Permit A, CIT. OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00252
DEVELOPMENT SERVICES DATE ISSUED: 5/5/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 25111 CA -13800
SITE ADDRESS: 09725 SW SATTLER ST
SUBDIVISION: DARMEL ZONING: R -3.5
BLOCK: LOT : 011 JURISDICTION: TIG
Project Description: Dedicated furnace circuit.
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:
ASHTON HEBERLE ELECTRIC
9725 SW SATTLER 19680 SW NEUGEBAUER RD
TIGARD, OR 97224 HILLSBORO, OR 97123 •
Phone: 503 - 684 -3904 Phone: 503 - 628 -2095
Reg #: SUP 3053S
LIC 152342
FEES ELE 34 -160C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 5/5/03 $46.85 •
[TAX] 8% State Tax 5/5/03 $3.75 Rough -
Elect'I Final
Total $50.60
•
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 - 0010th • • h OAR 952 - 001 -0100. You may obtain copies of the rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 32 -23 .
Issued By: � 4 _ _ Permit Signature: 04213),„t ( '
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: ' ) S •
Call 639 -4175 by 7 :00pm for an inspection the next business day
05/05/2003 10:20 5036283076 HEBERLE ELECTRIC PAGE 01
t7 cc
Ele l Permit Application
' ~ Date received:3 S -p 3J
� Pennit no.: �p - 0625 y
r'-'�
,t1'�,Y i i; t r�+
,• f fY City of igaX Projccvappl.no.: Expire date:
City Tigard o an Address: 13 1 125 SW H E @ I Date issued: R
Phone: (503) 639 -4171 �� Y I Receipt no.:
Fax: (503) 598 - 1960 MAY 0 5 Case file no.: Payment type:
L use approval: 2003 r,G iummitrintka
)8(1 & 2 family dwelling or accessory El Commercial/industrial El Multi - family CI Tenant improvement
0 New construction Ii. Addition /alterttlion/replacement U Other. CI Partial '
Job address: q .. SW S . S"1 RIdg. no.: Suite no.: Tax mop /lax lot/account no.:
Lot: I Block: (Subdivision:
Project name: irk...) I Description and location of work on premises: trCPtTEr
Estimated (late of compiction/ins . ection: - 2.411:7 1 - - GW.-C-t.44 r—
CON( RRAC' 1'O1t Ai'I'LlCA'1'iON i'II SCIIEI I
Job no: ree nix
Business I1a111C: HED - - - Description _ QV, (ea.) Total no. imp
10 New residential - single ormultl- fatally per •
Address: Hillsboro Oregon 97123 -9446 dwelling milt. lncladea attached garage.
City: I State: I ZIP: Service include&
11/n R or leas 4
Phone: 6 2 8 - 2 0 9 5 Fax: 6 2 8 = 3 0 111111111041-- 30 �,(ti Each additional_ ad 1500 s R or portion thereof
CCH no.: —JSZ,V t 7.4. B1ec. bus. lic. no: 3 4 -16 0
Limned energy, residential 2
C __M
il /Lt t.. 'c.no 072 Limited c
y ner};�, non- tesiltealial 2
/ 5—,O3 Each manufactured homeotmodulardwelling
Ignature of : 3 e • ' Ian (rap bale Service and/or feeder 2
7 Sup. e lect. nn r f e f f t e L . - - - __ 4 e no.0 5 3 -- S Services or feeders— Inatnllallon,
alteration or relocalloo:
1'It01'I ?it'fY 1711'iV 200 imps orless 2
Name (pri r J l.t-C rL. � -m, 201 amps to 400 amps 2
Mailing ad 401 amps to 600 amps 2 ,
B 601 amps to 1000 amps _ 2
City: I State: i ZIP: Over 1000 amps or volts ' 2
'1'Ic
'� . _ 1Fa,t i E -mail: Reconnect only I
Owner installation: The installation is being made on property I own Temporary services or realm - . .
which is not intended for sale, lease, rent, or exchange according to hlstallallan ,allcrallon,orrelocation:
ibRS 447, 455, 479, 670, 701. 201 amps or less 2
I � 201 amps to X100 amps 2
lbwner's signature: Date: , ' 401 to 600 amps 2
stanch circuits • new, alteration,
or extension per panel:
(;Valve: A. Fcc for blanch circuits with purchase of
((dress: Service ar feeder foe, each branch circuit 2
ity: I State:. I ZiP: ' 0. Fcc for branch circuits withoutpurclnse Se
of service or feeder fee, Ertl branch circuit: 2
Phone: ('nx: E -mail: Each additional branch circuit
MIsc, (service or feeder not Included):
lit Service over 225amp9-comnwrclal ' O flealth-core facility Each puny or irrigation circle 2
t] Service over 320 amps - rating of l&2 U Itaatrdooslocation Each sign or outline lighting TT — 2
iti family dwellings U Rullding over IO,000squnrc feet four or Signal circult(s) or a limited energy panel,
Syatem over 600 volts nominal mere residential units in ono Btrueture alteration, or extension* _ 2
ib Itulldln{t over three siories U Feeders, 400 amps or more • *Description: __,
tl Occupant load over 99 persons U Manufactured structures or RV pork Each additional inspection over the allowable In any of the above:
6 F.gresdlightingplan U Other. perinspection 1 1 i J
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
' idol nil Jiu cc
4ie li , Qnr swept ere& mulls, plea* wall Jud+rGcuon far mac dam
Imuon * Notice: This permit application Permit fee $ .
1 s Plan review (a 5 $ �_
C visa aeterCard expires if a permit is not obtained �
delft card number _ within 180 days alter it has been Slate surcharge (8%) .... $ , 3 '
Ji17; -`r. ti a �� r accepted as complete. TOTAL $ $b, 4,o ,
rung of r as , . W11 OR mall card
�...ra'•M'' / $
i or • der stratum Amount ■ 4404613 (6100/COM)
L" E FAX PERMIT # /RECEIPT TO 503- 628 -3076 AS
I AP THNKYOU-
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION - Business Line: (503) 639 -4171
BUP
Received Date Reques - d ,�.�'� 1 AM PM BUP
Location I o�J r�cx.P�J Suite MEC 3 a I d
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/A:, ELC 3 - D 1 - . --
Footing (o g 4' D ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: 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 P T FAIL
AN
Po & B
Rough -In
Smo e Dampers
PART FAIL
► -� IC '
R..:•-
UG /Slab
Low Voltage
Fire Alarm
PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE 0 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA 91
A
pproach/Sidewalk Date O Inspector Ext
Other: 1
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL