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Permit CIS OF TIGARD ELECTRICAL PERMIT Alh PERMIT #: ELC2003 -00151 DEVELOPMENT SERVICES DATE ISSUED: 3/21/03 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S 136CA -04100 SITE ADDRESS: 11140 SW 79TH AVE SUBDIVISION: FRIENDLY ACRES ZONING: R-4.5 BLOCK: LOT : 007 JURISDICTION: TIG Project Description: Install new 200amp service- replacement aand (3) 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: 1 W /SERVICE OR FEEDER: 3 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: • ANNA REICHOW PARKIN ELECTRIC INC 11140 SW 79TH AVE 14001 FIR STREET TIGARD, OR 97223 OREGON CITY, OR 97045 • Phone: 503 - 443 -3626 Phone: 503 - 657 -4959 Reg #: SUP 4241S LIC 35151 FEES ELE 34 -4C Description Date Amount Required Inspections [ELPRMT] ELC Permit 3/21/03 $100.25 [TAX] 8% State Tax 3/21/03 $8 Rough - Elect'I Final Total $108.27 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246.6699 or 1 -800 -33- 344. / • Issued By: Itt / ,_/ ' , _ I Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: - 7 (7 19#0 . DATE: LICENSE NO: 4 /, Call 639 - 4175 by 7:OOpm for an inspection the next business day • 03/20/2003 09:52 FAX 5571059 PARKIN ELECTRIC [2 02 ' ., -N• 2003 15:25 FAX 5035881260 CITY OF TIGARD ® 00, El ectrical Pei_ mit A L ication Received EItiCtrical D2/0 Frei No_b....0 2-003 - a() // planning Approval Sign City of Tigard e ® tL,B�- Permii Nn.: ' - 13125 SW Hall Blvd � Phan Review Other ! Datr/B Permit No-: Tigard, Oregon 97223 �j _596 -19 ikot- Review F. at+,d the Phone;: 503 - 639.117 503 ^ ::1 rl+„ J r'i flarefBy: Cage No.: Internet:: www_ci.ti oLUB c�(� Lo cal J I Contact Lurie_ TNI See Page 2 for. 24 -hour inspection ltequest;� - 9 -4175 u _— Name/Method: ` Strapiemensal lanarmusm. , i i ': �Y ftf`1 i'' •i'hf 'I _I., ,.1:�'-i5� 17•" . , •:'PL7,41�1 {p1''- j":'cfiEa " 1 ' at ' r/ -'., �, d. 1���- '�f„��,_i•�YS� {r.ls %'_: _ ' : •,. <rl�: aR1 A'lj,:� '`�� ,' �� ©HcafOa•c$refactlity New const fiction 13 •s I Demolition ❑ Service over 225 amps ( commercial 8 Hs297dtus location 17 A.ddiniiu/altt tat1orJJr rlacement 11 Other: I ❑ Service over 320 'imps rating pf Building over 10,000 square feet, - .t,�.. :;,,,q.•.�; , - s CO- I: . • 6 — 'iey , r, ,4 : - - 'P : ' 1 d: 2 fmuly dwellings four ortneres nbalunitsin ,.. .,1 ; : -s { ;''. I � 1 & 2- F A . 5 ;15::. c ii a111i,1Y dwelling w Commercial/Industrial O Srs over 6446• volts zaowieal 1 name one lu=re ❑ Buildin over three sintieb ❑ Feeders, 400 amps or more N H Accesso Euildin Multi- Family I ❑ Occupant load over 99 persons 1] Manufo:wtzd s ruotaires otl(V park L Master Builder ■ Other: I ❑ EgreaslighrinCP'`m'h 0 OtbeT .� f. ;r''7 4 ^-.'atiCR ® . • tip ' ■ I : '' •t e' - l'.l� }` ": :.1 .. I S are seta of a to m • - any of the above. -. °' : e a bove are not a . livable to Lim • r'0 eamae'vchm sarvlca. Job site ad 4/0 u, =' �� r, i�iii tt : i' �' ':> address: �i AA ! - , „ }5, 00 , 4•` p `G� =' 11+'.6. !L•.r Suite #: Bidg. /Ave: #: Number of ias per permit allowed Descriptfoa 1 (2e/ Fee (es.) Total ! J Project Name: , I Nun ro,id otta&sia.ts er malo-t ati[y per I t - Goss street/Directions to job sire: + &vain atilt Irreh'6deir atiasoirsd garage Service !aclnded: I000 so_ R or less 145.25 4 Each addisicral 500 ads ti orpeveloa thereof - 3140 t Limited energy. rsidential 7100 2 �} Subdi\ris - ion; 1 Lt Lot lit: L'an}red energy, non residential 75.00 2 Tax ma / arce1 #: Each mans�,7Gtund bemc cr r>,nduiar dwaUigg I ,,fp'er A F 2 .. I y•; se r'ka and/or feeder 90.90 2 ,w� y 3 � SI l� ` 1 1:70 � �'•` i;r Sc ices orfcedess - iinstallation, Q� �'�LL/� // a I 4 / 50.30 ; u `✓—? I , � f. (p — �i� _ 201 urn's I0 400 amps 1Sb,%5 2 401 sJ11v8 ra 600 amps 160.60 2 1 i// 1 7 1r•c" c,i 5, — `eU ?'Ji' . 11 ��lswei _—pm 601 —m 1000 22°P1 240,60 2 :i fi �l _ s . ^= , S,,G � �•. —y d: :" 1- Over 1000 amps or volts 454 -65 Name, Areji 44 aneooLOnty - - -- ` AdAddress: 1 I wa Temporary scrvicd er feeders - installation, - alteration, Or relocation; Ci /SS 1: /Zip . 200 .::... Or less 100.30 1 E110110: 4o• 401 - • w 400 - ' r3J. - 7 6A i ,, l N '.:,, .: eti t Q i 401 ,• 600 g� L �4 ;1...�i,. -'I_'' : lj',,�' + : - Brilrc6 or<uitg -9Q"v. at!•iCC'Cti011, YC Name- extension per panel: A. Fee for branch nitwits with pote tit Of Address: I 2 .� _ � 6.6 a erviuor Cee ded lsa aae?a 1�oOA4n olrcuix , ti , Ci / 5'iatsiZi • : B. Fee (pi-branch circuits without purt)1 O of , ca or feeder foe. fast branch circuit 46.37 2 Phone: Fax: : - additional larameh carols 6 -63 2 I( I C .....:1- Mau. Service orfeedernot included): Eac1t . . or . ' drele '5-40 2 Parkin Electric, Inc. 14001 Fir Street Ea-. ;- • or Outii . ' 53 2 eu Oregon City, OR 97045 503- 657 -4958 fax: 557 -1059 Signal cuit(s) or a Uateed energy panel, 1_ Contractors License #: 34 exp. 10 - - R1� jeL" or e"" I 2. Supervisor: 4241 -S exp. 10 -01 -04 Contractors Board Reg #: 35151 exp. 10 -12 -04 -+ Each addit14ea1 inepectio• ova-tile anowublr io a •• ofthb .a" 41 Metro # 2416 exp 11 -01 -03 ` fee: bn"�mit` ilk =�r =_1S' ::%_, -'° ;•1. : 1.. 4 ,..fir Superv2 g e e ctrrcinti •••• _ • . "•• 1 S ubtotil 5 .1. Z signature required:. Plan Review (254 of Peru tFot;) 5 Print Name: / Lie. #: Stare Surcharge (8°! of Permit Fa, TOTAL P7ER1VEI2 FEi1t 7,,,- This permit Application expires If a pumit [S not obtained within Sig a tte: t Uin, ' Dare: 180 days Enter it tcp beco Ottepoed as compute. S *Fee methodelay set by TrJ•Courts• B 0dtrti:'ndostry Settler Boas - (i'lacse +ry narnc,S is1 Dsts\Pernut7OrrreElcPertni.tApp -dot 01103 CITY OF TIGARD 24 -Hour BUILDING 4114spection Line: (503) 639 -4175 INSPECTION DIVISION business Line: (503) 639 -4171 MST BUP Received Date Requested —07.81 AM PM BUP Location /I 1 `1 ) 7? Suite MEC Contact Person — 114 Ph ( ) 6 £ 7 q q 5 PLM Contractor Ph ( ) SWR BUILDING Tenant/ u ELC 3 —06 $ d ( ( Footing � ? J ° � ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation CS F Drywall Nailing Firewall Fire Sprinkler Fire Alarm CC) MOVE GAS pig Wrftff Susp'd Ceiling Roof VFW C..,� Other: Final • PASS PART FAIL PLUMBING Cf Pro., N S pea - 0(Sa _ 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 PASS _P.AfiTFA1L_ IELE iiIIRICaALIMININ Service Rough -In UG /Slab Low Voltage Fire Alarm Final LI Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAI SITE 111 Please call for reinspection RE: r Unable to inspect - no access Fire Supply Line ADA J Approach/Sidewalk Date S 2`a 1.3Z Inspector �� kt' N L-L- Exit Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business fine: -(503) 639 -4171 MST • BUP Received Date Reequestee AM PM BLIP • / Location l 11 f /5 / t"i. `� Suite MEC Contact Person VYI� , Ph ( )' ..� `Cq S Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC 3 - O O (s7 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fi rewall 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 PASS PART FAIL [ELEC "L v Service Rough -In UG /Slab Low Voltage Fire Alarm F Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. A PART FAIL SITE Please call for reinspection RE:. Unable to inspect — no access Fire Supply Line ADA • Approach /Sidewalk Date T — 7 - ©J Inspector 4 , Ext Other: ' Final DO NOT REMOVE this inspection record f m the lob site. PASS PART FAIL