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Permit C ITY OF TIGARD ELECTRICAL PERMIT I -- DEVELOPMENT SERVICES DATE ISSU E1 /4 03 3 00668 A 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113B0 -00600 SITE ADDRESS: 16580 SW 85TH AVE SUBDIVISION: SEWER TREATMENT PLANT ZONING. I -P BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of (2) branch circuits. 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: 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: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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: UNIFIED SEWERAGE AGENCY STAR ELECTRICALSERVICE 150 N 1ST AVE PO BOX 68712 HILLSBORO, OR 97123 PORTLAND, OR 97268 Phone: Phone: 503 - 579 - 9201 Reg #: ELE 26 -963C LIC 153627 FEES SUP 4313S Description Date Amount Required Inspections [ELPRMT] ELC Permit 11/4/03 $53.50 [TAX] 8% State Surcharge 11/4/03 $4.28 Rough -in Elect'l Final Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1- 800 - 332 -2344. Z ;Y:C A. J Pe rmit Si k nature: ` Issued B � / Y: > l , � a .r�,L_e-� Signature: L�� " , OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: i / _ i.. .' I DATE: LICENSE NO: / Call 639 -4175 by 7:00pm for an ins • ect' • n the next business day CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested I/ —0,5 PM BUP Location �(os$ $ A}ve • Suite MEC Contact Person Ph ( ) 9 — l PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing CO O O 6. 6 Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: n 0- g n �� SIT Post & Beam K �C Shear Anchors Ext Sheath/Shear / Ina /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 RT FAIL E ECTRI Service Rough -In UG /Slab Low Voltage /✓G Y 're Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE El Please call f' reinspectio RE: ❑ Unable to inspect — no access Fire Supply Line v / ADA Approach/Sidewalk Date ` _ © Inspector v L✓ Est Other: Final DO ' OT REMOVE this inspection record from the ob site. PASS PART FAIL