Permit CITY OP 'TIGARD ELECTRICAL PERMIT
114 s � � PERMIT #: ELC2008 -00587
COMMUNITY DEVELOPMENT DATE ISSUED: 10/14/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 134CB -13800
SITE ADDRESS: 12121 SW ANTON DR ZONING: R -7
SUBDIVISION: ANTON PARK NO. 2 LOT : 065 JURISDICTION: TIG
PROJECT: NHIM
Project Description: Ground rod installation.
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:
VONG & JENNIFER NHIM HIGHLAND ELECTRIC COMPANY INC
12121 SW ANTON DR PO BOX 655
TIGARD, OR 97223 TROUTDALE, OR 97060
Phone: 503 - 330 -2892 Contact #: PRI 503 - 220 -1935
FAX 503 - 674 -6717
FEES
Description Date Amount Reg #: ELE 26 -962C
[ELPRMT] ELC Permit 10/14/2001 $46.85 LIC 109850
[TAX] 12% State Surchar 10/14/2001 $5.62 SUP 243 I S
Total $52.47 REQUIRED ITEMS AND REPORTS
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: �^ 0 ,.. Permittee Signature: A y�
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 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FROM :HIGHLAND ELECT' FAX NO. :503428 6611 Oct. 14 2008 02:13PM P2
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property ^ ~ .45
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or sale, lease, rent, or exchange, A, P '�'�t. I � '� � • �,:,,;,;� ,
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Signal chtuit(s) of fimited-
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Date: f -� 'TOTAL PER11xiT NEE
Thls permit application uxpires If a permit It t ohtnlned
Authorized _ . � . '
/ � � �' _.,
st ntnttu•e: ..�� ; _ ithin lA0 drays aft
wer It erns bean accepted as complete
-j - -- ' Nustber or i opections x1lowo5 per permit.
l'rittt name: �� /f' [, ..._ U
CITY OF TIGARD i'
BUILDING DIVISION PERMIT #: ELC2,009 0t1597
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/14/2008
Phone: (503) 639 -4171 n4p„�i
Inspection Requests (24 Hrs.): (503) 639 -4175 , ,' N 'I
INSPECTION WORKSHEET FOR DATE: 10/17/ . 0 TIME: 7 :02AM PAGE: 27
SITE ADDRESS: 12121 SW ANTOIV DR CLASS OF WORK: ,
SUBDIVISION: AN TON PARK NO. LOT # 05�i TYPE OF USE:
PROJECT NAME:
NHIM
DESCRIPTION: Ground rod installation,
OWNER: NhilM, VONG & JENNIFER
PHONE #: 503 »2892
CONTRACTOR: HIGHLAND ELE=CTRIC COMPANY INC PHONE # : 5o3 2..V-1935
Inspection Request Scheduled For: Date: '10f17/ 008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
139 Electrical final 076847 -01 503.524 -4413 N
Corrections /Comments /Instructions:
, ,on PAS % PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL `n, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: _ A, 4111111111111 Date: Phone #: (503) 718 - Zi :3 G`