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12045 SW NORTH DAKOTA ST
CITY OF TIGARD Li-ECTRICALPERMIT
PERMIT it: ELC2005-00193
DEVELOPMENT SERVICES DATF-ISSUED: 4/1/2005
13125 SW Hall Blvd.,Tigard,OR 97223 503.639-4171 PARCEL: 1S134CA-00605
SITE ADDRESS: 12045 SW NORTH DAKOTA ST ZONING: R-4.5
SUBDIVISION: PANORAMA LOT: 004 JUR13DICT111M. TIG
Project Description: Alteration of existing 120 volt service. Job#TG01 C2.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LE - 200 amp: Ptd'I AMA/ TION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNfOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL:
MANF HMI SVC/FOR: 809+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRAS CH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W/SERVICE OR FEEDER: P!:R 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: PIAN REVIEW SECTION
1000+amn/volt: >•1 RES UNIM: >600 VOLT NOMINAL:
Reconnect only: SVr,/FDR>■225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
BODFORD,CHARLES ALFRED DRYER ELECTRIC INC
12045 SW N DAKOTA ST 9409 NE COLFAX ST
TIGARD,OR 97223 PORTLAND,OR 97220
Phone: Phone: 503-771-5667
FEES Reg 0. ELE 26-11420
Description Date Amount LIC 153466
_ SUP 2876S
{ELPRMTj El,('Pcrmit 4/1/211115 $80.30
(TAX]81%State Surcharge 4/l/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. Ali
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-OU iC!h-rough 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: j�r` Permittee Signature:
4.
OWNER INSTALLATION ONLY
NThe installation is being made on property I own which is not intended for sale,lease,or rent.
OWNER'S SIGNATURE: DATE:
6
(j CONTRACTOR INSTALLATION ONLY
W -- - --
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503-639417r,by 7:00 a.m.for an Inspection that business dcy.
This permit card shall be kept In a conspicuous place on the job slto until completion of the project.
Appi oved plans are required on the job site at the time of each Inspection.
03-30-2005 13:59 FROM- T-933 P.034/043 F-594
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ane: 303.6;9.t�171 Floc: d+13•S9i.1960 Dea/b
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❑Sy vite over!2 i arrpt–mini [J8ufidni ower 10,000 rq.ft..
of 1-sed 2 hitrly dwellinis 4 a mDre view reaidmul i
] 1-sad 24iu ydwallipg comm rt:lal/ umisd -,CCMCry building ❑System over 601) ata noriteal un:ta in tme scuctwit
CBuildini o\eu th,ee,;torics []Peodars,400 anvo or more
(~lute,bgiltier Adler []oecupam lt.ad WKt 99 pmora (Jlvtaav6ctgred atruataree or
❑5ihs 1'a*;pian, RV pais
ob no.; lob triEt h-illty
t�plum with my oS tht above
1Tlo aDov at poc a tpilcabin ro tatnpvrary conn dos servtca.
uite/bb�/pe ao.: P
at alum .. j
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toss sttviV4irtctions to)Ob We: Ycw re0dandal tinglr•or multads►mlly dwtIn4 unit
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1,000 sq.ft.of lets 145.15 a
Lit clivisiotr: Lorna. FA.addl 100 it Q.or Mort 3).45 I
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200 or kaa J D0.3 2
101 to 4,x1 urtna 106.1
401 ut>Ds to 600 ys 160, 2
lartte: Q_ 601 ID 1,000 t,tt L-- iaOYtT 2
N Ora 1,000 aar or vola 434.631 1
a
. ity!$tetelZl7': Temporary stavlcrs nr hsden tnr!talhtton,alto•agog,ateNt►r�
%aoae ) 7..1 D Fax:( ) rank atloe
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t)wner jmdots . ja em lsbt,lad ms&va Dmp M tbat 1 own whicb:s riot 101 aro 4aD s---- 100.30 2 ,
ntonded for l alae lasso,not,oar mtdlan�a,accoMiutg to 08.9 447,449,670,and 701. -401!MW 6+10 tua�s- 133, 3 Z
)Wugrkmt Date:______.__�„� Dtta►t b circuits-ueh alteration or taaee!on,' ar sed
A.Pee ibr brach e6 cal,!lrlfA
swAce or fl:eder*re,ttacb 6.65 2
l{usinoas mail: h circ'dt
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\ddrtess: Ruch adellbnnr,U_r.reatt 6.6 2
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J Each oddittanal Illip on owe dlowatble to as or the above
\ddraes:
For etien_ 61•St _
ity/StaEe/7I�: 1nveK pilon par.bout(I it 62.SG
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271t nstaa: Date:
— -t--_ � - 1, - - -- 'TOTAL FRillYlx'C 11'.L
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"lAt OEM J Date: Fee esetdaM thly m t ly TrbGbunty llutldtna gmtu,—�%Mee aloerd
_` _ ._--- ••Nuttlbet of saepwth ms Det Damn allowed.
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CITY OF T'IGARD
BUILDING MVISION PERMIT M: ELC2ft05-00193
13'25 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 411/2U05
Phone: (503)639-4171 I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: Warm TIME: 7:10AM PACE: 20
SITE ADDRESS: 12045 SW NORTH DAKOTA ST CLASS OF WORE-
SUBDIVISION: PANORAMA LOT C 004 TYPE OF USE:
PROJECT NAME: COMCAST
DESCRIPTION: Alteration d adding 120 volt service. Job 0 TG01C2.
OWNER: PHONE#:
CONTRACTOR: DRYER ELECTRIC INC PHONE It: 503771-5667
Inspection Request Scheduled For: Date: 4/g/20()5 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 00411326 503516.3125 N
Corrections/Comments/Instructions:
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FASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IAV, X fIJ Date. =0 Phone *: (603) 718-