Permit crry OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2002 -00163
Audoye T4 DEVELOPMENT SERVICES DATE ISSUED: 4/11/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102BA -00501
SITE ADDRESS: 09740 SW TIGARD ST
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. ZONING: I -P
BLOCK: LOT : 060 JURISDICTION: TIG
Project Description: One hour of inspection time to inspect main meter. Job No. 61 -27657
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: PER HOUR: 1
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:
SNYDER, DAROLD D SUE A CHRISTENSON ELECTRIC INC
12937 WATER GAP RD 111 SW COLUMBIA
WILLIAMS, OR 97544 STE 480
PORTLAND, OR 97201
Phone: Phone: 241 -4812
Reg #: LIC 458
SUP 3289S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 4/11/02 $62.50 2720020000( Elea! Final
5PCT CTR 4/11/02 $5.00 2720020000(
Total $67.50
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
Permit Signature: ( Issued B . 7 r ' •
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: ,.NJQ� l� id—�� DATE:
LICENSE NO: g73 S
Call 639 -4175 by 7:00pm for an inspection the next business day
APR - 09 -2002 TUE 11:18 AM FAX NO. P. 01
w
lication
' r Electr Permit App �� �-��� 3
Dalcreceived: V 94 Permit no.: e
"tiq i' i City of Tigard (� i � 1� Pro'ecda 1 no.: G ire date:
City ' Tigard •g i ' nd ,�k i 972. J Pd (13y. Receiptno.:
Cir ojTi�ard Address: 13125 SW Hall lv g. Date issued: Y' —
C hare: (503) 639-4171 Case file no.: Payment type:
Fax: (503) 598 -1960 APR ,, 9 ?JO?
Land use approval: lC:iL li-! if nlN i in
t5l It IT ria a r„i" 1 riles
TYPL•: 01 I'liltikl I'I
O 1 & 2 family dwelling or accessory X1 ommcrcial/indostrial O Multi - family 0 Tenant improvement
O New construction
Q Addition /ahcrationlreplacernent O Other: 0 Partial
.1011 SITE E INlOI(MA'l'IUN
fah address: 9740 SW TIGARD SUITE 301 Bldg. Tax map/tax lot/account
ARIE (503)780 - 0952
Lot: Bl Subdivision: INSPECTION FEE FOR INSPECTOR
Project oject mime :ESP PROPERTIES Description and location of work on premises: 1
TD MAIN MN TER.
Estimated dale of completion/inspection: 1 ; S(•IILiDULE , + ' 1 '
1,.. tmN'1103,; :f)n•Ar1'1.,K'nTi9N , , ' , 'r Fee Max no: 61 -27657 I)w[criptioo Oty. (ems) Total no. hap
F3usinessname:CHRISTENSON ELI?CTRIC, INC. New residential single ortmifti familyper
Address: 111 SW COLUMBIA, SUITE 480 dweliingunit . Includes attached garage.
City: PORTLAND I State: (:)R ZIP:97 s — Scrdtein a
Each sq. i1, o
Phonc503 2414 Fax5032410511E -mail: 1000 adq.ft.or less less sq. ft. or portion thereof it
CCB no.: 458 c. bus.lic. no: 26 -3/tC Ll t ni�cncrgy,residuml 2
City /metro ' o.: 5 46 Limited energy, non- residential ..
lli - Each manufactured home or modular dwelling 2
� D fF9 / 02 Service and/or feeder •
Su cl of me (print): cc r et required) Services or feeders installation
Sup. elect.name(print): BRIAN CHRISTOPHER License no: 8735 alteration or relocation:
III
2
p1tU1'1 ?IL'ft' OWNER 200 amps or less _
II. MI
201 amps to 400 amps
Name (print): —. 401 amps to 600 am . s �.
r Mat i l ing address: 601 amps to 1000 amps 2
City: State: ZIP: over l 000 amps orvoltn
Phone: Fax: 1
E-mail: ReeonncUONy
Temporary services or feeders -
Owner installation: The installation is being made on property I own a l lation,alteration,orrelocation: 2
which is not intended for sale, lease, rent, or exchange according to Qp0 amps or lass 2
Owner's Sig
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 1.111=1111111 2
Date: — 401 to 600 am a signature: __ . -- Branch circuits - new,alteralion,
ENGINEER or extension per panel:
Name: _ A. F:e for branch circuits with purchase of 2
City: [Stale: � J'LIP:
service or feeder fee. etleh branch circuit
Address: B. o cC ed ( . irst branch irc - IIII
.. of t aer servvice or or f (cedar r fs ee, rust ranchn�h circuic
Phone: Pax: E-mail: Each additional branch circuit:
PLAN PIA [VW (1'IeuNe check all that apply)
Misc. (Service or• feeder not Included):
' U Health -care facility
Each pump or irrigation circle U Service over 22 amps -rati nt o f I ili Each sign or outline lighting 11111111111111 D Servttx over 320 snips - rifting of I Rc2 O Hu Building aslocultnn panel, Signal circuit(s) or a limited energy P
fatuity dwellings U Building over 10,000 square feet four or S i gn circu (s) or extension* lm
U System over 600 volts no more residential units in one stricture
U Building over thrto stories C3 Feeders, 400 amps or more elD:aetiption:
O Occupant load over 99 persons 0 Manufactured structure or RV park e !, additional inspection over the allowable In any of the above:
U Egress/Iightinbptan U Other. PcrInspection
Submit — sets of plans w any of the above. Investigation fee
The above are not applicable to tcrnporatry construction service. Fermi[ fee $ ____61,.K_)
��r Plan review (a[ - %) $ �
n
Nat s Juris�iL M a accep crcd curds. please call ju for more information Notice: is j if f ► a permit not obtained O Visa U t iro _ Card � / within 180 days after it has been State surcharge (8%) $ _ r -/
credo cwt num[tcr _ - taper accepted as complete,
TOTAL $ 6 7
** *TRUST ACCOUNT DE
— Narae ur cardholckr a+ rhown on trufir card s 440 (64X1/CaMO
cardholder airtn,turc Amount
+FEES ON BACK OF FORM
OCT.2000
.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION :1 Business Line: (503) 639 -4171 MS�f
BUP sg'
Received Date Requested / AM PM BUP
Location q 7 26 Suite MEC
Contact Person �;n, h ( ) 7 74 O `7S --,1 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner L'/ ( ELC bbl c
Footing
Foundation ELC
Ftg Drain ACCe ELR
Crawl Drain g 3 ,5
Slab Inspection Notes: SE ' SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation 5� r, (
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 PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Cf
Rough -In
UG /Slab
Low Voltage
Fire Alarm
F ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line / G
ADA
Approach /Sidewalk Date .l / d 0 Inspecto Ext
Other:
Final DO NOT REMOVE this inspection record from th Job site.
PASS PART FAIL