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Permit CITY TIGARD ELECTRICAL PERMIT i, •- PERMIT #: ELC2004 -00661 DEVELOPMENT SERVICES DATE ISSUED: 10/14/2004 ---' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S133CD-04900 SITE ADDRESS: 13669 SW FEIRING LN SUBDIVISION: COTSWALD MEADOWS ZONING: R-25 BLOCK: LOT : 047 JURISDICTION: TIG Project Description: Installation of NC & GFI. (2) 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: 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: 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: RYAN VAN DUSEN THREE PHASE ELECTRIC 13669 SW FEIRING LN 8960 S. BLACK BEAR TIGARD, OR 97223 CANBY, OR 97013 Phone: 503 - 524 -9350 Phone: 503 - 263 - 2558 Reg #: ELE 24 -390C LIC 128282 FEES SUP 4498S Description Date Amount Required Inspections [ELPRMT] ELC Permit 10/14/200' $53.50 [TAX] 8% State Surcharge 10/14/200' $4.28 Rough - Elect! Final Total $57.78 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: Q Permit Signature: cN ? 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 10/14/2004 13:13 503 - 651 -3540 THREE PHASE ELECTRIC PAGE 02 10/14/2004 11 :35 FAX 5036981960 CITY OF TIGARD 11002 ' 10/14/ 2064 es: 57 583 -6 r /� ( fm THREE PHASE ELECTRIC PACE' 02 1 - 8 . 11/0 . 82220,4_,.13.: 28 FAX G 099 gel 96.aa `N1 U icCi1X OF TIGARD Q003 , r j isgtraaggia_p_nhsNir)CT /� l/ � 4 i" I. 1 G. �4 r CifyofT*urd ..� Il '�` nrors / -6 AL 1 A V G0 . . ulzs s'wt•�Wt d•,�81, oR 97223 'LU1 ING L VJ ION • 0=w 503.639.417), Fr►>u 509.5513.1960 L'i- l 1 4 , l l' 0 ;Watt I L1300000 903.6394175 1 ''� - + +: • : r-! r}: = sapataraCar &t me" a wwteetteoad.uatti C IT Y of TJG :: $ rl anc,aeeaa 1 Cr tittpPteaeuate11 ..a• .-.a.:."sx-',_. _.., ,e. }_ ,!,7. r•..� :;-W4-7.:'.:..::.' � J'�• 7-T•fie. . 1:. ‘ 7`j;`: l �ti i.� i , ,.' .: �i:= .S:"' :. _ _ ` . F . r. _ !:•:;.` . �' Ja�.at._..:.,- : �� k''�4 �. u:..., ,.era t.�s -ai'- •ii +a, /�Sli. :'^ry ��. `■ rkw cane= tiO'n p Ad . '. 1.- u' . 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Eloercdea sige re CVO ... -.. j.M 611(1 .5% or roa Print ., - ate , 'v . :,.� sl .MA ' I °, di 'i'OTALPrint= > � _ is (eta gplra tra ptrlydi� not O toad MRM6 AIIttwr statism ♦ i .. dory it.: wnr te... tetlway &tyke n..+ ° • thatteettlailigsauge Rrae3meeaIIn red 1.14RA Amdar U 1 446•tlaatt►ael/COMMIZO. CITY OF TIGARD 24 -Hour BUILDING Inspection Lint;: (503) 639 -4175 : INSPECTION DIVISION Business Line: (503) 639 -4171 MST / / BUP Received Date Requested / /-" g ' AM PM ! `Cr-) BUP Location / 3 & (a 6 1 c` 1 . ' Suite e c2z(26_66 6 7 Contact Person Ph PLM Contractor Ph ( - ) l SW - • BUILDING Tena 4110 ."/ 0 3 - ` S 6 / ) J LC /I Doh , Footing 7 3/ g /436, ( �/J ELC Foundation � t4 f''-.-5 A CC2SS: W � -A ��� -CJ 1 � !: oo Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam f- ®' r / _ ' c- 12 A_) 3 Shear Anchors - Ext Sheath /Shear 'O -' "ig ;Pi . ;_%.1 f - // - 1 -# - ;... — a 7 7 Int Sheath/Shear - J -rJ� ) - ? - -- P � �" CiC / Insulation Fc) / moo � crz Drywall Nailing �" y Firewall ®.� U Fire Sprinkler — "��' Fire Alarm • Susp'd Ceiling /� Roof /� �.. !" l /A7/1414`2 3 G& f - 1/ Other: Final PASS PART FAIL PLUMBING Post &Beam - -- Rougr Slab Water S he Water Service Sanitary Sewer /7 R i l ain Drains Catch Basin / Manhole Storm Drain 600 • i filis Shower Pan Other: Final PASS PART FAIL --- MECHANICAL Post & Beam 1\ Rough Gas Line Smoke Dampers 40 PART FAIL - CTRICAL Service ! . , � Rough -In 1 . UG /Slab U t-;I Low Voltage ( Fire Alarm air PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. E 0 Please call for reinspection RE: / El Unable to inspect - no access Fire Supply Line ADA I Approach/Sidewalk Date / Inspector L _ Ext Other: Final DO NOT REMOVE this inspection reco , rom the job site. / PASS PART FAIL .•