13740 SW LEAH TERRACE 1374C SW Leah Terrace
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST ---- -- --_
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP - - -
Peceived -__Date Requested AM PM_- BUP
Location _.Suite'/ MEC
Contact Person Ph(= -) `�` 'S /�-- -
PLM -
Contractor _ _ %�. :e �— -_ Ph( ) SWR -_-_
BUILDING lenant/Owne; �" �- ELC
'-'PLC
Four dation Access:
Ftg Crain cl.Ft -- - - -
Crawl Drain
Slab Inspection Notes: SI
Post&Loam ---- ---I
Shear Anchurs (' _ - -
Ext Sheath/.Shear :
Int Sheath/Shear
Framing _e
Insulation
Drywall Nailing i
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&seam
Rough-In --- -- -- - - - - -
Gas Line
:Smoke Dampers -- - ----- -
Final
PASS ?ART FAIL --
ECTF
ryc - �
�iugh In
UG/Slab - -- -- - -
Low Voltage
Fire Alarm
Final ^� Reinspection fee of$-- required befoi 9 next inspection. Pay at City Hall, 13125 SW Hall Blvd.
jifft PART FAIL
S _ C-� Please all for reinspection RE: - __ Unable to inspect-no access
Fire Supply Line _
ADA - Ext
Approach/Sidewalk Dab .. �_ 1111peOt!It_
Other:
Final -- — DO NOT REMOVE this inspection record from t :a Job site.
PASS PART FAIL
I I
TY 1ELECTRICAL PERMIT
O F �GA 2--
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�D
DEVELOPMENT SERVICES PERMIT#: ELC2.002-00586
13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 11i4/02
SITE ADDRESS: 1: 740 SW LEAH TERR PARCEL: 2S109BA-07600
SUBDIVISION: ZONING: R-7
BLOCK: LOT: 002 JURISDICTION: TIG
Project Description: 1 200amp temporary service for job trailer. 11-22-02 Added 1 branch circuit.
--- RESIDENTIAL UNIT __ _ TEM?SRVC/FEEDERS MISCELLANEOUS
1000 LESS: 0 - 200 amp: 1 PUMP/IRRIGATION:
EACH D 'L : 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITEEDD ENERGY: 401 - 600 amp: SIGNAL/PANEL:
NIANF HMI SVC/FDR: 601+amps - 1000 volts. 0):
MINOR LABEL (1
SERVICE/FEEDER BRANCH CIRCUITS __ __ ADD' IP'SPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: ( 1 ) PER INSPECTION:
i 201 - 400 amp: 1st W/O SRVC OR FDR.
- 600 am PER ;1UUR:
401
p� EA ADD'L RRNCH CIRC: IN PLANT:
601 - 1000 arnp:
_ PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS _: > 600 VOLT NOMINAL:
Reconnect onl!r —__--�v SVC/FDR>=225 AMPS: GLASS VOA/ NOMIN L:
Owner: Contractor: _
HEIGHTS CONS"fRUC l IOIJ DAVID JEROME ELECTRIC
1 PO BOX 751
PORTLANDD,,OR 97291
PO BOX HILLSBORO, OR 97123
O
Phone: 503-?91-2550 P'ione: 648-5144
_ Reg #: IiLE Z4-I t vc
^v_FEES
Description Date Amount
Ptth11 GLc'Pernnr — 11/4/02 _ Required Inspections
�Iil.
$66.85
ITAXJ 8%State Tru, 1114102 $5,35 Rough-in 1
E1.I111MTj ELI'Permit 11122102 $6.65 Elect'I Service
(additional fees not listed here) Elect'I Final
Total $79.38
This Permit is issued subject to the regula'ions contained in the Tig ad Municipai Code,State of OR Specialty Codes and all other applicable laws
All worx will be done in accordance with approved plans This permit mil expire if work is not started within 180 days of issuance,or it work is
suspended for more then 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 952-0U1-0100 You may obtain copies of these rules ordirect questions to OUNC at(503)
246-6699 or 1-800-332-2344
Issued By: Lt=� -- Permit Signature:
V OWNER INSTALLATION ONLY
The installation is beinq made on property–I own whi,h is not intended for sale, lease, or rent
OWNER'S SIGNATURE: DATE:__,
______._ CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SU PR. E`,.EC'N:
LICENSE NO:
Call C39-4175 by 7:00pm for an inspection the next business day
0
CITY OF T'IGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: ELC2002-00586)
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DALE ISSUE D: 1114/02
SITE ADDRESS: 13740 SW LEAH TERR PARCEL: 2S109BA-07600
SUBDIVISION: ZONING: R-7
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: 1 200arnp temporary service for job trailer.
— RESIDENTIAL UNIT TEMP 3RVC/FEEDERSy
1000 SF OR LESS: — — _ MISCELLAIJEOUS
0 200 amp: PUMP/IRRIGATION:—
EACN.ADD'L 500SF: 201 - 400 am
LJ JIITED ENERGY: p• SIGN/OUT LINE LTG:
401 - oo amp: SIGNAL/PANEL:
MAW HMI SVC/FD12: 601+amps - 1000 volts:
SERVICE/FEEDER MINOR LABEL (10):
-- --- BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 20C amp: W/SERVICE OR FEEDER: —
201 - 400 amp PER INSPECTION:
1st W/O SRVC OR FDR: PER HOUR:
- 600 amp: EA ADD'L BRNCH CIRC:
601 - 1000 amp: IN PLANT:
1000+ amp/volt: — - —_�_ PLAN Rr:'/IFW SECTION
>=4 REQ 'NITS: :600 VOLT NOMINAL: —
Reconnect only: SVC/FDR>=225 AMPS:
-- CLASS AREA/SPEC UCC:
Owner: —
HEIGHTS CONSTRUCTION Contractor:
1 DAVID JEROME ELECTRIC
PO BOX 91249 PO BOX 751
PORTLAND,OR 97291 HILLSBORO,OR 97123
Phone: 503-291-2550 Phone: 648-5144
—_ Reg #: I:L.I: 34-11%'
FEES
Description Date — Amount
I I l.l'RM-I'j EL.0 Penn,, 11 4 (r, Required Inspections
1 1 4 n? $$5.85
I l'AXj 8%Slatc Tar � Rough-In -- ---
$5.35
Elect'I Service
Total $72,20 Elect'I Final
L_ I
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 dome in accordance 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 952-001-001 C through OAR 952-001-0100. You may obtain copies of these rules ordirect questions to OUNC at(503)
246 6699 or 1.800-332-2344.
Issued By: Permit Signature: ", r
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not iritended for sale, lease, or rent.
OWNER'S SIGNATURE:
DATE:
_--CONTRACTOR INSTALLATION ONLY _
SIGNATURE OF SUPR. EI.EC'N:
_ DATE:
LICENSE N O:
Call 639.4175 by 7:00pm for an inspection the next business day
r
< ( ,D
Electrical mit Application
-" Datereceived: Permitna.:
Im City Tigard Project/appl.no.: Expiredate:
City ofTigarr! Address: 1 125 S W vd,Tigard,OR 97223 Date Mued: By: Receipt no.:
Phone: (503) . -4171
Fax: (503) 598-1960 Case File no.: Payment type:
Land use approval:
r
&2 family dwelling or accessory 0 Commercial/industrial L-] Multi-fa yy LL/ nant i revcrr nt
❑New construction O Addition/alteration/replacement U Other:) .=161 P' �-�J '
JOB SITE INFORMATION
Job address: T7`(O -S L Ea• �-- BIJg.no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: Snhdivision:
Project name. Description and location of work on premises: V. T" is, ,
Estimated date of co on:
CONTRACTOR I
Fee I►tax
IjnSiness name:
_�>� E R 0 M E E L E(;T R I C Descri tion Oly. (ea.) Total no.fns
---- - New residential-single or multi-lamilypet,
Address: PO BOX 751 dwelling unit.Includes attached garage.
City. H I L L S B O R O State: OR['LIP: 97123 Serviceincluded:
Phone:6 4 8-514 4 Fax 6 4 8-9 7 2 E-mail: 1000 sq.ft.or less 4
3 4-119 C Each additional 500 sq.ft.or onion thereof
CCB no.: 36051 Elec.bus. tic.no: Limited energy,residential 2
City/metrolle.no.: 1M3 Limited energy,non-residential
ch manufactured home or modular dwelling
gig-no rc if sul>Nrvtsin-a ecu;non re_ red) Dale Service and/or feeder 2
Sup elect it: ri,int tD A V I D A J E R O M E License no:2 8 7 7 5 Services or feedersInstallation,
alteration or relocation:on:
PROPERTY OWNER
200 amps or less 2
Name(print): ; ( ,-V_Q r- 201 amps to 400 amps - -� 2
r - 401 amps to 600 amps 2
Nailing address: 7 r5,; O -( 601 amps to 1000 amps — 2
City: 01- t`lcr._� stator I zIP:�( �1_ ( Over 1000 amps or volts _---- 2
Phone: Z.j 3 L I Fax: I E-mail: R-connect only — - - -- I
Owner installation:The installation is being made on propert; I own Temporary serslces or feeder~-
which is not intended for sale,lease,rent,or exchange according to InstallalIon,a[feral ion,orrelocation-
ORS 447,455,479,670,701. 2W amps or less _ _ ���' 2
201 amps to 400 amps 2
Owner's sig mature: Date: 401 to 000 am s `—` _ — - 2
Branch circuits-new,alteration,
or extension per panel:
Narrte_v� _ A. Fee for branch circuits with purchase of
Address: _ service or feeder fee,each branch circuit _ 2
City: Slate: ZIP: B. Fee for branch circuits without purchase
— of service or feeder fee,first branch circuit: 2
Phone: Fru: 1: mail: Foch additional branch circuit:
PLAN REVIEW(VIesse check 9111 that apply) 111 is(.(Service or feeder not included):
11 Service over 225amps-commercial UHealth-ctaefacihr, Each pi.inporirrigation circle 2
❑Set-vice over 320amps-rating oft&2 Q lluxdnuslocati i Eao,sign or outline lighting 2
family dwellings U Building over MAW square feet four or Signal circult(s)or a limited energy panel,
U System over600 volts nondnal more residential units in one structure alteration,or extension* 2
❑Building overthree stories U Feeders,400 amps or more 'Description:
U Occupant load over 99 persons U Manufactured:,cruciates or RV park FJch additional Inspection over the allowable In any of the alcove:
O EgressAightingplan U Other: --- Perins ection —�—�-
Submit sets of plain will any otthe above. - - Investi ,tion tee
The above are not applicable to temporary construcllon service. Other
Permit fee.....................$
Not all jurisdictions accent credit csrdi,please call jurisdiction for mixt lWor :;tion. Notice:This permit application
❑Visa ❑MasterCard expires if a permit is not obtained Plan review(at _ %) $ __rT
Credit card number: __ within 180 days ager it has been State surcharge(8%) ....$ 5
Fxp1fes accepted as complete. TOTAL ....•...........•....•.$
Nae of cardholder own on credit card -
Name u s
S
Cardholder Npmture Amount 440-4615(NDWOM)