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Permit CITY O 1 TIGARD VAR® ELECTRICAL PERMIT PERMIT #: ELC2004 -00276 DEVELOPMENT SERVICES DATE ISSUED: 5/19/2004 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S112CB - 08200 SITE ADDRESS: 15029 SW KENTON DR SUBDIVISION: ASHFORD OAKS NO. 2 ZONING. R - 7 BLOCK: LOT : 096 JURISDICTION: TIG Project Description: Wire for NC and future hot tub 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: HAWKINS, JEREMY CANBY ELECTRIC INC 15029 SW KENTON DR 790 S IVY TIGARD, OR 97223 CANBY, OR 97013 Phone: 503 - 968 - 7089 Phone: 503 - 266 - 7878 Reg #: LIC 26071 SUP 2123S FEES ELE 3-112C Description Date Amount Required Inspections [ELPRMT] ELC Permit 5/19/2004 $53.50 [TAX] 8% State Surcharge 5/19/2004 $4.28 Elect'l Final Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1 -800- 332 -2344. Issued By: Permit Signature: / OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: • CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day .' , c Elko trio al Permit , °li ; f x n ' FOR 9, VVIC :Ius .. o • • ity Of T16ard Dit yea loannit No.' . 13125 SW Hell Blvd., Tigard, OlZ 97223 * Pi Review Phone:. 50 ?.639.4171 Fax; 503 59,11 I" PL I0w ''ij�u O ■�ilkrt\ Dit - : osl,rr Pcrzur a(IQ ( .t Inspection Line 503.639.4175 \G �\ 2 • -J -l., . .Dace'• wady/ y: , purl; 1Z1 Ste • sec 2 for .. . ■ Internet: www.ci.tlgard.or,u r \ �� OF \v \S \� t3vtf$EdlMethvd St. .Jemenwl t nrorm a eten Yr <, .3 - ":..w•.• - : ; , 'J': 1 " "tA 'i .:r•'f 9' "q¢ {' . v:> • /,. - :4 ,;.o: 7 �.i t ., .fir �t „ 'j' , • - t n "'z ti's : ' `, I, ,,.rx ,l r'n - v� . T -�f '':i':.$ - ' 1 6 Ia. % , ' :•. E `'ri'$ *..- "it t a 1 µ..: r , . '_� °• '+!!' :1' .�lr I� c �•, np�.r,r• .✓E d,lt�r'� :! :, c' la ._.t �'•1 .1' /[ �W I�at. ai r.a: ''�t .1�.`4'll'i V',I; �, . r:. t�,', �' 1' �F' �i�a!' csT� ,E ? +t4onr tjiy� ,�� '�tr� ��'; ,. �$_,�:rl�.• �•:•`• L: �> r�l;,< 1 :.aQ_- JrG,�Q!�Y`hm.t�.�!";�P:s; 'a:' la- f�,�.....l..t,.. Ci,.��'.., t. _•,'.r.'e►t! . r.: . it:idl�;'.'s: �q,a .. ._..�.,_.. ,y � M9 m''. +3 ,.r t t3T,..: eg� - 1 ,J� "' u �: ��d: . ...�r .. ;w. �:. _ 0 New constrttctfott , e Addition/alteration/replacement Please check all that apply: • •• Llcrnolit ■Other: ©Serviec over 225 amps, cornm'I ❑ ilezardous location : 1'�a�r�,r_k r. g fg6 , y • t i :� QServiov over 320 amps - ratittig aZui.ldng over. 10;000 ssq. ft,,, ,,, ... • - ai ` ,. 2047. ,a' ,^ r .,: r: 4: s �!^ °• �1 '' r.,�u; . b d4,h of 1- and 2- family dwellings 4 or Moro new residential rg 1. and'2- fstsrily dwelling � Co iercialli'ndustrial D Accessory building ESyBtaM over 600 Volta nominal unite in one stitloture 1:3 n, []wilding over three stories ©Feeders, 400 snips Or more © Multi - famil 0 Master builder ❑ Other_ , ccu Over sons Mane{ , ^µy ,� } Q O A� t load ov 99 pGr PC'tlln 5truCCVTCB or •.Q' I 9�4I ;! i. a'Na w a , U w ily r i p_ u,: tin ". t oia ' n g DE pier. lie park • ..- � ., r' i � ..11M ! c 1t... -v m. n it,.._ . , ;' Job no.: ;rib site addres$; []Health -care facfl ❑Other: • • O S • �" + � 8 ^t 5ubmft z sea o p with any o k' r ice a City /St�t /ZIP' � q AA/2 ' 2". 2- 4. 'The, abwc are not applicable to temporary constrtledan scrvine; 4 I'f '1c i�ry'�o t Gil a��;� i �!� i� . d ,'1 r', , +'' '; Suite/bldg. aai_ no,. ^_.J Project name; '.. +. �:': a.,. „!::' • Dared don Q ry. 1' Pee, slid [' " .. 1 • CrOsS streetidirections to job site: New residential single- or mulrl- family dwelling unit:' __ ! _ Includes attached garage l '�`^ .', •,, •e. I I� -" 1,000 sq. ft or less 714I.1 14S l5 q Subdivisien: Lot no.: Ea, add'1 500 sq, ft. or portion 33.40'; '. ' • 1 -^� Limited energy, residential 75,00 . • 2 • Ta,x'n api. reel no.: ' •. r is ! T.-1"u - � r � � Limi ted energy, non-residential 75.00 • 2 ...2;:e i'1'R_s i;�'S:+� §�. xmm . i G 1 U ? ,�' J . _'.I:'tTe'' ? ° 't� '• �'ICi'.f '�' 'r �Eacb manafactured or madulsr ' titt � a t om . dwelling, a-viee and /or feeder 90.90 2 `•-lJL.2�" 2 ' " - C - ._' t j & 4 •�'��'`+ 8., -icQg or f installation, alteration, and/or relocation • 200 amps or less _- 1 80.30 ' f i c • . i, g �.�, c r ,; �}t�c el.t:r' i 201 MTV ko 440 amps 106,85 {' 2' r x + l(l i +�t'!i t . a ' , L ■ 'il © + er'C t akn R T,,,r l • ,. - 401 amps to 660 amps 160.60 2 601 am•s to 1,000 amps 240.60 11111111® ?.ddr.CSSt flyer ],000 amps or volts 454.65 C ® Recurttscotonly 66,85 immail . ' City /State/ZIP; Temporary services or readers installation, alteration, and /or P boae : 'LSo ) 9 6 8 \ a Fax: ( ) relocation 200 snips or leas 66.83 1.111111: • Owner installatiioia This installation is being treade on property that I •own which is II6t 201 amps to 400 snips _ 100.30 . . , • intended for sale, lease, rent, or exchange, according to ORS 447, 445, 670, and' 701. 401 s s to 600 amps _ WEVIIIIMIlall Owner, sigearure: Date: Branch circuits - new, alteration, or extension, per panel: Q tj ...TTl -. Ci:w z' ;� - r r or**>< : ' ;,vtrt: er •l Rr , ^:`� rn ° '3 ?' i r? fin- "nT Yz p a•"Uf t L,; .-, ' 7Fi:: : �v �i vs T:F, ,� • y1 h t , . > ,, t .. 4 , 1 3 Ri A, ?Sitar branch circuits with "e S:. t .+s44 }7t qty „ ,,• S. ' ' fir: - f1 !t,, uy'N .r r _V��';'.tlr ".s:i'i } t. . n�.,- " T^ 1 `- '.�riJ ' ^ � ` wc;t, �; nv3 3a �;tur r.�n'� 50CVtte or feeder tat, each Business name: branch circuit 6,65 L ... "' for B. Pee branch circuits" ..- • Contact name: wiSjnrrur service or feeder fen, ! 40.85 1( Add • each branch circuit branch ' - . -._. - - Bach add'l branch circuit 1 6.65 ' C-65 • City /Stace/ZIP: Miscellaneous cscrvlee or feeder nor included) • , Pump or itri�ation circle J _53,40 2 Phone_ ( ) .. Fax:: Si ( ) gn of outline lighting - 53.40 i 2 E•mall:. Signal airruit(s) or - r lirrlitcd� . ''s,Lf j ` ':',W '.' A 'Vri'r ri .4.F �4' : �'a+" „. `!:':;`.'!F 1 �., k�'iis :r ��MliV'1l:' '; ,, Y. ' tq i :S r.ntr�y pfinel, alterauO or ' tt Vi�cc++. % Business nar \ - - ' er ' y !� , t � p extension, Describe, i Page 2 2 ....L - �„ - , Each additional inspection over allowable in any of the above Address: 1,0 5 - -. ,"� :._ .. -. :� �..�- .�.._- per i � --- 62.50 l�ilty /.n`itateJ2IP. ,�''` . q r s at tf ^ er ou l ( 'L_.. mkt) _..._ .. .�_..._. ' L. -n,r -. x,', • • a °� `1_0 c 3 ves Inti •'o.. h r t . • ' 62.50 IIII Fax! (6.- t Phanc' 73 .. 60 1 - I ce ' - } .. `-" 1 -- i ustr, ' plant 1 r 7 ■ I. C CB Lic,; _ ' t r lectric Li .. tit , c.. 3 I ' 1 .....„_____ ? ".��_� .� L Z3 S Subtotal c Z. � Supra Li � i 5uprv. Electric-Um i.E:na:ure sec{ - .C9.-._--___.' •. _ P.!ar. 7---..!:? „ C, % C( i,clint fe) , fT1t1rHanle: >w �. /w a . C �0 �.. -- Statt u!c har�!_c H rrrn: fcc) - - ` 2 47 -2 -1 - e iJ - Date: n'r, a alti(41 PEE Authorized sip,nu;.re , . '`. This mina l; �, �_ /•+ . .. -.._. .,... . ........ . ...Y �.:' . 5... -, 1. -� 6 pOr pP cat,ou �.x , : is sot oUtai - within 180 _ „-^" OArl ar;,, It h ;., ;,; r: •; 7rrd as complete Print name: r i, - ' ( - /ate: d+E\y^ / 1 MG 1 ocoioF.7 ?:'.:ug !nau:.ct v or Board - �1 - Number o; rspe-:r, r; Cc, , • „•cd Td Wd9E:20 1700E LT 'heW £17SS99E20S : 'ON 9NOHd ONI 9IJLO919 AEINd9 : Woad CITY OF TIGARD i> 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION ' 1 Business Line: (503) 639 -4171 MST / _ BUP Received Date Requested S c9--O AM ✓ PM BUP Location /SD cD 1&&n ;E u QLJti -J Suite MEC o7vU 6c) Contact Person `C-- Ph ( ) (0 0 a- — l '`I.E.-C PLM Contractor Ph ( --Q) 8/a - De ' SWR BUILDING Tenant/C..,'1 J (a i - /D e?' ELC o� Do z-/-66). Footing Foundation Access: ELC Ftg Drain U — 6 0 ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing. (� j Firewall �6� V N 1 Y 5 A O oJtO '� s l" ll a At3 ou 3t3 Fire Sprinkler ,� Fire Alarm (J -4- J 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: I Final PASS PART FAIL 7 MECHANICAL - Po & Bea Rou - G ine - oke Dampers Final PASS PART FAIL ELECTRICAL - Service Rough -In UG /Slab _ Low Voltage Fire larm n ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, .13125 SW Hall Blvd. AS PART FAIL S 1E . ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line - _ — - ADA N:66 1 l Approach /Sidewalk Dat® *� On$Peeaofr R Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL