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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2009 00432 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/19/2009 TIGARD', Parcel: 2S112DD01600 Jurisdiction: Tigard Site address: 15495 SW SEQUOIA PKWY 190 Subdivision: Lot: 0 Project: Columbia Soft Project Description: (1) 200 amp service and (10) branch circuits. Owner: FEES PACIFIC REALTY ASSOCIATES Quantity Description Date Amount 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 1 ea Services or Feeders - 200 08/19/2009 $80.30 amps or less PHONE: 503 - 624 -6300 10 crt Branch Circuits w /Purchase 08/19/2009 $66.50 Service or Feeder 1 ea 12% State Surcharge - 08/19/2009 $17.62 Contractor: Electrical FIVE STAR ELECTRIC, INC. PO BOX 555 BANKS, OR 97106 PHONE: 503 - 324 -0948 FAX: 503 - 324 -0973 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $164.42 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit wit expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the 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 a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. • Issued By: . - Permittee Signature: 0/✓i17 /C T/ 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' 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. \\'‘ CITY OF TIGARD ELECTRICAL PERMIT Er PERMIT #: ELC2007 -00432 COMMUNITY DEVELOPMENT DATE ISSUED: 6/25/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102DD SITE ADDRESS: 08317 SW CHAR CT ZONING: R - SUBDIVISION: FINLEY PARK LOT : 016 JURISDICTION: TIG PROJECT: CROSS Project Description: AC and service outlet. 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: CROSS, MALCOLM A JR + MARCIA L SOHLER ELECTRICAL CONSTRUCTION 8317 SW CHAR CT 41131 SW BURGARSKY RD TIGARD, OR 97224 GASTON, OR 97119 Phone: Contact #: PRI 971 - 832 -0807 FAX 503 - 214 -6246 FEES Description Date Amount Reg #: ELE C121 [ELPRMT] ELC Permit 6/25/2007 $53.50 LIC 167949 [TAX] 8% State Surcharge 6/25/2007 $4.28 SUP 5945 Total $57.78 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: 404,444,4„, Alf/(J Permittee Signature: Q)-1 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Perini__ ca _ I ' C E V'b __ , ■,• ■ I, <: t l t , r: CP41 , City of Tigxxd N 2 5 Z I T.., 17 lzsslvl$tlsl*a..Tigard, t�x 9?2� '._ -�1 . - o ' I B . i .:r : %�� Mme: 303.639.4171 Poo 303.39$. CITY OF 61f • # Robs; • icipactice Lint 19.4111 BUILDING ..11 4J.‘.. ° `` M is. image levostessigsniorare µ��r.• L. I son;r� :ice , • .�. : -z v ,. 1 ' `` ;` ❑ ta, � \ri� ��r�ilt�3 � +� 1 u �y.tl��':rY�..i1 .. n . ii..Y� �� S nL1�� '�'y- �.�.. 4:: n!�'r is Demos tion A • • f.YatvR Over 225 wink consul Olissartious Nation �y ' T .. -Y t:.` - . _ --i• ']_' •` - ..N - - .�C.,..� +._. OVVO�I•�M.C�'i 6JQtlllW$OYC�IQ+ ri.. t ;, efl -* d2- famNydwst1 p 4 erni t cwraWeotiat sad d 2-110031y dwelling Si -0 ....: . • ..... E,] Acoeatssy basi 17133cerat aver 4920 yaks bombed co a: in ooe sa•coasne �.c. , - Wilder ttB Otll41 ©Bepoles over none: CMF�6ettr, 400 imps or mare _ 1A f I ..- �orer 90pgaotu struslufsa or /oh no.: __ __ • L ` ChTed6rece&slay ClOtber• q Sobmit.?� sots of pleas wish aoy utast abeam 'f�ry� : N� "II Gr 14 0 t "7 <2.2 The above we Cat applicable tO ermp y ornsaaotno.mfse, tag �tjpa 0� . - ` tuut Ilia •' • ea mul ., ty d reilles uatt. Letgeseiseettadwerane i -.- 1.000 aq• @ crises 145.15 4 Subdivision: tN Lot no.: Da. add'l 3OO eq. ft or punk% 33.40 Malted 1 ...naideenct MO MN A c 90 MI Nam ,n. Is G . L - O 7 _ MI Nam NM M C- H A-R Over 1.000 . • of volts 11111111111=11 d C >>t , '. ' `7 �2 Stsooneax . 66.85 z iii «•ve sr seuvivionr feesen tasetnetioa, *safer ?haa�( 533)L. 8 - 396c Pc ) • • ' - _ , I otrmar hlOtilttganis node on 00.30 1 Owns. at d satI owls which ix sot r , to co ... w�MI > o x30 a loose, or • • : • _ . to OR 4 7, 449. 0'70. ad 701_ 403 ems to MO emu 133.75 Owner tomb= Dean Broca drafts—pa+, s o& or.ambeetd. • . pipet Stigma t1 / ■ ' • • _...a" sir: AFeeOrZ acs 2 oE-' Contact >,.,,3e: aea - ca iesels ;T meow gem= atr tr &q • 4a ti � a 2 addrste t 7/ s ' L c F r It ► Subar7m y e t &- ' S T6 U 2 711? ltlirallaa+sm I . or tbe ar�,ci 1 �� 2 ( sa1) - 9 s -C3Iri lta>r:cs3) aIY — Gav6 ort r,s... ., 53:0 2 r't e _ p e e p 4 _:;._ r r , �a`{teld. i[ n deado6. , Business am 6 1-f L tr L L�_ c pe a 1......11‘...% t° X T • eo we.e�r.: r a et I 2 Address sk addttteeol tmtterdoo over atbwsbte to say st the cove F U Per buection 4290 - orcyrsmtt : >a . hour Is braes) silo t s Nos: ( ) iaawotf t boar• t MI 73 - s z ic.: I� y 7 'a"� v . C g. Lin.: 5 s °. Suprv. Elio - : ve► I • �. ' ,A. � % Piss review •— ' Print moo: - . �' - Sane ambers � &pamis 0!e) • r Lc . s _ TOT_ u, a thoaa t� - M +iiw iu° 3sZ ys J up . .. W_�rmaa _ Leash 1 t Friataeelc— a�orolrlCr rsi!} k Tri .mm9 lafs�si + sarh�Y ` Emrsec8oan —.. »t'sae era+Firepsa4s.svrr permit acme. ranorosVersersItCoProbasson tbe! 444ABttT(tel MOSONVO 1 ' BLOT- SB6 -EOS ial4oS aor Eztr =BD LO S2 un[ CITY OF TIGARD . .• BUILDING DIVISION PERMIT #: ELC2007 -00432 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: U26/2007 Phone: (503) 639 -4171 / Inspection Requests (24 Hrs.): (503) 639 -4175 L. INSPECTION WORKSHEET FOR DATE: 8/7/2007 TIME: 7:03AM PAGE: 25 SITE ADDRESS: 08317 SW CHAR CT CLASS OF WORK: SUBDIVISION: FINLEY PARK LOT #: 016 TYPE OF USE: PROJECT NAME: CROSS DESCRIPTION: AC and service outlet. OWNER: CROSS, MALCOLM A JR + MARCIA L, PHONE #: CONTRACTOR: SOHLER ELECTRICAL CONSTRUCTION PHONE #: 971- 832 -0807 Inspection Request Scheduled For: Date: 8/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 053548 -01 503.985 -0131 Y Corrections /Comments /Instructions: '(--) ot ' f:l. 0 --- Pil 4_______ AA-- AA-- C- o , r ,A1, Jo ofts/A alMb I of-7- g PASS r PARTIAL APPROVAL CANCEL I I NO ACCESS n FAIL IN CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED Inspector: Date: j7 Phone #: (503) 718- Z. 1-/X' From: RECEIVED 08/18/2009 09:04 #742 P.002/003 Electrical Permit Applicati 1 8 2009 FOR OFFICE USE ONLY Iii City of Tigard Received . 6i TI nn �- Per No. _ 1 C J ° 13125 SW Hall Blvd., Tigard, TIGARD : /� / ��n,2f: 00y3 Plan Review • Phone: 503.639.4171 Fa }EV-AIt j DIVISION D Other Permit: TIGARD Inspection Line: 503.639.4 Date Ready /By: runs: �/ fa See Page 2 for Internet: www.tigard or.gov Notified/Method: -7, V Supplemental Information ' " TYPE` OF WORK PLAN REVIEW ❑ New construction ® Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Budding 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 ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75 KVA or T JOB SITE=LNFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no,: Fs i 3 Job site address: .1514-q ? $ &.J �;( j ,p ! O �i k t, IOOt� or more. occupancy. ` / M/ " `q ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: j ef - A - 0 ylj C C� ' / a I I ❑ Health -care facilities. ❑ Supply voltage for more than U ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no 1 L U YroJect name: (' j >' Ll`'� ,19 ( ` � 1 7 - ❑ Service or feeder 600 amps or more. t . FEE SCHEDULE ; Cross street/directions to job site: Description 1 On ) Fee I 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 � r t Limited energy, multi- family t. �D 4 r f l' j) f 1 `e k5 aV 14 1 V� ,t1 (1) 0- residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less I 80.30 9) • - 53 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, •er panel Owner signature: Date: A. Fee for branch circuits with . 1:1.- . APPLICANT` I : - -.: ❑ CONTACT PERSON - above service or feeder fee, i "0 6.65 lP L, 50 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, Contact name: 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 90.90 2 dwelling, service and/or feeder 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: Five Star Electric, Inc Signal circuit(s) or limited - energy panel, alteration, or Address: PO BOX 555 extension. Describe: Page 2 2 City/State /ZIP: Banks, OR 97106 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 324 - 0948 Fax: (503) 324 -0973 Investigation per hour (1 hr min) 62.50 CCB Lic.: 158231 ✓ Electrical Lic.: 34 -665c Suprv. Lic.: 4622s j,' Industrial plant per hour 73.75 ��" - ELECTRICAL -PERMIT. FEES. :': Suprv. Electrician signature, requ �, Subtotal: !41-(p. S Z Plan review (25% of permit fee): Print name: Royal Stearns Date: 4 O V- ( State surcharge (12% of permit fee): 17 . (p Z / Authorized signature: TOTAL PERMIT FEE: // 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. P ' Huilding\Permits\ELC- PermitApp doe 05/23/06 440.461 5T(1 I /05 /COMMEB