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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00086 •,� rt, DEVELOPMENT SERVICES DATE ISSUED: 2/21/03 ':1 II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 - 4171 PARCEL: 1 S125DA -08800 SITE ADDRESS: 09300 SW 70TH AVE SUBDIVISION: KINGS VIEW ZONING: R -4.5 BLOCK: LOT : 064 JURISDICTION: TIG Project Description: 1 RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 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: GRECO, ROBIN OWNER 9300 SW 70TH AVE TIGARD, OR 97223 Phone: Phone: Reg #: FEES Description Date Amount Required Inspections [ELPRMT] ELC Permit 2/21/03 $80.30 [TAX] 8% State Tax 2/21/03 $6.42 Rough -in Elect'l Service Total $86.72 Elect'I Final This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 1-800-3,-2344 Issued By: I/� 1, _1 Permit Signature: 3°Y1. px y -e f 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: u`l� Call 639 -4175 by 7:OOpm for an inspection the next business day 02/18/2003 12:58 5032473450 COM -NET ANALYSIS PAGE 01 Electrical Permit Application t 1 ' ( Date receivedA -, /_-0 Permit no.:g D DDa i � ' .•, City of Tigar r .,..!, � Project/appl. no.: Expire date: • City of Tigard Address: 13125 SW Ha v tg , I O 3 Date issued: lajl Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 FEB 1 8 2003 Case file no.: Payment type: Land use approval: CITY OF TIr ARD - - - - .. 1 1 11 01 I't: 10111 IB 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi- family 0 Tenant improvement 0 New construction ►ddition /alteration/replacement 0 Other: 0 Partial . 1 01 1 silt I \I 0101 11 ION Job address: 9 Q S.W. 710 Ws Aye Bldg. no.: Suite no.: Tax map /tax lot/account no.: if FOY 23' Lot: t,'/ 1 Block: (Subdivision: (ii4. / i le+-14._) Project name: 1 Description and location of work on premises: 4ezo y 1 /2(•L>r4' g, i Estimated date of completion/inspection: i ' ' In iitzt/ ..Ii 6' :-i l ON 1 it 1( 1 Oli :1I'I'I.I(':11 ION 1 1:1: .ti( 111 1)1 1.1 Job no: Fee Max 1 1IIl Arerl 0 Description Qty. (ea.) Total no. Imp � Newr l-eingleoroadti- per Address: '- -, :'� / // L_ dwdiiogunit .Ioctuderattachedgarage. ��e Cii' _ __ i fs �r mdudedr Phone: p ;(:. n, % -mail: Cerra - 6}2 ii9 1000 • , ft• or less 4 ' ,,. e . Each additional 500•sq. ft. or portion thereof CCB no.: Elec. bus. lie. no: Limited energy, residential 2 City/metro lie. o.• Limited energy, non-residential 2 , 4... 2,1425 Each manufactured home or modular dwelling Signature of ry 'ng electrician (required) to Service and/or feeder 2 Sup. elect. name (print): License no: Services or feeders— Installation, alteratio n or relocation: 1'It01'I:Ii 011 NI:It L 200 ampsorless 0,9,5q 2 , Name (print): Pvr` tR iee0 201 amps to 400 amps 2 — Q � 4 01 amps to 600 amps Mailing address: ! v� sw -i k e 601 amps to 1000 amps 2 City: 6, aro/ j St ate ( ZIP: 44 4' Over 1000 amps or volts 2 Pa -clue, I q. . mai1•trO1 A re Reconnect only 1 Owner installation: The installation is being made on prope . - , etuporarY services or fceden - on, alteration, or relocation: i which is not intended for sale, ase, rent, or exchange scent tng �/. 2 amps or Icss 2 ORS 447, 455, 479 6 t t , / / ' Z �J _ 201 am • to 400 am 2 Owner's sia •tore: " %` " Date r 401 to600am. 2 1.\ (. I \ I : I :I It Branch circuits - new, alteration, or extension per panel: Name: A. Fce for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: 'State: 'ZIP: B. Fce for branch circuits without purchase Fax E -mail' of service or feeder fee, first branch circuit: 2 Phone: Each additional branch circuit. l'1. 1N Iil:111:11 (I'Ic.t.e check (II Ilia( :tppty) Misc. (Service or feeder not included): O Service over 225 amps-conunercial 0 Healthcare facility Each pump or irrigation circle 2 ❑ Service over 320 amps -wring of 18c2 0 Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure . alteration, or extension* - 2 O Building over three stories 0 Feeders, 400 amps or more *Description: 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable litany cattle above: O Egress/lighting plan 0 Other: Pcr inspection 1 I I I Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee $ Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Plan review (at _ %) $ isa 0 MasterCard 47 expires if a permit is not obtained Credit - number. ..- 2 I • e • i 4 0� /J 2 t o S tate surcharge (8 %) $ within 180 days after it has been Co- 1- Expires TOTAL $ CS/ 1 , 0 1 L " e .i' ' // accepted as complete. .7 , ,7?"sh of. dit , d V/ LV... Cardholder signature Amount 440-4615 (6/00 /COM) CITY OF TIGARD 24 -Hour BtILbit G Inspection Line: (503) 63 5 INSPECTION DIVISION Business Line: (503) -4171 MST p BUP Received Date Requested a — i' AM PM BUP Location ?3 t 'e– Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR o� BUILDING Tenant/Owner ELC 3 - 6 d 6 o Footing • ELC Ft und n Access: S?© °lam' yLo a w /0 it y Ito 7D 9 " 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 & Under Slab /� 1 S 9-y-v L i - t€ / U �� Ae / `"V 6 e_ Rough -In �t dd v/y t „ / � c& Water Service 'l'�'C L Sanitary Sewer /,, Rain Drains " P ^-e �� Catch Basin / Manhole N? / —et C Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL EL ICAL ough -In UG/Slab Low Voltage Fire Alarm Fina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. illar PART FAIL $ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA / /� Approach/Sidewalk Date z — ! 1 v L 3Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL