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Permit CITY OF TI GA D ELECTRICAL PERMIT PERMIT #: ELC2005 -00017 DEVELOPMENT B T SERVICES I 97223 DATE ISSUED: 1/12/2005 13125 (503) 639 -4171 PARCEL: 2S113AD -01900 SITE ADDRESS: 16600 SW 72ND AVE B -10 SUBDIVISION: OREGON BUSINESS PARK I ZONING. I -L BLOCK: LOT : 009 JURISDICTION: TIG Project Description: Hardwire UPS machine. Drop cords to relieve circuit. Job # 83756/83966. 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: 4 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: PACIFIC REALTY ASSOCIATES OREGON ELECTRIC CONST /GROUP 15350 SW SEQUOIA PKWY #300 -W1V1I 1010 SE 11TH AVE PORTLAND, OR 97224 PORTLAND, OR 97214 Phone: Phone: 503 - 535 - 2652 Reg #: LIC 203 SUP 4460S FEES ELE 26 -95C Description Date Amount Required Inspections [ELPRMT] ELC Permit 1/12/2005 $106.90 [TAX] 8% State Surcharge 1/12/2005 $8.55 Rough - Elect'I Final Total $115.45 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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: j -- Permit Signature: . �p..� ca-T,Q OWNER INSTALLATION ONLY u 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 639 -4175 by 7:OOpm for an inspection the next business day Electrical remit Apps T �ERV � � 1, 1 ��, ^ �, + 5035352763 T -040 P.002/002 F -665 ' Ci ty of T i g a r d � $ l � /� D.5" l ermit Nn.: eCZgG4S 7 / 13125 SW Hall Blvd., Tigard, OR 97223 �q i i 2 �- Phone: 503.639.4171 Fax: 503.598 -1960 („ ` ) ,4 . P w Other Permit: Inspection Line: 503.639.4175 - i .uj.. ; < Dom Re dyBy: la See Page 2 for Internet: wwW.cLtigard.or -us .: Notified/Method; ��r Supplemental Information TXI'E iQFf R'DSIC : 7 PLAN lt)EV1FW • ❑ New construction ® Addition/alteration/replacement Please check all that apply. ['Service ['Hazardous over 225 amps, coming location ID Demolition ❑Other ❑ Servi ce over 320 amps - rating ❑ Buildng over 10,000 sq. ft.. . - CATEGORY OF CONSTRUCTION ', . • of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling El Commercial/industrial ❑ Accessory building ❑Systan over 600 volts nominal units in one structure ❑Building over three stories ❑Feeders, 400 amps or more CI Multi - family ©Master builder [] Other. ❑Occupant load over 99 persons ❑Manufactured structures or 3OB SITE INFORMATION AND LOCATION ❑ Egress/lighting plan RV park Job no.: 83756/83966 Job site address: 16600 SW 72nd Ave. ❑Health care facility OOrhe Submit 2 sets of plans with any of the abovee . City/State/ZIP: Tigard, OR 97224 The above arc not applicable to temporary construction service. Suite/bldg. /apt no.: Bldg. 10 Project name: Flight Dynamics SCHEDULE _ Description _ I Qty. I Fan I Toad I •- Cross Street/directions to job Site: New residential aiagle- or multi - family dwelling unit. _ Includes attached garage• 1,000 sq. ft_ or less 145.15 4 Subdivision: Lot no.: Ea add'I 500 sq. for portion 3140 1 . - - - Limited energy, residential 75.00 2 Tax map /parcel no.: _ - - Limited energy. non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwcllinF, service und/or feeder _ 90.90 2_ ' - • et . - s .. • n CO ds • relieve Services or feeders installation, alteration, and/ur _ relocation Circuit. 200 amps or less 80.30 ,Qp,3� 2 in PROPERTY OWNER I 5g TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: Flight Dynamics 601 amps to 1,000 amps - 240.60 2 Address: PO Box 230609 Over 1.000 amps or volts 454.65 2 Reconnect only 1 66.85 2 City/State/ZIP: Portland, OR 97281 Temporary services or feeder& installation, alteration, and/or relocation Phone: (503)684-4384 I 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 amps 100.30 2 intended for sale, !case, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps , 133.75 2 Owncr signature: Date: Brunch circuits - new, alteration. or extension, per panel ID APPLICANT ID CONTACT PERSON A. Fee for branch circuits with ' service or feeder fee, each 6.65 � { , ,(,O 2 Business name: _ branch circuit 13. Fee for branch circuits Contact name: without service or feeder fee. 46 -85 2 Address: each branch circuit ` Each add'I branch circuit _ 6.65 2 City/State/ZIP: Miscellaneous (set or feeder not included) Pump or irrigation circle 53A0 2 Phone: ( ) I Fax::( ) sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- CONTRACTOR energy panel. alteration. or extension, Describe: Page 2 2 Business name: Oregon Electric Construction _ _ _ Address: 1010 SE 11th Ave. Each additional Inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: Portland, OR 97214 Investigation per hour (i hr min) 62.50 _ Phone: (503) 23.-9900 Fax: (503) 5352763 Industrial plant per hour 73,75 ELECTRICAL PERMIT FEES' CCB Lic.: 203 Electrical Lic.: 26-950 i Su. ie.: 4460S Subtotal f 0 ( , 9 Plan review (25% of it fee ) Suprv. Electrician signature. required: L" • — _ - tJi_. - A -- - p Print name: r ate: 01 /L State surcharge (8% of permit tea) g, 5 s MARK 3. KEN / TOTAL PERMIT FEE f 1 C , q Authorized signature: This permit application expires if a permit is not obtained within 180 / - - days after it has been accepted as complete Print name: f ate: 01 /11 /05 • Fee mrnrodaloby set by Trite aunty Building Ind Service Board u- f • . L VA •• Number ofinaoeuion3Oer permit allowed. `5 P CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested / — / 7 1 AM PM BUP Location 1 (U 7 , r1c Suite P7 - 10 MEC Contact Person Ph ( ) PLM Contractor Ph ( ) Y SWR BUILDING Tenant/Owner - ELC 0-C6 5 / 7 Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Y Water Service Sanitary Sewer Rain Drains Catch Basin/ Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage F' e Alarm SS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line 1 ADA Date W 0 s Approach/Sidewalk Inspector t V\ IZ 4 Lk 6 \A 01 Ext Other: Final DO NOT REMOVE this Inspection record fro the Job site. PASS PART FAIL