8855 SW EDGEWOOD STREET i
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8855 SW EDCFWCVJD STREET
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`'.,,eiTY OF TIGAf�Q ELECTRICAL PERMIT
PERMIT#•. ELC2002-00640
DEVf'LOPMENT SERVICES DA Li ISSUED: 11119/02
1312.5 SW Hall Blvd., Ticlard, OR 97223 (503) 639-4171 ^ARCEL: 2S102DC-60900
SITE ADDRESS: 08855 SW EDGEWOC'D ST ZONING- R-4.5
SUBDIVISION: EDGEWOOD
BLOCK: LO'. : 009 JURISDICTION: TIG
Project Description: Install 1 200 amp service.
R_ESILEN_TIAL UNIT _ TEMP SRVC/FEED_ERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIriATION:
EACH ADD'L 500SF: 201 - x.00 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL-/PANEL:
MANF I-IMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10)
SERVICE/FEEDER _ _— BRANCH CIRCUITS ADD'i_INSPECTIONS
0 200 amp: 1 W/SERVICE OR FEEDER: PER INSPE."TION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOOP:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: -_ _ - PLAN REVIEW SECTION
10000-amplvolt: —4 RES UNITS: > 600 VOLT NOMINAL:SECTION
1000-0-
_- ksconnect only: SVC/FDR—225 AMPS: _ CLASS AREA/SPEC UCC:
Owner: Contractor:
MILLER, MATTHEW HOWARD i KELSO ELECTRIC INC
ILENE RENE 545 SE 3RD
8855 SW EDGEWOOD HILLSBORO,OR 97123
TIGARD OR 972.23
Phone: Phone: 503-648-6360
Reg #: LIC 116254
---- - -- — ;UP 4270s
FEES ELE 34-433c
Description Date Amount Required Inspections
[ELPRMT]ELC Permit 12/19/02 $80.30 —�� -- —�
[TAX]8%31ate Tax 12/19/02 $6.42 Rough-in
-- Electect'I Service
Total $88.72
This Permit is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws.
Hi'work wily be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or I work is
su,ppndou for more than 180 days. ATTENTION Oregon law requira;you to follow rules adopted by the Oregon Utility Notifiration Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001.0100. You may obtain copies of these rules or direct questions fo OUNC at(503)
246.6699 or 1-800-.;32-23#4. _
Issued By: _ ;]� ��{�,,'� _ I��rc, Permit Signature:_
_ OWNER INSTALLATION ONLY
'The Installation is being made on property I own which is not intended for sale, lease, or vert.
OWNER'S SIGNATURE: _ --- _—._— DATE:
CONI RACTOR INSTALLATION ONLY
SIGNATURE 01= SUPR. ELEC'N: -7rl -r1 Cf � 1 -�'-^ ---
!:ATE:
LICENSE NO: -
Call 639-4175 by 7:00ptn for an inspection the• next business day
FROM : KELSO ELECTRIC INC FAX NO. 0000000000 Dec. 18 2002 12:27PM P1
CCI
Electrical Permit AnpliIM mg-va-WIMI
�(/( .nwz1� Id- -�2 m°c°+°�
Ur_ to r tNo. C� Cl/ -DU
'IJl�U! l�(a q H, Pfmm11 Approval 51�
City of Tt�ard Test k OX�ri N r�IVlg! v � r�tr,e,t
13125 SW Hsll Blvd, �I
Tiprd,OrsZon 97223 ba" ` —._-- Pafml%No.:
Pbone: 303.637171 Fax 503.598.191150 Poal•Aa.ie» T L.nd w
Inu1Dot: www,;;WS i'd,0Y.us Dar Flo.,
24--your ln"soction Request: 503.639-A17S +rnuct luflt.: See a*re for rnadaa.
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Mester$udder Other: ❑Bdtaw/ItlhNnr plan Othor.
JOBS II U00MATIO ►ed LCCATTO _'' "! Submit—gets of plana with any o� a
Ths$bone are 10applicable"um ra f thnatntarlon nine.
Job site R& M. ,..L. 7N77-`EIiL•14.CL
Suite I Bid '/.;"P ,ft: tY m or oriel estival Der 0ormil All owed
Prosect Name, ti tears Now row
Ctws tQeet/Dirwdom to job sire: dxwolllog unit t~Mda taebedprap.
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Lttntteg tner=y,raldt nrsp 75400(_$U17Ott:
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21
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Address: tervire or feeder ef_caeh ,amts wrt uit �� 1
Citv�StaiP/Zi : e►«rbr brA„eti ciru f within petal, cf
-- iia or fudar fu Gat branch&j Swt ..
p11011C: Fear I Yuri,KUWOulbr_anahcirrcwt _ 4.45
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•.r.,, ,�. 1C0 �E1rJt preQ er lrrtftstipn t tra,a 53.40
Loch t• n ore,sls li 5,e0 2
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Busi=lcss l-tunc: 's _
Address:
city"Sm eu ro Z?vs a 0wows Is Wir of a abor
Phone Fex: 4.�1 �� bout-rhtti�howi�,„ i-- --
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Suptrvising electr{olan " �` 1cs1'PArislt! a•►?:�i,.c.'. „
5
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�r sl�e_tas to aired �" � Pka Review •ia of Pe t
d>•1e; _� LiO.;B: �a4x�� 9fiate8afPartmt as ��
TOTAL,"PRMT REI;--1 s
Atlfiorizad Notice Talc punir&jg0lir2t1%n uplrea Ira perealr V nae aatai� willtJ�/-
sipsalre: -- Late' 1/D deye attu It has been ar"ptid el"Mpr.—
•Fre mtthodoty sot by rrl Ckurtiy Oulldlar lndvady 6*":a Boam
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TOOmI QLIti'�t1 j�, .LLI� 0A8tB8SCOS TVA f1 ti 211107:R7.'Ro
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST ._.__.._.. ._-_-
INSPECTION DI"ISION Business Line: (503)639-4171
BLIP
Received __ Date Requested- �a "�`1 AM__ _____ PM ._- BUF
Location D� z — - Suite_ — _ _ MEC -
Contact Person — Ph( ) Z1-3 PLM —
Contractor _ Ph( j W--.36.3 d--- SWR —
BUILDING Tenant/Owner T—_ _---- ELC
Footing Z C7 ELC
Foundation Access:
Ftg Drain ELR - --_.—
Crawl Drain _
Slab Inspectior, Notes: SIT _
Post&Beam -
Shear Anchors
Ext Sheath/Shear —
Int Sheath/Shear
Framing -+ -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
SuspdCoiling _-- - -----
Roof
Other.: - - ---
Final - -_
PASS PART FAIL
PLUMBING - -- - -_1_. — ---- — —
Post&Beam —
Under Slab - - -_
Rough-In
Water Service - -
aanitAry 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
T FAIL
Service
Rough-In
' UG/Slab
Low Voltage
FirjL61arm
3 PART FAIL L] Reinspection fee of E- —required before next Inspection. Pay at;,i; Hall, 13125 SW Hall Blvd.
[� Please call for reinspection RE: Unable to inspect-•no access
Fire Supply LineADA r
Approach/Sidewalk
Daft / Z�h [� Inxpwctor � Ext -
Other:
Final DO RJT (REMOVE thlL Inspection record from the Job site.
PASS PART FAIL