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Permit
OF CITY TIGARD ELECTRICAL PERMIT IN CITY OF COMMUNITY DEVELOPMENT PERMIT #: ELC2008 -00400 DATE ISSUED: 7/16/2008 TIGARD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134BC-00300 SITE ADDRESS: 12220 SW SCHOLLS FERRY RD ZONING: C -G SUBDIVISION: GREENWAY TOWN CENTER LOT : JURISDICTION: TIG PROJECT: GREENWAY TOWN CENTER . Project Description: Installing (3) branch circuits. 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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: BPP RETAIL LLC STONER ELECTRIC BY BURNHAM PACIFIC PROPERTIES 1904 SE OCHOCO STREET ATTN: JOHN WATERS MILWAUKIE, OR 97222 SAN DIEGO, CA 92101 Phone: Contact #: FAX 503 - 659 -4968 PRI 503 - 462 -6500 FEES Description Date Amount Reg #: ELE 26 - 122C [ELPRMT] ELC Permit 7/16/2008 $60.15 LIC 44823 [TAX] 12% State Surchar 7/16/2008 $7.22 SUP 3496S • Total $67.37 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 -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. I� �,,-/ Issued B EEE ��� P ermittee Signature: /�.j 4"1 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. INSPECTOR'S SIGNATURES ARE NOrT • - Inspections Required for: 67....cdtur- -ctitrex) REQUIRED ON GREEN INSPECTION CARD. ✓ Code I Inspection Description PASS Date I By ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410: Fill 110 Temporary electrical service 415 Crading 115 Electrical service 205 Footing \ 120 Electrical rough -in 805 MFG- Structure grading /footing \ 125 Wall cover 210 Foundation walls 130 Ceiling cover • 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 • Crawl drain • 145 A/C of heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors )( 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls _ 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up _ MEC - Mechanical Permit • 280 Insulation 605 Post /beam mechanical 285 Drywall nailing • 610 Gas line • 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection _ 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP = Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in . 915 Fire alarm rough in 305 Plumbing underslab 310 Crawl drain 920 Suppression trip test 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415. Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines • SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 • Misc. inspection: 499 Final inspection 599 Final inspection I: \Building \Forms \InspCard- AOP- Blank.doc 02/02/07 CITY OF T'IGARD ELECTRICAL PERMIT i PERMIT #: ELC2008 -00400 44..4 "' COMMUNITY DEVELOPMENT DATE ISSUED: 7/16/2008 t GA3`D' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 134BC -00300 • SITE ADDRESS: 12220 SW SCHOLLS FERRY RD ZONING: C - G SUBDIVISION: GREENWAY TOWN CENTER LOT : JURISDICTION: TIG PROJECT: GREENWAY TOWN CENTER Project Description: Installing (3) branch circuits. 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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: BPP RETAIL LLC STONER ELECTRIC BY BURNHAM PACIFIC PROPERTIES 1904 SE OCHOCO STREET ATTN: JOHN WATERS MILWAUKIE, OR 97222 SAN DIEGO, CA 92101 Phone: Contact #: FAX 503 - 659 - 4968 PRI 503 - 462 -6500 FEES Description Date Amount Reg #: ELE 26 -122C [ELPRMT] ELC Permit 7/16/2008 $60.15 LIC 44823 [TAX] 12% State Surchar 7/16/2008 $7.22 SUP 3496S Total $67.37 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 -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 B Permittee Signature: � 4n/ 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. Jul. 16. �' 2008 7:29AM Stoner Elect ��, `� i No. 4637 x � K 4- M ."I ., lfy1 ti g'�'1•I.ii mr �i Electrical Permit Aanlicatio® r k rA,, ()1, 01 0 (. F,t l).`I � , r 5 , f N 'k t4 t o f .!�f . '54,11. ri„tc _'e,.,: t f ?pli`.g..,i oli;!i,v....40,6d; ,,...4 ., City of Ti rd Received 1 :4), 131 SW hall Blvd, Tigard, OR 97223 ;U� ���� Date/B ... ; Y/� �1 : 1 I ° ,' Phone: 503.639.4171 Fax: 503.598.1960 it iP± A' '., ` v'',' Inspection Line: 503.639.4175 �� Vt my.. RI RI See Page 2for sTilG'AI:D �+ ` � Y 1 . W g�Meth A . x�W, Supplemental Information .::d = Internet; www.tigard or.gov il �� TYPE OF WO kIll'Ali ' P LAN REVIEW ❑ New construction dition /alteration/replacement Please cheek all that apply (submit 2 sets of plans w /items checked below} ❑ Service or feeder 400 amps or more ❑ Building over three stories. Q Demolition ❑ Other: where die available fault carrent ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps of 150 volts or ❑ Floating buildings. x � J El 1- to ground, or excess 14,000 ❑ Commercial.use agricultural 1- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family © Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA ur JOB SITE /NFIIRMATION AND LOCATION ❑bmcrgcacy system. larger separately derived system. • 0 Addition of new motor load or ❑ "A ", °E", `I -2 "l -3 Job no.: 2 1 qg K Job sitc address: 12220 S W G c Ir14415 r RY K9 I00HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/Stale/ZIP: r G q 112.3 ❑ Hazardous locations. ❑ Supply voltage for more than n ❑ Hazardous locations. 600 volts uomi real Suite/bldg./apt. no.: Projcct namc: C Q LJ1`f wLY ('own ne ❑ Service or feeder 600 amps or more. FEE SCHEDULE • Cross street/direclions to job site: Description 1 Qty. 1 Fee. 1 Tout 1 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: . Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add`l 500 sq. 11. or portion 33.40 1 Limited energy, residential 75.00 2 • DESCRIPTION OF WORK (with above so. ft.) Limited energy, multi-family 75.00 2 (,p :s ¶ J NS1 A(„L N eW Wh vp. residential (with above sq. ft.) Services or feeders installation, altcration /or relocation 200 amps or less 80.30 2 ❑ PRO_ P_ E_RTY OWNER ' ❑ TENANT 201 amps to 400 amps 106.85 2 - Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: _ Over 1,000 amps or volts 454.65 2 City / State/ZIP: Temporary services or feeders installation, alteration, and /or relocation _ _ Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner Installation: This installation is being made on property that 1 ow which is not amps to 400 amps 100.30 2 own intended for sale, lease, rent, or exchange, according to ORS 447. 449, 670, and 701. 401 amps to 599 amps 13335 _ 2 Owner signature: Date: Branch circuits - new alteration or extension ■ •r anel A. Fee for branch circuits with ❑ APPLICANT 0 CONTACT PERSON above scrvicc or feeder foe, 6.65 2 ' each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, 46 t 4 ( O 65 2 Contact namc: first branch circuit 1 Address: Each add'l branch circuit 'j.- 6.65 13. 345 2 Miscellaneous (service or feeder not included) City / State/ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 5340 2 CONTRACTOR • Sign or outline lighting 53.40 2 Business name: STONER ELECTRIC energy circuit(s) nal, al or limited _ .. _ energy pane(, alteration, or Address: 1904 SE OCFIOCO extension. Describe: Page 2 2 City /State/ZIP: NIILWAUF E, OR 97222 Each additional inspection over allowable In an of the above - Per inspection 62.50 Phone: (5113) 462 - 6500 Fax: (503) 659 - 4968 Investigation per hour (1 Itr min) 62.50 CC1i Lic_: 44823 Electrical Lic.: 26 -122C Suprv. Lic.: 3496S Industrial plant per hour 73.75 A ELECTRICAL 'PERMIT FEES Suety_ Electrician signature, required: piie Subtotal: (p0 • 1 5 - Plan review (25% of permit fee): Prue name: MJCFIAEI, F'AI.CONER Date: 7 'L, lag State surcharge (12 %ofpermit fee): 7. 2.1... Authorized signature: TOTAL PERMIT FEE: (.7. 5e7 ' This permit application expires if a permit is not obtained within 180 Print name: 1 Date: _r...:......_ ..