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Permit ELECTRICAL PERMIT CITY F TIGARD PERMIT #: ELC2002 -00135 • i IA DEVELOPMENT SERVICES DATE ISSUED: 3/28/02 I - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S134CD -03600 SITE ADDRESS: 11950 SW KATHERINE ST SUBDIVISION: LERON HEIGHTS NO.3 ZONING: R -4.5 BLOCK: LOT : 063 JURISDICTION: TIG Project Description: Reconnect furnace and wire to new 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: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION • 1000+ amplvolt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FRANKI BACCELLIERI JC ELECTRIC INC 11950 SW KATHERINE 118 NW 184TH STREET TIGARD, OR 97223 RIDGEFIELD, WA 98647 Phone: Phone: 360- 887 -7889 Reg #: SUP 4289S ELE 37 -724C LIC 118452 FEES Required Inspections • Type By Date Amount Receipt Wall Cover PRMT CTR 3/28/02 $55.30 2720020000( Elect'I Final 5PCT CTR 3/28/02 $4.43 2720020000( Total . $59.73 • 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 -6699 or 1-800- 332 -2344. Permit Signature: P"Ff Issued By:4 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: � L ��-� �!� :�= -4 ti DATE: LICENSE NO: L' ` S Call 639 -4175 by 7:00pm for an inspection the next business day Mar" 27 '02 03: 25p /27„/2002 09:S1 FAX 5035881960 JC Electric Inc 1 360 887 5584 CITY OF TIGA 001 p . 2 _3 l(, VG • lee Permit Applic _` , -- • 44 Date received; Cog p y =MY - ,A - o; 4'6 / 35 ,,t ; �i City of Tigard � � Projact/app Expire dairy coryofligard Address: 13125 SW Hall Blvd, Tigard. OR 47223 tateissuod: r � d Receipt no.: VOA Phone: (503) 639 -4171 ppp p 2 ZU O 2 Far<: (5 598 -1960 Ir C asetileno.; Paymenttype: Land use approval: t _ rt fl l'I ( lt'1 RMIT Q 1 & 2 family dwelling or accessory (1 Commercial/industrial 0 Multi- family 0 Tenant itnprovcrncnt 0 New construction ® Addition/alteration/replacement 0 Other: ,. C� Partial . • JOU.SiT3:;11IO1tMAttta ' • Job address: \ \ C O _ k A r d R.', Bldg no.: Suite no.: Tax m . tax lot/account no.: Lot: Block; Subdivision: Project name: a fa(z( h,,` ' 'AZ( ±A . Des ion and location of work an pretaises: ig,CA(ty;,(` c- ANC\ . - ,J `, adulated date of completion/inspection: 'xR, G R€ t+J 14Kt ('Nate C7 kO"1 \ a ' C()NTlZA tilt �1PIPL1tAl >lt>\ FEE .SCIIED I F tDast: tom t , El N,,,,, rtttel- a$lgkarasapi- • ..yper Address: l , W V\tA '-S1 1 • devaluate& i!neWQsu attached t e- City: rl.! f\ (i "1_ (II 1. ? state: \) t ZIP: 6 ` (+' y • SSrsiCOlWtigdRdG Rhone:'; \ „ti .` . 1. ;,` Pax: `c' ?. R:,' t4 E rtlgrl: 1 000 Coq. n. or loss Each additional 500 sq.rt.or Pardee thcrc f � 4 CCB no.: 1 : lei�l Elec. bus. he. no: - . C.... ___ 2 Limite c rcaide Cie . /me .lie, no.: 51a t tmitsd - . ,1on•rssidential 111111.1111. f A E h ntunufacturrd home or modular dwelling s . isin electrician (required) Data Service and/or reader Sup elect Timm (pint)! ScA. (101/1„,%1 POP:2 ucense no; i 'es rxhfea einste sett l t , R I'OI'[ OW ' \1 li lg henkt pforisss a 201 ampato440 •s 1111111111111111M11111112111111 dame (print): 201 2 401 amp* to 6# r amps Mailing address.. 601 amps to 1000 stops 1111/1_1101 2 State: ZIP; • , r 10110 amps or volt: Phone: Fax: E -mail: Reeanneeton! 111.1111111111111111. Owner instnllation: The installation is being made on propet'ty I own em p er ,q race tw• fecders - Intetalta which is not intended for salt, lease, ten. or exchange according to n0n ' eltosrtirea , erfstotatlott . 2 200 , •aortas: ORS 447, 455, 479, 670, 701. 211 a , to 400 amps IMMrIMi Owner's si attire ry ' r ��_ 2 ' nehcira ids nets, *iteration, I tiGL'\LF1t oreatetwtao per poach Name: — A. Fee Sec branch silvans with putehase 2 Address: sstvio2 or rotate for, each txeaah cirwit State: ZIP: 8. P branch circuitsA � � o f service or feeder tee, first branch circuit: 2 Phone: Fax; .. Each additienal branch circuit: ` 4,`'' �t ,, 1 1!\ I21 11L” (1')i iW clictl, all 1l .tllPtY): "' 2 O Service over 225amps- oon1mcs'nat 0H49tth.carefacitiry ' ' ' 0Sorviee over 320 amps-rating ofl&2 ❑Haxardriusloeation it (e)ornit ettetgypanoi. __ A family dwcltin Sig ndcircu ge OBandingover10 ,000 agaarefeettourer - 111111111 2 O System over 600 volts nominal atom residential units in one Structure alteration, or extensions O Building over truce sioriS4 0 Feeders. 400 amps or more vtleseti , tier: ____ - - - -- - - — — 0 Occupant load over 09 persons 0 Manufactured structures or RV padt Each -Pi bard inspection over theallowabte in may of above: (a Egre4s/lightingplun 0 Other: Perincpecrion 11.11111111111111111.1 Submit _ seta tartans %v4tb any of the above, The ribose are not appiieable to temporary Construction ywki • ow. Prten mit fee - $ �� ` 7,c) 'Not at jurisdiction accept eraih cards. Owe rail jadsdialon to MUM iafm,natisa' Notice: This permit application review (St `�) $ , o V1aa O Mastaicard P expires if a permit is not obtained State Fade (S ,} t2) $ . _ A Coedit cod numb= / within 180 drys *floe It has been ` a acceptedaseompkne. 'Ao'1'AL $ • . 0 nta®s us earsgratdsr to t<t!o_ rw ea credit grad $ 4404615 (6�fGObq Cardbalda ei lature - A_laial a- — _ CITY OF TIGARD 24- Hour BUILDING - Inspecti Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST g BUP Received Date Request-d 3 �� AM PM .% BUP Location ( d Suite I MEC Contact Person ! `, Ph ( Contractor © Ph ( ) SWR BUILDING Tenant/Owner Footing ELC Foundation T Ft Drain �°►CCeSS. / } Crawl Drain Slab Inspe.tion Notes: , SIT Post & Beam – Shear Anchors J —n Ext Sheath/Shear 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 7 Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P •_„,1, tik FAIL HANI ��► _ �' Rough -In Gas Line Smoke Dampers f r FAIL 73 Rough -In UG /Slab Low Voltage e Alarm r Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. tf PART FAIL ❑ Please call for reinspection RE: Unable to inspect – no ac, ess Fire Supply Line - --- - ADA,.1 .. Approach /Sidewalk Date �nspecfto ' Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL