8730 SW REILING STREET r
87A SW RULING STREET
CITY O C T f G A p D ELECTRICAL PERMIT
I� t,7 fF. PERMIT#: ELC2003-00407
DEVELOPMENT SERVICES DATE ISSUED: 7/8/03
'13'125 SW Hall Blvd., Tigard. OR 97223 (503) 6:39-4171 PARCEL: 2S111AD-10200
SITE ADDRESS: 08730 SW REILING ST
SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R-4.5
BLOCK: LOT: 057 JURISDICTION: TIG
Proioct Description: Installation of(6)branch circuits for exhaust fans,water heater&GFI.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMPARRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS A.DD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION_
1000+amp/volt: -4 RES UNITS: >600 VOLT NOMINAL:
_Reconnect only: SVC/FDR>=225 AMPS- CLASS AREA/SPEC OCC:
Owner: Contractor:
WOODY,SAMUEL T+REBECCA R GARNER ELECTRIC
8730 SW REILING ST 2920 SW 247TH AVE#A
TIGARD,OR 97224 IiILLSBORO,OR 97123
Phone: Phone: 503-648-4552
Reg #: LIC 121 159
--- SUI' 17075
_ FEES E I I L 34-305(
Description Date , Amount
jI:LPRM"I'j 1-1-1-CPermit $80.10 u� Required Inspections y_
j'f.AX IR9„State']a\ n t $6.40 Rough-in
Elect'I Final
Total $196.50
This Permit Is Issued subject 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 plans. This permit will expire if work is not started within 180 days of issuance,or If work is suspended
for morw2ft ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth In through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or
1-800
Issued By: Permit Signature:_
OWNER INSTALLATION ONLY _
Tlie installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
_ CONTRACTOR,J,NS-TTALLATION ONLY
SIGNATURE OF SUPR, ELEC'N: .%'"-,Ct c= — DATE:
LICENSE NO: J70 7..,:%
Call 639-4175 by 7:00pm for an inspection the next business day
08/15/2001 23:49 5427925 PAGE 01
lElechiical Perruit Applicatim
'
lUittereceived: 7/5 03 Permitno.: �t,L+bio� ,� o�
City of Tigard Project/appt.no.. Expiredate:
Ciry r,r rixr,ra Address: 13125 SW Hall Blvd,Tigard,OR 91223 Date issued: By: ecti t no.:
Phone: (503) 639.4171
Fax: (503) 598-1960 Cast file no,: Paymenttype:
Land use approval: _.
I &2;fanitilydwelling or uccessury U t' mimercial/industrial 0 Muld•fainily 0 Tenant improvement
0 New ction .1.1,1itha,;:rltrrau ,n/,ri>>., r•,u��nt 0 Other: ❑Partial
Mill
Job addre7 S%.A) j fii,ti; no.: Suite no.: Tax inap/tax lot/account no.:
1. Flock: SubdivisjolF
Project name: Description and location of work on premises: jo } /arts lr(/pacv
lisumatad date of con Icuo /,nnl,ct;tion. f-vv-i/o-.1e64 6-1
Job no: F« Max
Business name: AJ Ik,xcri tkm - _ ea. Tutal so.luw
Alidtaas:02a �„ Ne4v r.elrtnrtial drr�.r multi-fondly pe•
dweWng unit.Includes attachwl pr up.
City: S Stwx ZIP: Sarvhrkrtludrri:
Phone — $ Pax: w-N mail: 1000 s4 rt.or tern _
EocTaddition $00 sq.h.or n on thereof
CCB no,:121154 Elec.bus,lic.no: Limited energy.residential 1
Cityjmrxo tic.n0.: Limited energy.non-reeideaue, 2
/ Ej�dtrnllon
manufacture home or modular dwelling
►r�e itF�rc aired) Date ice and/or feeder 2
Sup.elect name(prinr) (�` (t/ Ltrxruena; f iatsorfeedeta-Innallatlon,
or relocation:
am a or lose 2
Name riot): 201 amps to 400 amps
__. 111W O�'( / 401 am s to 60U an a
Mailing address: 1 601
stripy to IOWA s 2
City; StHtc: Zip. Over 1000 strips orvolts
Phone: 1 E-mail: Reconnect only
_ .
Owner installation:The installation is being made on property I own Temporary eraWas or feeders-
which is not intended for sale,lease,rent,or exchange according to kWall■tion,atleration,orrelocattion:
ORS 447,455,479,670,701. 1200 stripe Or 1934 2
201 am s to 400 amps
OIVncWes 9 ature: Date, 1 401 to 600 amps 2
— - — littisch elrt -sew,a ttratlon,
Nerve: or extensionp
per tell
A. Fee for branch circuits with purchrse 0
Address: service of feeder fee,each branch c,reuit 2
City: _ State: ZIP: 0Fee for hnurch drcuiu wittwut purchase
Phony: Fax. F.-IttHll: Y of aervicr o,Ryder fee,first branch circuit: b� �a 2
Each additional branch circuit
laa(f3e► orf rnotlhelnde )t
U Servioe over 223 anps•commarcial O r i Ir t t h e r A (V Each pump or Irtissdon circle 2
0 Service over 320 amps-rating of 1k2 L)Hui.irdouahwation Each si noroutlineIigMna— 2
family dwellings 0 Building over 10.000 pude feat fouI*Ekacription-
0
Signal circuit(s)or a,;rnitrd energy panel
0 System over 600 Volta nottOrial mote residential units In one atructuralteration or extension* 2
0 Building over Ouse statim 00 a
0 Panders,4mpa or more Occupant load over 99 persona O Manufactured alroctvres or RV park Each addltional Inspection over the allowahle in any M tlae s=ave:�
0 Egreadlightingplan 0 Other ___— Perinspection �Q— —
Submit _-- seta or plw with any of the above, nvestigation fee
The whore are toot applicable to temporary toaatructioa service. Other
Nd VI junadktlau arcopt crcdu r�4t pkaae rill ,Idlcnm for afore innwmsrlon. Notice:This permit application Permit fee $
EWA
Viae UM expires if a permit is not obtained Plan review(at 96) $
cR.nt�.m a within 190 days after it has been State surcharge(8%) ....$V. y.�
Re accepted as complete. TOTAL, .. ....._..........- S
r�{s n on c t c
IV
�sQ1�St�_� .S-31.9)19__
__. Cardholder a�a� M+oen1 44CA615 IM11 ram)
CITY OF T'IGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171 BLIP
Received ___ - _ Date Requested AM___ - -___ PM BLIP --_ _- —
Location �)�� � � .�_____Suite. _ MEC
Contact Person _-- _ Ph( ) . PLM —
Contractor — Ph(—) SWR _
BUILDING Tenant/Owner _�—___-_ _- ___- ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain -
Slab i Inspection Notes: SIT - -- -
Post&Beam
Shear Anchors + f r ,
Ext Sheath/Shear r',
Int Sheath/Shear
Framing ---- - - __ --_
Insulation B 7 --� � � .. 6_14
Drywall Nailing ''� n r� I � -
Fire J �_- L
Sp L�
V�
Fire Sprinkler - - --
Fire Alarm
Susp'd Ceiling - vi --� -- -'--- _-- -i-- _
Boot
Other: - ------ _
Final - ---------
PASS PART FAIL - - -- —
PLUM8ING --------
Post&Beam
Under Slab -- ----------- - -- --
Rough-In
Water Service - --- ---- -- —
Sanitary Sewer
Rain Drains -- -------- - -
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: —_ _. -----__--.-- - - _-_
Final _
PASS PART FAIL -_-- --�-- -�_---� —.—____-----
MECHANIC_AL_ _____w__-------------- ___...._._.-------- ----_-- -- --.
Post&Beam
Rough-In ---- ----- ---- --- - -___ - __
Gas Line
Smoke Dampers --
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage --
Fire Alarm
Reinspection fee of$__.__,... _—__ required before next inspection Pay at City Hall, 13125 SW Hall Blvd.
CPA--PART FAIL _
� _
SPlease call for reinspection RE: �__ ___- __.__ Unable to inspect-no access
Fire Supply Line ! j
Approach/Sidewalk Date r Inspector r,
/ 7Ext
/
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
w
CITY OF TIGAiRD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP
Received _ Date Req steel —�_� AM __ PM ____ - BUP
Location 7 -3J —_Suite —_ MEC
Contact Person Ph( _) PLM
Contractor — Ph SWR
BUILDING _ Tenant/Owner - . ELC
Footing
Foundation E LC
GCe
Ftg Drain ELR —
Crawl Drain
Slab Inspecti Notes SIT
Post&Beam
Shear Anchors
Ext Shcath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - -- - - - - - - _
Fire Alarm
Susp'd Ceiling - _ -- - - - --- -
Roof
Other: - -
Final
_PASS _PART _FAIL
Post&Beam
Under Slab -
Rough-In /
Water Service G
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 — ------ -- ------ __.__r --
Final
PASS PART FAIL
ELECTRICAL
Service -_______ _-�-- ----------- ------___-- --�... �__ ---
Rough-In __--
UG/Slab
Low Voltage rJ n
Fira Alarm
"Fin a ❑ Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS PART AIL
SITE _-� [j Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line r,
ADA I
Approach/Sidewalk Date.- - - Inspector-�- .. �"' -Ext-
Other:
Final Y DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL