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C OF TIGARD / / `� ELECTRICAL PERMIT
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). . PERMIT #: ELC2007 00704
COMMUNITY DEVELOPMENT DATE ISSUED: 10/12/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102 C B -01802
SITE ADDRESS: 13405 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: STEEL HORSE BAR & GRILL
Project Description: 6 branch circuits. 10/18/07, ADDING LIMITED ENERGY FOR AUDIO /STEREO.
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: 1
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: 5 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:
MIDAS PROPERTIES INC. M & M ELECTRICAL SERVICE INC.
1300 ARLINGTON HEIGHTS RD PO BOX 33706
PORTLAND, OR 97292
Phone: NA Contact #: PRI 503 - 771 -8200
FEES
Description Date Amount Reg #: ELE 26 -1231C
IELPRMTI ELC Permit 10/12/200' $80.10 LIC 161691
'TAXI 8% State Surcharge 10/12/200' $6.41 SUP 4921S
[ELPRMT1 Investigation F 10/12/200' $80.10
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $247.61
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 :! =- • . A ENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 9 - 001 -0010 throug • • A _ - 2- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Iss -d By: i ` � ` _ �� ! I. Permittee Signat AMP, ,,e,c...y�.
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.
y ELECTRICAL PERMIT
Il
'' „ CITY ®F TIGARo
PERMIT #: ELC2007 -00704
COMMUNITY DEVELOPMENT
DATE ISSUED: 10/12/2007
,TIGARD.' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102C B -01802
SITE ADDRESS: 13405 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: STEEL HORSE BAR & GRILL
Project Description: 6 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: 5 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:
MIDAS PROPERTIES INC. M & M ELECTRICAL SERVICE INC.
1300 ARLINGTON HEIGHTS RD PO BOX 33706
PORTLAND, OR 97292
Phone: NA Contact #: PRI 503 - 771 -8200
FEES
Description Date Amount Reg #: ELE 26 -1231C
IELPRMTI ELC Permit 10/12/200" $80.10 LIC 161691
ITAXJ 8% State Surcharge 10/12/200' $6.41
SUP 4921 S
IELPRMTJ Investigation F 10/12/200' $80.10
REQUIRED ITEMS AND REPORTS
Total $166.61
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.
1 / /
Issued By: A _ AO % Permittee Signature: ///
�
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.
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m City of Tigard . � u _ -. _p�'' ; n ° s Date I/ 61 �j� Permit N � GOP /7171
' . q 13125 SW W Hall Blvd., Ti ard, OR 97223 J
g Plan Review
Phone: 503.639.4171 Fax: 503.598d 2001 Date/By: Other Permit:
T I G A R D P Inspection Line: 503.639.4175 l.' Date Ready /By: luris ®
Su See Page 2 for
PR lemental Information
r „r is Internet: www.tigard or.gov N ot ified Mlethod: PP
i ear ,L T o a ki i
. C111 TY �) — ''+�- ° f', \ PLAN REVIEW .
❑ New construction Z '11 i i alt enyr l rr�le7lt'- 3 v 1 4 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 f 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 - ", "I - ",
Job no.: Job site address: /3 L�/ l�, I4 W 100HP or more. occupancy.
L ❑ Six or more residential units. ❑ Recreational vehicle parks.
`�
CI � /' `� n l 3 ❑ Health - care facilities. CI Supply voltage for more than
ty / ' [' t1
/State /ZIP: / 1� r t � c?o ' ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: STtr ) )40/41.../. ❑ Service or feeder 600 amps or more.
FEE
Cross street/directions to_ job site: Description 1 Qtr. 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'I 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 75.00 2
residential (with above sq. ft.)
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
r . 401 amps to 600 amps 160.60 2
Name: V a � ' ` q 5€.5S `O .�.r 601 amps to 1,000 amps 240.60 2
Address: Y► f t / c 7 L., a--„, Over 1,000 amps or volts 454.65 2
City/State /ZIP: / )Ain ` i vy_A tie Temporary services or feeders installation, alteration, and/or
V relocation
7 -� S � s or less 66.85 1 200 am
Phone: ( ) J S^- Fax: ( ) P
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 PER SON ' above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, I 46.85 '7J G 47( 2
first branch circuit
Address: Each add'I branch circuit 6 6.65 S 3 • : 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: `//�� ` , Signal circuit(s) or limited -
L� [�)/ G( � � f e4 . vi4A -S r � energy panel, alteration, or
Address: 6 - 2 v) S - .e..._,- extension. Describe: Page 2 2
0 City/State /ZIP: -ol-k7 D p • / oS Each additional inspection over allowable in any of the above
1 Per inspection 62.50
Phone: 31 -7-71 / 7 Electrical g D Fax: (5-'0,i ) - eta ea U Investigation per hour (1 hr min) 62.50
fl CCB 6 / bq / Eli Li : � Suprv. Lic. :i/y'tii Industrial plant per hour 73.75
/ C .ELECTRICAL: PERMIT FEES .
Suprv. Electrician signature, required: ,-- /l Subtotal: go, /0
y� Date: J 1 Plan review (25% of permit fee):
Print name:
1 Y 1. r� .S lam) ` — /v� State surcharge (8% of permit fee): y�
�C
Authorized signature: /0 -/- / v TOTAL PERMIT FEE: g( 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(I I /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*
n Burglar Alarm
F1 Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
ir COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918 -260 -260)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n 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 PERMIT #: Ef.C2007- 007(!4
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/1 ?!` .2007
Phone: (503) 639 -4171 ,�•.
Inspection Requests (24 Hrs.): (503) 639 -4175 �..
INSPECTION WORKSHEET FOR DATE: 10/19 /2007 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 13e10ei Sly/ PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STEEL HORSE BAR & GRILL
DESCRIPTION: 6 branch circuits. 10/18/07, ADDING LIMITED ENERGY FOR AUDIO /STEREO.
OWNER: MIDAS PPOPERTIE x INC., PHONE #: NA
CONTRACTOR: IVi & M ELECTRICAL SERVICE INC. PHONE #: 503 - '171 -8 200
Inspection Request Scheduled For: Date: 10119/2007 Pour Time:
Code # Inspection Description ,Confirm # Contact # Message
199 Electrical final \ , 05794401 \ 503 - 830 -6640 ht
Corrections /Comments ructions: _'
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PAS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
1 I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G N•6 Date: 101 19(01 Phone #: (503) 718 - 14410
CITY OF TIGARD .4 :
BUILDING DIVISION PERMIT #: ELC2007 -00704
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10 /i ?I: ?Oii7
Phone: (503) 639 -4171 P'I�h
Inspection Requests (24 Hrs.): (503) 639 -4175 �-±i __�
INSPECTION WORKSHEET FOR DATE: 10U1612007 TIME: 7 :01AM PAGE: 23
SITE ADDRESS: 1340Li SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STEEL. HORSE BAR & GRILL. / � ���
DESCRIPTION: 6 branch circuits. ii8 ,t, 1 tI' "/ t rA
OWNER: MIDAS PROPERTIES INt�., PHONE #: NA
CONTRACTOR: M & M ELECTRICAL SERVICE INC. PHONE #: 60:071 -8200
Inspection Request Scheduled For: Date: 10/18/2007 Pour Time:
Code # Inspection Description Confirm -# Contact # Message
.440— ffr!Frifr 1 7867 -0i 503 - 997 -6352 N
Corrections/Comments/instructions:
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Inspector: G N v6 �i Date: 10 1 el 6 1 Phone #: (503) 718- v446