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Permit ELECTRICAL PERMIT CITY OF TIGARD PERMIT #: ELC2006 -00597 IOW e ���1l DEVELOPMENT SERVICES DATE ISSUED: 10/20/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S125DB 02700 SITE ADDRESS: 09210 SW 74TH AVE ZONING: R -4.5 SUBDIVISION: BOULEVARD HEIGHTS LOT : 004 JURISDICTION: TIG Project Description: Service change out. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 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: 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: TOWNES, WILLIAM B DISTINCT ELECTRIC, INC 9210 SW 74TH 4742 LIBERTY RD STE 219 TIGARD, OR 97223 SALEM, OR 97302 1 Phone: 503 - 310 -5861 Contact #: FAX 503 493 - 6880 PRI 503 - 910 -9216 FEES Description Date Amount Reg #: ELE 24 -523C [ELPRMT] ELC Permit 10/20/200( $80.30 LIC 161089 [TAX] 8% State Surcharge 10/20/200( $6.43 SUP 18295 Total $86.73 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: Pi(AL. -f,` 'l,J L(J Permittee Signature: AC vvv 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: 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. 10 -08 - 2006 16:51 DISTINCT 5033994942 PAGE2 1 - 1V/ 10/ tVVV 1J. V! 1'!ia JVJVV VlOVV V111 Vl L1URN/ 404 VY1 RECE.VE City trltrTlgard Rsenved /'0 0149 ov :� . _, ✓/- I I I 13125 OW Hall Blvd., Timed, OR 97223 0 C T 2006 Obit ,,,,,e- P110114: S03.6394171 Fax 503.598.1960 , . -t.' ° - ha wartIon Liao 503,639A175 C TV OF TIGARD • r- "� /� lutanist www.tiglrriar.8w BU LDING DIVISION �/ _ �1,a Mcr � , r � r 1 r , 1 „ i , ' ,l.". a ,;:'! : ., ': 1 1 .' 1 . .t' ;4V?i,�TL;.:.l• i . . ' ' �li� , r , , a.. , .M !.I • }'1 i �''' t �� a:) ✓. ��:,�� 'i'a�IRii� "i - y'� '1. : i'3, : t .. . : . ..f ,:S:.c..TJk ,,, , 1 WL N ■ New construction i Addlticealtradpdt A l �� z>>� friar dirt s10dee. 1 0 Or wow CI Balding ❑ DcmolitiOn 0 Otben when the sn1►abl.9rh corm o Mod= 04 Weyslds. = was& 10,00D mope it ISO wilts or Q Flailing boOdla0. le. 16 arOead Or atdede 1000 CI Czioso isl -lug lorlYYttal'al 1111r - and Z flotily dwelling • Cornincroialfkidustriol lls AcOEFsory building amps for di altrrloomUitioea CI me ��s taro o. [] M„IB -1�ent ❑ Master builder . der: Q 107,Saa. low o ►Yaerl.,a ate. " ' ? :, i a ' - L .L ,,ki Y �, ,C. 71 : t i.:' ' '. .,1i.l \. ?I. • 0 Blow motel Joel of ©"A . T' v4. '. 1' : . n . . 'f , . .ua,7'..rl,rO��Ei6iwiW t —._ _ ' . 10ot1Pornom ovioposey. Tab no.: sob sive addraae: • z ! / Sul _ ash Qmarvnidoreld mite. C UI:5 01mi vddek new T� � ntresA�o **him CI Supply *Arm, A r wraii no City/Stale/ZIP: dLll►: 7 Cr V r 0 ilaaaloin to ions. RIO wits ncrairal. G3 Savior or Federdos am a rears. 3YµV �1 . .: "v '�' _ .1 /1..:1 ", 'L7wl' ;' :';'i1Z,,; 3.{ Cross av ect1& s to Job alto: llig11110 - New nerweenia1 deer or malni•hu tilt' Qrsslllog ask. [Deludes Mulled dot a8a Subdivision: Lot no.: 1,000 eil. A. Or low 145.IS d . - , Ea. bdd'1500 sq. tt or portion 33440 1 Tax nesp/psrod oea: United cum, naadeatial 73.00 2 1 1, '� ..1 ri g. y � n ,��. „ ' , �. r oisubron A-) "' Lladted mnitWinnly 75.00 2 C • p�.����1'y�1j�.� 200 norm or lass / $0.3 .1 2 .. ■ ' ' , 13' '. . t . ; ' . I t r r .0 q �.. /NI Z''.: I � 4.:, .. ; ''' , M. ” i. 4 . ..... • , /' . 201 s 4 00 106.15 2 40t attsps to 6W erne_ 160"60 2 rJd>1to L -OUISe 7"7�Gtl/l S ' 60i„ to 1,000 amps , 240.60 2 Addraes t r St.0 Over 1400 woe or volts 454.65 _ 2 Cigr /Stst&ZlP: 7 -f -/eZ ' X ^rereepoerary serrftus or Swim lutellatios, eltiration, aadhr , Phone: ( 3) WO — 5" b'6( Fax: ( ) _ 200 snip or las . 6643 1 Ow>ter histIltttt[w: This Installation Is tieing in & on property that I awn which Is not 201 rope to 400 sales 100.30 2 Intended gm sale, item rent, or exohengo, scutedin$ to ORS 447, 449, 671). and 701. 401 ate is to 599 sore 133,73 - - 2 Owner BS - sew, at taratloi, or nctrut400, ; Paid e1 A lsren� circuits oak tic. Y .. crew• 7, 4, ' •. ^1r Imo,• ti n ; • fa1 i>< 666 2 lath bench circuit anklets nwnc t 5- G� C- EG7' /C li✓C e. Pa t� aiaealtOr adrlmat service of taw* tun, r6 ->k! Contact name: /A/ l `1 . . G tine brooch ode A:Wrest: 4r C- A -` 1 0 , f - z/' •eld�l braid alto - 6.65 2 or *odor list byjadril, _ City/State/VP: VP: G7 t�a� 9 2 �J 1 � �� (?�"���' Ei& nas doggies, service eadtcr iEcda :( 03 ) q. 0 _cl ti' I Floc: :( 3) 6_? 6c"f <T itaoomaeaonly . O 2 E-m* l: Pump or ing�atioa cinch MAO 2 . , . , I ••' :, 3 3.40 2 :.:. ";i.. .;v° ":. +r ,'�':��''t�t'4e:v�� Fa .' F� X�' ".:;;", '' �� .. y �,l �.. -:: ��, et O nlltll e gi T . i''$ gel alrcutt(e) or limited- Business name 6 t S T? a c-r , . G�Ti'r'7g !C L to G - malt/ psDag, al{r;atioq of Address: / eoRmdoa Desait PIP 2 . City/Staten?: ?".Y0' 7. .bade mummy' gasws ilos row alle sable 1a art7 ' too a 4 �' Por impaction 62.30 Pbgoa: ( SO 3 4 [ Q — q 7 f _ F ( 09 ) '' —6 CBTL■ Invatlpatlon per boar (taro 63:50 t • g� 73as V ccB uC a Electrical rical Lic : 9e -517c sl pry Lit.: / gzq S �.,.^ _.. 73.75 sr�rv. signature, required: IV ' Subtotal: rd . 0 Doe: /a / . ro0‘ Plan tt�iew • SG of . , Ot l» nuns: . 01 - , VA . -' Votes oo calms of permit 160 . . Autbari2e4 td I. . ' • W TOTAL PP3tralT FEE: : . . The em it r lwl +guar Ms retail Omit oMdooer las Print nttruo: • Ditto: dos edit' a boa was osooph4 n ors ol• ao • witsaororaureala ylv . aili odsoremi CiD4141n Vresla • • laksoribk oirL006 1 I t I O b �) 4,40.46t 11o1e00fwo rte 00 : 10-06 - 2006 22 DISTINCT 5033994942 1 O t /oi PAGE 11 / . /P 1 CITY OF TIGARD . . BUILDING DIVISION A- - PERMIT #: ELC2006-00597 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006 Phone: (503) 639-4171 /4/7044 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/1/2006 TIME: 6:56AM PAGE: 40 SITE ADDRESS: 09210 SW 74TH AVE CLASS OF WORK: • SUBDIVISION: BOULEVARD HEIGHTS LOT #: 004 TYPE OF USE: PROJECT NAME: TOWNES DESCRIPTION: Service c:hange out. OWNER: TOWNES, WILLIAM 6, PHONE #: 503-310-6861 CONTRACTOR: DISTINCT ELECTR PHONE #: 503-910-9216 IC, INC Inspection Request Scheduled For: Date: 12/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical seivice 040540-01 503-910-9216 N Corrections/Comments/ Instructions: ' • 1 PARTIAL APPROVAL E1 CANCEL 1 1 NO ACCESS 1 1 FA 1 1 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: --", NI, 0 6 (..- • Date: 1 2 % t — 0 6 Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: trLS $950$ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3 .\ Li -cf TIME: PAGE: SITE ADDRESS: q21 0 S -) n at CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: Ri G �- j OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 . ,1.f _ Pour Time: Code # Inspection Description Confirm # Contact # Message I a t q. A`... Corrections /Comments/ Instructions: 7A PASS PARTIAL APPROVAL CANCEL 1 1 NO ACCESS 1 1 FAIL 1 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: v lv a Date: - 5( i t .\ Phone #: (503) 718- 2-4116