12625 SW SNOW BRUSH COURT 12625 SW Snow Brush Court
CITY OF TIGARDELECTRICAL PERMIT
PERMIT#: ELC2002-00054
DEVELOPMENT SERVICES DATE ISSUED: 2/14/02
'?5 SvV Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S133DA-08500
/ SITE .ADDRESS: 12625 SW SNOW BRUSH CT
SUBnIVIS ION: Ah1ART SUMMERLAKE NO. 2 ZONING: R-7
BLOCK: LOT : 145 JURISDICTION: TIG
Proiect Description: Installation of 5 branch circuits to light, freezer, shop, bathroom and )mrroF lights.
_ RESIDENTIAL UNIT _TEMP SR_VC/FEEDErs _ MISCELLANEOUS _
1000 SF OR LESS: 0- - 200 amp: PUMP/IRRIGAI I, N:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL:
MANF HMI SVC/ FDP.: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ —BRANCH CIRCUITS AnD't_ INSPECTIONS
0 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SF.VC OR FDR: 1 PER HOUR:
401 - 609 amp: FA ADD'L E INCH CIRC: 4 IN PI-ANT:
601 - 11,190 arrp: _ PLAN REVIEW SECTION_
1000+ arr,pi%.olt: >=4 RES UNI i.)_ > 600 VOLT NOMINAL:
_ Recornie.. cWy: SVC/FDR >= 225 AMPS: _— CLASS AREA/SPEC
Own(, Contractor:
TOLZAIAN, DIANE MARY GARNER ELECTRIC
12625 SW SNOW BRUSH G 1' 21785 SW TUALATIN VLY HW` #C
TIGARD, OR 97223 ALOHA, OR 97006-1249
Phone: Phone:
Reg #: M-64ft
SUP 3707S
ELE 34-305C
— FEES a Required InspectionsType By Date Amount Receir Rough-in
PRMT CTR 2/14/02 $75.45 2720020 ,r Wall Cover
Elect'I Final
5PCT CTR 2/14/02 $EG.04 2720020000(
Total $81.49
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 mole than 180 days ATTENTION: Oregon law requires you to foll:w nJlr:s adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct quEstions to OUNC at(E03)
246.6699 or 1-800-332-2344
Permit Signature: r" I r, 1-� Issued By: �
OWNER INSTALLATION ONLY
Thr: 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- J-IL __ — � DATE:__-___--._____
LICENSE NO: _-- - L -� -- ----- - --- --- --- ----
Call 639-417.5 by 7:00pm for an inspection the next busirPSS day
FRoM : GARNER ELECTRIC FAX N0. Feb. 13 2302 02:10P11 P1
Electrical PermitAppheation
I)nlctcceivcd:). �t (, i� I'rnmd no��� �C(I,�L'v�7 C%%✓ �'�
City of Tigard ��V�PD prtyccynppl.nm r•.xpirt•datc
ri tJ 1 rg,nd Address: 11125 SW Hall Blvd, t`y, 1►�l, t tate issued: Ily L,I' l4cmllt nu.
Phone t Si 11) (i 9-4171 —_ — —., --
Pax (503) 59b-1960 Case(tic no !'ayrstcnl tylie
Lund use tlpprovul:
I &2 family dwelling or accessory 13 Commercial/industrial U Multi-family U 1.111111 Improvement
IJ New conslmictiun U Addilioidalterdtlort/r.pls�.emcnt U Other. U ;1111111
1
1.111 addicss: z5-SW SS 6vjprust-7G'f". Blcg no.: Suite no. _ -1-ax rniip/(ax IoUaccnunl nn
Lula_ !t
Project name: ��Ibesciiption and location of work onprcmisei c {-�--
I'.mimated date of C0121'!f - Li ter} ft2t" e-zer fl)r)wic#' 'XYYtaG 0(Ai
p "
Jnbun: (.t !11ar
Business nme: Li lq���l� �T IC-.
� lie:criplion Vty, Ica) Iolal no.Imp
a
—1 f:`.—R New reclilmI W-o ftlit or mull-family per
Address: (-1 g�"C S Y t1 W dwelltnletu111.Incliadeaaftac!rrdgnragc.
C'fly:J p� - --- -State: 01 cluded:
Phone: t{ rj Fax: y Z 7 G mail: I ono sy n or les: 4- - - -4
ccu,: 17-1 l Elec. bus, lic. J {' 3D 2
SG. hoes addiuoral 5W xy,fl or pnniuu therut f
a n
no:_ Limned energy,residential _– - --
C I'MLY/ Ietro lie.no, 1y Ib Limited enerly,nun-residential 2
Erich manufactured home or inodular dwelling
-- — Service and/or feeder 2
,, su Mian ;tet�irr,lj fieri
Srrp,elect,"amr(print). Settlers ors-imlallallon,
r,Iteration or r0ocallon:
1 r 700 ttntps or Ices
Name(print)- `201 amps to
401 amps to o0amps
Mailing nddress; 601 ani ata 1000 snips - -- -z
(SI �— IstaieLIP: _ Over 1000 amps of volts
Phone: Fitz: E mall: Rmonnectmnl 1
Owner installation:'Che installation is being made on property I own TemporstYsrmlenorfrrslers
which is not intended fo- sale,lease,iwit,or exchange according to installation,Alteration,urrelocation;
20snips or less
ORS 447,455,479,670,701 1 ' .
201 anipa to 400 imps 2
Otvmvr'�; 6smature- f3alc: 401 to 600 ams 2
Awfillim— Branch rlrtults-new,mteratlan,
or eslenslon per parish
A Fee for branch circuits with purchase of
Address: set vice or seder fee,each br inth circuit _ =
B. pee for branch eirtuits without purchase
('it State: 7.IP:
_- L __... --- _ _1— ---- - ----�'_ N(fffyiER tar Irk!IRF �/N 111'+k')7 Elft'lll.
Phone; 1'a): I in,ril pachedditionslhranchcucuit
,
be.(Srnl<rorfeeder nMnr:u rd):
lJ Stmt.•,,.r'711 w,paynuun•,,ua U IlralU, 41064,111Y – – -- - ---- -- -- ---
U Serv,uo.a I20arnps-inting,d 1&2 U IlamtJruslxadmi N.nchslgnntnutlincligl,.Ing _-
IamilyAwenitigt U Building over 10,000 square feet four or Signal cimulltst or a limited energy pancl,T
U Syctrm over 6m volts nominal mare residential units in rme structure sheration,or extension*
Cl BuilJinaover three alum" O Feeders.400amps to twos "Descri tin":
U Mcupani Iliad"Vo 99 peri+n; ❑Manuraecturad strueturm at RV park Fieh additional Itorwilon oyer the allonahle In am of the atom:
U hgrrs Aighungplan rJ tidier rerinspecrionSubmit-- gelsorplan i with any ofthe mbom vesdration feeIlse above are not applicable to temporary constructionservice_ ther
_----� Th
Notice: b pemut spplicatlott Pern)it fee.............. ......
Na all jur(adlrutiria accept e.'ttit cards,please call jurimiwitrn(r rraas irJmrot
s. ❑Mnstrrc end expires if a permit is not obtained Plan review(at _ cio) g _
within lA0 days atter it has been State sulchaige(8%) . 3
C' tt cad nundrn TOTAL --
ts accepted as complete. .......................b $J
h 4Mi+cls(6lXyC UMI
moms , ,
CITY OF TIGARD 24-Hour
BUILDING Inspection tine: (503) 639-4175 MST
INSPECTION DIVISION h Business tine: (503) 639-4171
-
Bi1P - --- -
Received — _---Date Requested AM.-.. -_ PM __ _ BUP
Location __ �� uite _- MEC
Contact Person _ Ph( ) -___ PLM
S �Z-
Contractor___ � � � --� Ph(._ )�—��"-�—� SWR
ELc
BUILDING Tena i
rt r -Y��M-- __
Foot;ng E LC
Foundation ACCf.5S:
Ftg Drain ELR
Crawl Drain -
Slab inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath'Shear - - - -
Int Sheath�Shear
Framing - -
Insulation
Drywall Nailing —"`----- _ -
Firewall �'1�i�AL �u►� _3—�R Qty 1 �J._
Fire Sprinkler
Fire Alarm 'ml S W b -
Susp'd Ceiling -- —��--
Roof
Other: -—_ -------- ___
Final
PASS PART FAIL
Post&Bbam
Under Slab - --- -- -- — --- ---
Rough-in ► -
Water Service
Sanitary Sewer � -
Rain Drains
Catch Basin/Manhole
Storm Drain ------
r Shower Pan
Other: -
Final
PASS PART FAIL
--
Post&Beam
P;,ugh-In — �— _ ------ --------
Gas Line
Smoke Dampers — -- _
Final
PASS PA►;r FAIL
--
Service
Rough-In -
UG/Slab
Low Voltage —__� -----..-- --- -�—
Fire_Alarm
Reinspection fee of required before next inspection. Pay at City Hall, 1317.5 SW Hall Blvd.
PART FAIL
SITE Please call for ieinspection RE:--. - Unable to inspect-no access
Fire Supply Line /
ADADated '� 'Z. pecti✓L c- Ext
Approach/ridewallc Insor
Other: -_
Final DO NOT REMIOVF., this Inspection~ record from the job situ,
PASS PART FAIL