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Permit • T. CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00807 ;i �� l ,�' DEVELOPMENT'SERVICES DATE ISSUED: 12/17/2004 --�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 114 BA -04500 SITE ADDRESS: 09925 SW KENT CT SUBDIVISION: PICKS LANDING NO.2 ZONING: R-4.5 BLOCK: LOT : 095 JURISDICTION: TIG Project Description: (1) branch circuit for hot tub. 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: PUGH, JERRY OLIVERS PRECISION ELECTRIC CO 9925 SW KENT CT 17035 SW HIGH HILL LN TIGARD, OR 97224 BEAVERTON, OR 97007 Phone: 503 - 329 -7682 Phone: 503 - 579 -7747 - Reg #: LIC 41435 SUP 2539s FEES ELE 34 -521C Description Date Amount Required Inspections [ELPRMT] ELC Permit 12/17/200 $46.85 [TAX] 8% State Surcharge 12/17/200' $3.75 Rough -in Elect'I Final Total $50.60 • 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 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: 4 � ; Permit Signature: (7)-7 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: 639-5 Call 639 -4175 by 7:00pm for an inspection the next business day • 1.2/16/2004 14:30 5035795907 REVILO SAINTS PAGE 02 A. Electri r cation • 0 1 , Date received: 1 L I ! -� 0 ( h i s no. • �-C g �� 7 ,,,4.- City of Txgacd � (` 161 ' Projcct/appl. no -: . Expire date: City of Tigard Address: 13123 SW Hall Brteleierigard, OR l3r j D issued: Phone: (503) 639 -4171 'CI ssue BY I Receipt no.; Fax: (503) 598 -1960 C I�N O .,i Ss.S Case file no.; Payment type: Land use approval: p /t 1 11 PI. 01 PI 1 & 2 family dwelling or accessory U Commercial/industrial 0 Multi - family U Tenant improvement O New construction 0 Addition/alteration /replacement 0 Other: 0 Partial JOB Sin INFORM A`I ION Job address: /P,P i �'�' Bid ! . no.: Suite no.: Tax roan/tax lot/account na.: JAI Lot: Block: Subdivision: • Project name: TDescription avid location of work on premises: .� Estimated date of com • letion/ins. ction: CONTRA( I OR APPLICATION FLE SCIIEDI'LF Job no: Fee Mu t • i% - 11 ■ •��J. 171 Desch . oa t,, . ea.) Total no. -. Address: r T ,.� ._ residential e°.mitl- fatdyper 1 � � State :V g_ ser.1.1.4.ke 'lambed garage. Phone :4 )3 S " 1 q Fax: 57 5'}D , �i z -, Ar 1000 ,. R or less 4 CCB no.: P, ach additio 5 00 d sq- ft. or port there Elec. bus ic . no: t .ittli todeuet gy, s rsiential 2 City/metro lic. no.: � ■�� — Limited energy, twn-rrsidarttal 2 . • MP.lI.. • . 2.4 7, Bach manufactured home or modular dwelling Si:. . re of s ■ isin: electrician -. uired) 0:. "mum Service and/or feeder 2 Sup. elect_ name (print): j r #1 =M &tykes er feeders — Installation, alteration ur n:location: l'140111Ii l 1 011 NI 1 zoo amps or less 2 I Name (. tint): 37e,e • 201 amps to 400 artt.a 2 • — 401 amps to 600 arnps 2 Mailing address: a • ■ 601 amps to 1000 amp: 2 City: State: ZIP: Over 1000 amps or volts 2 Phone: 3z.' $ Fax: E-mail: Reconnect cull j ' Owner installation: The installation is being made on property I own Tatman) minim or feeders - which is not intended for sale, lease, rent, or exchange according to taslattatte4y6prattipa, ORS 447, 455, 479, 670, 701. 200 amps or leas 2 201 amps to 400 amps 2 Owner's s': $ ; turn: Date: 401 to 600 am. s 2 LAC IN CH/ :14 Branch Limbs - new, alteration, . Name: or ester ion per panel: A, Fee for branch circuits with purchase 0 Address: service or feeder fee, each branch circuit 2 City: State: ZIP: B. Fee for branch citcuits without purchase i / of service or feeder fee, first branch circuit: / ,Jp 7 2 Phone: Fax: B-mail: 6sch additional branch circuit: • 1'l. X\ III N I111 (I'It :t't' died. all that s Mtge- (Ser•taeor feeder not included): 0 Service over 225 amps Cl Health -care facility Bach pump or irrigation circle 2 O Service over 320 amps- rating of 16k2 0 Hazardous location Each si : n or outline I • tin : 2 family dwellings © Building over 10,000 square feet tour or Signal circuit(s) or a limited energy panel. 0 System over 600 volts nominal more residential units in one structure alteration, or extension* 1 2 0 Building over three stories 0 Fenders. 400 amps or more *Desotiptlort: CI Occupant load over 99 persons 0 Manufacuued structures or RV park Each Mond impeetion over the alowaile la ally of the above: U Egreas/lightingplan U Other. Per inspection i I I I Submit — sets of plaits with nay of the above. Investigation foe The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ (/� O Visa 0 MasterCard _ expires if a permit is obtained Plan review (at _ 96) $ Ct a card oambe _ 1 1 within 180 days after it has been State surcharge (8%) .... $ Exptres accepted as complete. TOTAL $ ... (7 r C� Name of cetliolder as shown on credit card S Cardholder signature Amount 44446i5 (6rn0iCOM) CITY OF TIGARD 24 -Hour BUILDING Inspection Litibt. + 3) 639 -4175 INSPECTION DIVISION Business Line: (5 ) 639 -4171 MST BUP Received / y / Date Requested /2 4,1 AM PM BUP Location Suite MEC Contact Person Ph 3) q - 6 36 '1 PLM Contractor P ( ) SWR p BUILDING Tenant/Owner //1 �- . �� 62O O Footing Foundation Access: - b Are? ` $LP -t-" 4 c .'*x tA-A fn De - ELC Ftg Drain ` -, ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear I/ p t,7� Framing f� 1' Insulation Drywall Nailing Firewall _ i 5 LC`n//■I CrZ - S r in /� G ee /1-e - i d� Fire Sprinkler Fire Alarm ‘ F Susp'd Ceiling Roof Other: Final PASS PART FAIL 'PLUMBING` - =' ," 111 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 & Beam Rough -In Gas Line Smoke Dampers Final P *ART FAIL S e L;w ° Rough-In 1' UG /Slab Low Voltage Fire Alarm 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 Date AZ - 2/ I nspecto Mr/ L i Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection recor fro the Job site. • PASS PART FAIL