Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00177
" I; DEVELOPMENT SERVICES DATE ISSUED: 04/05/2001
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S133AD -10300
SITE ADDRESS: 10659 SW 127TH CT
SUBDIVISION: AMART SUMMER LAKE NO. 3 ZONING: R -7
BLOCK: LOT : 159 JURISDICTION: TIG
Project Description: Installation of (1) branch circuit to heat pump.
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:
JACOBS, GREGORY TODD + WEST SIDE ELECTRIC CO INC
JULIE ELIZABETH 1834 SE 8TH AVE
10659 SW 127TH CT PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone:
231 -1548
Reg #: LIC 13306
SUP 1556s
ELE 26 -135c
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 04/05/2001 $46.85 2720010000( Elect'l Final
5PCT CTR 04/05/2001 $3.75 2720010000(
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE /) ,, p 2 J t l � ( � ISSUED BY: /.51) -�C d
1/
OW 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
� •�� •; .1 pn;�,��i
Electrical Vcriiiii: pplication
20 �'� Outs received ) / 1'ot t ' '"' • 7
City of Ti ,� ,-
� '' ' ,y arc
g t'ro)ect/tppl, no,; Etgrlre dpte:
Ciyq X1Sen/ Adthe 1311 SW [Il l Algid, l'igtl�� E��123
Date lamed: By: + Receiptno.:�
Phone: (503) 639.41 71 pEIt
Ptx: (503) 59g •19 \ Cued 010 am, , Papuant type:
Lr.l1d use approval: _ _ ___ ,
1111, 01 1'1•:141111
2 family dwelling or acoessrny Li Commerci l/Industri al U Multi- family 0 Teo • t improvement
0 c v conptltt:dua Li Addhio,Ualtantiolt/tcplecement U Other: ._ _. , _.. O Peril •
.11111'11 I: IN•t►It %RI ION '• 1
Ina toil: • , Z'i - VI- _C-w,. • Bid.. no.: Sults no.: Tax tna •'Mx loo. - cunt no.: ''
Lot: Block: Subdivision:
PrwJec 1tanre ez c , e to S _ " - " — FDe5,0ipilon end locution of work tin pramiics: 1, - .T e „,,,,,
Ealirn teed dale of can ticlitlfir,c ac lion
11 ►,r IltAl- loll ,U'PI U 1.17; .tif Ill IN'1
Sob •t _ PIFI�
0uaio nano: D.rc.i. doe
!Y Y_e�+ r L G .: a�1 � ' .'I _ • trot 1 Pr
Addre � „� drr.11log wok lodges artodaolgrapp,
C1 ' r - _ ,rP_ y v ntttila�� State: �Z'': +fir
piton_ - 1 - 2 l- r y : f'rt► �� ►+e . • it,
.t
r ,
Cac addIllonal 1O0 . n. rtr • nr don thatout
C:i lro 11C. 11tJ,. 111= ' 'D+,ta t Mat 2
�._ _.. _. Linn xd warp, non roai • 11 �'
v+•.- k_ each mmmfacRaed horn, or modutnr ilwdliat •
. 1 1110 o= el.cfrich& ie•ulrt.� � Uato lerxIceanworruder
CCM'. lfr"' w..n Lk :me no. L 6 '3 5 4.rr col ar • dem- le►W1i�,
l'It/►I'F:IIT1 / /l1iV1'R oltorallao TN
200 • orlon 2
Name -Tint : '—. 4 'T s .r . �� IMAM
MainItt Rte: •� ' Jet.-/ - X ° •a 1
Cl r State: p lr7 1 ZI.P: ' , Met IMO am •. or to n 19raetel NA: h?.nuiii: octal-Act ®M.
Owner Intdallttlon: The Installation l+ being mode on property 1 own peer, Wrie.+ •
• which a not ultendtd fur tale, lense, tont, or ex,:hangt. according to li telltlke,ateanrIrn, orr.l•catkit
ORS 4. 7. 415, 479, 670, 701. 200 imps or lea III
1014 •1lo4OC IM. s
Qwn. a • niin rt: Dune: _ _ , • az op° an a =
I. \a:Iyt h11 • a.tv,a writ on,
.r .Otto t pr pub
Naar!: ..__ A. racial branch clmalta with rurshtue of
Addis : Ael'dee otree(1er rep, e.ch b :a:roh elrettit
W A State: UP: IS. Re rut bruin dtcults wlttwt purchase 1111 .
Pito it moll oficrvI a ar heJFr tee, tint bra ctrcah Op
N' h. Jlltond br:. dnvlt: gin Milli.=
I'I t\ II l' % 11 11 trir:ue check all Ilbtr lipids ) ' a. - or , or ao or rotMelo .
0 Semi now 225 aarp.cotnmarcan O 1lcalth - cur Await. Barb pullout Irrtaaeen, h 1111.
CI b.nl over 32fl anip..rarhla of 14.2 U Ha:udova Inoutirm Radr al . n or canna Ijhttna r _
Melt dt►eeinya U ilui4rigo•er1h. :0O Nome flat Mums signal circelll .lorallnIteJenerjyplirte', Ill
0Syne owot>o vetwnordnal TON rdtIIrnti.IutduIn one droetur. alteration, or extension* y
Usolid a over Otte swigs 0 Vocals ra.If amp yrrums *Demi•lion, _
U rum tar ant lost over D9pu• Otitn•ednwr-.ei.truclvrar Ira4Yddh • upgloa over theanew' In w . my Atom:
G COree lighting plan U Chien — Per 141 ooh ..11011.11 -
Submlt sem of phrrn rtilh any or the •bees. lover a. • on •
e above are not $ pUcalale to lcmiottury tnnatr service. Other
Ka all - low weep twin r ■da, plows .all Je d.JirWn re;;;;* i Turn) Nutlet This permit nppllcatiat Penult fee S
CIVlu • UMuteiCud cxplres Ir. permit is not obtained Plan revlow tad -,._. %) S _...._
cr.4t e.r nteibr: _. — _ . - (_ within 180 days efler It llta been State rurchxtgp (8%) ,..• $
s a d "' accepted u complete. TOTAL —T-124 $ _ G . .
/
-- "!l1 .,e eta, or at shorn m emdk i��'— 1
�-ii
6111 . OW u. -- �Ainami' '
_
440.4 (411( CUM)
z0'd LL90 92L 20S 3I2113313 3QIS 1S3M Wd 9g: TO- 1,0 -21dH
r CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 MST
_ BUP
Date Requested 5 - / / AM PM BLD
Location / U G q 5w /.2 7 a2 cl Suite MEC
Contact Person Ph 5 5 3 3 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
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing 4- Ti ? fl p /
Fire wall ;/ Al �
Fire Sprinkler �J' L) �_ /V /°[ 1.
CO 1 / Vic —
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
PASS PART FAIL
[CAL
Service
Rough In
UG /Slab
Low Voltage `/ /
Fire Alarm
� p u
SS PART FAIL
SITE
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: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date �� / t / - Q / I n s pec t or 0 A E x t
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
- BUT Building Permit ELC - Electrical Permit
Inspection Description Date Passed By 11 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final 4 - //_ p / AAA
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing 4 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation Inspection Description Date Passed By
Drywall nailing Post/beam mechanical
Suspended ceiling Gas line
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
_ Structural observation
Final inspection
PLM - Plumbing Permit
- 4 Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
-4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP/backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC ELR, MEC SIT PERMITS
• CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2001 `t)U1 i7
w �i ; DEVELOPMENT SERVICES DATE ISSUED: 04/05/2001
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S133AD -10300
SITE ADDRESS: 10659 SW 127TH CT
SUBDIVISION: AMART SUMMER LAKE NO. 3 ZONING: R -7
BLOCK: LOT : 159 JURISDICTION: TIG
Project Description: Installation of (1) branch circuit to heat pump.
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:
JACOBS, GREGORY TODD + WEST SIDE ELECTRIC CO INC
JULIE ELIZABETH 1834 SE 8TH AVE
10659 SW 127TH CT PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone:
231 -1548
Reg #: LIC 13306
SUP 1556s
ELE 26 -135c
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 04/05/2001 $46.85 2720010000( Elect'I Final
5PCT CTR 04/05/2001 $3.75 2720010000(
Total $50.60
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSUED BY:
(3) iC 4 T./ f tOi - - it 1 ?g//1_
OW Eh 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: Mi
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day