15850 SW HIGHLAND COURT CA
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151350 SW Highland Court
I.,�" �� �����D __ ELECTRICAL PERMIT
'+ PERMIT#: ELC2002-00404
DEVELOPMENT SERVICES DATE ISSUED: 8/21/02
1312.5 SW Hall Blvd.,'riciard, OR 97223 (503) 639-4171 PARCEL: 2S110DD-09100
SITE ADDRESS: 15850 SW HIGHLAND CT
SUBDIVISION: SUMMERFIELD NO.6 ZONING: R-7
BLOCK: LOT : 307 JURISDICTION: TIG
Proiec, Dcscription: Install 2 branch circuits.
_ RESIDENTIAL UNIT TEMP SRVC/FE_EDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 60 1+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER __— BRANCH CIRCUITS ADD"_ INSPECTIONS_
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: —�
201 - 400 am,.- 1st W/O SRVC OR FOR: PER HOUR:
L40-1 - 600 r,mp: EA ADD'I.. BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: _PLAN REVIEW SECTION
1000+ amr/volt: >=4 RES UNITS: ^T > 600 VOLT NOMINAL:
Reconnect_inl L. A SVC/FDR =225 AMPS_ _ CLASS AREA/SPEC OCC:
Owner: Contractor:
YVONNE MARCELLUS AMERICAN ELFCTRICAL SERVICE
15850 SW HIGHLAND PO BOX 1057
SHERWOOD, OR 97140
Phone: 503-624-9254 Phone: 204-9864 PAGE
Reg #: LIC 00101587
SUP 4106S
ELE 36-59C
_ FEES — __ Required Inspections T _
Tyra By Date Amount Receipt Rough-in
PRMT Ci R 8121102 $53.50 2720020000( Elect'I Final
SPCT CTR 8/2.1/02.. 54.20 2720020000(
Total $57,78
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 a%ordance with approved plans This permi�will expire if work is not started within 180 days of issuance,or A work is
suspended for more than 180 days ATTENTION Oregon law requires ycu to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OA R 952.001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)
2466699 or 1-800-332 2344
Permit Sigoature: _ 1 i Issued By:
OWNER INSTALLATION ONLY
The installation is being made on property I awn which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: ___— — DATE: __-
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: 1— -_ — DATE:
LICENSE NO: — ----- —
Call 639-4175 by 7:00pm for an inspection the next business day
AMERICAN ELECTRIC SV
0B/19/1995 23:2 15035548506
Electrical PeMit Application oaereeeivw: ;` - Permlitno.:
pro)ectlappl no.: Expiredata:
City of Tigard gy:.p�; Receipt no..
Address: 11125 SW 11411 13W,Tigard,OR 97221 pate issued.
('try„/Tixard Prone: (503) 63` AI71 Case filen•, Naymenttypec
Fax. (501) 598-1960 G�
; t 1
Land use apprcival' -_ — —---
Multi•farmlr U"Tynan! Improvement
U I & 2 famt(y dwelling of accessory U Commercial/industnal U Other,
f U Partial
U New construction
U Addition/alteratant;/replacetnenl
Suite no.: Tax map/tax lot/account no.'
--
Joh address!
Block. Subdivisi
project name: __ Uescnptivn and location of work nn rem►ses:
UA:Estimated date of„tr, Icuon/,,,,pyclirni:
�LQLIT-WTl
no.im
,lob not -- - - ----�-_......r
- �1(�-_ Newraidndt.l �+rlleorererlrl-r.mlirrwr
Ausure65 name' d"elmiswnh.InchissesarM,4rcdas"se'•
Address' !� Ste, ZIP: �enlcebclrnld - 4
1000 tof leu
City: E mall . al 5o0yFax. h ddltlon! .t,^°rrtion-herof
2
pone,
r �•-Y" Elec.bus.lie,no: ,.,,_ Limitedener y,raldential 1
CCR no.; Limited energy,non-residential
City/metro lic.no.. Fach manufacture orae or modulo dwelling 2
U Service And/or fitedef --
nlcaorfeederr-Insfrllatloa,
51 nature of 1u hm�elc ficin (re tetroti) - U- no: altentlonorreloeatiaar 2
Sup sled.name(pet I0111 200 amps or Ic+t -- _ 2
201 am 610 400 am + _ 2
401 amps to 600 amps 2
Name(print): f _.
+ 601
am p+to 1000 ung � 2
pAailing address: State: 7,1P• — (ver 000 amp_^ll or volts t
Ctl _ - µecnnnrct on,_ .
Fax Email: TemporwYaer•tr „r feeders
phone: made on property I own or ttlaratlan: 2
btstillarJrre,albr dbn,
owner installation: 11r installation is being p IIx,�,,, r a'res+ 2
which is not intended for sale,leaar,rent,or exchange a':.curdut('it) ,� _—- __
1 gimps 10400 arnpn —. --- - 2
ORS 447,W.47'1,670,701 4111 to 600 am
-
�lwneeN signature: SMnrh rltcrda taw,alanllon,
4111111 or estenslun per carrel:
A Frr for hr.nch eircuire will'p'm hme of 2
srrvice or fecda fee,ear tt branch circuit
Address! _ _
67W for branch clrcuiu without purchase - 1
--- _ TStltE7 L1F' of service or fooder fee,firer branch 61C n.
City:_ -". - F?-mall -- QachaA011ionalbrutchcircuit —
Phone: - luinnistiluky l a> MMe-(Nerrietar�otincluded):
2
Fisch pum or bnd.tion cirtle ____ l
d Strvlrxave�22S amps cxrnunercisl
U hearthcarr:WIlily [3achsignoroutlineIII htln�_g --
v p g U HsrarAwrrlocWon u�(ret fouror Signal circuit(1)a s limbed energy Panel --- 2
Uryiceo er120am a rating of IA2 U Ouddingover 10,000q s(tention.oraattdtsion• -.
hmlly dwellings tMIM roaidenUal units in ON Unitturo
Cl 9yMtm over h00 valor igminal I]I;eMrn.4'10 urtp+a more •G:ser,i�Uon -_
U Eullding aver three carica Eaeb addNMaaf�!r<'tt^a oror the dlotrrrbk M arty o/era aa°tei
U ManutacturM strwt,"or R V park
U Occupant lord ovrr 99 Person+ U Othee per m+pecuon --
- _
U F,glra-lightingpl.n Inreulgapon fry sell of plan+with any of the ttNovrt, --_— -
8tibolt carutruct1011samel. f _ --- --
E eAMwr►tappunbktot.aMr - --_ Permit fee..... ............ S
_ esti IytjMllr;i,.,nr magi infanwl•a. Notice 11ii9 permit application Plan review W. -- %) s
Nd dl lull='°-•• owea` "c��,v �jL/Q� expires i f a permit is not obtained
�' [ Starr surcharge(8%)....S
J�Viea ❑MuterC gird within IRO days after it but been TOTAL
t7, -� ,
ores _ T- cm. accepted ae turnPlele
�, "" �_ s"
Remy n a M `"°"
$ l a«ue i s led+trconn
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 -
INSPECTION DIVISION Business Line: (503) 639-4171 BUP
c' AM `''_ - PM BUP
Received _ - - — Date Requested__—
---
S_ _Suite XSG ^ r —
Location _ L ___ _ MEC
- -
Contact Person _-- --. _ Ph( ) - - - PLM - _--
Contractor - -- _ ---- - - -- - Ph(-) SWR
.. .. � D
BUILDING Tenant/Ownel - ELC -
Footing
Q � ELC
Foundation Access: ELR -
Ftg Drain
Crav:l Drain - --- — - SIT -
Slab Inspection 'lotes: -
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Sheat
Framing --
Insulation
Drywall Nailing ,,
Firewall
Fire Sprinkler
Fire Alarm ��lrC'1Ji�/1
Susp'd Ceiling
Root -
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&Beam Rough-In - - -- -
(.',.as Line -
Smoke Dampers ---
Final ---
_PASS PART FAIL
MLECTICAL - -
Service_R_----- —----i
Rough-In -- - -- _--- ---_ —_ ---
UG/Slab
Low Voltage - - ---- ----- ------ -----
Fire Alarm
nna F1 Reinspection fee of$— —required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
S PART FAIL
81 - - ❑ Unable to inspect-no access
Please call for reinspection RE: _ --- — ❑
Fire Supply Line
ADA ` Inspector - �� Ext----
Approach/Sidewalk Date_�� .. /
Other. - DO NOT REMOVE this Intcpectlon record from the job Site-
Final
PASS PART FAIL