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Permit CITY OF TIGARD ELECTRICAL PERMIT lk PERMIT #: ELC2008 -00677 COMMUNITY DEVELOPMENT DATE ISSUED: 12/16/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102AA - 00600 SITE ADDRESS: 11940 SW PACIFIC HWY A ZONING: CBD SUBDIVISION: TIGARD HIGHWAY TRACTS LOT : 012 JURISDICTION: TIG PROJECT: PACIFIC PLAZA Project Description: (2) branch circuits for HVAC. RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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 W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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: ALPROP CO ABC ELECTRIC 6149 SW SHATTUCK RD 135 NE 9TH AVE PORTLAND, OR 97221 PORTLAND, OR 97232 Phone: Contact #: PRI 503 - 233 -7551 FAX 503 - 233 -7552 FEES Description Date Amount Reg #: ELE 161501 [ELPRMT] ELC Permit 12/16/2001 $53.50 LIC 26 -1226C [TAX] 12% State Surchar 12/16/2001 $6.42 SUP 5096S Total $59.92 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. V 4111110 Issued By: j�� • ��... Permittee Signature: � � � 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. t'" j e. CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT PERMIT ELC2008 oos77 DATE ISSUED: 12/16/2008 TIGAK 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AA - 00600 SITE ADDRESS: 11940 SW PACIFIC HWY A ZONING: CBD SUBDIVISION: TIGARD HIGHWAY TRACTS LOT : 012 JURISDICTION: TI . PROJECT: PACIFIC PLAZA . Project Description: (2) branch circuits for HVAC. • 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: • SIGNALJPANEL: 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: 1 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: ALPROP CO ABC ELECTRIC 6149 SW SHATTUCK RD 135 NE 9TH AVE PORTLAND, OR 97221 PORTLAND, OR 97232 Phone: Contact #: PRI 503 - 233 - 7551 FAX 503 - 233 -7552 FEES Description Date Amount Reg #: ELE 161501 . [ELPRMT] ELC Permit 12/16/2007 $53.50 LIC 26 -1226C [TAX] 12% State Surchar 12/16/2007 $6.42 SUP 5096S Total $59.92 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: i / ,� ����i -- - Permittee Signature: _< G e j,7 - �1 '. '� OWNER INSTALLATION ONLY The installation is being made on property 1 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. • Il . EC -16 -2008 11:53A FROM: O TO:81P5035981960 P.1 Electrical Permit Application <� . 1'ult uh 1' l( I, ur: ()NIA City of Tigard ,�' �� t . �;�. 7 • 13125 SW Hall Blvd., Tigard, OR ! L :r Other Permit: �7 . Review � ' 4 w Phone: 503.639.4171 Fax: 503.59.960 � � � pate/B ; T I c. A It I) Inspection Line: 503.639.4175 0 ^� Data R eady /By. % See Page 2 for Internet www.tigard-or.gov ` r �� ' Notified/Method: Supplementallaformadon r �, < :.r" 'I . u a- � { �1'� ',11 � c9" - � "1"'t- ''�3'r•.... .�rw� IG { ti r ;: . .. �7,:, iir p^..•; ,>,f: "r�:�� �1� is {:�,.•_ •T;?r`d {1,1. �,(''I• „�tif.t :?� +.:t, ,. j, '=i' °:' 4 .. ate. 4,, �E u p ..i;c . Iy� V 'f' 4,, 3 _.4.;,Twil�' 7:.. 7 A ; {' 04. fMP , S ,vn l•t� :;'� R ��'% c",,::'i , : x. ", -- !. '•Y i��Ih�O �va :d� .. �g�1 �6'.�i �r�, 1 I;�'.I �. , I. L ,>:I.�;.;,rv.: 1.�.�_4 V � � 4 : i:ai . . 4' , F +.+ti.� ...afi''t- '��3t��•;r <: .�� �iz... $� - i.. i._k.: *T ✓r�'= Y'.!:.� %r'',.,� �.- .;.:e„j:.�, �,I.;�f�«';.�.,��......_ �. ,>, r._,.s i ❑ New construction Addition/alteration/rep a ant Please check all that apply (submit1 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other. where the available fault current ❑ Marinas and boatyards. I �••• ; RIM i " e r �; ^ vol or Floating buildings. r °;' --, `iQ; .`f• c O9�'fJ I i o d :i :0,74,, Ali exceeds 10,000 amps at 150 to B J ,ri E . ! K . IE'[G],fi �4 °� .. ,min ,'. >: . • • i. i !9etlh•. . s @ : '- - lase to ground, or exceeds 14,000 ❑ Commercial-use agricultural ❑ 1- and 2- family dwelling 13,Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ y Master der ❑ Other. F.m nc s tern sys em. Muth - family �� er� � F ❑ Installation c _. , ,.. : H . n `,.,. ... � .. M I . , . -: ,.•-_ , ..:r.r, {;� � y Ys aepara vea u or ❑ rely de ( x� tr .•� . 'i e : :,': :D Y o l . a 4 �a .� . , _ p � x , , 4 ! .. '� f - � . '•�!>,. ` � o - �lU �.. ' • � ; _ 5 ; . ; , { } , • ❑ Addition of new motor loot of ❑ "A" "{E", "1.2' "1 -3" - I OOHP or more. occupancy. Job no.: f ,. i ,� Job site address: .• • / ❑ Six or more residential unite. ❑Recreational vehicle parks. City/State/ZIP: f ❑ Health -care facilities. ❑ Supply voltage for more than ■ ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service o r f e eder 600 amps or mots " - , _ ; . t e r r; t �- { z; } • Cross street directions to J o. site: Description qty. Pea Total • New residential single - or multi - family dwelling unit. 1� • 'y • ` Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion _ 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 r;, I,-,rt y; y-�� +�•., �;:� t ti'!E' i �•� 3 '^ ., 'i p - 4 • K."t."' •-6.#Z: (with above s IL :5ur ..: � 1 'rgrAti.b' iN4++ 6 .W. ` S s'a,�, yuJ r vZ. j+�" r.: t., ( 9• ) Limited energy, multi- family 75.00 2 Alr •: . . / . 1 ! residential (with above sq. R.) / / Services or feeders Installadon,,alteratlon, ant or or relocation _ s� 200 amps or less 80. r.�- r •- (',•p•- 1 °R' i ''' 't f S!+ 1 1 i `'k'1','' 201 amps to 401) amps 106. 2 /J / 401 amps to 600 amps 160.6 2 . 601 amps to I ,000 amps 240.60 2 Address: 1 Over 1,000 amps or volts 454 2 Temporary services or feeders Installation, alteration, and/or City/State/ZIP: relocation . Phone: ( ) 5 - f // ax: ( F ) 200 amps or Irss 66.85 I 1 201 amps to 400 amps 100.30 2 Owner Installation: This installation is being made on property that I own which is not 401 amps to 599 amps 133.75 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits- new, alteraton, or ex tension, r panel Owner signature: Date: A. Fee for branch circuits with I �. ;, • �- - ”- t - a 1" . 3 t iz. o ' � j r o =' is J a N �' { ,. , =3 above service or feeder fee, V 6.65 2 c Cg42 F ZU'i � r 1 : _ f 4 S U 4 1 --jk. '° each branch circuit Business name: / it B. Fee for branch circuits - without service or feeder fee, ' 46.85 G, g� 2 Contact name: i i , , • ,, �L first branch circuit Each add'I branch circuit / 6.65 ( 0 g 2 Address: I' I . Miscellaneous (service or feeder not Included) City/State/ZiP gurir0E-Tiiinmiterjr1111111EMNI. Each manufactured or modular 90.90 2 _ dwelling, service and/or feeder Phone: ( i .9 . I r i _ Reconnect only 66.85 2 Pump or irrigation circle 53.40 2 E 53.40 2 (} �•, � >I: � / � ,, {, .i �+ 4 , t7I rr ; r. Sign or outline light 1..--.14: � .,1 r .,L ` .1,. .: :.> l(i1 4 - -,- ( > . ?.' }. 4_, -c _.1 '.t 1.t.: 9: ; } c....d- .} i ,,. �.� . Signal circuit(s)or limited- I�'� / energy panel, alteration, or • extension Descnbe Page 2 2 Address: 1.I . ...La. - ^� / 1 Each additional Inspection over allowable In an of the above J City/State/ZIP: / / • r Per inspection 62.50 Phone:�� r �/ _ investigation per hour (I hr min) 62.50 IIEEEMr L..rLO' � Industrial plant p h 73.75 Suprv. Lic , -�( rs p - at r�a•.r`� .. � a r `'i "� t'(s� s � Subtotal: . ) Suprv. Electrician signature, required: `� �� e Plan review (25% of permit fee): Date: /„ State surcharge (12% of permit fee): [a . .4111b _ TOTAL PERMIT FEE: _5 ) , i A Authorized signature: � f This permit application expires if a permit ( n ot obtained with n in '' Date: days after It has been accepted as comp L• . J a ' ■ • Number of inspections allowed per permit. ,..,.. :,.,...,{o�.>,kan PermhAOO.doc 05/23/06 440 - 45157(1 /05 /COM/WE13 INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: Fjc)x j 77 REQUIRED ON GREEN INSPECTION CARD. Code I Inspection Description I PASS Date I By ./ Code 1 Inspection Description I PASS Date By 1 BUP - Building Permit ELC - Electrical Permit 405 • Excavation 105 Underground /slab cover 410 Fill .110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150. Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors _ 199 Electrical final 240 Exterior sheathing • 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up . MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: . 205 Footing 399 Plumbing final • 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection 1: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07