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Permit
• C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00096 41C DEVELOPMENT SERVICES DATE ISSUED: 3/1/2005 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S101AB - 01606 SITE ADDRESS: 07357 SW BEVELAND RD SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT : 017 JURISDICTION: TIG Project Description: Electrical work for new office building. Job No. 6040 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: 2 W /SERVICE OR FEEDER: 32 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: 1 PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: • TOM CLARKE JARMER ELECTRIC INC 12448 SW ORCHARD HILL RD 5105 SW 45TH AVE LAKE OSWEGO, OR 97035 PORTLAND, OR 97221 Phone: 503 - 293 -1226 Phone: 246 -5381 FEES Reg #: LIC 6924 SUP 4044S Description Date Amount ELE 26 - 144C [ELPLCK] ELC Pln Rev 2/14/2005 $153.50 [ELPRMT] ELC Permit 2/14/2005 $614.00 REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcharge 2/14/2005 $49.12 (additional fees not listed here) Total $836.89 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 -3 - -2344. Issued By: , , _ 5 , .� 4_ '1 Permittee Signature: 6 �R , � . ( 3 7 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 639 -4175 by 7:00pm for an inspection the next 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. \ z )X-.000 - , rea- )D p 0 "• Electrical Permit Application r t kt l''f �' ,, � FOH. O FFIICFsUSE ONLYr id, - r• ' „ t '" + City of Tigard FEB Received rr�� //�� 2 5 2005 DateBy: 5 6 /3A Permit No.: 11 & 065.- 060% 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598. yg r fi �'� Date/By: Other Permit: Ins ction Line: 503.639.4175 � 1 Y �� ' � i5 -? ` =` i " s.' I1 ' ;, Ready /By: 63 See Page 2 for pe i'' Date Read B Innis: Internet: ww'w.ci.tigard.or.us BUILDING DI-Vic ( 1 Notified/Method: 71(,, Supplemental Information TYPE OF WORK ' ;''' :.? PLAN: REVIE*' ` . , I. z New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ['Service over 225 amps, comm'l ['Hazardous location :Service ,' j' . OF CONSTRUCTION - • ,s;,. ,; t, " : , o and 2-family adwellin s ❑4d siO t T or more new residential ❑1- and 2- family dwelling Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more ['Occupant load over 99 persons ['Manufactured structures or . • JOB SITE INFORMATION AND LOCATION :;4 1 ` : _ A:',..: ['Egress/lighting plan RV park Job no.: 6.0 ‘10 Job site address:73 5 7 56Q 4v_434 ❑Health -care facility ['Other: Submit 2 sets of plans with any of the above. City/State/ZIP: 7:z-� ,9-, - The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt. no.: Project name: e 1, /( Al L.4 Co• Description I Qty. I Fee. I Total I •• Cross street/directions to job site: New residential single - 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. ft. or portion 33.40 I Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK - -• - . , . . _ ' • .. : Each manufactured or modular ��� ,p 2 dl dwelling, service and /or feeder 90.90 2 C �U Services or feeders installation, alteration, and/or relocation 200 amps or less 7 80.30 5 7 . 2 1 0 2 •• t, PR OPERTY OWNER; " "" ;; 201 amps to 400 amps 106.85 2 .:.t., , ❑ . . I . 0 ` TENANT "''�;�vii ti- ran•° mP mp . 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 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 I 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 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ' .` .'';�.:• A. Fee for branch circuits with :?,� ..• • :,,� ❑��APPLICANT � , ❑ CONTACT PERSON; ' � ,;' service or feeder fee, each Vv Business name: branch circuit 32 6.65 21 2 2 B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'I 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(s) or limited - Wa ". ' i =?,''''`^y' CONTRACTOR, " ; " energy panel, alteration, or extension. Describe: Page 2 2 Business name: TR2 £2- E £e; ✓`.i c'— i TEL Address: Si O S c s--W e.../ S r Sr L0 Each additional inspection over allowable in any of the above /n� Per inspection 62.50 City/State/ZIP: f"o i { — ,4 - .&) 4 Q /a 9 7 22 / Investigation per hour (1 hr min) 62.50 Phone: (S3) 2 !Ito — 5 b' / Fax: (5 2-4/L( — eo 3 7 Industrial plant per hour 73.75 _ ELECTRICAL,' PERMIT FEESr !'.71.:t` t;:` CCB Lic.: 4,, 2_ L( Electrical Lic.: 26— / q1/4-- S Lic.: 5/O1/y5 Subtotal 77L/ Suprv. Electrician signature, required: 7 G _ Plan review (25% of permit fee) / State surcharge (8% of permit fee) ( , Q / 99 Print name: (. 5 - 57-1 4 2 „../4--/e_ Al E 2 ate: TOTAL PERMIT FEE f 34, �� Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board . •• Number of inspections per permit allowed. ill Building \Pernuts\ELC- PemitApp.doc 12/03 440 -46 I ST( 10 /02/COMIWEB _ _ . - . ----,--,,,,....,- , -. p --;,-•. - eil , X ' ,;,' ,tir,, Z ;T,... 4 7,', '-'' l' ..; OA .,41., 4 - ti:I ., 21,}4,r,t,i , ,,,, , ,t,d , '. .14 ^, - • - '... - ^ ' : :7 ,' ....4" f4..-$ ,..-:.? .37 ',.-. 4 ' ,..i.,3 Z........i.71':41 , ,, , t ,1,.........Te.,. ,..' , C , ,±,.....,.. ,,..,, .... 4 , .., • - ........• . , , . . .... 1 ARKADVANTAGE. W N.OBLE .. -5 , G II .._ : - FILE - EDIT. '-,..OPTIONS - WINDOW :HELP _ HELP . - • ________ - --------- - - — -- - . _ _ ---- — I . • „ • • • AA 1 . : li illi-, - 27-- o' in :0 , * • , : - • , • II Exit - New Open - T4:.-1i I.i:.t. , DBE GIS i . " . - . • - . . ' , . 1 . m , ,- - • , . - a ., . ri _ --- - ,•-..• t6• - • -r .--ni ' ' ea , - ' - ' El , Qt?, cio 1 • a -: ta, ---,,- - "•-„1, • A' ‘-''.', - T-' -:,, i ,„ .. Edit '-- P;oj up Ad ect • • Grod _.:--' 'ICIOne- . - -. Pucci . Activity"' '' " P V eople " _ fee.. _ ; 41wion - . Condition:. :'C1ce Not _ T49.1 Document:. GIS Cove I _ .., 1=1 Er/ i , - , - ",:- .';, ,- ,,''' ',T., . ,',= , ,., ' 4,,:,, , .. , , • - :,.... '''..ti, !. i . '. -- t ..',:.''... . , , : : . W.4 , E.C Ef eticAL17 - 4. E kid' I:f• '-.• EL:CM:3 05;0 0 0 tie •• -pTAt.613'1'- -- - -' ,. ;•11'• -; :- .- • - •'•-•111 • - ,... -- -;,,..t.i',' - i:;"' -, ,";; ,..;,- , . •., ,...,: ...,:_ ',.:' i ' . J.,,;i_ ,,,,.7.-„,,;.;:;v:,..,„4.',.C.4;".,,,.1.,,„..;.•--„,t , ,. ...• . . .- . - ... Ge,neral $ . • x. - 4• Address 07357 SW BEVELAND RD $' '-: ''. ,, 7'.:.$ ,-;;;$. ---;:.:.; ''''''' :=`;,,, .7:,.- - ...; 71, `'... - _:',.. : ' : -„4 , „ --4."- :1. - ..; Updated 3/1/2005 :•,•‘• BB • --- ' - == - - _ ',•_,..0 ---- :- -.---. ,:k , :,'-•:,., • -,.:1: ,..,...- „, --s ,- ,5•:-1 Name TOM CLARKE , -, - - , ,. ., ----',=, Jur"- FIG --- • - • . • - ' • • . ..- , ., , „ , . . ., . : - ," .q7 4 - '4' - ; '. .- 4 ,- , ..• -....,.,,, -,. ' ,r,-j' -;1.,;..1.,-, 4. .,' ''..4 4.'1 ! ,..;',..,' , - ;.,. ,., ., _ . ' — '' ' - SerVICe ' - 7 ...a.'1 , "°".: -*"..4e,..4, ;',..‘...." .,, , 4 2 ;,./ ,; • , . •,', • 'CY „,„ ,• k., 'r.e.„( t, . . . .„. , • Description :-; ; '7."Master # IELC2004-00207 Project: 'CLARKE OFFICE BUILDING --,— : — - Electrical work for new office building. Job No 6040 _ -. • . ''. :"_:, . :- - ..,'• . -. 1.‘ : -: V.. -....- .',..i' : ':::-. '-'-'.. -:',.' i --- - :. ..4- ,,r ... ,'„ , ,:-',"`,..,' :•: 1- ., ' , -_,,,,, 4 „ . , . 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' ' ,) 11 0— .„. . . . • . _ • I ,- CITY, ,OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00096 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2005 Phone: (503) 639-4171 44 izeti'llkiii l' Inspection Requests (24 Hrs.): (503) 639-4175 , EXPIRED INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 58 SITE ADDRESS: 07357 SW BEVELAND RD fi' ■+. CLASS OF WORK: SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE: PROJECT NAME: CLARKE OFFICE BUILDING DESCRIPTION: Electrical work for new office building. Job No. 6040 -.,:. _ OWNER: CLARKE, TOM '" : :RHONE #: 503-293-1226 CONTRACTOR: JAMMER ELECTRIC INC RHONE.#: 246-5381 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Descrip • - Confirm # Contact # Message . 115 , Electrical service 020363-02 503-246-5381 N Corrections • -- -- .t • _ - - • c ions: EXPIREO Al ' tli ok) ._._■ , , riall 111111.11■- ._. rAPASS n PARTIAL APPROVAL fl CANCEL _ NO ACCESS • FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED — Inspector: & - Date: Phone #: (503) 718- . . , . r,- . . p CITY OF TIGARD 1 ., .. V 0 ) - 1 . BUILDING DIVISION 4 1 11 ,,‘ sat)■ PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 .) 4,2 DATE ISSUED: Eall..1C/220000r5.00096 Phone: (503) 639-4171 t' ,. /0011 V q Inspection Requests (24 Hrs.): (503) 639-4175 ''' \. J INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 9/29/2005 7:08AM 79 SITE ADDRESS: CLASS OF WORK: 07357 SW BEVELAND RD SUBDIVISION: LOT #: TYPE OF USE: CLARKE BUILDING 017 PROJECT NAME: CLARKE OFFICE BUILDING DESCRIPTION: Electrical work for new office building. Job No. 6040 OWNER: PHONE #: CLARKE, TOM 503-293-1226 CONTRACTOR: PHONE #: JARMER ELECTRIC INC 246-5381 Inspection Request Scheduled For: Date: 9/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 Electrical final 016976-02 503-246-5381 N Corrections/Comments/Instructions: iNiur '---), . , . 0 PASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS X FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: T/ 4 .- „ ,J 2- ? / ei b (7C- - Date: 7/-2Jr /7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00096 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2005 Phone: (503) 639 - 4171 "�;� °a���� Inspection Requests (24 Hrs.): (503) 639 -4175 ,'. °__I INSPECTION WORKSHEET FOR DATE: 9/13/2005 TIME: 7:05AM PAGE: 20 SITE ADDRESS: 07357 SW BEVELAND RD CLASS OF WORK: SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE: PROJECT NAME: CLARK, OFFICE BUILDING DESCRIPTION: Electrical work for new office building. Job No. 6040 OWNER: CLARKE, TOM PHONE #: 503- 293 -1226 CONTRACTOR: JARMER ELECTRIC INC PHONE #: 246 -5381 Inspection Request Scheduled For: Date: 9113/2005 ' . Pour Time: Cod Inspection Description Confirm # Contact # Message 199 Electrical final 015513 -01 503 - 246.5381 Y Corrections/ omments /Instructions: I n C 5 V q (-\- ( i ii PR 14 � PA OVAL '�� , CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: kt�� 1 Date: 23 `C� Phone #: (503) 718 - ---7