Permit ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00191
1� DEVELOPMENT SERVICES DATE ISSUED: 4/2/03
.,� I ' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S133CD-11400
SITE ADDRESS: 11743 SW WILTON AVE
SUBDIVISION: COTSWALD MEADOWS NO.3 ZONING: R-25
BLOCK: LOT : 146 JURISDICTION: TIG
Project Description: Upgrade service to 200amp and add (1) branch circuit for hot tub.
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: 1 W /SERVICE OR FEEDER: 1 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:
FARINACCI, DANIEL A + TAMIE E GARNER ELECTRIC
11743 SW WILTON AVE 2920 SW 247TH AVE #A
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: Phone: 503 - 648 - 4552
Reg #: LIC 121159
SUP 3707S
FEES ELE 34 -305C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 4/2/03 $86.95
[TAX] 8% State Tax 4/2/03 $6.95 Rough -in
Elect'I Service
Total $93.90 Elect'I Final
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 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699 or 1-800-332-2
Issued By: c ycom &Mit Permit Signature: 3Y\. ctiorc
-
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: 370 S
Call 639 -4175 by 7:00pm for an inspection the next business day
05/14/ 00:22 6427925 P AGE 01
Electrical Permit Application
A 1 _
Date received:// 3-03 Permit no.:4 jo3 .
II!
cit o fS FIVE®
ProJe/aPPl.no.s Expire date:
City of Tigard Address: 13125 25 SW Haft BM Tigard, OR 97223 Date issued: Receipt no.:
By: Phone: (503) 639 -4171 3 Case file no : g 1 �:
Fax: (503) 598 -1960 MAR 3 1 200 1 P
Land use approval: OF TIGARD
IUNI
1 bt 2 family dwelling or accessory l Commercia CI Multi - family ❑ Tenant improvement
N coDfhtru U Addicion/alterationlrePlacement U Out er O P
Job address: IJ 7' 3 ,w W i tr a In A ve Ti gard Bldg. no.: Suite no.: Tax map/tax Lot/account no.:
' Lot: JBlock: (Subdivision:
Project name: 'Description and location of work on =miser: Op� giery - '� 2oolt
Estimated dd te of completion/inspection: r or . ' -
CON! RAC l Olt AI'1'1.11A7It)N 1.1•1: S(111:011.1:
Job no; - lee Max
Business name: T ek itgrzo t' G a I ea.) Total no. 'nap
tvaldenlW - ak�eormold -tan* per
Address: _ ,R , 02_ it' , 41 .11 _ dwellingiallt.lneluda ataachedgauage.
State ZIP: G 7/ • Service Included: 4
r 1I5 � �' mail: woos . a of leas
Ph // %� r . � t or ttion thereof
Cat no.:/2,/ V Bloc. bus. lit. no:3 Each additional 500 sq. i
O Limited energy, residential II. 2
Ci . 4C. DO.: y Limited energy, noo-residential ME 2
� � / /�. ri • Each manufactured home or modular dwelling 1. r ' ��� -� uited) Date
Service and/or feeder 2
: _ r:ri 'T�°,;,:;�f!�'�'�
I icense '7Q7 , S Servk�orfeeders- Installation,
Sup. elect oatap(ptint): � � /c altered= orrelocation: GG
1'12O1'IC1(l 'OWNt :lt 200 amps or less 1 OU 2
•
201 amps to 400 am�a 2
Name (print): b 0.1 Pa rl h A �U . Ito to 600 amps 2
Mailing addiress: - 601 amps to 1000 amJ's - 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: 52.4- - ?I Fax: _( E-mail: Reconnect only i
Owner installation: The installation is being made on property 1 own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, ornelomttos
200 amps or less 2
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps - 2
Owner's signature: Date: 401 to 600 am s 2
Branch circuits - new, alteration,
or extension per panel:
Name. A Foe for branch circuits with purchase of I 4% 2
- Address: service or fader fee, each branch circuit _
City: I State: IMP: B. Fee for branch cirvuita without purchase
of service or feeder fee, first branch drunk: 2 .
Phone: Fax: E - mail: Each additional branch circuit •
('LAN: 111.V11-,W (Please art It :t11 lit :rt apply Misc. (Service orfee+desnot
Each puro or irrigation smile 2
O Service over 225 amps commercial Cl Health-care facility Bach sign or outline lighting - 2
O Service over.320 amps -rating of I&2 0 }hazardous location
family dwellings ❑ Building over 10.000 square feet four or Signal circuit(.) or a limited energy panel, 2
O System over•600 volts nominal mote residential units in one structure alteration, or extension
O Building over three stories 0 Feeders, 400 amps or more *Description:
Cl Occupant load over 99 persons Cl Manufactured structures or RV park Each additional Inspection over the allowable In any of the ahem
O Egreas/Iightingplan Cl Other. Perinapection C I 1 I
Submit ^ sets of plans with any of the above. Investigation fee
The move are not applicable to temporary construction service. Other � q
r aft w re more la adoati' Notice: This permit application Permit fee $ < �itl moos coca+ � ! ' t cards. phase call man review (at _ %) $
w ise O I as n expires if a permit is not obtained � . qs
custu aemeerf ` 1 310 b B 7317 03 / / 7 within 180 days after it has been State surcharge (8%) .... $ • 9D
t'Wa el _ r_j _ C. accepted as complete. TOTAL S
44o -4615 (6/0 OM)
s. c waw masr J
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 '
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested % AM PM BUP
Location ( � 1 Y T 3 r v V / Suite MEC
Contact Person Ph ( ) ,/ PLM
Contractor Ph / ) (to "IS SWR
BUILDING Tenant/Owner ELC
Footing ELC 3 - C i 9
Foundation Access:
Ftg Drain ®F F / L k\ LAT ST , ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear .
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall I . �. v 44
Fire Sprinkler
Fire Alarm
Susp'd Ceiling •
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
14b
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
ELES. 1ICAL
rvic
UG/Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SI fl Please call for rein pectio ' RE: /7 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date ' Q O Inspector L% —Anwar/
Other:
Final DO NOT REMOVE this Inspection record from the jo ' Ate.
PASS PART FAIL