Permit ,
CITY OF T
� � DEVELOPMENT SERVICES ELECTRICAL PERMIT
PERMIT #: ELC98 -0480
^ DATE ISSUED: 08/11/98 97223 (503) 639-4171
PARCEL: 2S114BB -11900
SITE ADDRESS...: 10441 SW TITAN LN
SUBDIVISION •SWANSONS GLEN NO.2 ZONING:R -12
BLOCK • LOT :060 JURISDICTION: TIG
Pro j ect De scr i pt ion : Installation of 1 branch circuit. Job no. 98 -590
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY • 0 401 — 600 amp • 0 SIGNAL /PANEL • 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 — 400 amp • 0 1st W/O SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 0 IN PLANT • 0
601 — 1000 amp • 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
RICHARD DAILY type amount by date recpt
10441 SW TITAN LN PRMT $ 35.00 DEB 08/11/98 98- 308170
TIGARD OR 97224 5PCT $ 1.75 DEB 08/11/98 98- 308170
Phone #:
Contractor:
BOB'S ACTION ELECTRIC INC $ 36.75 TOTAL
2700 NE BURTON ROAD
STE A REQUIRED INSPECTIONS
ANCOUVER WA 98662 Elect'1 Service
'hone #: 360 - 254 -7200 Elect'1 Final
eg #..: 000531
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 188
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -8010 t gh 1 ° -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by callin. (503)246 -1987.
Permittee Signature: / /.:.. ..
/:' Issued B . a
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 INSTA LATION ONLY
SIGNATURE OF SUPR. ELEC' N : ,....)a. i (, ' < D`.,„ DATE: A4 - 1,
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
• Community Development ELECTRICAL PERMIT APPLICATION
A 13125 SW Hail Blvd
' - Tigard, OR 91223 permit # a C Fe _d )
r _
r .. 4 • • 1! Date Issued p- / ; / --9'8
, .'; Phone (503) 639 -4 1�JG 1 5 1998
"� " " FAX (503) 884-7297
CITY OF 'HOARD TDD No. (503) ql7,7;121y DEVELOPMENT
Inspection (503)0 =41 i •
1. Job Address: 4. Complete Fee Schedule Below: ' '
Name of Development Number of Inllpocttons per permit allowed
Address 10441 SW Titan Lane Service Included: Items Cost(ea) Sum
/
City /State /Zip Tigard, OR 97/24 41. Residential • per unit
1000 Sq ft et legs 311000 s
Name (or name of business) Richard DAily /Rose Hug , E•'. amnions) 500 It f7. «
porllm thereof 175 00
Commercial ❑ Residential 61 «+ "er+ Energy $75 °° - t
Seth M.nurd Ito ne e FAcwfutsr
2a. Contractor installation only: Owe6ing Smite « rootlet 3 eaoo -
4b. Services or Feeders
Electrical Contractor Bob's Act ion Electric t ^ +I.11nlon..n «ston « nbealbn 160 00 2
ti
Address 2700 NE Burton Rd, "A" 701. . e400ernes 3°000 2
Clry�a.ncn.liXe r StateWA Zip 98662 401 imp, to eo0 smog 11 0 00 0 2
501 sell to 1000 amps
P T hone No 360 -754 -7200 Over ,mo.+r• «voss $340 7
• [ Job NO . ' - 98 -590 •j Reeenr+eel Only $50.00 7
t comractor ' e license NOT -31-4311-
5313(5 4c. Temporary 8ervlces or Feeders
C ontractor's Board Reg In.te"etto..."er•ten. of e.IOeSIlOO
Signature of Supr. Elec' , 4 .f/2/ ma e^'te+ re less 7
?0r amps to 4n apnea .150 00 2
License No. 4322S Phone No. 60- 254 -7200 .nl.ep5 tOe0O*MO 17500 2
Metro License No. 00003861 Over 500.mpeto 510000
2b. For owner Installations: see "le shave
' 4d. Branch Circuits
Print Owner's Name •- v- - teaw..".ration or .Hnnatm par pane
Address a) The lee fabreedi ercue. with =
'City . State Zip puree, .. or °°ryes or boder M.
Each brooch elreul 35-00
Phone No. _ e) the lee roe wench evca"+ w1Mart
The Installation is being made on property I own which is pch.e,er.orv/eeo► A.dor OW. 7
w
Mal branch Omit / , $35 00 35.00 7
not intended for sale, lease or rent. Erich additions, bunch erael 35.00
I Owner's Signature 4e. Miscellaneous
I ' (Service or feeder not Included) 7
Earn puree a irrigation &de L40 00 2 - 3. Plan Review section (if required): Each eve a «,IM.5 hihp 3.000
Steel ertxrlt(.)er a hotted energy 2
Please check appropriate Item and enter fee In section 58. pane. eA.nllon or ealanslon 340 00
I or more residential units in one Structure Mhor Labels (10) slop 00 -
Service a nd f eeder 225 amps or more
System over 600 votes nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable In any of the above
as esteem In N.E.0 Chapter b p w .piC1b" sus oo -
Per Nan $55.00
-
In Plant 555 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
i • sa. Enter total of above fees S 35_ GO
i NOTICE 5% Surcharge (.05 X total fees) s
PERMITS BECOME VOID IF - WORK OR CONSTRUCTION 9ubfofal s 1. 75 •
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, On IF 6D. Enter nit Ilse A for
' CONSTRUCTION OR WOrK IS SUSPENDED OR ABANDONED FOR Plan Revevii of
M required (Sec.3) s
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. n.««ne..tw. ❑ Trust Account ti
1 ' gm-na $
1 Balance Due $ 3
. .
i
1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
G BUP
4Z7 Date Requested -��
nested �- ` q 0 0 PM BLD
Location 10 4 // W SO Y--, 1 / Suite MEC 71 -03 5/3
Contact Person / 'C6tm d Z� Ph 6 PLM
Contractor St, 1- � Ph 2t3 -518 /^ SWR '/p
BUILDING Tenant/Owner � za La /a via LC 7 6p-070 Q
Retaining Wall ELR
Footing Access: /O / � G _ , ,NJ„ 0 6 iZC��ham FPS
Foundation �� 6 Wl1l 06
Ftg Drain V SGN
Crawl Drain Inspection Notes: L�L�� L� w GL�i /4-/r1 Slab �,,/ _ SIT
Post & Beam C� f eQ P Ext Sheath /Shear i
Int Sheath /Shear
Framing
Insulation / �
Drywall Nailing ..��-� / g/ — , / _
Firewall /
Fire Sprinkler
Fire Alarm
Susp'd Ceiling A.7J-2-.
Roof
Misc:
Final
PASS PART FAIL
PLUMBING / T CO e
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains i • 1
Final
�4S FAIL
(c�AECHAN '
Post & Beam
Rough In / ' j
Gas Line ■
Smoke Dampers
/t
ai I -IP
PASS PART 04AIL J
,�ftEC'RICAL
( Service
Rough In •
UG /Slab
Low Voltage
Fir- Alarm •
•AS - ART 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 /
Otheoach /Sidewalk Date 9 -- / / 9/ Inspector � ��L/ E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.