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Permit CITY OF TIGARD ELECTRICAL PERMIT II PERMIT #: ELC2008 00466 COMMUNITY DEVELOPMENT DATE ISSUED: 8/12/2008 'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1 01 AD -00100 SITE ADDRESS: 12725 SW 66TH AVE 207 ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 034 JURISDICTION: TIG PROJECT: CRAWFORD CLAIMS Project Description: Installing (11) branch circuits for TI. 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/ SVCI 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: 10 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: EXECUTIVE CENTRE LLC LEAR ELECTRIC 1590 NW 117TH CT PO BOX 573 PORTLAND, OR 97229 GRESHAM, OR 97030 Phone: 503 - 526 - 1331 Contact #: PRI 503 - 665 -9840 FAX 503 - 661 -6389 FEES Description Date Amount Reg #: ELE 26-411C [ELPRMT] ELC Permit 8/12/2008 $113.35 LIC 52278 [TAX] 12% State Surchar 8/12/2008 $13.60 SUP 37865 Total $126.95 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 �L / / Signature: ,,,X Gl.75 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. 08/11/2008 14:53 5036616389 LEAR ELECTRIC CO INC PAGE 02 - lectrical Permit Application o _ :` I,(^►1()I I{I(1 1..l at l ���, ° , `v� "" rr. NI iiiiAl.* City of Tigard H ECE 1 ,, 3 Received 8 � 0 Permit No.: DateB • k 3 y °. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit /� , �' ,t ti, Phone: 503.639.4171 Fax: 503.598.196Q I I U i j - Date/8 : ✓ r> . �.r� ` - ;'' ' ' ' ' ' N :4 � It inspection Line: 503.639.4175 A U .. ` " ■ Date Ready/By: 1 uri% See Page 2 for ,_ Internet: www.tigard - or,gov Notified/Method: -p 1.5/ Supplemental information rX) }?i<5 :'�a'' u� ,, 3 t3,� yeti i .� im�`�. c. � c . �; - .f i . ^;- , , ^ TM � �� ".5 f " ' �,. ,- u • ^. °c.:a r 1` ` 7 .•` ' �+... F A . "'-',, f., . q� � t 'iV .w, l,a li M, Ca'�t!�, e .'�t�`• €NC �,,i'S m .. i '� i' . Ir ^, k. V t *1 N 6rt rr.- s-�`1 Please check a r a �x '^t .4. Wi 4, .,,.. >..,t 2stn Jl'..,..6,., le' ..,, w[,. :5 `i 0 that apply (submit I. sets of plans w /items checked below): ❑ New construction _1 Addition!: r . em/repiac • ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. F aiizi atop f - i o r'r ` �+ P " p - : ;, e �4 r 4 ` ,k , r S r r r i.;; x r+ ,, : exceeds 10,000 amps at 150 volts or ❑ Floating buildings. a "''s,'''. @, r''''' �r r i c �1 4'"7' , , , '' l ,. s , • _ : ' :'- r � " � �^ " �'� ^ `�`�' � � ra Tess to ground, or exceeds 14,000 ❑Commercial -use agricultural ❑ 1- and 2- family dwelling aCommercial /industrial 0 Accessory building amps for all other installations. buildings. ❑ Multi -family 0 Master builder LI Other: ❑ Fite pump. ❑ Installation of 75 KVA or F ; ;�� 0, ¢V r i ` l s` Iri } t ° t "1 x j ` rr • q '• � ' . ri ', f R 4 , �° 4. , v "'T ^, I ❑ Additio Emergency n motor load of ❑ larger E era Zly derived system. 4 r..v ; a . , _ • Job no : Q Job site address: /2 72.5" mo t" 100111 or more . occupancy. QQ ��-C� eql -A -e � © Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: i l M ❑ Health -care facilities. 0 Supply voltage for more than �.a • � /)l °Hazardous locations. 600 volts nominal Suite/bldg. /apt. no.: 0 90 - 2 P roject name: / /�� Lf e41 / ,,,, G ❑Service or feeder 600 amps or more, yp�y 1k3 .,i f ik �,, `,t . ti� f7 NW w r f 1 Cross street/directions to job site: Description - City Pee Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I 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 ni T ld /�Q� no Limited energy, residential ,,--� , 11 , I i.y,�' - s3 ^ern 't X 1 , 7 „ "'$l.u4 %.: �, d 6 • '; v ." 2 yr35. �1� 4 !,, t ��g�' -', 75.00 2 . �+�$,�'�lr.d3tT�.Tr`� �'rr•�,� C: i:. �,�,: d('5„- n`�„n�y ,�"�,a r ���� 5 4f e4 .,- �:�}?a;f�., /",-.� "•„1 ^'�. ' � (with above sq. ft.) .,. egt1 ie4 Limited energy, (with sq . i 75.00 2 /1f 1 eA�/� .19�.�r�/ residential (th above sq. fl.) Services or feeders installatio alteration, and/or relocation 200 as or less _ 80.30 2 i u;E.0c , sl' i ` .. -. - e '' * i Eg' I A;•.A ' . . ; ; i ; . .. ; 201 amps to 400 amps 106.85 2 Name: 401 am to 600 amps 160.60 2 .. 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or _ _ relocation Phone: ( ) l Fax: ( ) 200 amps or less _ 66.85 1 Owner installation: This installation is being made on property that i own which is not 201 amps to 400 antes 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner si azure: Date: Branch circuits - new, alteration, or extension, per panel , gn A. Fee for branch circuits with E 00A. V r, ,r.4 o : t W t r ' ?^ .$ y a "S'' L L '�.,, Y !<, n` a K f 4 . � •, )1 ,,, i, ; , - ,,:::,,, ( � r } t. f it c e; .t. , fi r: a serv or f £e e, /. 6.65 �C�D 70 2 each branch circuit Business name: B. Fee for branch circuits ,/ PS Contact name: without service or feeder f i 46.85 7 (p ..- 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 an/or feeder 90.90 2 Phone: ( ) I Pax: : ( ) Reconnect only . 66,85 2 E -mail: Pump or irrigation circle 53.40 2 w l rJr .' e : r k d Y ,» lit *a ro i s J << Sign or outline lighting 53.40 2 Business name: Lear Electric Co., Inc. Signal c a er or ti or energy pane, alteration, or Address: PO Box 573 extension. Describe: Page 2 2 City/State/ZIP: Gresham, OR 97030 Each additional inspection over allowable in any of the above - 503 665 - 9840 Fax: (503) 6614389 Per inspection 62.50 Phone: ( ) ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: 52278 Electrical Lic.: 26 -411C Suprv. Lic.: 37 S industrial plant per hour fir; 73.75 y 'n : :N 4'sl�y�'Hty i,' ',�„ WW. - %.2�. . 'c o"fi � rf `kkip n . 9 1, Suprv. Electrician signatur 1 : , c►.. //, ... Subtotal: //3 .ar • Print name: David Mu rd ate: // _ p' Plan review (25% of permit fee): �-- - - State surcharge (12% of pennit fee): /3 . (p0 Au signature: t el...... / t4,., / TOTAL PER'MIT FEE: /2.. ( , 9S'' Prin name: David Mumford Date: p:. // - This permit application expires if a permit Is not obtained within 180 days after It has been accepted as complete. • Number of inspections allowed per permit I: building 'Permiu\ELC•PermitApp.doc 05 /23/06 440- 4615T(1I/05 /COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: El. 0.201)8-0 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/12/20011 Phone: (503) 639 -4171 �� '',, „,, t' 1■ Inspection Requests (24 Hrs.): (503) 639 -4175 A. ∎—. 6'_� INSPECTION WORKSHEET FOR DATE: 9/25/2008 TIME: 7 :00A1r1 PAGE: 1 , 4 SITE ADDRESS: '12725 SW 66TH AVE 207 CLASS OF WORK: • SUBDIVISION: MST PORTLAND HEIGHTS LOT #: 034 TYPE OF USE: PROJECT NAME: CRAWFORD CLAIMS DESCRIPTION: Installing (11) branch circuits for TI. OWNER: PHONE # 503 E XECUTI VE CENTRE LI.C, CONTRACTOR: !..EAR ELECTRIC PHONE #: r-,03_66(3 x9840 Inspection Request Scheduled For: Date: 0/76 #200$ Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 076976-01 503149.3230 N Corrections /Comments /Instructions: • . ASS n PARTIAL APPROVAL • ❑ CANCEL (l NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G IV be) Date: Phone #: (503) 7181'il7 CITY ��N�~�� d~�����N�������� � � w.�o� m o*�|u^�om�� ,m ,/ • BUILDING DIVISION PERMIT #: ELC2OU0-000■6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 811]/]00B Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639'4175 .J�. "_......' INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME: 7:01AM PAGE: 41 SITE ADDRESS: 12.725-SW6GTH AVE 2U7 CLASS OF WOAK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 034 TYPE OF USE: PROJECT NAME: CR/WF0RD DESCRIPTION: insiaUinOO1\branch drcuts for TI. OWNER: EXECUTIVE CENTRE LLC. PHONE #: 503 CONTRACTOR: LEAR ELECTRIC PHONE #: 603 Inspection Request Scheduled For: Date: 9/3/2008 Pour Time: ' 9/3/2008 Code # Inspection Description Contact # Message 130 Smi|ing \ 074959-01 1 \ 503-849-3236 N / . . ~ „ Corrections/Comments/Instructions: ` IN PASS | | PARTIAL APPROVAL 10 CANCEL NO ACCESS 7..1.. �� | | FAIL / / CALL FOR INSPECTION __ ADDITIONAL FEES ASSESSED �� wJ�� ~- (1'3'.% ��� Inspector: ^�v «�vJm���� Date: Phone#� (503) 718- �,X�w» CITY OF TIGARD. • BUILDING DIVISION PERMIT #: El ..C7006-0[3466 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: E311212000 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s•- . °Tf_I INSPECTION WORKSHEET FOR DATE: 8119/2008 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 12725 SW 6TH AVE 207 CLASS OF WORK: SUBDIVISION: 1A1 ST PORTLAND HEIGHTS LOT #: 034 TYPE OF USE: PROJECT NAME: CRAWFORL) CLAIMS DESCRIPTION: Installing (11) branch circuits for TI. OWNER: EXECUTIVE CENTRE L.Lt.:, PHONE #: 503.926 -1331 CONTRACTOR: LIAR ELECTRIC PHONE #: ,03.66 ; -9t 0 Inspection Request Scheduled For: Date 811912008 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 074320.01 5o:1-849-3236 N Corrections /Comments/ Instructions: 74 PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,. Noe Date: t'Ill Phone #: (503) 718 - 2 i