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Permit S � ELECTRICAL PERMIT 4 ; CITY TIGARD PERMIT #: ELC2006 -00360 I DEVELOPMENT SERVICES DATE ISSUED: 7/5/2006 ' " I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 103BC -05500 SITE ADDRESS: 12215 SW TIPPITT PL ZONING: R -4.5 SUBDIVISION: TIPPITT PLACE LOT : 005 JURISDICTION: TIG Project Description: Replace panel only. 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: GREGORY TITSWORTH OWEN WEST ELECTRIC 12215 SW TIPPITT AVE 8310 NW REED DR TIGARD, OR 97223 PORTLAND, OR 97229 Phone: Contact #: PRI 297 -6375 FEES Description Date Amount Reg #: ELE 26 -398C [TAX] 8% State Surcharge 7/5/2006 $6.42 LIC 29492 [ELPRMT] ELC Permit 7/5/2006 $80.30 SUP 2885S Total $86.72 REQUIRED ITEMS AND REPORTS 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- 010 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: > LIJ Permittee Signature: a fl r�4i _. _ 7 '7 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 503- 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. City of Tigard E I V' 13125 sw Hsu Blvd., TIQar4, Olt 97223 ? - - - Porsois No.: G 6 Paws: M3.639,4171 Fax: 5031911960 JUL 0 ` J n' Impaction Liea 503639.4175 t • . aate other ?neat: irk www.al.tigatd.or.as CITY OF n ''" • (. . � : . ` 1 epas eerr . 1 [ j ttgLamestert ttarermKtota ' '' W. ;7 y -�tl_ r 'J7rril ''�7,':: ; i� I I I 1 "..k , —1: , J . �,,. r eg , .;. J ..>✓' .? `5_, ,7, 'FF I a ,h'kt T J ::I . �J �v;1;J q; •i ;itt: . , � 7, 1"r:..5; 1 . ,,,,...iJ ,,.,�. • AI. I_ I:Y '•R , - ? ritr � lY:c } !Lrv+l.i J ;r ll ! ..3 ' 1 :. . 1 V : : I :;! 1 {l 1 . E1 construction r_ r. 7_ b; I Ia t y; ❑ Demolition w4 I�. ,,o. mf - i ^tYut,11 . F New oons �4ddltian/att t;onlreplaeement tease - neh an that app y; a 1,, Ott' :: r Demolition le Other: , °Setvi:* over 22.5 antp% I Mundt* over 10,000 CJ (ooh 1 ;j'i `;,`' \ , 1 4 1 1-. 4 of t : 'si::4�i %'ili � ire, ! i4 . g irn,,; { tae r' '''rzltr ., ,zr �! n'! ,,.„ I i ©Seivice our 32.0 amps - rat .g M 104, �, - ' i ._ . .r11 : n .L'' ,.:: „, .�r.;:∎ , e a , `RA:�_ /c,k; ?IS 61.',ILNIi.A int, '1 i.`, IC ""V ��� •*a _ "•.;::,;� �.r::, t,.�;.�,...;�.,!�r aF t• epd ��mpy 11°141133P � Of am new tesideeltial 5 - f -a ad dwelling ❑ ar ia) Accessory building D sriwn aver 600 volts nominal noise is ate atineetre Q _, „ , 1:1 builder 0 Other: } dal8 over those s ks PMdn I, 400 ectps or MOM MOM aJ-roi. • '�� : , .� i":41P , V :"ivd ;,L` 00;,;, j ;•y ;,11- , : p , ;;:nx I) •v _.,. . trt ;r. _, - . r , I . L.IOacupant load over 9 paf40na ilt'orb['esi� ,. „ 7 :I.-. 1!c. = ,.i,:,.. fIN'r.1 ? :d n';',` t�t.;1(- 1�1 3,f]`_ .' , S , ..Il t . 0 1St'pr K , � ❑8 ti ., � r • „n�,:w , . _ � i,!U stetaRigatiAg pta1+ RV park n0„ Job site ilddrese; �, a- S l.U. p p e ` ❑rioettA� are arao y Dom CltplSrmar2lp: 1 T !,. Submit 1 seta of plans with oay of the above. I/ c,_ 1 The above are riot tpidiesble to tetaporary eolgtruetien eervtoo. Suite/bit/apt. a0.. PrOkot name 4 '':7i1 .iig6: 1 � ,r`!r11(1.r.T.y.;',Ii, : iir;'fl 11 -;7 {11F±;f:i111 i > ly ' r r 'l� d ilJlS n �1 . ' . ,+ . , ,ei {.'tl`' „�1 cn ;t��a: 9,1i, ” . r ! Crossstreet/directions to Job site: ..� r //. .. 1 >t U1 : Tom - . ,L�� D Nan real alta o r nta114 dwdllug unit. 6)214 C ; : AA- 41_..,t. 1 I 1,000 a • . Q or leas 145.15 11111111H 131 4obdMafoa: • , L ot no.: Ea WWI 5005, I joram1 33.40 � Tex •' :,�• • - no.: Limited _ teaidetttlal 75,00 ��-,: , ,;:...,, �• r F Lin —awe tiOlt�C eolemniel 754° D ` :.e7 ;.1,-, 1 t' -t i 1 lF j Yk f4 , , t,..t,-- Tn i " I ' 4 ; ""µ�, �; V I ye� II � r ,•". ,'."(. .1 i, !';- A..A,ytl. , .. � 'U Tw t rliGu W;rr. "R3�c:rtP; , , 4•_!;.• Ir ,)) S: ' X { 1{Y- r :S*"4, ,C` -A', C iY���•!�. y y , { { lyt.( Y , `' 'U ,�.. '111 kl.ri�(I:..u!�.��..L i� � rt +AI ?.1 + "S'J.':'.IIfL.� e�7 Wrwduilw / E24.? t� dwell • . service ft • 2 90 Services or feeders installation Alters' ,andlorr lion r � �C� 200 amps Or leaf mr •P- IMO i. > 3Q 2 ?' '''i'tJ11 ,�. { Wh' r :,,r' : '''' '' iiii53.., , T %r: c r - i .1�r! „7 ., , �l.4. : , 'R ,''�'a .I i�N"'�f'W_ 0 „r 201.amps 10400 s 106.B5 2 , I rR.;l : ` ! r . 1...I 7,'-,, :,;,, ��b.. „',„'„ l { �t r ai:l;i �i r. .. ! r pG,N X1 . 0. i. ^'riAl.i _ 1 6 1st f C, .,`'. 401 to 600 0®• . 160.60 2 , Nei 10. J , s id it.S1” lI'f Z- ri. ` 601 • to 1 000 ". '• 740.60 2 Address: 1 l 1 . Over 1,000 w raps � �� - Reconnect only 66,85 2 City/State/ZIP: Temporary .erVices or feeders lantalladoo, alteration, ead/er Phone: ( ) Fax: ( ) 200 • lees T 6685 Min 0lvattt ivaDatiun; Tbis is>stallusion is being made ore property that 1 own which is riot 201 amps to 400 a IIIIII 10430 Q intended for sate. lease, rent, or **change, according to ORS 447, 449; 670, and 701. 401 maps to 600 sews 133.75 2 Owner signab re Dete: Breat:b drains- new etteradoa, or extension. Pool ~ i� 1= ^ ,' ?,,, ' G .i t i, r!1lii nlh,l dU 4'P'r: ?!;,. CC4+'hv ' , I ' r' r r?i t 1 $;, ",.1';- , 1 * I � ip ,i•,. t r ' t f: r m T,�,C + AF�#ur �r aa r �t Q I tc11t�wll f i '. r1 n3 � :J1 d1. ,ItK , . r 4•'I - = '' '.4 i1� 6'9+k' ' '' e rJ. ,n. . ''f.�'''''J'- t'L:rtb.5 [�'l�r - Business acme: t service roa acirw each 6.65 2 Caatet t t�tir. B. Pee ter "'tT. Omits i without BOtyitit Or Stoat foe. MI Address: t Brandt Eecb ad69 breach circuit — U City/State!LiP: Afaaeltsneaui jaerrlea or ketier not included) Panne: ( ) Peat:: ( ) ' Aim' or l '•irate 53.40 2 S : • or audiee li ..... 53.40 Oleil E.mall: Signal *mars) reMai c& ' C . + z • , .1 ; 1 1�� i •i ".. 91 ' ' , I' i - ! f 1 15 ,.., •• ast on, Des OSt of Describe: >>:rsr:';1 lY, ni, � • • f, l�:: h9. lt:!! 1 '. �. :, t.::, ;....4;. :i..� .� �.:Y. )3 - a �� l c l r e d '� ):ga ' 'I �!;.,. a � ?5 'S�;F • ,.�: ;; Balsam name: ' e- i . C • J ; atOZasion, Deaotibe: f j' Q •t.I7 , ►r .04 Qi r w Each addido9lal , , • ova allowable to doe above Par inspection MO 6250 cla/stativP 0 41.. aI a ; , 4 . 7 9 -9 62. s0 Norm s a • 6 3 5 ( ) • �, -,.Q_ - 1 t i !r! ( Fax: E;i " %A L1!ili c ,:;- t ,U . :t;rn :i'1- .9' . I d. { 1!�`_ •, ,' ,, P , , _ CO Lk. :4 ir . v , 'Electrical Lie. -3q8- c Saxe. Lis 9-- g- S ; • Sur. Elec ician signantro, required: _ee O , '. ,v a,� Plat ratty, GZ odpenait 1 State surcharge (a %ofpenvie tae) _ to A a. Primmime: J's . (j Date4 - —p , Z - W L° a D TOTAI.p'r tFIEE i +D . Authorized signs t:re: ;N This permit op ttm, agaves 1! a persAt fa eo1 a . w1tMa 1&0 III T c.,a Ae oaotoQr 7d- Covmty suilerig lade' ' 80rv1onHood Pr�ntneme: O �e► We � • �� �.o o� • •• rkftber or impala= par permit allowed. '4,414.7,rlmbVF.LC 12/01 gWaa1St(,GaAK: 'E8 Td W3Ltb :60 9002 S0 'Mr of SL29L6E2OS : '0N Xdd 01e110213 1S91IN3(I0 : WOdd CIT! TI Wtdimt ''gfi� P-1-0,1 -wv OF TIGARD � BUILDING DIVISION PERMIT #: ELC2006 -00360 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/5/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "'I INSPECTION WORKSHEET FOR DATE: 7114/2006 TIME: 7:16AM PAGE: 6 SITE ADDRESS: 12215 SW TIPPITT PL CLASS OF WORK: SUBDIVISION: TIPPITT PLACE LOT #: 005 TYPE OF USE: PROJECT NAME: TITSWORTH DESCRIPTION: Replace panel only. OWNER: TITSWORTH, GREGORY PHONE #: CONTRACTOR: OWEN WEST ELECTRIC PHONE #: 297 - 6375 Inspection Request Scheduled For: Date: 7/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 033134 -01 503 -297- 6375 Y /41 - 40 neap - Corrections /Comments / Instructions: a e td 4- /2_0 /�L , 41441 ri Pa 7) 5 7 / (.. ri PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: '1 Date: ` /4/0b Phone #: (503) 718 / / 0