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10889 SW MIRA CT
CITY OF TIGARD ELECTRICAL PERMIT -
PERMIT 4: ELC2003-00619
DEVELOPMENT SERVICES DATE ISSUED: 10/8103
13125 SW Mall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 2S103DA-07700
SITE ADDRESS: 10980 SW MIRA CT
ZOFi;NG: R-4.5
SUBDIVISION: MIRA PARK
BLOCK: LOT: 015 JURISDICTION: TIG
Project Description: Panel change
RESIDENTIAL UNIT TEMP SRVCIFEED_ERS _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: s PUMP/IRRIGATION:
EACH ADD'L 500SF: 2111 - 4on amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 46! - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 6014 amps-1000 Volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000¢amp/volt: >=4 RES UNITS: _ >60G VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
"EST,FRED B +GAIL D BGONES FERRY ELECTRIC 114C
10980 SW MIRA CT PO BOX 628
TIGARD,OR 97223 WILSONVILLE,OR 97070
Phone: Phone: 682-4936
Reg#: SUP 3170S
LIC 88482
FEES ELE 3-223C
Description Date Amount
�. Required Inspections
IEI.PRMT1 FIX'Permit 10/8/03 $80.30
ITAX 19%State Tax 10/8/03 $6.42 Elert'I Service
Elect'I Final
Total $86.72
_J
This Permit is issued subject to the regulations contained in the Tigard Moriidpal Code,State of OR.Specialty Codes and at,other applicable laws. AH
work will be done in accordance with approved plans. This permit will expire J work is not started within 180 days of Issuance,or if work is suspended
I more tP ATTENTION: Oregc. law requires you to Follow nif�,adopted by the Ur3gon Utility Notification Center. These rotes are set
forth in R 952-001-0010 rough OAR 952.001-0100. You may obtain copes of these rules nr direct questi-ms to OUNC at(503)2466699 or
1-8032-2344.
IL
OC Issu d By: Signature:Permit .
N
} OWNER INSTALLATION ONLY
5 The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DA.
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _sem DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
Oc Cx•07-03 09:40A P.01
Electrical Permit A Wication p acaiw:d rsleerIcal
1�1e/Ely; /O 'I/DLJ PemritNo_£l-C'>C�"
ran, PUumina Approval Sian
City of Tigard u.tciily, —._, Penn+t t�►,:__-
13125 SW Hall Blvd. Plan Roview Other
13atrlHv
'Tigard,Oregon 97223 Perrtdt No.:
_
Phone: 503-639-4171 1--ax: 503.598-1960 PoI-Pxview Land Use
Case No.:
Internet: www.ci.tigard.or.us contact — J FJ See Pep 2 for
24-hour inspection Request: 503-6394175 Name/McRtaf___ Set meaW lehrsasth"•
—-�= TYPE OF• O t;. ^E__,.,c �` '- INVIEWri'�kaflidttek.ilU,tat a
lVsW construction Demolition Service over 225 amps- Hc.uh-care facility
corrMCMial HuvdowMention
Addition/alt.radon/re lacer Other: Cl Service over 320 amps-rating of []Building over 10,000 square feet.
-`CATEMIRY:OF: fSTRUf;TIO 1 h 2 family dwellings four a more residential units to
1 &2-Family dwellingCommercial/Industrial Cl System ower 6Volta ncxninri one structwe
Building over clone stories ❑Feeders.400 amps or more
Aeeesso Building_ Multi-➢r"amii El00 p 0mupant 1,wd over 99 persons ManutLOwed structures or RV Pari
Mastcr Buildcr Other: _T O 11"allightins plan Pi Other:
submitnets of plana with any of the obevt.
cola arrE NFOlur,► orttljd N —
TM above art not licabl�e th team eteatruellon service.
Job site address: /Q 9 Q 0 5w
►�)i e-q G _ �•, �r "�tISQNEdU �-
Suile#: _ _ --i-� Bldg./Apt-#• - Number oT 1a9 Hs N alloy
• naw rnWealtai-at.ala w w.rrl-hwiq per
Cross streci/i)irections to job site: dwelt i ag oak.loclades attached p►aga.
service bchded:
J!".it.or less 14515
I h adduUotttI SOO me It,of Portion thereof 33.40 --
�- Lim ed awr rWkht� i
ntal 75.00 _
Subdivision_- —1 t�t#: Li,.,kd "" non rrkietAial 75.00 _
Tax lila / arcel#: —1== "nnufm*ard oronine orraw liar dwelling
aerviet&"&OF reader 90.91)
-_
services or heden-hdellsoea,
akerapeu or rNaeation: de1.30 g 0 7
200 amps or!ds
400 am p+ _ WAS �--.
�- 401 amps to 600 clot 160.60 -
r, ant.mg+eo loco amps _ 240,60 _
over 10(10 or Volts _,_ 454-6 —
Name: Goa/a /3 .s RmotaaKt �_ 66.As
Address: '" -�Ail T Teenporary services or forded-Installation,
alteration,or relocation:
City/State/Zip— _ _ 200 at I.,! _ an.rs _
100.30
Phonc: lax: 4ot to 600 4W kmw —� 133.75 _.
AP
:,%.F''e,••'' �, rso
Bruch elreuth•neer,alteration,or
Name- — extension per panel:
-- A.Fee fm branch circtdts with purehaw of
Address: __ service or feeder fee,ach branch circuit encs _
Cl /S1ate/Zip: D.Fee fixbranch circuits wilhcwt purchase of -
aerviee or feoder Poe,ihet branch cmuit 16.lS
Phone: Fax: Loch sdditiortsi bumh cbwN __ 6.65
M sc.(Se-ire or feeder not Inch"'
E-mail- s3.to
Each p or VMS oWe
r. F�eln signor outline i_ ifiNits --- L14Jab N0: igeal eheu�t(.>ar.11mTted"Way I�+v alta.t�orextension --_
M Business Name: Hoonee�_Fgr y Ela tr 1Je+cnption:
Address: P•0. Box 6 2 8 Eath additional Inspection ever the allowable 1"an er the sbevr.
_ City/State/Zi • wil_6onvi,],Je__Q.$ .0.—_ rcr - tctr, tr+ur(min.11►otn _ 61.so _
W Phun-,:680-49138, _ Fax. 682-'7946 Investi aR tlonPoe' -- --
CCt3Lic. 11:88482 Lic. t;: ':r
-J Sr:,ervising electrician - Subtotal S 8c iO
si�nalurt rc uirtd: clan Review(25%of Permit Fee S -
Print Name: S 1 a` Her to Lic. M.
$_ 9 I S __-, State Sunharge(9%of pemtit� $ �6• 'f�
_ TUTAI,FIERMiT lFVE S .*2-
Authori7etid Noelec: Thos permit application owl-to If a pe rmle Is not obtained wink
St rlurc'
Dow- _ —. 1106 days after It hes been acegAod n eompkrte.
Sn -- *F"methodelop act by Tri-ounty sending taduslry.ervice Board.
- (PICae prim name) --
rNr><r.<�Permit Formrtl'1CPerm:ulpp.dtx 01/q,1
CITY OF TIGARD2 Hour
BUILDING 41 Inspection Line: (503)639-4175
INSPECTION DIVISION Busl.ess Line: (503)639-4171 MST
,�--. BUP _-
Received __-- Date Requested_ M_ _ _PM BUP
Location _. (��' — X1'1 L fCZ-1_ _Suite- 4 MEC
Contact Person ___ ---- Ph( t),O&) ---0-Z PLM
Contractor —. Ph — ) - SWR _
BUILDING Tenant/Owner -- �[_ o _ _�--_ ELC
Footing --CEDLC ,/Q_
Foundation
pCCe$S'
Fig Drain ELR _
Crawl Drain -
Slab Inspection Notes: .__. SIT
Post&Beam
Shear Anchors ----
Ext Sheath/Shear CQ t a wi r'1 +--
Int Sheath/Shear —
Framing --
Insulation
Drywall Nailing -- - -- _-�
Firewall
Fire Sprinkler ----- -
Fire Alarm
Susp'd Ceiling — ---- - -- —
Root ,
Other:_ ---- � o � .—s1 ��_!��1 --—_
Final --- _ it 7 � �� �
PASS PART FAIL — -\`-/�—
PLUMBING--- _ _ G f!P Ct. t-Cc Id 1A_ —
Post&Beam
Under Slab ctRough-in
WE
WF ter Service
Sr nitary Sewer
Rain Drains ------ -• -- --- - ---
Catch Basin/Manhole
Storm Drain — --- ---� —- -- ----
Shower Pan
Other: -
Final -
_ PASS PART FAIL - --- — ------ --
MECHANICAL. _
Post&Beam ---
Rough-In
Gas Line -
a Smoke Dampers --
p� Final
F" PASS FAIL - -- _..--- ----- ----- --- --__— _ —.-
RICA
J Service
--—`
Rough-In
UG/Slab
tu Low Voltage
-j Fir rm
F' al Reins ctlon fee of$_.�.— required before next inspection.
ASS PART FAIL Pay at City Hall, 13125 SW Hall Blvd.
E _ E] Please call for reinspection RE: E] Unable to inspect--no access
r1ratupply Line
ADA P
Approach/Sidewalk Date ��n Inspector
Other:
Final DO NOT REMOVE this Inspection record from the jrib site.
PASS PART FAIL