Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -10027
. DEVELOPMENT SERVICES DATE ISSUED: 3/7/2006
3 1X'
SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103DB -10900
SITE ADDRESS: 13245 SW GENESIS LP ZONING: R -4.5
SUBDIVISION: GENESIS NO. 3 LOT : 067 JURISDICTION: TIG
Project Description: (6) branch circuits for kitchen remodel.
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: 5 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:
ROBERT MARLING MULTI PHASE ELECTRIC
13245 SW GENESIS LP 20701 S. MONPANO OVERLOOK DR.
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone: Contact #: PRI 503 - 516 - 3110
FEES
Description Date Amount Reg #: ELE C5
[ELPRMT] ELC Permit 4/1/2006 $80.10 LIC 162827
[TAX] 8% State Surcharge 4/1/2006 $6.41 SUP 51225
Total $86.51 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: • Permittee Signature: _.s_e,
OWNER INSTALLATION ONLY `1
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.
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CITY OF TIGARD
DEVELOPMENT SERVICES
RECEIPT
RECEIPT DATE: 5-- 7 —e 6
*. 13125 SW Hall Blvd., Tigard, OR 97223 JURISDICTION.:
503-639-4171 www.tigard-or.gov CASHIER DATE:
CASHIER RECEIPT #:
LINE ITEMS:
Case No. Fee Description : Revenue Acct. No. ! Amount Due
Total Due: $ 6, „ Ye/
El SEE ATTACHED FEE SCHEDULE.
PAYMENTS:
Payer:
Method Initials ' Check No. i Confirm No. Amount Paid
1 ,
:
Total Paid: $
1:\BuildingTorms\ManualPermitForms\ManualReceipt doc 03/01/063/6/2006
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PC2004'100021
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ,6 0/ 8 001 i l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1 / 311 O'7 TIME: PAGE:
SITE ADDRESS: 1 32 W 0-05 $ _ CLASS OF WORK:
' SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date:1 -31 Pour Time:
Code # Inspection Description Confirm # Contact # Message
° l ri tJ.., 614-c11
Corrections /Comments /Instructions:
►j PASS PARTIAL APPROVAL U CANCEL ❑ NO ACCESS
1 1 FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: We&
Date: 11 i O Phone #: (503) 718-Mlik)0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ZOO 6- /dc2 a 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
1 04911
Inspection Requests (24 Hrs.): (503) 639 -4175 _=''
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 3 a Lts CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
c
Inspection Request Scheduled For: Date: 3 0 - Q 1� Pour Time: �
• Code # Inspection escription Confirm # Contact # Message
/6 -3 / i 6
Corrections/Comments/Instructions:
G�1 l 7 7
R'Eck.■ A L p R o o Akl l
The electrical installation defects nntPCi
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
' G
- SS PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL mi • A L FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: �... /� Date: hone #: (503) 718-