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Permit , CITY OF TIGARD ELECTRICAL PERMIT 4 PERMIT #: ELC2003 -00014 leg DEVELOPMEN DATE ISSUED: 1/15/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S104AC -11100 SITE ADDRESS: 12740 SW 134TH AVE SUBDIVISION: DEER POINTE ZONING: R -7 BLOCK: LOT : 002 JURISDICTION: TIG Project Description: Reconnect. 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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: VENTURE PROPERTIES INC KELSO ELECTRIC INC 5000 MEADOWS RD STE 151 545 SE 3RD LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123 Phone: Phone: 503 - 648 - 6360 Reg #: LIC 116254 SUP 4270s FEES ELE 34 -433c . Description Date Amount Required Inspections [ELPRMT] ELC Permit 1/15/03 $66.85 [TAX] 8% State Tax 1/15/03 $5.35 Elect'I Final Total $72.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1 -801 32 -23. Issued By: 4 L' /Jj, .` � , Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: 77) � Call 639 -4175 by 7:00pm for an inspection the next business day FROM : KELSO ELECTRIC INC FAX NO. : 0000000000 Jan. 13 2003 11:19AM P1 u;-,e _ /It 3 0 3 1.4 ; -r fke �pc , 6.0 3X003 �� )R OFFICE; 1 ' F �hiN'Il • . Electrical Permit Ali . • . ' • Rp AedeivrJ - Flectriosl i+ L 0? 1‘ A -1 • _ . ' _ O 3 I t ��d / ' ��1 , n1r / City of Tigard 1 ZY ovv.. Aa. . . .s Approval s ign it N 13125 SW I-I111 Blvd, T est FOT !! . � !��„ o'�' —� Timed, Oregon 97223 DaarB : Psrtnit Piaone: 503- 639 -4171 Fax: 503.598.1960 .., :,0,•, Datonlyt qaso No.: Posi.Raview Land Uss Inuraet: tit^V W.CLLl$gCti.Ot,L9 ! ,•�� C '-w • • - 2 Coma Julia.: - 0 5 Page 2 for 24-hour Inspection Request: 503- 639 --4175 Name/Method: Supplemcatal Infa nil talon. - a= T:1'P,E: O):.:V✓AUR'FC r , „ 'mot' +� i'� � 'S' a. ". +,'!, �. :..,i;i „L�:. � ., r ,: ._ .. j,:., W' .tires 'tk.��Ltiit:AbDt9)c:�f;f::.'A. � 17 New construction • Demolition „ 0 Scrvicc over 725sops- Ulla th - ease flcilib rti al ratias .dciz:on/slre�laceasent Other ,�� co �doua location i i ..s : si'�t3i`,' a . a �.' • viv ? ;� / � d Scrvfcc ova 320 amps -tat rg of ❑ suildfng over 1(000 $ciu ro feet, 1 & 2 (tinily dwellings tour or trwrt: residentltt units in 1+ - 2- Family dweing ' I Co1I mercial/ITtdustrlAl ❑ System over 600 vela nornlnal ono ptrsen:re Building aver three stories ;seders, 400 Toone or more _ • Accessory Building ■ MuIti- Family Occupant iced over 99 per'ons Master Builder' ■ Other: 0 Egress/lighting plan ❑ ntnctuhd eavccures or RV pork Other JOB SITE ANTORMATIOpl` -,itid; 7CA7Tp`Lv'': ” >i. is ? ::; l : Submit sets of plans with any of tbo above. E _ Tneaboveartriotahp {Frabletotemporary cone- ..,:.- ... -4. i Job site address: r �I _ - < - - +, Bid . /A _#: i • c lio ' Suite #: •'- Number or iitt • .-ns � er • ermlf Allowed Project Name: ��� i ^ D Qq PacseL) Tote C�a35 S ?eetfDirectiOrls to job 5720: r Now resideadakinik or realtbtlllnlfy per dwallfng 0dt includes attached garage, 1 L Service included: i i x s 1 t } � ,000 ft, or lcto 145.15 4 E 1 L!v �.J ' i• �I. 11 .5. N r "Cm I u . 4 iiimmi SU.0 LL Lsion: i Lot #: •, ;.; . • ia.00 Limited alarm non residential - /5.00 f 2 Tax t.•Aa Wx.?ce1 #: Esch trunufletured home or nodular dwelling 90.90 2 = { i i 3ervie aed/..4/6i. faced r .. - .. 'MJiJ.✓t�I+i'.�,V it.•f��,�rTi�.l.Ci'C:-. �iy,i:. .= ..'.D!- c _ -� ,-'1�.I �.�. i Scr Or - inetYNat aluratfon or relocate:m : 200 am-- or lets Ill 80.30 MI 1 . a 400 .- u •- I :04-15 — 2 401 am - -. to CO ate • 160050 _ �© 3 OP.EA'3°5 'O: ?until i.; .i' :_.. .:r iii ll iZ, .,Y1 `n .: �.. ,..•.;,,,,,,,,::::.: .1 . , / 40 C)vcr 1000 amts or volt' ■ 454.65 Nauae: • .gym— j ■ 4. ! , !ms s Reconnectpttty 66.85 r� .--sir 2 LAddress: oh k INGIMI al I i l k � • y m1. Temporary eeMeaorfeeders - lnatellttioa, City /State/Zip: , A , a i • S_fo ' . '11 20 im o l 66.85 1 t ,'avgA 701 steels toeno ernes Wan 2 PPhone: ., '' Q.— S �, = ! R ; =Q-. k iCeiN.3.iki ;T:•f Pi +h v € r :.: : r B ronc � c[rcv 3t ' - tuw, altcruiatt, er 1 33.75 Name: fates:ice par panel: t Address: A. Fee for bunch circuits wnh purchase oe • Service or feeder for, ach Trench eirrait 6.65 2 Citv! State. /Zi a : B. Pee fortranCh circuit NVIIII014 Dantean- of Phone: F a x : s e r r t e e Or f e e d e r fret branch circuit 46 :8$ 2 Path additional briovb circuit _ 6,6$ 2 E•,Lail: Miae(Setviaorfeeder not included): . - - - .. -. - :;t; ... is CON'3tACTOR'' . ; .: 17 : - i • :;: ". . -'- r,`..., ... .. Each imam ortrtiitatiQn eireIt 53.40 2 Job O. Each Alan or matins lietiryt 53.40 2 iCE SO °CTR1C- litpafoiromigsl or a Lmitad mow pia, Business Name: 545 SE 3rd St ^ c• • ... te: • •,t 7S.1 r Address; lllile�oro OR 9712 �� • y Ci y State/Zip: 603) 648 -6360 € Each additiotalItwpodtioa over the allowable .n any of the above: i cti hoar - stir l how? i i 6250 Phone: Fax: 4.,., _e i .` ilvesdgsdon ,x: _ I CCB Lie. ti: I , — 3 C., i i other: Supervising electrician 1 (, . j ' , - : i ic>� �arrc - t o t +':: t.; I signature re • uired: �f��� f ,n1 Pee i S Plan Review 25% of Permit: Pee i ?hint I\atrie • _ • a . t d ,,.,71.51 Lie. #: 4 i Statc S • • e tf 4 of Permit cc TOTAL PERMIT FEE E ie Auto 1 l rroGca Tits it application expires tfa Signature: � ma.. , f ." -.lv' Date: I `/ 30.3 i t0 days .faritt Is as bean seeepted et complete ne t obeanacd w ithin - .t at k f s . •Fee methodology tot by tri- County Building Ind ustry $srviro gourd. `iccae print norm) . T001D1 CISTIM TT. 411 X.TT', ri0RTOaonnet wa ,.r.Ir 1 T A IN, n-. .nW CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION - • "Business Line: (503) 639 -4171 MST • / BUP Received / �> Date Requested ! _ � " AM PM BUP Location l d' - "f / L / �� " Suite MEC Contact Person Ph ( ) PLM Contractor ti Ph ( ) 6 - C- -- 3C 3D SWR BUILDING Tenant/Owner. ELC 2- 06 3-- COO ( 5 Footing r Foundation ELC Access: Drain ess: 4 o ELR Crawl Drain Slab Inspecti n Notes:! SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation /� [ /3 5 13 lS J Sy Drywall Nailing 7 Firewall 3 / 2 ' ' � 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 n Rough -In J UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 4.:::! PART FAIL SI B Li Please call for reinspection RE: El Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date ) ) Inspector t • , Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL