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X811 SW Spruce Street
CITY OF T I G A.R D _ ELECTRICAL PERMIT _
PERMIT#• ELC2002-00331
DEVELOPMEN)" SERVICES DATE ISSUED: 7/18/02
13125 SW Hall Blvi:., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AD-01103
SITE ADDRESS: 08811 SW SPRUCE ST
SUBDiVISION: ASHBROOK FARM ZONING: R-4.5
BLOCK: LOT : 013 JURISDICTION: TIC
Proiect Description: Relocate 20"amp service.
_ RESIDENTIAL UNIT — TEMP SR%;C/FEEDERS _ MIS_CELLANE�)US~
1000 SF OR LESS: 0– 200 amp: 1 ` PUMP/IRRIGATION:
EACH ADD'L 5008F: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amu: SIGNAL/PANEL:
i MANE HM/ SVC/ FDR: 601+ar"r,s - 1000 volts. MINOR I-ABEL (10):
_ SERVICE/FFEDER —_ BRANCH CIRCUITS A ADD'L. INSPECTICNS_
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'I_ BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+ arr.)/volt: >=4 RES UNITS: – > 600 VOLT NOMINAL: –
Reconnect only: _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: —
Owner: Contractor:
DAVID OAKLEY HARVEY ROSE ELECTRIC SERVICFS
8811 SW SPRUCE PO BOX 128
TIGARD, OR 97233 NORTH PLAINS, OR 97133
Phone: 503-452-7480 Phone:
Reg #: ELE 34-130C
LIC 00043084
SUP 27675
FEES _ _ _ Required Inspections_ _
Type By Date Amount Receipt Ru. n '
PRMT CTR 7/18/0' $80.?0 2720020000( I Elect•I Service
5PCT CTR '018/02 $6.42 2720020000( Elect'I Final
Totals $86,72
This Perry+it is issued subje,,t tj the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable
laws. All work will he done in accordance with approvers plans. This permit will expire if work Is not started within 180 days of issuarce, or if
work is suspended for more than 180 days. ATTEN TION: Oregon law requires you to follow rules adapted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001.0080. You may jbtain copies of these rules or direct questions to
Permit Signature: / Issued By:
OWNER INSTALLATION ONLY
The instailation is ti ing made on property I o.,,n vhich is not intended for sale, lease, rent.
OWNER'S SIGNATURE: �_.�. DATr..:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N:
LICENSE NO: L�" 1 -.� – ---- -- ------ ---
Call 639-4175 by 7:00pm for an inspection the next business day
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CITY CSFTIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION CtVISIO14'k .kms Business Line: (503)639-4171 BUI __.
9 Bir -
Received 4 " y Date Reque ed—__.—L' S_ AM_ PM___ BLIP
Location __ g g � Suite _ _ WIFI;
Contact Person _ __________ Ph( ) a _7q&- PLM --__
Contractor — -__ Ph(_ ) _ ___.- SWR _
BUILDING Tenant/Owner __ _ ELC �2
Footing ELC —
Foundation Accec-3:
Ftg Drain � �� Lt ELR
Crawl Drain _. 14
Slab Inspection Notes:
/ SIT
Post&Beam
Shear Anchurs
Ext Sheath/Sheer --
Int Sheath/Shear
d
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 i Manhole _
Storm Drain — —
ShowAr Pan _
Ott ier: —
Final ---�----
_ PASS PART FAIL ----A—
MECHANICAL -----
Post A Beam
Rough-In -- ---- ----- ------ -___ — — ------
Gas Line
Smoke Dampers ----------____�___---
Final
PASS PA.r,i FAIL — --- - -- - -
ECA,L
� ----
ervice ,
Roug-Ti-ln ----- -- — ----
UG/Slat,
Low Voltage —— __---- -- -- ----— — ------- ----
F Alarm
FinaP
PAS FART FAIL 1-1Reinspec-tion fee of$ _—required before next inspection. Pay at C4 Hall, 13125 SW Hall Blvd.
SITE__ Please call for reinspection RE:_..— _ ---� E] Unable to inspect--no access
Fire Sjpply Line
ADA
L�'LQ '!' 7 L�-�-.s F x t
Daftri.� - ----- Inspocto _ _ --
Approach/Sidewalk ! --—
Other:
Final b0 NOT REMOVE th's Inspection record from the job site.
PASS PART FAIL
CITY OF TIGA.RD 24-Hour
BUILDING Inspection Line: (503)639-4175 MS,r _ ---
INSPECTION DIVISION. Business Line: (503)639-4171 BUP —� —
t ;
Received { Date Requested AM— PM --__ BUP —_
Location SuiteMEC
_ __ — ---
i
Contact Person _ _ -- Ph(---) — — PLM
Contractor.— ___ _ --__ Ph(—) _--- __-- SWR
BUILDING Tenant/Owner __ --- ELC --- I
Footing ELC
Foundation Access: ELR
Ftg Drain
Crawl Drain - '
Slab Inspection Rotes: SIT
Post ix Beam - -- - --
Shear Anchors
ExtShenth/Shear -- -------
Int Sheath/Shear
Framing ------ ----- -- - ---- -
Insulation
Drywall Nailing - - -- ---- - --_- -
Firewall
Fire Sprinkler - -------- - -�-- - ---
Fire Alerm -_
Susp'd Ceiling - ---------- - --- �\/
Roof
Other. --
Final --
PASS PART FAIL
i PLUMBING __ __ --------------
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains -_—_- - --. - -
Catch Basin/Manhole
Storm Drain
Showar Pa.. -_ -- - --------- - -- - ---
Other:
Final
PASS PART FAIL --- -
__MF_CHANICAL --
Pobt& Beam _
Rough-In
Gas Line
Smoke Dampers - - ----
Final _
PASS PART FAIL - ------ --- _ -.--_s---
Service ,
Rough-In ---- --—. --- -
UG/Slab
Low Voltage _ - ----- ----
Fire.Alarm
Fintd u Reinspection fee of S_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ �f Please call for reinspection RE: F_j Unable to inspect-no access
Fire Supply Line
ADA Dst�_ � . ��. Inspector Ext
Approach/Sidewalk
-
Other:
Final DO NOT REMOVE this Inspection record from the lob site.
PASS PART FAIL