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Permit C ITY OF TIGARD ELECTRICAL PERMIT An, PERMIT #: ELC2004 - 00605 I DEVELOPMENT SERVICES DATE ISSUED: 9/21/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 113AC -00103 SITE ADDRESS: 07244 SW DURHAM RD M100 SUBDIVISION: PACTRUST ZONING: I -P BLOCK: LOT : JURISDICTION: TIG Project Description: (1) feeder & (3) additional 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: PACIFIC REALTY ASSOCIATES LIGHTHOUSE ELECTRIC LLC 15350 SW SEQUOIA PKWY #300 -WMI 27501 SW 95TH AVE # 960 PORTLAND, OR 97224 WILSONVILLE, OR 97070 Phone: Phone: 503 582 - 9600 Reg #: LIC 154897 ELE 3 -257C FEES SUP 3051S Description Date Amount Required Inspections [ELPRMT] ELC Permit 9/21/2004 $100.25 [TAX] 8% State Surcharge 9/21/2004 $8.02 Rough -in Elect'I Final Total $108.27 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1 -800- 332 -2344. Issued By: , � £ /� /fit) Permit Signature: 11_,e, Ct OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day 09/21/2004 13:20 5036254455 LIGHTHOUSE ELECTRIC PAGE 02 .- j Vv,41 , 4uV1 1,..,t 1,,,,b, v.+vvvvavv•. ... �� __ __.___._ tija [ ec ica PF it A npUlc � .tiom NV �' of Tigard � , - � (� Ditcivso n _ - (� rrurit No. .�( .(1 a (./ - tit' fS Q S 13 i2,5 SW Halt Blvd -. Titlard. OR 97 e r }. Piet R•■• 44+ p msr Psn „ it; Phone'. 303,639.41 "i Fax: 503.596,1960 y ; jl _ . I •• • ��YBY . sce Msts ar.� lnep=rtion Line: 503.639 4175 a s � f / Soppi ' t, r tait]td Adeshod , 1 t i v er:tattoo Infermutiaa Internet; W1VN.Ci tigarc� tar.tre - • TYPE WORK pL A1Y, '�$ - ' p ieces chec all that apply. Nor canartveeon Addit;ua/aKcration/rayltteemant ©Service over 225 amps, eomm' I 0 Herardous location tat ertotttian Other: _ ❑Urviee over 320 amps -rating ❑Bulldog ovcr 10,000 Sq. ft -, CAT�� •RY 0 Cl3Tg9TRt7G°!7n'4 of 1- and 2•tlemiiy dwellings 4 nr mole none residential DSyetcrtt over 600 volts norninsi units in one struencre a 1- and 2- family dwell 0 Aocesaary building f � Syttd ig over tTree stor;or C7Pc+ rs, 4UC, amvy °* mere D Multi - family r [:3 Masco; builder ❑ Other' i DOectipant load over 79 persons ❑Manufactured rtruaurea or L ' ' 300 6ITC INFORMATION ANC LOICATION_' _„ ❑Egtcrs /tighring plan �' E T HCeatdt -care facility {]Oth i Sob no,: - lob site a&t(SS: 1ZyY .Ut/( /�'n ms /'s Submit , sett of plans with any attic above. �•�- 'Mr abo vt� arc not applicable to to ttyorary construction service, Ciry /Stare /ZIP: ,t � l°" ____ p> Stx81)i Lk Suite "bldg. +apt. uo.; P ro j ect imime! lt�lp �" / r ap! ' t>...rrt.ws m Orr ea_ rew •• Cross street/directions to job site; - /` - New mid/mud single or multi- tensity dwctlioguoit- i. -- Includes Attacked Garage. 1,000 sq R or lots 145.14 d ' Subdivision. — - -- Lot no,; 4 •dd'1 500 s. R or poRton 3340 1 _ - Limited murk, rcildant!al 75.00 2 : Tare map /parcel no,: Limitsa energy, non- retidont al TS -sits 2 + D6.9CfrAr IOti of WORK Each manufactured or module( -_, dwelling, service and/or feeder _ 90.90 2 • / y �• _ Services or feeders inatsflat10 . alteration. and/or relocation «-- -- - - -- 200 snips or lass ,. gi 30 f• 2 . ma L. 201 atxtps to 400 am•s 106.85 2 p'ROPBRTY - QwrtER ❑' f1pNANF I - -. 401 amps to 600 am. s 011. IGO 60 =II 2 Name: .LE -f/Q /S - � 1±01 am•sto 1,000 any: 2sp,go 2 1J.. / f 1 on, 1,000 erns, or volts �ac4 �zyrh -) V C/ Reconnect semi ME 66, SS Ell Cit Temporary rervl[ts or fcederr Itaamtlarioa, alteration, ar.d'or • - .. - ----�. .- -'•'•�. rdot$titnt Phone: ( ) Fax ( ) 200 amps or less G6.BS ■fl Owner Installation: This instttliation is being made on D[oDerty that - I own which is not 201 amps to 400 amps 100.30 Q intended for sale, lease, rent, or exchange., according to ORS 447, 449, 670, and 701. 401 amps to 6170 an 133.75 MEd I Owner signature __ Dat e: Branch circuits - new,atttrsttoo, or extension, per• �• APPLIt"AN I Q C OItiTAC'T PIERSON I A, Fee f o r branch circuits M i l t i �� ,__ terrine or feeder fee, each 1 6.63 / q, I III 3uainess name', Li 41t ._.6__ branch eireuit • B. Fu for branch eir> utt9 111111 Contact name: 0„,•-•7 �v S SU.) e3t l/1C_ k e ) _ . without service or fender Pee, 46.65 To br astoh o roust Addr -SS: P - 1iS.&__ I l Each add', branch circuit i 6,65 Ell City/StatuZS +i : i vl 7 / [� 2 P 7 D Mlecellansous (service or feeder ant Included n" t P • or irrl anon circle 53.49 2 f'tlon¢; ( ) Fax .. —_ _ -- Signor outline 11�tbtiaI 53,40 2 • F -mail• Signal circuil(a) or limited- � - - -- : COI�TRACT'OR energy papal, alteration, or • L--- - extentif/a, Denoribe: I 2 Ehsbine89 none: � A ' 40,4' . - _ / 4 C� I Address: n .f 1 /� Each lrlspsctioe ovcr allowable is any of site above •• / I 7i r _ - _,— hour hr • .. � CCBt Lie. l �t t t7 Electrical Lie.: 3-56 Suprv. Lie.: 3 � Subtotal 1 /Q,0 • 25" Suprv, f3iectrician 5i gim tuft, required: — Plan review (25 %ofpewit tee) i Ali_ Stan surcharge (S% of parrrit dm) 8.,a Z Print name: /Lf�y _ ki7 i / IDate. _ 5` v y TOTAL PERMIT FEE. ! -7 A1tlroeiLCd sigrQt 1rr': T Ws permit 31)0m/doe rsplree Ira pe'' t I. ^et .btalIMd W 1 iii 100 - -_ days after it lips been aeteptc4 is to replow Pant lame: - I — 1 — 1 7 Ul � a mthod - it., tolosy s.t b Tt1•County tlsildina Indust*' 9arvirr Gard ^ J - - •• Number of t.,sp•couoas per permit allowed. I.\liuileiultlPaeoliwy .C•rertnn ty I 2,0 •so - 44 l 3 t QfiLCdN/WIItr VI CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Y Business Line: (E93) 639 -4171 MST BUP Received Date Requested /6 /- AM PM BUP Location 7 Suite /C MEC Contact Person Ph ( ) ipoo PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC , ;?4()O 4 I -0° C) Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: j SIT Post & Beam ldL�,G� v � Shear Anchors Ext Sheath /Shear i( , - h��•C.('�1 i Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: I f Final ` J iV ? 5 PASS PART FAIL PLUMBING Post & Beam Under Slab C 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 ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm n Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. �pAS PART FAIL SITE Please call for reinspection RE: • Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date /6 /C O Inspector - A d t Other: Final DO NOT REMOVE this inspection record fro the Jo . site. PASS PART FAIL