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Permit ':�tCITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00403 DEVELOPMENT SERVICES DATE ISSUED: 7/3/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 103BC -07100 SITE ADDRESS: 12250 SW LANSDOWNE LN ZONING: R - 4.5 SUBDIVISION: FYRESTONE BLOCK: LOT : 010 JURISDICTION: TIG Project Description: Add (1) branch circuit. 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: 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: JOSH WALLACE CONDUIT ELECTRIC 12250 SW LANSDOWNE LN DBA DUIT LEVEL TOOL CO TIGARD, OR 97223 2074 NW ALOCLEK STE 405 HILLSBORO, OR 97124 Phone: Phone: 466 - 9754 Reg #: SUP 4501S LIC 109669 FEES ELE 26-905C Description Date Amount Required Inspections [ELPRMT] ELC Permit 7/3/03 $46.85 [TAX] 8% State Tax 7/3/03 $3.75 Rough -in Elect'I Final Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1- 800 - 332 -2344. r Issued By: za Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: 45015 Call 639 -4175 by 7:00pm for an inspection the next business day J ul 2. 2003 8 35AM ELECTRIC "r 11Vl1AU No 6314 P. 1 D02 - orricE FOR OFFICE ONLY `' -: 1cctr caI Permit Application l:ccelved Electrical City of T1 g and Planning Apprnvah S ips `J Data/By; Permit bio.: 13125 SW Hall. Blvd. Pion Review Other Tigard, Oregon 97223 JUL 2 �tJO3 Dates : PermitNo.: . Phone: 503639 -4171 Fax: 503 -598 1.,g6,Q Post-Review Land Use W b Il (B F P /.,;:',>;1.,. 11' t R Date/By: Case No -: Internet www.ci.tigard.orms , �•i i I —, lc+t1 �P m ° i Contact J See Page 2 for 24 -hoar Inspection Request: 503 - 619 17 rlame/Memoth c I Supplemental Information. ; . , tiiAl�.' i L_ ::C:^ � �h' �V:', _ P' i ll! -1 •n ' .. r , ,�-+i�'•1• t ' �: r • .'v�l. :- :; i ., •� Q'r'�„�SR +� � :'`.h!li�k�f4�•. �'i.l � i' �• �: d:.:, •�.1: �;� Ps �l a� �'g �. !: -: •._.. :� ;,.; - { off' '. P��= ;•�,,, -., = :� 1 1 1 construction II Demolition Service over 22S amps- H Realth -care facility ►�/ Addition/a1tt''ration/I • lacement ❑ Other: commercial Service ❑ Bu ilding over 10,0 ❑ 5ervlae a 320 amps- r9,on$ of ❑ aver 10,000 square &et, Egt,it . a me p j & . ' f B-0D MI.i;; .;I, . 1 :. E.'" 1 & 2 family dwellings four or more residential units in ►_i 1 & 2- Fatm,i1 dwdllin • !• Commercial/Industrial ❑ System over 600 volts nominal one structure • • P 11 1 • ❑ Building over three stories ❑ Feeders, 400 amps or more © occupant load over 99 persona ❑ Manufactured structures or AV park ❑ Master Builder ■ Other; ❑ Egress/lighting plan ❑ Other !ms, µ+? i f I • •'2 i. TIO1C it I ' 6lir. ii I:;'i t1 Submit sets of plans with any of the above. site a The above are not a . limbic to to Orary construction service. Job s ddress: ge, 't i- t ^ $; l' r .I i,�� i� d i ll _ ., _: •....:. w :._.i! { i�: : .:�I+ii•.����,Eli�1�: ',al'.E,'dl i• TI �'o� ,:. �:aJl�7.'Ai:I�;L C ,I�.. f . a •si:. Suite #: Bid IA. #: 4 :lo Number of in permit allow Pro•ect Name: r Description Qty rite (ea.) ( Total Cross street/Directions to job site: New residential - single or multi-family per dwelling nalb Includes attached garage. Service Included: 100 so. R OP loam tilS -t5 4 Each additional . sq. & orpomon thereof 33.40 1 Subdivision: Lot #: - l�titmd ene rgy, r esider a 75.00 • 2 united enemy :ton rca�antial 75 - 00 2 Tax ma• /. arcel #: Bach manufactured horn or modular dwelling E S �� 1 :k, VIP ail g `i;' G:'1 l� 6 t�`1 F, k es and/or fe feeder _,, 90 -90 _ 2 or feeders - Iestailatlorl, ahor *tdoll or relocation: . 200 amps or less , 80.30 2 201 i s to 400 106.85 2 401 limps to 600 amps 160.60 2 L' IYF. v i i�il ' ?; 6:w �;�413? �� ,k 3; T 601 sass to 1004 scraps 240 ,60 I + , Z "i16� ': a ' uL 1l,. ► n" r 1000 amp, or volts' I 454.6 2 Name: vt.l t.lifillilliMil Reconnect only 66.85 2 Address: I b .S ) IreirgriglIMPIIII Temporary su vlee Or feeders - installation, alteration, or relocation: IESU a Phil• /, 2: amps or less �� 66.85 I . Phone: Fax: 201 amps to 400 mpg 104,30 „, 2 ' �': ry iE p { e r r + R; .E; ; 401 to 600 amp 13 2 t 1, 'V�rf L, ;, i�: e� .;.tr., l f pu , _. 3.75 1 CE..._u x < - ;11.46'0;G`l. i�J �Yh. iallt 's . .A, ''' 'P'k , ti �i� ���' - • $,ranch circuits• alteration, or Name: estonslon per panel: A. Fee for brauCh cuuuita with plrehlto of Address: service or feeder fee, each branch circuit 6.65 2 IBMZEM• B_ Fee (Or branch circuits without purchase of l service or feeder fee, first btexwh circuit I 46.85 a Phone: Fax: Each additional branch circuit 6.65 2 E -mail' Misc.(Servlce or feeder not included): Each .� 4 _ ` ,y� 1a�P or rn t ion circ 53.40 2 rG1YS a I of .'�,� t?!� 7 ' +�ln.�"t . 1 -1 ^ cn` Eb �' . X11 ra Elle sign or r iris a i i i nC . I le r 53•RO 2 Job No: - si ckeuit(s) or a limited energy poach, Business Name: - alteration or a eesion p eac r i 2 pt Rye 2 2 �/ Address: 1 E �fil 7M1111111111111111111 • itional inspection over the allowable In an of the above: • • a a rp 0 ® , Per • •,. - :on • • r how min, floor 62.59 Phone: ''' I ''Al Fax:. - Investigation fee; • t� / a �= w „OtheC lit:' ,I - �l ] y-Iy1 1� f E � m '.i.E - 1 . I I L' a U�2�. ' 6 7ii i 11:tA3 L� . I 1t E��� S upervising electrician ature re • uired: ,�'' j/ f ...Subtotal S "' fy . ■ ' ' Plan Review (25% of Permit Fee) - 5 _ Print Narne: .. �'�S�i i i io. #: '.ACI State Surcharge (8o% of Permit Fee) S .3 ' q.k TOTAL PERMIT FEE , $ ). le 0 - Autbori eel Notice: - This permit application expires if at permit is at obtained within - - Signature: Date: .. 180 drys after It has been accepted as complete. *Pet Methodology set. by Tei- COUhty Banding Inds atry Servlee Board. (Pieria print name) i :\Dsts \Pernhit Porat4\ElcPermitApp.doc 01/03 • • Jul. 1. 2003 8:39AM CONDUIT ELECTRIC No.6265 P. 1 " e f t * il „ ' ry I1 �� ;rttern }rvtri t!.`�fSY -l: TaFVFt l .7c smtxrr 47g7 AUk "6 Date: March 29, 2002 °. 11C�►P►R� N B � tL �1�,1�IVI 5 l® City of Tigard Building Permits ( • RE: Wallace Residence/Permit Job Address: 12250 SW Lansdowne To Whom It May Concern:, Conduit Electric has been hired by TAC Northwest Inc. to do the electrical installation for the Wallace job_ It is my understanding that a permit has been pulled for this job under another electrical contractors name. Scott Aldridge of TAC has asked that we send you a letter requesting this permit be transferred to our company. CCB 109669 Contractor #: 26 -905C Supervisor lie. 45015 Supervisor: Charles Parker. If you need and additional information please contact us at (503)- 692 -1428. Best Personal Regards! P j14/ , e cfr Chuck Parker Senior Estimator / Project Manager -- J(1_ 11))111) --2 2 7 Y ° . rel) —2 0 (2 ?,' 4 \/ t f ` 19461 Sw 89 Ave. Tualatin, OR. 97062 (503) 692 -1428 FAX (503) 692 -3652 CCB# 109669 CITY OF TIGARD 24 - Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Lilee: (503) 639-4171 BUP • Received Date Requested '7 - (y AM PM BUP Location ( 2 , c 0 YO- fv+ Suite MEC Contact Person Ph ( ) st — o � PLM Contractor actor Ph ( ) SWR BUILDING . Tenant/Owner (w ELC 3 - 6 0 471 3 Footing Foundation Access: , ELC Ftg Drain . _ ELR Crawl Drain 7-77:„.tr Slab Inspection Notes: SIT Post & Beam Shear Anchors 7 / Ext Sheath /Shear �� ir Int Sheath/Shear Framing Insulation Drywall Nailing Firewall 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 Rough -In UG /Slab Low Voltage Fire Alarm • Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL