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13655 SW Steven Court
CITY
�� �I A��� _, ELECTRICAL PERMIT
[`•+; PERMIT#: ELC2002-00323
DEVELOPMENT SERVICES DATE ISSUED: 7/17/02
13125 SW Half Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102CC-04300
SITE ADDRESS: 13655 SW STEVEN CT
SUBDIVISION: BEREA ZONING: R-4.5
BLOCK: LOT : 004 JURISDICTION: TIG
Proiect Description: (2) new 200 amp services & (3) branch circuits
RESIDENTIAL UNIT TEMP S_RVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp 2 PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amn; SIGNAL/PANEL•.
MANF HMI SVC/ FDR- 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER_ _ BRANCH CIRCUITS_ —__ _ ADD'L INSPECTIONS
0 - 200 amu: W/SERVICE OR FEEDER: 3 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+ amu/volt: >-4 RES UNITS: > 600 VOLT NOMINAL:
Reconn,rt only _ ,SVC1FDR >= 225 AMPS: CLASS AREA/SPEC UCC:
Owner: Contractor:
SORENSEN, BROCK TICE ELECTRIC
13655 S'4 STEVEN CT PC BOX 15009
TIGARD, OR 97223 2139 SE BELMONT ST
PORTLAND,OR 97293-5009
Phone: Phone: 233-8801
Reg#: LIC 166
SUP 25865
ELE 26-126C
_ FEES Required Inspections
Type By Date Amount Receipt Rough-in l
5PCT CTR 7/17/02 $14.44 2720020000( Elegy"I Service
Elect'I Final
PRMT CTR 7/17/02 $180.55 2720020000(
Total $',94.99
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 a(:oordance 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. Al TENTION: 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 rides or direct questions to
Permit Signature: _ Issued By: � C
_ 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 INSTALLATIO14 ONLY
' SIGNATURE OF SUPR. ELEC'N: __ _ __ --- DATE:------
LICENSE NO. ----- -- —— —_------- — __ ----
Call 63?-4175 by 7:00pm for an Inspection the next business day *+
07/15/2002 10:08 503-572-8250 TICE ELECT.SERV.DF-PT PAGE 02
10/10+'JO "l-T 09:01 FAX 50 598 1850 CITY OF TfGARD ®002
A F'jxtrical Wr init Application
Due reotivad: ptawt no.; j'( (_ r
city of 'nez.eli rd ProjeeVapplJrw; Rzplradue:
CIryof11gard Address: 1312 ;W Hali Iilvd,Tigard,OR 97223 Datelaane4: i3r: Rscelptao,:
Phone: (:03) 639.4171 Caaeflit no.: paymenttype:
Fax: (503) 398-1960
Land use.approval:
fill W
1 Jt 2 family Awlaliag or acreaaory Cl crimmercinlltudtutdal CI MUIN-ftimlly U'tcnlwt irnprovcutcnt
J New constru:titxr �4
AddiNrxt/eltrra�l+m/replacrrtwr U 0(her: q YRrcia;
:ob sddfess q)s[ r'f _� HIdB.no S� /!
itc no.: fox n,a,) Iut loVaccountct
t �i: I block: —_ Subdivision:
Project namt }��.L 1 c;�- 4� ' eu::i rtiuu atxl locetlon cit work on{nendaea: NF,w. r��u j-�`.CY[�a.t1.tL—
Act
EsUlnared datt:of com letiodinsuccduo: r -
Poo
Job no; - - oto
9��.E1-�- flol tOp ca) Total n; +trp
DWII1C77 namC: i nc, r 1 ul•+�•i. L`�- -_--- evr -Iln{MofraMld. I�.r lypow
4ddrets: po BOX I Sn og. iNe114tgt�k IrxiaMeatMchedNrrKr
City State. 71P.
Phone r 5 _ 1000 .ft.ur lose
� .� m411: _ZrWL .>3 or rtitat thereof _
CCB nu.: hist.bw,lit.no. Umlted ener ,rwidendel
�c:ity/at trolir,.no., _yj 4Uraltrdenergy,non-raddaltial
_
ItachtnauufuTursdburaocu roo4olier Nalling
iut.clod.natr a9ultevtlaeelluudcxorrefclsodtdu
ure r L°^NI elecel54n v _ 8ecforedata
•4ttmo:laltoo,
(Prinlb Ueneto;
F16 .6 O+
100 turr+s or lea 1
kI i P iowun 1
Nnttu.(print, -- 401 a ►to 500 LMPS _ 2
Meiling address: _-.r— ._ _ t r tr 1040 amps ,•_•__,,., Z
volts
Pholke
—_.�... Fax: ptnail: �nneot and _ f
Tort
Owner insral•ado rMP.i
s nRtillarion ix being marts on property 1 own WtallFot'ry 0riwer
Mtatloa,►,}0tAf•►tlrtn,ar nloeitlon:
wwch is not Intended for ogle,learn,rrrl,of exchenIIe according to
GRS 417. 4S`,479,670, 701.
OF
Drift: 4t�y400an e cui•ne►rt aar eabo pay posit
_ -- taoaK 11"for brendr cfrwlb with ram ae of .; 19•9
Add[Wt. 1 taTies ortecdcrfee,each brsncbOmit -
C�yStl:e: ZIP,_— ta. Pec for ranch ciroul4 without purehsea
-y _cl edyicea feeder fee,first bWeh dreult: 2
r frax I? Itl+u1' t:acfiaddldonalbrindtdreull:
Up-(tSenles orNiOr not ladedod)t
{ •alth rMto�ley Each ut. ottnf 0tio0cinte
J +rrvtccn+or115atvt•�ainn>etalal 8adtsi toroudisell hUa 1
7 SerVice over 110 mnpuatuta of 1&2U!la ardrwr.boetloa S rill cirovh(A or a Ifetlud rn.-ray pattai,
hmllyriwellinea OauIdineover10OMfiquorereeltouror (E I 4 I
O Svnetnnver6M votn Mermaid nwon roe liatW unita u oneeiruetun allardon.aextaN oae —, J
Cl Fae•f4.r,40n aarpa or nmrc
, Q yolldina�"erltlreeltonea p►eGft qnn: --
O r1CuCN't'ond over"P~l Cl Manufa±tur.A s"WiUrs w civic it t�eh addlllaul hWj;"oa o1N t1N ellet►abN aai•t • _••,
:1 Eare+vl:ahunatian i.)Uthet-, __. - Perla un -- r�1 -T--�
Subatll___.. stets of VW'with nay•rIG a aboire. nvc►u aacn x
2brabnvtarta4
ciia able totempisra7a-mattacttoneu"IM 01!'ar - __. -
_. -
____ FR;nnit fee.....................S •
Vo uAtNulont ertyA cndlr etrN takareali)urledbuoa fit mss Waritetlee. Notice:This permit application Plan review(at ►b) S
to Q M - expires if a permit is not obtained
_ witbin Ito days after,It hu bm Buts ALsur ....rg�.....(11% ....S —�g4 —
"«ut ea,d numN TOTAL ....................$
194 99 acoeptedueofnplate.
i-----Fr � By VISp1
t!1 t^LL a M0r4 4164AI I rtLttO++':1�1
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP - -_-._..---
Received _ Date Requested _-- --AM - - PM - -_ BUP —
LocationS�`� Suite—.. MEC -
Contact Person _ _ Ph( ) _ PL.M
Contractor_�— _.�_ Ph(—) _7 �' SWR
BUILDING TenanVOvtjT-;____-_ 1214 ELC - 0 C.L3 L 3
Focting 3 ELC —_
Foundation Access:
Ftg Drain ELR _
Crawl Drain -- -
Slab Inspection Notes: Sll
Post&Beam - - ---- --
Shear Anchors
Ext Sheath/Shear -
Int Sheath/Shear
Framing --- --�
Insulation
Drywall Nailing — --. --- ---- — - -- 1
Firewall
Fire Sprinkler
Fire Alarm
Sl.3p'd Ceiling —
Rnof
Other:
Final
PASS PART FAIL.
PLUMBING
Po.t&Bearn
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
Smoke Dampers -- -- _ _----- - — --- --- -- -- ---
Final
PASS PART FAIL
Service
Rough-In
UG/Slab
Low Voltage - -- .. -- --- -- --- -- --
Fire Alarm
PA! PART FAIL Ej Reinspection fee of$_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE --- rr,-� Please call tar reinspection RE:- ____ Unable to inspect-no access
-_ l�
Fire Supply Line
ADA D� - Ins rpt- -,h- `� Ext -
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the J> h site.
PASS PART F41L_J