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10515 SW Century Oak Drive
A\ CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: ELC2003.00149
DEVELOPMENT SERVICES DATE ISSUED: WOW
13125 SW Hall Blvd., Tigard, OR 97223 (503) 619-4171 PARCEL: 2S110DD-02100
S!TE ADDRESS: 10515 SW CENTURY OAK DR
ZONING: R-7
SUPDIVISION: SUMMERFIELD
BLOCK: LOT: 028 JURISDICTION: TIG
Project Description: Install(6)branch circuits. Replacing outlets arid switches with new ULC approved units certified use
with aluminum and copper applications. --
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LES$: 0 200 amp: —y PUMP/IRRIGATION:
EACF ADD'L 500SF: 20' - 400?mp: SIGN/OUT LINE LTG:
LIM17ED ENERGY: 4u, - 600 amp: SIGNAL/PANEL:
MANF HPAI SVC/FDR. 601+amps -1000 volts: MINOR !_AP,EL (10):
SERViCEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 200 arnp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: Ist W/O SRVC OR FDR: 1 PER HOUR:
.In,. - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT:
A - 10/0 amp: PLAN REVIEW SECTION
10004 amplvolt: >=4 RES UNITS: — �— >600 VOLT NO IINAL:
Reconnect only: SVC/FDR225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
PERRY,MARIE S +GRANT W TRS D& R ELECTRIC
10515 SW CE" rURY OAK DR PO BOX 1439
TIGARD,OR 97224 ST HELENS,OR 97051
Phone: Phone: 503-397-1916
Reg #: ELE 5-41C
IIC 121234
FEES_ _ _ _�� sur 31425
<7escrin!!�r, — Date Amount
Required Inspections
I 11,PIWI) FI.0 Permit ,%-;/03 $80.10
1801 805,Staic Tax 3/21/03 $6.41 Rough-in
Elect'I Final
Total $86.51
Thiq 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 day3 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 ivotifk 3tion 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 quzstions to OUNC at(503)
246.6699 or 1.800-3�2-2344
Issued By: t, �. `� Permit Signature:
_ 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 6.,J-4175 by ':00pm for an inspection the next business day
Mer 18 03 10: 35a Scott Pprry (.360) 225-460 '
03/13/2t.u3 16:12 FAX 50359814100 CITY OF TIGARD 0001
Electrical Yerpux
City of Tiggrd atttlnQl�pprow' Sign �
bate/8y: r'et•m,t Nn _
13126 SW Hall Blvd Plan Review other
Tigard,Oregon 97223 Post-R : f4rmit tar - -
P11ouo: 603.6294171 Feu: Spa-598-1%0 Yost-Ra rico Lae.0 m'
rsim.tmd-
JB sae Ne.'www,e{,tigerd.Oti,tllt act - June.- See rage 2 for
2b-hourIncpeetlon•1tegtleir. 503-639-4175 — _ So lem.wtal Information.
x till;.' a:• "W1J '�•I I��t' '°_ � ----�
' COi1BtYUCi1(7Il ° - Demolition Se vict over 125 u +¢ 1 Health-cue fwliry i
commercial CJf14raftlous location
Addition/alte rnt,ad re lac -F1• Other: ❑Srrviee over?10 gimps-ranee of ❑Ph1 Ilding over 10,000 square feet
;r«-�, ,v. _' ,�.yr.�.�:.�, �'•:,. ,.. I&2 family dwelh��c four rx rrxxe restdenoal route to
1 &2 Farnil dwCllin _ COL11ft1ttClal/)I1dU5trial [J System over 600 vvltf numinal C:.e strvctur c
y I]AuilOtng ever throe statics f'eedrn,400 amps or mo o
ACCCawry Building L Multi-Family Q occupant Iced evice 99 person■ LJ M mufactmod struct,ues nr KV patk
Master Builder Other I I✓i Ir�rss/Ilghting plan I ❑other _-- - -- _
Stahma _sats elplans with any oath+■hevr-
;,,•:.r sir '.'`� - - ;:�:' c v 1 'Tho above are of a llcabla to tcro orar couatructi n ycMcr.
Yob Site address: A��!" ,rr c,r,,r •,l'%Ff p.:4;;1»" y .,:'r.,�+, ;..t'•::f:t'
ysUjtC#; Bld ./g Apt.# AIu_ — of fns,C_T ns or eratlt allowed
Description Qb PwIr,LI Yatal
o ect Name:
Now realticaWU-,logit.or'-.1d K�Uy per 41
Qross 6ttttt1Dteetlo to job elite: / dweWor unit.Wludm 4tud.a4 err
Service i►claded: J it 1
1000 .st or less
,_(� 1 f" Etch a 'ttOMl SW arLlt:or ppf _ 33,40 _ I
! 1, tunt�edenrrzy tesidnnn&A — 2
Subdlvisioil���L 4 E:/2 Lot#: f.imirtxl ec�rr ran rvid'wital 75.00 __ 1
Tniptoucel 1/ � F�ich toattu2ciseand home or utodnlar ddweUiU
a;
rvice anrY41 fordo, 90.901
'c M R • .,+�.- p St"ices or fzedan• collation,
c avoraaan or ratoatio,.
200 aT �r 1-m80.30 2
��- (C. r r tam to
mamPS
' 16U.60 2
- 26t9ver 1000 ung or volt!
Name ---��`Y4^ _ •Q c Rocgnnnot only �A'1�.._ 1
Address., Tempura,r rwcre or tecdan-lusauatlon,
-may--- , -- I
alteration,or rcloutlont
200 amps s or less 66.A5 1
p C' y 211' 30
Fax 'tol am��l i d(h7 amts - 11173
y lir I VAX- �' C:,• [01 to 500 artltxt
'! —T f4 inch circuity-ocw,Uteration,or
Name: c-,j _ �� 'a - - eruasoa per penal:
A For for hrundt silvans.pith Poch,--of
Address: _ rarvicc or feeder foe oaoh branch circum 4 63 2
Cl /S13t'/ZI Il.Pec ler brttnttt Wrc,om withouc pureLa9e of
service x feeder for,firyr Minch circuit 46,AS 2
Phone.-34e,t Z. - ); u�nro,tal Manch,ireuit -� e5 1
iu 'J!
�, Mire(semce or feeder not includadi-
- ! ,? Poch pu w IMratlon ciotw` _ 53.40 2
art,11n or outline 11 hilaC 2
Job No: Qvial cvtuit(f)or a ionised enerRY pette4
��` "x aftcrstion,a oxwm ion - Fa e 2 2
BuAuess Name: Vmcr 19n:
Addmas: 14-3 - I __
Each►ddsUalral inspection over the alhrwable fn an of tlte_.bvv
Ci /stat,JZi 91- �' �P�"� Per honreaD _
Phone: Lv / (t, Fax; .�Q M Utve;paatien tee: _._
CCB Lic.#: / Lic.#t 5 -y/ C r. 1 Ft4 �.,,,�• .,�.
Supervising electrician 7
:ittbtotat S
Bi attar tlirtxi _. Plan Itevfcw l'23%gPSMft Fce $
Prttl Naive: a/ai Pa a'c l iC. T-- L�5tate Sutchar c R!'.of Patent I'ee S c./
• r- —_ 'P03'aI,l'gRI�R _,-
Authaue4 � � Notice: Thl►permit sppllcatttor arp,ras if•potmit i!cot tsataine0 yrtthle
Sigmure: �. Data: i 1 180 dsys alter it hat bren accepted ale cocapleft-
•Fee w:athedeloff sot by Yri•Counry 8ubl4ing Industry Sefvlrr Heard.
-^" ---�( 1-trace pnnina,w•• —_`
iADsu\PemitPOtmsIElcPtmit".pp.doe 01/0•,
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
CUP
Received ______ Date estpd_ AM____ PM__.____--_ rJIJP ---
Location _� P- �-� 1 v ,EL _ill Suite _ MEC
�' - --- _
Contact Person _ / � Ph(�) q2! -230 1 _ PLM -
Contractor SWR
-37
BUILDING Tenan caner ___ -__ y" __ _-_ ELC
Footing
ELC -
_nu,idation Access:
Vtc,Drain Z_ /� 7}C ELR
Crawl Drain _
Slab Inspection Notes SIT
Post& Beam
Shear Anchors --------
- -- ------
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing `���-- - - :��-�---- -
Firewall
Fire Sprinkler - - --- -- - - --
Fire Alarm
J�L -
Roof
Other:_ ----------
Final
_PASS PART FAIL
PLUMBING
Post& Beam
tinder Slab -
ri-
Rough-In
Water Service --
Sanitary Sewer
Rain Drains ---
Catch Basin/Manhole
Storm Drain _ - -- ----
Shower Pan in
Other: ----
Final �_. __.____-
PASS PARTFAIL
MECHANICAL _
Post&Beam
Rough-In
Gas Line
Sm
Smoke Dampers ---._._— -
Final
PASS PART FAIL -- -- - --
ELECTRICAL _
S_rvice — -
Hough-In lC
UG/Slab � n - - -
Low Voltage
Fire Alar - .—. ----- -
ASS A T
C7 Reinspection fee of$_- ,--required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
u Please call for reinspection RE:_-_ _ _ -__-__ _ _ Unable to inspect-no access
Fire Supply Line
ADA ,/�
Approach/Sidewalk Deur! RfC4 6. Inspector f �y�c�_ ��7 ���} ---__ ----- !•xt._
Other
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL