Permit -CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00250
DEVELOPMENT SERVICES DATE ISSUED: 5/13/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S110BC -02700
SITE ADDRESS: 14640 SW 120TH PL
SUBDIVISION: WALL PARTITION /MLP2001 -00006 ZONING: R -7
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Installation of (1) branch circuit for a/c unit.
Job No. 128
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:
BARRY DOWSETT SOHLER ELECTRICAL CONSTRUCTION
14640 SW 120TH PL 41131 SW BURGARSKY RD
TIGARD, OR 97224 GASTON, OR 97119
Phone: 503 - 968 -9727 Phone: 971- 832 -0807
Reg #: LIC 158285
ELE 34 -667C
FEES SUP 594S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 5/13/2004 $46.85
[TAX] 8% State Surcharge 5/13/2004 $3.75 Rough -
Elect'I Final
Total $50.60
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-,,,..e 344.
Issued By: wow / Permit Signature: /h - 1�
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
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Lind: (503) 639 - 4171 MST
BUP
Received Lip Date Requested 7 2 -(° PM BUP
Location ` � ` Lip la v ve PL Suite MEC
Contact Person Ph ( ( 7 7 () 8'3 ? " d 8) PLM
Contractor Ph ( ) SWR �1
BUILDING Tenant/9 I'rT ELC �� T " 1 lho��6
Footing 4 F— '7 7 a-7 ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation 10 c,
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: C
Final
PASS PART FAIL tra
PLUMBING /
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin I 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 arm
AS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE 0 Please call for reinspection RE: • Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date /' O , /) Inspector � . --A4A / Alilimemer Est
Other:
Final DO NOT OVE this inspection record fr m the site.
PASS PART FAIL /� ) 1 M