Permit CITY OF TIGARD ELECTRICAL PERMIT
" PERMIT #: ELC2007 -00520
COMMUNITY DEVELOPMENT DATE ISSUED: 7/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103C B -01800
SITE ADDRESS: 12260 SW JAMES ST ZONING: R -4.5
SUBDIVISION: WILLAMETTE LOT: 044 JURISDICTION: TIG
PROJECT: DENKER
Project Description: (2) branch circuits for a /c.
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:
LES DENKER ELECTRICAL SPECIALTY CONTRACTORS
12260 SW JAMES ST PO BOX 2853
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone: 503 - 590 - 1876 Contact #: PRI 503 - 723 -0371
FAX 503 - 656 -4537
FEES
Description Date Amount Reg #: ELE C126
[ELPRMT] ELC Permit 7/27/2007 $53.50 LIC 168161
[TAX] 8% State Surcharge 7/27/2007 $4.28 SUP 1558S
Total $57.78 REQUIRED ITEMS AND REPORTS
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 B : f fjJj/1a LZGG. t ` Signature: /�,, l/r,Q.�
OWNER INSTALLATION ONLY
Permittee Si nature: a / 1�
!!!
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 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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0 New construction i 0.'; - dditiOnialterationheninCement 0 Scrstte oleo err 400 mope or MOM UMW= van time nodes.
ID Demolition • Other vane the wadable • rod' comet 0 Malone end hentrade.
exoteds 10,000 wept ot 10 volts or C1F1oniog beadle..
NEIENEN=17=7 Miliffilt.121
lento gram& or esessds I4.000 0 Oneeontilkne exdouiturn
Zir. 1 - and 24:tmily dwelling • ComtherelaJAndustrial • Aecessory building snips for A aher installation. hoildhup.
• Multi-A=11y 0 Master builder 0 Other: 0 Fil9 pump. a jectieggon of 75 KVA or
0 Snergoney systsot, how eeponeely dliived systaaa,
CI Marion of new mow load of 1:1 - 1.2"." 44 ",
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City/State/ZIP: — 17 - 0_ A . - e( Da. el '. D.-a LI Stsendeas lot:otiose, 606 vatta flexing d _
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Suitc/bldg,./apt. no.: Prolect name: D A * E3 Sonia or fader 000 anto or mom
tatiElige: t'41513etaini
Cross street/directions to jab sit= • • •• - * - 77.1iiiim.rwmEr.rmum
Subdivision: Lot no.: 1,000 sq. R. oi less NI IMIIIIIIIIKI
Ea. win 500 . ft or * , +' , 11 III 3346 all
TOX Mil/pored no.: Li 7 - energy, midilo! . 75,00 Ell
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Phone: (5, U1 S'io 0 — ,-7 (, Fox: ( ) 200 • — • or less 1.11 6045 II
201 . •.. to 400 •,. , MI 106 11111111. a
Owner installation: This installation is being made on properly that i own which is not
intended fOr sale, lease, tent, or athenge, according to ORS 447, 449, 670, and 701. 401 • • - to 699 - • : En 133.15 1111
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Owner eignature: Date: A, Poe fix Wands &oaths with 11
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doves sorvico or *oder iltts,
-- each branch circuit
Businefis name: 13. fee for' di
. circuits
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Contact Fkan1= firSt bone* cacuit EEO
Address: Each midi hunch circoa 11111 i EN
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City/State/ZIP: - • - rrutoutholtsod or mo410101 II 90,90 M
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Print name: , , , ,• MEM. Date .X• NMI Plan review W a . - .. 't the):
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Authorized thpianue- TOTAL rimer PEE: IneMill
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` CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00520
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2007
Phone: (503) 639- 4171ypull @ 'lit
Inspection Requests (24 Hrs.): - (503) 639=4175 !�
INSPECTION WORKSHEET FOR DATE: 8/1/2.007 TIME: 7:03AM PAGE: 51
SITE ADDRESS: 12260 SW JAMES ST CLASS OF WORK:
SUBDIVISION: WILLAMETTE LOT #: 044 TYPE OF USE:
PROJECT NAME: DENKER
DESCRIPTION: (2) branch circuits for a/c.
OWNER: DENKER, LES PHONE #: 503 - 590.1876
CONTRACTOR: ELECTRICAL SPECIALTY CONTRACTORS PHONE #: 503- 723 -0371
Inspection Request Scheduled For: Date: 8/1/2007 Pour Time:
Code # Inspection Description - on irm Contact # Message
'1 S3 Electrical final 053157 -01 503. 557 -2220 Y
Corrections /Comments /Instructions:
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=• PARTIAL APPROVAL n CANCEL _ NO ACCESS
- -.. CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
.Inspector: : N '6v LiC Date: 1I 01 Phone #: (503) 718- V{_1'O'