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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00770 w rif DEVELOPMENT SERVICES DATE ISSUED: 12/6/2004 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S104AC -01400 SITE ADDRESS: 13090 SW WALNUT ST ZONING: R -4.5 SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Description: 100 amp sub - panel, heat pump, GFCI, furnace. 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: 4 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: WHITE, ELLEN E WESTMORELAND ELECTRIC 13090 SW WALNUT P.O. BOX 82865 TIGARD, OR 97223 PORTLAND, OR 97202 Phone: 503 - 590 -2416 Phone: 503 - 238 -5362 Reg #: ELE 26 -1050C LIC 140551 FEES SUP 4638S Description Date Amount Required Inspections [ELPRMT] ELC Permit 12/6/2004 $106.90 [TAX] 8% State Surcharge 12/6/2004 $8.56 Rough - Elect'I Final Total $115.46 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: 2 2 � � Permit Signature: \N 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 FROM : Westmoreland Electric FAX NO. : Dec. 05 2004 09:32PM P2 ' 12/OB62004 09:24 FAX 5035981980 � co CTTX OP TICARD 11402 l.tlet calJelClinit Ap»xical t.c,i:ocr•icp. tat•; 0:N?->• City of Tigard City °° " e r 'D9 / � Pain't ' L'. L i 6 , ? Zdd '0 7 7 6 19125 SW HA11 Blvd., naiad, OR 97223 CO : 1 „ ► Plea Review Onus rands 503-639.4171 Fate 503.596. `'" ' I ' ., DateA3v; Inspection Line: 103.619.4175 . ..r.. i - 1 , '2.1_ Date Rendyf8y: ,arise as Sea raga seer 1w Internet WW,ci.t'(gnt0.0r.UL ) . aaudrea -f eusstamnatalltde,matIoa •.r.., 7 r. 7 na_ 11 . .b � n -- . :‘! ' -. . ".pi{[f,,..ltl7IIi7I ... .� , ' © New construction � • ditioDla] - � ,. : - lacdtmnt e Plano check all Ctat app,: p Demolition When <b\ CM ranee over 225 reaps, comet'} ❑ ous Mexico 08e eviao over 320 amps - rain ❑l3tttldag ever 10,000 ag, ft : i • _ '; ICA re' 4 CONf'RUtL"1 13N •: , .. . of 1 ant! 2 - sally dwellings 4 or more new ttssldential . I t3n 2 fami 1 Q Comtnercialrmdustdal ❑ Accessory building 0 System over 604 votes>set>eeal units is one structure Master braider. ❑ Qrher. ©ioultung OTC( time stories � oed 400 traps or more CI ki i Ma tinily © UOxupaet load over 99 pesters EiMatwfacaced sfmconas or •' `!a'8' �TB BI OR341.09N` VD I,OCAT ON " ,( - ' . T Snit 2 . : ❑E Jlighttng plan RV Fmk Job no.: I Job site address: ) �O 90 sea. �j(/jd/v' QHsalt fAClliry QOtha v 2 set oLglana with }say oYths above. . City/StaternP! lj e Die. % �aa , 7 • - /lc above one nor applicable to temporary consenetion service. Sutte/bldgJapt_ no.: Project name: • 7 , `'� .-r---' w Cross sovetbklueetieons to job Site: N w a enda sink � multa faniUy dwelling nob. 1,000 s4, it orient 145.15 4 BDbdivi I Lot » • Ba, midi 500 sq. $ or portion 33.40 1 Taxi net.!. energy, sidesl1e1 75.00 2 — • DESCRIIIC 'OF •WO1EtK =. - - . _ .. tt t+rno-te ib:401 al 75.00 2 .. . - ... . ,. ..- . tt�aea Of moemar `0O � b � - f -- { F� k.7— c fis�p — 6 / 6 ' S"�ms or seethe* feelers In rfxde 9dso a Services or tieedere imfS.tttr:n alteration. and/o• ptJomdon .22 �Jss e.- 700 swops or lleas X / 50.30 a.z, 2 -1 ROYEoint b,ViR Et -:' - ,.:o•unbolt ::: _ zel imps m 400maps ]065.4 2 • ' ' !-- 401 rams %600 amps ]60.60 2 Name; 0 ems/ ti the t� . 60J areas to 1,000 amps 240.60 2 Adams: / 30 qt3 J ,�� . 64/6V.nk'T -SiL - over I,000 amps ur , blts 454.65 2 �it orIZ1P: / / ‘4_ ,I— , - (-9 7,9-a- ', Ttto>pw y SU .ro or feeders Installation, alteration. 00d/or 2 Phone: X. ) 5 -, 4 ) b I Faze~ ( ) relocation 6 amps to lei I es•>RS 1 Owner installation: This illation is being made on property that I own which is not Zoi mon to 400 amps ]00 [ 2 Wooded. for Bale, ]ease, try or exchange, accm6rog to O1tS 447, 449, 670, and 701. 401 awns to 600 amps 733.75 2 Owner signature: Date: br eat etrodla - new. alteration, or extension, panel '.. `` ' L7 APS00-14 °>k • ' .;; , - ..-1—:...! 0 OrgiZO TEABOM . ... A Foe >hr gsa<tclt rarer % snit ' savico Business Dar= breach elrenh 4 665 s ](p. io 2 B. Pea for branch ei&Coinn Contact name: _ wit/lour s>avimor�eder tee, eochbtaochcircuit 46.8! 2 Addreim Each addl bzoods circuit I f 4.65 2 Cilor Mb>azganeena (soviet or food m Out iuicloda) Pump or irrigation crick 53.40 - 2 Phone ( ) ( Fax : ( ) Signor outfox lighting 53.40 2 B-i *ii Signal () or limier& - - . • -! * OR :.' . _ •' - '' . !: eaetgypttna6 4 eaetllte altetativ caxa D 'Page 2 a Business : L(1�57 /� .z it .-- 'mac • - O •��� g j Each atdiGon any at inspection over allowable 1a a of the above Per inspection 62.50 t ty/StatedZIP: ' a 44 i , 02- 9 7d4:7,- investipuiert pe:l,me o 7t radnl 1 62.50 Inc(503) S 76, 7,s- Fax: (5b5) c,3 7 8ato �1 Uaeo PlantPerhour jj 72.75 E7ACTRICAL .PERIVII'i' SM.! QCs Lie.: l 40 SS t I Electric®] Lic. —, - toSoc4 Sur/. ]ice 4 -IG�GS _ Subtotal /c;76, .90 • Suprv. Biromel i eyasture, required. —, l r - 8tw, :oviaw (2596 of Pair Lee) stun surcharge (Sys of ptxmit fac) 8. 5-60 Prim : keb,foy e S Date: k. - 4, -01- TOtAL.�> 1eFH / <S46 Authorized siguattrtn L _,�1� T e pw�aic apoliealtaa mires If a perm}. kites obodncd within 180 Y�iiat name: ""rr"9° ^' _ 5 toys marl It bas been awepoed es urr - Ess l i is - :� o 1 - • tom, � ,ta,, Sat by �. Madill' t. ,. se..i��u4 Number or iespoedana psrpermit armed edeullgisOerwinNEIC:PeffitaAtbdai s>rW deea•ismoorrCO►aarea 1 CITY OF TIGARD 24 -Hour BUILDING Inspection Lines (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested /� — 7 AM PM BUP Location / - ; 0 90 C22 , n .0 J Suite MEC Contact Person 40/1/J--(r- Ph ( ) 9 7, -- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC ,z7'0 `a; . 0 6 770 Footing Foundation ELC Access: Ftg Drain ELR . Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ( J Other: Final -, A77-) PASS PART " FAIL " - PLUMBING Post & Beam Under Slab '' Rough -In .4 Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole .9 Storm Drain • Shower Pan Other: Final • C P FAIL - E CHANICAL - P o Rough -In '` • Gas Line Smoke Dampers . PART FAIL .o.: E CT Service Rough- .k_ ab - Low Voltage C G f- � u - da .� ,/ l - ,Q m L' Fire Alarm " • PART FAIL El Reinspection fee of $ " required before nextinspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ " 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line . ADA 7 Approach/Sidewalk Date vt- 7 Inspector Ext Other: Final DO-NOT REMOVE this Inspection reco d from t e Job site. PASS PART FAIL 1, d � y � / 1 "I c: