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Permit dh, CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT PERMIT #: ELC2006 -00146 7 �� DATE ISSUED: 2/22/2006 '' =- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 102AB -01200 SITE ADDRESS: 09305 SW COMMERCIAL ST 2 ZONING: R -25 SUBDIVISION: VIKING APARTMENTS LOT : 064 JURISDICTION: TIG Project Description: Electrical reconnect. 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 WIO 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BRIAN COLLING OWNER 13835 SW HALL BLVD TIGARD, OR 97223 Phone: 503 - 705 -2295 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 2/22/2006 $66.85 [TAX] 8% State Surcharge 2/22/2006 $5.35 Total $72.20 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: - j r4 ` Permittee Signature: S P 51),,c, 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. 2006 02/22 09:42 TEL 5036203194 12002 A ... I t t, Ell trek �.' 4;rii �- - f sS1' i T.PK.E P. -r 'iT4: " s l '�2� ':f. �-� 4 ' I f F1Ne r Electrical Permit A'f't f' .ti . � r M f} `':" I I III I )I "t I (c I (I\ I --- l . - ° City of Tigard Received _�A PmmuNn. 4..:. A /4/6 0'125 SW Hall Blvd_. Tigard. OR 97223 C 2 2006 1 g rv i cw Phone: 503,639A171 Fax: 503.598.1960 l C U' , 'i it inspection Line: 503.639.4175 1u _L. 1 _I I�ate/By B 121 See 2 for Internet: www.ci,dgard.or -us ! ) k+ r InlormzLUa r 'VI ' 4 "� Please check a that ❑Ncwwtnstrnction �� •r � tdtahatiaah/rtplaeenteru apply: ; • ❑ Demolition E I OSavicc over 225 amps, c mm'l OHarardous location Service over 320 amps - rating ©l3uildmg over 10,000 sq. R., CATEGORY OF CONSTRUC!'ION I of 1- and 2- family dwellings ; 4 or more new residential ❑ 1- and 2- family dwelling ❑ Coml ere ndustrial 0 Accessory building ❑S over 600 volts nceoinal , units in one structure 1 ( Mufti- family ❑ Master builder ❑Outer OHwlding over dame stories OFeedess. 400 amps or Mae 12 ❑ooatpaoe load over 99 parsons QMmtufad d s�thcu�s or JOB SITE INPOR41ATION AND LOCATION I, ElEittessirloghtin8 ithin , RV park Job no.: I Job site : yh ' Ofi faany" O addre�s ? n a 5441 Lo her V✓n G✓ 4 f r..- I Submit 2 sets of plans with any of the above. City /State/ZIP: / � p_� 2 , 4) 74-2 Z d 3 The above we not applicable to temporary construction service_ Suite/bldgJapt. no.: j 2- [project name: .. FEE!' SCHEDULE 1 'foul 1 .. � Cross strect/direztions to job sift: 5h e d - d , - I New residential single- or wziti -fmity' dwelling unit �' ' A l j Imindes attached garage. i i. � 1....t1 F �1i_� I y ✓ 1,000 sq. R or less • . ' 145.15 l 4 1 Ea. add'i 500 sq. 8. or portion 33.40 1 Subdivision: i Limited energy, residential ' 75.00 2 Tax map/parcel no.: 1 I I Limited energy, nun - residential 75.00 2 DFSCR1ITTON IOP WORK Bich mantffacrured or modular - / I dwelling, service and/or feeder 90.90 , 2 R C r GO n rt e erT . d iJ t'V ' Servte m or feeders installation, alts ratiion, and/or relocatio I 200 amps or less ; T 8030 t J 2 201 amps to 400 amps 106.85 2 fir PROPERTY OWNER 1 11 O TAT I 401 amps to 600 amps 160.60 2 Name: D r i ' Ce /A rt C I _ I 601 amps to 1,000 amps i 240.60 2 J i Over 1,000 amps or volts ' 454.65 2 Address: /} ij 35 Se» ,jaw ht Prez Reconnect only 1 1 66.85 6 SS ( 2 7 e City/State/ZIP: f u /� 1 ' 2-3 I Temporary serviees or feeders instxlatiaa, alteration. and/or relocation Phone: (gam 3 ) 7 -- 22 - l ? S - 1 1 Fax: (6 - Y i r? I 200 rmps or less 66.85 1 Owner installation: This installation isl being made on property that 1 own which is 1Wt 201 amps to 400 amps 1 00.30 2 intended for sale, Iea , or exchsnr, according to ORS 447, 449, 670. and 701_ 401 aiupS to 600 amps ; 133.75 2 Owner signature: / ( _ Date: z�a/ G Branch circuits new, alteration, ,' d , or extension, Per panel �APPLUCANT I � aCONTACI PERSON 1 • A_Fee for branch circuits with saviors or feeder fee, `ao h 6.65 2 Business name: A ie„4 /�) I brzach &mn B. Fee for branch circuits Contact name: g ,a C /a',,, t wilhorrr service or feeder' fee. 46.85 2 first branch circuit Address: I; °� �6 l /i.• 6 .65 � 5 . ,J � mot 1 sacL add't branch circuit 2 - City /State/ZIP: / , Q le 7,22-..? I 11T.ocrltaneena (service or feeder not included) pump or irrigation circle 53.40 2 Phone: ( i , 3 ) I c -) 2 S y I (I Fax:: ( s i )3 ) 2.,i ` 3/ 9S signor outline lighting 53.40 2 E -mail: b Ca //1-. - 0- Ge ie4-r/ = z. 1 signal circuit(s) or limited- CONIRACI OR 1 energy panel, alteration, or i eacunsion. Describe: 1 Page 2 2 Business name: ' La Additional Inspection over allowable In any of the above Address: I Bads er per inspection 62.50 City/State/ZEP: I I Investigation per hour (1 Image) 62-50 o Indus rill plant parker : 73.75 , Phone! ( ) Fax: ( ) _ I ELECTRICAL PERMI ' FEES" CCB Lie.: j Electrical Lic_: I Suprv. Lic.: I Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) fj State surcharge (8% of permit fee) r/ i s Print name: Date: - _ ' - TOTAL PERMIT FEE -,. - Authorized signature: This ptsrm[t &potation motes if* pmt is act obtained whine 180 days after it hid been areemed as enmplere Print name: I Date: • Fee mcdrodotogy sec by Tri.C.oumly Badding Industry Service Board i _ .•14.-.-1....... _I Z..........:....- ...-- :..--t. - 11: -.�.. CITY OF TIGARD BUILDING DIVISION PERMIT #: la cf }4: }3 t 0 1rft 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2p2.200ri Phone: (503) 639 -4171 11 ' ' ��, r��° � +� Inspection Requests (24 Hrs.): (503) 639 -4175 �' "f � ..; INSPECTION WORKSHEET FOR DATE: 3/27/7006 TIME: 7 :0 rty PAGE: 105 SITE ADDRESS: 4j93W. SW N c".OMMERCIAI ST 2 CLASS OF WORK: SUBDIVISION: "dII,1NG I:'A2Ti1C_l\l - LOT #: 061 TYPE OF USE: PROJECT NAME: VIKING APARTMENT DESCRIPTION: Eiedric:al reconnect. OWNER: COLi 13P1AN PHONE #: 603, CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: Pour Time: 2/27/20M i1t')4:a Code # Inspection Description Confirm # Contact # Message De ctric al vice t) laif s tr . 64)3-706.22::6 N Corrections /Comments /Instructions: • \ • ( 4 X11 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G1 N66 LE Date: 2 v Phone #: (503) 718- 2-44L