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Permit '� "_ ' " Y TIGARD ELECTRICAL PERMIT l ik i PERMIT #: ELC2008 -00144 ' COMMUNITY DEVELOPMENT DATE ISSUED: 3/12/2008 * J if ., ; IGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 T "'' "'v PARCEL: 1S135DD SITE ADDRESS: 11708 SW WARNER AVE ZONING: C - SUBDIVISION: HOFFARBER TRACTS NO.2 LOT : 035 JURISDICTION: TIG PROJECT: MIRAGE MINI STORAGE Project Description: Installing service and (40) branch circuits. 3/14/08 added (4) 200 amp feeders for elevator room. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 4 PUMP /IRRIGATION: • EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HMI SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: 40 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: 1 PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MIRAGE STORAGE LLC P B ELECTRIC INC 9055 SW BEAVERTON - HILLSDALE HW 1108 SE DOGWOOD LN PORTLAND, OR 97225 OAK GROVE, OR 97267 Phone: Contact #: PRI (503)786 -4499 FAX 503 - 786 -6005 FEES Description Date Amount Reg #: EI,E 3 -428C III.PRM"II EI.0 Permit 3/12/2008 $506.60 LAC 85896 ITAX 1 12% State Surchar 3/12/2008 $60.79 SUP 4541 S 1FL.PRM•fl ELC Permit 3/14/2008 $321.20 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $927.13 • 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 Cent- ho e rues< a set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC a .03.: 46 - 1.99 .r .;e6.332.2344. WA",/ Issued B � Permittee Signature: ``rAwAit ■t1 IL P OWNER INSTALLATION ONLY The installation is being made on property 1 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. Electrical Permit Application FOR:OFFICE USE ONLY = r , Po , t : City of Tigard � ' Received Permit No.: / —C/ V � r% r I °-) DateB ii% . '� Permit ��L� j/ � �CX ` 13125 SW Hall Blvd., Tiga i , Plan Review / • C a' Phone: 503.639.4171 Fax. 5 C'� • :.196Q It Date /By: Other Permit: W �� vU -7-0 'w>r Inspection Line: 503.639.4175 M �� 1 9 i Date Ready/By: orris: SI See Page 2 for D TI G'A'R•D p 1F;T ii Internet: www.tigard or.gov 6YOt- WARD . Notified/Method: Supplemental lnformation • TYPE 1 D1U15IC)1 . . . - PLAN REVIEW flew construction ❑ Addition a teratlon /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION . exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 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 or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ['Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ", Job site address:// /� ' / 100HP or more. occupancy. Job no.: I / / ?0831 v l ). ) /a rG,u Fr'- K��I' ❑S ix or more residential units. ❑ Recreational vehicle parks. ❑ Health -care facilities. ❑ Supply voltage for more than Olt ❑ Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: / ` ❑Service or feeder 600 amp Project name s or more. �i/'JE �7 �/"'�1��iY '� FEE.SCHEDULE'. Cross - street/directions to job site: / Description 1 Qty. 1 Fee. 1 Total 1 • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add] 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK .. (with above sq. ft.) 75.00 2 • •— � O r Limited energy, multi - family J s J� � - �/f/ / 5 / � . JC residential (with above sq. fl.) 75.00 2 J \ / Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT . 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: /l_7 fir �A,� ,_ 9 ' . 601 amps to 1,000 amps •••. ' 240.60 eyb (6,2) Address: / Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or _ relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with • ❑, APPLICANT ❑ CONTACT PERSON' above service or feeder fee, 6.65 I /' fti each branch circuit t? • Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 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 53.40 2 CO NTRACTOR Sign or outline lighting 53.40 2 -� Signal circuit(s) or limited- Business name: / J g-L c %C 1 C__. / /V C energy panel, alteration, or Address: N/ 3 3' S . "C O b j/ extension. Describe: Page 2 2 City/State /ZIP: ,4 y ��� " -7 Each additional inspection over allowable in any of the above C ���� Per inspection 62.50 Phone: ( '�) -) S77� 1 Fax: ( ) Investigation perhour(1 hr min) 62.50 CCB Lic. :CoS � ( I Electrical Lic.: * czgcl Suprv. Lic.:- 5 75 Industrial plant per hour 73.75 . ' ELECTRICAL PERMIT FEES • . Suprv. Electrician signature, required: • Subtotal: S (} ( 0,0 Plan review (25% of permit fee Print name: fL � x �_ Date: /2_6 — �7 State surcharge permit a (12% of ermit fee ) 7 '7 G( Authorized signature: TOTAL PERMIT FEE: 7• This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I: \ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11/05/COM /WEB Electrical Permit Application - City of Tigard - Page 2 - Supplemental Information , LIMITED ENERGY PERMIT FEES: • RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: E. COMMERCIAL WO ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation Fl HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor-Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required • for all other installations I:\Building\Permits\ELC- PermitApp.doc 03/23/06 CITY OF TIGARD BUILDING DIVISION A PERMIT #: ELC2008-00144 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: ail 2/2000 Phone: (503) 639-4171 earioloi Inspection Requests (24 Hrs.): (503) 639-4175 -4 AL 7-Co2oo, -061/YY INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 44 SITE ADDRESS: 11700 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HOFFARBER TRACTS N0,2 LOT #: 036 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Installing service and (40) branch circuits. 3/14/wadded (4) 200 amp feedeu for elevator room. OWNER: MIRAGE STORAGE EEC, PHONE #: CONTRACTOR: P E3ELECTRIC INC PHONE #: (503)786,4499 • Inspection Request Scheduled For: Date: 4/16/2008 Pour Time: Code # Inspection Description / ,rafirrri--# Contact # Message Electrical service 1 068431-0 503830-7874 7Y Corrections/Comments/Instructions: 1 --l G- [7 PASS 7 PARTIAL APPROVAL CANCEL NO ACCESS I. FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: G" 066 Lg Date: 4 1 OA Phone #: (503) 718- 1/41-k• CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008- 00144 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/12/2008 Phone: (503) 639 -4171 474, '1# Inspection Requests (24 Hrs.): (503) 639 -4175 4 '__ IL �G�' p2.o - 00/9 INSPECTION WORKSHEET FOR DATE: 3/2712008 TIME: 7:03AM PAGE: 39 SITE ADDRESS: 11708 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HOFFARBER TRACTS N0.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE. MINI STORAGE DESCRIPTION: Installing service and (40) blanch circuits. 3/14/08 added (4) 200 amp feeder;: for elevator room. OWNER: MIRAGE STORAGE LL.C, PHONE #: CONTRACTOR: P B. ELECTRIC INC PHONE #: (603)786-M99 Inspection Request Scheduled For: Date: 3/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 Underground /slab cover 06740r41 503.830-7874 ' Y Corrections /Comments /Instructions: 14, Pi- 6r topesetst. wits' R. -- i eLAI5 ftkonn v c- `ice 2" P ht . ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �� ®` Date: 3'2 Phone #: (503) 718- .211)141‘ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008-00144 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3//2/2008 Phone: (503) 639 -4171 / .n 1 a ymilp , uil'�I`� Inspection Requests (24 Hrs.): (503) 639-4175 �i _., GC e ? — 40aiV INSPECTION WORKSHEET FOR DATE: 3/21/20013 TIME: 7:01AM PAGE: 43 SITE ADDRESS: 11708 SW WARNER AVE CLASS OF WORK: SUBDIVISION: FIOFFARt3ER TRACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI` STORAGE DESCRIPTION: installing smic:e and (40) branch circuits. 3114/08 added (4) 200 amp feeders for elevator room. OWNER: MIRAGE STORAGE LIC, PHONE #: CONTRACTOR: P B ELECTRIC INC PHONE #: (503)7864499 Inspection Request Scheduled For: Date: 3/21/2008 Pour Time: Code # Inspection Description Corrfirrrr • Contact # Message 105 1Jndergroundfslab cover 06'7078-01 503-830-7874 Y Corrections /Comments /Instructions: O A r1 . N Ot..03 ►N r .S. w A S 10 03 1 e_W io c '-bk- PION s ANA J ` q 4 .S \ 2 r�1 -p i6 Is cOAk) ' � 'Un - -- 1/4L, t\ip ` c e L,0 IN U r 5 r2s5 � 7 1 \ PASS ❑ PARTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS n FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ' w $16 LE Date: - 6 • 2 -1 cf6 Phone #: (503) 718- 2 r`• r CITY OF TIGARD _ 4- .14 BUILDING DIVISION PERMIT #: ELC2008001M 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3112/2008 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 67-67ao oF' -- ©O /Y V INSPECTION WORKSHEET FOR DATE: 3/17/2008 TIME: 7:01AM PAGE: 20 SITE ADDRESS: 11708 SW WARNER AVE CLASS OF WORK: SUBDIVISION: FIOFFARBER TRACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Installing service and (40) branch circuits. 3/14/08 added (4) 200 amp fe ers for elevator room. OWNER: MIRAGE STORAGE LLC, PHONE #: CONTRACTOR: P B ELECTRIC INC PHONE #: (503)786 -4439 . V4 y g1. • Inspection Request Scheduled For: Date: 3/17/2008 Pour Time: Code # Inspection Description / 'Confirm 17 Contact # Message 105 Underground /slab cover 066798-01 503 - 8304874 l Corrections /Comments /Instructions: (01\14b -- •I.-AN 6 rokct .311.60` nk, Y, V1 6t% .Ai c- PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1\1 °Zi• L6 Date: 3' 1 ) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008.00144 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1212008 Phone: (503) 639-4171 Jr, It Inspection Requests (24 Hrs.): (503) 639-4175 ge-C AooP - e6/93 INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:00AM PAGE: 39 SITE ADDRESS: 11708 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HOFFARBER TRACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Installing service and (40) branch circuits. OWNER: MIRAGE STORAGE. LLC, PHONE #: CONTRACTOR: P B ELECTRIC INC . PHONE #: (503)7864499 Inspection Request Scheduled For: Date: 3/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # ,essage 105 Underground/slab cover 066715-01 503830-7814 Corrections/Comments/Instructions: N N. \ O & LL F-EQteR RKT■ v (?i&■0 \MAC PaL ! t.160Eircl'i 6ou 3i F1 PASS PARTIAL APPROVAL Lii CANCEL 7 NO ACCESS FAIL CALL FOR INSPECTION [I] ADDITIONAL FEES ASSESSED Inspector: CT 066(-6' Date: Phone #: (503) 718- L • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008 -00144 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3112 Phone: (503) 639 -4171 ' �o Inspection Requests (24 Hrs.): (503) 639-4175 GC' cz®o, - 6o/7 y INSPECTION WORKSHEET FOR DATE: 3/13/2008 TIME: 7:02AM PAGE: 36 SITE ADDRESS: 11708 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HOFFARBER TRACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Installing service and ('10) branch circuits, OWNER: MIRAGE STORAGE LLC, PHONE #: CONTRACTOR: P B ELECTRIC INC PHONE #: (503)786-4493 Inspection Request Scheduled For: Date: 3/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message • 105. Underground! slab cover 066645-01 5503 - 830.7874 Y Corrections /Comments /Instructions: n I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS A FAIL N CALL FOR INSPECTION (l ADDITIONAL FEES ASSESSED Inspector: � N 6E Date: 3 `1 3 1 Phone #: (503) 718- Z.'T 1 h e a Community Development , TIGARD Request for Permit Action �k=�V' MAY 2 T 2000 TO: CITY OF TIGARD CITY OF TIGARD Building Division Services Coordinator :i aPHIG DIVISIOR 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ['City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) V ® n Mailing Address: /� �- r 3 .City/State /Zip: y .- / Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): CANCEL PERMIT APPLICATION. REFUND PERMIT FEES (attach receipt, if available). /IC 74:0`61, t./ j4S.. t": ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). //w' ,.. /e: s e_ -E:: ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). f ' # . Permit #: E1,., 9003 - 00/0 Site Address or Parcel #: 1 1 709 L (2. Ao E_. • Project Name: 11 l (2. -P t )-1, t 01 t T b QA - E. Subdivision Name: )Jl it) Lot #: EXPLANATION: 6 Pea -- , tr.' .Pui -e_fa &y .1.,.e g WAS?, 2/ t ``- 1 y - Di rFE21031 eo,J CTaL. . Signature: . A I A_ _ . _. LL' ..:1 -J• - , Date: 5/94 46 Print Name: C*461 £ 2.. A WI t S 141 Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be retumed to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY Rte to S s Admin: Date 5 At OS ' 105131M Rte to Bld: Admin: Date ; (VIAIM B 4 Y Refund Processed: Date AL,//t- By Invoice Processed: Date ' / By Permit Canceled: Date ;',,./c; f ` B Parcel Tag Added: Date By Receipt # Date ` Method Amount $ I:\ Building \Forms \RegPemvtAction.doc Rev 07/26/07 — - . -- • . I V Z Fill V • i1C - r . W J 4J 1108 SE DOGWOOD LANE OAK GROVE, OREGON 91267 PH. 503.936.5226 . FAX 503.786.6005 C C B 8 5 8 9 6 FACSIMILE TRANSMITTAL SHEET TO: FROM: City of Tigard Philip Beecher / Lu TN ko_ - 04'42_ M y DEPT: DATE: Electrical Permits 5. 6 • 0 $ FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 503.598 -1960 1 PHONE NUMBER: OUR PHONE NUMBER; 503. 6394171 (503)786.6005 Office/ (503) 936 -5226 Philip RE: OUR FAX NUMBER: Permit Transfer (503)786 -6005 0 URGENT 0 1 OR REVIEW ❑PLEASE? COMMENT 0PLEASE REPLY ❑P LEASE RLiCYCL,F. NU'1'LiS /CUMML'NTS: Re: Permit # EL 2008.001 t Site Address: 117 8 SW Wamcr Ave — Mirage Mini Storage P.B. Electric will lot be :omplcting the electrical work for this job address. Please transfer to new electrical contract r. Please contact EGCI for information at (503) 638 -0170. Thank you. O fcap_, c p044,4,,p T000 500999LC0S YVd Z0 :60 900Z /90 /20