t -_—' I l;uc received: :3 y 1'rnnit iur���'OU2uJ
City of 11 igard ��. 14ojecUappl,+lo.i L'xlnrc dale: -
Address: 13125 SW IhlJI Blvd,' Ig ,�'!it 1 )
Circ'r,/7 ikru r! ► Unlc issued: � Ity��Rrcciltl no.
)-'hone: (503) 639-4171 -- -- -----
Fax: (503) 5911-106,0 :( � C'nse file nu.: ! paynlcut l)pe:
LanO use approv-# .
® I rfc 2 Rui ly hvelling or occessoty 0 colnmr rcinl/uldusilial O ATulli family u Tennnt impim,en+tnnt
0 New const+vetion U(III let: _ 0 pV..:'.',,t
Job address: 8895 SW Avon Ct. 13158. no.: 5nile no.: I aK Illap/tax Int/ItCCnllnl 110.
Lot: Ulock: Subdivision:
Project nmric: ----rDesciil:tion and local ioil of work oil premises: Gas furnace connection.
-
1Jslinmted date ol'com iletion/iris echos:
.Inh no: 02-4.14 are Rin,
Jlusincss nume: Bob's Action Electric uetrrlpunn 12(y, tea.) Total un.htsp
AddlCst: Nesrrrdde11llal•'Ingle ormnhl ftinifyper
2700 NE Burton Rd. "An rinrlllnRnnll.IncludrtnunthrdRnrnCr.
CJI)': Vancouver i SinfC:WA Ill':98662 Frrrlrrincludrd;
' 360-254- 200 v 2- 4-8219 ItIII'rr
i hone. Fux: E-mall; ______1
53136 37-431C I:tic•hadditional.00 sq.ft.orptvlitsntherrul
CCB If(,,: Ilec.bus. tic.nu: -- -— -
Umiled enrrp),irsiden(ial 2
Cityhnetrolic• no.: 003$61 Lhnilydrnetpy,nnn•lrsblenthd — —1
4126/C2 Efichmanufactured homeormodulnrdwelling
Signnh rte of su ervishl electrician reiluire(I) Dale - Service andior feeder 2
Sup decLnaur( r;nq: Kevin Brosel.le LI "nseuo: 43225 Seri Icesnrfeetem-invinlhilru1,
nllerntim or reincnilou:
200 nmps or less 2
Name(print): John Wilton 2nt ampA,na00"mpm - - -- 2
401 ams 1n 600 ampm 2
Melling address: 8895 SW Avon Ct. rain anss(a 1000nntps , -
(,it),: _'Tigard R 7:I
Slate:OI': 97224 (her 10011nngnurrolls _ _1_
Phone 684-2023 i,.,,v I E-mail: Iletmonctl unl
Owner histrdln(ian:The instnlhntinn is heing ninde on Iltoperly i u,vn 1'empnrnrysetti rorleeders-
whit.l,is not intended Ina stile.Icnse,rent,tat exchimse,necoiding tit imInllnllon,nllerntInn,orreincnllnu:
ORS 44;,455,479,670, 701,- 2110 nmps tit less -
201 nn,pS to 400 amps
Owner's sl linture: I)iir' __ 401 to 6Wumps -
Orench circuits•nese,nllerulinn,
or Omlensinn per I n irl:
Name: _ A. I--ee for branch circuits with purchase of
7,ddf('s5 service or lerner fee,each blanch chcuil
city, SIa—IC; I %I I' n. ser rot blanch circulus s,ilhnul purchnsr.
- or rrtvicr,of ferdrs phare,lit s btntseh circuit 1 6_8 2— - — - --
Farb ndditiumd btarch circuit
=Mimi Mkf (RrI%Ire orfertletviol lu iudetl):
USelvicemrr22Sangs•crnnn,ctcial Ullerddrenrcrneiliiy I::uhpuiuporbnignlinnci,cl" — 2
D Srrsi er, rr.)2liungs r:tinpnf Ifi2 CII�AzalSouih><"U q1 Ftclssfgnuroudinelighno , 2
ramilydwellingi Unuddiugover l000llsqunrefeet tour ul Signal cheort(s)nralimitedenet(typm,el.
USvxteninver60Uvollsnotttinul ustreteliden(in111111%Intitle SUuc•lure alleratfon,orextension, _ 2
O BuUJinpovrrUueuaturieS t]i'eeders.4(N)nnghorinnlr 'tiescr( lion:
U Octup"nl load over 99 persons L1 Islaturnclu-I finuclures m kV rtuk rnrtt additional intpet ani user lite nllonnbie lit noy of lite abuse:
O[prresnt):hUnpplan U Other: i'o mspctllun
ynbnsil —mels of plans stub tiny of(ht,nhnre. Invesuignlion tee
11te above are nol npplienble to Iempordry const rnc(lon terrlce. tither
Nut all laisdicilmu Acecpl rrrdll c,uds,pleas call jurisdlcdttn fn mare lu horn ll'"I Notice-111is petmil npllplieoliupeilltil ItC.....................'i 46.85
U Vis" U Mnstercmd / expites il'n permit im not obtnined 1'1,111 review(al __—
Credit card nunnAa ,villiir) I IIO dn's"Ret it Ims been Sime.mirclim-ge(8110•...1• 3. ..5___
LA rfref nccchlcd um coniplcte.
shown on ritdn�i tum TOTAL L .......................$ -- 50..60 _
Nana tit enrNto er ns --
_ S _
Cartlllt+lder il�nattue An oust flu 4lIS((T)rtb'r IA1)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Busingss Line: (503)639-4171 MST —
BUP
Received c7 Date Req u sted —� ��— AM--PM— BUP
Location o 9 5 Suite MEC
Contact Person Ph O 7.Z D U PLM
Contractor Ph ( —_) SWR
BUILDING Tenant/Owner ��.� w _�+ ELC 7
a�
Footing b1A r � " �l �� ELC
FoundRtion Access:
Ftg Drain L I d._ G ELR
Crawl Drair
Slab Inspection Notes: 3 SIT _
Por 8.Beam --
Shear Anchors
Ext Sheath/Shoar _ --
Int Sheath/Shear
Framing -- - - -- -- --
Insulation
Drywall Nailing - - --
Firewall
Fire Sprinkler ----
Fire Alarm
Susn'd Ceiling --
Root
Other: - - -— -
Final -_------- -
PASS PART FAIL —
PLUMBING
Post& Beam -- -
Under Slab -- ----...--_,-_- -
Rough-Ir.
Water Service ----- ----- - —
Sanitary Sewer
Rain Drains - --- --- —
Catch Basin/Manhole
Storm Drain ---- --- ---
Shower Pan
Other: -- -� - —�
Final
PASS PART FAIL
MECyAN(CAL
Post& Team
Rough-In — --- ---- - -
Gas Line
Smoke Dampers -_--
Final
PASS PART_ FAIL ----- -------- -- -_ _—
ELECTRICAL—�
Service
Rough-In - --- ----_ ---- --- -
UG/Slab
Low Voltage
FjXe.9larm
-�� ❑ Reinspection fee of$ "—_i aquir-)d before next inspection. Pay at City Hall, 13125 SW Hell Blvd.
14_ PART FAIL
SITE Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line �� 7
ADA S-._
/ f
Approach/Sidewalk Daft — Illtillll�bf -EIIt �
Other: tl
Final _--- DO NOT REMOVE this inspoWen in, from the job site.
PASS PART FAIL