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Permit • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2001 -00012 V I a DEVELOPMEN SERVICES 639 -4171 DATE ISSUED: 13125 SW Hall Blvd., PARCEL: 2S 104AD -04500 SITE ADDRESS: 12585 SW WALNUT ST SUBDIVISION: ZONING: R -4.5 BLOCK: LOT : JURISDICTION: TIG Project Description: Rewire of single family residential, 1000 square feet or less. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 49 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: 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: TRIGG, VERNON L ZAPP ELECTRIC INC BERNICE B 8821 NE SANDY BLVD 12585 SW WALNUT PORTLAND, OR 97220 TIGARD, OR 97223 Phone: Phone: 253 -9288 Reg #: LIC 56408 ELE 26 -483C SUP 1448S FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT DLH 1/10/01 $145.15 2720010000( Elect'l Final 5PCT DLH 1/10/01 $11.61 2720010000( Total $156.76 • This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 rule op Y the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain pies of these rule ordirect questions to OUNC at (503) 246 -1987. / PERMITTEE'S SIGNATURE �� v G ISSU BY: � � ,// Lk OWNER dLATION 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: / — moo — ai LICENSE NO: /L/41 F S Call 639 -4175 by 7:00pm for an inspection the next business day Jan 09 01 07:35p Triggcts Real Estate, LLC 503 629 3929 p. 41,4 ElectricalPetrm#Applica o ouerocet.ea: / ;41 --0/ Permit nor fl.L,00 / —WO/ C iryofylsnrd Addis 13125SW Hall Blvd. Tigard 97223 Duo issued: By Reaiptno.: Phonic (503) 6394171 Fax: (503) 598-1960 Om file no.: Payment type: Land use approval: Il?1' 4)1 PER-,:I l 01 & 2 family dwelling or aocesscay 13 Commerciallwdustrial 0 Multi - family 0 Tenant improvement 0 New suction 0 Additi t 0 Other: 0 Partial .I(.il: •,I I C 1\1!)1;:.1:\ 1 14)\, l zT i=m,G _ Bldg. no.: Sate no Y ,• Lot: Block Subdivision: ' • - - name: Description and location of work on , . , Tsai: liatimated date Of • • • • • , (to I;:r(:I ■I( - ∎i')'I.It 1111 ": k•I 1. ti( 11I;L)II-I, _ Job o 1111111111MPAIIIIIIPISIPPIRI Adder :. • . . • , a . : City: • - zi Elec. boa. tic. Dm .. . 900 • nit. a • deneo' CC:B no.: or unshed -...:, . traduced 2 Ci , lie. no.: © . 6 bh „r -,r-. , • 1 .11111 2 Es chaYeset emred tome amodedardvelltgp ■.11111 o f ... - eltrWklae .., • ,, - -•� Doe •_ 0 - 0 Servkeaodlafeeder 2 slarsakea KR ouster I' I (Ill 1( I \ 0 11 \ I no : „„. ,rtes 1111111 2 Name (print): l ]lot snow RE MEM IMIN El= addtesa - ° 3 �tl 4(/Q' £'11.;I� ml :. b6ao , . 1111111111111111111 2 i , ,� ..,,. row ,..,. �� 2 City: .. , _, — ' . 1 ZIP: - over 1000 revoke • Mil= IIIIIII 2 Phone ' r .5 - di Fax E-mail: E _ . ... .. r r 0 Owner installation: The intIlation is being made no ytope ty I own Trap ra yasdem .. .. - which le not intended for sale. lease. sent. or exchange according to " w . ORS 447, 455, 479, 670, 701. 206 ales, • 2 zol slop to400saps 11111111111111111 2 Owner's . Dam 1111111 IIIIIIIIIIIIIII© I: \I;F \ li Brand. -mos. se eaee edaappas& Name: IL Fee fa med§&mite whhposh=of Addle= service wteader Bee, each brae& &rein 111111 2 Ci . State: ZIP: a Rs fat Baca caeca "Baitparehna Phone: Fax: E of service afmowfe.nenia ®ds aamt ■■ 2 • 1 ' 1 \ \ Il r : 1 - I I . ' t ' .1':, ., :-I!.. .. . . . . . . . . . . .I ..,11■+ ■ • - Tr . (Sachswfredtr eath ehelefth ID Scalise 0 tlleal�amtadhy m. r ed� ■■ 2 0 Service aver 320asape-rethau of 14112 0 Hamad= leaden I:rn="1111111111111111•1♦1111■1♦ 2 f mltydareBegs a Band/Nova 10m0 Ica fgma SSW ehedrls)waBm@edemppaid. USyevemovea600voth wal mat atl.orerteadan• - ... 2 0 &haven ccnoeer o Peak= 400 =pear aloe 0 Occepert bud omen pumas 0 Manahcaterdstneshossor RV pork . Mess e ez me af0mit& , . T t] pla 0 Other: MINIM NMI MN= Submit_ sets ofpbasId say elate above. foe The dome oe ea - ataa an n astroakes amioo. other ta aS/aditdam sat aft cal% edi jaidlaimaerems isteeseaue Nodon This magi application Permit fee_......_.. — .._.$ o Visa o hlastreCeal ez4m if a permit is sot chained Nan I view (at — 96) $ ands end earlier: Lie` within ISO days after it has been Stale surcharSe (8%) _.. $ accepted aseomplete. TOTAL _._. $ N.= desdlarder a 8eoa a aunt card S Cathcart rdprsee - wseea 4464615 E FROM 503 628 3929 TO 1/9/01 7 :43 PM Page 2 Jan 09 01 07:35p Triggco Real Estate, LLC 503 628 3929 p.3 Ss Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED • RESIDENTIAL ONLY Complete Fee Schedule Below: Resbtded Energy Fes.. __.__ ._.— MOO *weer of Impectlens pre permit aliened (FOR ALL SYSTEM) Service Included: Items Cost Total 1 such Type of Work Invoiced 1000 sq. a or less unit $145.15 I 1 S fJ / 4 ❑ Ated0 and Stereo Systems Each edgewise 500 eq. tt. or portion timed $53.40 1 ❑ e Aram, Each Maiwfd Noma or MOW ❑ c Door Opener Service or Feeder $90.90 _ 2 Services or Feeders ❑ Heating. Ventilation and Air Conaitla Ing System' Instsdadon, alteration. or reboillion 200 arras or lase $8030 2 ❑ Vacuum Systems* 201 amps to 400 amps $106.85 2 401 nento600Imps 5160.60 2 601 amps 101000 amps $240.60 2 ❑ ae,ar Oren 1000 amps or volts $464.85 2 ReoannecOrdy 566ffi 2 Temporary Feeders OF WORK INVOLVED - COMMERCIAL ONLY Yetadle$on. ganglion or rebra5on Fee for each system -.- - .._....... —. $7360 200 saps or lass $6685 2 (SEE OAR 016 - 260480) 201 amps to 400 amps $10030 2 Cheek Type of Work tnvolr 401 =pa to 600 arms $13378 2 Ober 600 ses � . 11100 vd� ❑ Auk and Stereo Systems Wench anode ❑ Sager Controls Nor, aferadon or mansion per panel a) The tee for branch cicada welt t7ecf Systems NprreAag ef0 11Mea o Aed`►Aee. Each branch circuit 5685 2 0 Dad Telecommunication InetMaton h) The be fort ram* ctm negate purchsse of sonic. ❑ Fire AlarmInetallatlon or firdar fee First branch chid - $46.035 Each additions' branch dread We ❑ FNAC Miscellaneous Menace v rmo3s not maces) ❑ Each pump ar Iedgaticm drde $53.40 - ❑ Intercom end Each sign or ou %e Wag 563.40 . Signal darigdor a asked energy send send= or alone= ;MOO 0 Landscape infilaikle Ce 10101* War Labels (10) $1 ❑ Medical Each addllenal MmHon over the asmrebleIn any ofOmabove ❑ Calle PerSupscein 562A0 Per hoe $16250 ❑ In Plane S73.75 t.ardacepe Lighted' Fees: 0 Premwy° Signaling Enter total of above fees $ 14 `(; S ❑ aimr MG State dre oe SarQe $ // ' �1 Number of Systems 25% Nan ROAM Fare Sao Reline sachet on • No scorers are rabinal. Wanes are ragdred as all real Natdagare gacaotpppmralimn Fees: TOW Balance Duo $ /S-C,7 h ' Eider told of above tees $ ❑ Trust Aocsawrt O \ / BIG eats Surcharge $ Total Balance Due $ i.9 mlele- Onsdoe 111039io0 FROM 503 628 3929 TO 1/9/01 7:43 PM Page 3 CITY OF TIGARD BUILDING INSPECTION DIVISION • 24' -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MSS . h BUP Date Requested / ^ 7 � / AM PM BLD - Location 1 2_ 5 9 kU nn 2c,r1 Suite MEC Contact Person Ph 51 .3 3iv 38 - / PLM .Contractor 2-P �.(.�� Ph SWR BUILDING T enant/Owner ELC ?Op / — fi)®p ( Z Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: // SGN Slab C 6/01 �'? ' G Q� /17�> SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL �le�L ctlervrcPj UG /Slab Low Voltage Fire Alarm Final • PASS PART- FAIL _. SITE Backfill /Grading Sanitary Sewer Storm Drain I Reinspection fee of $ required before next inspection. Pay , t City Hall, 13125 SW Hall Blvd Catch Basin i Fire Supply Line [ Please call for reinspection RE: E, G / b 0 f ' nable to inspect - no access ADA Aid / Approach /Sidewalk Other Date ` / 7- 0 / Inspector e ,� / ` Ext Final 0 PASS - PART FAIL DO NOT REMOVE this inspection record from the job site: • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 =Hour inspection Line: 639 -4175 Business Line: 639 -4171 r.-. / g ® ( / BUP Date Requested / — /l AM PM BLD Location l-CJ1 itA - Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner - ELC aZ9 D /— eele,Vt Z Retaining Wall • ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear • Framing Insulation Drywall Nailing Firewall Fire Sprinkler r - _ Fire Alarm Susp'd Ceiling Roof i� • Final na " ‘11.111".-- Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL - MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PA IL CTRICAL S • Rough In UG /Slab Low Voltage Fi arm ;TO PART FAIL - I E Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk / Other Date 07 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.