11710 SW 121ST AVENUE a
V
G
:n
tom:
n
3MSAV SSTZT DSS OUTT —
ELGCI''ICALPERMif
CITY OF TIGARD
DEVELOPMENT SERVICES DATE ISSUED:PERMIT 4/28?0 00-007.09
13125 b W Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S134CD-04200
SITE ADDRESS: 11710 SW 121ST AVE
SUBDIVISION- BURLWOOD ZONING: R-4 5
BI SLK: LOT : 002 JURISDICTION: TIG
Project Description: Reconnect only
RESIDENTIAL UNIT TER IP SRVC/FEEDERS MISCELLANEOUS
--��3`iraRTS- 0 - 200 amp: PUMP/IRRIGATION:
EACH AUDI. 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HIiAI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL. (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
7 - 200 amp: W/SEkVICE OR FEEDER: - ITRI ITPECTION:
Zvi - 4G0 amp: 1st W/O SRVC OR FDR: PER HOUR:
40.1 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
L1000+ amploolt: >=4 :_ --..-- - > 600 VOLT . --
Reconnec.( only: 1 SVC/FDR>= 225 .'aMPS: _ _ CLASS ARE a/SPEC OCC:
Owner: Contractor:
BETTY API_ING GALLAGHER ELECTRIC
13208 SW'JVELLINGTON PI_ 2895 NE DIVISION
TIGARD, OR 97223 PO BOX 70
GRESHAM, OR 97030
Phone: Phone: 666-8u iv
Reg #: LIC: 13536
SUP 6345
El_E 26-533C
_ FEES Required Inspections
Type By Date Amount Receipt
Elect'I Service
PRMT BON 4/28/00 $53 50 0001772 Elect'I Final
5P('J BON 4/28/00 $4.28 0001 772
Total $57.7$
This Permit is Issued subject to the regulations contained in the Tigard Municipal Cude,State of OR. Specialty Codes and all other app11.3ble laws All
work will be done In accordenon 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 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(.503)246-1987
PERMITTEE'S SIGNATURE ISSUED BY
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not inten ed for sale, lease, or rent _
OWNER'S SIGNATURE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _ _ DATE:--
LICENSE NO:
"all 6394176 by 7:00pm for an Inspection the next business day
BUP - Building Permit ELC - Electrical Permit
Inspection Descri tion Date Passed BY 4 Inspection Description Date Passed B
Footing/SetbackUnder round cover
Foundation wallsWall cov,;r
Footing drain — Ceiling cover
Waterproof bsmt walls Electrical rou h-in _
Slab Electrical service _
Crawl drain Electrical final
Underfloor insulation _ —
Post/beam structural
Shear walls/anchors ELTt - Restricted Energy Permit
Roof nailin Inspection Descri tion Date Passed
Firewall Low voltage
Tilt-up anel Y Electrical final
Mason /Reinforcement
Frami_ng�_
MFG-Structure set-up MEC - Mechanical Permit
Insulation _ ____ Ins tion Description Date Passed B
U wall nailing Post/beam mechanical
Suspended ceiling _ _ Gas line
Engineered soils Mechanical rough-in
Welding Lab Final Fire damper
Concrete Lab Final Duct work-
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation _.
Final ins ecf,
PLM - Plumbing Permit _
Ins tion 1Descrl tion Date Passed B
BUP - Fire Protection System Permit Plumbin underslab
Inspection Description Pate Passed By Crawl drain _
S rinkler underfloor/slab _ Post/beam plumbing _
Sprinkler rough-in _ Plumbing top-out
Sprinkler final — RP/backflow preventer
Fire_alarm final Rain drain _
_ Storm drain
Water service
SIT - Site Permit Sanitar sewer
inspection Description Date Passed B Culvert/,etch basin _
Footings Pum /fill .,e tic tank
Foundation walls Plumbing final _
Sprinkler supply lines
Sprinkler underfloor/slab
Catch basin/Manhole _ SWR - Sewer Permit
Engineered ils Inspecilon Descri tion Date Passed B
Engineering acSe tance Sanita sry ewer _
Final inspection Final inspection
INSPECTION RECORD - I111P, PLNI, SWR, EI,C, ELR, MEC, SIT PERMITS