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I 1200 SW BUIL MOUNTAIN Rb
CITY D F T I GA R D ELECTRICAL PERMIT-
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2004-00013
13125 SW Hall Blvd., Tiqard, OR 9t223 (503) 639-417,1 DATE ISSUED: 1/23/04
SITE ADDRESS: 11290 SW BULL MOUNTAIN RD PARCEL: 2S110AC-0 101
SUBDIVISION: ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Replace faulty sensor.
A.RESIDENTIAL _ B.COMMERCIAL
AUDIO & STEREO: At'DIO & 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_
TEXACO REFINING + MARKETING INC STW, INC
BY TAX DEPT P O BOX 1629
PO BOX 7813 SANDY. OR 97055
UNIVERSAi. CITY, CA 91608
Phone: Phone: 503-6621-7757
Reg #: LLE 3-502C
LIC 145981
SUP 26045
JFEES Required Inspections _
Description Date Amount Low Voltage Inspection
IFI-PRNI.1.1 ELR Permit 1/23/04 $75.00 Elect'( Final
J*l'Ax1 8%State Surchar2 1/23/04 $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 wil; expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requites
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug
Issued by �CA - ,� .� �/f,J Permittee Signature
�b OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATORE: DA rE:
CONTRACTOR INSTALLATION_ONLY
SIGNAT1)RE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
VI/iCU/2904 09:20 FAI 5VJbj51d6r: C 11T OF TIGARD 4001
h1ectyiCa1-PerMjj-AaRjjEqtj0n
City of Tigard
I I Im 5W)KII Diva., I igalo,021t "223 Olt.Pornill
Mro 503.639.4171 ?2x 507.39119M
Inaoeocial.Line:
umw Hl�otitlso.'Mat4ohtom"Lai 16form9don
77
Ir —
f7-jP., • heck%I Out&?Ply
0 survnI C3HkAkJ91-
oe"bon ther I rlService over 320 amps-rating [3juildlig over 10.000 34,N.
lFbnek'y ,01 (". s7ATjC1101% it I-and 2-L1rrdW dwdwellings4 or wo-1-few rtsidemilo,
l ". .. COSIThm over$00 vol"liml,*W anits ill one 611'jm�e
I-and 2-campy 1wellLng j4c"ommm mst Aces buittfuji; E38ui:chng over tirm urren lie
Mmor builder offict: 130ticupio0age o%cr 99 Palsa jMmutimmd muct,.Tep or
id—CA710-11
—
Mw
k
obM. 31seliLcwm& 04ym &bcvkrob tw lWimollsev ofPiMf i0thof the
city1witil )20A1
Tho above we notv0sable to wtPo-wi mutr"its wvm
projd nlllTM
r
Cross rtmavdkoodolls to jib me wtv; .rev &W%stiso small..- m
W-FalV d it
W",un .
jaclisda apt_Wjj 64 garage,— --
I'M!9.fl.Ix lefit 1-7-145.15 --- 4
Sub il v[Sim; Po MA"9M!3 ft w pro-tirm
Lmitmd encegy,residatldal
-
ing cc Indlor!Mdor I 40.90 --,-2-j
Samlow or feaderi indallotI&III,sftrm om andAw rVialwas
100 ample or wq
201 VMS to 400 Impt
.0,60
401 amp!to 1mPs -LIJ
Nat-no; Olt- 6C I LMPb lU 1,W0 901PI 20.60
1,000 a or vaki
—154.67
Addmos:
Istannect MAI 2
iiiiZZ3 marvia,
Phone Fax ) —200
WINIC!"is not
11.0,,ont int-LAInflori:rAih umlallal 15 boUIj;mace OG prapcmy 11-A!I Mlk7l ---
for rale,IOUlp,mII;,or exchanp,we6iiing to ORS 44?,449,610,tod 701
Dow. spanwit tip"Its-meov,siftration,or exteel Par
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-jet 1(m.eA.1 2
-ice of ft
6.6
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coatket no=; m 1holvi plot-Age or feeder fn. f. 3
each bluch!Mil
Addiess: 11 tultill Wit,+hrm"cl,Orguh i
&Ah' 0 ca
---Riscs nrou ue.CKor best m
not iu4sel
Ittigntior thele 3 40
litin
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arel.all oradm or
AddrumPb Rack s4rittlaml lrlem(onovtt alloolstat Ina of-heamwo-
ILL4�X lnvottlpotlan pt�Oul(I IV Im") 62,30
CRWSt2WZM A,1
F
r RUMLIMCAL'
Meal Lie- wv,Lie-
=Lic-i RMo-I" Ski
SUPPIt.Electrician dipmure,'requMd. Plea r"w 0w afPs-At roe"
Print Dow: I y mvb 4-
TOTAL PSPMT Fly
L
TLh W.f-1 11-f Ahldg'Aiosl!1�ISO
days anwr It hm bets Almepm,11.. *mom
Prin!us": Sol k"-'A-Q=ty •g L,tuMr k'it@ itsed
CITY OF -T'IGARD 24-Hour
BUILDING Inspection Line: (503)639 4175
MST
INSPECTION DIVISION' Busin/ss Line: (503)639-4171
BLIP -- - -- -----
Received Date Requested._ _�_�__— AM_`---. PM —__.._— BUP
may/
Location Suite _— h1EC -
Contact Person Ph( —) 1 `��L'� �- PLM
Contractor Ph SWR --_ -- ---
_BUILDING Tenant/0wner _-_ _-___ _ �_ ELC
ELC
FoundationAccess:
LJ- —
Ftg Drain ELN'
Crawl Drain _
Slab Inspection Notes: , SIT
Post& Beam
Shear Anchors
Ext Sheath/Shoat
Int Sheath/Shear
Framing - - ---- -- --- -- - ---- - �—.- _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Suso'd Ceiling - -�_- -- - - - - -
Root
Other: -
Final — -�
PASS _PART FAIL - _ ---- - - --
Post&Beam
Under Slab - - -- ----
P Hugh-In
Water Service - -
Sanitary Sewer
Rain Drains -
Catch Basin f Manhole
Storm Drain ----
Shower Pan
Other. - --
Final
PASS R%9T FAIL
MECHA4I4AL
Post& Beam
Rough-In
Gas Line
Smoke Dampers --
Final
PASS PART FAIL -
ELECTRICAL
Service
Rough-In -- -- --- --- - -_�—� __--------
UG/Slab
Low Voltage
Fire Alarm ------�_---- ----- — - -— --_ _ —
PASS PART FAIL Reinspection tee of$_____.._ -_ required before next inspection. flay at City Hall. 13125 SW Hall Blvd.
[j Please call tot reinspection RE ----___,_ __ ___ Unable to inspect-no access
Fire Supply LineADA
Approach,Sir ewalk
Date ` hapector �1� r—'^ - Ext
Other
Final DO NOT REMOVE this Inspection record f rorty the Job site.
PASS PART FAIL