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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00571 tO DEVELOPMENT SERVICES DATE ISSUED: 9/12/03 ma V II I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 111 AD -12900 SITE ADDRESS: 15045 SW 89TH PL SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R-4.5 BLOCK: LOT : 030 JURISDICTION: TIG Project Description: Installation of (1) branch circuit for hot tub. 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: MATT AALTO GARNER ELECTRIC 15045 SW 89TH PL 2920 SW 247TH AVE #A TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: 503 - 341 -5375 Phone: 503 - 648 -4552 Reg #: LIC 121159 SUP 3707S FEES ELE 34 -305C Description Date Amount Required Inspections [ELPRMT] ELC Permit 9/12/03 $46.85 [TAX] 8% State Tax 9/12/03 $3.74 Rough -in Elect'I Final Total $50.59 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 OUNC at (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: v y�� ,- Permit Signature: & /7/ e 77o#. / 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: OA/ f}'7 Pe¢i DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day 10/24/2001 00:22 6427925 PAGE 01 4 r Electrical Permit Applithgn Date received: f /) Q.3 g a l -ermitno.: Le. ,,. -DOS7/ • A� i'1�' City of Tigard � and g SEP 0 7001 ProjecVappl.no,; • Expire date: City f �I gQ � Address: 13125 SW Hall Elvd, Tigard, OR 97223 Date issued: By: Recei it no.: Phone: (503) 639 - 4171 GITY OF TIGARD Fax: (503) 598 - 1960 BUILDING DIVISION Case file no,: Payment type Land use approval: 77 1 & 2 faintly dwelling or accessory U Commcrcia /industrial U Multi - family O Tenant improNoment New construction U Addition/alteration/replacement U Other: ❑ Partial Job address: `£j{ S iger44t p Bldg. no -: Suite no.: Tax map/tax lot/acoount no.; Lot: Block: Subdivision: _ Project name: Desert r tion and location of work on premises: t , 1 . l r IA ( , 4 igwor_ Estimated date of completion/ins r • tion: CON7'It,\( "I Olt r1I'l'I I(':11 ION 1 I l' Still' :DULL Job no: Fee ' Max Business name: r g," r ' ( Description " Qty. (ea.) t!i►1 Total no. Imp New residential -tingle or multi-fandly per Address: a. e20 %V . 7 dwelling unit . Includes atbtcliedgarage. City: l (, /ere) StateQ'2 ZIP: C 1f ' Serrieeincludrd: Phone' '.^ F S mail: 1000 sq. ft. or less 1 4 — Each additional 500 s . ft. or onion thereof CCB no.: Elec. bus. lic. no:3 - Q - Limited energy, residential 2 Cit . m u . lic. no.: r Limited aner•y,nan- residengal 11111111.111111111 2 i fl, Each manufactured home or modular dwelling 7M!. . ..P.' = 'gt"i (rvouired) Service and/or feeder 2 Date Sup. elect, mime (print): Ai Liconse no;3 7 ‘1" 7 Services or feeders-Installation, alteration or relocation: • 200 amps or less 2 Name (print): /1 4t- (.•L ' i/ • 201 amps to 400 amps _ 2 Mailing address: j 401 amps to 600 amps ■ 1 - 2 601 amps to 1000 amps 2 City: 1 State: ZIP: Over 1000 4.. 2m s or volts _ 2 Phone: 3 - J Fax: I E - mail; Recon only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to ihsoelLetlon,altenrtion, or relocation: ORS 447, 455, 479, 670, 701. 200 amps or les i 2 201 amps to 400 amps 2 Owner's si nature: Date: 401 to 600 am s 2 Branch circuits - new, niteration, or extension per panel: Name: A, Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: J State: I ZIP: B. Fee for branch circuits without purchase Phone: Fax: E-mail; of service or feeder fee, first branch circuit: _ t gi Lip, 2 Each additional branch circuit: Miss. (Service or feeder not Included): 1 O Service over 225 amps-commercial ❑ Health -care facility Each pump or Irrigation circle 2 ❑ Service over 320 amps- rating of 1&.2 0 Hazardous location Each signor outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ❑ System over600 volts nominal more residential units in one structure alteration, or extension* 2 ❑ Building over three stories O Feeders, 400 amps or more *Description: ❑ Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable hi any of the above: O Egresa/lightingplan Q Other - Per inspection L I I Submit seta of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other j — " N. all jurisdictions accept Credit cards, please can jurisdiction for more Inrormatloe, Notice: This permit application Pemtit fee $ L` (p a S rt Visa ❑M. -..4. •_ Plan review (at t - -_ — -' - - , - - - �. � ex if a permit is not obtained ( %) $ c , card nem. 'L _ within 180 days after it has been State surcharge (6%) $ '����.�i Ali: xp tee accepted as complete. TOTAL $ . y 11 , ow „ . ctadit recd , ` i4 - ate. _ .. 1� •.s _, S ( 1,... s �t't ✓ C c Cardh older .T( alum Aatonat V 440-4615 ( ) CITY OF TIGARD 24-Hour.. . • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 9 AM PM BUP Location / 5 4 5 S 9 Pia ce- Suite MEC Contact Person p 0 , 1 --p CS-o 3) tEB /- SD6s ( ) (,'4- SSA- PLM Contractor Ph ( ) 3'31 5375 SWR BUILDING Tenant/Owner Cot C/ owner 3 - 006 - 7/ Footing owes voJ at-F- /Lc ekhov.t a dd. 6�3 .)3 ■I, -5375 ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors C A.� 6 -' /5mi,) N /es b/ eviv Va-� o .(5e)3c�1- 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 CI LI Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. - ART FAIL El Please call for reinspects' n RE: Li Unable to inspect — no access Fire Supply Line ADA C / — Approach/Sidewalk Date _ Inspecto �r Ext Other: Final DO NOT REMOVE this inspection record from the ob site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received / Date Requested (� q�� 9' AM PM BUP / Location / 5 `" 5 5 1.0 R-( 2- Suite MEC Contact Person 40 Ph ( ) 0/ p 5 SPLM Contractor r Ph ( ) — L (�SZ SWR BUILDING Tenant/Owner ELC ()O 5 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 \ 1V © N r KOM \ 0 i �, t r - ,I \TI Firewall n Drywall Nailing , �j ► \1 J 0 V � (JJ _ v Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL A/./6 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 /(i• F' larm F' al PASS PART 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: 41 Unable to inspect — no access Fire Supply Line �• O / ;,/ ' ADA Approach/Sidewalk Date/ Inspector p� . r r ` Ext Other: Final DO NOT REMOVE this inspection record from the job te. PASS PART FAIL I :3 Al CITY OF TIGARD . ELECTRICAL PERMIT 4 4 0 PERMIT #: ELC2003 -00571 !''iV DEVELOPMENT SERVICES DATE ISSUED: 9/12/03 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111AD -12900 SITE ADDRESS: 15045 SW 89TH PL SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R-4.5 BLOCK: LOT : 030 JURISDICTION: TIG Project Description: Installation of (1) branch circuit for hot tub. 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: MATT AALTO GARNER ELECTRIC 15045 SW 89TH PL 2920 SW 247TH AVE #A TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: 503 - 341 -5375 Phone: 503 - 648 -4552 CO Reg #: LIC 121159 SUP 3707S c al FEES ELE 34 -305C Description Date Amount Required Inspections [ELPRMT] ELC Permit 9/12/03 $46.85 l e [TAX] 8% State Tax 9/12/03 $3.74 Rough - Elect'I Final 0 Total $50.59 0 SP li This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 u ork is suspended O 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 OUNC at (503) 246 -6699 or co 1- 800 - 332 -2344. Issued By: "G ! Permit Signature: e71. '/efe.,en OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. MID OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N: CA) /9 ( - DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day M • BUP - Building Permit ELC - Electrical Permit - 4 Inspection Description Date Passed By _ Inspection Description Date Passed By Footing /Setback - _ Under:round. cover _ _ Foundation walls ' Wall cover _ _ _ _ Footing drain ' Ceiling cover Waterproof bsmt walls Electrical rough -in 9 4 L /3 I4 1 Slab Electrical service / Crawl drain Electrical final I L, G It Underfloor insulation _ Post/beam structural Shear walls /anchors ELR - Restricted Ener y Permit Roof nailing J Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final — Masonry//Reinforcement Framing - MFG - Structure set -up MEC - Mechanical Permit Insulation _ Drywall nailing Inspection Description I Date Passed By Suspended ceiling Post/beam mechanical Engineered soils Gas line Welding Lab Final Mechanical rough -in _ — Concrete Lab Final Fire damper Bolting Lab Final Duct work Structural observation Smoke detector Fireproofing Lab Final Mechanical final Final inspection —J —J -- PLM - Plumbing Permit _ BUP -- Fire Protection Stem Permit Inspection. Description Date Passed By Y Plumbing underslab _ 4 Inspection Description Date Passed By — Crawl drain Sprinkler underfloor /slab — — - } - S I — I Post/beam plumbing Sprinkler rough -in — Sprinkler final Plumbing top -out Fire alarm final RP /backflow preventer Rain drain - -- — — Storm drain Water service SIT - Site Permit Sanitary sewer I Inspection Description Date Passed By _ Culvert/catch basin - Footings Pump /fill se 8 tic tank Foundation walls Plumbing final Sprinkler supply lines — _______ - Sprinkler underfloor /slab Catch basin /Manhole __J_____ SWR - Sewer Permit__ _ Engineered soils — -lI Inspection Description Date Passed By Engineering acceptance -- Sanitary sewer Final inspection — Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts \ forms \InspRecordBUP.doc 04/17/01