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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00654 •T �rin DEVELOPMENT SERVICES DATE ISSUED: 10/12/2004 rl II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 109A B -07600 SITE ADDRESS: 13011 SW ST. JAMES LN SUBDIVISION: RAVEN RIDGE ZONING: R -7 BLOCK: LOT : 005 JURISDICTION: TIG Project Description: Finish wiring for 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: 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: DAVE PISTON GAGE ENTERPRISES INC 13011 ST JAMES PLACE PO BOX 1429 TIGARD, OR 97224 CLACKAMAS, OR 97015 -1429 Phone: 503 - 226 -7000 Phone: 503 - 657 -0142 Reg #: SUP 618s LIC 34544 FEES ELE 3 -128C Description Date Amount Required Inspections [ELPRMT] ELC Permit 10/12/200' $46.85 [TAX] 8% State Surcharge 10/12/200 $3.75 Rough -in Elect'l 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 a ort • OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 99 or 1 -800-3 -23 . Iss d By: o 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: ' -4— �` `�""�" DATE: LICENSE NO: 61 f6 Call 639 -4175 by 7:00pm for an inspection the next business day FROM : GAGE PHONE NO. : Oct. 11 2004 01:23PM P2 y .�°° �lif ur T1t;A1(p 21001 E e etrf rift V ED o City of _ Tigard �+ri_ -- -� 13123 SW Hull lvd.. Tlgord. OR 97233 1 2004 ii 17� � �i Phone; 503.639.4171 Fen: 503398.1960 . • linpecton Internet w`,�w•t 509.639.4175 1 CIT Y Oar T IGA : `�; ' +1; ors revolt tbdoo ut hod i , Beol'saoisbr rAo CrNow construction G - daiouhavaniantroplornernont Pleue cheek all mac apply: 0 fletaoiition ❑ Other; I ;Service ow: 325 saps, acme [ bismu+doas lontion • ' , :: .. CA' 111 r'':ti> ( Ti�`11 P ; > ;: ! of 1.. 4ttd oe ovtr awn teen CAullda erne ! reel rsi R _ .:. • • •. - • - : , . .. `•��: of 1. 2• r � o into new roliillw+Md of Lad Z•huyly�dwalling Cl Corn mnrclal/induycriel Ao ae$5aty buildbpg 05Y6tam OM 1$00 vein nominal unite in one structure ❑ Multi y ❑ l t� Q OfLer: OBafidblg over three aeries OFee1LLA. 440 amps or mom —�� ,i - r-. ; ❑OocupMt lortd even 99 poeeanr DMrau;feoe utualerec or QB 9t?C1C 1 1+t8aiITSATiQN p�p" ?1V n Ry poet ' 340 na.; Job site address: 3011 S"i' y3 �.. l_ :. .,.w wig coq. of D I City/5esto/Zil': - rr " ■ , Sa .pS . /to obova stem appltoableto mDanur ooaseteaioa service, Suite/bldg./apt. no.: �47eotUrns: .•. •..•. 7 _ . t;1Tltit SCRUM : ,..;:..•. --- �— obea�aaa I Q4. L r. l Tow _ J Cross a r$ol/6irections to Jeb site: Now residential at* or t i utdrrantiiy dwelling unfe. G+etuda atraoh,d _ , . • 1,000 aq. lie lane 145.15 Subdivision: ` Lot np.: gi.sddl500 • . iL or .. . , n 1140 II Taxmap/paronl a0.: L.iaited r toddmttldt yS.00 �Q ^ , I 1 rich ta Limited anerwr, noba++l .away . 75.0(f /�f / y� +�. `'� 6.,' P.satt araa9xauad or moduhit /^ i f- I,.l'�L{ (i/ % t "- Q' \ ♦ Gj •La . .'. r feeders •1•d i-;_.... i.. ( , �•+ $ervkaa oa ingteBadon, altoratlea aadldr rslocmloa 200 • s or loin 80.30 2 so 600 amps • .:. :.. LII ' o x ;,.: , t;. „ :, N . 7 401 ,p, ., to 400 am 106.85 e� �© Named ~' ' oar 1" �.Q�.4 PCs* Q cn .-�.....� Epl . to 1.000 • il 1 240.60 Address: tJver l I I or vela � © r� ltocomotot only 66.85 2 rs t , /SSIP' Toniporsry $os loos or LrWes roNmllmtloAe egespailpe, sewer Whom (S'a3) _2 C - / a 6-a Fax: ( ) 2 . . 200 or lose • 60.86 1 Owns tnf &l1ilon: 'rims insl811atloa is being mode ea property fiat 1 own which is net 701 a •■•to 400 - MINI 100N0 IIIIIMIEIII intended for sale, Touid, met, or excbrmge, according to OAS 447, 449, 6700:24 101. 401 amps to 1100 amps 133.76 _ 2 Owner signature: • Dew: Snub cisauib nee oltaritiOlo, or extension, pir pone •. : APrL1CAN' , I•, 1, Cativi :rEaSO . A. Fcc�rbrsnakcimu wl /A I acrd= sr lied& Ws, each Deaness ?incheitroit 6.65 2 E. Pee fer liana anemone CoMO! MU _ strobe or $9dor iem, Addtes� �. each itnutoh circuit / 4e.E6 'yCa& 2 E 11641 baton circuit r 6.tig . 2 \ City/SW/UP: PlIsaBowinkfrro8re or hadar not tad sided) I Pcn, or initiation oink 53 AO 2 Phan: ( ) j Fax:: ( ) esmallncNa _ _ 53.40 2 &mail: otaull(I ) ar frmro6. - , ." 1•• I� icpw TOSI • :. ., :. '.''. , : . . ..i '. :i dDeegyplant,sltgeemer ,.. G I. :.:;.. >:: Ti.. • a»asWn.Deea ibe: Page 2 Busitt ees nab= Q►. - - E � G� - b S `6 .L . - gae b addldosal fnspsetto ewer aaowabta in thy abbot Add ress: P . 6 r_ _ _ t 4. a„ q Per inepemdan - 6140 City/State/ZIP: L+ La- e,„K.a s-..o- 464,.e, q'3 Bt-S" Invaatipatlon pot hour (1hrtor„) 62.50 neck (.a3) G 3 -- e• i M Fax (3'o3) c.c. 7 w .mod3 3 taa . ptestptsbosa yl.75 i_ flrlRtcw =MAW .>- :.. (>r N, CCS Lim.: 14 44 13=BEggilrM Supt. 11c.; G / - ._s sw,wml KG . 4r Sopro. Electrician signature. required: I _ /pita Plea review (2.584 awl* Saw (s %efw:mit 3 a 7 ..4" Prim name: c 4 t,, C., ce- -rt Does 6. o - TOTALP6R1►aM vas SD . ea Authei:ixed ml�attuv: ,� ' __` 7'b pogo h eyYllradea raptge it■ vo pit a ant aeseleas.4161 tea daps emvtesuDen ampte& acomptote Pia =Me u G.- . .e ante: / o (< A • ■ a raeeledotosy on by td•danty 1luild Wm, saline Raord • . Emober ortotoeetnor oer De net Owed. evsmoupfratelt7 c4ertneakeee Ives 7 / 0 40.16 1 iT(7Q/oa.4loANarED VT v CITY OF TIGARD 24 -Hour BUILDING Inspectioritine: 639 -4175 INSPECTION DIVISION • -- Business Line: (503) 639 -4171 MST BUP Received / Date Requested /? /0 AM PM BUP Location r 32// .4-t Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) 6 s 7 o / 1 — SWR BUILDING Tenan /C2 ELC oDoy - co 65 Footing ELC Foundation Access: Ftg Drain \IO ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors /? ; CO — 06 Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Db bL L47 ( Yob 14 S pe- Gi� tyv kYve 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 14-** Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage 11/c' : . p Fire Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI 0 Please call for reinspection RE: Unable to inspect – no access Fire Supply Line �-� ADA Approach/Sidewalk Date / d Inspector, Ext Other: Final DO NOT this Inspection record fro the jo site. PASS PART FAIL 1 1 O �Q