Permit CITY OF T I G A R D • ELECTRICAL PERMIT
PERMIT #: ELC1999 -00493
pie DEVELOPMENT SERVICES DATE ISSUED: 8/10/99
s-R 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103AB -WG012
SITE ADDRESS: 12120 SW SWEENEY PL
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SUBDIVISION: WALNUT GLEN ZONING:
BLOCK: LOT : 012 JURISDICTION: TIG
Project Description: Temporary service less than 200 amps
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: • 0 - 200 amp: 1 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: 0 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: • 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:
RIVERSIDE HOMES HAUSER ELECTRIC
16666 GREENBRIER PKWY 2375 SE 174TH
BEAVERTON, OR 97006 PORTLAND, OR 97233
Phone: Phone: 503 - 762 -2126
Reg #: ELE 26 -950C
LIC 122682
SUP 3833S
FEES Required Inspections
Type By Date Amount Receipt
Elect'l Service
PRMT BON 8/10/99 $53.50 99- 317526 Elect'I Final
5PCT BON 8/10/99 $3.75 99- 317526
Total $57.25 ORIGINAL
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 -1987.
Permit Signature: t ir‘ afte((e_J-esk,
mai 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: c9". ef( 6 � DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
PUG -05 - 99 10:30 PM 42873735328742
5037622128 P. N2
07'27 71F: 9r1:24 594 19t1O rITY OF TIGARD 2002
.4. RECrf� E� Plan on��
CITY OF TIGARD v , ; ,: E lectrical Permit Application Read s.0./
13126 bW HALL BI- ►I AUG 0 5 1999 OelaRao'd_it 1 . q ___
TIGARD OR 91223 C.` O5 to P.E.
Phone (503) 5139.8171, x 3 o 4 COMMUrrrrr DEVELOPMENT Data W°S
Inspertk)n (503) 639.4175 Print of Typo Perm a ( ( `t
Fax (603) 5e13.11460 Incomplete or Illegible will not be accepted Called _
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1. Job Address: 4. Complete Fee Schedule Below:
e
Neste of petrelopmertt . / l / U.�C
_Q - Number of Ina 'odor • welt allowed
Name (or name of � 4o busmae6) ' \V 1 �5_ H- A IM Service Included; rums Cost Sum
cam/ 2LJ e L • v. fiaildsnWl • per unit
Address _ , �:_ 1000 aq e. r• lass 1 117.75 4
City /State/Zip t R. C 0/0 '- Each additional 600 sq. It. or portion those 5 • 2815 1
Commeir2l ❑ Residential Emit E Energy 1 60.00 _
Each Marurd Awns. or Mudutar
prellhg 6erAa a Feeder 1 7!'76
2a. Contractor installation only:
IPr1o11D Psrtnit hsuartcs. epPl5Carris must proms coat tr.or ikons' ab.. 3 r sa or
non, or relrUltldn
information for COT data Casa). 200 imps or tau & O4.2e '[
Electrical Cont�ac:of , u S Ede_ �C 101 amps to Am amp+ c as 50 _
A dews _..__ `� 401 amps to 000 amps 6 148.60 2 2
Ciry CO _ , State _. _ZIP ..f 2 a a5.... 801 amps to 1000 amps 5 102.60 '- 2
Phone No. S _.�.s_ - �# t ' � Ow 1000 amp& 3 Hells i 967.75 2
,iCt7 No _ - Attonnso o•Vy E 03.00 2
Geo. Cont. We. No. ��� p.0ete t7 • 4c..TIet:orary 9orvtcos or Fedor; Fir .Da 7 7 1L 0( 0( !nelelleto.11:eraton. o' relocr..ton
OR State CGS Reg No. ,, P 1 03.67 S�� 2
�� 200 Sere• of lets f a 80.27 ` 2
COT I3ueir►e.!s Ter or 'Aggro ►ro. ;tog. Exp•Dat _ .__ _.... 201 ctmps to sea amps -
40trrpstoeonrrnp. 1 107.00 2
Signature of Supr. psc'� 8/!y Cvor C00 &eve to 1000 volts,
as1 "b' above.
License No. .,, S Exp. t.e 10_ I -OI
4d. Branch Ciro'[Its
Photo No. . 6, (! ►:Ow. dtar8Don or exlonlbn pet 0001
al Tit. icc IC.' Dra''O1 01020110
2b. For owner installations: wit;, pvr(has or aerYfc• or
h.a.t sue.
Gacn Brun. h o; cw: $ 8.38 2
Prim Owner's Name - -- b) The le. for bran h circuits
Aodtess rltnoul purinace of 110141144 C _ _ • State Zlp • or te.cier mi.
First bunch Circuit i 37.50
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Phone No - Each ao d)tionalbtsn2rtcircuit .- S 5.95 _ - - -- _
• Tie iretaltation Is being made on property I own which is nol 40. tnlac.:t:rwoua
Irltendea or axle. lease or rent. i (9e10c4 ui lavikr `u. Bissau) aj 71
tech p,1U12 01 Ii1100I(Cn timid
Earn s.30 01 3 X'I' Ict lrc S a2 75
Owner's Signature �_..- -- .. _.._ ... . . ........ Wei won IN o• a t rn ;aa energy I
Demi. aitveson or extenalon S 60 01
3. Plan Review section (11 requlrad) :` UIrorLaws. . . = 5 107.00 _
Please ch,Cis 400rOPrlitte item end order roe In section OB. i 41. Each sodIuorbl Inipeetton over
4 or more reorients! unto In ona atru:1.o. the allov..b!r in any of the above
Pet InI .S 1Cn 1 00
_ $eMee erns levier 225 visas a from Pei now 5 50.05
gyan wa•ia.) oP.i WAWA! 1/11.10111 5 59.00 ____
_ b CIasslOad sin co structure containing special orrnfoancy as S. d d:
-` desaio In N.E C. Choler e
L. Erse to o' 0004 law 3
• Submit 2 sets of plane with applicedon whars any of to above apply, ! Su .ha'Qa (.0S X rote) lees) $
Not roc lair ed for temporary conotruction work.... Subnul 7• V S
I I Ma. Error 20'+tr ct kn. se t
NOTICE Plan ...view ( reQ. frail (Soc. 5) $ ^_
P2 RMITS 44COME VOID IF WORK Of+ G 1 Ar12TRVCT:GN nu rr1ORIZEP SUOr01.) _
IS NOT CO•t1JENCIO WITHIN 180 flAYS. OR IP CONSTRUCTION OR
WORK IS SUSPENCED CR ABANDONE=D F()R a PERIOD OF' O Days , ❑ i iist r.�� otit t S �Il
AT ANY TIME ARTRR N.A�b( 10 OCr4ME NCR D Total ilanCe DUO
.. Ow; ii)i•.l' CI II 1. thy: - . . -
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9W11`
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q BUP
Date Requested p X 12 — 5/ AM x PM BLD
Location 11110 S Suite / _ MEC
'(
Contact Person N ICJ ` Ph 7(02,-2/ 2C 2 PLM
Contractor Ph SWR 9q BUILDING Tenant/Owner ELC f 4 19 3
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ` / l „ cpy? Slab .(/ �s SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear L /
Framing `' /� V / ✓e )et) vrt d D 4.//� Li./ Sc.) Y -Q CP - iaYe tie i4
Insulation 1 / /
Drywall Nailing ! P I f� /IG ZQ N C' ,
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRIC
NIC
Rough In
UG /Slab
Low Voltage
Fire Alarm
f j p PART FAIL
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 D f /2.-9 ! Ins Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.