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Permit CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2008 -00346 COMMUNITY DEVELOPMENT DATE ISSUED: 6/18/2008 j'tGnRD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 = PARCEL: 1 S 133DD -02700 SITE ADDRESS: 12932 SW WINTER LAKE DR ZONING: R - 4.5 SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 2 LOT : 066 JURISDICTION: TIG PROJECT: BARGHOUTY Project Description: Reconnect gas furnace. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /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: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: YASER BARGHOUTY BEN'S HEATING & A/C 12932 SW WINTERLAKE DR PO BOX 80607 TIGARD, OR 97223 PORTLAND, OR 97280 Phone: 503 - 579 -0850 Contact #: PRI 503 - 233 -1779 FAX 503 - 651 -3345 FEES Description Date Amount Reg #: ELE 49LHR [ELPRMT] ELC Permit 6/18/2008 $46.85 LIC 64597 [TAX] 12% State Surchar 6/18/2008 $5.62 Total $52.47 REQUIRED ITEMS AND REPORTS 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 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 181 . - s. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 001 -0010 ough OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions t• • NC at 503.246.6699 or 1.800.332.2344. � � Issue By: ,� ,/ I Perm ittee Sig natur-%' 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 INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: - - +� /�'l'� DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. JUN�17 -2008 02:24 PM BENS HEATING 5 03 651 3345 P. 03 - - - • - v, v, � ILAA - tnnuc r rSMl ®002%403 - , JUN - 17 -000 01149 FPM BENI WRRTING 8503 001 3344 P.0 r � - +i 'AI �t6 C 0f • ' t' ;;;?.14 ` r S a $s 1'z to x Y ( ` j t f J :': t � ,V j�t , �'� ,Edy f 'S , t� I! � w �l - 1 ( y,. '•m a y�d y .,.r. Y I(Ir �� { j�u,* 5 - e' .4! + SWq itrm, QA 99 ,`'a /' .. "4" PeoNe,: 4--e-. '"'j .r; L t h ntO SO r SO) Na o J UN 1 7 00 i - • - ; �• 1410' 6 419! r ' 01kwRabbi • e A ! 7... 7 ��� t � , . e � ; � � 5 y f a t. 7 f i .r,llt I -•j , r r):'ny, 1 , -i ;Y YY t.,il , 1 �! , *all 0►- r t•' . ❑ New 00033500118 Db000ts sr Obtomitab sopsmo l w bobeing earp111pmoan. . • ,y s 1 , _ t �1� , v M�rflRofMNYf.l�A�9Qil --- MAMe+.. UWk, ! - i t,.. r Y°.g 1 '' a -1'1.':':"1"' : �'i hi. I baayetme. ►' ! l- and "may f ng . ~ Ot " ' Lao ��1 anre� al 15p w h. d : Flareap buaMey,,. MI Muld.lblMl �! 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Poo, b 6 , , 2 1 ' : 1. 41..- •. -: •: r.- ,.., Commix tlenle: C aa �t'F a O 44 A i Address I , -1.;.: t 6'b51 CityJBtottaIP: P1101161 UV, ) 31 !'9: Furs : It ) ) n ° 3 ___. t G -mI1ll r :a"'"C � 3 ' •.'.''�. t , tf: ';tA r w+4 cry ''' , ... 1 ._ i•'� -._ -• - . -� 011$16.44 41#1144 e ^rrr aeurapanaL a k 1, or LI Adrh s , ', , . - City/State/ZIP: r _ e� y S;tiTrri�: - .^ h ; "TC',TIl rr Poi (373) -,p 1?'^', 61,50 Blatitia+1ldC,. , 1'Ar'f fr ; *, TC;� elt''f":AL 2 >, rr m a pt' t Yf M na oot r Millilli=77 44 r . saw -. dilSbal`. • it 4bc1: . , � � K AutODFlad slgrlatulllf8 w �� " t, TOTAL P .1. 68 nit .. . ` I - . . _. r ,_ :r a �., , -- - a Iota 1 D� 4+ira b AV aaaplsd w rawprNe, • Il Muael eile 90 00rcl t I . rJl,itlie`.frri,a 1p: 0$ 41016 60,31/31142110W19114 CITY OF TIGARD _ BUILDING DIVISION PERMIT #: ELC2008 -00316 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: €W16/2000 Phone: (503) 639 - 4171 • "��'',i(�� Inspection Requests (24 Hrs.): (503) 639 -4175 s' INSPECTION WORKSHEET FOR DATE: 6/24/2001 TIME: 7:0 3AM PAGE: 43 SITE ADDRESS: 12932 SW WINTER LAKE DR CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 2 LOT #: 066 TYPE OF USE: PROJECT NAME: 13ARGFIOUIY DESCRIPTION: Reconnect gas furnace. OWNER: f3ARGHOU YASER PHONE #: 603 - 679 - 00&0 CONTRACTOR: UEN a HEATING & NC PHONE #: tiO3 .233 - 1779 Inspection Request Scheduled For: Date: 6/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message _` 199 Electrical final 071761 -01 503.233 -1779 N N. Y f Corrections /Comments /Instructions: (i)4/1 `\ c. PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS F AIL ❑ CALL FOR INSPECTION (l ADDITIONAL FEES ASSESSED NN Inspector: G --, � /--4 V ' �' Date: � � e6 Phone #: (503) LOLA