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Permit C ITY OF TIGARD ELECTRICAL PERMIT . t �. PERMIT #: ELC2004 -00311 i , 1 DEVE1 B I dNT rp SRO ICES (503) 639 -4171 DATE ISSUED: 6/2/2004 PARCEL: 2S 104AB -10100 SITE ADDRESS: 12356 SW 132ND CT SUBDIVISION: MORNING HILL NO. 6 ZONING: R-4.5 BLOCK: LOT : 130 JURISDICTION: TIG Project Description: (1) branch circuit. 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: 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: • JUDY AUSTIN SUNDOWN ELECTRIC CO 12356 SW 132ND CT PO BOX 129 TIGARD, OR 97224 FOREST GROVE, OR 97116 Phone: 503 -591 -0102 Phone: 359 -0604 Reg #: LIC 67442 SUP 3427S FEES ELE 37 -445C Description Date Amount Required Inspections [ELPRMT] ELC Permit 6/2/2004 $46.85 [TAX] 8% State Surcharge 6/2/2004 $3.74 Rough - Elect'l Final Total $50.59 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 iifwort< 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 0 952-001-6110 • ough OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6 9 or 1 -800- 332 -23 . .� Issu d By: / d244-(kstAil Permit Signature: 4l if • OWNER INSTALLATION ON 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 JUN 02 2004 2:34PM HP LFISERJET 3200 P,2 • FROM : FRX ND. : Jun. 02 2004 02 :16PM P1 JIJN ti L)2 2004 2: 04 .e a T 3200 p.'. 1 • Elect Permit Application •. � r.,l � ' ' rt ' Li/ 1. ; City of Tigard JUN 2 • u «av■d; tJl ;N$1l ILItBIW,71gON.OR 97223 200 D ell: ,g� • hmrirMa.: /L 41 �- -II *hone 50.t.bi9.417I F».: :if A.Sge.ln1 t ♦T „,,, Rerkw Y OP T I '''.'"',.0.411.. y , r ` otrtrs , DMA rf4m,ir: hwprclion 54./.3.6.39.4 75 Stan /A , . i - . f Dorepeadylray: II rwl: www.ei.;igoidrr I VG `' — 1io ®!.f n t Inf D'V' ®A e �iGe6lM tdM �-" ! � ON ��l _ __ Jj;•L' 5rgrnr►m cwral tntn Tyre or WORK ~� hL.Aty . REVIEW ❑ Nttu construction R4!diri onreRerationrroplacemcr:: 1 ! r tarye C a! I not I 7 r apply: r'' I4M � ,❑ Ocmoll Can ❑ Oslr er; ❑Sere, ca pvr• ?25 arntr. canre,': M Jrdu J 1000341 CATEGORY OP CUNSTAt1CtiON -- 1]Sero J7 ampi • rating = A.. _ or I.. and 2•I;mily dwellings 4 c.r mum nw o rx.iJenta, Q f- and 2.fbrnily dwell 'el © Contmerciol /indiatrial Q Acceasory building (]Sya;tlnutsr 000vulir i rival unlu in tine ivuet;ur 0 R4 0114[101y ❑ Mosier buildt: • El Qthrtr: QBuC <ti;,g cvt r Hoye our irc ❑ amps Tura JOB SITC IN PORHS^rro i AND LOCATION Q17dcNpunp kxJ aw 9U personi Olvitrufac6rred arru;uie,i or _ - QEgrtttl;Fhr.ag R4 par • lot) wii0 n0___ ,. I Jot • alto add Z �,YJ, 3z DHeallh- r rar :ip; ElDtiter - _ .. t SuA i nti: 2 srt►rl of ;Aims :.: or ii:t eDt'tic• { CI ty/StuTOZIP; � � 1 � � Tim above :e not a IbaTleto r Suile;bld � � C%•ur' Y.Vru:lrurtion ierci_r. �,_ L.;ept, no.. P rcject name: FEE* 9C7lt)tiLt; — _ orw• lerial 1 pn. I p.e, I • us., I — I r ________.... Cross stecedditections to job aka: • r " Kew reoidentiel tingle or molrl-ranriiy da unit. - — i (■AUda corked prep., l 1_000441 It. or rest 163 e ! Subdivision; ' —^' 1lpl he.: i ` sec sq. or portion 33.aG I 7 .... rcnl ne.: — — I Li , nitrd o,crg}, tsSieniisl 75 DfSCRIP7fON OP Wow.: 3.40 forty, non residentro) 1 1 75.W �__ ,._ finch Ta nurscwted a moral It r a•r.elhng, rovlte sower racier . ! vo .eJ lertios er feedere n t lIllnriun . atteretlow. onetmrrelveslion 2 L_______ 90 imp; or leas isU.3r I I _ ] ,Et PROPERTY OWVER ❑ I� l a ]plalpt:oOSArno 11.b.65 ! ' 21 Name: �� -- o1 mot - to 600 :u,a —1 161160 1 1 It / �_ - Addre _.. OG l arnai to l d •1UD atrapl I -14.0 60 2 • (6 SL✓ / z C - Over i,7'JUaranynr volts • iss.os 1 �^ J ,+� gr :aro,r•rr only 66.65 r , 1 ('iry,'5mrc T ZlP: sa y t/ t/ -p-N... r..--.-.. ` L 7� _ T.rep ■r�ry rr,�iers or feterr► tnsfallatiam otteroAnn• ladle, Phone:S ► f / ,2)D 2. I F : 1 503) _ reroquon , MD 3rrpp or 10 — I yb,lsi 1 . " O I Owner rnotalletionl Thl, intn:Ilation it bein_ mode Gn property !!!!3' i own th! :ch IS not 20! a mos la 440 a s mrerded Tar sule. lease. rent, or exchange. according to ORS 447, 449, 671), and 7.'11. �' I i.xl.7 ; 1 iQ 1 amps to »00 amps I 1 17J.75 5 I I _ Q,vnrr signature: Ike, ' _ ODIC - Rr> ■ch elrruita - no*. oltcrsrieo- Or e�funK'ao, er po ■peed ! / I 1 A e Pt 1 rL!CANT .ONT- I RSoN r A . Fec hie, :wench circuitsoi;A ' B i„.1 ._..,— • VarnG... L.l. �'l l r-1L 1.'L •Q. —.. ,,.,, _ �. .�_—. � :'r l� Or I(!dC' ! 1 (�� $ branrL rilxun &OS 1 2 COnt a O;1 1T A G r. Foe tor tn'ur c ci (Coat i ..._.._._ Y . _ i arrAoir cer.iceo• cuu •lddrtas,• 2_ r _ �!�r l�� 7 t r �_ cachUrrnchci�„q /lc X6.35 , • 7 CitY;SIate Zlr ; } J / EJChadrJ.1 :re errs i 1 ! L te d IA ' C. . y QQ7/ • Ku :via:Iron for or haler not I :1elodrd) Phon �1 ,_ 2: - -., + tr:anl ,;riot ria;circh� r 5' e,1 I J I �' 6-v3 "3 e, �a7Z • F ax: ( ) SIP or Jetlire lieting ti . i �, — F , - mail: • — 5,.4i• r I Signe! comas) t'rl imit;d• r - • ' prrr E'a)N•1'RAACTO2 cucr�r Pawl• I ��� _ a t arot mt. kW Busilles5 name in S- ,,, N. UIJL (� ? ..._ � lee ctrl C. I ^ Acw,c,s: oxtc wsicn Ucsrribc: i P rg c 2 I 2 . � O I Q /2- Eaen uddrttutlel irapecdun over AIMS a l art- in any *I'M 'bow* ! Cf � j� Q 7 / C i 02 �tl I �l 7 YjZ (� 7 �/f Je7 H /1103c:503 kteeu ,•ion per :tecr(I le• 62.50 , • 300 ( � y \p r ) 320 - i Fax: Indu.nirl plant rh0ur Ni CCU Lic :� elec Lic.: L � - - 2 1 1 BLECIII :.Y.7s ICAL PERMIT FEES' \ 7 1 ,4 q Z ' ?- L i l Sup:. I..ic, S , �,`.. —. ' \ , Suprv, Eiecrrielan signature, r J c � i II Plir renew (25SK.o; nermu rbe) ! nr name: Gt;N'� L. R)e-LSa. Date: _Z Q SUreeruNw'ao(S'N.r "itetnWrke;� 7 y Pri 1 .4uthOrr7ell eignAUre: T(MTAL PERMIT ff.6 01c .. , ,_ .........,____......... 1 flaw r el ft i r ynnlheuon moires it a ah is rut ebt400 u1r114 ie Print name: — —� Date! Jaw ehTrq timbal.* YCCOtprd ae vowel Plate I - -'- fee m.: cgJuk• Ztyvt toy ' d- Co ■uj Builiiuy :rdt,t rrY Ser;e N.•''rA l �• tlrildiny�n•nptt•Cil' Arnei�A�b Qv; 1_iA3 ip, r' t' borur inwetitn pv atone al'.o »td. Hp. ..o, STI 14W :..COWWre ' CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION - Business Line:' (503) 639 -4171 MST 1- 741/ ,at BUP Received ' �' Date Requested - AM PM BUP Location / 35 /30 ,r40 Suite MEC Contact Person Ph ( ) 53 - S7 OS PLM Contractor Ph ( ) 1 BUILDING Tenant/Owner ELC D©�oo 3 / 1 Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain • Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear lnt Sheath/Shear Framing Insulation Drywall Nailing Firewall CA it, C11 (5 Fire Sprinkler � 1/1I Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL Ita/ Post & Beam G /05 Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: C PART FAIL M ' ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final F S§ Q IT FAIL CTRIC L rce Rough -In UG /Slab Low Voltage Fire larm in Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. AS PART FAIL Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA , N Approach/Sidewalk Date � ' inspector 1 " .� Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL