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Permit ill l /D3 CITY l n °' UJt4Ot)S sj,— ' e-c.. C N��i Se / A4 . / CIT OF TIGARD C'�/1 ARD (l7 ) E CTRICAL'PERMi PERMIT #: ELC2003 -00347 ^7.i DEVELOPMENT SERVICES DATE ISSUED: 6/12/03 13125 SW Hall Blvd., Tioard, OR 97223 4.503) 639 -4171 PARCEL: 2S103BD 00602 SITE ADDRESS: 11930 SW WALNUT ST SUBDIVISION: ZONING: R -4.5 BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of (1) branch circuit for light for garage. 7 -11 -03 adding (2) additional branch circuits and (1) 200amp service- relocate. 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: I W /SERVICE OR FEEDER: .3 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: X 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: NORMAN, JACK J JR AND THREE DOG ELECTRIC ' MARY J 5250 SW CAMERON RD 11930 SW WALNUT PORTLAND, OR 97221 TIGARD, OR 97223 Phone: Phone: Reg #: SUP 46135 — LIC 138509 FEES ELE 26 -1046C Description Date Amount Required Inspections [ ELPRMT] ELC Permit /12/03 $46.85 [TAX] 8% State Tax 6/12/03 $3.75 Rough - CP [ELPRMT] ELC Permit 7/11/03 $53.40 Underground Cover \r (additional fees not listed here) Elect'l Service Elect'I Final Total $108.27 IP, This Permit is issued subjed to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. Alm; 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 s 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: " it.C.. Permit Signature: / 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: / 3 5 Call 639 -4175 by 7:00pm for an inspection the next business day / f '. •, • � BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed By J Inspection Description Date Passed By Footing /Setback Underground cover / 4 -4 glry Foundation walls U Wall cover Footing drain Ceiling cover Waterproof bsmt walls ✓ Electrical rough -in 1 Z/03 /4 3 Slab Electrical service — g - 03 4? Crawl drain Electrical final g / L/ /0 3 Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing .4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation _ 4 Inspection Description Date Passed By Drywall nailing - Post/beam mechanical Suspended ceiling Gas line Engineered soils Welding Lab Final Mechanical rough -in Concrete Lab Final Fire damper Duct work Bolting Lab Final Structural observation Smoke detector Fireproofing Lab Final Mechanical final Final inspection • • •PLM - Plumbing Permit • BUP — Fire Protection System Permit Inspection Description Date Passed By Plumbing underslab Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing V _ Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils I Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts\ forms \InspRecordBUP.doc 04 /17/01 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 ; c 3 -0 o INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 7- AM PM BUP Location (9 30 Suite MEC Contact Person Ph ( ) PLM Contr Ph ( ) 2 SWR UILDIN Tenant/Owner rYl 0� 5 / K `J) • 3 - 00--,s41 Footing vv ELC t .) Foundation Access: Ftg Drain . fJ 0 at ELR Crawl Drain Slab Inspection Notes: t` „ SIT Post & Beam Shear Anchors A3 C)v Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: in _ ASS . PART FAIL P BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL A MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS P! - T FAIL Rough -In UG/Slab Low Voltage rm � Fir ms �_ �. iir 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 ADA Approach/Sidewalk Date WV/CI 1nspector 7 -23-) ” Eat Other: ..,. ow++ wirsa.wsie? rell firearm *Isis loth =KA_ CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (505)69 -41115 MST - INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested ` ( 1� AM PM BUP Location l q 30 w Suite MEC Contact Person l L4 Ph ( ) '36 7 a 8D PLM Contractor Ph ( ) SWR • BUILDING Tenant/Owner ELC 3 - .4 Footing ELC . • Foundation Access: Ftg Drain l a I ELR Crawl Drain / Slab Inspection Not : SIT Post & Beam V I (V i 91 Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation 3 , ) / ���,\ r �� ., =. // Drywall Nailing t }-� Firewall Fire Sprinkler Fire Alarm • Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under.Siab 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 Service Ro gh -In lab . Low Voltage Fire Alarm Fi al ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAS PART FAIL SI Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA / --- Approach/Sidewalk Date ` - Cr 3 Inspecto 1/_ — � ' Ext Other: Final DO NOT REMOVE this inspection record from the Job site. • PASS PART FAIL • CITY OF TIGARD 24 -Hour BIJILDIIIG Inspection Line: (503)139 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date R ues d Y — AM PM BUP � � Location 19 3 n ` Suite MEC Contact Person Ph ( ) 8 /61 ' 7 PLM Contractor �l�� j E ("f1% y P ( 35 ) �6 /aS SWR BUILDING Tena / 3R52)? ELC 3 63 (17 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fire wall Fire Sprinkler Fire Alarm P/ , r (9i fl Susp'd Ceiling �/� Roof / / / Er rylee !'7 Por) Q /� 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 Rough-In PCr` UG /Slab Low Voltage Fire Alarm _ Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL R ib ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA GitEj5 Ext Approach/Sidewalk Date � (23 Inspector Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL V ITY OF TIGARD - - , 24 -Hour BUILDING Inspection Line: (50 9 -4175 INSPECTION DIVISION Business Line: 3) 639 -4171 MST * p BUP Received Date Requested O I AM PM BUP Location 1/ 6 1,30 tt) jt Suite MEC Contact Person - 1-e2 Ph ( ) 833 0 — 7' R'd PLM Contractor ' Ph ( ) SWR BUILDING Tenant/Owner .mot, ' 'l (MAO • 6-A/111 "--- ELC 3 - o £)3 7 Footing ELC Foundation ACC S S: Ftg Drain � vim`- ELR Crawl Drain Slab Inspection Note . SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling 1 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 Service n )U 4 Low Voltage '1 Fire Alarm . F 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SS PART FAIL I T E Please call for reinspection RE: ❑ Unable to inspect — no access e Supply Line ADA 4' r Approach/Sidewalk Date f 2 ©; Inspector 14524VU Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 < - e 3 _ 0 a ( , INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 7'" ANN PM BUP Location / l q 30 (,J Suite MEC Contact Person Ph ( ) PLM Contr Ph ( ) SWR � C�- UILDIN Tenant/Owner r/ 5 18 - C - ©D 7S41 Footing ELC - ., Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection NI s": 0 (� , p FT Post & Beam ii'' v ' t � l �� V`- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ° - ' Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: q PART FAIL P , I BING ' 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 P T FAIL ECT IC Rough -In UG/Slab Low Voltage r_- rm 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 ADA W9/D Appr oach/Sidewalk . Date LL Inspector ' — Ext • Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL