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Permit
CITY OF TIGARD ELECTRICAL PERMIT .A. PERMIT #: ELC2001 -00255 DEVELOPMENT SERVICES DATE ISSUED: 05/17/2001 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111 BA -04200 SITE ADDRESS: 14040 SW 98TH AVE SUBDIVISION: MCDONALD ACRES ZONING: R -4.5 BLOCK: LOT : 017 JURISDICTION: TIG Project Description: Installation of (4) branch circuits for kitchen remodel. Job #34844 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: 3 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: MCMILLAN, ROBERT L AND RED'S ELECTRIC CO INC MARGARET R 2002 SE CLINTON ST 14040 SW 98TH AVE PORTLAND, OR 97202 TIGARD, OR 97223 Phone: Phone: 233 -6467 Reg #: SUP 2059S LIC 4443 ELE 26 -152C FEES Required Inspections Type By Date Amount Receipt Rough -in PRMT CTR 05/17/2001 $66.80 2720010000( Elect'I Final 5PCT CTR 05/17/2001 $5.34 2720010000( Total $72.14 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 a re 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 (503) 246 -6699 or 1 -800- 332 -2344. _(ifl„ Permit Signature: 6-y-\ 4 l( Issued By: 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: 0) `( 9 ti 41/x. DATE: LICENSE NO: . Call 639 -4175 by 7:00pm for an inspection the next business day May 17 01 09:37a p.1 • U Electrical Permit Application Date received i Permit „o.; -/ -092, P rojectfappt. no.: 6spirr. date: l i City of Tigard �, l ao.: Phone: (503) 639 -41 �� - Date issued: Hy: Receipt Address: 13125 SW Hall Blvd. Tigaad. OR 97223 CtrYra Bard 71 Case file no.: Fey"":nttype. Fax: (503) 598.1960 Land use approval: TYPE OF PERMIT all11111111.11 • • D Mu,ti- family O Tenant improvement 0 4.-1- 2 dwelling or accessary 0 Commerciatl/industrial p P 0 New construction ction e�Addition /alteration/rcplaeunent O Other 1 • address: 517E INFORMATION , • • rob addts: / VO Ye." 9, . - Bldg. no.: Suite no.: Tax m a• tax lot /account no.: Lot: Block: Subdivision: ' f n/ �- ,,,,../e,_/ „,,../e,_/ Project name! _, .1 i .+ , /� s Besets ,tine and location o1 work on premises: 1 • Estimatrod date of completion/ins . runts:. , ./ F CUNIIl:1CTOR APPLICATION ” y '� 11 :L SC It7arc Job ao: r/ .94./i/ Deaa4td Qty. mi. h" ra6lratW •,4Kk oralam - r may IQ Address. Apo �- S C/ Sr/ dtrelliasunttlnclodes stschesi pawn Stet es, ZIP: p L ServtoelncInded: 4 City: t txl0 & MICE. Phone' f ax 2. / E mail'. , `. : , addi 540 a4. for o , or an th��o Elec. bus. . - 1.111 2 CCB no.: ye bus tic no; -7 Limited : ,asidcedal no. Limited energy, nan- raldenuat Ill Ng Ci /metro lie o a Pastmanufactumdbomcor modular dwelling r�r j Service i am fwom _ m+ of so. el. •fan (required) Dec tServicesor butnWattoll ( p r i n t ) : i .. (,iRnse no: - ' alteration orret cation: P ROI'CRTI' OW NUR 200 amps or lea ZOl amps b too asp ps Name (paint): P, �/r 01 amps to 600 amps Mailing adds o � : / d 9 St' 9e t / 2 601 amps to 11303 raps star ZIP: ( -..2- • per 1000 amps or volts , City: j Reaannauaaly Phone; I Fax: E.m�' �a ar7 or f rdetc - Owner Maenad= The installation is being made on p ropert yin I to n temp or which is not intended for side, lease, rent. or exchange 100 mops orles ".... ._ ORS 447, 455, 479. 670, 701. 201 amps So 401i amps Date: 401 t •' , ant • t -- Owners signature: ---- - - - -- Bratcheireitt- aim, alteration, [AGI �Etat or extension wrpanel: A. Boer for bevel circuits with purchase cf Mdse State: motes or fierier fierier m cult cult t branch neeeU _ Address; B . Foe for brs circuits l ttqucpt a• ( a � 7 6 ] Phalle! FAX: of service e r &odic fee, first breork cre,i u b - mail: each eddisionsl branch circuit Will &IL all that Sarin., or- tender sotbtcladrd} III PLAN G�I[:11 (Please. (Please. chctl: that app!)) r Each umporuri6asiopoircle QSaviceover 225 onp•oanYeGr ° al ❑ ittsahaatte facility Ea w0 0 0rin ine0gtu irc Ofailoemet320amps41 ie0f lart 0 ) Building s over sion Si oa t eir W614t)ora6114404 1111111111111111 1111111111111111 1111111111111111 o auisaio` ee t opo0 wore feet taus or t ��y dwellings r 60 ahem:ion, ore &tension' O System over 600 volts nominal mote uidearial units in one drums= O Building over three rants Q Fvedc+a.. 500 amps or some •oescaiption B Q Manufamoted swarms a RV park Fads addba al drpdion Ines the dtot►nbte m any of the abet= O ps: / load ova 99 DaKO^' CI Outer Per inrv�at. 0 gcadlightiPyPbr' - Submit _ setts of plena wltb lnvestigalioo(ee The any of the above, Other r e above are not appli�se to temporary Ctructia bervlcc. Permit f Z .6.- Z .6.- �� • Not at l °ti a0mpt taadil Lards. p dl i Permit tion rat nags tefonnois . Police: 1116 permit eppl;cation Plan it fee review (at 'B) S O curt. O MarterCerd expires if a permit is not obtain' / within 180 days after it has b eu State autelrifge (896) .... S � '13' Civet rata swim ep� accepted as complete. TOTAL $ - '--` -- m tattthotder m .+rote to mot me S a•o s6 s l5 patent wwamt ,, p.reel1 ao .Clip. LBZLC88COS Xv3 DO ZT 100Z /01/SO - CITY OF TIGARD BUILDING INSPECTION DIVISION „ 24,Hiour Inspection Line: 639 -4175 Business Line: 639 -4171 MST �J BUP Date Requested /` ` ^ 0 / AM PM BLD Location RHD 4 © 7 fh - ! 7� U e_ Suite MEC Contact Person n / Ph PLM Contractor e C Ph / SWR BUILDING Tenant/Owner Af C H� / /4 i, A v h r p' ELC ) bo l - D O2 . Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final FAIL LECTRIC (11 911111114 mice UG /Slab Low Voltage - larm l ____ PART FAIL Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: AP [ Unable to inspect - no access ADA Approach /Sidewalk Date 5 ns / Inspector itt4 • te/� Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISIO " { 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST y / BUP Date Requested — Z I AM PM BLD Location 110 (IC' 5' f y Suite MEC Contact Person Ph 23) - 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 2'/ Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam � r & 1 Ext Sheath /Shear C _ e4 f Q/ Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: / DO)1 )v7 Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL r.. Service Rough In UG /Slab Low Voltage Fire Alarm F PASS PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: I A [ ] Unable to inspect - no access ADA N Approach /Sidewalk D /Z ns ec/w Itor k. ! A i E Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.