InitiallyGood 0
cn
am
a+
J
c
t4
10965 SW 78"' Avenue
CITY OF TIG,AR D 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
7 BUP
Received _______ Date Requested
�_ ~-�.—__ AM PM-___.____ BUP _.
Location Le) p _-��L'�""_ Suite MEC
Contact Person __ — Ph( ) PLM
Contractor —_ _ Ph( ) -231— I -�— SWR
BUILDING 1 Tenant/Owner --C!_. 'L_ ELC �U 5
Footing — T ELC
Foundation Access'.
Ftg Drain ELR
Crawl Drain --
Slab Inspantinn tJr:tPS' SIT
Post&Beam
Shear Anchors ---
Ext SheathiShear
Int Sheath/Shear
Framing - - -- _
Insulation _
Drywall Nailing -
Firewall
Fire Sprinloer ----
Fire Alarm
Susp'd Ceiling - - --- - -- -
Roof
Other: - -=—-. -..-----
Final i
PASS PART FAIL ----- - ---_�..._._ ------ _--- ------____-. ------
P_L_U_MBINa
Post&Beam - —
Under SlabRough-in
Water
Water Serviro ------
Sanitary Sewer
Dain Drains
Catch Basin/Manhole
Storm Drain -- - ---- — - -- -------- -- ----
Shower Pan
Other.
Final -
PASS PART_ FAIL:_
--- __- _--_._.--•-- - ---------------- ---_._._.
MECHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampers - ------- ------ - -- --- ------. .____
Final
PASS PART FAIL — - --�--- -- -`-_----- - --
ELECTRICAL
Service
Rough-In _------ ---- ------ - - --------- -__. .._
UG/Slab
Low VoltagejgJA —•-- -_.- - __ --_ _ -- .__
larm rr �
L� F-einspectlon fee of$ _--required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PAS PART FAIL
S Please call for reinspection RE:-____�___-.____ __ [� Unable to Inspect-no access
Fire Supply Line ?
ADA ate ... - 2- Inspeeae r
Approach/Sidewalk
Other:_- --
Final - -- DO NOT REMOVE thfir inspection record frotfn the job ilte.
PASS PART FAIL
CITY OF TIGAR 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION CJIVISION Business Line: (503)639-4171 MST ----------
1 BLIP
Received _-_ _ Date Requested _ -` - AM- _ PM
Location -- � u `1( - BUP
'�'�—� � � --Suite_ -- MET
Contact Person ---- ---- -- -
.- � Ph( -) - PLM
Contractor _ Ph(— ) �3� -
SWR
Footing
rBUILDING Tenant/OwnerFootting __ _-_- CLC 232 ao�
--�- - -
Foundation E LC
Ftg Drain Access:- _—
Crawl Drain ELF!
Slab inspection Notes: �w
Post&Beam SIT --
---
Shear Anchors _______ __ �
� � -- --------—
Ext Sheath/Shear t b \
Int Sheath/Shear
Framing -- _
Insulation — -
Drywall Nailing
Firewall, L � ---`--� —
Fire Sprinkler -
Fire Alarm --
Susp'd Ceiling
Roof
Other:
Final -- --
PASS PART FAIL
HLUMBINr3
Post& °aam
Ungar Slab
Hougateh In
Wr 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
PASS PART FAIL --
�EL CTRICAL -- ----- -
Se�rvice
Rough In ----
UG/Slab --- -_--- _
Low Voltage `
Fire Alarm
Pinel ( �
PASS -PART FAI Reinspection fee of __-_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE F] Please call for reinspection RE:___-_._-
Fire Supply Line �— ---• Unable to inspect -no access
ADA /Z L 4
Approach/Sidewalk Dab Z- inSP4wtor
Fxt
Other:
Final DO NOT REMOVE thl>ra IntapeGtlon record�`�Olm Job site.
PASS PART FAIL.
n,
CITY
I TY +O F T I w(v•'A R® � ELECTRICAL PERMIT
/ PERMIT#: ELC2002-00154
DEVELOPMENT SERVICES DATE ISSUED: 4/5/02
1315 SW Hail Blvd., Ticlard, OR 9722.3 (503) 639-4171 PARCEL: 1S136CA-02001
SITE ADDRESS: 10965 SVV 78TH AVE
SUBDIVISION: FAIRVAI_E ZONING: R-4.5
BLOCK: LOT : 001 JURISDICTION: TIG
Proiact Description: Garage wiring Job No.J10146
RESIDENTIAL UNIT TEMP SRVC/FEEDERS -_ _ MISCELLANEOUS
1000 SF OR LESS_ 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 50USF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601+am,3s - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L. INSPECTIONS
0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FUR: 1 PER HOUR:.
401 - 600 amp: EA AOD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: _PL.AN REVIEW
1000+ amp/volt: >=4 RES UNITS-_ > 600 VOLT NOMINAL:
_ Reconnect only: _ SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: _
Owner: Contractor:
TAYLOR, GEORGE I_AND SUE E WEST SIDE ELECTRIC CO INC
10965 SW 78TH AVE 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 503-684-0680 Phone:
Reg#: 041-154ft06
SUP 1556s
ELE 26-135c
FEESl� _Required Inspections
Type By Date — _ Amount Receipt _ Flect'I Final
PRMT CTR 4/5/02 $60.15 2720020000(
5PCT CTR 4/5/02 $4.81 272CO20000(
Total $64.96
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 apr•oved plans. This permit will expire H work is not started within 180 days of Issuance,or if
work Is suspended for more than 180 days. AT'I;NTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-t'01-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to
Permit Signature: > Issued By:
QVINER 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:
LICENSE NO: ------ _ —_ -- -- -- — �_
Call E39-4175 by 7:00pm for an inspection the next business day
Electrical Permit ApplicatiG n OFFIft USE ONLY
-- `—�••� - Date received. Permit no.: app W tS
City of Tigard t:u ct, 'Y L..D Projectiappl.no.:W Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By, Receipt no.: _
Phone: (503) 639-4171
Fax: (503) 598-1960 Case f+e no.: Payment type:
Land use approval: t'
&2 family dwelling or accessory U Commercial/industrial U Multifamily U ('errant improvement
❑ ew construction O Addition/alteration/replacement U Other: _______ ._O Partial
s 1
04 a
,lob address: Bldg. 117. Suite mo.: Tax map/tax lot/account no.:
_ ---
Lot; Block: _�Subdivision: ---
- -�- - —
Project name:'�^�l o,_(art p r t Description and location of work on premises: �;
Estimated date of completion/inspection:MCI 1i on HUM 9 — _
o r'
Job no: neo ntax
y- ----.r- 17,•rrriptinn Oh. O Tolal nu.lna
Bt1S1neb8 name: - �t [ —_ New rroidcnlial•sinkleormulll famllyper'
Address:
-453!A � '--T, .i+: - dwellingunll.Includesauschedgarage.
('ity; State: Z1�-7 21 Servlcrincluded:
Phone: 2 t I s', Fax: 7"" E-mail: lawn.or less ° --
- f•.ach additinnal 500 sq.n.or portion thereof
(703 no.: (-t 3 +., — Elec.bels.Ile.tto: Ztc; s7C[ Limited energy, residential - 2
City/me otic.no,: Limited energy, non-residential 2
L( � Each manufactured home or modular dwelling
`- - - Service amllor feeder 2
_Signature au ery nR cicctricinn rc aired) � Dale _ ---- - - -
Su elect. name riot ( " Llcanha no: Z feG> Services or feeders-Installation,
P (P ) � �I-^ "'o'^"" allera.lon or relocation:
1 s 200 amps or less- - _ 2 _
/ 201 am a In 400 ams 2
Name(print); �S
401 amps+n 600-- -�C� CSG_._ p —'
amps 2
Meilingaddr_ess: 1 dye, 5.� 7 3 { rel amps m 1000 amps 2
city; Ir stat«erL_ZIP: cf 7 Z L L� Over 1000 amps ar volts 1.
-Phone; �LFax: E-mail: Reconnect onlyI _
Owner installation: The installation is being made on property i own Temporary services orfeederL
which is not intended for sale,lease,rcpt,or rxchunge according to Insionat ion,alteration,or relocation:200 amps or less2
ORS 447,455,479,670, 701. 201 am sp Io 400 ami__ 7
Owner's Illiterate: Dale:
401 to 600 ams ?
Branch circtdly-new,alleratlon,
or extenslon per Pasco:
Name: _ T_ A. Hee nor brunch circuits with purchase of
Address: -� service or feeder Pe.:,ead,i,:-nch circuit __ 2
---_ State: zip: A. Pee far branch circuli-•litFxnA purchase
—�
of service or feeder iia,fiat branch circuit:
Phone: Fax: E-m il: Hach addllonal bench circuit
Misc.(service or feeder not Included):
Ll Servlcp rivet ?15 nuhps,.rnhunrr.,al iJ Ileahh-,-:bre facility Hach pump or irrigation circle 2 _
U c-,vice over 120 amps-rating of IR,2 U Nnnurious Incalinn Hach sign at rnalino lighting- 2—
family dwellings O flullding aver In,nan square feel four at Signal circult(s)or a limited energy panei.
U system over film vu,ILs nominal more residenlinl units in one structure alleration, ar exiensirnh•
U Building over three stories U Feeders.40(1 amps nr more •Description - - -. -
U Occupant Inial over u9 pennons Q Manuficttired structures or RV park F ach aciditlotal inspection over the allowahlr In any orthe■bove:—
U Hgresyllghting plan O Other:---� Per ins ettioit _�
Submit, sets of plans with any of the above. InvrxN hon fee
The above are not applicable to temporary construction service.
Permit fee ......................5 -
(Not all Jur+sdlctlonr accept creditcreditcards.please call lurbdlennn fn,nnK i�u 1
Notice- 'thio permit application Platt review(at — ado) S
Y„_ P••• expire If a permit is not obtained
within 1 AI)days after it has been State surcharge(S%). ...f
accepted as complete. TOTAI.... ........_ . .......S - --
440-40111(6vaarf0N11
•03 otJ%0013 OP;9 ISOM e2b 160 ZD Sl7 idd