Permit k.,_ _CITY OF TIGARD ELECTRICAL PERMIT
TIGARD #: ELC2003 -00071
DEVELOPMENT SERVICES DATE ISSUED: 2/13/03
e'f �l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 112 B D - 00100
SITE ADDRESS: 14660 SW 76TH AVE 075
SUBDIVISION: TIFFANY COURT APT. ZONING: R
BLOCK: LOT : 065 JURISDICTION: TIG
Project Description: A
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: 1 W /SERVICE OR FEEDER: 6 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: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WASHINGTON CO. HOUSING AUTHORITY WELL DONE ELECTRIC
111 NE LINCOLN ST 17045 SE ROYER RD.
#200 -L, MS63 CLACKAMAS, OR 97015
H ILLS BO RO, OR 97124 -3082
Phone: 503 -846 -4794 Phone: 503 - 201 -4006
Reg #: LIC 142618
ELE 3 -522C
FEES SUP 3988S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 2/13/03 $120.20
[TAX] 8% State Tax 2/13/03 $9.62 Rough -in
Elect'I Service
Total $129.82 Elect'I Final
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 questio to OUNC at (503) 246 -6699 or
1 -80 '332 -2344.
ued By: _ • 0.4)1,11/111L 0.4)1,11/111L Is � , !_ i /,( +1 i Permit Signature:
__ OWNER INSTALLATION ONLY /
The installation is being made on property I own which is not intended for sale, leas-, or rent.
OWNER'S SIGNATURE:
DATE: 3 — O y
C. TRACTOFy STALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: ' 11 DATE: Z 1
-4 l
LICENSE NO: fes
Call 639 -4175 by 7:OOpm for an inspection the next business day
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112 ilerni vcd , SO /1 no , : Ei_e_ -a/ej
: city of Tigard PkriLjectiappi.int: I 'Expire date:
. . _.... —,....,, • — 17, 7 ,,,,
City „f 7y8 „,1 Address: 13125 SW Hatt Blvd, Tigaro , ‘..J.K ..iL...::, I patc i $S Litt': ! v7-
Phone: (503) 6394171 1____—...-7--_____,.___...=1 .
Pavnae,al type.
(503) 598-1930 --'
Land use approval
,..,,,...,,,,,,, .,,.„,. ,........ 9 . 7 .•=s ,s TasivediAnontifarravraximairoAtiliat-,:e. , .%...ii . r,, : ''''.i'kk f-',';';'04 - ,; ; :,,,A1:1:',...„ . ..'‘,.:1,..;...,:v...,r,T*.i'k - et:4T.:4,te:
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i s'fi. 2 tactury awciung ur .iiv.s,tiu.) :...; ;:::::;.7.7.,-,;:-,-:^±:".1:n.:1•_:.sti,,! 1:t ivfotti-fainilv i,,.1 Tenant iroprovoinciii I .
New coo&truction CI Addition/alteration/replacement Li Otner: 0 Partial • ,
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Doti address: ifirarmsare, : A r ,,r.ii .4,- -- . q„;,. ,in - 7 Tax rnaoitax lothiccou.nt no.:
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. I Lot: Block: I Subdivision! 1 .
i E:s7irni re CI (3 iit; Of COMI;feti1111:11747.1jr _.- ;
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Job DO: : Foe k1on
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ail i r - -- Iltaknplcon Qty. (o.a..) Terf.1 p
BtAiness name: yv III d' tallir.im - -. -- N7 ,----,,,,,, d ,, atui ., inot „,,„„ thi _ ramity ,,, ,, 1 , / 1 i
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76' ._:„ ..1.1____I____. _ , _ -trweibrigimit Include :Rtisiebeigarkt.
L City: / 0 -- State; il • ZLP: 0 17r Servieeincludeti. I ! I' 1 I
__ 1 ail, ft. or less I . 1 1
?how; ,f/' / / FOX' 5; ; - si r - mail! _
-- - - m'. Each. additional 5C/0. aq, ft_ or portiorz thereof t
year T __LEde,c. hus22LIraLI:17.. .
A Limited energy. rr-sidential 1 1 -----
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LCity/moirc .!....• no.: y . , i,inii ,r '21,LT:A 57 . ___L, I i
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-- • _1 o -...47...--,......„..i
I z . / ; -.,r -_■..,•■ -....,. f -- a Each manufactured home on dvr..11.inr. 1
rp toro su,.. i3/1; 4 etTiciar. (required) :. service andior feeder rmt.te i..71‘,1„RA.- f • --- ' - ' i , ' 1 2 •
, ___. 1 _.--
-- , — Senices or feeders installs bon, .. -
Sup. elect. myna (print), c„,e0 . , , 5
tflETI9 IS
''- ion or " - ..'' , ,, ' ' ' . - ' Tr., alterat relocation: . .
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v...:, .. , .,.,,,,...,....,....,.. , ......., ).. .......i,i1,-,.:,..1.,..:ti. • ,,,. 200 amps crIcas ' irY), 2 .
201 Ell p /6 400 amps 2 1
Name (print); — •
— — . . — 401 amps m 600 mos I 1
-- t - , - -
L Isilailing ad dregs: %. .. • 601 amp to 1000 amps t"-- • • 2 • -
ity: . ,„.........: Stain: Z1P:.
ON'CI 1000 amps or volts
. .
Phone: E.rnail:
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Owner installation.: The installation is being made on property 1 ow: 1 TeMpoparysmrvintr07e7 7 '
a
wilial is not iatended rent, or exch ingtallatio
ange according to n, lteration, orrclocn lieu: 1
200 atnps or less _.
t)RS 447, 455, 479,.li 7 0 . 7 1 . 2,01 . — -
imps to 100 amps
Owner's signture: . • Da _ _____ 401 600 amps • 2
W12.1.'tit:"PnliqIi:.4'=,t1,,":A'.,-.,1;',"•,..:,'.1•AtSidelltitit:;;".'i.'...;',';:.1;4.`f..',44,3.41\'';;:V.11"ciA Branch circuits . new, alterAllun, — . — F —I
, 1
i Nan:a:
— I ,
r 'kcIdrciis: 1 service or feeder tee, each branch ci rt,t.i.i.
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i:,ity: 1 Stolz: I ZIP: . 1
— I -6 " CI: e i c h ;.L.r 4 it: I '2
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rilA: =-C1-ial.l. . . -- Each additional branch drsuin _
11 44 , ',`: .pyl r.,.
; ....- ,,,....:4.... , . , , ,, , , ,,, , ....„. I notineludedl:
12 Saviee ever 225 a rnt>9.UOtrt alareial 0 Health-cart Crain; F.ach pump or irriiption circle — - 2
____
1 :1 Sorties c VC.1 320 umpu-rat it s of litz: 0 Hazardous (ocanno 1 -4-------.
— — 1
familyd‘vellini0 n 10.000 „ 1 „,„. Fe „ fo „..,., l signo c a ml iti.) ,..), a limitc.,/ energy panel-
3 Syr,temc..vcr 6(X) '.o1( nominal more residential units in one strueoun I alteration, or ex.rension* 1 1 ,___ 2
2 13ailtlitt5 ,..•,.■11-at.,.......,....., 1:2 reralc.., ..: „„.,,,; ,-;-:::: -
1 ... , 1..... , --,.......,.,_
2 Crcoupaar ii.vrt OVCI 99 pc: :ms ID h4anufactured stricture:: or kV park Each additional inspection o'er the &towable ba any of ibe allot*: 1
3 Fgressilightingplun t.: Other, - — I per inspection - -__E__ 1 F-al i
f."...4.....:a ...,_ a... ,,fr1-.1- auttl. ■•■■ la ., ,
—....
- ft v! above ate MY :applicable to temporary construction service. 1 Other
------„ $ j -------- ,7 61--j
1;17 ,ii j credit taro% ple,:tiidi jurisdiction rm mete idormation:1 Notice; This permit It '''
cation ::t
: visa '3 Master Crud 1 expires if a permit is not obtained Plan r z'Ae w ( v . A". L. 1 -- i7.:: c.4-
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e is%) ..„,, • w_arrs
c'isua card .,mb.r. / '4 ---
- Exii , v , I neeeptud as complctc. TOTAL $
$
-• — Cardholder Sit,ilittUre A ilintlfil 1 44.1-4 5 cf.103'COM)
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- {7..3 kick-:-; ,' A 7 .::10 , 1' TO ' : "ON Xf.J.d : hilLid:.1
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION - Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 3- 7 AM PM BUP
Location / ' 7 / . o 76- - Suite 4P 75' MEC
Contact Person Ph ( ) l / 3- goo S PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 5 e ELC 3 Od p 7( _
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
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
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date 3 2 r Inspector --,a4 cc - 7 Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART .. FAIL