Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00433
DEVELOPMENT SERVICES DATE ISSUED: 7/16/03
e'± 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S109AB-09300
SITE ADDRESS: 14226 SW 132ND TERR
SUBDIVISION: RAVEN RIDGE ZONING: R -
BLOCK: LOT : 022 JURISDICTION: TIG
Project Description: Exterior A/C unit
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:
MARK MOORE WESTMORELAND ELECTRIC
14226 SW 132ND P.O. BOX 82865
TIGARD, OR 97224 PORTLAND, OR 97202
Phone: Phone: 503 - 238 - 5362
Reg #: ELE 26 -1050C
LIC 140551
FEES SUP 4638S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 7/16/03 $46.85
[TAX] 8% State Tax 7/16/03 $3.75 Elect'l Final
Total $50.60
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1- 800 - 332 -2344.
Issued By: Permit Signature: _ �/ / ✓ _ _i ,„
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
FROM : Westmoreland Electric FAX NO. : Jul. 15 2003 09 : 03PM P1
. _
el. ■ _,
.,-
o7/141200$ 1010 PAX go3t601.600 CITY OP TICARD l
Electrical Permit Ap_plication Received Fort OFFICE USE ONLY
Electrical
City of Tigard RECEIVE') DateAly :
Planning Approval * . PrgYmitNta.: 3
Sign C CZ6 4 - ,20D - al) '
•
13125 SW Hall Blvd- Piss advievs oth er
Tigard, Oregon 97223 DatrJfly —
: , • Permitlgw
Phone,: 503-5394171 Fax: 503M8-116§ 2 00, . . Post-lteview Lend Use
w Ca= No
_ .:
Internet www.cprd-eud baeray:
TIG :.-A-. 41- Contact Anis.: 14 See Page 2 for
24-hour Inspection Bequest sogiKa 1 5 - ' ' Kane/Method: Suevirmeoral Information.
-
BUILDING DIVISION
zoi:c5 ....,.. :.:Alsj,:gotogimaiyagg Emaggiga.L &gets- ! ifeatiii LI:
• New construction IIII Demolitiort • Service over 225 amps- 0 Health-met facility
coreirantial CI liezerdoes Ideation
111,41rnrrrri • Mtn 0 SetViCe OvIs• 320 amps-rating of 0 Building ova 10.000 square fiat,
1 & 2 family dwellings four or more residential mils in
ISL 1 & 2-Family dwelling I NI Commercialandusrrial 0 Systerd over 600 volts nominal ann irtnunung
['Building over three stories 0 Feeders, =Gamin or more
111 Accessory Building I • Multi-Family 0 Occupant load over 99 wsons 0 Menufactmed. ganef:nee Or RV paric
• Master Builder I III Other: CI Efpcssiiietting plan 0 Other:
goseragfizilyv41.1114Tilialr-MMi: a' C .: 11 0 "4.; 4W i Submit oats of piano . witi. any et the above.
s. shove are loot . ..., linable to - , , • I cern • 2 '1.4 = 7:11i ■:,
Jr ob site address: 14 .. _ ,:, Soi 13a 0 - 2 1 Re.. 10y. Y.;:kir-7';t.ilp.q-oi-='1 e.'I
suite #: BI. :,./A. #: Mush:, of ; • -; .; ' allowed
. p
Toni II
• ect 1sTame:
New residentialulosde er andti-family per
Cross street/Directions to job site: dwelling nut latIntles amathed garage.
Service included:
10011m. ft. micas 145,15
Emil Wi6on:1i SOO ca. it or ;mac' la thmoof 3140
Limited energy, rmskIrediel 75.00
Subdivision: Lot: -..:,-. • ,• ,,, 0011 realdential
Tax *1 , 11 : el #: acti issusastered home or miXidisdelwelEsit 1111
5 - - 7 - : .,-:r .--;'• , . •fj 17,771' s • ---7.(r. 14.1Crig 142Vig. "dice 90.90 IN
Services or Seders - ilISUBBEIM
akeraelin or relocation:
. --, t 200 • • • - or lees II 11030 I. il :
Ai C.- CA, e_c...o -A-- NM 106-35 NM= ti
sox mono in 600 cmpa III 16040
. ill •
. 2401in
zii..171.5FT,07.(F;i4dtgLioy, r . t.rifr' :,:ji ;;;5;■ . ! :,.., 1 % . 601 • • -- to 1000 ••••.
Over 1000 :,• .- or volls MN 1- '1MII El
e: 0 a ''' wrrrrirrrir11111111/11.1111111111.1111111111111111111 El
Address: 1 A S (.0 , 12 -V--cr r-. Temp... stn-iinot or feeders - inststinton,
alter:idea, or relocaifon:
Ci /State/Zi . : "T -. ... • 2. q _ _ . 200.. - - or . 66.8.5 • I
Fax: 201 zoos to 400 Erups
„„-,,..„,,,„. 40110 600 am. M 100,30
Phone:
133.75
4..!;: ., ....tv, , • .e.:',:. E rniza h td _ new i or
Naate: eaDenelon per panel:
A. Pee tbr bunch circuits with purchase of
Address: - -. sr feederfes. each tenseh o .r.:, -
Cl /State/Zi.: , B. .... for hateeh &Witt withouteurchase of
42 ,v/se as feeder fes„fiest tasch dicta -, •
Phone: Fax.: Each stadir and trench circuit
l: Mise(Service or feeder not inelueed)?
E-mai
•a;M:,,.41.1A C fTh itiiiiN
Eli:1131
Job No: . w ) imi
- or a lnd energy
ension psmet.
saersses or ext
Business Name: g_. i - IFIRrnn • I .. - D.,,eriptiett
Addrestri?"0 . 12,0 v /3/_a.G.5" -
path adeddeest lee • - . • ewer the oliovintile I n au , • • ithey
Ci iStEtteiZi • : -1 Fis , - 12:. , 0 ••• ., 9-7 .0_ ENE imil Ns
Phone: c3 sa _ a Fax.: .P? 'a - 7 i3 .3cc::, milimmom =imam
Other: 1■•101/ Miii.
CCB Lie- #: 140 TS ll• Lio. #: _. - - (-onsb c--- . p,.. AL • 7
--A,-14:fr...-
supervising electrician ''.:4-=- Subtotal 11.1. :
di n. • alure - • titre& ...AMMO/ Plan Review % of Permit Fee
Pilo : • arne: „_-_,A* _ L ' . #: 4.... z. shoe S . ....-. :s4. ofPcznitt Poo E • L
-
orifr_ TOTAL,PX.RMIT FRZEE E ili ., 4
Authorized N This perit m application ezpiat if a peewit Is net ehlained within - 7- / /4 -03 iiin Mon after ikblit bine accepted as complabc.
Slgonawn: ___, eren methodology seeby TreCounty 111.2d1Itg Industry Service Board.
--, .----.....w.--
(Please print name)
IADsuaNstralt ForessiElePermitAim.doo 01/1113 •
2
CITY OF TIGARD 24 -Hour
BUILDING Inspection Lit : (5q) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
G� BUP
Received Date Requested (— ? AM PM BUP
Location Z �/ uite ' / EC- —d6� � 3
Contact Person Ph (_" () 70 '� -�� 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner _ a 3 —CO -3 3
Footing (D.S ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation N._ s.
� ` - a D
Drywall Nailing
•
Firewall
•
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam •
Under Slab c i �, , r / �
Rough -In � rn 1� �U {V 7 ) a(
t (7h
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam I /
Rough -In �
\N V
Gas Line `�
.ke Dampers
• • _ SS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm r!, Reinspection fee of $ required before next inspection. Pay a Ci Hall, 13125 SW Hall Blvd.
• PART FAIL 4/1,
SITE I Please call for reins•ection RE: - #p nable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date 6� Inspector 0 Ext
Other:
Final DO NOT REMOVE this Inspection record from the j . b site.
PASS PART FAIL 1 V R 7
I r V�