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Permit CITY OF TI GA,RD ELECTRICAL PERMIT • PERMIT #: ELC2003 -00218 AINIL ci� DEVELOPMENT SERVICES DATE ISSUED: 4/17/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102B6 00827 SITE ADDRESS: 10495 SW JOHNSON CT SUBDIVISION: BROOKSIDE PARK NO. 2 ZONING: R-4.5 BLOCK: LOT : 003 JURISDICTION: TIG Project Description: Installation of (1) electrical service for remodel. 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: 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: WINDSOR PROPERTY LTA CONTRACTORS ELECTRIC INC. DEAN SAFFLEY 465 NE 181ST 2245 NE CORNELL RD PORTLAND, OR 97230 HILLSBORO, OR 97124 Phone: 503 - 283 -0977 Phone: 762 -5828 Reg #: LIC 124818 ELE 26 -966C FEES SUP 2544S Description Date Amount Required Inspections [ELPRMT] ELC Permit 4/17/03 $80.30 [TAX] 8% State Tax 4/17/03 $6.42 Elect'I Service Total $86.72 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 mor than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set fort n OAR 952-001-0013 through OAR •52- 001 -0100. You may obtain copies of these rules or direct quesli ns to OUNC at (503) 246 -6699 or 1- 0- 332 -2344. Is ued By: k • V,: • f' Permit Signature : A 1 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 O F SUPR. ELEC'N: �-X J �-E DATE: LICENSE NO: S Call 639 -4175 by 7:00pm for an inspection the next business day FROM : CONTRACTORS ELECTRIC INC PHONE N0. 503 262 9439 Feb. 17 2003 12:3aPM P2 �� - I ' 1- 11 1 � 4 Ell 4 :'Jb E' a ALL `'..k k iI�Nl 'i ' �Jjb4 U':T1'1 a , i �� _ , h ill}. .. Electrical permits ,A. licltiOn Recaivtd �( / 7 a slut <al NI.N �o�o Date/BY: / - remit No.: PlanningAppto � Sign City of Tigard Dated : Permit No.:_ 13125 SW Hail Blvd. Pint Review other Tigard, Oregon 97223 Dated IL_ _ P e 1 No. — . Post - Review ; Land �o ,,.,..._, --.... _ Phone: 543 639 -4171 Fax: 503-59S-1960 ;, . .; Date ccete Nal Internet. www.ci.tigard.or.us ,AL" ,'�_1t .= contact )tars ® See Page 2 for ' P. 20 -hour inspection quest:: 503-6394175 Narew_hlatha i SupptemcdtaTInformation. _ if 1 1 )T 6'7 - 0R-- eto ` f . 'V • 5ctvice aver2Z5 amps. E lion -care facility I♦ Den1oliti0F! M H712,24049 location 111 New construction 1 .. eommaralel F i Additlo teratxon/r • I>ICemcrrt III Other; ❑ Sar"ile over 32D amps- rating of ai Building over 10.000 square feet. ' awg :7 51 Y,Caii.i.!11 ' BREES1 I &3 familydwelliags tour or mote tvsiderNat units ln IN I & 2- Family dwellin _ U r CommerciaVlndustrial ! CI Systetr: over 600 vo1LS MMus} o:x atrucate ❑ Building over three stories Feeder. 400 amps or more I N Access • Buil • in: i N Mul'ti•Famil ao Occupant lead over 99 persons Manufactured actured Sweturee or LW parte S Master Builder Iii Other: © E plan Other Subsist se[a o( pinrLt w'ith anyo rtbe above � I.It� L: i� , o t7� ti t ct`•. s'typt.t�+ r7 T he above a n sr Feeble to tot or* , t e aloe. y Job site address: BI a IA' #: Vu ber t J. o , : • e , h allow Dawi. .n C ToW Pre'oct Name: Na tdeattat- slogle or mulll-'famib Per Cross street/Directions to job site: e• r� 00/6e/ owetung onto tadades attached garage. 33. 1000 .. I or ess Kit 4 ft(,glf o�C} � 1000 ... R. ,. teas 10 H Fan, eddlrio.. goo ., t ... -di** sa - Lunited eau, • u -- l I - Dp - Subdivision: Lot #: • tad • ,.,•, non den . ti m d borne of modular dwelling Tax ma. • steel #: •r� ecru a ,cYor *ceder 90 ' ' a ' ' "s *lilt E�� << Services or (ceders • locti�llatiao, 1 t I r alteration or relocatloa: / 803t1 _ / 200 am- er loss . 201 tun - t 400 .. tad 1 Ys..' hd cC 1 140. s' d ' v xr� •P I ant • g 1 ., t •�., E-1 e .1.' .,7i i, o.7 + A rt&kynIS i .Z n 9.i �i•:�.A' :! � 3 .. : I ' or is � in : Flit � , .,._ / � 77.F - _ , Temporary services or feeders - losullatioc, Ad(�TCiaSI j , / r = sueret!no,os• st3.93 Cl lStSte/Zi • - /0,...., . Ij 200 ' .. or Inc c l �.' 3 10 I�� 401 to . , •ass es vhci le / y r,: arena - 201 to .., art .. t•. ,� 1 ,. ! ' m1 , : v „ ` ' N' ! A _ : } e.!' CE c ouite - new, alteration, Or 1.1 Na ` exteaaioa per pastel: Name , • ,..�r'���.' ,--, a red for tu•,udnctrctcts with probity at Address: A$ *avSceerr.�- fix t.ctre»t � 9.1... for bard eirada without pure of C1N/Sta /Zip: . sery _• or feeder - it •,r.i. oho Phon F ax ' oa or Roder not blcluded): E tch , tr 40 .. . eQ44e 5),4 r ; �iTj :. :7 i � .1 i;..' t i "'..?-M 1 . ;! tr.s'z, :ii. I ; :. , , El El t " N o 9i : ` � circuit(*) or Iimitad cn*t panel, Job No: oth ea ,� Pe.oa Business Name: C owrzn e.M4S ELL-Z / C ` Dcooriotiott -IIIII Address: 45 r(/& 5/ S '. (I p.AO 'uoz/ Ci !State /Z i • : , ,QT1 ki'.0 ©R_ s ' . "' » . Z - y veil* _ eltott tee: . 003 L a o . #: 0 / y - Fax: # O . , 6 &,� g . - ' - : ' r ,: d . 'f,�.h w . A /yo Li o. /2 � V\+O LAC*. }f': /L. I /�� . ..].� 1 i, ' � r ' . ... rte-- . ^ a l: , sure electrician - Ckk`�.tlatr tia�a,l s -t9 si attire rG • - . !l 4 . sum 5uf ar: a 9'3e>yi $ Print Name'. I - O 5(' //� tic. #: .. 5 TOTAL P : • - g 4 -. Notice: This permit application aapiresUa permit b net obtain . • wit.Ia Authortze4 Date 100 day* attar it bas boon accepted at complete• $Igttahtro: 'Fee methodolo y set by 'hi- Comet( Solldiog watery service 9ard __ (Pt pa nt Wig) -- i:iDatsTermiA FormutEtcl'erndtApp•40c 01)03