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14240 SW Pacific Hwy
ELECTRICAL. SER -
CITY OF TIGAR D
RESTRICTED ENERGY
DEVELOPMENT SERVICES � PERMIT#: FLR200200060
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/5/02
SITE ADDRESS: 1-1240 SW PACIFIC HWY PARCEL: 2SI 10AA 01100
SUBDIVISION: ZONING: G-G
BLOCK: LOT: JURISDI"TION: TIG
Proiect Descriution: Burglar Alarm
A. RESIDENTIAL _ _ B.COMMERCIAL _
AUDIO& STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER- HVAC- PROTECTIVE Sl(-:,NAL- X
INSTRUMENTATION: OTHER:
TOTAL# OF SYSTEMS. 1
Owner: Contractor:
BATES, STEPHEN C + JODETTE S PHILLIPS ELECTRONICS
10430 SVV VIEW TERRACE (DBA FOR MASTER ALARM L.L.C.)
TIGARD, OR 97224 1110 NW FLANDERS
PORTLAND, OR 97209
Phur.e. Phone: 222-5083
Reg #: LIC 125364
ELE 26-213CLE
FEES _ _ Required Inspections
Type By 'Date Amount Receipt r Low Voltage Inspection _
PRMT CTR 4/5/02 _ $75.00 2720020000 Elect'I Final
5PCT GTR 4/5/02 $6.00 2720020000
Total $81.00
L
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 per nit 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,-9010 fFtrough OAR 952-001-0080. You may obtain copias of these rules or direct questions to OUNC at (5)3)
246-1 7. /
Issue by _ L(�� VEL Permittee Signature
OWNER INSTALLATION ONLY
The Installation Is being made on property I own which Is not Intended for salA. lease, or re.;".
OWNER'S 0I13NATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELFC'N
LICENSE NO: --- - - -_- ---
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
04/05/2002 13:03 50322/4992 PAGE 01
04/08/2002 13:54 PAX 6035931960 SAH '�F TIGAED RI002
Elcctrical IPLrm itAppii"tion
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Mess: _
t"ire Tr�ard ^ ,(3115 SW I•fav ,T
v ( 11 rlldDotelssued: By: Rtcetptno_
Phone: (503)639-4171 -- —
Fax: (503)59&1960 APR Case file 101: Paynvantrype:
Tend use approval: C"'Y GIF f WAKJ_
7
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i,,h address: .S,Gt?, �i�_ Bldg.no.: Suitt uv,: Tax map/tax lot/at cow,t no.:
Ler Bloalt: Subdi.esiuu:
Pe+p eCt name. u �� tioA_n MW location of work on Qitmisea: E
Bitimawd dare of rompletion/'una rw
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IS no: pre Atnn
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City: - I Srntr17-7:_ ��� 9ervltihrladed:
Phone: Fax Z E-mats 1000 sq.R or tela 4
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City C.no.: Umit ttnew,oon rlor_Ideadnl 2
13p Thr nU-nulnontr% normodutard�+elling
9i nenurc o wpnvisi Kn
Sewer an(Jot fewerrieltft(t-lelan( uieeE 17ste i� 2
gap.Meet-nnroo(grinV• OGCV� f.x.� Itttu w:' . ryerfe erb-irlll �
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ailing address: bol amps tc 1000 talpl
tsm - 1?TP — p„er 1 sot
Pbrioe; TFnx: ��F�mail: econnerta+P
Owner install on- be in%WAflon Is being made on pmpfhtty76W1j taarthre■neervlee■erf%lrlrxs.
which is ncit intei ded for We,lease,rant,or f-%Ct lge Acroro•,:Q to beftUadon,e-rattew,erreloaad at
OXS 447,455,4?s%670,701, 200 nntpe at lent 1
_201%rrrne r^•�';,ttpa _ _
O"ees 5i 8t11Te: nate: 441 to 600 elope -
rineA circ■itJ-now,alterette n,
or eVewdIM (fpr p■d0k
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Address: _ servicem fe"fee,gob nnurtb cimult
$tate: �
Cit - ZIP: B P.for h cireida witiwur pntrlf■x
---- - of atxvtn er feeder foe,thst Dnnlit cittuits
MUM 1-: F•mail: BitM�rfiNonu%raocficirntlr
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O-%mvireever:120amps•rllftnt IA2 f]Harardeualoearion FuhMarl oroadinellgt,un 7
knilydwellings Usuddingover 10,000aquerefeet four mr SianelrirtanIll)ofaltmUdstagyWel-
Cl Syvernawt 600 volts non ind rwre nzie ndal units in one etrutture alleradon,orextene;nne
0Aautlingoveremstorke UFee4erl,400anpeormtore elksai" _.
U oofwpant load ever 99 prrtons n Mauufsctured amfeatres or Rv park per,■dAltSmrw�k gpnrrlal eber ovrA as dtlrt arm.
13 RStmiriighlimp flan O otlmr. -
shbooat—eeft of plefa with cop orthe above.
(nve+tigation Ar
The above U*heat npplitaabla to temporml cutaslenetlon service. PerOther _
�Ma efi,Irr MlW,■e eaegn rndlf ar.dM glove an lwiMleUat r. wton m&n Notice:Thtt pettnit/ppUr:etion non it foo.......... .........'
! expires if a it is not oMained fan tttrvi�(Al � 91•) 9 .
t]Yes L3MratmCord xp Pery �-
w(ddn Igo days%Eley It hat been 8tat�suttlutrRe fR 1F)....�
t'fcdt cud frnnb. — — eepl"ne
arceytod as complete
TOTAL ............... S
_ f
All"—�--c�ielaer ejr•ue —Aatw�,N a/D-515(p06e'Ohq
CITY OF TIGARD 24-Hour
BUILDING Inspecticn Line: (503)639-4175
--
114SPECTION DIVISION Business Line: (503) 639-4171
BLIP
Received __-__-___-_______ Date Requested__- �a� AM--_ ___ K4_ BLIP
Location _._.... Suite _ _ _ _--- MEC
Contact Person ------ -- Ph (--—) ------ PLM - -----
Contractor __-__- Ph(--) a�'�--`� g3- SWR
BUILDING I 'Tenant/Owner �? _ ELC --- -- -
Footing ELC _
Foundation Access:
Ftg Drain ELR J1 I�Cb� 6 6 Oto
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam - _-_ ---- --- _
Shear Anchors
Ext Sheath/Shear -
Int Sheath/Shoar
Framing
Insulation
Drywall
Drywall Nailing
Firewall
Fire Sprin'aer
--
Fire Alarm
Susp'd Ceiling ------
Roof
Other. ---
Final --.
PASS PART FAIL
PLUMBING -- - -- - - --- - - -- --- -- -
Poet&Beam
IUnder Slab -- - - ---------
Rough-In - -
Water Service
Sanitary Sewer
Rain Drainfi -"- -
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 -- -
Rough-In _ _ -
UG/Slab
N Voitag --__ - - --- --
nn
a�Ss
� Reinspection tee of$_- requir id before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
L] Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Dste-*L -r- - Inspector' -
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
UV 1 F'I ED SEWERAGE AGENCY OF AASH 1 t4GTCNV COUNTY
— TOTAL TOTAL
F 1 XTIATE VALUE NUMBER NL*UMM
BAPTISTRY/FONT 4
k3A7H TUB/SHOWER 4
- JACUZ/WHM 4
CUSPIDOR/WATER ASP 1
O154-(WASHER - COMMER 4
- DOMEST 2
�DR I IVC 1 NG F"OUN TA I N 1
FLOOR DRAIN '- 2 INCH 2 �?
1 1NC31 5
4 INCH 6
GARBAGE DISPOSAL.
- DOM (TO 3/A t(P) 16
COMA ('m, 5 Hp) 12
IND (OVER 5 HP) 46
OIL SEP (GAS STA) 6
S14OVER
STALL 2
- BRAALCY 5
-- rCMA(ERC 1 AL 3
- SERV I O��F. ]
WASHEn', CLd)'TI(ES 6
WATER EXT 5
WATER ;LOSET 6
UFT 1 NAL a 6
DLA TOTAL
EDU _
BUSINESS :L
ADDRESS / �/f�L ✓C yl�r�17C /I.L 1/ MRM I T hu7. ,P_ C _
TAX MAP/LOT
7]-25 R8T