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Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY Itu — 13125 ° �I ®EV W H B Tigard. OR 639 -4171 DATE SSU 6/28/2004 0 00184 SITE ADDRESS: 09000 SW DURHAM RD PARCEL: 2S114AA -00100 SUBDIVISION: ZONING: R -4.5 BLOCK: LOT: JURISDICTION: TIG Project Description: JOB NO 944039 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: SCHOOL DISTRICT 23J CHERRY CITY ELECTRIC 13137 SW PACIFIC HWY 8100 NE ST JOHNS ROAD D -104 TIGARD, OR 97223 VANCOUVER, WA 98665 Phone: Phone: 360 - 571 - 4411 Reg #: ELE 37 -620C LIC 91668 SUP 3486S FEES Required Inspections Description Date Amount Ceiling Cover [ELPRMT] ELR Permit 6/28/2004 $75.00 Wall Cover Elect'I Final [TAX] 8% State Surchart 6/28/2004 $6.00 Total $81.00 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. Issued by � Permittee Signature I / 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: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day CCE SERVICE SALEM 5035408147 04/20 '01 12:00 NO.214 03/03 L.tty oZ 1 1gara 17inn9 J�f, �s� � - -= E&L /1 y �ov /8 A e P ermit App o� : r� , t , r • 3 : Date received_ I Pami c n E C9(f 03 8g ^ . .o 'iii sue % . \ City ©f i l r� `•;; , ° c' . ,• s fto} IaFPLno.: / 9, 0 ° y " :. , r ,,. Cityaf rrgard Address: 13175 SW Hall ; $) Nd Ti'gaid.. G Dire lase S?- FZeeipt no.: Phone: (503) 639 -4171 Fax: (503) 59g -1960 Case file et: 1?ayiiteut type: Land use approval: 73,1 er1rnw i, 0 I & 2 family dwelling or accessory Glf Comm Uindustria1 0 Multi 0 Tenant improvement ❑ New construction 0 Additlonfalcsationfrcpiacement 0 Oth= 0 Partial Job address: 0 , / 8W DiA r f t j /t le t • Bldg. 4o.: !Suite no.: ITa. ma�(raz lot/account no.: Lon Block: , , Subdivision:. project natne 101 ( to 01 0 9 ji32 `. •Rion and location of work on premises ,E timar.:d dare arl;-„or. plefio i uispdkdou: job aam I- , i B FEW!! ugiThess rlarrre: CL City Electric itlega pdon � Issift-62NaT !ter Add-zss: '100 • St Jd Site B-1U Ar"w or t'th.ttrgwar_;.rthAzat f Ci ty _ vancauve Stec: WA (ZIP: 98665 sa- �a� Phone: /1 4'4L1 Fax 60 571 - 441 �mait: Loan - •. S as Lam: 4 Lc_,E3 no.: _21668 Flee. lam. lie. no: 37$2IJC dsbonal mia �orpaninntF� - 2 energy, 4 met%lie. no' _ Lirnitedat=7r•mn- r-;d=r -iel MINN � `s. 1 , PIIV rm Bock tnafnaund home or nodular c reliinS Si=ctrure ofsu isrnc cL..G�oan (re • utrcd) 11118 Sap e1— t. name (Ph+u) JOL CrtCh1 /A - ma qmotA j 7 alterationer_ rr€aauose r 3- 11;03' >.3 -3-- WIi ; . ' o r l 2 Narrm (Fria€): I 20 t to 400 11:1344 4 1 2. Mailing aidre : 401 arrr= ro 600 zaps . S 601 ... -- to 1000 amps 2 2 cii State: ZIP CT+ee 1,000 steps arvolta Pbcrac: i Faz: I ."&, Frmnrrstoal Owner Installation: The installation is being made ca prOpeary I am T - '•°' . • • • rr Eendcrl ' Which is not iatnodsd for i1e, lease, r- uL of exchange a 'rrding tv �O at4�reis °'r: 200 amps unless ORS 447, 455. 479, 670, 701. 201 amps in an amps. 2 Ownds sigrnSfur : Dale: 401 to f r00 • • 2 Brandt 'commits veer, nitt:za4 at' _r .. ea 5oer �gmei: Name *. A Fr forbrxneh rJ with parchesce of Address: s-a-ri_ -e or feeder fee, oath brtrocix eiretir 2 City: State: - ZEF: B, F= for branch circuits wttautpitch_ -tc r f 0• �+ ': of ea.•ic or f. —E- rest brandt osmte I y�p 2 Phone Fax E.-mail.: Fsachadttrtior ai • . •tit ti* r 7 J la _ Se S. '1 �( I_ c�ar 1c, 11lb:a- -a :; M (Service orfeeaernotioda ): O Service over225 unapt •epntrrterdal 0 Healsactar.fedlity ; Each Puna oriaigsicat uncle 2 0 5 . - ^ + - i 7 e ai r320 amps a6ng of 1E2 0 FLnzetedous location , L'scrt si or outline Fighting 2 Madly dwelling.: 0 B:iidingover to.ocKtsgonot<urouror S4= ca- ids)o[ ■)ievxct 00=67 F.••• 0 Systett over =volts norautrl rrcareresriettia l traits ir: oat arry arc alt.- ativn,orezt•rrt+oa' VA L. 7.� 2 0 Building ererthree=ries 0 Fccies.402 align orrant= r •^nptfccc 0 Occupant toad own 991.3∎--.... 0 M. :InuPxnueds --•.vans or Ire park gar ..adlileciaa ilaspiwtion over tfcailo.ahir any of 0 c*rc-,s/fightingplan 0 Ole .• Perm... -.1,..t I 1 I 1 Submit seta DLO-ens wtth any ofthea1f Inaoripcionfee • The aisra+o are not appLicabte 4o tescrparsry c..ati me :Ical scrFicr-.: cr 0 Kx et 14.-tadicticms oec5c cam- pi.= (=el Jeri i on for r ; -T.- Neap This peso+_ aplicarion PerIrllc f. s MIL a..t. - 0 Yr;a 0 NrIesterCerd opines if a permit: is not obtained Flan revic`✓ (tit _ ') S ?�� Cr =II =art= / f • within 160 days after it bas Inert State surcharge C8 %) _._. 5 a irmrc i ns tat eta on czr3rt czd ate. °' cazrplete. TOTAL S s tz Cs'�roLSS nFy.cmr f`tasn%•-6ISrCfi+JFYCO CITY OF TIGARD 24 -Hour BUILDING InspectiorrLine:1503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested ��- 1 0' S AM PM BUP Location b0C) 7)\1\\1_.\-\\Oivn Suite MEC Contact Person I'V Ph (oa 5 I 1 ' PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR a;00 4 - c- 1 () + Crawl Drain Slab Inspection Notes: \ ( SIT Post & Beam l V Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler f Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING, a ' : 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 P PART FAIL CTRICAI) Service Rough -In UG /Slab 0 Fire Alarm M "'ASS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE " ❑ Please call for reinspection RE: Unable to inspect— no access Fire Supply Line (( \' i ADA Date I V ®S Inspector \ - -k `- C Ext Approach /Sidewalk Other: Final DO NOT REMOVE this inspection record fro the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line:1503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST 7 BUP Received c � Date Requested AM PM BUP Location ` .006 D Suite / MEC � Contact Person Ph ( 3 ') O - �/ `r 2- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: �/ Q Ftg Drain ELR a d v 7 d�� U Crawl Drain Slab Inspection Notes: SIT :i/M11■ Post & Beam AVM Shear Anchors WNW Ext Sheath/Shear Int Sheath /Shear ' Framing Insulation )( \ f / � C A( C &- „ 3 t /{& Drywall Nailing �T4 Firewall ���� ;`-" 1 c p 41,e) Fire Sprinkler Fire Alarm j /W ' —( � �j C - n i I) A - f �) Susp'd Ceiling 1 �� - Roof tar • . Att, s50 4 ' /40•-- 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 Sery • 'ough -In ow Voltage- . ir- lan Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS FAIL SITE 111 Please call for reinspection RE: Unable tto oi � 'v insspect - no access Fire Supply Line ADA ' _ O 4- I ��A �l� 6'�1" L (� ` t r Approach /Sidewalk Date Inspector EXt Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL