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9925 SW KENT CT
CITY OF TIGARD 24-Hour
BUILDING Inspe,,tion Lb-oz. :33) 639-417:1
INSPECTION DIVISION R—si 5 MST
mess Line: (�) 639-4171
BUP
Received �� [iate Requested_ /a`��,� AM— _PM___— BLIP
Location ��� f C�C`Z"Li� —Suite_— MEC
Contact Person --- 'h 2'5) �� PLM A—
Contractor _ N ( ) _--_ _ SWR _
BUILDING _ — lenant!Owner
Footing
Foundation ELC
Access: l
Fog Drain x: y�17C!.Nii cY ���-E'1. La�V!? b,
cLR
Crawl Drain ---!----
Slab Inspection Notes: SIT
Post&Beam
SnearAnch s -- - -- ---_- — .----
Ext Sheath/Shear _
Int Sheath/Shear o i —
Framing U /f T"1 — --r ASC"-�-- ----- -- ------
Insuletion
Drywall Nailing
Firewall et >
Fire Sprinkler �� ' C, CT/V",/C-7,;,
Fire Alarm
Su- o 'd Ceiling
Roof
Other:._.-._ _ _----- --- — �� - --
Final '
PASS PA 3T FAIL s —
PLUMBING_— -- J —
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&Beam
Rough-In -— -- —-- -------
Gas Line
Smoke Dampers — ----- -- ---- ------- — - ----
Final
P
CLRT FAIL
ECTHI
Ser
L
Rough-In —
Low Voltage —
Fire Alarm
F
PART FAIL Reinspection fee of$ _required before next inspect. • Pay at City Hall, 13125 SW Hall Blvd.
A
Please call for reinspection RE: Unable to inspect-no accoss
Fire Supply Line r
ADA a 1 2 1 , G
. .l —_
Approach/Sidewalk Dai. ------__._ Inspector. -_—_- _-_ Ext --
Other:
Final �- DO NOT REMOVE this Inspection recor fro the job site.
PASS PART FAIL
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: ELC200-4-00807
DEVELOPMENT SERVIDES DATE ISSUED: 12I17/2J04
13125 SW Hall Blvd.,Tinard. OR 97223 (503) 639-4171 PARCEL: 2S114BA-04600
SITE ADDRESS: 09925 SW KENT CT ZONING: R-4.5
SUBDIVISION: PICKS LAP'DING NO.2
BLOCK: LOT 095 JURISDICTION: TIG
Project Description: (1)branch circuit for hot t jb,
RESIDENTIAL UNITTEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: - 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LWITED ENERGY: 401 - 600 amp. SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
__ SERVICE/FEEDER BRANCH CIRCUITS ADD'I_INSPECTIONS.
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
20'i 400 amp: 1st W/O SRVC OR FDR: t PER HOUR:
401 - 6U0 amp: EA ADD'l_BRNCH CIRC: IN PLANT.
601 - 1000 amp - _PLAN R!_-VIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 V'1LT NOMINAL:
Reconnect only'. SVCIFDR>=225 AMPS: —_— CLASS AREA/SPEC OCC:
Owner: Contractor:
PUGH,JERRY OLIVERS PRECISION ELECTRIC CO
W25 SW KENT CT 17035 SW HIGH HILL L:,�
TIGARD,OR 97224 BEAVERTON,OR 970U7
Phone: 503-329-7682 Phone: 503-579-7747
Reg #: LIC 41435
— — SUP 2539s
_
FEES _ _ ELE 34-5210
Description Date Amount Required Inspections
jfi .PRM1j Rough-in IM",State Surcharge 1217200, 5175 Elecri "I
n-a�l --�- —
Total $50.60
This Permit is issued subje:t to the regulations contained in the Tigard Municipal Code,State of OR.Spec dty Codes and air ither applicable laws.
All work will be done in accordance with approves plans. This permit will expire if work is not started within 180 Mays of issuance, or if work is
suspended for more than 180 days ATTENTION Oregor,law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set f0h in OAR 952.001-0010 through OAR 952-0A-0100. You may obtain copies of these rules o, a^t questions to OUNC at(503)
246-06^:'or 1$00-332- 344.
Issued By: / ,/ J r'ermit Signature: ?�lr� .
__..
G�� 1
OWNER INSTALLATIOiN ONLY
The installation is being made on property I own which i,s riot intended for sr.'e, Ierise, w I el l
OWNER'S SIGNATURE: _ __.___ DATE: -
CONTRACTOR INSTALLATION ONLY- ___ __ _
SIGNATURE OF ,.UPR. ELEC'N. -------____-- .----- -_ E:LICENSE NO --- - --- -- ---------- -- ---
I Cali 639-4175 by 7:00pm for an insncction the next business (.ay
12/16/2004 14:3@ 5035795907 REVILO SAIIII PAGE 02
/ E"ectriXN� '
�Icafion
Date received
City of Tigard �) ,l _� -_--
r 1 I\»il k Pro ect/appi.it". Expire date:
(:try, 7'igard Addr tts: 13123 SW Hull Bio Tigard,OR 9 4 Date issued, $y: koceipt no.
Phone: (503) 639.4171 117 _--
Fax: (503) 198-1960 CtA'j o ��1�1�S��r Case file no,: Payrnent ype;
Land use approval:'AX
"&2 y dwelling or accessory U Commercial/industrial U Multi-family U Tenant irnpmvement
J New construction ❑Frddition/alteration/replacement ❑Ober, ❑Partial
Job address_ Bldg.no.: Suite no._ _ Tax map/laz lot/account no.:
Lett 81ock 5utxhvision
Project name: _ ��----_ ikscription and tio
locan of work on mites: '
�- ._."L ._—..
de
Estimated date of rcxn letion/ina on,
Job too: Pa Mai
I3usineas n ;:�,�1 „tC[ ( lob. F..;L, lMecrtptlaa ca) Total no.Imp
Address: Q 4 tvaw r.rlaattial•�or�+-�r Pr
_ at**ltlap tooll.lack"sauebel prase.
Clty: 5tate:�fZ ZIp: sa+rMxhcitsk�
- --
Phona .$d i S 19 ?1q7 11731. 57q
510 E-mail:Q fi�� ,t loco sq.ft.or less --—-- q
(4fwB n0': 'q/ �f Elec,bus. ic.nO: q 5'j../ P.scb acMiUonal S(xl s ft of rtton therm( M_
Limited energy,ruidentiat
Cit /tnetrelic no.:
LrmirodemreY,non-rrsiJrnllal ._.
P•ach manufacuuM home at modtdardwelling
Si re of supervising uited) now
Seri m rtd/or fekder —
Sup.elect.now(print) lJonnsc t S Set rle�s•�` �.. 'ra11at1o11,
aNr tall►�or r>cloesNoa:
200 an nor leaf 2
201 amp+to 400 trips 2
rName( ttinQ: J'�/r ,,� --� 401 amps w 6(M)err address: CL — 6oi empa,o1000smp+ly: LL State: ZIP: Ovn 1000 rnrp»or voP - 2—
i Phone: Pax: &tlnail: Iteronrted oNy --- I
(-hvn`r installation-The installation is being made on property I own �mftlita w,al*r lortrrrelo -
which is not intended for sale,least.rent,or exchange according to hast empisr Irsa aYsa,erreloeatlah:
2(X)■mpa or Iris 2
ORS 437,455, tT),670. MI. ---— �--_----
-2U1 amps to 40l)tmpx
owner'$ si ature: Date: dol to 5(10 ams 2
nrascnt tlrralb-new,aheretloo,
or a■haske par panel:
Name: _ — A Poe for hranch circuits with purchme of
yAddtesR: -
ter-vice at feeder fee,each branch circuit 2
C'i( State: Z1I' n Fer.for branch cifrvlts without purchase Of
Y'-.._-- -- --,—, --. : _.-_,-_-----_... of set vim at feeder W.first brtuun.:-w.:
[Une: s'a'c lila!l' FAch additionrl branch cir--ti
aw - - - M .(Service ar WA&rttot lntlwk4).
U Scrvicr ave 2: :mp Y,mmerr'al U Hcellh core facility _ �'�.or irri6Mion clrcl� a_
U';,rvir'e over 110 anips-rating of &2 U thrartintrs torsdtm Each sign or outline —
farrdly dwrllinps l]Utiddingo—r 10,000squtrr fret four or Signe)circ-Wi(s)tit a hmitr.lrnergy panel
U system ov+!t M)U,-vias rtcrnunal niorr residential units in parr stroclurr alteration,orextentions __._�_.,_•_ 2
1J HuOcting n,et three atones U Fetwinn.4(x)rept or rwre •Uescri ar � .
U Occupant L�r1 m,-r'X�p'rx.nu _]Manu(a..wred srrocrdrea or RV park Fm&��laapwtitrr new naa sllewaNa In no of doe alevt:
J Fpm /lighnngplm U 0-1hor
41tboH sT'4 0:plalas aM4 n7 of tit!above. Invest,patron fre -
I Ut above ere bot ar"I able io Imporary com ructiob servfot. Otber
I tail lec .. S 1f_
N's all JWIVJKanau atceo crecht cards,pkvw Carl)W WWt10e for mer Wdorinwan Notice This.permit applicnllor, )•len review(8t �)
tJ vias U MsaerCard expires if a txrtnit is•rat obt-.mcd = ) ,
r twsr rrd:alydtwr __� — -- wt!hin Igo days after it nas been State surrhat•ge(8%) ....$
_.._._��.. .� tapitd
erc:tttod as ccxrtptete i'O7 AL .......................S
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