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Permit
C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00948 jli DEVELOPMENT M T SERVICES DATE ISSUED: 12/12/2005 13125 CES 503 - 639 -4171 PARCEL: 2S113AD SITE ADDRESS: 16600 SW 72ND AVE B10 ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK I LOT : 009 JURISDICTION: TIG Project Description: Branch circuit C PC � rCA WII CELLANEOUS RESIDENTIAL UNIT TEMP SRVC /FEEDERS S 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: ! 3 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: PACIFIC REALTY ASSOCIATES OREGON ELECTRIC GROUP 15350 SW SEQUOIA PKWY #300 -WMI 1010 SE 11TH AVE PORTLAND, OR 97224 PORTLAND, OR 97214 Phone: Contact #: FAX 503 - 535 - 2763 PRI 503 - 234 -9900 FEES Description Date Amount Reg #: LIC 203 [ELPRMT] ELC Permit 12/12/200 $46.85 SUP 44605 [TAX] 8% State Surcharge 12/12/200' $3.75 ELE 26 -95C Total $50.60 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 2 -2344. Issued By: G' .La - Permittee Signature: "Ai 4 7�6-- 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. DEC -08 -2005 06:09PM FROM —OR ELECTRIC SERVICE 5035352763 T -745 P.001 /002 F -543 J�1GIL;11LL411 1 •.1 ALJLJ11Ldi11U& r .. r • . City of Tigard ^ 1E..1-1 n e q OS �� 13125 SW Hall Blvd., Tigard, OR l . " Plankcview PACTi \\\...iii i� � 'BL• Other Pem • Phone: 503.639.4171 Fax: 503.5 8. U• f {`! �tFr'�i'� : Pue Inspcmion Linc: 503.639.4175 O ..:",,,_,,;.1. Ready/By tram el See Page 2 for Internet www.citigard.or.us i^,,1 • ' 1 ,--,c1 Notified/Method: Supplemental lnrormanon TYPE OFCVYORIia1 PLAN REVIEW ❑ New construction ®Additic a% .isPnYicpracement Please check all that apply: ❑ Demolition ❑ Oth'e \` ['Service over225 amps, comm'I ['Hazardous location t11C 0 service over 320 amps - rating ❑ Buildng over 10,000 sq. IL, CATEGORY OF CONSTRUCTION of 1- and 2 - family dwellings 4 ar more new residential ❑ 1 - and 2- family dwelling ® Comnercial/industrial ❑ Accessory building ['System over 600 volts nominal tmita ID one alrvcrure ❑Building over three stories ❑ Feeders, 400 amps or more ❑ Multi - family ❑ Master builder ❑ Other ❑Occupant load over 99 persons ❑ Manufactured structures or JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park Job no.: 89221 Job site address: 16600 SW 72ND v Qxcalth.carc lucidity QOther. Submit 2 sets of plans with any of the above. City/Statc/ZIP: TIGARD, OR The above arc not applicable to temporary construction service. Suite/bldg. /apt. no.: 10 Project name: ROCKWELL COLLINS • SCHEDULE oescopam 1 QV. 1 FM. I Tent I ., Cross street/directions to job site: New rraidrntial single- or mull -family dwelling unit. - - Includes attached garage. 1,000 sq. R or Icaa 145.15 4 Lot no.: En. add'I 500 sq. ft- or portion _ 33.40 1 Subdivision: • — Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OIL WORE: Each manufactured or modular INSTALL (1) CIRCUIT FOR NEW CUBICLE LOCATION dwelling service and/or feeder -- 90.90 2 Services or feeders installation, alteration, and/or relocation _ 200 amps or leas 80.30 2 El PROPERTY OWNER I ❑ TENANT - 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: ROCKWELL COLLINS/FLIGHT DYNAMICS 601 amps to 1,000 amps 240.60 2 Address: 400 COLLINS RD NE Over 1,000 amps or volts 454.65 2 - Reconnect only 66.85 2 City/State/ZIP: CEDAR RANDS, IA 52498 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 I on which is not 201 amps to 400 amps 100.30 2 intended for sale. lease. tell[. or exchange. accordilla to QRS .447, 449, 670, and 701. 401 amps l0 600 tamps 133.75 2 Owner signature: Date: _ Brunch circuits - new, alteration, or extension, per pond ❑ APPLICANT 1 fl CONTACT PERSON A. Fee for branch circuits with service or feeder lee, each 6.65 2 Business naive: branch circuit _ B. Fee for branch circuits Contact name: without service or feeder fee, 1 46.85 L ilo $5 2 each branch circuit Address: ,_ Each add'1 branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) - Pump or irrigation circle 53.40 2 Phone. ( ) Fax: : ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(a) or limitcd- CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: Oregon Electric Group _ Address: 1010 SE 11th Ave Each additional inspection over allowable in any of the above Per inspection 62.50 City /Statc/ZIP: Portland, OR 97214 Investigation per hour (I hr min) 62.50 Phone: (503) 234 -9900 Fax: (503) 535 Industrial plant per hour _ 73.75 ELECTRICAL — PEWIT PEES" CCB Lic.: 203 Electrical Lie.: 2 - ... 'c.: 4460S subtotal 41,, .235 ,- f Suprv. Eleetri4ian signature, regal ed: - , Plar► review (25% of permit fcc) Print name: i) Date: 12/08/ 5� Ste surcharge (8% of permit fee) , . 5 941 TOTAL PERMIT i<EE I 5O . O Authorized signature: 1 This permit application expires If n permit is not damned within 180 dnys niter it had but accepted as complete Print name: Date: 21/118/05 • Fee methodology set by Tri- County Building 1ndersuy service Board 1 N' Number of inaoections per permit allowed. CITY OF TIGARD BUILDING DIVISION vi:--, - PERMIT #'.0 -0_5 0'7 4V 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 _'. ° I� INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: A &Q 0 7- ► • CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: ' PROJECT NAME '- N DESCRIPTION: ` OWNER: \\` PHONE #: I© CONTRACTOR: s PHONE #: Inspection Request Scheduled For: Date: 3- a"7 7`-. Pour Time: C. - - Inspectio Description Confirm # Contact # Message 199 ' .e - '• • = omments /Instructions: EL 2a • , • 1 O ! -V1 .1 ,, %■, 3 .2 .0 b cri 06,_ 1 :• \...._, q.,4 _) PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `"ISO Date: 1[2/1 I 010 Phone #: (503) 718- 3 - V) CITY OF TIGARD 1 ��y BUILDING DIVISION PERMIT #:QGO °51 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 �.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /66 72.,4" CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: . PHONE #:5 3 "' 8 fro 1 D CONTRACTOR: lJ J o i &S i Lo PHONE #: 5 Inspection Request Scheduled For: Date: 3_ —a. —O ' Pour Time: • Code # InsDescription Confirm # Contact # Message Corrections /Comments /Instructions: ❑PASS n PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: \v sta ks- Date: 31 2 \ 0 b Phone #: (503) 718- 2,40