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Permit
,a CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00398 � i�� DEVELOPMENT SERVICES DATE ISSUED: 6/30/03 �c:�.,_ 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 - 4171 PARCEL: 1S133AC-HB025 SITE ADDRESS: 10955 SW BRIARWOOD PL SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R-25 BLOCK: LOT : 025 JURISDICTION: TIG Project Description: Installation of temporary power service for construction trailer. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 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: MATRIX DEVELOPMENT ELECTRUM INC 12755 SW 69TH AVE #100 DBA SPECTRUM ELECTRIC PORTLAND, OR 97223 2050 VISTA AVE #100 SALEM, OR 97302 Phone: 503 - 620 -8080 Phone: 503 - 361 - 1256 Reg #: LIC 116453 SUP 29I9S FEES ELE 24 -353C Description Date Amount Required Inspections [ELPRMT] ELC Permit 6/30/03 $66.85 [TAX] 8% State Tax 6/30/03 $5.35 Elect'I Service Elect'I Final Total $72.20 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 -800- 332 -2344 Issued = : 1 / _�: 0� ' 1 • Permit Signature: c e_d-`> 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: Cali 639 -4175 by 7:OOpm for an inspection the next business day JUN -27 -2003 03:11 PM SPECTRUM 503 361 8810 P.01 4 ri IIectric al PermitApplicntion u,- , , , Date received: A 0 Permit no.: , ,3,� `! , City Of Projex t/sppl. no.: E> elate: ' c „fn Address: 13125 SW B le 4TH' Phone: (503) 639 - 4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 JUN 2 7 2003 Case file no.: Payment type: Land use approval: CITY OF TIGARD 11 t'i OI 1't 10111 O 1612 family dwelling or accessory O Commercialfinciustrial Q Multi - family O Tenant improvement 0 New cm>shuction O Addition /alte ation/replacement ill Other. TEILI pWQ O Partial Job address: I d ' SS vAitv Mara - - Le Bldg. no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: Piglect name: • Q. Description and location of work on premises: Estimated date of tion: 0 ,• a 'kV Job lee Men Business name: 5`P EC T E E fl4C Qty. Oa) _ 'IOW a ae.hap Address: 2050 SE Net S - A Aix_ t weRi dda.de ngsmILIndmilas Q.aii `°+ d City: S 4l...€r 1 S O' I �"• 00Z s . PhO D3 -3 111-125 /.I Fax: 44 10 ( E 1000 sq. R. or teas 4 I Elec. bus. lic. no: CCB no.: ti 1047:3 1. 5s5 C. Each additional son sq. fl or portico thereof City/metro lic. no.: 1622- /o /j /� 3 Limited enemy' residential 2 O rr -- W27/03 - Each numufitclured tome dwelling 2 gin�s�ecv atectdebm (requited) Date Y ioli/i Service andlor feeder , 2 sup. deer tie out): out): ).i /el_, jserdeasattleado s— tsrbiWtloo, alterationorrehtentlein 200 amps or less 2 Name (print): 201 amps to 400 amps 2 Mailing address: - 401 600 amt" 2 601 amps to 1000 aunts 2 City: I State: I ZIP: Over 1000 amps or volts _ 2 Phone: I Fax: IF. -mail: Reconnect only 1 Owner installation: The installation is being made on property I own TvaForar7meeaorhodeas- dterationreleattl which is not intended for sale, lease, rent. or exchange according to �'0i�0", ,or em ORS 447, 455, 479, 670, 701. > or t lole� q 010 2 201 amps to 400 amps 2 Owf Date: 401 to 600 2 Baruch - etew , akeraMon, er extension peewit Name: A. Fee fbr branch circuits with purchase of - Address: Wrtvice or feeder he, each branch circuit 2 City: I State: IMP'. 8. Fee Ox branch circuits wshoh4 purchase Phone: Fax: E- nutil: of service a Reeder fee, first branch circuit 2 Each additional tnande choir BDse.(Ser vieeatfnede reotJededed) O Service over 225 empecoatmrmciel Q Revahhtme fhdihy Each pulp or irrigation circle 2 Q Service over 370 ae-mUn of 18c2 Q Hazardous location Each dgn or outline lighting 2 amity &claw Q Bdldime aver 10.000 WIMP: Seel lbw or Signal dreu as a limited energy poets, o System over 600 vole nominal more residential units in me structure _ ahengion, or extension' 2 0 Wading over area stories 0 Feeders, 400 aunts or more .per 0 Occupant load over 99 psis 0 Matudketwed structures or RV park — QEgtessnighling Ow 0Other: P erthWltlor +alferpeetl a�oftltettbu Per inspection 1 1 1 1 Sabath _ Oats of pltms witb say of the above. Investigation fee The above are dot apolleable to temporary coiBtroctlan aerrke. Other .a incept credit code, . , • call for more iatbmaeon. Notice: Pis permit a Permit fee $ . Cl 5 Z ho expires if a penult is not obtained Plan review (at 16) $ witbin 1st says a fter it has been State surcharge (8%) $ ..3g � '. . , d� i::z: i =ira 3+=i accep as cx maplerte . TOTAL $ Z2 + ?,f� ...al . $ -7 2 w ..i�. a Immt 440.4613 (6/00'O0M) • r'w , '„*00c ngAi:)11 90 YT;) ' Lz. CITY, OF TIGARD 24 -Hour '= BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 r-� BUP Received Received Date Requested ) 9 - 0 3 AM PM BUP o Location 1 3 - 6 s \ R N0 Do Suite l,, MEC Contact Person 1 ( \ �.� Ph' 03 ) tt/1, $ 9 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC 03 "' d Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain • Slab Inspection Notes - SIT Post & Beam \tAA Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm z\N(k. 1 Susp'd Ceiling - \ _ - Roof I�ND. C 1 Y��\�� 1) Other: } U �_ �N\ V 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 PASS . PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA � _ . Ext Approach/Sidewalk Date - Insp r Other: Final DO NOT REMOVE this inspection record fro the, jo a site. PASS PART FAIL 45- /� /, CITYrOF TI3ARD • 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST • INSPECTION DIVISION Business Line: (503) 6394171 BUP Received Date Requested 7 3 AM PM BUP Location / D 9515 Suite I`LL MEC Contact Person Ph ( ) PLM Contractor. Ph ((" 3 ) 3 4 1 — SWR �y BUILDING Tenant/Owner - ELC A3 5 1 D Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: ( SIT Post & Beam Shear Anchors Ext Sheath/Shear. Int Sheath/Shear Framing ):;y Insulation' • Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: • / r� � Final Re O ?eD C...t e 60 k 4 0 '� W P PASS PART. FAIL (0/ // PLUMBING Q h / e at ! l e bee c Z Post & Beam - = Under Slab Rough -In t 1 � �i Cj S C �`rtil/ IAA( 0 tJ)1 / Water Service Sanitary Sewer 6 i7 A- (v /roc S / J��//...(_!,� • e (� �Y"1 ©t/ c [ > 6� cD Rain Drains Catch Basin /Manhole CIP 4'4 ,/ _ �. ©� Q� ) c, & i p 9 Storm Drain �`-� Shower Pan y p P cA- a-t4.. C ) a 2 Other: .J Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final - PASS PART FAIL ELECTRICAL t6ervDE) dough -In w y " iv UG /Slab rB -7eA- Low Voltage Fire Alarm -t Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART go SITE ISerease call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA Date D� Inspector Ext Approach/Sidewalk / Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received q Date Requested ' ld AM PM BUP Location ss I - ch7'D� PL Suite MEC Contact Person Ph ( ) 346 - PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner /‘•_ . / ! . / - Footing ELC 3 - 0 0 391 ( Foundation Access: Ftg Drain 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. 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 PASS PART FAIL ELECTRICAL Service Rough -In qe4/14). UG/Slab Low Voltage Fire Alarm Fi 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 Approach/Sidewalk Date 7 ` D - Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL