10240 SW KATHERINE STREET i
�L;��S�C SNI�3HH�,Yi?i MS �JbZ�Y
CITY O� ����R� _ ELECTRICAL PERIiii
._
PERMIT#: ELC2002-00224
IDFVEL OPMENT SERVICES DATE ISSUED: 5/16/02
13125 SW Hzil Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2".uzBB-00501
SITE ADCrESS: 11324C SW KATHERINE ST
SUBDI` rSION: GREENBURG HF'CHIS ADDITION ZONING: R-4.5
BLOCK: LOT : 015 .JURISDICTION: TIG
Proiect Description: Installation of 200/less amp. service.
RESIDENTIAL UNIT TEMP SRVC/FEEDER')-_— MISCELLANEOUS —I
1000 5F OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 A00 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FER: 601+amps - 1000 volts: MINOR LABEL (10):
_ SERVICE/FEEDti. _ _ BRANCH CIRCUITS _ _ADD'L INSPECTIONS
0 200 amp: 1 W/SERVICE OR FEEDER: 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 R[S UNITS: > 600 VOLT NOMINAL:
_ Reconnect off.: _ S'1C/FDR >= 225 AIAPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
AMY BRUNO G,NRNER ELECTRIC
10240 SW KATHERINE 2',785 30W TUALATIN VLY HWY #C
TIGARD, OR 97224 ALOHA, OR 97006-1249
Phone: 503-431-2271 Phone:
Reg #: 60-64Qiglffj�
SUP 3707S
ELE 34-305C
FEES r Required Inspections
Type By Date — Amount Receipt I Rough-in
Elect'I Servicr-
PRMT CTR 5/16/02 $80.30 2720020000( Elect's Final
5F'CT CTR 5/16/02 $6.43 2720020000(
Total i $$6.73 �_—
This Permit is issued subjec'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 plass 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 OrQgon law requires you to follow rules adopted by the Oregon Utility NIntification 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: -, .� 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: _ _ _ DATE:
CONTRACTOR INSTALLATION ONLY _
SIGNATURE OF SUPR. ELEC'N: �1 �d4U DATE:__ _--
LICENSE NO: _ -- -----�" – ---�
Call 639-4175 by 7:00pm for ars inspection the next business day
06/27/2000 01:00 397-9022 DOUG MOBERLY PAGE 01
Eleett~ical Permit Application
."— r)a1e Ieceived: I Petmrr h0.'
City of Tigard projeedappl."U.: Gxpir-date
Lir r/21tinr/ Address: 11125 SW Hall Blvd,Tigard,OR 97221 Date issued: sly: Itcccipt no
Phone! (501) 619.4171
Fax. (503) S98-1960 Case Ric no' Nuyrnont type:
Land use appfoval:
r
\ /I
A, 2 family dwelling or accessory Q Commercial/industrial ❑Multi•fatnlly L Tenant improvement
Ncw(-onstruction L1 Addition/allrration/rt;placr•^:,rt G Othcr: J i'arual
Joh address d p���_s_vvl rv� - f41, no Suite no. Tax map/tax IuUnccnunt no.
Lot- Block: Subdivision. - - 7-
Project name: Description and location of work ort prernises• ���-�;e
estimated date of completion/inspeclinn-
Jnlr no: 1'rr hSai
01% LC2 ) lolal no.Intp
llusiness name_ _AZMER E LEFT Ri - - nawr eenrw-s4ukorinoal•fandlyper
-- --- ---
Addreas: 1 $-a_C Syr/ V_ W _ drrelang .•tb lnclrudraetuclledgara((e.
City: Stale ',1 P' -JOU+ - Set.tab:.iudda
Phone Has Z E-mail_ i 1000 sq n c,ansa 1
IZ 1 S 8och additional S00 sq.ft•or portion thereof
CCB no I Clec,bUs.hc. no: _ N��(�SG Urniled energy,reffdenliol Z
Ci / debt lie,no/ 14 y 1 - Limited energy,non_-residential 2
{-T H �� Ctiach tnanulaciured home Or nwdulrr JwollinR
(41'1,� s claim re tared (:n��ic+r rviceenrUarfeeder 2
Sur rte.' nantr l pool) �'Lf r' "-ll Y V1 C 1' t.irenae no. p7-j(MO
r:.Pes or fee/en-installation,
leralloh tar►elocallo to
ampsa lees f)•Nome(lyrrnt) 1 snipe to 400 amps _ _ 2r� 01 amps to 600 emps _
Mnilitu address:
.--� - _--- _--. _._ 6lil amps to 1o00.mps
Cils' �Slnle: f ZIP: Over 1000 amps or Valli
E-mail: Reconnect a � _---
Uwncr installnlion 'llie,installation Is li-nrr 'node on properly I own Temperasyaervkaaerfeedew
InslnYlallan,alleratlorl,or►telecatiwl:
which is not inlrndcd for sale,lease,rent,I I cltchange according to 200anipsmless 2
ORS 447.455,479.670,701. 201imps ro 100 ample - - -- 2
owners 5 nRIUM. Dole' -__-- __ - 101 in("amps 2
--- — 8iacthcieculls-nrrr,allefIUon,
o►extendon per peael:
7A�
nmc: A frr Ion blanch circuitst.rth purcha a of
ddreservice of feeder fee,each branch circuitII Stale: '' -__�— g Fee for branch citcvtis w Ihout pumhue
�2i- or service or r-rder fee,first branch cirrus:
Phone: _ Fax: F.mail: ,chadduionalbtattc circuit
Ag Mist,(hervlcenr ee rnotMe• ed):
H Service over 225 amps crmnrn lel O Nerlth•carefacibly Eech punlp or tgJalion circle - 1
p Servirtnver 120amps-ratingnr 1,42 17 r:atattlouslocaUon Each sign or oulline lighting 2
fetidly dwellutgs j ItuddinE over ln,txx,squ art tie r, n
Signal elrcuil(s)or a liudled cnarRY panel.
U System over 6(IOvnitanominai mom fraulr lialunitsmfineattuaurt alierallon,orexitrnaion• - _ 2
U Building over liver 9-ories U predera.4n0atrgn or conte •1 iii don;_
J Occup►;A load ever 99 person'. U Nlanulartumi structures rr(1V park ad luneI Inspection ever the allocable In anv of the above:
t]Egreaallighungplan U MCI _ ------ - Perins etllem r
84biarlt_--secs of plow Mth any of the aboveInvestigaunt,
The abere are not applicable to Islinportary conatroctlon service. other
No all)urtadkoom aarpt crr►bi corals piety call jiuris lcilon fa more Irlanlativa. Notice•'nis permit application Permit fee.................... s _j, •._—.
Van U Mrspolux
• expires if a permit is not obtained plan review(at
r �� within Igo dayr,after i1 has been Slate surcharge(896) ... - -
real era numL�I L -- -- TOTA1,
ra accepted as complete. ...................... S IeK -7�iMount ").a,,l s:aloorcost)
—WA
Ma No*:
CITY OF T'IGARD 24-Hour
BUILDW . Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST _ _-___ - ----- --
BUIP
Received _Date Requested- _`fir (�- __ AM _..________ P(vl _-__ - -_ BLIP
Location Suite / .______- MFC _
r ?1 `[ ��'
Contact Person Ph( ) �_,.�___ _ PLM
Contractor_ Ph SWR G
BUILDING _ Tenant/Owner ELC•�C•Y�c�
Footing
Founuation — ELC
Access:
Ftg Drain
ELR _
Crawl Drain --
Slab Inspection Notes: — SIT
Post&Beam
Shear Anchurs
Ext Sheath/Shear
Int Sheath/Shear —
Framing
Insulation
Drywall Nailing _ _ —
Firewall
Fire Sprinkler -- -
Fire Alarm
Susp'd Ceiling - - —_
Root
Other: -- __ �.— — — -- - --- -
Final
PASS FAIL
PLU_ ----- - r _
MBING
Post 8 Beam
Under Slab
Rough-In
Water Service — — -Sanitary Sever
Rain Drains
Catch Basin/Manhole _
Storm Drain -- - -------- /� - -- -
Shower Pan J
Other.
Final -----^ �
PASS PART FAIL --- _-
MECHANICAL -_--
Post tt< Beam -----_`._-----------..----_.____
Rough-In
Gas Line _ ---- --------.
Smoke Dampers
Final
RT FAIL _---
L CTR L—
Service
Hough-In
Ufi/Slab
Low Voltage
Flarm
in n ❑ Reinspection fee of$— _ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS RT FAIL
- Please call for reinspepion RE: _ — �] Unable to inspect-no access
Fare Supply Line / .L
hDA , �-1
Approach/Sidewalk Bate_ Inspector __._ ___ _ t_
Oilier: _ _
Final DO NOT REMOVE this Inspection rei:,%rd from the job site.
Pa5S PART FAIL
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)04171 ELECTRICAL PERMIT -
RESTRICTED F_NERUY
PERMIT #: ELR97--0277
DATE ISSUED: 09/30/97
PARCEL: 2S102BB-00500
SITE ADDRESS. . . : 1O'_'4O SW KATHERINE ET
SUBDIVIS1ON. . . . :GRE:ENBURG HEIGHTS ADDITION ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . , . . :O15 TURTSDICTN: TIG
Project De scrip} inn -. Add burglar alarm is ao existing sin(le family dwelling.
A. RES IDENT IAL_----___._.._ B. COMPIERCIAL---
AUDIO R STEREO. . . AUD Y 0 d STERi_O. . : INTERCOM A. PAGING. .
BURGLAR ALARM. . . . -; X PULER. . . . . . . . . . : LANDSCAPE/IRI�,IGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . MEDICAL.. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . „ DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . FIRE ALARM. . . . . . : OUTDOOR i.._ANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. , : . .
TOTAL. # OF SYSTEMS: 0
Owner: _..___._.___..._____----_...______-.___.-_..____.._.___...._.._.-...-------.---.____.__. FEES
ROB EVERETT type amor_rnt by date r rcpt
10240 SW KATHERINE STREET PRMT' 3 43. 00 GEO 09/30/97 97-299639
TIGARD OR 97223 SPCT $ '. 00 GEO 09/30/97 97-2-39639
Phone #:
Contractor:
ADT SECURITY ALARMS E 42. 00 TOTAL
703 NE HAMCCICF'.
EXPIRED ------- REQUIRED INSPECTIONS -- - --
PORTLAND OR 9721c" Loh Voltage Tnsp
Phone #: 2-14-3-1265 " Ele -t' 1 Final -� -
Rett #. . : 000599
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work pill be done in accordance wif:h approved plans. This permit will expire if work is not started within 168
days of issuance, or if work is suspended for more than 168 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rales are yet forth in OAR 952-081--081.8 through OAR W-A1-8898. You may obtain copies of
these rules or directs1987,tinns at�583l2�6-
� y
Iys�ted h ' 1dl� c Permittee Si natr-rre C ----
ti ._ _..I-"_-.-......... g
--------.._.-------__OWNER INSTALLATION ONLY_----------------------_----.
The installation is being made on property I own which is not intended ftrr
sa.lp, lease, or rent.
OWNER' S SIGNATURE: _ DATE:
.........__-_ _------_------._______Ca'(TNTRAC OR INSTALLATION ONL_Y----------------------- ---
Ii I GNATURE OF SLJPR. EL_EC' N: -_ DATE:
L.T CENSE NO:
+++++++++++++++++y+++-'-++++-+++++++++++++++++++-1-4--t ++++++++•++++++++++++++++++.4.+++++
Call 639-4175 by 6:00 P. M. for an insper_tiol needed the next br_tsiness de
++++++++a-+++++++++++++++++++++�-++++++++++++++++-r +++4+++-1 ++++•+++++++++++++++++++
CITY OF TIGARD RESTRICT'E') ENERGY ELECTRICAL APPLICATION Recd by:
13125 SW HALL BLVD Date Rec'd:__
1IGARD OR 97223 PRINT OR TYPE
V-503-639-4171 X304 Permit
F -503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd. _
11V, ,h WILL NOT BE ACCEPTED
Narrfe of Dovelopirrient Project TYPE OF WORK INVOLVED -RESIDENTIAL
Restricted Energy Fee........................................ $40.00 --
(FOR ALL SYSTEMS)
JOB Street AddreissS
te#
ADDRESS > i ' Check 1 ype of Work Involved:
SY
C ty/StetB > zip Phone N ❑ Audio and Stereo Systems
_ 7Lr ,/P ( ' _ / i
Nam Burg ar Alarm
OWNER Mailing Address ❑ Garage Door Opener-
City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System*
-- -- — - — ❑ Vacuum Systems'
Name M!1 SEIy"""'STFM$,0
703HANC9CK ❑ Other
CONTRACTOR Mailing AddressT— f1`10111111�
TYPE OF WORK INVOLvED-COMMERCIAL _
(Prior to Issuance a City/State Zip Phone# Fee for each system.............................................. $40.00
copy of all licenses (SEE OAR 918-260-260)
are required If Oregon Co .Brd Llc. t:x ata,
expired in C.O.T. ` < Chad,Type of Work Involved:
data base). Electrical Contr. Lic.# Exp Date ❑
Audio and Stereo Systema
C O.T.or Metro Lic.# Exp. Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication installation
Clty/State Zip Phone# ❑
Fire Alarm Installation
This permit is issued under OAE 918-320.370.This applicant agrees to
make only restricted energy installations(100 volt amps or le r ❑ HVAC
permit and to do the following: �'; t
❑ Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
2 Call for inspections when installation under this permit are ready for F-1 I ands�ope irrigation Control*
inspectioi at 803-6310-4175; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
Inspection when the inspector Is out to Inspect under this permit;
4 Assume responsibility for ansuiing that all corrections required by the ❑ Outdoor Landscape lighting'
Inspector are done,and;
❑ Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other_
Permits are non-transferable and n -ret dable an xpire If work is not
started within 180 days of Ise us
r i ork Is pended for 180 days. Number of Systems
The person signing for this it m st a applicant or a person No licenses are required Licenses are requin+d for all other Installations
authorized to bi a app! nt �-
_ FEES
. f
Sii gn4ure ENTER FEES :_
5"/SURCHARGE(.05 X TOTAL ABOVE) S
c7�
Authority if other than Applicant TOTAL $_ -
i Vesely doc 12!98 —