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Permit ' • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00285 4/1 DEVELOPMENT SERVICES DATE ISSUED: 5/20/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111 BA -03300 SITE ADDRESS: 14145 SW 98TH CT SUBDIVISION: MCDONALD ACRES ZONING: R BLOCK: LOT : 008 JURISDICTION: TIG Project Description: Installation of (2) branch circuits for A/C and furnace. 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: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amplvolt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: JIM YUTZIE CANBY ELECTRIC INC 14145 SW 98TH CT 790 S IVY TIGARD, OR 97224 CANBY, OR 97013 Phone: 503 - 968 -9204 Phone: 503 - 266 -7878 Reg #: LIC 26071 SUP 2I23S FEES ELE 3 -112C Description Date Amount Required Inspections [ELPRMT] ELC Permit 5/20/03 $53.50 [TAX] 8% State Tax 5/20/03 $4.28 Rough -in Elect'I Final Total $57.78 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 obta in copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: 48.2yerey_i_e____ Permit Signature: f f7 /ej /O 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 639 -4175 by 7:00pm for an inspection the next business day r y • Elect cal Permuilt Appllc tion Bate received: /4 C� permit no. :+- r Q ' ":j']i` • City of g rt Projecdappl.no.: ire date: Ex p • �.. • Cllyvf7igard Address: 1.3125 S r $ 72'L3 Data issued: B y H Rece Phone: (503) 639 -4171 Fax: (503) 598 -1960 MAY 16 2003 Case file no.: Payment type. Land use appl•ova1 : CITY or TIGARD 0 • TAPE Of PERMIT X1 & 2. family dwelling or accessory 0 Commorvlal/lndustrial CI Multi - family Q Tenant improvement 0 New construction ,$. Addition !alteration /replacement 0 Other: 0 Partial Job address: ‘ 4 i t{ , 5'. . �. ‘ c B no. Suite no.: Tax map /tax lot/account no,; Lot: 131ock: Subdivision: _ name: . Description and location of work premises: �ri2 cf e, Estimated date of cornplction/inspection: on p rem s3 . • coN'1•RA C FOR .1PPLICATION - - ' FIE SCHEDULE Job n0: Fee FR Max • Business MUSIC: Desari • cat qty, (en.) no. Ens. M t {r1`,_i =-1` �`•• - New re lcicalWt- : •at . ti- per Address: -r i 0 i. T 4 N S ' - ( • ' dweliingurtit.Includes atteelicd wags. ' City: Ca.„,..4 { State: Cr., [Z0': q - 1 o t -- Servicalacladadt • Phone: 2.6 - ti F Fax:2(4, -5543 E -mail: 1000 sq. ft, orless 1 4 • Bach'odditional • s sq. ft. or portion thereof CO3 rio•:: ` (p 0 t Elec. bus. lie. no: i 2 G ru l L _ ,resident INN _ •ity /metro lie. no.: 1 — 19 . 9 O LW .Limitedener:.1ton•residential z • , qty - Z.actismatwfactured home or modular dwelling Sigwnere of supervlsiniolcetrtcian (required) pate Service andler feeder �� 2 Sup. elect, name (print):! t(et: t_ , w IA . - . s no: 212 3 S• Services or fir.- itahllatiwt, I'IiOPI:RT' OWNER alteracson orreloea<t;oat 200 amps or less 2 N (p : „,, `\ t'—e. 201 ar>;pa to 400 amps 2 Mailing address: 1 Lt 1, 45' S ' . ci d 01 a mps to 600 a mps 2 _ ^ � 691 snips to 1 1 00 amps 2 City: .7 &;r4� State :Q`L ZIP: el '1 Ovcr 1000 amps or volts • 2 Phone: J Fax: 1E-mail: • eoonnDOtonl . 1 Owner installation: The installation is being made on property I own Temperer/ setwices or fcedcra - • which is not intended for sale, lease, rent, or exchange according to installation ,adteriltlon,Qrrelocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 • 201 amps to 400 amps �•- 2 D ate: 401 t o 600aam M - ' -- 2 Owner's: sib - re: ps E NG I N 1' 4,It Breach circuits • new, tors tioo, 1 or extension per panels Name. A. Fee tor branch circuits with purchase of Address: service or feeder fee, each branch circuit 94' 2 City � State: ZIP: B. Foe for branch circuits without purchase Phone:, lA' • ofaerviceor feeder fee, first branch circui ri•', 2 Each additional branch eirctu PLAN REVIEW (Meant! cheek all that aPply) Misc. (Service or feeder net included): CI Service ovcr225 ampa- cotnmercial Cl Realm- oarefacility ' Each pomp orirri$ationcirole _ ; ss 2 O Service over 320 amps - rating of 1 &2 0 Hazardous location Each si : nor outline lighting 7 I 2 family dwellings 0 Building over 10,000 square feet four or Signal c reuit(s or a limited energy panel, 0 Systemover volts non»nAl more residential units inanestniuure altoratlon, orextension• f _ 2 G Building over twee stories 0 £enders, 400 amps or mom - • cription: a Occupant load ovrr 99 persons 0 Manufactured atrtuns or I2V park FAA inspection over uc r the allowable in any of the above: O resrli+ghting C) Other. Perinstiection � ._-: —_ I Submit ... , ..- sets of plans vt1ttt auty of the above. Investigation fee - Vac above are sot applicable to temporary construction service. Other �M -- ---- -- Permit fee ,..• Not all iurirdictiom a cw6 ccein crcd +, ideate call iurirdictioa Cur nrotc information. Notice: T his penult application 0 1 visa Xmas expires if a pernut is not obtained' Plan rev (at -_ '': ' °' 3 , l� I c 't cud ',umber , . within 180 days after it has been State surcharge (8 S _,�- y 42a) l 4-f4 t a t, a • )_. _� .. L2 ` �turf.... . __ ,a t °• o .. ocptod as •oornplete. TOTAL ................... ..r.717 .. . . . — Nome of emdl `LUw tin creak turd S l • O 4 5 '7 J2 carrdhp , rxn,turc Ar110aat 440 Td WdSZ :20 200 Z 9T 'hp1 2VSS99Z20S : '0N 3NOHd ON I O I i'110913 ) RNdO : WOdd CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received Date Requested C AM PM BUP / Location / f I �g Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) - 7 ?78' SWR BUILDING Ten nt/ rr ELC Footing 3( i5 ELC Foundation 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 � rm •� PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. • �T�T� Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA `� Approach /Sidewalk Date 6- 27 - © 3 Inspector °[. Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL