10240 SW GREENLEAF TERRACE IVA
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IU240 SW GREENLEAF TERRACE
_ ELECTRICAL PER_MiT
� Y OF T I GA R D PERMIT#: ELC2002.-00013
DEVELOPMENT SERVICES DATE ISSUED: 1/11/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 21 CC-21200
SITE /ADDRESS: 10240 SW GREENLEAF TERR
SUBDIVISION: SUMMERFIELD NO.5 ZONING: R -2
BLOCK: LOT : 270 JURISDICTION: TiG
Proiect Description: Installation of(1) branch circuit for a/c unit.
— _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 406 amp• SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+,imps - 1000 volts: MINOR LABEL (10):
�lSERVICE/FEEDER _ BRANCH CIRCUIT'S _ ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECT',ON:
201 - 400 amp: 1 st W/O SRVC OR FOR. 1 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: _ .LASS AREA/SPEC OCC:,,_ _
Owner: Contractor:
SABEL, MABLE R TRUSTEE WEST SIDE ELECTRi C CO INC
10240 SW GREENLEAF TERRACE 1834 SE 8TH AVE
TIGARD, OR 97224 PORTLAND, OR 972'14
Phone: Phone:
Reg#: X1-15006
SUP 1556s
ELE 26-1:55c
—_FESS i � ReInspections
r----__ -Required quired_
Type By Datc Amount Receipt Rough-in
-PRMT CTF. 1/11/0 $46.85 2720020000( Elect'! Final
EPCT CTR 1111102 $3.75 27200200001
Total $50.60
This Permit is issued subiect to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other v1^plicable 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,:.)r if work is
silspended for more than 180 days ATTENT 1011 Oregon law requires you to follow rules adopted by the Oregon Utility Nctlir,aGnrn Cente' I hose
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rues or direct questio,rs Ia OUNC st(503)
246.6699 or 1-800-332-2344
Permit Signature: aaf i .11 Issued By:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent
OWNER'S SIGNATURE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SI'PR. ELEC'N:
LICENSE NO: __ __ '�'u,�_ ----___--
Call 639-4175 by 7:00pm for an inspection the rrxt business day
f 1) 24 'V 1) 'I'll' 11,31 FAX 501 59s 101311 '1 'l' III; •I'1CM41) 00�
A Clectrical Permit 2kpp►ication r
R - hate received r p v i r ornLt no.:fL t,tsna-lx+c�/,�
City of Tigard RT r ���Y1EDNVject!►ppL nr.�_ __--- Envh.dotc:
Cilyq/Tt#.04 Address: 1312SWHull +t, or ,lPak ixs:rad: Ily: Reeeiptnu.:
F'lxine: (.503) 639-•1111 ---- — -- - -- -
ror:(503) 598.1960 A�N I) /(lj!) `t_I'rfileno,, I'nyixntl;pe
Lund at Approval: __Q jy gF-j-lEi, R
"T DERMU"Lu
�2fatstdjly +ellfiig or accessm-y J Cummel'A'11/indusuial U 4lulli-family U'I'eluutt gut+rover(ent
J New consmtcllon J Additit'I t/ tr rrtirn!r:hlnc nlcnt U Olhcr: :I f nrtial
Job a4drein: l(D-o 007 Qe ��;<•� `Qr- Itldg.nu.: quite ITELK Mattltax lot/aeccunl tu,.:
Lot;
PruJccl tin
me: "���� I)e=cri n llm and incnUun of work tut rerniscs: w;
L•S11111at041 dine I, ctvIII'r n:t /itt%pet tion
t 1
Joh rot Fee
Bu_kiness nituin ( E 1 t?6-A J VI?. (en. 1 ulat a iur
e ebRa{I[MIrL -rin,�rnrmultl-hntrihp•r
Addre.A' 7 + drrelllotluh.Includu aaactteil Wrngr.
Cin•: J t k,�.�t Stale: Z;P.
ThOneyt4 13 t-�4 f x � / r ntltil�',ele�►' "rr+eti Oxy fl.or`le`st _ d-
•' _ Gc.lu�s. t_._r.nC170 Au.: Z(j
__ SS -•-__'_ 3tLaimchitxedldei auenrlQ4yy,?tat1Uheleqn.Ofrt.d ter nttlnn thetrul'
_
(:i11'/mefrO I1G.tl0.: _ _ __ LLvirddcnrrgy,nnn ruadununt t _
l-• racb r.tnttufat turtal hom-or modular dwellrog
St tv or eupelvist tg clec It%kvquHMIl '- _Dote 1 � Sri,its JINur f-ler _ 2
t 8l IrTeaorfeedrts•-Int,lnlhid�ti,-�
Strp flat nerortfritrrl -t 1 f.l:tN r.Ar.T 4 S
ullcrtulnn orrelucnddr.will]9 i
?JOanitm w leak Z t
Name(prino: r i 1t+ ?G I Dupe In 401)"a_- Z
MNlingnrkresti L �- r - 401awrtpeto13D0at�`e
t 1�1- _ ' riot ainpi to 1000AftgIN 1
City: a , _ stale: F: O1 7 7-t - f1t cr IM1 set ecr:•alts
Phone: ••"• - ?, Pnx: � E mail• ecnv,ectur>ty
0,&nt7 installation nct instnllatian is heint(tnac'-on,,+mifcrry I ovn e."- rnner.itrr.nrfee air
which is not untended for Wit,:emkI,rent,or euba.I•t oct:crding to aeelaifadun,aMenitlon.ur•elncadaa:
ORS 447 455,479,670.701. .-LOU nlrgte nr n*^ -
201 amps ur-OP nngtc
(Owner's sI milt re un.t'; 4biro dht;r��r
Brake shrills-now,ahtratlre,
Mune: sr exttaantn perratldt
A I=for brnruh circuits with purehar of
Addrois: rc:rice or(ceder fee,etuh bretr_h'mcait 2
City:_ /uv: ZIP:
---^--r0. Itl61,bfu/dreiswith•wtptnchart
of111111rm •,
eecdo fec,nrit brntwh ArMI
I'hone --- Fa.v Il mail. -
�athn nuht(+ran:hclnvd
c.(,w.coot tederuothreluded):
U Servi:c uvv 22i nn:psennmereta: (�Henllhru� ,�rl'dl, finds pun u.irt9 nUnn cimlei� _
U Service r•ver37nontpr.,utbtp of 1&? U Mbredout i, r„ BArh Sl nor c!Kkic lighting ?
farmtydt•rIhnpr 0IMilinit-tr 11I.:110rgtunrImtfr3ror Sigonlr milliAor limit drnc at'pnnet.-
.JSyratnover 6l,Wvotr,,nnmilnd noicr•tilr,ri;durdrafnuneruucltrr alteradat.orratn•bm'_ 2
DDtdloirKoeerdrreetutiee r_FmdtmIOU antryuruwro °9ercllp6rn
(haitpat,tlaaduveri9penore JRlnnetfncY:IreJntrvrttrearrRVpark •`� "��•"""' 'i
U
U tterralttu, Ilett J tJ,� ,_y, -` -- tAtbIlddfllar,almspectlaaeverflitoltu�tabletoany0thrntnre:-�
Surnnll_•_rets of plant++lth flay of the ehera. uvtell�obun fcr �-
The niotrc we trot upplicAle to tnnporury coo rratdeff terrlct, other
Permit fee.•.,.........•...•..
Nor nll)uiadlr dwu ucep,ur(it credo,plow mllj�ds<,n fat lc<ta Mfn�tnll� Not ice:This petmil nppliceG stn
O'nra U\teslctCmd ecpit es if a permit is nut obinincd PIHn R View(.n �•1 11 . . _ __ _• _
nrlUtln 190 days eller•It has born Srnte I:urchargt•(111%)
_ rd
ldrr it eeawG'�"ir"`� _ "�'a• accepted of complete. TOTAL ....................$ _
rn as o
` lULIF41,0Uarolule����_ not iiui 4ll 1615 Iai1UK:CIF11
1 •d LL90-l3ELIE05f -0:3 01JI001A aptS Isam eE2 :01 an 01 Uer
CITY OF TIGARDCr 24-::nur
BUILDING ) Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Bus,inesz; w
Line: (5031 1-4171
BUP —__ --- - --
Received _ Date Requested`_.__�� �-Z3 AM--_ ___.._ PM _____-- BUP
Location V -7-_&tA_- Suite --- _----.-- MEC -_--_ --- . --
Contact Person _ _- Ph(--) _ PLM
Contractor .__ FI I( ,) 13.� ��__ SWR
BUILDING TenantK�n� -tQ-� .� 3`7- 9 _- -- ELC
Footing ELC
Foundation Access:
Fig Drain ELR -__-- - -_ - -.
Crawl Drain
Slab Inspection Notes- SIT
Post&Beam
Shear Anchors --
Ext Sheath/Shear
Int Shaath/Shear
Framing -- -- - --
Insulation
Drywall Nailing - - - - --
Firewall
Fire Sprinkler - - - --- --- -
Fire Alarm
Susp'd Ceiling - - - - --
Root
Other:_
Final
PASS PART FAIL
PLUMBING
Post& Beam -- -
Under Slab _- -------
Rough-in
Water Service - - - --- - - - - -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain -- - -- - --- --- - ---_-- --------
Shower Par.
Other
Final
PASS PART FAIL �- -
MECHANICAL
Post&Beam
Rough-In -
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL ��
Service
Rough-In - -
UG/Slab ---- -- -----^V-
Low Voltage
Fire Alarm
MS7)
PART FAIL
- Reinspection tee of $__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
.g IT ( I f'Ir,,t;v r;ill for r ifr;(x°c'tl'w Pf -.— —. T-- I__.J Unable to inspect-no access
Fire Supply Line ,
ADA T-
Approach/Sidewalk Dante Inspector _ t+`" Ext
Other:
Final DO NOT REMOVE this Inspection record from the j b slte�
PASS PART FAIL