Permit CITY OF TIGARD
t- ELECTRICAL PERMIT
PERMIT #: SERVICES DATE ISSUED: 3/2/01 001 -00130
:� � D
13125 EVELOPMENT
d., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S111 CA -11500
SITE ADDRESS: 09589 SW LAKE SIDE DR
SUBDIVISION: LAKESIDE PLACE ZONING: R -7
BLOCK: LOT : 006 JURISDICTION: TIG
Project Description: Job #J05132 - 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: 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:
BRYANT, DONALD S AND PATRICIA WEST SIDE ELECTRIC CO INC
9589 SW LAKESIDE DR 1834 SE 8TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: Phone:
231 -1548
Reg #: LIC 13306
SUP 1556s
ELE 26 -135c
FEES Required Inspections
Type By Date Amount Receipt Rough - in
PRMT CTR 3/2/01 $46.85 2720010000( Elect'I Final
5PCT CTR 3/2/01 $3.75 2720010000(
Total $50.60
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
•
PERMITTEE'S SIGNATURE r ISSUED BY:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
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Electrical PeritnitAippllcatlon
Dm rechtved 5 l n .: l DD r - •
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a •• _
,. --- :1I' City of Tigard �� 1 rpl. Expire
i Address; 1312 5W Nall RAtI, Tigers, Ok 912. DO; islved: By; Receipteo,
! Phone: (503) 639-4 1i 1 ( on - • - - -- - -.--- _
Fax: (503) 591I•190 ' ll!/ 1.'.t:c tile no.: Payment y ypc:
Laid use approval: ___
•
11 1i•,1)) P1.111411 .
& 2 family dwelling or accessory J Commercial/industrial LI Multi - ramify 0 Tea improvement
large v censt ucriop U Addilio Uaiterntiru. U Other: , ...._.... , __ 0 p
J011SM. INV (rltMAI ION
lob IL rew: ° " 1 3 1 ,EIMMitar, ' Bid_, no.: Sully no.: Tu. ma •'Pak lot/ac•ounl no.:
Lot: I Block: Subdivision:
PrvJecT name; 12) r•�q,,st - - - , De clip,ir)n and location of work on gremise$: .i' +: -t e
Estlrnn . date of imut irtiot /irN k:4livn• • - - d
ION l'I1,31;1011 11'1I.It'l'I'i11N 1.I ;.1 S(III',f►l'I I'
Job
PlISIIINSill .•
eubine:. _ .- .�_...._, Desch non
Addles. + \ ;earn writ - i es at t'I Es l pe
dvrre111nguiH IhrJudoerladregpprlle.
Clry: _ State: 1 Tz P: s . I • y lSt r. e�
Phone -i• I - f N • 1'•lh" • E nluil•4,4.k '�-�1% t�b`oeq. o r a
CCt3 n .: ' " Elec, bun, tic, ryr�; Lath addilium:a:100 . rim m. • • ()Pion thereof
_ • • �.. = ....... G� t.ttnlled e:eu•gy, rem &Mal T •
r Cit /m Ire Ile. no.: ,. - r.trallyd etn:rlly,non•roei null Er
0 -10 Gat;h manufat.wed horns or r dweUio
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i • .i' �' . of su ; ivlsln• elactriuian t oqulrcd�� p a t - 5avicewtd,ul (radar ` 2
lina
' Mine tpriul): S .k ti ,, t.l.:me no, rd on ort i�ilellnn
. I'1t1►I•I.It I l' O%11V1•It 30n or lees 2 •
T I f A K{ ' at-r 0 I Frr a l0 40Q e1Y4s __ ®
gam
address: $ a �/. ,. -._ 4t)1 of -a lo 600 • s _ t i.
EDIMIWIEMP
hot snip! to 0 • am /1
1.--- ME Mill
ZIP: f -7 2 1 ar ra1 s 2_ over 2
Pliant:: . o , Pax: �. E- until! iMIMMTf 0
Owner nstalladou: The installation is being made on ;n•ope:rty I own repormq'war Vital Or w. _
which not intended for sale, lea, or cm:hang*: according to instep.tlan, alMratlon,ur,
se, rent El! . •
ORS d 7, 455, 419, 6 ?U, 701, 200 4�?+p? or lets T
201 sm.; to due Imps
Owner': s : r tt,re: . . . Dar, no t to tine a r �M_
• rant c cohr. oheriiaa, •
or e,dNSlun per pilled:
Nagle: �... A Fee lot brfutch circuiu wish purchase or
'' � �,, eat rlco dr fader fee, :nuh bre rch�ireuit
1' i
Ci.: ' �_« Stale: p; B. Pee fel bruta ia' taIs Ithout pllresa.c ii
�o><tml :e ur reader toe branvh u1nu1L
Phone: Fa ; , ; Fax: F- s
luh: Eu;heddltiunilFran :hcinvtt: INNI 1♦l11■11
1'1..1\ III: VII• IV I Please check all t11a1 aryl) I r e, err caer eeder Del t ti. .0
O lronf over 121 antprrammerclil O Health • cur faeWt Eedt pallor irrig clrple _ -- 1
U ServicI over 320 amps -• rrlog or l 11,2 C1 Hut: rddu tneaumt ra i, 11.n or outline lighting _
Awl ly;dweninpr OBuudlog over 10,:OUrquataff tdmrur glgndc; rcutlts) energy pawl,
lini ,.
t: Sy'tutova600 mote s !eIfrnitil units inumRiruclure dterallon.otexm/ion. �.
• U Bolld!}yoverthreestories 01'ami arta «percrl•aura
O Ocsoplard a
lead urer 39 pram ❑ Mar„rfouraresl ew art cturcv ur RV p - - -
Fochaddhl:rla 01110 tloesrotto,allnNaele m @me atom: I.' .
D Egret hglWngpian a r�ltincr
_—�— HarUlrcd
i on
submit _ eats o1' plow.; with soy of the shove. invest pagon e —
emove not a r• Ucahktotelnpovuryr :onwrurtlonservice, rthe - - " •
,..—...-L...____..______ oN Pen'alt. Cee , $
1<
ar all asap, Mal swab, pleeae ad, ji.d,dlel,n ror su •ma� N
es ;nfna N: This pemul applictrtion "
• O'Aea OMa►terCwd oil, h cis ir a permitla not ahlainsst Plan revk w (at„ ) _
eredlt eeatrumbe: __ ___ . -L within 1 tiU days after It has been Stara surcharge (B); ,... $ „�
� g` acct ted as
ta c pt mtdh6lber my eho••n ar oiodlt —" -Y P catlplele. ?11 ,„ ......, . . .
.± �'Yd)1ekter 16na1We - - — -,— _ lAluonti " _.- 440 4611 (fiIYJrCUM)
■ T0'd LL90 924 £0S 1I211D 3QIS 133M Wd £T :SO TO -TO -21HW
7. 74
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 6394175 Business Line: 639 -4171
• BUP
Date Requested 3' AM PM BLD
Location g J 8 y Si) 1-4 S (Z /2 )' Suite �y f MEC
Contact Person Ph ,5d - "/ / PLM
Contractor Ph SWR
p /' d Tenant/Owner C=� �o � �h� ELC /3 a �fiG� —G
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear -
Framing •
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
000
PASS PART FAIL
PLUMBING`
Post & Beam
Under Slab
Top Out
Water Service b
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICALfia *a=> y;t ` E..
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS -, PART FAIL •
• LErCTfICAL _ .
e !R P
Rough In
UG /Slab
Low Voltage
Fire Alarm •
F '�
' �;� PART FAIL . .
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Backfill /Grading
Sanitary Sewer
Storm Drain [ ) Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
- ADA -- -
Approach /Sidewalk
Other Dat 4/47_____ 2( Inspecto E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.