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Permit r CITY OF TIGARD ELECTR ERG A RESTRICTED ENERGY .i i,� DEVELOPMENT SERVICES PERMIT #: ELR2004 -00153 - s 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/10/2004 SITE ADDRESS: 13545 SW PACIFIC HY PARCEL: 2S102CC -00600 W SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Restricted energy for protective signaling. 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: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: . TOTAL # OF SYSTEMS: 1 Owner: Contractor: DDHK VENTURES, LLC PAVELCOMM INC 12604 SW 60TH CT 1640 NW 14TH AVE PORTLAND, OR 97219 PORTLAND, OR 97209 Phone: 503- 977 -0578 Phone: 503- 223 -5008 Reg #: ELE 26- 559CEP LIC 00063963 MET 00003259 FEES SUP Piaiiiirk4d Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 6/10/2004 $75.00 Elect' Final [TAX] 8% State Surcharl 6/10/2004 $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 throug(..\ 0 2-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued Dw Vi r, ' Permittee 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 7:00 P.M. for an inspection needed the next business day 100 eked ON! WVY031311Vd -al 0981885&09 -wog wd • d dl:Zl 110Z- 8O -unr penleaob Electric� Pmt lig C E I V E D City of Tigard FOR OFFICE' USE ONLY thse 13125 SW Hall Blvd., ties. oTt 97zza l) ! > 7a � 'Q ` �� I Phone: 503.639.4171 Dart: 503 498.1960 Renew P i� alts Inspection Ian= $03.639.4175 D3 � R . CtLer .at° m wwwctLt gm�.s us CITY OF T om ,. r y```'' Ai. Due _ BUILDING DIVIS • 1 e d: L"''"' -seemental e 2. far ' �T.i " �1 � d ;i� ar _ ii► .o/. Su. t�or+nation 1 New construction jVff ti � t! . IQ= 1' "' r _ ❑ A ddltlon/alt l e a s e cheek a _ y _ r �� n;. ❑ Demolition 0 Other: e saboN i t Please ��;; ' ` . i' q •'i's : �_ -:. , /ti I ^,R— '•r,,, it lit: n" •t Lr r rr .y,�,� ❑Servitz over 225 0retpp, corm e1 gliazardous location .j IJ , 1 ` ��S�y�``v`R', , IICI.'. .il'��'v;7 "il "x ^,i.T�Lil iJi a�3f ^w1 5 =:tiL A iJ ! L� 'r;i .il } ,c �'fi �lili�� a r?7� i�.1' - °SeT7viceover 32� amps end 2 family dwelling _ � d `f 4 s,J n 1' * i ,C, �I�+ .J• I of 1- end 2. 1y dwellings sating �Q �1 new nesi mti; ❑ Minn P2 d X blinding OSyetem over 600 volts a n i n � M aster Wilder Q Other 0E44:li ov mom stones ee ls in e40 structure amps o :'I {'WM1jLk�� �r�:. t u r��uM��Gt ix��,�. � �' „ �Feodera, 400alnpaormi r Job L 2 ` , : M,1 `z � : � '' �1 n to Y } � � r-S � 1.1 OecuPaat load 6„ ff pi r 99 persons OMlmulacwro no.: ]'ob site address .��- ".•� -��„�* 4 I,,� D RV P9ik d Metres o.: 5 Mils �Hes1QJ•tare faet�i� ❑t b ovs. t / 1 72 I Stth b ve sem trf spp li wish airy of tltc ab erve Suite/bldg./apt no_: T� above ago not sppcablt: m i construction Crone Project non= Ia!' .'J .Mr5i +7 r 5, -.em., seance ea eer /dionet� to lab site n CA roll New residential single -or multi - family dwellieg unit. Inclaara arracned garage. . ... 1.000 sq. tt or loss 21 Tax im l no.: 1;a Limited ndCl J00sq_ tL o � :. 1 ' ` 1J rl.l:I ;��L L'.GQ:I•� ^. �f. L +� energy, residential IS O L'.L.:.. � ,. _ x,17 , .I LL'1,.1 � 1 7 `. ` I ; ( ' lr� MI 7s.00 ,,_,, , ■ 90.90 i .Services or 1eettera instalQtion, ninon t : on ! . LL r !_ ,! ; Jt�r li �'� �t ,1 r , �. ,� T. 200 amps or Less -. or r- TO 400 amP a _ .r±;G .. �� �Y� j� r L �i .r . t, , 2 7,1 '49 d 1-7e ,1" , 7, 5i u�' r � BO •3Q 2 Noma- � � ' _ L am, J ,� 5 .: a ny ` ' , 'I .,� 4 01 s m 6150 106.85 2 Address: `a ^ 601 =Dm to 1.000 maps _ MI 24340 2 • Addre i o at= (� Ova 1.000 limps or wits �� . a . RT L_ • d ( !�' Reconnect only 0 _ 2 z Phone: (555) 4 7 7 - O 5 ' 7 $ eloc ation 9 services or feeders iaslalistioq alteration, and/or• owner " . OII: T11 IDS . rm is being made on property that I own 'Allah 200 amps to 400 intended fbr sale, loam, rent, or =change, al 1 not 201 to 400 amps 1 ge, according to ORS 447, 449, 670, : 701. Owntr t 10030 r I J` f J ��J r ate: ' r. — T Date: . Branch *tuns to 6�0 , .. 2 - L, h, .:Ir Y ` �,. n- c N , ��� r l� � y , ''i -0:7., ! r f�} I I ,,; 'T'fl ��'ry —. Branch new alteration, p �� 2 dl euia - ezpe g8bo ElusinesS1ap= "` n; L1 i ° ! j " �Jil't ' r� , rh:„ ; } i ; A tr (cc Dtffi1Chcircuit wt t . par •Anil aerriee or amscr It a. Gaon 11113 Contact name: or circuit 2 B. Fce fin branch brch circuits li Address: without service or feeder fee, ® � awls brmich circuit 2 City/State/ZIP: /Ztp: Hach add, branch oftt u r � © Mistallaaeous (service or feeder not ladgded) Pint: : ( ) • Pump or ' ;.l 'on circle Mil 53.40 r �4i a .ar 1 J 1 �,� .::dr i l�lri.r 11 ?r ?! iiliu:�rr c'. r° Sign sa- otln= lige:log 53.40 �� .� . ,,ln,u� I,Ilr1�_W �e','.[ G , rlr , ���li�l duT - ' �.� gas1 ° B�siaess n V v�/ i � x�r r� mum Panel. alton. or _f Eno additional inspection over allowable in any p4. 1232113=110n Y of the above Piet (tom 2 4� ' �com Invari t:in • . 62.50 9 �� C Lk, I • F 603) Z 23 0 / D �lwgisl plertpt r hour hr ado) 62.50 11.11.11.1111 7 i r:� ,u ���� Electrician i /:�.� J:,�. fie regtme ��a/ / • D a - �rr� Te tee (894, of permit & e 1 Authorized signal � TOTAL p3 T FEE v'' Prim name: 7tde permit appilmtloo aspires rib i, . �® Dam days alta it' has 6eaq a u oe �Nv m d r ltAln 180 evtwrillus1p ZPotaitiipiu X03 • aao".6rsTCra .a Pea ,nr„ togy set by cboob. Buiidin Industry Service Board to per parade all°wed T000 Q 1V! U do A,LIO 096T1109C09 8vd tT =ZT boot /Rni9n lEl -d E00 /l00'd 989 -1 bOlOEZZE09+ ONI 11N10013<1Vd -word wdBZ Zl ',00Z- 80 -unf CITY OF TIGARD 24 -Hour BUILDING Inspection- Line:_,(503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Re sted �� AM) PM BUP Location / Suite � l", MEC Contact Person /1,1 Ph ( ) Z 8#----1571 7 1 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner LPuI C. .- 076 6 EL _ ,l Footing 761O , Foundation Access: Ftg Drain EL Crawl Drain Slab Inspection Notes " A lS3 Post & Beam , wem..9 – ficrrErn v75 srcysv.}t� Shear Anchors Ext Sheath/Shear OY7'Fa'tED — Int Sheath/Shear Framing Insulation 1-C Soot( _ -g w 5 ��� � r , /0 Zoo V Drywall Nailing ( T 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 <ELECTRIC Service Rough -In UG/Slab Low Voltage • •-- Alarm 6' fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. - ASS PART FAIL S Please call for reinspection RE: El Unable to inspect – no access Fire Supply Line ADA ° V Approach/Sidewalk Date Inspector / Ext Other: �- Final DO NOT REMOVE this Ins action record from the job site. PASS PART FAIL