Loading...
Permit A, CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00248 DEVELOPMENT SERVICES DATE ISSUED: 5/5/03 � I I 1 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 110AA -00200 SITE ADDRESS: 14130 SW 105TH AVE 009 SUBDIVISION: CANTERBERRY TERRACE APTS. ZONING: R-12 BLOCK: LOT : JURISDICTION: TIG Project Description: Fire repair for both units 9 and 11. 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: 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: 2 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: OHANES IAN, LEE + DONNA MCCOY ELECTRIC CO c/o SKL PROPERTIES LLC 2014 SE 9TH AVE P 0 BOX 230703 PO BOX 42428 TIGARD, OR 97281 PORTLAND, OR 97214 Phone: Phone: 503 234 - 7521 Reg #: LIC 8277 SUP 2175S FEES ELE 26 -82C Description Date Amount Required Inspections [TAX] 8% State Tax 5/5/03 $13.89 [ELPRMT] ELC Permit 5/5/03 $173.60 Rough -in Elect'I Final Total $187.49 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 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: .� % � j�_ 6/ Permit Signature: / f�` 0 � ,9_77 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 • , Electrical Permit Application Date received: / 0� perrnitno. :‘ 03DOZN Ail. .�,��, City of Tigard Project /gppl. no.: 4xpirc date: City of T ga ,.d Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: t3y LKeceipt no.: • Phone: (503) 639 -4171 Fax: (503) 598 -1960 J TY OF TIGAR© case Fite no.: payment type: BUILDING DIVISION Land use approval: ❑ 1 & 2 family dwelling or accessory '.o rnmercial/industrial ulti- family r..3 Tenant improvement 0 New construction U Addition /alteration/replacement 0 Other: 0 Partial JOB Sill l : INFORMA l ION Job address: I ' I 1 0 S;: . / 0 F; 2 Bldg. no.: Etenlail Tax map /tax lot/account no.: Lot: Block: Subdivision: Project name: _ : r - i. Trail_ Description and location of work on premises: 4it ,F 77)11:. e.v' Estimated date of completion/ins 'action: -t 0.- •••..0 -C. / / CON IRA( A PPM (:AlION — 'ti,. Fra; SC1II:n111,1.: Job fen: l I s _ Fee Max Business name: f� C. - -- ,- (rz IC_ Deacriptlot Qty. (ea.) TOW no. bnsp New residential -single or multi- family per Address: �Q t 4 S. - 9't` 4-.i& dwelling utdt.Wilde* attached gtrrtgc. ' City: Pdw'ti,ot -.,e9 — I State :0r - ZIP: I y 1Krmded: Phone: ,Z 34 - - 71 I Fax: pi E-mail: 7.s 1 1000 aq. ft, or bras 4 CCB no.: 6'1 74- Elec. bus. tic, no: ,96 ea C, Each additional 500 sq. ft. or portion thereof — Limited energy, residential 2 _ City/metro lie, no.: 3 , Z Limited energy, non- residential 2 . a 4 / O 3 Each manufactured brine or modular dwelling ?pl Signature of s,; tv[sing electrician (required) k Service and/or feeder 2 Sup. (print): ., ,C d/ 7- f S Seeicesor feeders– installation, Su .elect.nome rink IOt+ti fyllJ�� License alteration or relocation: 200 amps or less 2 Name (print):/ 2 --1 "1 j2-/L- 201 amps to 400 amps 2 Mailing address: -- 401 amps to 600 amps 2 601 amps to 1000 Alops 2 City: State: ZIP: Over 1000 amps or volts es 2 — Phone: Fax: E -mail: Reconnect only "2! 6 1 Owner installation: The installation is being made on property 1 own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to Installation, alteration, orrelocation: ORS 447, 455, 479, 670, 701. 200 lumps or leas 2 201 amps to 400 amps 2 Owner's Signature: Date: 401 to 600am s 2 Brunch circuits - pew, alteration, or extension per panel: Name: A. Fee for branch circuits with purehuse of C r Address: service or feeder fee, each branch circuit 2 — City: I State: J ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 _ Phone: Fax: E -mail: Each additional branch circuit: PLAN Rh:N'tEN ' (Please cheek all that apply) mi (Servlceor feeder not included): U Service over 225 amps- commercial 0 t ealth-carcfacility Erich puttteLtrrigation circle 2 L"1 Servkeuvet'320 amps of 1 &2 0 Hazardous location I?ue *lair or outline lighting _ 2 family dwellings U Building over 10.000 square feet four or Signal eireuit (s)ora limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration, or ex tension' _ 2 , U Building over three stories 13 Feeders, 400 amps or mote "Description. . , U Occupant loud over 99 persons D Manufactured structures or RV parts • Each additional inspection over the allowable In any of the above: Cl Egress/lightingplan U Odtes , - --- Per impaction l - I I I Subudt — setts of plane with any of the above. _ Investigation fee The above arc not applicable to temporary construction service. Oilier N a s jurladicdons accept coat cards, please call judsetbcltou for mote tafa' ii Notice: This permit application Permit fee / �� , 'el7 O Visa 0 MasterCard expires ifa permit is not obtained Plan rzvhew (at 9E) $ C iedh clad number: / / within 180 days after it has been State surcharge (8%) ---. $ / 3 ` ' Bog.. accepted as complete. TOTAL , Nume ur cardholder as shown ou eredli cord S Can old — er signature Amount 44n -4615 (M)WCOM) Td WdzT:tiO 200E TO 'F N £LP6172Z20S: 'ON Xdd DIal3R1D AOXOW: WOi'1.J CITY OF TIGARD 24 -Hour - • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 9 –(7 AM T PM BUP Location fi r C� � � /2.at MEC - Contact Person�il. �_� P _'_0 Ph ( ) PLM Contractor VAX – � �' • Ph ( ) 2$ 44- '?S21 SWR / / 4r �7 BUILDING nant/Owner ELC 3'" 00 244P Footing ELC Foundation o 2cz Ftg Drain Access: g ELR Crawl Drain Slab Inspection Notes: n SIT Post & Beam /L J4- P.P.eP - ovt Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall M CD bC Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - ASS 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 F' -r.rm PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA �° 03 Approach/Sidewalk Date SP- . I � 0 Inspector / �` i ( v' Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL