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Permit
. CITY OF TIGARD ELECTRICAL PERMIT III PERMIT #: ELC2008 -00360 COMMUNITY DEVELOPMENT D ATE ISSUED: 6/23/2008 • 'T!G1 P. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 110AB -00200 SITE ADDRESS: 14405 SW PACIFIC HWY ZONING: C - SUBDIVISION: CANTERBURY SQUARE LOT : 1 -3 JURISDICTION: TIG PROJECT: CHEERFUL CLEANERS Project Description: Feeder and installation of (6) new circuits and alteration of (6) 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: 1 W /SERVICE OR FEEDER: 12 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: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: KOLVE, G C ANDERSONS INTEGRITY ELECTRIC 14389 SW PACIFIC HWY 18435 SW PACIFIC HWY TIGARD, OR 97224 STE D TUALATIN, OR 97062 Phone: Contact #: PRI 503 - 691 -6709 FAX 503 - 691 -6709 FEES Description Date Amount Reg #: ELE 34 -363C [ELPRMT] ELC Permit 6/23/2008 $160.10 LIC 91410 [TAX] 12% State Surchar 6/23/2008 $19.21 SUP 3770S Total $179.31 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 tha 0 days. 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 OA' '52- 101 -6100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issue By: / ' ' Permittee Signatual � �j r- �� J�r --an _ 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: Vig ` , e R INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ` 4 � � DATE:QP/ J Or 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. -,-; , H : F j '`, 1 .w'.i .ov '?* zk 3 " r 'h -2 .�i ,,g,# A3., tlrM ok. . ca t A , e T •y ' Electrical Permit Apt ,` titt 0 . r f. FOR.OF FI�CE.USE L ONLY 44 t zi,.r,l " , ` tom. ` r `,%-r ' :+r � tr k k.Y. , , . , a� 1Tfil i 7 t s :r I Received / - (y IC a City of Tigard �� Date/By: �j Db Permit No.: E ,g,�g'�b k 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ® t ' i Date/By: Other Permit: Phone: 503.639.4171 Fax: 5 8.9 y: Inspection Line: 503.639.4175 Date Read /B 3 un ® See Page 2 for f I C n Ill p Notified/Method: Isom Supplemental Information � ii:r 4 Internet: www. tigard- o p r. T � Y p Q � F � T p h(a � A �+ RD p� pp . 11/ISION ..PLAN REVIE , ❑ New construction Addition /alteration /replacement Pl ease c 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: , ` D 100HP or more. occupancy. ' 7 0 S S l� 1 C v I C t Y ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than t Cj ,-' ck G " ,� ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: -c,, , Q C—SLQ� ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: C_ cry \_, N ti ,,,, C G `1 a t, 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'l 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 C--) Its) e ,'1 C✓ v w c —A. 3 v . ' , c4. Li . P A t residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation A ■®.-- csr' 200 amps or less ' 80.30 5'0.3o 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, g each branch circuit 17— 6.65 79 2 Business name: B. Fee for branch circuits ' Contact name: without service or feeder fee, 46.85 2 first branch circuit 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: .._.3„._3....._, _ Signal circuit(s) or limited - 4JC7E v 5�v� S �� v v'�y iZ C C tit_ energy panel, alteration, or Address: extension. Describe: Page 2 2 I Lk S S Pvi L. F t'c.- ' City/State /ZIP: V c.,_._ a dam_ '7 7 p ( Z Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( o3) L., 1 _ v --7 © c. Fax: ( ) ' Q5 Investigation per hour (1 hr min) 62.50 CCB Lic.: el t ` ‘ , Electrical Lic.: 3 L _ .3L Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL . PERMIT FEES Suprv. Electrician signature, required : c Subtotal: 1 C 0 t % Date: ( Plan review (25% of permit fee): Print name: �v llb►<c . c_ - `4'`c') °nom (rTh 1 1 State surcharge (12% of permit fee): I. 9 , Z Authorized signature: TOTAL PERMIT FEE: 1 79 , 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 -46t5T(11 /05 /COM/WEB Electrical Permit Application - City of Tigard - Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fitt SID ENTIAL WORKONLYs 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: !lll COMMERCIAL 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 O Data Telecommunication Installation O Fire Alarm Installation ❑ HVAC O Instrumentation O 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 #: EI: j003.00360 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/23/2008 Phone: (503) 639 -4171 1 � I: Inspection Requests (24 Hrs.): (503) 639 -4175 r! °'���( INSPECTION WORKSHEET FOR DATE: 6/26/2008 TIME: 7 :00Alvt PAGE: 10 SITE ADDRESS: 14405 SW PACIFIC HVVYY CLASS OF WORK: SUBDIVISION: CANTERBURY SQUARE LOT #: 1 -3 TYPE OF USE: PROJECT NAME: CHEERFUL CLEANERS DESCRIPTION: Feeder and installation of (6) new circuits and alteration of (6) circuits. OWNER: KOLVE, G C, PHONE #: CONTRACTOR: ANDE RSONS INTEGRITY ELECTRIC U 1; PHONE #: 50 -6109 Inspection Request Scheduled For: Date: 6/2612008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071885-01 503-307-3885 Y Corrections /Comments /Instructions: '\ 0b0lv l s1 110 '6.0 v% o1�.� t,N6 . A T 1AC5 T ► M� P 14G ffu rn.v p (c) 6k a r1 PASS f 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL I 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G t Lc" Date: b al Phone #: (503) 718- Vi f . ..._ CITY OF TIGARD BUILDING DIVISION , PERMIT #: ELC2008-00360 13125 SW Hall Blvd., Tigard, OR 97223 A ! DATE ISSUED: 6/23, Phone: (503) 639-4171 :iti'W Inspection Requests (24 Hrs.): (503) 639-4175 ,,,... --. INSPECTION WORKSHEET FOR DATE: 6124/2008 TIME: 7:03AM PAGE: 31 SITE ADDRESS: 14405 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: CANTERBURY SQUARE LOT #: 1-3 TYPE OF USE: PROJECT NAME: CHEERFUL CLEANERS DESCRIPTION: Feeder and installation of (6) new circuits and alteration of (6) circuits. OWNER: KOLVE, G C, PHONE #: CONTRACTOR: ANDERSONS INTEGRITY ELECTRIC , PHONE #: r:.;03-691-6709 Inspection Request Scheduled For: Date: 6/24/2008 Pour Time: -- Code # Inspection Description -C6fif ilrrn # Contact # Message c ____---- 195 Misc. inspection 071783-01 '. 503-307-3885 Y Corrections/Comments/Instructions: ---") - 7 0 0 PASS a PARTIAL APPROVAL 0 CANCEL fl NO ACCESS I I FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 6Th [iO 1--. - Date: & 2-91 C\ Phone #: (503) 718- i .