12183 SW MILLVIEW COURT-1 iHnoo M31A111W MS MU
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12183 SW MILLVIEW CT
CITYOF TIGARD ELECTRICAL PERMIT
CITY
PERMIT 6: ELG2003.00545
DEVELOPMENT SERVICES DATE ISSUED: 8/29/03
13125 SW Hall Blvd.. Tigard. OR 97223 (5031 639-4171 PARGEL: 1S134CB-11800
SITE ADDRESS, 12183 SW MILLVIEW CT
susniVISION: M!LLVIEW ZONING: R-4.5
RLC:,K: LOT: 018 JURISDICTION: TIG
Project Description: Kitchen, bath 8 family room remodel.lights/plugs/phone/TV ca' le
RESIDENTIAL_UNIT _ TEMP S_RVC!FEE_DER.S _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADDT 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 1 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601+an rs-1000 volts- MINOR l-ABEL (10):
SF'RVICE/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: 9 !N PLANT•.
601 - 1000 amp: _ _ PLAN REVIFN SECTION
10004 amp/volt: >-4 RES UNITS: >600 VOLT NOMINAL:
Reconnect onlx: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
BARNES, JEFFREY G+ SUSAN G HERERLE ELECTRIC
12183 SW MILLVIEW CT 19680 SW NEUGESAUER RD
TIGARD,OR 97223 HILLSBORO,OR 97123
Phone: 503-590-3158 Phone: 503-628-2095
Reg#: SUP 30535
LIC 157.342
_- FEES �1 ELE 34-160C
Deucription Date Amount Required Inazoections
[ELPRMT]ELC P--imit 8/29103 $181.70
[TAX]8%State Tax 8/29'03 $14.53 Rough-in
Wall Cover
Total 5196.23 Elect'I Final
This Permit is issued si.,ojed to the reguiatiom contained in the i igard Municipal Code,State of OR.Specialty Codes and all other appilcable laws. All
work will be dc.ne in acc ordenoe with approved plant. This pern,'t will expire if work Is not started within 180 days of issuance,or 9 work is susoended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notiticstlor Center. Those rules ar(d set
forth in OAR 952-001-00")through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)24613699 or
1-800-332-2344.
W Issued By: Permit Signature: -
U) -- -
'' OWNER INSTALLATION ONLY
JThe installation is being made on property I own which is not intended for sale, lease, or rent.
L0
V OWNER'S SIGNATURE: M_ DATE: _
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: —_v_ DATE:-
LICENSE: NO:
Call 639-4175 by 7:00pm for an Inspection the next busiriess day
08/28/2003 !1:39 503628307E '4E13ERLE ELZURIC F'AGF 01
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Approval sign of Tigard a
.:
i)ate/B� Permit Na_
13(23 SW Hall Blvd• Plan Review oM.:r
Tigard,Oregon 97223 DalelOPermit No.,,
Phone: 503•639-4171 Fax: 503-598-1960
Pant-Review band tke
Internet: WWWA.ti ard.orms U11 tact -- _ s,
g Contact �t
Juri . Sot i'axt 2 b�
24-hour inspection Request: 503.639-4175 Nome/Melhod:
� — sa Iemen(Al lalbrinatto■.
TYPE
Of'!!.. O r.'� 7. " P / Y f:ldti9ay't t�'k li 1 Wtlt,il '+,
Ncw caIlSllvctiort _ UcmalitlaYr.. 4crvlcc over 223 amps• I Ito th-tarn icily
corinNcrcial Ilarardm a location
T At,dition/a;terattotl/r lacertlelit other: El fle►vice over 320 an>ns-rolina or U1111ding over 10,1100 x9.13rs Ike!.
'!&ATKUOR F ON3TR 4 1 } rl u, t ' f&2%..oyiivtmng, N...or trNare resldcntlxl:rolts in
I &2-I;amil dwelling Commercial/Industrial Sy%tem Inver 60..)volts nonllaal one aimclurc
Auildina over Ihtee stories 1'ccrierx,4W anNps or noxa
ACCCSBU Duildln N1ull1-Family - _ Occupant load over 99 pennon- ManufYclumd structures or RV park
Master Builder Other: 11gressAlghting plan P Other:
:.,•.p•r.•, -. Sahnllt_V At(a or Plans With any erlhe sloom
J00 SITE Mfrui M l ktld. Cl►G.. t 0 The above are net a icable tern .r■r co■strilNioa servlet.
JOU sitt addrlss-L w W1 tU..�1' ':'1. "_ V �,ti""•;: '.";y�'.
Suite N: _ "�" Z !i
Ink.—g./Apt,#: No0itr orina cellona pear orrnItallonca
ral
1'f2jcct Nalrlp: " UHcrlid .,� 9111 ••(„. Tot
Crocq street/Directions to job site: NrnreeldcMlatstnRkarsnMpl-fMr
dwelling salt,laeurdex attached Morass.
ftrw '>t;A� Service IMtnded:
1000 It or lean 143.15 4
��V- `'P (- hA I LI-Vt L41) a illonai 00..^or po of! 33,40 ----
$Ebi diviaicln: Lot#: Unused enrxar,tea 111 00 2
_ _�r r• 2644ottng, non resident■ 2
J*Rx Ilia / arcel C reach menurxcl Nted hams of n er we —
'vLSCR1P'['1 'OF'W r, r° "',1 service!llNW!n II!eder 2
• ' � 9trvlcea ar krdm-leaullalba,
Y, —v (301011X Poo ellorallnn nr rrlotatloa:
200 ampsa le„ n
anto— 0 amps
.mpg to title am 1Q0.60
Vp to 100 _ 240.60 2
i 31.65 v. T0
Over 1� fIno ls
-�
Alii t.�'Ii .. ^_!�_,?INI'� vim---_ Reconnect only 6F.t13
AMA-- ��� � Temparory servlet,or ktdera-Inslalirtlaa,
allocation.or rde,allon:
City/Statc.'Zip: _ 200wrlpaatau 66,93t
11110114:5MI.r ' No
^�D1 amnt b�°"mp' 1. 0 2
t am
IU Breach
clrealt,-ser.alteration,or
_Name: alienation prr paeeh
A.Pec Ibr branch eireno.4 with rtrrhose of
Address: _ service or Rehr er fcc.tach branch cittul 6 Z
Clt /S(atC/Zll): D.Fa—a tb►�rinrh circttd w Ih�an a�ahec n g
x ----- — service or er feel- t�anc�i cit 4d,llS
Eacha4. tioi �chcvit 6.hS
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.1J-ltlall: Mlae.(Se*vteo ar mac.oat included',: �---
h, rFAoh pmp ci itri t thele
I1�IfA� OR .40 2
or ne holo y
Job No: -signal chcrtlt(s)or a t+mned enw`y panel,
f- Allo or witonaion Pass2 z
Business NanW 'IEBERLE ELECTRIC r xrrprlani
Address: 19680 SW NEUGEBAUER RD-
City/Stele/Zip:
D-Cil /Stelt;/Zi : H I LLSBORO r OR =qc
bath additional Int errlosever tilt allewablito An erthe n yet _u iniron rho m6r.1'Iwne: O -6 2 - rax:CCD Lic.#:15 2 3 4 2 Lic.#: ,iU ”' ! ft` ''
W gupervising electrician Subtotal s o
_j
91 nature uired: Plan Ztcvicw �.$ v Permit Fes S
MPrint Name:Jeff r e L. Lic. #: –5 Stats Surchar c 8•/r of Permit Pei
HEBER ETOTAL PERMIT FEF S
4
Aulhori Notice: Tilts perrnit wppacalen expire•Ira perm t Ix MM ehidned within
9ighMrr _ I)ate:4- Igo days Orr It ha bm steepled a+complete.
•r'te n-hurl-;,►gr act try Tri-Coa■ly npllding Indattr•y 3trvlce Donrd.
(Please print mom)
i:1p�N\Perrrtit F'etttlalHle.PermilApp.dnc OIID3
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639.4175
INSPECTION DIVISION Business Line: (503)63!9-4171 MST __-
BUP
Received — Date Requested AM __—PM BUP
Location _T 1 ;L1 33 Suite------ MEC
Contact Person _ _- _ Ph(,—) PLM —_
Contractor Fh(__s_) R-30_--6 7L SWR
BUILDING _ Tenant/Owner _ — ELC 3__4�
Footing
Foundation ELC
Access:
Ftg Drain ELR __—_—
Crawl Drain
Slab Inspection Notes: Srr
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 _--
PASS PART FAIL ----- ---- -__ `�
_MECHANICAL
Post& Beam _ -_�� .--- -- --- ---- — --
Rough-In
Gas Line
IL Smoke Dampers ---- - — ---
Final
W PASS PART FAIL. ---- --------- -
ELECTRICAL _
J Service -�
m Rough-In
� UG/Slab ----- ----------- --
_ Low Voltage --- -- - ------ - _ _ ----�-- _ --
FitAlarm 1:1�11
PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE - Please call for reinspection RE:-- Unable to Inspect-no access
Fire Supply Line
ADA Dab_._�1_� --�-- Inspector�
Approacn/Sidewalk —
Other: --L U GCN99-.
- -
Final DO NOT REMOVE this Inspection record from the Job city.
PASS PANT FAIL
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