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Permit 4: CITY OF TIGARD D ELECTRICAL PERMIT PERMIT #: ELC2005 -00432 At DEVELOPMENT SERVICES DATE ISSUED: 6/20/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103DA -00200 SITE ADDRESS: 13090 SW WATKINS AVE ZONING: R -4.5 SUBDIVISION: DERRY DELL LOT : 002 JURISDICTION: TIG Project Description: Panel changeout. 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: MENDEZ, JUDITH A OWEN WEST ELECTRIC 13090 SW WATKINS AVE 8310 NW REED DR TIGARD, OR 97223 PORTLAND, OR 97229 Phone: Phone: 297 -6375 FEES Reg #: LIC 29492 SUP 2885S Description Date Amount ELE 26 - 398C [ELPRMT] ELC Permit 6/20/2005 $80.30 [TAX] 8% State Surcharge 6/20/2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86.72 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 re set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rule r direct questions to OUNC at ��p 503- 246r6699 or 1- - 332 -2344. ��� /'C Issued By: wi ��J /1H C J V,e/t 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 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. • -FROM OLIENIdEST ELECTRIC FAX NO. : 5032976375 Jun. 20 2005 10:02AM P1 uojcuj: • ua ue.:i rr�► au�aaa Liix u!•' 11UARD lt002 EbskicaLrerinit A. i t- r4..�,S f ��y I )1. > A City of Thom' , r 9. 0 2005 w . ( ,vv r :: �_�1 .. 13123 SW Ran Blvd, TILL oR 97223 JU " m Ocher Pewit VW= S08419A471 Pm 503.598.1960 . • D t.• _,. telpeoios LW: 503.639 .4173 c ,►TY OF TIGAR .. t ' g pBiM e t : lrittraaat wauw.cttimmtlArm ■ . y DIVISIO ___ EFETONgil n�n�77lyy!11�� r � r �r � r ,. ,� a�,_r ? -� }I' tp•L .. • OOI�s>? i ..` ti 1 a . 2_..,,p ;7:•:1:. 'C.' , t;, r I 7:77, f t� F•, V r , , . W:. . 7L'� r ''�i' r �,>:1T �. �i:'.�k' 'aL.�F . r .r• /•. �>J.aSY�I'i ■ New G Addtdordeltoti tiagreplaoettteru Pla'aoe eh 1 that apply OServfcs over 225 amps, oowm'1 6 1o�doe D Damolil101t 0 Other: Meeks over 320 amps - r ating Bulldog ows 10,000 to. tt, r•..+ , ;: a�A! , ► c'; Y of 1 -gig 242,6 dwollia• 4 or MOM OM tesidattlal . •••':• :� ...of gyet re, Over 600 volts union! wits in ono struatma - and a•f3 ly dwelling 0 Catttttaorol� • Aoaea4sary bulldog pacilding over taco oo hosier Medal, 400 maps et more MAW= ■ Mame builder ■ Other. DQmopaetlead aver 99 WPM DManulhetered error vas or f✓` "t •-"!`� , : • > ; " D DtaUU leg P Rv peril a _ . ei�taAr�WU+aa+sOiir� }�� © I� �. Job no.: J o b a l t o address: Q t' Q u o . ' 1 Su of el with w a y O d a above �, , 7 ' � ,, . I ' ' �' The above are not apl+l labb ill temporary o ve6w+ swim. `� r yr •. T� w. fir" •i.. LtT S*p ,;� SUileadVIPt.00.: Project 4.�.i'_�. 7 .,, . "'... ' .17d5. .: doe MECIIIIMZ:11 j* / residential . or eedl4dmDy' �i� uar. Caaa6 s � /dltn0aoo8 �► jab sits � i/ ! .� Now res ��,� 11111MIP.Ael 2 1000 • R or leas 1111•WEEEBIE11111 4 �: Pia. add'! 500 sq. A or zmtioa 33.40 1 Subdivision: Limited mangy, reside:Mil 75,00 2 Test tiaapdpat0e1 t1a: • Limited vas a uonbroddaesfal 15.00 2 dwdllas. aaeui 0 and/or ham 90.40. 2 a? 0.0 !,e r . !/r..1..:". Servtres or Bodes lastalWlaa, alteratioa, sadior relocation • or .� . ,. 100aeopoar kw 10. r • 2 2 � ..,1 ,^...�. �y,, rR- nrrri W' �° 'r•., 201 to 400 s f06.1s 2 ,777 -'h >r:r�:v:: i;,.�. .t{ ' M 40lampato — 160.60 2 S 601 amps W 1000 amps 240.60 3 Addresar Oran 1.000 acme or who 454.63 1 RocoAaeamly " _ 6645 2 Cliy/S : ' 7 emorary woke. or Inden laalanadma al{ara6o4, and/or Phone: ( ) Fox: ( ) kw 66.85 1 i ' INW OD: This 1 S1411Itiao is being trade OA pTOperly dial I own vllhicb Is not 201 arrow b 400 amps 10030 2 intended far sale, Ietue, rep1. Or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 13335 2 Owner die: . . D•s': bank druid* -UN. talteritio4 or ritoodoa, psr and nr�n f., • . `:. :: /ON La Weds circuits win Business outlaw b &suit 6.65 2 B. Fa r oirauirs Orators MIN meth baansb �� 46,83 2 + : Bach add'1 braach Olruit J - 6.65 2 — Clt tetsiZIP: Mintseaaesu Wes or heeler net.iaelads* Fix:: ( ) RUM or btErion citric _ 55.33.44°O __s�i oe ostllna UOhdn 2 I 2 rr���,,ppr��� 9i� IMO or at `'E/fE *7''777 - ;`''L 1. ' "'I'•. ":'k.t . _ "Q1.^ "eye. rotundMA staredro.er • OW /_i_...4, �. ,, eoatsioa Describe: Page 2 2 Reuben I\ Addle's': g. O 1 . 2_ 0 Sack a 1114N il:mp Over atassla lo to attha abort L - X 00 62.50 p CIVIStee121P: 4, /'s s- r /ffverdiedion perboo (r beds) ( C In iai . 1 • boor II 62_90 73.15 J� l (c:91) -1 , �/ F'.exi ( ) SQ�/Z• aK 5 .:' w.: _ ri' 7 i.. :u. r.';r- ..'''' . L. CCB ice.: 2.9 - 11=EIVICM SOT,. Lk.: s: s S Subtotal t $0 3 0 Suprv. Electrician signature. required: 0 0_ 4e4 4; 7 1 :;"-- ° ;""' atii.E.-s.� Pimmiaw (2396ofpermit fbe)_ Not creme: r 1, Ul Date:4, -2 O O c6w ef'ploatir� • _ (e 2 / Mk Pink appOisilaa afieeailia Fonda Woes Bleed s too /s ,,,i i / awe Aura bas Irasewptlesegingt.e. print Date: t - it O ^D5 • tsar merbade ciy act by TrI.Carifiy ceding y Sewiw 8oat4 ranee •• Numbo►erisapeadaw sir pssnit dtaslad. r CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00432 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 -' y - " • • INSPECTION WORKSHEET FOR DATE: 6/22/2005 TIME: 7:13AM PAGE: 7 • / SITE ADDRESS: 13090 SW WATKINS AVE CLASS OF WORK: SUBDIVISION: DERRY DELL LOT #: 002 TYPE OF USE: PROJECT NAME: VACANT HOUSE • DESCRIPTION: Panel changeout. OWNER: MENDEZ, JUDITH A, PHONE #: CONTRACTOR: OWEN WEST ELECTRIC •PHONE #: 297 -6375 Inspection p on Request Scheduled For: Date: 6/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message Dz / 01,x/ -e.‘ Electrical: ervice 009890 -01 503 -297 -6375 Y Met Na-e Corrections /Comments /Instructions: • • • � rAS) ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ■ • Inspector: / , Date: ` 2 a Phone #: (503) 718- f. 4