9100 SW EDGEWOOD STREET (D
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9100 SW EDGEWOOD ST
CITE' OF TIGARD ELECTRICAL PERMIT —
PERMIT#: ELC2004-00248
DEVELOPMENT SERVICES DATE ISSUED: 5/11/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639•4171 PARCEL: 2S102DC-01601
SITE ADDRESS: 09100 SW EDGES JOOD ST
SUBnIVISION: EDGEWOOD ZONING: R 4.5
BLOCK: LOT : 014 JURISDICTION: TIG
Project Description: Job No. 79860
RECONNECT ONLY
RESIDENTIAL UNIT TEMP SRVC;FEEDERS _MISCELLANEOUS_
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'l_500;F: 201 - A 1 amp: SIGNIOUT LINF LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 6101+amps -1000 volts: MINOR LABEL (10'1:
SERVICEIFEEDER BRANCH CIRCUITS ADD'I_INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSNEU I ION:
201 - 400 amp: 1st W/O SRVC OR FUR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _—PLAN REV;EW SECTION
10n0+ ampivolt: 4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: 1 SVC/SDR>=225 AMPS: CLASS AR'�,;SPEC OCC:
Owner: Contractor:
GILCHRIST, EARL J NONA OREGON ELECTRIC CONST/GROUP
9'100 SW EDGEWOOD ST 1010 SE 11TH AVE
TIGARD,OR 97223 PORTLAND, OR 97214
Phone: 503-639-7581 Phone: 503-234-9900
Reg #: LIC 203
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Slip 44605
FEES _ ELE 26-95C
Description Date Amount
Required Inspections
�I I I'l?%1I I LLC Permit 5/11/2004 $66.85
IAXXI S State S mcharec 5/1112004 $5.35 Elect'I Final
Total $72.20
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 Notitication Center. Those
rules are .at 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, .�- — Permit Signature: '6f�'I
_ 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
ATE: _LICENSE NO:
Call 6394175 by 7:00pm for an Inspection the next business day
MAY-10-04 11:21 AM FROM-Oregon FIact ric E5timatinQ 5032313587 T-192 P 001/002 F-142
�— L tricai Yeirt ai.ppl7tC: ttori
City of Tigard 4 Data received OFFICE-Us
�Vnr_m
13125 3W Mall Blvd �VO Proj at:t/a pl.no.: _ Expire dote:
Phone,(503)635.41?1,FAX:(503)598-1960 1 tD Date issued; B Receipt no.:
Internet address • ww.uUIgard.gr,pU1' ' ' N Case fila no.: -_ Pa rnty
ent
24-Hour Inspection Re ue tM.."11-411010
11&2 family dwelling or acm"ory U Muttl-farnNy, ❑ Tenant improvement
E3 Nowconstnlctlon E additonlalterationlre lacemem: ❑ Other: b Partial
J013 SIE INFORMATION
J Addreasr 9100 SW AUewcrod St _ F31d�.No.. rax map/tax tet/account no., _
Wit, Slack Subdivlslan _
Prolan Name: _ Nora Gilchrist Description anti location of work on premises: Reconnect Service i
Estir,lated Date of completion/ins ection, _
Will Nou call for Ins ecUon within 24 hours'1 Yes + No l7 Pro ice Contact Don Heman I I803 579�28T Phone
C(JNTRACTOR APPLICATION
Job No.: 79890 Description Q ca.lea Total mo
_ -�-- - Ow rose an u sing e
multi•family par dwelling
Puslness name:Orepen Electric Group _ __ _ unit Intrudes eaacned
garage.Service Iticludad:
Address: ioio SE 11th AvA _ _ 0 .594ri 145.15 S _ r
City;Portland IState,OR Zi :97214 Ea Addl S00 8F or Pw*m f 3340 $ r
Phone: 503 234.9800 F 503 234-1001 E-mall' Limited Enargy.t R 2 Famlry f 76.00 S 2
CCD no,.2W Elec.bus,tic,no-26-95C Llmilod ener0Y,Mula-Famli• 5 75.00 $ :
City/metro tic,No.; 1995 -' � - --
-- '-"—` - -- Ereh manulactured home or
motbnsr dwslllno. Servlco
401, 0 tt9_ 511012004 lindlorfeeCir.
Servleo or freedom�g -
.EIOct.N e f t:Mark I<c r License no' 6 Installation,Alteration or
Rulor:atien:
•' • 200 amps or less $ solo S
Name rimi : _ 29 lamps-400am S 106.96 B 1
Mailing Address: 4010m •900anins f 160.80 $ 2 1
CI State:,Zl eotampe-lacoamps s 240.10 $ _ a
Phone: Fax: —E•mail Over I 000 oryolfs $ 454.45 S
Owner installation., The Installation Is being made on property I own which is RoconnoO pnl 1 f __86.86 88,85
es
not intended for sale,lease,rent,or exchange according to HORS 447,4°5, Temporary Feeders•InsttaMllrviatioateo or
n,
479.R'I0,701. Alteration or Relocation:
Owner's sr nature: Vate: 200 11111115 Of leas S 69.96 5 2
201amps-400anlps f 100,70 S 2
Name: Over 01ar T90a nV% $ 133.75 S 2
Branch W.
Addfe S _ J^ Alteration or Extonslcn Por
Panel! A. Fee IW bmn:l
city State_ Z71R—_ _ -__--____.__ clrculls with purchase of service
or leader tee,each branch
Ph o: Fax: E-mail, dm a 8.061 6
B.Fee for branch circu-C
w1oul Purchase of Service or
PCAN REVIEW Feeder,115i Branch Oki f 48.85 $ z
O Service over 225 amps-comm d Health-care facility Each addibonol branch Wcult f 6.86 S
*Semce over 320 amps-raring of d Hazardous location Mlecavr '%ous-(service or
feeder not Included)
182 family dwellings 0 Sup0rng over 10,000 squere feet four or Rath pump oridlpaean r:krla i 63.40 $
❑System over 600 volts nominAl more residenUal units In one structure Each Sign or Outline Lighft f fi 40 S :
v Building over three stories Q Feeders,400 amps or more Signal Dlroult(s)or Umlted Energy
Panel A!Mrstron or Extension"
E)Occunent load aver A9 Qerson= ❑ Manuf:ncturAd ehuclurea or RV park s >8.00 S
Q Egressilighting plan O Othc,c_____ __
•Dr..cdp9om` T — -
Submit 2 seta of plana with any of tF-above.
The above are tri applicable to tempOrR y COnslnlcti;n service
Each Addldomllnepecflon over +�
-- --- are Allowable in any of tho
N�uea�JAIe peMflt appticot/on Above Per Inepec0on
explros If a permit Is not -
obtained within 180 days after 1t In"fitlgallon fee
-
hips Deeneceepme!as rinor
oemplefe- '--Perm((fee
Plan revieA 2551so-Do d
State Surcharge 8% !?5^33 '�`fr�
Total aTz,zo
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
PBUP
Received Z 3_1Date Requested AM PM BLIP
Location n� Z2G Suite MEC _
Contact Person —_— 1JVMPh(=j r� C1'fin ? to '7 PLM
Contractor Ph( ) ___ _ SWR
BUILDING Tenant/Owner ELCp -�� Z�l
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam _-
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
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
PAS_S PART_ FAIL
MECHANICAL
Post& Beam
Rough-in —
Gas Line
Smoke Dampers — --— — -- --- ---- —
Final
PASS PART FAIL -- — — — -- — —"�
ELECTRICAL
Service
Rough-In —
UG/Slab
Low Voltage
ire Alarm
ina ❑ Reinspection fee of$__— _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
Ss ART FAIL
_ y �� Please call for reinspection RE: ___--_ [] Unable to inspect—no access
Fire Supply Line
ADA � ��
Approech/SidDaft Inspoeo
ewalk -��----� `" —--------r"
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL