Permit - 7 AF/0 r17 ' f : c tc ed de rv,'c.2 y- !J' rdwch c i re-t -t i
"` CITY F TIGARD ELECTRIC At PERMIT
I
COMMUNITY DEVELOPMENT PERMIT #: ELC2008 -00415
DATE ISSUED: 7/21 /2008
jTIGARp 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102 D C -00505
SITE ADDRESS: 09175 SW EDGEWOOD ST ZONING: R - 4.5
SUBDIVISION: EDGEWOOD LOT : 013 JURISDICTION: TIG
PROJECT: SABBE
Project Description: Installing (1) branch circuit. 7/28/2008 ADDED (1) service and (5) branch circuits.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS 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: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT:
601 - 1000 amp: PEW-REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
REMI SABBE OWNER
9175 SW EDGEWOOD ST
TIGARD, OR 97223
Phone: 503 - 639 -4443 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 7/21/2008 $46.85
[TAX] 12% State Surchar 7/21/2008 $5.62
[ELPRMT] ELC Permit 7/28/2008 $113.55
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $179.65
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. - • btain copies of these rules or direct questions t • OU ' - at 503.246. • c - • • 1.800.332.2344.
■
Issued By: — Permittee Signature: e _1 e
i 0
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application �' � "'" " x '° k " " 1 ` N "� "` "' 44,1 °�`� i' ' '
pp r :FOR ° OFFICEUSE O N LY t ` r w L
��. +fr ;'A u�J'k�+aMt.:!: !' s i N a.:; -u 1x a°,�' ,A AH °""^l � M nu t 1., }k
! � City of Tigard
" � Date/Bea
�1, t Permit No.: _ `` ' ! rill ' j . ° 1 SW Hall Blvd., Tigard, OR .' Plan Review
! ! Phone: 503.639.4171 Fax: ' •1, �'I' 9 41.. - Other Permit:
- 7 J Da teBy:
T I C A R D Inspection Line: 503.639.41 ti p` -,,-- oQ$ Date Ready /By: _furls: ® See Page 2 for
' '' ' Internet: www.tigard or.gov �� r1 t• Notified/Method: 6 Supplemental Information
TYPE OF WIIRK qe, 1p PLAN REVIEW
❑ New construction ❑ Addition /altplt/
�� Please check all that apply (submit 2 sets of plans w /items checked below):
V4`� `�
0 Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑ Other: . Vk where the available fault current ❑ Marinas and boatyards.
CATEGORY OF C ( (� 31 Q \ �STRUCTION - exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "1 -3 ",
Job no.: I Job site address: p �7 � IOOHP or more. occupancy.
❑
1 / ( J1 o or more residential units. Recreational vehicle parks.
City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: I Project name: ❑ Service or feeder 600 amps or more.
. FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total 1 '
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
- i . • , - DESCRIPTION OF WORK (with above sq. ft) 75.00 2
(�i , r�% /� [
Limited energy, multi-family
(with ab sq. ft.) 75.00 2
'� �J o( �J'f1 /'� � residential sq
J / Services or feeders installation, alteration, and/or relocation
200 amps or less / 80.30 Fer)•30 2
. ❑ „ PROPERTY OWNER ❑ TENANT .. 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation . -
Phone: ( ) I Fax: ( ) 200 amps or Tess 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, er panel
Owner signature: Date: A. Fee for branch circuits with
' 'APPLICANT I ❑CONTACT. PERSON _ above service or feeder fee,
each branch circuit 6.65 2
Business name: ((v -e...r — B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: Each add'l branch circuit ' 6.65 33 • ) 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR • . . Sign or outline lighting 53.40 2
Business name: panel, Signal circuit(s) or limited -
v /�/ energy panel, alteration, or
Address: extension. Describe: Page 2 2
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: /13 5 - 5 ---
,
Print name: Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): j ' G
Authorized signature: TOTAL PERMIT FEE: i ).-7 0 (
This permit application expires if a permit is not obtained within 180 •
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC - PermitApp.doc 05/23/06 440- 4615T( 1 1/05 /COM/WEB
Electrical Permit Application - City of Tigard
•
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
[ .RESIDENTIAL_WORK,ONLY: _ ��
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
111 Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00 •
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
n A • udio and Stereo Systems
n Boiler Controls .
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
n I • nstrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
n O ther
Total number of commercial systems:
- *No'licenses are required. Licenses are required
for all other installations
I: \Building\Permits\ELC- PermitApp.doc 03/23/06
;,. CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT ISSUED ELC2008-00415
• ' DATE ISSUED: 7/21/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102DC -00505
SITE ADDRESS: 09175 SW EDGEWOOD ST ZONING: R -4.5
SUBDIVISION: EDGEWOOD LOT : 013 JURISDICTION: TIG
PROJECT: SABBE
Project Description: Installing (1) branch circuit.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS 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 HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'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: 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:
REMI SABBE OWNER
9175 SW EDGEWOOD ST
TIGARD, OR 97223
Phone: 503 - 639 - 4443 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 7/21/2008 $46.85
[TAX] 12% State Surchar 7/21/2008 $5.62
Total $52.47 REQUIRED ITEMS AND REPORTS
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
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to NC at 503. 6.6 9 or 1.800.332.2344.
Issued By � : . Permittee Signature:
OWNER 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: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application �t' Received
FOR OFFICE USE ONLY
City of Tigard nn Date /B : , Permit No.: S- -Cxsk/
13125 SW HaII Blvd., Tigard, OR 97 • 1 ' - - .ttR�LC2r0!
• 0 . 1 Other Per mit:
/� _ ► +' .■
Phone: 503.639.4171 Fax: 503.5 6 `\� . \�u. p —
�
Inspection Line: 503 w Si • �L eady /By: orris:
T I G A R D RI See Page 2 for
Internet: www.tigard- or.gov ^tN ®` 11 + led/Method. 7-X6) Supplemental Information
TYPE OF WORK q` V PLAN REVIEW
❑ New construction Addition /alteration /1Pitlent Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ❑ Commercial /industrial IZAccessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
Job no.: Job site address: (i �} (� e I OOHP or more. occupancy.
' / v �� 1 \J� 0 Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: (n n ^ n ❑ Health -care facilities. ❑ Supply voltage for more than
�l7► t� V O � � 60 q f 23 ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: S Q ❑ Service or feeder 600 amps or more.
�' FEE SCHEDULE
Cross street/directions to job site: 0 I IM &A Description 1 Qty. 1 Fee. i Total 1 •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map/parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family
75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 1Z /� pz.� �`, ^1 ) 401 amps to 600 amps 160.60 2
t p) J � . c - 1tl J 601 amps to 1,000 amps 240.60 2
Address: £)f)5 sI x FJi 6 f. LOCO 0 S-1.- (zf _,-r Over 1,000 amps or volts 454.65 2
City /State /ZIP: 7 )6 a (L D 601- 1 Qn 2 '3 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (!. 3) IRA - y Li 43 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, r or,exchan e, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
^ 'nn '7,21., /��,/ Branch circuits - new, alteration, or extension, .er panel
Owner signature: \_. . / 4J ( "�� Date: b/1� A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, ' 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: ;: , ,A �o-i energy panel, alteration, or
Address: (/"� extension. Describe: Page 2 2
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) '
Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 1/G
Print name: Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): •
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within Ii
Print name: Date: days after it has been accepted as complete. u
* Number of inspections allowed per permit. V
I'\ Building\Permits\ELC- PermitApp. doc 05/23/06 440- 4615T( 1 l /05 /COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL: WORK ONLY::
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
n Audio and Stereo Systems
n Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
❑ Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I: \ Building \Permits\ELC- PermitApp.doc 03/23/06
C 1G 2 °G -6,oq -i
Information Notice to Property Owners About
Construction Responsibilities Statement
Oregon Law requires residential construction permit applicants who are not licensed
with the Construction Contractors Board to sign the following statement before a
building permit can be issued. [ORS 701.055 (4)]
This statement is required for residential building, electrical, mechanical and plumbing permits.
Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Please check the appropriate box and complete the following statement:
1 own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
1 will be performing work on property 1 own, a residence that 1 reside in or a residence that I will
reside in. If I hire subcontractors, 1 will hire only subcontractors licensed with the Construction
Contractors Board. if I change my mind and hire a general contractor, I will contract with a
contractor who is licensed with the CCB and will immediately notify the office issuing this building
permit of the name of the contractor.
I have read and understand the Information Notice to Property Owners about Construction
Responsibilities contained on these two pages and I hereby certify that the information checked and
completed above is correct and accurate.
. -A pp S C' et-ed-a--e___)
Print name of permit applicant Signature of permit applicant
r -2.)• D �
Date
Permit #: F.:-(---C-6 "
This form is supplied to building
7
permit offices by the Oregon Address: 'T 75- 5--(-/ ��`?7` )`�
Construction Contractors Board, - ,..rrae;.. ':,'
as required by ORS 701.055 (6) .' r �5� � c �' 3
Issued by: ; Date:
7�� /c5r
This copy to issuing permit office
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: L"'I { a15
9 701/2008 •
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9 /2flC3t)t TIME: 7:041A1�1 PAGE: 4
SITE ADDRESS: (1ci17r 4, �•_DG 1 _ Ot�y�� ST
CLASS OF WORK:
SUBDIVISION: E DGE wt')OD LOT #: 013 TYPE OF USE:
PROJECT NAME: SABDE:
DESCRIPTION: Installing (1) branch circuit. 7128/2008 ADDED (1) sefvice and 5 branch circuits.
OWNER: SAB E, REMI PHONE #: 503639.4443
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/26/21108 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Electrical final 0759813.01 5034539-4443 \ Y
Corrections /Comments/ Instructions:
+ I PtV\
1 PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v vV �� Date: _1 2- 1 Phone #: (503) 718- ZT%•
CITY OF TIGARD 0
BUILDING DIVISION PERMIT #: Ef.C)0011U01 5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/200II
Phone: (503) 639 -4171 ; l
Inspection Requests (24 Hrs.): (503) 639 -4175 ,.. �III
INSPECTION WORKSHEET FOR DATE: 942212009 TIME: 7:00AM PAGE: 8
SITE ADDRESS: t)91 SW C DGE WOOD ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
f _DGEWOOD 013
PROJECT NAME: r;AI;3F E -
DESCRIPTION: Installing (1) branch circuit. 7/28/200B ADDED (1) :Alvi and (5) branch circuits.
OWNER: — #:
aA1: BE, REM1 503_63R.4443
CONTRACTOR: _ OWNER _ PHONE #:
Inspection Request Scheduled For: Date: 9/22/2008 Pour Time:
Code # Inspqction Description Confirm # Contact # Message
e 075767 -01 503 - 634 -4443 Y
Corrections /Comments/ Instructions:
1 E 10I 1
- 1) ALL 1t-0V• t6A UA. 'tc4 I AN -6
s\tko oL G-40.A., c(-..,ci,timil- ---F-c_,1 pKrUi t5,..
-2.) onpoL. 6 a_c_Ai --- a?-.,-.4za_ t\i‘ 0:6 r- Raz ',hi
'Nit 1 ,1 -L. u./ IM t- _JA aNi cAL ba 0 ,
3) i.I ELL acmes vL A`T E s .
1 1 PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL (l CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C- NA6 Lt Date: Phone #: (503) 718 - Y 1 r
CITY OF TIGARD
-- ' �+
BUILDING DIVISION ' PERMIT #:
ELC2008 00415
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/200t3
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'. "'I I`
INSPECTION WORKSHEET FOR DATE: 7/29/2008 TIME: 7:01AM PAGE: :38
SITE ADDRESS: 0c3'f7'� SW EDGE WOOD ST
OF WORK:
SUBDIVISION: OOF , 3t � 1 � LOT #: 013 TYPE OF USE:
PROJECT NAME: SAF3F3E
DESCRIPTION: Installing (1) branch circuit. 7/23/2008 ADDED (1) : and (5) branch circuits.
OWNER: SABRE, REMI PHONE #: 503- 633 -4443
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/ "1q/ "008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 073353.01 503.639.4443 \ y
Corrections /Comments /Instructions:
('(r
Pkr>vr -'-- Crag) v1%) J - INK) 250. 4n .
v N irwv P v G cAi\A v ill r`-(c(L_
W a-1 1,0 c T 1 (vN . Red. 3 ! ®. 16 .
31 o. 1 a
310. 16 .
PASS n PARTIAL APPROVAL n CANCEL 1 1 NO ACCESS
FAIL X CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: C) ---- UV 6 6ua Date: 1 2I int Phone #: (503) 718 - 1).K
CITY OF TIGARD
BUILDING DIVISION < PERMIT #: El.G200 00415
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/000
Phone: (503) 639 -4171 �� ���
Inspection Requests (24 Hrs.): (503) 639 -4175 .d!-!+` dil.
INSPECTION WORKSHEET FOR DATE: 721:1/2008 TIME: 7:03AM PAGE: 21
SITE ADDRESS: CLASS OF WORK:
09175 ;:a°�!?V I*D£�f�'1Nt�t7D ` =1'
SUBDIVISION: EDGE-WOOL) LOT #: 013 TYPE OF USE:
PROJECT NAME: ;.4AI3F:3E
DESCRIPTION: Installing (1) branch circuit.
OWNER: SAI:3BE, REM' PHONE #: 50:3639-4443
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 712812008 Pour Time:
Code # Inspection Description 1 Confirm# Contact # Message
120 Electrical rough in 073294 -01 503. 639-4443 N
1
Corrections /Comments /Instructions:
16 ' ll krDze...root4b 6
01;16 m( - P 1": (INtO Im P
6 --- A b 1) tok(-- 6VLAnidA c-I)Z, C..\.) ir5
1 1 - 21)0A, o a- LE ss .
I�b - 1". , y c ovim. G-4 211 w ALL f .
6 w\ (i. - INA Lo A v oP Izo-vhD czto ® 11 m617 ay v 1
❑ PASS PARTIAL APPROVAL 1 I CANCEL n NO ACCESS
n FAIL X CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: A L r� Date: 1 •Dt 01 Phone #: (503) 718 -1Mi
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