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Permit CITY OF TIGARD ELECTRICAL PERMIT ° �( PERMIT #: ELC2008 -00204 COMMUNITY DEVELOPMENT DATE ISSUED: 4 /8/2008 T 'GARIJ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 104AD -03101 SITE ADDRESS: 12976 SW WALNUT ST ZONING: R -4.5 SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: LAYTON Project Description: Installing (2) branch circuits. 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: SIGNAL/PANEL: 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: 1 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: ELIZABETH LAYTON MICHAEL RAFFAELL CONSTRUCTION 12976 SW WALNUT PO BOX 1673 TIGARD, OR 97223 OREGON CITY, OR 97045 Phone: 503 - 590 -0236 Contact #: PRI 503 - 632 - 6720 FAX 503 - 632 -6732 FEES Description Date Amount Reg #: ELE 3 -299C [ELPRMT] ELC Permit 4/8/2008 $53.50 LIC 58422 [TAX] 12% State Surchar 4/8/2008 $6.42 SUP 2562S Total $59.92 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: ---y Permittee Signature: 2 ��1 / /xl �rN NER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. - 04/08/2008 13:07 5036326732 MICHAELRAFFAEL PAGE 03/03 i x- .� E ar f1R(1F.1Ir I I�r << I1 '�7 � ' City o Tigard '` �° O$ � t ' v 4- "" 13125 Sw Ha118tvd. Tig I � K C7 7 0 • R •' I I U 0 PCrR7iT NA.: �j y , F `� R OA Ptt . Review C/(J[I OCJ -^ "� , Mom: 501639.4171 Fax: 5 c3.s95,196t?' Inspection Lim' 503 .639,4175 1 1 ' ® ��• C ~ ;1�°' Dr.�` x., =..i --4 Te , . [Jane b � ��J 7 + town. : 11 , L� v Notifie s +irarb. it New •.�+..+, . .. , ll. 1'y1�O4r a . ..;.:4 .: COostnction 1 Addition/alteration .iacement Plt•� : `'• r � d tat k A that aPP (srtltmit y »+ of poi camas chocked below) Demolition C3 0l Satvice or 4o0er 400 amp. or wpm Q ao over btret nom, wttera rite romtlabie troll currant O Warns a s havoc:5p. ' ` ` . • COMM' OF t. , r r .4 r t,.. =soh 10,000 xtsps at T10 vole or © Romans tadidisres, CG T - and family dwelling CI CommarcipUindastr lal 171 Accessory building lm to ground a �e 14.000 0 cam orei-ot.�, poriaettami Mttltt•fnmil 0 Master builder IS Other ror other 1aaa11arftx� eai la n ati � � pomp, ❑ ingalladon of 75 KYA of - Irate sep?ratcly derived aysftcrt, Job 170.: 7a �1"�OPf t r / [,p LOCATION Q wear of carload or 0 A. ^, y-2" .. 19 7 t'A S 1/-f 414 - siii ermotc. orxvptmay. Cliy /$ratrl�p: /� - &ix or mine >�Identtal Min. Q R0011000001 .ate p>� " r ' 4 . . Q _ . , QH�tt . rc f I t 1 jrs. 0 Snooty ...,hep rot moo. runt Snhr•1bldg./ apt no.: Projrct name: Gil do tgeAtl sOo w►ts conduit, ' � 4 _ s: t .. I. 0 &Mom or *odor boo maps omen, Cross steer/direcdons to job site: ° g Nlcw, , • • id s or emelamily are malt. Subdivision: .- Includes Includes mended [wtL no.: 11000 {t; � � Tax stlsllplptuflel no.: . add'1 S00 sq. ft. or , on 33.40 Min ' . . ,... ' • D� OY TJVd�tEt: , re aldeatird M • 75.00 11111111 Unwed energy. mu1n.t5ntity a" • - `" residential wits above :.. n. 7 �� _ '3fhvlee9 or - , r" r r ( �. 7�P 200 amps or less ", S030 201 to 400 r 106.85 �.t, 40 amps to 600 area in tto,6o d ,.i-. . � 60 amps to 1.000 stn 240.60 IIIMIEll CIty/Statr/LIP: cserIA00:. ..Orrrvlls `�© Phone: (5/) ) r �- 11111.1111111111.111111111 Ton ti on R ons intgQatlon ultmrtioa, and/or , 200 am • • Cr less Owner itlataQatina: This instal =foe is being made an property th9i 1 awn which is ttpt 2rn � to 440 am 1000 Warded fbr sale, lie, rent, or ectchange, eccording to RD S 447.449 670, and 701. 401 5 to 599 maps i33.75 Omer �� Date; r, Hell —nee 1,.. , or ,,.,r. 1 , . . :.. > • . • 0 cortex > hem h circuits with $us IMS flame: ft�eder Re, I 8.65 tiall WW1 eic4LLit k. ima Contact name: Es. °tor brawn emirs Watch *eta fcc 46.85 Ida= semis; Ell n 6,65 IMMIIII Kea men rod or nodular ' . is mrdtbr l 90.40 or ` - 'on circle 53.40 _ �1A Bus me 5igtN Or ovtlhro 1 _ y .: 33•4Q -- Add - r6 Steal atrcutt(a) or limited. - /� e^c�4Y panne], dtcratian, or extebAinrh Describe civ/State/ZIP: d A U 1 .T ± /? • '' O Estes i. „ : , . , over amide to the alcove Fax: ) _,. Par ion a50 MUM . Electrical Lie. — r Suprv. Lic..pa (1 lcmin) 6250 MOM . E1et�rici > an mature. t t ni 4 :. >I C"1C7 i:AL � �� Print amp./ - — ._.� Su yI w ^ ► Date O. G ., Arttlenfzlpe Signature: Stain surcharge (1296 door* foe): • Dar: T O T AL PERM FEE . U �penaa� xxp7ea are Ptah �RC1lt oat ;: r, 150 t t�ve.dae asr�lbn neer Rho ewe aeeeONd ma teat taoaortrtt rrostookr oic Mtge inspection Cowed per pemdt, CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2009- 00204 13125 SW Hall Blvd., Tigard,'OR 97223 DATE ISSUED: 4/8//2()00 Phone: (503) 639 -4171 � - � ,''' � L 1 Inspection Requests (24 Hrs.): (503) 639-4175 "__ INSPECTION WORKSHEET FOR DATE: 4111/2008 TIME: 7:01AMYi PAGE: 36 SITE ADDRESS: 12976 SW WALNUT Sr CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: LAYTON C DESCRIPTION: Insialiing:(2) branch. circuits. I".,,,, r ' l w. f 1 5 OWNER: LAY EI_IZABE1I PHONE #: 503.690 -0236 CONTRACTOR: MII.TIAEl. RAFF:AI' I:-L C:O1 STRUC:TION PHONE #: 50a-632.-6720 Inspection Request Scheduled For: Date: 4/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Hail i cal final 068190.01 503 -781 -9857 Y Corrections /Comments /Instructions: 2 PASS ❑ PARTIAL APPROVAL fl CANCEL n NO ACCESS FAIL n CALL •R INSPECTION ADDITIONAL FEES ASSESSED I Inspector: �� Date: 11 6 Phone #: (503) 718- / 4)