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Permit A-,. CITY OF TIGARD ELECTRICAL PERMIT • PERMIT #: ELC2004 -00782 ' rek DEVELOPMENT SERVICES DATE ISSUED: 12/9/2004 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 - 4171 PARCEL: 2S112AA-01000 SITE ADDRESS: 14100 SW 72ND AVE SUBDIVISION: PP1992 -007 ZONING: I -H BLOCK: LOT : 001 JURISDICTION: TIG Project Description: Lighting fixture replacement, 1 for 1. 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: PER HOUR: 2 401 - 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: WILLIAMS CONTROLS INDUSTRIES INC ENERPART I NC 14100 SW 72ND AVE 24023 NE SHEA LANE TIGARD, OR 97224 TROUTDALE, OR 97060 Phone: 503 - 684 -8600 Phone: 503 - 492 -9944 Reg #: LIC 149258 ELE 26 -1102C FEES SUP 610S Description Date Amount Required Inspections [ELPRMT] ELC Permit 12/9/2004 $125.00 [TAX] 8% State Surcharge 12/9/2004 $10.00 Rough -in Elect'I Final Total $135.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are forth in •' - 95 -111 -0110 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-0 9 or 1 -800 -332 -2 4 . Iss ed By./ , I i tO l 1)a, 1 Permit Signatu e: / f,g—e, OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INS, ALLATI • N ONLY SIGNATURE OF SUPR. ELEC'N: 6' / /0-1/4____ DATE: LICENSE NO: C , IO S--- Call 639 -4175 by 7:OOpm for an inspection the next business day 12/08/2004 20:27 FAX 15034087224 ENERPART lJ002 /002 ,12/08/2004 16:53 FAX 5035981960 CITY OF TIGARD la 002 � ` l e C h l c a l Permit ADtI'Iic> 1 r O 1 1 , i: i r I r r ; I; ()NI City of 1 T5 SW Ha l e B Tigard, OR 9 FI 1 ° ff/iif -' • • 71 Phone: 503,639.4171 Fax 503.593.1960 (N 10 4 Diseilly w Odes Pamir Inspection Line: 503.639.4175 �V� _114- '1 1_, Dat Reidy/By ® 3a Pie 2 for Intranet: www.oitiganl.er.us R1 - totiBedT eauct a ggrilrell BoppiemoaralIofermaoua I❑ New o rarbru ion D Add' ,,, An.on/replacement Please -- al ■ :. apply: D Det�tolitiOn © Other: I., k 'V M ii& e' b ClServroe over 225 amps, oomm'I ❑Harstdons location ; ' • T9 +9 .. �., k..� �' �.rr •C:: �wz,;•no_ .as- -• . p 5 Ofl�dad ❑Sc vicc over 320 amps - rating Mulleins over 10,000 sq. ft, .{pair a•', i J 1':•' -''ai i .:e C•v'V �`• Iln :. .;. •n r i., �+, �.. ur:i� K.` �.._.:•r:ti.;�.in.: • • 3na5lti' w.. fattnly dwellla$s 4OfInOrE new residential • 1- end 2•ilamlly dwelling i'Commerdaundustrial • Accessory building D System over 600 volts nominal units in one structure Multi - 11m11y D Master builder D Other; ❑ Building ever thrao stories Dresden, 400 amps or more - �, z - oOccarpunt load over 99 persons DMeaafeaared structures or t r �.. a -- ,, . • D IFS Bb 6 P RV park I�.i..... i 6� 1°,- J ♦ I II �(, � 41• ;, � �i .vw � � E i bll 1811 Job no.: Job site address: /woo 5 7.z ue �b t� O a seta of with any of the above. City /StatdZIP: bed 46i ol ti 4 - 7 di.ok / the above are not applicable to temporary mnaauation eavioe, Suite/bldg./apt l no.: PtojeCt oatne: (,U ,t cans (, (N 4,9 noetotlaa QV- Act T `" Cross sweet/directions to job Site: New residential single- or mdtl -Molly dwelling trait. Include, •ttaehad mime. 1,000 sq. R or less 145.13 4 Subdivision: Lot no.; E. sdd'I 500 sq. A or portion 33.40 1 map/parcel Tex � Limited merpy, residenti 73.00 2 .. lf ,� ,� �;,.. . ., i - Limited energy. non- residential 75.00 2 err AL"k�l4t.- � 4. lo• " 1.../ .n 1. `�:r l ., ' ��T�. T: °"'x.14 _!]T. , - i t �� ,•" -' 6�eLrl.`.s.' t ti !�'1::�+�t Each IItaeUfaCatred or modular - PENIMINEIMERMITI dwelling, Bowies artdior Seeder 90.90 2 Semen= or readers imtallatio • a/tentina, and/or relocatiooe 200 amps or Tess 80.30 2 74 . .,iI:. :: %��aL� I�T m a TOl atiPsso400mnpa 106.85 2 Name: . i 401 mps w 600 amps 160.80 2 - 601 a to 1,000 snips 240.60 2 Address: Ova 1,000 amps or volts 454 .65 2 Roeoonnect only 66.85 2 r:,.: /w I' • Temporary ,flees or readers installation, alteration, ,. d or Phone (55 ) . g 11173.111111 Pax: ( ) , relocation 2 _ - anima a less 66.85 1 Owner installation: This installation is being made en property that I own which is not 201 to amPS 100.30 2 intended for gale, lease, tent, or exchange, wording to OILS 447, 449, 670, and 701_ 401 amps to 600 amps 199.75 2 Owner signat re: DM= Branch eireater- mew. alteration, oraxmoslon. Rel. panel ►' 7.,; p' :: , f �. r.' f:; r .. .. � A. Fee for branch etC11111 Whir ti i.?j„u .c <:�a� service or feeder fee, each tarnish circuit 6.65 2 e B. Fee for branch circuits COntaCt imam: ea_ i / f without aendoo or feed= fee, Address: a Opt " Sit Cc. L, each brand, circuit 46.85 2 Each add'I brunch circuit 6.65 2 Cie, /Sttte/Z1P: ,., 4 C OA' 9 O Mieeliaaeoua (service or feeder not iotlude Pump or irrigation circle 53,40 2 Ph011e: (SO ) y .4- 7 4 Fax: : ((D3) L - - - 4p 'sign or !Aim IigbNrl 53.4 2 E -mail: 4 env_ ' ow4 d , • - r e GS , Nc Signal eircail(s) or limited- . �L. >>,1, _ i, Describe: �..". _.. - ..n1 !.:•. � 0� , _., • .:i ,i :.y 6d414i .!aiH:'.N LU 1R.! 7. � Qri "mi. arm"; Gtr Busi>aesa name: •' / toaeasioa. Paget 2 -. Cr / arse -7' .41 - - Address: , 7 ! d� ' , . 1/ _ 0 3 L Each additional iaspecrioo over allowable to any of the above Pa inspection 62.50 City /Starc/ZIF: % p 04 /c_ D C 6 ' Inverngatloa nee hoar ti es ,. Pill 62.50 Phone: (kg ) fe y9 / e/ Fix: (do ) 91 - 9' -.t, Industrial .lave • hour T 1111111M01 MIMI CCB Lk.: ( -t - 0 1J/' Electrical Lie.: A -/ W-(., Suprv. Lie.: 4 le)... Subtotal '425 ' Suprv. Electric • i' - required: 1 , P GrZ a7 Plan review CIIS% of permit fcc) _ Print name: la: 1 -fall` y Date :) ('; l6 Stab turolmrfle (846 of permit feel le,' in on TOTAL PERMIT PEE 1 I V - Authorized sla rag This lanais a ' e M steepled � is me "fin tad Print name: ■■ Date: - O 0 • Pt emedesdete my tau byTd {lotauyMalang Weary Service Board •• Number ofiespeei ssperpermitgnawed is1 &u7russWetuIn,HLC-PmnINCDldoc I2141 4404607(10Aat/COMM14lE CITY OF TIGARD 24 -Hour BUILDING Inspectiop.Line; (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested AM PM BUP Location /d D 7 g Suite MEC Contact Person Ph ( )l - c l q i PLM Contractor / , ' Ph ( ) SWR LCJ BUILDING Tenant/Owner r}'\ C ' ��Y�4J1 ELC a76 - 0 U 78: Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Leycz Post & Beam Shear Anchors Ext Sheath/Shear Ina Sheath/Shear P J 4 � Framing - 477a-4/ Insulation �� + o � — -- — Drywall Nailing - I'��1 =� ` ` ' � L - 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 & Beam Rough -In Gas Line Smoke Dampers Final T FAIL �ECTRIG Service Rough -In a / - l I 1/4 V UG/Slab �{ 1 � Low Voltage l; �- ' ` v e 5 / PN r� Il/ ` l G / A Fire Alarm fP _ El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SS PART FAIL SITE ❑ Please call for reinspection RE: 1=1 Unable to inspect - no access Fire Supply Line ADA _ / Approach/Sidewalk Date /�� imps • " Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL