Permit „CITY QE TI GARD , PERMIT #: ELC2004 -00698
� P A l i DEVE1 BI Ti_gard R I s (503) 639 -4171 DATE ISSUED: 11/2/2004
13125 PARCEL: 2S112CA-01200
SITE ADDRESS: 07765 SW GENTLE WOODS DR
SUBDIVISION: GENTLE WOODS ZONING: R
BLOCK: LOT : 005 JURISDICTION: TIG
Project Description: Alter (5) branch circuits and add (2) circuits for receptacles.
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: 6 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:
NORMA WETZELL GARNER ELECTRIC
7765 SW GENTLE WOODS DR 2920 SW 247TH AVE #A
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: 503 - 579 -1710 Phone: 503 - 591 -1320
Reg #: LIC 121 159
SUP 3707S
FEES ELE 34 -305C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 1 1/2/2004 $86.75
[TAX] 8% State Surcharge 11/2/2004 $6.94 Rough -in
Elect! Final
Total $93.69
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 pr.-more-than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules a het forth in OAR through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246-6 9 or 1-800- 332 -2344. , /
Issu By: / / Permit Signature: ice. / ✓ �/ . �/ , w�„&
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:
C • NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: �J Vi i% , DATE:
LICENSE NO: 76
Call 639 -4175 by 7:00pm for an inspection the next business day
1416/2002 03:13 6427925 PAGE 01
,, Elec tr ical Permit A,npJication.
F OR OFFICE, USE ON1.)f
City of Tiga 'd ' ; '' , Received 131.5 S ..,'' //.
W Tigafd, OR 97223 Ducal : / OIt/ �d4 Permit ,pe f'zb 6 7
PFu e: 503.439.4171 'Fax: 503 A
TInspection Line: 503.639.4175 ' �� _ other Pernri:
Internet: www.ci.tigard.e � � ^ �,�
. , ; f �� Date � kl ®See P ale 2 for
y>n P i r t• m.r• �• l i m n Notitied/Iwledrad: �"r't
3 �i � t irl�srxzq � w, �vx 4:2 Supplemental Intermadart
�� "� rl 1 �� 7 . n g M t 14Et1". � i.� i ri � r u�ih. f r 1 Y lg ' 4 i a ,/,, Rr • d •a; - •
0 New construction Add , , 1 �"' � m•, r " e t'.4. '1' ;n',.1,4 .�r. � °aa°; f:..../.-r.../('
I ttian/a 'ration/replacement • Pease Check all that apply:
D Demolition rating Other: f I Nie °Service over 2 25 amps, co
mm x
� ; �,, n mp , azArflous location
o
� � i , sac ^, anon
i
'' � Ka ;,
5 V ''�1;ii ' E As��c i ` " ;! � s u , + ^ i OService over 320 amps "- []Hu over 10,000 s 4t.,
us � � . T, , of 1- and 2- family dwellings 4 or more new residential air'_ t,
rI l- and 2 - family dwelling e1 L11 �Gommorcial/industrial 0 Accessory building USystem over 600 volts nominal Milts in one structure
■ Multi- family ❑ Master builder DBuildin over three stories Feeders, 400 amps �,�� - i � s , � � s° 4 � 4 4 ❑ 'Other: >; ties ❑ Trips or more
fir , Fp ] s , �f� 14, : I( lih {),a `?' " r e: �? ki9k ta ,� Oct upant lo ad over 99 persons D Manufacrured structures or
a, w ,.tr 3,,, ;4.,.:,f , A.,40r•Y a: eeidit , "x l T ' r,
1 u.�',•.tw s!'r• ,�m ❑>r�'ess/ lighting plan k � par
Job no,: Job site address: 17 (,,,,S Olieelth -care facility 0 Other: _
City /StatolZil?: ^ a 1 � �r l . A Subrtat.2_ seta of plans with any of the above,
+r1 The above are not applicable to temporary construction service.
Suite/bldg /apt no.; Project name:
;' : x�wT.;,��a�SR` "a ? rya;g�' w : -
Cross street/directions to job Site: n�trlpti °a Qty c ase. I Total
New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq, ft or less 145,15 4
Subdivision:. I Lot Ala.: Ea, add'l 500 sq. ft or portion 33A0
Talc map /parcel no.: Limited energy, Testae 750 1
ya ,, residential . 0 2
r ^,vl� r ry 4'aC`,t p" Rr •'r i r i ..�'!° = 6ri a•��:,o ,Td�- M� r �' t g 1' non-residential
l� f �. ' dJu.i ��tl �' n:S+ s a l e .,���i,�la?�m i cE.�C Ri r dSn°� 17 ..a.y�'r 'r rt , � Each m ener gy, c o re 75.00 2
""tg' t'l��t't�ari � lrs�� Each manufactured or moflular
. r I dwelling, service and/or feeder 90,90 2
� ` �� r _ ,... '`� Services or feeders installation, alteration, and/or relocation
��„ .�.�� k1��� h 'np�>� 200 amps or less 80.30 2
ri wit. l � r w>�;a�� a "�� ?t: ixlpato4OD•atrlps 106 2
'
3 Il � r" u' 201 a
` ' 401•am s
Name: i\lO r wta UA/�t-�ie(( Gal amps p a 160zoo .60 60 2
to 1,400 amps 2
Address: Over 1,000 amps or volts 454.65 2
— .
City /State /ZIT: Reconnect only _ 66.85 2
7.'etnporaty services or feeder's Installation, alteration, and/or
Plume: (03) 5 - p Fax: ( ) relocation
Owner Installation: This installation is beit7 made o property 200 cps or less 66.85 1
being p perty that I own which is not 201 amps to 400 amp 100.30 2
I intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701,
amps to 60
P 600 amps ps
Owner signature; 133.75 2
401 am
Date: Branch drealts. nary alteration,
'� "'lr��rj ,l s"'`�+ \P l�1 k�` „ �'��'' ' k,:y� r� y 1�:��a c,x °� �C xrntr�v .rr})'. r ra #on, oc' extension, per panel
�Yd:EJ u1..�1. 'Iy�rIIg7C? storm: .�uSu frEBER ?tlil�ll g iaage f8 Cnl 1' a '' ai A, Fee for branch circuits with
Mtn service or feeder fee, each
Business name: brarlalt circuit 6.65 2
Contact name: 13 Fee for branch circuits
without service or feeder fee, 46.85 ��G 2
Address: each branch circuit b —
Bach add'l branch circuit (C70 6.65 31.1 2
City /State /ZIP: A'fiaccllaaeoas (service or feeder not included
Pump or irrigation circle 53.40 2
Phone: ( ) g am:: ( )
Sign Of outline lighting 53.40 2
E -mail: , Signal circutt(s) or limited-
�t ” � C'3't p � t1 � .1 . s ae wwn • r z¢ r :rr
MIAMI . P qa? trd t�t''�j t > � 1 E7y panel, oratim, or
�:..S [:. 5 ' .Si.;iC�l. ' �`Iti��v' 4Y �u�a •YttG�M�rd9�-���Y�� �Yl���� r ft rl1
�^ 1 extens Descaitribe: o Page 2 2
Busine98 name: 1G V EF ELL---C,_ r g L .
Address: '' GT �C7 y (1 '( "x• L O_ 4 Each additional ins. action over allowable In any of the above
Per inspection II 62.50
City /State /ZIP: (..4--i l (S to C)1C-0 J n x= l . Investigation per hour (1 hr nun) 62.50
Phone: ( �S Fax' ) L, � � Industrial plant per hour 73.75
�� 54: '4 r w . t :{!, ,:, "{ A p Y � pull 1 r i
CCB Lie.: 2. (l 16 Electrical Lic.., ._3 Su " Jn+ iV 1@CU
_ I"_::. . • ic.: j ("' 7 ^ Subtotal („, 7 S
Suprv. Electrician signature, required: ���i plan review (25% of permit fee)
Print name: r5 OR_ 1---72_,___M.. Date' 1 11 0 State surcharge (8% of permit fee) ( q
TOTAL PEI.ZMIT FEE 12„ _ -
Authorized signature: • T., permit applicatio�t explru if a pe;mat it not obtained within ISO
Print name: Date'
days after It has been accepted as complete
• Fee trit
tit odolo 83 alit by Tri County Building Industry Servi Board
" Number of inspocnons per permit allowed.
r:\ Bulldeng1P °m,itslELGPcttuupp.da° 17!03 440.46,$r(1010�/COI�'1lWEH
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION •• Business Line: (50) 639 -4171 MST
BUP
Received Date Requested / 1, 3 AM AA PM BUP
Location 7 7 (__suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) a �{ �'- ��� SWR
BUILDING • Tenant/Owner ELC aDD
Footing
Foundation ELC
Access: ., -9.
m
Ftg Drain _ �•, ELR
Crawl Drain
Slab Inspection Notes: \\ (f J ` G 1 SIT
Post & Beam
Shear Anchors ( —mil (r; C e-( '�V - n . Ext Sheath/Shear c
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS 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 FAIL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
PA PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
J /
Approach/Sidewalk Date / -� 4 Inspector • Ext
Other:
Final A•
DO NOT REMOVE this inspection record from t - ob site.. PASS PART FAIL
' 6`5v /�