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Permit • CITY TIGARD ELECTRICAL PERMIT CITY %: •� PERMIT #: ELC2007 -00812 COMMUNITY DEVELOPMENT DATE ISSUED: 11/30/2007 TIGARD? 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 126DC -04601 SITE ADDRESS: 09970 SW GREENBURG RD ZONING: C - SUBDIVISION: LEHMANN ACRE TRACT LOT : 006 JURISDICTION: TIG PROJECT: E PRINT Project Description: Repair conduit in existing slaj;(b. Add on to office space. Additional (1) inspection 1hour requested. 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: 1 201 - 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: O'DAY, F BRIAN + SUSAN A TRI STAR ELECTIC INC 9970 SW GREEENBURG RD PO BOX 231175 TIGARD, OR 97223 TIGARD, OR 97281 Phone: Contact #: PRI 503 860 - 5249 FAX 503 - 590 -2302 FEES Description Date Amount Reg #: ELE 34 -620C IILPRMTI ELC Permit 11/30/200' $129.30 LIC 153559 [TAXI 8% State Surcharge 11/30/200' $10.35 SUP 3832S Total $139.65 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 throu• • 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. oilicaLativizt_ Issued By: 'i �� Permittee Signatur 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. o° Electrical Permit Application RECE f V a a , 3 : [� �Y, . City of Tigard 6 V eceived n Q Permit N A a 13125 SW W Hall Blvd., "f i ard, OR 97223 Date/By. (( 13 0 l e / .6 i' (*doe) " ` _00 si.3' III g s] u 200 Plan Review rr. NOV Y it o Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 Date/By: _ LA Inspection Line: 503.639.4175 Date Ready /By: luris: El Page 2 for Internet: www.tigard- or.gov CITY OF riGAw Notified/Method: Supplemental Information TYPE OF WORK LDmiC�oMsIoi� PLAN REVIEW ❑ New construction ti4 Addition/alteration /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 ❑ I- 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 no.: Job site address: QQ(( r�Q��� �'JQ� IOOHP or more. occupancy. "1'L O �� -i^+ -u "�`�r''�I ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: D n op gi 223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: E. PR {vT ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: V1CRT1•1 OF 211 Description I Qty. 1 Fee. I Total 1 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or Tess 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. 6.) 75.00 2 Limited energy, multi - family .e.p t Y' CZ/Wu 11' Jt... St h 9 Jab . A residential (with above sq. 6.) 75.00 2 y� Services or feeders installation, alteration, and /or relocation CM/LAD �Z f lam- s'0.- . 200 amps or Tess 80.30 2 ❑ PROPERTY 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 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, each branch circuit 6.65 _ 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, f 46.85 46.80 2 first branch circuit Address: Each add'I branch circuit a. 6.65 d 5.30 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: 'T1-ST NQ Fl ec 1L 1 i3 C.. Signal panel, er limited- t or � energy panel, alteration, or Address: P . O . Box a1 l " 1 , 7 - C extension. Describe: Page 2 2 City /State /ZIP: '"1 LG 012, 91 28 t Each additional inspection over allowable in any of the above Per inspection ' 62.50 62. s Phone: (503 gc30 - x'38 Fax: (del Q"a Investigation per hour (1 hr min) 62.50 CCB Lic.: 1 5a559 Electrical Lic.:,...{ -4.2 Suprv. Lic.: 863.5 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, requiredr Ax( q,/." Subtotal: 1 251, 3o Print name:12 i D .� IN m' -2.L Date: I t- ?Jp -07 Plan review (25 % of permit fee): State surcharge (8% of permit fee): 1 3 Authorized signature: TOTAL PERMIT FEE: t `J l , ( O r j 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 CITY OF TIGARD • BUILDING DIVISION PERMIT #: F(C2007 00812 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11130/2007 Phone: (503) 639- 4171���� Inspection Requests (24 Hrs.): (503) 639-4175 ±1-- ,_'.:. INSPECTION WORKSHEET FOR DATE: 1/29/2008 TIME: 7 : 02AM PAGE: 8 SITE ADDRESS: 09970 SW GREENBURG RD CLASS OF WORK: SUBDIVISION: 1.11 ACRE TRACT LOT #: 006 TYPE OF USE: PROJECT NAME: E PRINT DESCRIPTION: Repair conduit in exiting ;lab. Add on to office space. Additional (1) impection 1hour requested. OWNER: O °DAY, r: BRIAN + SUSAN A, PHONE #: CONTRACTOR: TRI STAR ELECTIC INC PHONE #: 6034W5249 Inspection Request Scheduled For: Date: 1129/200t Pour Time: Code # Inspection Description Con firm Contact # Message 193 Elect ical final 06 503.8645249 Y Cor ec ion omments /Instructions: \ ,' \ . q/i / /1/ PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: C 5--- ' Uv 04 LE Date: t' 24' 6 0 Phone #: (503) 718 - I CITY OF TIGARD ; A BUILDING DIVISIO PERMIT #: EL_C2007- 001113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/1007 Phone: (503) 639-4171 ,1� �i��i Inspection Requests (24 Hrs.): (503) 639 -4175 :J '''__. INSPECTION WORKSHEET FOR DATE: 1I9/2001 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 031.470 SW GREENBURG RD CLASS OF WORK: SUBDIVISION: L .l ACRE TRACT LOT #: 006 TYPE OF USE: PROJECT NAME: [ PRIN T DESCRIPTION: Repair conduit in existing slab. Add on to office space. Additional (1) in:.pection lhour aequested. OWNER: ODAY, f: BRIAN + SUSAN A, PHONE #: CONTRACTOR: TRI STAR ELECT IC INC PHONE #: 503 - 060 -h249 Inspection Request Scheduled For: Date: 1/9/1008 Pour Time: Code # Inspection Description Confirm # Contact # Message 126 Wall rover C / 06286:i-01 503.860.3838 N Corrections /Comments /Instructions: C-,, ,,,.._________/ ' % t/1 PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS 1 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( 'v6€ L --- Date: k 9, ' �� Phone #: (503) 718 - Itigb CITY OF TIGARD z BUILDING DIVISION PERMIT #: CI-C7007 001312 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/39/)007 Phone: (503) 639 -4171 / �'.� ^ 1ifllt Inspection Requests (24 Hrs.): (503) 639 -4175 �' ":._.. INSPECTION WORKSHEET FOR DATE: 1/8/200B TIME: 7:01AM PAGE: 14 SITE ADDRESS: 09370 SW Gr2E.ENBURG R CLASS OF WORK: SUBDIVISION: L.EI'9MANN ACRE TRACT LOT #: 006 TYPE OF USE: PROJECT NAME: F PRINT DESCRIPTION: Repair conduit in exiting slab. Add on to office space_ Additional (1) in * "pection 1hour reques..ted. OWNER: t7'DAY, I: BRIAN + SUSAN A, PHONE #: CONTRACTOR: TRI STAR EL.EC IC INC PHONE #: 603 Inspection Request Scheduled For: Date: 1/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 12li Wall cover 062770 -01 6031360- 3838 N Corrections /Comments/ Instructions: 0 oN tt "Nk s - i•l ' (L N • OAK 118 x1aX. XX xX . ® s vQ N ri\ cfR , vs t`Q1 '.l I ` Y i f t. i ` i\c o 31 93eA v s`i cAi RCS _ pek 3`34 • 3 © • C , r�5 c o ii\eipRo Cri.. 1 N . ® 0. N r N (Rearoti) X114 0Z (1 Y.6ov a lYzszp �._:►<\1 . PtT IA , 12 V (to, to E Va +J 6cL 0 L t warvo.l, r 6cl..... \(•(\• C.- I fkL.... A i s Lt di,5 ail li N M cfsBLIR - ((V t . 3 Q0) r PARTIAL APPROVAL 7 CANCEL _ NO ACCESS A FAIL il CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED r��i f I Inspector: a ---- ‘ N 66 L� Date: t —f ir 1 Phone #: (503) 718- tiiI `�b~ 1 =1 • CITY OF TIGARD . . BUILDING DIVISION 2:- , PERMIT #: ELC2007.00812 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2007 Phone: (503) 639 -4171 ' , iii' Inspection Requests (24 Hrs.): (503) 639 -4175 r±�i 'F 'I _I:. INSPECTION WORKSHEET FOR DATE: 12/3/2007 TIME: 7 :00AMy1 PAGE: 27 SITE ADDRESS: 00970 SW t. f1EENBURG RD CLASS OF WORK: SUBDIVISION: LEI iMANN ACRE TRACT LOT #: 006 TYPE OF USE: PROJECT NAME: E PRINT DESCRIPTION: Repair conduit in oxi slab. Add on to office space. Additional (1) inspection lhour requested. OWNER: O'DAY, F BRIAN + SUSAN A, PHONE #: CONTRACTOR: TRI STAR ELECTIC INC PHONE #: 603-B60-U49 Inspection Request Scheduled For: Date: 12/3f2007 Pour Time: Code # Inspection Description Confirm # \ Contact # Message 10 5 Underground/slab cover 060660 -01 1 603.1360 -3630 N \ N /. Corrections /Comments /Instructions: '�,_ • ►2 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G- N08 Date: 1 `1 1O Phone #: (503) 718 - 1-, CITY OF TIGARD ; - BUILDING DIVISION PERMIT #: - 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E.L42001 •b0'q 1 j Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ,�_�l �1.' • 1 INSPECTION WORKSHEET FOR DATE: tk,WC, TIME: PAGE: SITE ADDRESS: CVTI O CraKet4 &A . CLASS OF WORK: SUBDIVISION: U LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: E — V . ST OWNER: PHONE #: CONTRACTOR: N r � si 2 R.... c os. Q w . 6 vii9 PHONE #: Inspection Request Scheduled For: Date: ‘k - 1Q -Q;c1 Pour Time: Code # Inspection Description Confirm # Contact # Message � R V N tse :F-t,oek C.M0 I VII. Corrections /Comments/ Instructions: G) \ 1- fi acz,vyvii> ' 1 NsptEr 1 oto _ L€ p A 9txr Uv4 itvib scar to vpu s- km 1 io, 5 ( _ CAUL r `P �Nd w ai I 0 WIFFORE r .- -04z . kb c,,,c kAlmi3todi v\ fitsvi. . .e.`t Qi <AL 1N5 ffiA. tom. n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ A L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED # / Inspector: .,r / ,,A • jy �Q Phone #: (503) 718- 2 � 7