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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT #: 2,4441(11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/24/2003 SITE ADDRESS: 08048 SW SHAFFER LN NEW DURHAM PARCEL: 2S113B0 -00300 SUBDIVISION: BOReSfitl ELEMENTARY SCHOOL ZONING: R -12 BLOCK: LOT: JURISDICTION: TIG Project Description: JOB NO 924067 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: UTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: S CHOOL DISTRICT NO 23J HERRY CITY ELECTRIC 1 3137 SW PACIFIC HWY 17100 NE ST JOHNS ROAD D -104 T IGARD, OR 97123 VANCOUVER, WA 98665 Phone: Phone: 360 - 571 - 4411 Reg #: ELE 37 -620C LIC 91668 SUP 3486S FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 07/24/200 $75.00 Elect'I Final [TAX] 8% State Tax 07/24/200 $6.00 • Total $81.00 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. Issued by Permittee Signature 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 7:00 P.M. for an inspection needed the next business day CCE SERVICE SALEM 5035408147 04/20 '01 12:00 10.214 03/03 ---- _ -. o :,car tnity olr 'i a a f�71 6 (kri alew Elect 't 'ca Darettseivd. FGmstna_ ,4?.. il? City of Tigard Jul '' profxsJappl.na. 24 -06aa( City ofTtgard Adt�ss: 13125 SW Hall Slv .gga •, 0k- 17223 Dare issued: Pr Receipt no.: Phone: (503) 639- 4171'I1 OF rfGA ce�ne no.: ear n Fax: (503) 594- 19fJeUI(.D1NG DIVISION Land use approval: • < - : Ti Ur? fmnt i r O L & 2 fondly dwelling or accessory l3 Commere:allindustrial 0 Multi- family 0 Tenant improvement 0 New construction 0 Additloll/alnzationimplacemenr 0 O1.1= " 0 Partial _ " - 3 . -. B 3111,NFO1 ]_ =s3IO> _ _ - _ v _r- Y1, _ 1 i / r.%/I / Suits no: Tax - • tax lot/account no.: Lot: BIeck: Subdivision: 4 Project name: (A,1 - AAY) 1 Descriptidn and location of work on premises: Estimated dare of cornpletionrinspactfotn �..— i i CNT /ON- . - -, ` �1.lt; _S[uP . E - Job lso: � X9I» i r` r Fia $ctssDSSS name: (1 ' City Electric New Qty. (en.) Taut I no. inn New e_et_i - lagie are reedC45asef1;F pr Address: 8100 NE St JO}ms load Suite D-1O4 drelilrtttat reacfat'ca Frogs. ' City Vanoauver .. Stare: WA 1 72?: 98665 Sor4co4dsa . Phone: ±0-5 /1-'4411 LFax 571 -441 E-rnaik , rem - •.Por1ms 4 CCB no.: 91668 I Elm bt s- lie. no: 37-620C iPdchaddtotoahl resides fc orF,cninn -reoF t_tair,� eraeryy.lYSid�tlat z metro.Iie. {10 ' .-11/0 ' C+mit�l ®�rsidc�iral , Z U ✓1 ;/ Eachmantfacund home orrs�ulu :ckrellmg sin o supervising olr—aician (required) ITas b ried ondltrtle�er 2 Sup. elegy. mars WA* JOh l Or tai Li nse ta: $(j 5 -- oaorfmdenr— lesa6 llsoc, sitcofitooarrelccatIole _.. -.. . -. 2403rnpserleas 2 I4arne (print): ! 201 craps a 400 ere ie 1 1 Mailing adder 401 amps to 600 amps 2 601 • +•• -• to 1000 amps 2 C i g r . State: in over Iwo amps orwits , 2 , t PSonc: Fax: P-mai1 Reonuastonly 1 • °sonar installation: The inscallaaon is luting made on jro ty I ovm Tezaparoty ser*>rmor Veinier; • • w is not intended for sal; leave, mil. or exchange ae ardmg to "� °n " 0 o' °s' QR` ish ORS 447. 455. 479, 670, 701. zo amps 46 amps —t-- 2 Owner's signature: Daily: 401 to 600 amp: . 1 2 r : . :' A : tSr, tirjf r �- Smock circuits - new, Qlteratioa, of 1Q'�1= Name: , A. Fr forkaneb eircei is with porch= of Address: sa i-e or feeder fen, cads brooch eirsit 2 C irr Stan'.: - ZIP: 8, F. far branch craao wifttart patch= p�•• Phone: Fit: Irlrtatl of semi= orf - .r�.11:stbtanda clrealC I L�(o. q&,55 2 /31 _ Earhadditiosat band, oar- 2„N L: foS_U .l 0 f ( ]' AN 3/T1'1rAr-trJcc?4 411rr'7 11 113 a i 1,11 i ) ; :. s !ra'ac(SeR►tx cc- feedernotb eig0./d): 0 Seevimaver2?Sarrpmeormrerdd 0 HolistreacefsellIn. ' ' Each poop miaigsioneirtie Z I b ' 0 Sari a over920 amps- ta6rtg of 1 2 0 xrous>faatsloeuion , Facrt sin o< autline rrgftting 2 nu ilydwr1l 0 Bala:sova1c.= scram tcifouro,r Signal ca.6itts)or Noshed crtcrop® =1. • •0 Sri= over GOpveltsnornlnj , more resteh t albra;iticooSQn elt =re _-ation,oreztention I 75 1 •�- ' 2 0 Buf ding a rthtoestodts 0 F=Ser,4t3 amp; ornor: ylks.niodocc 0 O: load o •.vr 93 t,arreru D Manarxnrred =1=0n= or tv pork Each 2.1,11 tonal iesp ectton veer tfa allowable in arty of die above 0 Egra 0 Met Peris I 1 i 1 Submit __ set; of plans wtth Lay of he 7a1mierre_ Inaestigstioafee • The above are not spprieeble to temporary 0011Se etken Qth.Y e.oc ec )tuteardiac =ere aedt oft, paw cell lerlarl ri m ter eeaevfera6iOR None This permit application Petmir f ee --- ......--- S • l N . G1 - 0 vise 0 Msra.Cnrd aspires if a patent is not obtained Plan review (at _ 5) S Orc9t cod r_tnr4 n I f • within 160 days bier it has lrzn State suEcharge 05:2) .... S 17 , .a U _ c t ' = Ex * accepted complete. TOTAL S �� N r 1Qr St Cn act aaw oe e cxd - S • CaRgi i0°' dry =e AM=91 6414615 (6011COSC • CITY OF TIGARD 24 -Hour BUILDING Inspection,Line:(503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received � Dat :e• ested AM PM BUP Location :�' — mow!.✓_% Suite MEC Contact Person /'.fi Ph ( ) V17 ;S/y0- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner / - flite.<— '7e -fr ELC Footing Foundation ELC Access: Ftg Drain ELR 3'(9 1 e l r}'` Crawl Drain Slab Inspection Notes ! SIT Post & Beam - Shear Anchors Ext Sheath/Shear ,`,•� Int Sheath/Shear _ Framing Insulation �Q , i A� C / T Sy6 �. ""�Q ai Drywall Nailing I l,V b / I Fire wall Ft 5' Fire Sprinkler �J v Fire Alarm 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 PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PAART FAIL ECIi■rRl,C�t1- Service Rough -In - arm ( j ,.V'' Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Date 1 ©Y' I Inspector M ii-pp.96my Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL