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9898 SW KIMBERLY DRIVE V ,^ MW W^ MMW Yl Cl) 3 rr v 9898 SW Kimberly Drive s \ _` 'TY ®F ��I�7QRD ELECTRICAL PERMIT r PERMIT" : ELC2G02-00235 DE EL-OPMENT SERVICES DATE ISSUED. 5/23/02 13125 SW Hall Blvd., Tigard, OR J7223 (503) 639-4171 PARCEL: 2S1'11CD-09400 SITE ADDRESS: 09898 SW KIMBERLY GR SUBDIVISION: KERWOOD ESTATES ZONING: R-4.5 BI ',t,K: LOT : 032 JURISDICTION: 'TIG Proiect Descripti.-)n: 'Wdil on of 3 branch circuits fur kitchen remodel. ____RESiDENTIAI. UNIT TEMP SRVC/FEEDERS_ MISCELLANEJUS 1000 SF OR LESS: � 0 - 200 amp: � —� � PUMP!IRRIGATION: EACH ADD'L 500SF: 201 - 400 amu: SIGN/OUT LINE LTG: LIMITED ENERGY: 101 - 600 amp: SIGNAL/PANEL: MANF HMi SVC/FDR: 601+amps • 1000 volts: MINOR LABEL (10): �— SERVICE/FEEDER_--� BRANCH CIRCUITS _ AD(7'L INSFECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: i 401 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 10110 arnp: _ _ PLAN_R_E_VIEW '7ECTION_ 1( J0+ amp/volt: >=4 RIG UNi7S: — > 600 VOLT NOMINAL: Reconnect onl : _ �SVCiFDR >=225 AMPS: _. CLASS AREA/SPEC OCC__ Owner Contractor: RENSKL7R, ELS EN M FAITH ELECTRIC INC F OZMERI-,, TATOM PO BOY 204-11z 989F SW KIMBERLY DR KEIZER, OR 97307 TIGt RD, OR 972%4 Phone: Phone: 503-390-8208 Reg #: LIC 86309 SUP 3576S ELE 24-249C FEES _ Required Inspections Type Cy Dato Amount Recfipt Rough-in PRMT CTR 5/23/02 $60.15 2720020000( Elect'/ Final 5PCT CTR 5/23/02 $4.812720020000( Total $64.961 This Permit is issued subject to the regu.ations cont hoed in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance;,ith apNi�ied plans. This permit will expire If work is not started within 180 days of issuance, or if work is suspende.for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those-ules are set forth In OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to Prrrnit Signature: _2 J ,�+f�j�4 / <' i�C r �r i Issued By: OWNER INSTALLATION ONLY ' The installation Is being made on property I own which is not intended for sale, lease. or rent. OWNER';, SIGNATURE: DATE:__ CONTRACTOR INSTALLATION ONLY SIGNATURE Of: SUPR. ELEC'N: _ —_— — —_—__ DATE:- --LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day `7 Ejectriciod k"er mit Application Ptsm;t 4o. ,� ;�s D4ferseeitred: City of Tigard rb,�vjDDI n•`•; P.nprrodata Addrasr 13125 SW Hast Blvd,Tigard.OR 97223 ircued: NY:"f Rece+ptao., CiryoJT(Zford Phone: (503)639.4171 rax:(503)59&1960 f;terut.: Paymcmt7pG Land use approval: CJ NI'Mi-rand O Tenant improvt ment d l &2 fairly dwelling Or arrrsu6(y r�CatrmcrciaUrndu nd Y O New ctxuuuuion C)AdditiarJattetationh•plardnrnr ❑OIIx r _ ©panic{ Suite no: "S'�. _ ?'ax m tZx t.►/actaurt no.: _ IProject'131ne' D�r:.oer)�-'vn an-d.locaidtin of work on premises: talirmiled date of compleuofVinsgcxtlon: Ups No .Io`Not _ - VD?canI 13u6inCK!"Me' ��(.y-�..�J�— NewnrlfrNi.l—A*%mr"Wia-fcm"W - — - _Addreas: ( H"liveOWLI"° doE$b bed PH 004 Ci : ` Statc'� ZZ1p: 9rn4ssbtAek4 - I00t1 nq n..Ur less C p)lont: c I - (max: �•Inail: Bach addule 5(IU tQ 1L OI Rion/lttrtOl 2 CCR no; g FJec bus Ile.no: 1 t imii+aea_r�_�r a�nu.i Cilyfnletr" C.no-: t<)�'JrQ1�_ LimilWeacr�y nnn ra+JcAr�1 2 .� ECCn R1�f1Ur.onurd tgrttt w•n:wlllu 0we111AF 1 (•�?G•,y�r.�..,.� �'�'�-' Ogle yp.iecaONat rrtdrl 3i r"of eyltavis,�r_oloc4te�.n fee�uirtd _ __ �, NAira-ie(iliatl�w, St .stimm" ne 4 ri.o. FAC I '� Lbcer tr n0: - dltr"liow 0c rsrNrytiOn- 7tx'attpl or lua ---- 1 201 amps to 400 onV Nlltl>C Mailing address; 601 WWI to t000smf" — Z ` State' � _ Ovei IOW uo or%o�u —Z Cit :_ �.C� _ .__ - - Raxmeaonl 1 Phone. Fax: E n+ai1 ---�- OwR!r Inslallallon:The ins......um is be ny made on PCOM"I own r9 wWch Is tot intended for sale,Iease,rent.at exchange secmding(a ZOO amps or Ito ___ _ s ORS 447,455,479, M.7016 IUt to cOO Z Owners t* nawre' Dtta: 401 W Wo MIPS. pkshehdrrteib-VA MMnA1046 0r rxenrie4 Mor peel- Name: T.—_ --- -- A Fee InrMtr4ch nKMra with prrehur nl ' - -- tdYior a feed(t fee acbbmf citron AddTCt+s, --- -, g, Frtf btwrAsircv.u.M-1vral",. QIP - of iffmcrx fee fe*.'irt;braMh ct�MUAL ru. �) ---- FaoLeddlbat4lbrradtc�>:i: Phone: .( Irtw as:xyi4ed):MINIM m 1 d Ha14.e.ref.rdNy Uch�Y14 rm circle 2 p Snniuovu721a�rpa-eseanarcW ,��ovAtt.Ii�Atin _ Q 3aerlte 0•c,12A etnpt-1+nryl of M2 ❑Fir•nr buskr-rro %jgmI rjrc+t ra)�m k wi� +d etltt{1►arel. futrilvdwdlirtal O 9urM r r•Inll(N)squar trtr fry"'or - 2 (]5yrtetttwtr6O0vdunorrrir�W mvnnr�en>tialurµennrtrNrrrt.n• duxonon.acctcrob"• O Bulltattaotcrrhtxltona U tfr4m, AMIwmmV 11t ' •pgpnptlo4. — Cl(3rcupmnlobd oea"rcnam C]My"(wrum4 ri�.n-VtA<r kv caro FA�A�it104�dta ow 4Yk 1t e4td 41orr� r d pprnc/lithtiAaplaA r7 tlrlra* ._�_....�.._ _ ._ _ Pc-lot ticn {6666 _�~ 9t111a1rM toss of p Ws Wo M'of the adb"•r, la+wu uluu k!� ur Ietsaperr!eeatrttcriar .bce. (jeho —s 1U Spoto are awt t�+le la-_ _ - -------_- Pbentk tae.................6666 .,r a.ar..re.N- ryl l+mmctrn sw tw.NMty� Notlar This VVI'-applir161nn Flom�e.,(41 R 1 L Na m"'WW"—rtep _—. t7vtte ;t��md within 180 ies If spermil it soot obtain ed Stec surcharge(8%)....$ with darn elUx it has bei Cn/1r erarrr trrs TOTAL.,. S ea _1 eptcd asan cpkte- _ •'llTine"� et+ir:no Citi i id - f Y6+'13 161ttty00rs r •r,nMh /1VValf r •n r17'1 AACT nC rr`nn a^1'I nt. nr .Anfa rr+.,•n ( d HO�F3 IIhF: E IlS :)'4 '. :J I N1 :l 3 13 F11 I IA A ter; t = l I 2D 1 „ FeW CITY OF"TIGARD 24-Hour b6ILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received -_ - Date RequestedBLIP - ---_-- - -- Location ___ ���� '�-Cy►-t.k`E= �--Suite_--_---- ---------- MFC Contact Person h( -_) _ c -.� __ PL.M Contractor _ __ 'fr1L-. -761h( ) - ! C' SWR BUILDING_ Tenant/Owner _. ELC _ __ J� 3.S Footing Foundation ELC Access: - Ftg Drain ELR Crawl Drain - --- - -- slab Irspection Notes- SIT I, t&Beam S' j ar Anchors --- - - - L:;t Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - - - -- --- ---- Fire Alarm Susp'd Ceiling _ - - -- -- - !Roof Other. - _--- - Final PASS PART FAIL - PLUMBING Post&Beam / Under Slab Rough-In - Water Service �- -- - - — Sanitary Sewer Rain Drains -- -- - Catch Basin/Manhole Storm Drain - - -- - - Shower Pan Other: --- Final ---- --._. -PASS PART,- FAIL --__-- -- MECHANICAL Post 8 Beam _i_-- ---- --- -- --- Rough-In GasLine _—�__.--------_---_____-.___..----_--- Smok9 Dampers Final PASS PART FAIL -- - ------ --- -- - -- ELECTRICAL Servica ------- _ -___� Rough-In _._-- - - - -- --- - UG/Slab Low Voltage _-- Fire Alarm [� PART FAIL Relnspectlon fee of$_. required before next inspection. Pay at City Hall, 13125 SW Will Blvd. Please call for reinspectio-i RE:_ _ -._ C� Unable to inspect-no access Fire Supply I inr ADA ._ Approach/Sidewalk Date Inspector --__. _ .__.__Ext Other Final DO NOT F'tEMOVE this Inspection record from the Job site. PASS PART FAIL