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^ "IT ,OF 4'GARD ELECTRICAL PERMIT
(r T• i PERMIT 0: ELC2004-00738
DEVELOPMENT SERVICES DATE ISSUED: 11/16/2004
13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 PARCEL: 2S1046A 05800
SITE ADDRESS: 13731 SW NORTHVIEW DR
SUBDIVISION: CASTLE HILL#2 ZONING: R-12
BLOCK: LOT: 091 JURISDICTION: TIG
Project Description: Installation of(3)branch circuits.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200,imp: PUMP/IRRIGATION:
EACH ADD'i 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
VANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICEWEEDER 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: 2 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVL/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
KIM PA14GBORN CONDUIT ELECTRIC
13731 SW NORTHMEW DR DBA DU IT LEVEL TOOL CO
TIGARD.OR 97223 19461 SW 89TH AVE
TUALATIN,OR 97062
Phona: 503-524-3652 Phone: 503-692-1428
Reg#: SUP 4501S
--- LIC 109669
_ FEES ELE 26-905C
Description Date Amount
Required Inspections
[ELPRMT]ELC Permit 11/16/200, $60.15
[TAX]8%State Surcharge 11/16/200, $4,81 Rough-in
Elect'l Final
Total $64.96
This Permit is issued subject to t�,e regulations contained in the Tgard Municipal Code,State of OR Specialty Codes and all other app;cable law£.
All work will be none in accordance with approved plans. rhis permit will expire if work is not started within 180 day%of issuance, or N work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Tt ase
ruhs 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$00- 44.
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Issued By: _ Permit Signature: !JA �j�'t,✓�',¢j I�'N
— OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for saIr, lease, or rent.
m OWNER'S SIGNATURE: _ DATE:—..—
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ATE: W-W
r CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO: _.
Call 6394175 by 7:00pm for an Inspection the next business day
11/16/2004 12:57 FA-X r)035081960 CITY OF TIC-k" 0002
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CITY OF TIGARD 24-Hour
BUILDING 0 inspection Line: (503)631"175 is
MST
INSPECTION DIVISION - Business Lira: ( 639-4171
SUP _
Received Date Rea nested PM BUP
Location 3 7 �� �2 — ' Suite MEC
Contact Person Ph( ) (� �L PLM _
Contractor -- _ Ph( ) SWR
BUILDING Tenant/Owner . ELC r aS1
Footing ELC
Fig Drain Foundation Aocebs: i,.4ALa,_rr� I'LT4,4
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam —.
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing —
Insulation
Drywall Nailing ----- - --
Firewall
Fire Sprinkler -- '—
Fire Alarm
Susp'd Ceiling - --
Roof
Other:
Final
PASS PART FAIL
PLUMBING I
Post&Beam
Under Slab -- ------ —
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain —
Shower Par
Other: —
Final
PASS PART FAIL
MECHANICAL _ —
Post S Beam
Rough-In ---- --- - — --
4. Gas Line
Smoke Dampers --- --�—
H Final
N PASS PART _FAIL
ELECTRICAL _ ^
Service
m Rough-In
0 UG/Slab
_j Low Voltage
Fac m
[] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW H&H Blvd.
A PART FAIL
S _�__- Please call for reinspection RE:_ —. El Unable to Inspect-no aocess
Fire Supply Line 1
ADA Diti� � '
Approach/Sidewalk
I ad
Other: -----
F:nal DO NOT REMOVE thle IMP-WONr_R4; �J""*-
PASS PART FAIL
September 4, 1997 CITY OF (WARD
OREGON
Giao& Tam Heang
13731 SW Nor fiview Drive
Tigard, OR. 97223
re: Location of Water Meter
Dear Giao& Tarn Hoang:
As we discussed on the telephone in August 1997, we cannot maintain our water meter
and pressure regulator valve in it's present location. This letter is an acknowledgment that
if the City of Tigard Water Division is required to make any repairs to the meter or
associated equipment at the above address, any damage to the surrounding concrete will
not be the responsibility of the City to repair.
Please sign both copies of this agreement in the space provided below and return one copy
in the enclosed envelope. If you have any questions at this time or in the future, please
feel free to contact me at (503)639-4171, ext. 300.
Sincerely, In agreement,
Sam Morrison Giao or Tam Hoang
Water ij;-rision Supervisor
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13125 SW Ha!I Blvd., 11gard, OR 97223(503)6394171 TDD(503)694-2777, ------ ---