Permit •
A._ . C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00662
l t� DEVELOPMENT SERVICES DATE ISSUED: 10/15/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 25111 AD -08800
SITE ADDRESS: 08795 SW REILING ST
SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R -4.5
BLOCK: LOT : 003 JURISDICTION: TIG
Project Description: Installation of furnace.
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:
WESTERSUND, KRISTEN RAND T & T ELECTRIC
MARGARET L 4120 SE INTERNATIONAL WAY
8795 SW REILING STREET SUITE A -105
TIGARD, OR 97224 MILWAUKIE, OR 97222
Phone: 503 - 639 -6605 Phone: 503 - 652 -7610
Reg #: LIC 150973
ELE 26 -1105C
FEES SUP 2184S
Description Date Amount
[ELPRMT] ELC Permit 1.0/15/200 Required Inspections
$46.85
[TAX] 8% State Surcharge 10/15/200 $3.75 Rough -in
Elect'I Final
Total $50.60
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: Permit Signature: Cg Ql\(N
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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10/15/''2004 09:49 FAX S035991990 CITY OF TIGARD 002
N
, C.
Electrical Permit A����CI
R VG P ljl l ICI ` L'�
City of Tigard k�+w Il
Cif re�1 -• C1'.
NI.. AIJ
.y W ►loll Bhnl., 'rlg.,d.OR 9722]
�` :Jr 1
1312! A - ,/ rA
1
Minn e: 5113.09.4!71 Fat: 5015983060 .-1,1 Y . + othw Pwteie
tnapeeuwll.inr: 1.1).039./17] ZiTr1 4 2U .��� i_P
'1'111- • . ,, _
Internet: 1.1nr:l :533.0.or.va - � ..I TIGARD
A, --
� ����Q� PLAN 1REVIEW
' Now construction � A teratlorehasplooerrent Plelee cheek oil Met apply:
Oetnolittpn ❑ Other: E] 01- lemnluor location
CATEGORY OF CONSTRUCTION ❑Service over 330 amps - 'sling peeking otter 10.000 to n,.
or I • and 2•hmil dwellings 4
r- and2- ILrnilydwollin y Hs a' mon new reeidentite
B L7 Comrtto eielJinduetrial ❑ Accessory building
OSystetr► over trop volts nominee unII in ale viriletul•r
0 Nulei•famity ❑ Muir builder CI Other:
over three rbrics
Olho,: I! C OFeadare, 400 enqu or or i ,., moist
JOB 8lTE InPORertA'Rar 414D LOCATION Doccurrollt load over 99 persona OlWanuheturce rmlc►ur.a en
9� +�� ...____L OF- 8�uhiBhttnaP ohm 11V perk
no; I da
Job b site tittdre3st: ❑l4ahh -taro (bcltlty hs above.
:
City/SetterZIP: '17 542... �'� 9 5 W Rea 4 nfa submit$ - atla averts with ere hs cbl .v,
Cep _ •Ihe above are not opplicableto temporaryovnstection ttrvivc.
Suiteibldg.hlpt. no.: Project nerve: PER SaIEDIJLE
Grilse suaevdircedons to Job tilt: ~br 1 air. I w. I ti•.r,i 1 ••
New •eaidenUat aiagter or moitl-belly dwrtuug unit.
Includes sltsd►ed swap.
1,0 4
Subdivision: 110 on. ft. er lase Ia },I!
Tux
map/parcel �_Lol no.: , Fa, elid S fl. n hair - 33.40 1
p/parcel oo.: Limited may. reeldortdel 75.00 - 2
DF3C7eIPTIQIV OP WOMC ~� i limbed energy, Icon- aidcnbrl MO 2
Each retanuLehered or rrssdufar
FVr11ek.L'Q• • dwellln:¢. fervtee and/ar Roeder mop 2
Servles, or feeders Instatlatlan. atteral(en, and►er relocation
C] PROs fRTY aw N1< 100 emu or ea. 80.30 2
0 TENANT 201 amps 10 100 emits i ah.113,
Na 4_ 11 '�. �ir. 40! Ittnpe to 600 pogo I60.60 =
►. . 81!.� 601 am ,
Nam e: t: . i / pt l0 1000 amps _ 240.60 2
- mob! ► . ,. _ - a Over 1,000 esnpr or vole 434.63 2
City/SUM/ZIP; fl ( 4 .)
t 00 Rrxon 6x1.83 •�""
TRnpow, serves er eetle Invallslt derider,. •ndlor
Phone: ( U4005 I Fax: ( ) relocation Owner In9LUladaet cation is biting made on property shot f own which is not ` 200 amps arlose 66.85
intended far sale, lease. rent, or exchange. according o ORS 447, 449. and 701. 20) as e 400 grapy 100.111
Owner signature: 401 Armin 106011 amps 2
_ Data 13 2
C* APPLICANT
Cl I Branch elra alts - new. altered, n. sroxt+nrston. n panel
C0f4•rAC7 PERSON i A. Pro tar branch elmulta with
Business name: I seMes nrfeeetur clew. each •`
pr011 6.M 2
Contort name: (I.1'ee Ibr branch duuits
I
Add►t ax wllhort service or halo, fire.
I coati branch circuit 46.113 • 2
Cily/Sta /ZIP: Gaels add'I broach e {rarrit p�
4.45 2 •
Phone: ( )
I N7aedlancoue (terve%nr feeder no Include/op
I Fax:': ( ) 1 Pump o Ir ti cn cilrok 2
E -mail: i ounr
SI or na n 1_7.. ling 13 40 P '�` '
CtOH17E1AC2'OR I Signal circe) or limit - 2
Dustiness name: T& 1 LleatticaL LLC ensrsS'1Mne1, alteration. rm.
extension. Describe: Post 7 2
Address: 4120 SE International Way, 8ulte A105
Each stldltloeal Inspeoilon over alloweblein aninrrhe
City/State/VP: MilwaeWel OR. 9722= I Per In • - tae 62.30
Pharos (593) OS> -7010 Investigation per hour (1 to mini 02.30
. I Far (363) 652.7612 , industrial plant . -• hour
cat Lie.: 161181 7!'�S
Blet:lrit:al tee.: 26-1105C Supra. Lie.: 417713
1 ELECTRICAL ratio nEks•
Suprv. Elie► ;icivn signature. ensiled' ' tt swum,' ,, . ' L � "// Plan review (2391, of portlslt irk
Print name:D. MARK PER
U J IVf}L
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Date: 1 0 • ¢ t State swttcharga (tlhb of prsrmi s nee) 5 /luthr
Authorized signature:
TOTAL T
.
t= L. MIT PEE 50 Q. 4020 V
Paint norms - T• a i s aerleu wtrlleat ■ cap re. e a b awe lx v a nod Irt lbl. t —
Y r Dote: • ' dew. 9 bats beee'atea tw1 .. .,.n.pl e r r
Fee msthn try r pu rg,it lltla Iltellldlryt tndurey t•n Etc tt
BxlJtwk Aanr Pew,iw It+n?
•• Number erfnapgdvespe r p ewwm.
4 1 1 401313101e1/e WWEle
t - d Zt9LZS9EOS - -.
033 r i e* T a lv� i3 1 1 1 80 :ET troop oT eon
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T -d Zi9LZS9EOS 311 `Ie0z.14OoI3 1 '8 1 Sz :OT 'OO SI X00
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503 639 -4171 MST
, BUP
Received Date Reques -d / ✓ PM BUP
Location e - - -t _ _ Suite 0„10.0 T -06723
Contact Person 1 Ph ( ) PLM
Contractor Ph ( ) SWR /' • /
BUILDING Tenant/Owner EL do y� V ��o0
Footing ELC
Fog Dra
Foundation Access: SA eK 136 ELR
Crawl Drain
Slab Inspection Notes: 1./t 62, ty(i SIT
Post & Beam
Shear Anchors
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
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS AIL
Ml?C ANI
Post & Beam
Rough -In /�/ ,
Gas Line
Smoke Dampers �T / ��? Pu r t / M �" ( 71k1/4--) A� / o 440
'.�,�; FAIL � 0 A' ,
a���15' ���le/
CE_TRICAV
Service p
Rough -In M / Nia ^ L4 d Fog 2CGo�S/•V� / �G `�
Low Voltage
Fir= : arm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PAS PART FAIL
Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date / / Z 6 Inspector 10111/ / . _ Ext
Other:
Final DO NOT REMOVE this Inspection recor rom the job site.
PASS PART FAIL