Permit CITY OF TIGARD CARD ELECTRICAL PERMIT
PERMIT #: 00161
.„4-441 DEVELOPMENT SERVICES DATES ISSUED: 2/27/ 006
u. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S 104AD -02801
SITE ADDRESS: 12945 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: 7 branch circuits for kitchen.
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: 7 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:
BECKY BEELER DAVID JEROME ELECTRIC
12945 SW WALNUT ST. PO BOX 751
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: 503 - 590 -2344 Contact #: FAX 503 - 648 - 9723
PRI 503 - 648 -5144
FEES
Description Date Amount Reg #: LIC 36051
[TAX] 8% State Surcharge 2/27/2006 $6.94 SUP 34 i i
[ELPRMT] ELC Permit 2/27/2006 $86.75 ELE 34 -119C
Total $93.69 REQUIRED ITEMS AND REPORTS
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 th- a ti Notifi - n Center Those
rules are set forth in 0' • •52- 001 -0010 through OAR 952- 001 -0100. You may obtain copies of thes - ules or direct •,u == ons • • UNC at
503 - 246 -6699 or 1 : !G -33
Issued By: Permittee Signatu
—
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:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
02/27/2006 10:22 5036489723 JERMOE ELECTRIC INC PAGE 02
04/30/2004 08:31 FAL 303598 CEIV OF TIGARD CeO3 Id1001
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�te�,,, + 271004 ',n D
13125 s . �� e . �� pmndttro.1 - dt/�O (o /
aana 'Apt r —
Moe: 50323u171 Ike So959R1960 CITY O TIG' ;.L Panto
loapaaifoitUia 103 BUILDING D .- i; " ., I I ` . Dim aaltbd8y: - • see Pies star •
tneeness evAveLligardonus Nciffletineseeat
C- 9a�pte.raafpt IeferaraCas
t'. , — a, ,µ . � 1 r' ` ." .r-r PR ;t.. E' yT ,, 1 ,, i_ .'• , !.•, Y.4 - T' 1r+ • + ''''' —
- 4 _� U : 5. �. .. .[ . -,. . ,.�. _, - f•. 412.2 ..1,-.:.�•leiu. , ra' '' '',1-TU Bs ; �,171 �l ;: :1,, 1:
D Naw sonetntatioa Addetiaar/eltoradottheplecetoont e, . , tappiy; -
■ on D Oltnt: . ■ S - onto, 223 &e, cor n1 OThmardotls Ioeatio;
1 , , , _ • S - over 320 aipe ltidag 0&dttittg over 10.000 ed R,
r , c ., ;. : r r - ? - ".f1:_:._:, `t ' ' ' . ...., L.! , _ _ _ • 011• , . 24 y d 4 or more n w residents)
•.4 1- end 2�sly dwelling I CommenoisUmdus�}al ❑loomoolybuilding • : ,. .. over 600 voles uoednat alttl iA Oho eor come
D '+ • Hasler builder to t3tber. •,- ,. ` • : a over • three stork! Crosses, 400 amps or mom
i , , r , ,. , . , is ■ • load over 99 persona r..ymu d structures or
• " ,, r , `, r,' r'1L...It' i..;, � I - -- ,_1_ " 31 - — p RV park
kb >m. / - _ �; 7 NI ' ... armee 9thsirity OOtbor:
.1..... nee efplma with any of the above.
r We( 0 iZ• , above ace oot aglplieable to temporary construction service.
cq, sea
C &too aitaedditootiWte to job 9 Na* reeldeaSaOgee• or multi ll
) ai t ~
sndly • : 19nte wait.
fe&ludes attached garage.
1.000 eq. a. or less 146.15 4
Tex Bs. a46 aq. O. or portion 32.40 � 111 notp � L - . rvaidentfal 75.00
Liaskd , eooseadadfal 7 540 11.11111113 :r -7.,-.;;;;;1 rit
r , ., •,
a earr or feeders -
'•' altara+elorh auditor raloatdoa
200 amps or Ica 80.30 2
I , _ , - -� L < -- 1 201 n,..,. MIL 1111111191 _' , __�_,.j _ .. '_L.' _C: � .I:, 1 ky ,ti I 401 leAss to 600 ,. , . 160.60 d
Nan / E LcCy - 3 6 /1 _ 601 to 1.000 . ,. 240.60 Q
Address: cel ,` Vvar 1.000 mope or volts 434.65 2
�t ReoottpallO nly • 66.85 2
Temporary services or feeders' . , • • n, situation, and/or
Rem ( ) S't O - Z1 c(y raw ( ) _._
Omer Wended hr oat nth lnstetkeitm to being made u pa opaeltbor10anrot :401e not a0 dam' d 6.216 10030
sale,
A49, 670, dad 701, 301 m 400 days folM. =bang; aOQOtdm$ ORS 447. ,,.. to 6 00 13325
Owner elouguox Dole[
- Alice for ., • to wide
L 1 ll — ae I r mmaah elrtasit 6.63 III
tle� ill / M-� _ _ Qor branch circuits
Contact
F, tatdma¢se►�,ae Smear ibe. II 40.35 MO
�� a _ Btom addl klatch circuit IF , 111112IIWA19131
CSITIStater12: r aro{ r I° , _ t o , - ccorfender " I4ehtded)
ni
f r s �v'" r � P ... ,. „...,. side 53.40 -- Own or m treacT 6 63.40
13 1 dreu t(a or limited-
-
�• ._. �,, R: ... � _u. �,...L.'..� . . , _ - .24 - ,. 7. -71 ,, ,..
i.�r � .:11 ,,, or Pegg2
Bue6ae6esems B . n = '
Add D Box 7 Bach additional Iaap over allowable In . of the shove
__ - Per tupelos 6250
cftlYISMftaril Hi11sboro OR 97123 mveat, don • - hear (11 to aio) 62.10
� �1.
(50184$ -51$ a tent
I p 14115 8119 91041112:11 uo.: 3 4 -113 C Sopty. Lis: 2 8 7 7 6 u Subtotal �, bip
Bum. dgasturo, 1 iPi / - Plop erttom (2196 of permit flu
Ptlnl Hamad D B Y d A Jerome bale: soda surcharge 0% &pe es fee) �ata t'
--- TOTAL PERMIT PI= . 4
•
Adhthtlo,lrsd slgem>t me permit a tf a psi Macleod ;, la is •
qqa after it itsm berm aterpre& n ammo
Print mate Ve la: • pan m.e+odoieey set b' 'l' *610' nundlog seen* gamic& gems
•■ Nueber oflaspeaioae perverse sua+et.
1110 sodelsnit a vsnan
1AmaahaModalLeietaarepeo
CITY OF TIGARD
BUILDING DIVISION' PERMIT #: ELC2046 -00161
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2006
Phone: (503) 639 -4171 "mi' 11
Inspection Requests (24 Hrs.): (503) 639 -4175 �' `'I ..
INSPECTION WORKSHEET FOR DATE: 6/29/2007 TIME: - 7:00AM PAGE: 5
SITE ADDRESS: 12945 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BEELER
- DESCRIPTION: (7) branch circuits for kitchen.
OWNER: BEELER, BECKY PHONE #: 503 - 590.2344
CONTRACTOR: JEROME ELECTRIC, DAVID PHONE #: 503-6413-5144
Inspection Request Scheduled For: ; Date: 6/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 051211 -01 503-720-6445 N
Corrections /Comments /Instructions:
•
(C
` PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION ,; A
PERMIT #: SAX, 2 I k
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 9il • Inspection Requests (24 Hrs.): (503) 639 -4175 ...' I —.
INSPECTION WORKSHEET FOR DATE: 24 Zara/ TIME: PAGE: .
SITE ADDRESS: 129 45 5 W W P L .N V 6. CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE: '
' PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspe• on Request Sc ed For: Date: Pour Time:
' Co&e # Inspection Descrip ''n Confirm # Contact # Message
1 z• S. Road r t.) al P 6114
Corrections • -- ••T ..:, _ I _ tructio • -
•
•
-%- S1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL . ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ' DDITIONAL FEES ASSESSED
Inspector: 4L�Lv v / L/
Date: 3 ` 014 Phone #: (503) 718- 3-idiik
.,
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