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10915 SW HALL BLVD BLDG 4 uo r i J 11 I C 10915 SNN' IIALI, RIND DL,DG 4 CITY OF TIGARD _____ ELECTRICAL PERMIT PERMIT M ELC2004.00467 DEVELOPMENT SERVICES DATE ISSUED: 7/27/2004 13125 SW Hall Blvd.,Ticlard, OR 97223 (503) 639-4171 PARCEL: 1S135AD-02300 SITE ADDRESS: 10915 SW HALL BLVD 4 SUBDWISION: METZGER ACRE TRACTS ZONING: R-12 BLOCK: LOT : 002 JURISDICTION: TIG Project Description: Reconnect. _ RESIDENTIAL UNIT TEMP S_RVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: — 0 - 200 amp: PUMP11R41GATION: EACH ADD'L 500SF: 201 • 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEiFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: WISERVICE OR FEEDLR: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FGR: PER HOUR: 401 - 600 amp: EA ADD'L BPNCH CIRC: IN PLANT: 601 - 1000 amp: PL AN REVIEW SECTION_ 1000+amp/volt: >=4 RES UNITS: —�� >600 VOLT NUM IAL: Reconnect only: _1 _ SVC/FDR>=225 AMPS: — CLASS AREAISPEC OCC:--_— Owner: Contractor: DWYER,MARAGRET AMERICAN ELECTRICAL SERVICE 10915 SW HALL BLVD PO BOX 1057 TIGARD,OR 97223 SHERWOOD,OR 97140 Phone: 503-620-9373 Phone: 204-9864 PAGE Reg#: LIC 101587 -- SUP FEES —_ ---� ELE 3G-59 36-59 C Description Date Amount Required Inspections ILLIIRMT)L,.( Permit 7/27/2004 $66,85 - 1TAX 18%,State Surcharge 7/27/2004 $5.34 Elect'I Final Total $72.19 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 1.80,0-33?-23444.- Issued BY K r.Gf_.� t� �/�i (,f Permit Signature:_ /7A ce����iG�II&Z' __ OWNER INSTALLAT;ON ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: —__-�- —. DATE: CONTRACTOR INSTP,LLATiON ONLY SIGNATURE OF SUPR. ELEC'N: DATE:_ LICENSE_ NO: Call 639-4175 by 7:00prn for an it,shection the next business day \� 1997 16:23 15035548506 AMERICAN ELECTRIC SV PAGE 01 r - 07 77 2004 111; 11: FAA 6f135p8Ip6Ij r l r\ rtp 1111ar, rich! pal+mit Anra�+�� ��Ef VE;Q 011 of TIUArd Aece,re ) '112 5µ'Hal Bl.d.7�duro,VR t+r113 \ - Y.•uw LLLN PanaulNe n.- /,fvl Phone .403479.4!71 Ce, !O)S96 IutF) ( ii.oAr,n. ^-• ••••---rt � Inlgrabonl.rt.e lD7,�041 '� areal, OWert 11.��J � Srr ,�..`T,,� ,. -7<-;�. � 1-�;�y.Suppl..nt.r.11nle•n.ye.�...e�_ f IP�Mz`�` AI:'t11Yi`w?�ir''�•L' '.'r ' ''. �• 'r . =rte_ l J �ldthl�r,.tltcnt�n replaa!ment P�c;•leol,ail! at aPpiy -- Demollllou ottrer �9ovlce17%cr+2J.mp:.Comm,, ftmw 1 1•aDd:'(anUly Wa)I n yt ���e ___9 i ul l•016 244rrulydv.t'lhn[t or mpre.tK•a dent.r d G CofntndtC:al/Ltduatttel �.1 AccaSscn bu ,t;:g 1 Mtlylltrn over 600 vola romrna wr.. m nnr,ovcwe htulo•fa�lY ❑t(wer h 'der ["]iSu;am o...•r r1' I'Outer C tvp n nas ❑Rnders,aC .r. pi of nor" AL n7f:,,r,uir'.,ad:�h P?�el•ss,, n�f...�!a.r.• .7.1•aer c Job no - I ^Epcu' gnti❑`p!ar, RV bark _ LJeb site aidrata: -- Ctly/S1d1aL1T. x1 IYlle S�bklllt 1 l'r.W104 M, 't thio above rP _ a.� (+0 a are«o aQblleWe to ttn'+paay tnnitr JCGOr; Sulte/bld C'duachea, o of `w � _�.._ Ptwect na,ne - --- -- oarneu. .. ?r► PN• Tet.f .`owreodeutnl lia��w o.mule•bmilr dwclllnl uett i inclwdn artatbed prate^ j00#41 rt or ie$q SubdiWaioo 1- o F4 odd'I$00 r A or par-ion • ' tot on � g_�- I Tau cei n, -- LrRllted e+lar ,1 I �. _--_ _r. tsldtmual 1S 70 _ "_.� I mired en t+ /,"ir^ e1•icnrnl _ - 4" 2 -- F.xh nun�(•cnrrrd r,-modular 4wen aef�rte ae 'o.faede. I 1 I - S•►vleu or hedtrr 1 latellalton,alteration,and/or relvtallel, t a n i or Its+ 6�" ]''I utrt+e la•Y, Name M EEO mps ro oat el..p� L._. i60.6(J 2 - 1 .------- ----�----�- w L:r 501 amps w ;,CGO anvi 24060 2 Aftites�_- �( �r Cf. ) - �`Trr 1.000 un_tvt of volte y_ 434 ES _--- 1 I RccoMact only - 66,113 � (, T _ 7eetparary servlew ae torders iMINIUIen,a tet d-h aad'or Pbm -_.b.L.�l�� F rdotatt.n .. . L._,ut _ I 200 et}go c, Iclt t"hradr IllttNlttlon. rt'�,t 1nxtCsn0n a reu,tt ro.lda O0 Vt)pt;ty that t owl wtut:b is not ! lq; a .in 400 a e _ I 100.)0 7� intended fnr$dlc It&, Nnt. or exchange. ac�ordul -,1 CRS 4M' 449, 671),Ord'O1 I -_-.=r.�.•-. _ _moi-�-�1 !• +4 1 401 .— s ro 6J0 e a 17).�S_' �'_.-q CjwriCr alpst..v _ [reeeY elrtulls-new,alteration,or retention.per pant _.- Ww -e.-. � ttl�9, � 4 fit+ +Ixlu+!1,c,r:yi•.t .Irh �� ;c, ce cr re-„et fee nch 1 6 j•, btWch tutu", 8ululGa �It(1d 1�_ B tet tot brant•rir�a u - }.... .I -► ��__�/� -•� wnNvwr W*Ice or t•eder lte. I .r,a7 17 Contact w•mr _ �.-. ._.�^--__. -. -• - — - ta:n btaaer a v,l ,f "'� 4:11cu,4 hltaeellastous(lerelte or reader nal Included) Pump-)r In t'vn e+rele ^�V,• ._ ' f $,lnat eaeulrul it limited r� tpj�, 7rq ere'rlygantl,Alteration C" R111� "1V i+ Nilk'k L�.c-- 7r:cnbe ?otte _ _J___--�-- �� L"r�7 _ Ua1�oante Cf� C !!;`�� ✓ �_ •-" "� r n'drf,n„nal in• ertlon beer anu�able In an)arctic abo•e ..,.� _ f_ % �.._ —62 SG a■`'-'rVt tt/L](1,[, .L I� _ '� ._..-.- I_trvNblan_en per-hbu• U;c'ZIP( `!_r ... .✓ -/C/� �, .. ... InGuatnal lvtRt bout �)'. _ Pgeaa.(?��..� �/.� �4 `.-..j �'- ,i yin,^, ►,c /��l� _:, Subreta; r• LIt - Plan"av1w,.(2 !ec) 16 ��lCQ1G1tIB 11t�dhQUytd, _ _ G 1 . rwc't01 til PlEtltt►Q 1 t 4e r ~ e�.7 �� --71 � — reE�„ - punt ,�� +a��; � e hea�onuplrtl`tsVol'^R":•, ., '• ffin tilta 1Go eye aRtr It n•,barod 81"Y W4�"'�. _.- eer,.ellftUrwos^r••tiva711 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 6391-4171 MST BLIP Received'��A Date Requested -Z- '6� AM © BLIP Location 1 0911 __ W AA.t J�LVb . + --- MFC - -- Contact Person ---- ---- Ph( —_ PLM _-- Contractor__- - — -_ – Ph( _) SWR BUILDING Tenant/Owner - ELC Footing Foundation Accoss: ELC -- - "-� Ftg Drain ELR Crawl Drain _ __ —---- --- -- Slab Inspection Notes: SIT Post&Bram Shear Anchors -------- -- -- --_ Ext Sheath/Shear Int Sheath/Shear Framing ---- Insulatioh — Drywall Nailing ---- Firewall Fire Sprinkler ---------- Fire Alarm Susp'd Ceiling - ------- -- Roof — Other: -- Final T_------------ PASS PART FAIL - PLUMBING Post& Beam -- - -- Under Slab Ro.igh-In Water Service --- -- --- -- _ —_- - -- -- - - --— - - _- Sanitary Sewer Rain Drains --— ---_ --- -- ------ ---- Coch Basin/Manhole Storm Drain --- - - -- — -_ - - -- --- ------- --— Shower Pan Other: — Firal PASS _PART FAIL — MECHANICAL Post&Beam -- Rough-In --- Gas Line Smoke Dampers Final P7PART FAIL --- T Plough-I UG/Slab -- Low Volt Fire Ala -- -- _ — - - SSFAIL Reinspoction fee of$__ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITr___ Please call for reinspection RE: _—_ F� Unable to inspect-no access Fire Supply Line ADA n/ Approach/Sidewalk Onto 2"I Inspector "�� _- - Ext — Other: Final DI's NOT REMOVE this Inspiection record from the,fob site. L PAS$ PART --FAIL