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Permit CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: E -00531 DATE ISSUED: 8/25/03 25 /03 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 25111 DD -01000 SITE ADDRESS: 15800 SW 88TH AVE SUBDIVISION: STRATFORD ZONING: R-4.5 BLOCK: LOT : 048 JURISDICTION: TIG Project Description: Furnace and heat pump 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: 2 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: KNUTZEN, DAVID W + CINDY B EFFICIENCY ELECTRIC 15800 SW 88TH AVE P.O. BOX 872791 TIGARD, OR 97224 VANCOUVER, WA 98687 Phone: 503 - 620 -4811 Phone: 503 - 805 -5821 Reg #: LIC 101543 ELE 26 -878C FEES SUP 3003S Description Date Amount Required Inspections [ELPRMT] ELC Permit 8/25/03 $60.15 [TAX] 8% State Tax 8/25/03 $4.81 Elect'I Final Total $64.96 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: i( Permit Signature: / / ,A / �, • OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day C loctrial Electrical Per R . „ e 'n,tt N ac , �s.L. - •_ - -� - s i tan ntl;$ A z City of Tigard Contact 2003 it��i + -- ....__ Other Other 13I2� SW Hall Blvd, AUG 2 5 iiatrli3y': - Ycrmit NoJ ____ _^ ___- -- -. _� L Tigard,. Oregon 97223 ross•#rsvi L y.; Phone: 503- 639.417 Pa> I b C b ; t p - I)at %� .,- ._....... -_ ._ - _...... S kiln x for # ! ' 1ut�s. ky P Internet: www.ci- tigard.o$UILDING DIVISION a f �^, . C ._ (�onri ` ^ 24- luaus' Inspection.%(equt:st: 503- 639 -4175 1.- -• _._.- _- _.,.., __. ( 4t:i }I�te ri jOVJj'rt7atlRtt. ne, .... :!' — - - -_. ic,c over 225 am � "#'1 New construction _ - - -_ L l L.r no i ;,cirnereiw; 0 Na +utc . l�uat;Dn t i 3, ,ildin ever 10,000 square feet. ! - - - � , ` Ctlt Other: - _ Sc, vICC Pvc:r 311; k:t?�s•rttiuZ, C 0 $ , ____ wnlalter. atio.�re lacem 'T-- " t & 2 1' 04:I 3 i:l. 0 ttS f.,ur c ,r nu more residential units ,n T ..: � :i.`�Q>�.i� �;.�..CT[QN` °��`_ °''' :. , 5• test <u�'errrii}vt l+�n(t;1ina1 u n.+.tt'ttcu v� r P Y rJ Fnedars, 40p amp <, t more r 1 tat 2-Family dwelling_ C:otnrncr ---- -- --.,---------r--- J i C g„iioi,tk /CT three 5lurics t A.eceststyt' F3rtildinb Nlull.i- ^ a n t,P, i,�ad e ven 0 pera�:n, { a t nuctusr - s or ktV park ! r -- . �! ...._.- t b5 i�t,tinE nisr f ( } titer:_.._ .__ • •__._ ‘ii.___ Masttr Builder _, Submit seth ut'ittans any' afthe ldtave. 3tllor "n`7:??F '' I 'S" ''r� 6 ['- i', 1 �►S �J, . i- -1 I • �^N�• ■ above are :tom Y S `Ili 'testae 1D Le,A rats ' cDetslruGtiuo service. Job L ..Y µ. - - +i` ,♦� .. : 1; (r +.7. / ^ / � +t (y J�[j I I . � . / .. ^� ltl� # , ��- .. 7 P.xto ,••-'r 17 7, ,ro - •∎• .�' • .. Job site address: /flop _ ..L.7 � S� c . ... d V T ..� 77 - '! ,' r: , :,,,�f � ��:: •. .,'�f t• i d" , f� �vr e �°--- °--�� -• - , I 'M... !�uEnlier'>iCins�e �er�er 8 Suite •• -- - #: F1s�. / Apt. # - - -, . -- :1,, ^._ • -- Aescr[ liau Qty Pee (ca.) 1'atal . � _. : Project N me _ -- -- - • N rcride t- silr Dr, netW- tatnl per Crass t ection. fo jab srte:� - dWEE #!n� uoK. ipCtlitEeS ug atl acbaK! tlar C if eSS f / /G� /�:S , serer raid: �4 5 f6� i(ltl(} sr1. k. or pcaci 1. c lass_. _ -. -_ -. -- -- -�--.— - M - 1 ts.:s 4 1 aLh additional itN} • it- oily6on thcredf -.•.. _ .l3.Att -�' , _ _ -.__ .._. i�~ rea l _ rviaion: -.____ — a_ #: _,� - - -' -- i l l _ , iS- tial 75,00 W _.. ! _ - - - - - -- -- - •• - --- .- t.itrttu�d c,�e�y, no,, t�a•: . , Tax ma al areel #: __ t:aett manufaemed wow OT ;nodular dwelling • _ ,. -..._, _ v e and c 1 e 90.90 u a Y .-.�, --- - . - %i &m ice i , feeder !!‘::::2 df':: li! " ^ . .,;i 5:,; x;':" t _ n ✓ t 1 CJaa �. . � ::a n..•- I. SerYkes ur det - initoe, 1 c l s�OG� I-i _t'i �i :v .✓� _Id :iteration Orrelocation: —Y _ Sti,3t) '- '"�— 00 nm ur lwt. � _�. '- -- -... -- _ 0 1 acc r� m 4W arty _ -. ,._... .. _ lOG.65 2 O 1 a mps t fix: _-- -- _ - 1 110-60 2 ' "�'` 01# ant _ ? aQ_GU Z r:7 «. -' 7.., ; , noon, . .,.., rid to00 uropx 240.65 —• Z_ ' ! E 4i {: ' .t tv � ' ` ;t ' a. % ._ .',:' , � -- - ?rc 1000 t Gpi Or VPliy stillA_ pG.$i 2 Name: ul1 b {,v ,_ 6N____--.- _- .�.., —.._ y . ��� , ouparary Services or feeders - lnstaltatian, l ---, - - -- - u t �_4 6 Q.� - - �t!b� _..,.�- .._, , ... ,, -- - - - -.. _ lteration, or rclacationt T,OO Ands PY ICSF 66.85 ) City/State/ TEG A_ rleg- _ _� 1 sn s to 4(!t) amEw — : _ � Phoni U • / w ax: r , .,- . t 4�tD60Uam -- 133.75 _ r ' ; • "`^ ` "' .ai C?i�T' -1.. ;r Branelt circ uts- new. Alteration, or � .. extension per panel: . :Name: ^ -- —. — ^ ^ -- -__ A. tee ftitr Mach chants with tuac of .y q g ervi ;e 014 tCOde O�� zaeh brand circuit �c 6.05 - �, � , -AI • Address: -- - - - --- -_ .,._._..- �.._ •� -- i F. }lea for branch Circuits witht purchase of • City/State/Zip: -' -1 k service a ur (seder fie, first bhu ch �ix - _ V. / ,,, Phone: Fax: ! - • _ I Each additional bratich'ciri'Uit -- 6.6 _ _ :4iscovvics: or easier not included); r- Z h:-mail ^- - .. - -_.. ,, .«., . -- +^,r T-.. f+�talt um nr itrif sti sn circlet ° — 53.40 I - " t'1 r s ••:sins~ S ""1 7: (�... . - F - c g 53.40 • ; 2 .I ' i s : le � 'r : A . 1.' ' d' ') . ''i:•7 ' .:. ; ?'���:: . .z' ".e.� - .17:44:h sign outline utline ihan' - - '� 7 noo - r : %�" _.....- _�� ilAtt Job No: S1 I citcuit(s o r a limit.Cd amp panel. 2 alteration, m extension -_._. _ - - P3Y`? a Business Natne / Ciar yG Y•_ �tS ��. _-._. _. ___, - ik ripuo-n`: _ __ - Address: o r, ,�b� _ 7 � -,1�1 . - -_ • - Each addiilarta1 ins oYer 1 St: iltaw:atie In Yn of Ih t ab ove: ____ CA /State /zl • : [JAI A".< A 0./ s -._ f� rx in otiws tat I,utar (min ! la<�urt , __ ,, ..� 62.5{1 ; (nvyA,, in 6 I 8x: old g_ ?G 32 -- o...:: _ - - > . - • CCB Lie. #: o /,TL. Li cJ # : � _f Z '..- _.. ._,..� �'',', - ,r- :,'• -' .,• ,, r r� t� r e :' a, __ Subtotal 4 / _ _ _ � Supervising electrician (9 Subt �- — ' - - j �P ian Review Q5' of Permit' 'Fee I; i • . attire re • uired: - -'- •-- -•- _. .... - - _.._ r en _ � � ; - c. �f ^ = 5 vrcha! 3 ' - -. State S c % of Permit 'Ise $ . - .__`. -_. Print Name: 64)6 G ✓ - - _ . IO i : PF.>Etlti [ F $ ..r L dava after fralico :"l'hls permit application expires if a permit is out obtained within Si oture -' - -- 6 - 7 &# it -has been acaeptes# is complete. � Date: - -.._ 1 Sig/dilute: flew ul2titedOi00 sct,by TA- County Building Industry Service Board. - ~` (Please print narnc) ,.._.. n e.•.r,;. ruirins\1?IcPermitA.pp.doc 01103 CITY OF TIGARD 24 -Hour BUILDING Inspection Linei 503)f 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST G BUP Received Date Requested % 'o AM PM BUP Location S' 7 0 &g test. Suite M 3 - DO 9j Contact Person P Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/ 447 i / / c ( ELC � j - 00 Sir Footing • s 1 =� 6x 0 -4 O // ELC Foundation Access: ��,,� /� Ftg Drain C v !f I' ud ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors C e / Ext Sheath/Shear �'ZJ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm . 4.61MI � �' ` _�,1� ��i� 1�`Lyh t \m /,,: 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 PAS T FAIL CH NIC' Post & 6aam 1 Rough -In yy I Gas Line Snl ,e Dampers IMO PART t 7 %1 \ t j RI 1 Service Rough-In Py Low Voltag Fi - Alarm 4 �• Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE 0 Please call f • rein- • ection RE: 0 Unable to inspect — no access Fire Supply Line ADA L Approach/Sidewalk Date ° � Inspe • /1/ QA.' A Jr..:.‘ Other: Final DO NOT REMOVE this inspection record fro the job e. PASS PART FAIL