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Permit 1 CITY OF TIGARD ELECTRICAL PERMIT g PERMIT #: ELC2007 -00282 COMMUNITY DEVELOPMENT DATE ISSUED: 5/7/2007 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102 C B -03200 SITE ADDRESS: 09975 SW FREWING ST ZONING: C - SUBDIVISION: MASSIH OFFICE BLDG LOT : 021 JURISDICTION: TIG PROJECT: MASSIH OFFICE BUILDING Project Description: TI shell only 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: 14 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: 1 > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: KAMELIA MASSIH TIMBERLINE ELECTRICAL CONTRACTORS 1831 SW DICKINSON LANE 4707 SW KELLY AVE PORTLAND, OR 97219 PORTLAND, OR 97239 Phone: Contact #: PRI 503 - 459 - 4089 FAX 503 - 254 -4227 FEES Description Date Amount Reg #: ELE 26 -121 IC [ELPRMT] ELC Permit 5/7/2007 $628.05 LIC 160037 [ELPLCK] ELC Pln Rev 5/7/2007 $157.01 SUP 45185 [TAX] 8% State Surcharge 5/7/2007 $50.24 REQUIRED ITEMS AND REPORTS Total $835.30 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 w' bedone in- accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspe •.ed for more than 180days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OA - '• 2 -O 1110 through OAR 952 -001 -0100. You may obtain copies of these es,. direct questions to OUNC at 503. '46.6699 0 1.800.332.2 Iss ed By: r � ` 4 j4 Permittee Signature: .- ''f OWNER INSTALLATION ONLY / The insta : - ' being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: C ' s N,i OR INSTALLATION ONLY SIGNATURE OF SUPR. ELECN: 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. l " J Y'4 ; t J` K ' Electrical. Permit Ap ,sue f l ,_.. �'t , =rf :k =, A FOR OFFICE USE ONLY, ' t €r j ` �°V . ��. 0 t, r� W '�t.,f"� 7 9 § ', �. _adu sx.ss''+4 �) � ,S" V City of Tigard ti (F17 F a = Date/B J / 0 9 !�� Permit ... 0, — GC�C bZ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Rev'e . Phone: 503.639.4171 Fax: 503.598.19APR 2 't 2007 Date/By: Other Permit: 4 '`' Inspection Line: 503.639.4175 `" Date Ready /By: Juris El See Page 2 for TIG a _ t :r Internet: www.tigard - or.gov "'1 w ') , , Notified/Method: Supplemental Information TYPEEM f W 9 T D n Ti�, 3 r� t Pleas heck all that apply PLAN REVIEW New construction ❑ Addit /alteration/replacemen " �� f pp y (submit 2 sets of plans w /items checked below): ervice 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 0 and•2- family dwelling 2tommercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. "JOB SITE INFORMATION AND, •LOCATION ❑ Addition of new motor load of ❑ "A ", °E ", "1 - ", "I -3 ", Job no.: Job site address: [ g �• •� /� /7 ,, 100HP or more. occupancy. / 7 .Jc1,GJ FP.tI✓t�l 5 I ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: - ��u . 911,-1.3 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: l ❑ Service or feeder 600 amps or more. , ' Qty. SCHEDULE ' Cross street/directions to job site: /1419 it L .-` Description i . i Fee. 1 Total 1 • l D`�Lf 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 Limited energy, multi - family Ctt LAL, Eva- aC►.t t &D . 5 LA-cZ,(_ residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less i 80.30 60, 2 ❑ PROPERTY. OWNER ❑ TENANT 201 amp 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 J 454.65 w-15y(4.5 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 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 93 10 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, first branch circuit 46.85 2 Address: Each add'I 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 • . CONTRACTOR • ' . Sign or outline lighting 53.40 2 Business name: "� r Signal circuit(s) or limited - )n e7ej iA,L 1 vC 4c.r'C , C-C�"-r _lc • is . energy_panel, alteration, or Address: pp ��,/ , Qr� extension. Describe: Page 2 2 City/State /ZIP: LA/Le.- O v t) L O o _ e: a Each additional inspection over allowable in any of the above j Per inspection 62.50 Phone: (5 3) X55 _ c:.f0 S 7 Fax: (5O3) 23-4 - (/ 1,177 Investigation per hour (1 hr min) 62.50 CCB Lic.: /(9(z3 — 2 Electrical Lic.: (NI L Suprv. Lic.: c./Slc3 S Industrial plant per hour 73.75 ' ELECTRICAL :PERMIT FEES t.__ ' _ Suprv. Electrician signature, required: aJ?„r�› Subtotal: _ _ g a Plan review (25% of permit fee): 4 0 Print name: Date: q. L-7 . c7 `7 State surcharge (8% of permit fee): , O • Authorized signature: TOTAL PERMIT FEE: S3 C • 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. 1:\ 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 WORR'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: COMMERCIAL ;WORKONLY: Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation- ❑ 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 (.e) F 111 G ,4 t- > LEIQ= ®NG ItOVBSI®N PERMIT #: otin coZ �Z 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 e lP 1/ t 0 4'Ii(l;i� `- 7 Inspection Requests (24 Hrs.): (503) 639 -4175 •� ��._ f11 " : �: INSPECTION WORKSHEET FOR DATE: 016 b� TIME: PAGE: SITE ADDRESS: RcI15 S W Fr t- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: DateA6 '0 Pour Time: Code # Inspection Description Confirm # Contact # Message 6 a Fil\A\L Corrections /Comments/ Instructions: \ \\, /1) PASS 1 1 PARTIAL APPROVAL n CANCEL n NO ACCESS 1 1 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: r tl` 15 6 Date: OJ i ( V O Phone #: (503) 718- Dili to CITY OF TIGARD - : .. . BUILDING ®Ivi$0 ®m PERMIT #: EL.C2007- 00282 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 617 /2007 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 J.� F__.. INSPECTION WORKSHEET FOR DATE: 7/8/2000 TIME: 7:00AM PAGE: 56 SITE ADDRESS: 09975 SW FREWNG ST CLASS OF WORK: SUBDIVISION: MAS SIH OFFICE (BLDG LOT #: 021 TYPE OF USE: PROJECT NAME: MASSIH OFFICE BUILDING DESCRIPTION: 1I ::hall only OWNER: MASSIH, KAMELIA PHONE #: CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503345 -4089 Inspection Request Scheduled For: Date: 7/8/2008 Pour Time: Code # Inspection Description Confirm # , Contact # Message 199 Electrical final `072295.01 503308 -B806 Y Corrections /Comments /Instructions: fp 11 `b If a‘,.c:i.m i ., wk\S td--, g siel r ga..ur ' } q'W. . k...— t. i \ l ( E ) t i kezL 166) 5 i ❑ PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED k Inspector: Cr 0 6 � � Date: 4 1 '9/ � � Phone #: (503) 718- �f CITY OF TIGARD BUILDING DIVISION ■ PERMI # : F.C2007 2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: f Phone: (503) 639- 4171 ~ Inspection Requests (24 Hrs.): (503) 639 -4175 "__ INSPECTION WORKSHEET FOR DATE: 21 1 /2008 TIME: 7:01AM PAGE: 27 SITE ADDRESS: 099Th SW MEWING ST CLASS OF WORK: SUBDIVISION: MASSIF! OFFICE 13I..DO LOT #: 021 TYPE OF USE: PROJECT NAME: MAS131F1 OFFICE BUILDING DESCRIPTION: 71 :hell only OWNER: MASSIH, KAMELIA PHONE #: CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503 - 453.4039 Inspection Request Scheduled For: Date: 7J18/200i3 Pour Time: Code # Inspection Description Corifi n- # Contact # Message 12c; Wall r.oaver 066187 -0 603 -8988 N Corrections /Comments /Instructions: ((4 Pq u c��� 22 C:1 a, G 0 (.$t) rArC 1 . 1f gcZ1 i AL waLL cov P (!6s • ❑ PASS PARTIAL APPROL ❑ CANCEL NO ACCESS n FAIL n CALL FOR INSPECTION f l ADDITIONAL FEES ASSESSED Inspector: 4 v 6 � D ate: 1--191 Phone #: (503) 718- VIA • CITY OF TIGARD BUILDING DIVISION , PERMIT #: FI_C7007 0028 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5.i/j2007 Phone: (503) 639 -4171 � ��° � '���,i,.i�� Inspection Requests (24 Hrs.): (503) 639 -4175 !l °_ _ ' INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7:01AM PAGE: 37 SITE ADDRESS: 09976 SW FRE\MNG ST CLASS. OF WORK: SUBDIVISION: MAa` IH OFFICE BLDG LOT #: 021 TYPE OF USE: PROJECT NAME: MASSIF! OFFICE BUILDING DESCRIPTION: 11 shell only OWNER: MASSIF!, !CAMELIA PHONE #: CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503-459 -4089 Inspection Request Scheduled For/ Date: Pour Time: 'i /1'i /:�OLlr3 Code # Inspection Description Confirm # Contact # Message 101, Underground /slab c over 06305 -01 503 31:3 -0331 N Corrections/Comments/Instructions: \ ) PASS a1 PARTIAL APP: e , ' L ❑ CANCEL n NO ACCESS n FAIL _ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: G K 601- Date: 6 CA Phone #: (503) 718 - Di% CITY OF TIGARD . BUILDING DIVISION PERMIT #: E1_C20I17 -00282 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: "t7 /) U7 Phone: (503) 639 -4171 Aik Inspection Requests (24 Hrs.): (503) 639 -4175 r,.�'l INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7.0OAMMM PAGE: 1 • SITE ADDRESS: ()9C375 SW MEWING ST * I CLASS OF WORK: SUBDIVISION: MASSIH OFFICE I31,.DG LOT #: 021 TYPE OF USE: PROJECT NAME: MASSIH OFFICE BUILDING DESCRIPTION: Ti .hell only OWNER: MASSIH, KAMELIA PHONE #: CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS pAvl. PHONE #: 503-4.59-4009 Inspection Request Scheduled For: Date: .12/.i212007 Pour Time: Code # Inspection Description "aim-4 Contact # Message 195 Misc. ins e ction 0€139!3.01 503.313-0331 Y 1 1 5 StsQ��c1 tsN% -r ) 3)I 0331 Corrections /Comments/ Instructions: CraG'- PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 T 1 V Q. Date:1141_ T) Phone #: (503) 718 - b CITY OF TIGARD , BUILDING DIVISION PERMIT #: ELC2007.00282 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007 Phone: (503) 639-4171 � , ',� ���! Inspection Requests (24 Hrs.): (503) 639 -4175 ' . °:_.... INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7:30AM PAGE: 56 SITE ADDRESS: 09975 SW FREWNC ST CLASS OF WORK: SUBDIVISION: MASSIH OFFICE BLDG LOT #: ( }21 TYPE OF USE: PROJECT NAME: MASSIH OFFICE BUILDING- DESCRIPTION: TI chef' only 451 901 MC. , OWNER: MASSIF-1, KAME:LIA PHONE #: CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS c q h PHONE #: 603 Inspection Request Scheduled For: Date: 12/11/2007 Pour Time: Code # Inspection Description Confi # .\ Contact # Message 155 Mi: c. inspection 0812.54 -01 1 , 503-209-9132 N II 15 SCckv1 Corrections /Comments / instruct GIZO Qt4 b No AppR _ Iry AQL-Ii Th -- se Ecs A/LAI 1.1 A 14Z1 v"4rE/L 6L n PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 1 v O(6 z Date: I'2-4I -Cr) Phone #: (503) 718- 1.iLf• CITY OF TIGARD BUILDING DIVISION PERMIT #: C-_LC2007- 0(1787 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 577/2007 Phone: (503) 639 -4171 i!' Inspection Requests (24 Hrs.): (503) 639-4175 WORKSHEET FOR DATE: 12/7/2007 TIME: 7 :00AM PAGE: SITE ADDRESS: 09976 SAN MEWING ST CLASS OF WORK: SUBDIVISION: MASSIH OFFICE BLDG LOT #: 021 TYPE OF USE: PROJECT NAME: MASSIH OFFICE BUILDING DESCRIPTION: TI ;Alen only OWNER: MASSIH, KAMELIA PHONE #: CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503 - 459-41089 Inspection Request Scheduled For: Date: 12/7/2007 Pour Time: Code # Inspection Description # Contact # Message 105 Underground/slab cover 06103'1 0'i 503-849-9453 3 Y Corrections /Comments /Instructions: ,/ ©%1c6 1 % oil CIOANCIE) SIRv U(>;e.S . 9i$•311.(0-to ( 0∎Itb LA .) 6N 5 CT V 1 Ns�c 3 hi pV e k i\k Y + N C P€► -g 1 - 1 T n PASS PARTIAL APPR A, ❑ CANCEL ❑ NO ACCESS 1 1 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G . vV tQ L Date: 1 2.1 .01 Phone #: (503) 718 - 2.441 Case Activity Listing 12/7 /2007 kCCEL 8:36:18AM Case #: ELC2007 -00282 Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes ELC1010 Application received 4/27/2007 None RECD BB 4/27/2007 BLD ELC1020 Permit created 4/27/2007 None DONE BB 4/27/2007 BLD ELC 1030 Check for parcel tags 4/27/2007 None DONE BB 4/27/2007 BLD ELC1060 Building plans routed 4/27/2007 None DONE BB 4/27/2007 to PE BLD - ELC1065 Begin plan review 4/27/2007 None DONE GN 4/27/2007 GN • ELC 1080 Revisions /Info routed 4/30/2007 None DONE DEB 4/30/2007 Fault current calcs, received by fax. to PE BLD ELC 1070 Revisions /Info 4/30/2007 None DONE GN 4/30/2007 Requested size of conduits and wire, requested GN size and type for feeders and service by phone from Paul @ Timberline Elect. 503- 849 - 9453. ELC1080 Revisions /Info routed 5/4/2007 None DONE GN 5/4/2007 Need confirmation about heat and air to PE GN for load schedule. Called Greg @• 503)313 -0331 with question. Greg says there is no heat and air planed. Mark said no mechanical plan review submitted yet. Hap suggested we retain plans for additional load for heat and air. (Wise choice.) ELC 1 100 Building plans 5/7/2007 None APRV GN 5/7/2007 approved by PE DEB ELC1110 Approved plans 5/7/2007 None DONE GN 5/7/2007 routed to PT DEB Page I of 2 CaseActivity..rpt Case Activity Listing 12/7/2007 CCEL/ Case #: ELC2007 -00282 8:36:18AM Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes ELC1240 Post - review 5/7/2007 None DONE DEB 5/7/2007 completed DEB ELC1270 Ready to issue permit 5/7/2007 None REDY DEB 5/7/2007 DEB ELC 1250 ELC signature on 5/7/2007 None DONE DEB 5/7/2007 application DEB ELC1280 Issue permit 5/7/2007 None DONE DEB 5/7/2007 DEB ELC2105 Underground/slab 12/6/2007 12/7/2007 None STI 12/6/2007 061031 -01 — 503- 849 -9453 -- VM - cover STI Y - Page 2 of 2 CaseActivity..rpt