Permit 'N', ,,, CITY OF TIGAR® ELECTRICAL PERMIT
:, COMMUNITY DEVELOPMENT PERMIT #: ELC2007
DATE ISSUED: 9/6/2007
„TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DB-00600
SITE ADDRESS: 11635 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TI G
PROJECT: TACO BELL
Project Description: (2) branch circuits for new rooftop HVAC units.
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: 1 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:
TYSON, ALFRED J + SOHLER ELECTRICAL CONSTRUCTION
LARSON, RAYMOND K 41131 SW BURGARSKY RD
BY TACO BELL #16600 GASTON, OR 97119
LOUISVILLE, KY 40232
Phone: Contact #: PRI 503 - 985 - 0131
FAX 503 - 214 -6246
FEES
Description Date Amount Reg #: ELE C121
[TAXI 8% State Surcharge 9/6/2007 $4.28 LIC 167949
IELPRMTI ELC Permit 9/6/2007 $53.50 SUP 594S
Total $57.78 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 -a • • through OAR 952 -001 -0 !0. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
•
// (4h
Issue• =y: �� I. .. Perm ittee Signature: Sat_
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:
CaII 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.
. , ii
41111
08/27/2007 1406 FAX 803,! :`':"; CITY OF TIGARD . la 002
ELWrigi rdXg mia .A2pLi iiititca OS 2007
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olifi, City of llgard CITY OF TIGARD Received
D se eillr, q (0 99' S eenT1111424 ii
Pb u= 503.8194171 Fmc 'Ii.. ' Detoder Ober Penne
ATI tamostioa Lira 503.639.4173 Dna iteed*By: _svim I 110 .il sw e i s mate im 4Psne r a l icameev.
4s•zsT'. ,..4 Rad= Vidtetdflald•OLgOV hanitiodneethat
' ... Z :' .:.'.•• ':...:;!:: .i. I..; ;;,. „. • 1 '....*::• ___, Ok.lit'figic.. '. ..: .... ... . . :• : i ..''' . ...El' • ' ::'. • -7 1 .. • .. • .: .-' .7 ,, .4.: :IMAM RIOlgvk."' *i :•:: ' • " Y.•;*';‘ .. ; ••
Inl New consauctioa Addidortfaltaradonhiplamment Please ail tbseeppiy (admit asses cepiMe adieu eheith:sabsieuri "
C I S o n i o n or f o o d o r 4 0 0 a v o w crime 11 Boikihn anvil= stories.
0 Demolition 0 Other: ethers the marlable 6olt emus O? sad Issments •
-.-'-':!....., •,;,...'•• '''.::' -,-• i '',::.••:: ./.":Cgt:Svict . 'pp .. giCoprokngpr:.,:: .. iy .::•:,..:: :. . • .. -..: ...,%......• etts(d$1 OW St ISO vOltS or 0 Phelan boneless.
kw to mused. or mociode 14000 0 Comonnal-oso ouricultual
0 1- and 2-1mnsly dweflfnnerc11fmduurW 0 Aeamsary building mos few ell oder instalktiou. beildiess.
O mum-famil J Mosta' Waft' 0 Olhest Who pimp. 0 teeeltatilio of /SRI/Ayr
- . Dasersavey system. lunar sepeately derived system
• :. -; , • . ..''' -. ''.:.: ',' ? . ,: 4lit in z.vutesiatsroP: ! Atm itocA-row .... : : : .., . : 1. .: .. 0 #.&i ofeew ewer Mid er D"A" . 'Ve..`1.0, 9.0".
Job so.: I icit !ha 4licilregs: 1 1 41 5 5 " 7 7 4:-...1 100111. wirress.
05inor room rmileotfil uses. . oursomey.
a naminlessi manse tome
City/Stoical?: Cf (1AK 1)
ID theldrome litallhiss.
a Ilmazgdoos lowetwis. 0 Supply voltage foremen des
600 vokssereinel.
Strite/bldglapt. no.: project mum TA ( 0 3 cll. .... T) 6 . # 100 osiev!oncesehrenolunpsaramrs.
:. ' :. _ "',:• ; . • ::: i ,. rat; sgpouraz: .: .? • ..:: -;:ir. , .:. .. - •
Cross streetidirectians tojob sits: e ncros:sow i ote 1 sok I log; 1 -
Moo* mrsidadial steak- or eselti4lualty deretling trait.
' ladled= annetted wags. .
Subdivision: I Lot no.: , 1.000 sq. N. or kas 145.15 4
Tax /v
Ea. stldi 500 eq. h. orpratiors 33.40 1
mapireo! no.: -
. Limited caohy, rosidanial 73.00 2
..- • . .".‘..'• :. , , ::-...:" 1 *i ......• • :: % agtati : ... . ..:., 5 " .-: -. -. ,.. ...:.:' (wen dam at it.)
Limited margy, muld-finatly
73.00 2
-- Rep , c c.. -2 Ke i4 VAC b ove . ft.
4... fo residential we st .
i-) 1%..1 , -r S 200 eahni Or Inn 80,30 2
•II ii 6,1 --.::-. _I ...., .".'. r:: 201 angel to 440 an"; 106.13 2
NIIMM eri co R e L.L. 401 emu ea 600 amps 160.60 2
601 amps ar 1.000 amps 240.60 2
Address: • Over 1.000 amps or volts 434.63 - 2
City/State/2TP: Tarmartarj savings ar Seeders litoteledas. sleara tion. eadAsc
relocation
Phone: ( ) 1 Fax ( ) 200 ... • or too 66.35 1
Osvner Installation: This installadon is Wag mark ea propeny that I own which is oat ' " sn 'P s t°410""4" 100.30 2
intended for sale, lam, rent or esechange, according ta ORS 447, 449. 670 and 70i. 401 amps to 399 amps 133.75 , 2
Sean& ohmalte - sem oltuatioa. or Wand" w panel ,
Owner Signature Doc A. Fee Parham:nth circuit* with
',...;.. . . .:::',.... . . AoocAi 1..
nc....,......... - op f r:4 7 .40 3 isoc.. , .......-: , .: above anvioo or feeder fee, 6.65 2
, .
" ' =oh bomb chouil
Business mune: D. Fee for brooch circuits
46.as 9 (4,
whiwro service or feed i er fee, 2
Contact MUM first brunch circuit 1
Addiesm Each *del Wench camas I 6.63 ( tii." _ 2
Mitateenneons (service tir ibtdir asieladaded)
City/StatarLIP: Hach armathmaled or modular 90.90 2
dieollinn, service amifor feeder .... _
Phone: ( ) I Faic : ( ) Reconnect onlY 6645 2
• E-mail: Pomp or brisorlon circle 53.40 2
- •:.• •;: : •.:''.:. .'... ..... • '. • ... :" '• : '• -. - :'... •. *::..." ' -: '- '• ... -.- - -" • ••:.": ':.... .. .7 Sign c'r audin° liShilg 5340 2
Signal drake) or !halted-
BIB9111e "aim 5 a I, l i c , g 4j -- / e Q. - - i f C_c r maw panel. alteration. or '
Address: L I i / ? i 5 1,--/ 6 v 1(Z GieFic Kt/ iD extension. Describe 1 Page 2 2
ckY'sbdraIP' (- 31 f.) 0 QA aZ - 7(1 / Each addidasid impaction oar alkamble in of the 'MOM
Per inspadion &LSO
Plum (SG 3 ) gas-- o 7 i [Pc( 5■63) / ty - „. I/ G, burimication pet /Usurp br oda) 62.50
cal uc.: it s - c v ..-- Cal Lic•: C_ - At - • - 5-`?".," huteattial piton per hour 73,75
.% ? 1.... .. ..:• '.. .. : ELICTitICAL :PERMIT.1PZES:.: • --. • , ' ....;
= = 1 21f l i &WM I I ! 111 I I IF4/1/7 -Mit Subtotal:
_4
- - Ms review (2594 Opuntia fe4
Mtn nal= f 7 0 , .._, Pi, ft LE 5' 5 Dant VEIL
Stec earchaggc 076 afpainit Be):
Authorized slirestum ik ,,,,......_e__-- TOTAL. PE3041T FEE ''''" 7 ..f±1. .
2tris aurearevarkmairs cadres era euroirmner abatises' unbar led
Print name: Da. dos Ow le Ras term ractence0 iss meweete. •
• Number of lespeetlese allowed pre permit .
tbkdbiliVermitritlItAkrobAwder Ob23406 44646157(13/Cd/CO33WZB
a • d BLOT -SE16-EOS Jd I LIOS 90r eaD:LO LO SO alas