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Permit CITY OF TIGARD ELECTRICAL PERMIT 111 ° PERMIT #: ELC2007 -00512 COMMUNITY DEVELOPMENT DATE ISSUED: 7/25/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 101 AD -02400 SITE ADDRESS: 12753 SW 68TH AVE 100 ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 032 JURISDICTION: TIG PROJECT: GEORGE FOX Project Description: Disconnecting and reconnecting VAV boxes & (2) RTU units and (1) low voltage system 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: SIGNAL/PANEL: 1 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: 12 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: WESTERN EVANGELICAL SEMINARY CAPITOL ELECTRIC CO INC PO BOX 23939 11401 NE MARX ST PORTLAND, OR 97281 PORTLAND, OR 97220 -1041 Phone: Contact #: PRI 503 - 255 -9488 FAX 503 - 257 -7121 FEES Description Date Amount Reg #: ELE 26 -496C [ELPRMT] ELC Permit 7/25/2007 $315.40 LIC 48748 [TAX] 8% State Surcharge 7/25/2007 $25.23 SUP 3132S Total $340.63 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 B • j4 / . _ 1 j// Permittee Signature: fa 8 (4176n 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. . . FOR OFFICE USE ONLY Permit Application Received Firr "� Date /B Q S(� Permit no.: ity bf "Tigard �� r - Plan Review '�.: f• Other Permit: I3I25 SW HALL BLVD., TIGARD, OR 97223 U 2 II DatelBy: �. ''' Phone: (503) 639 -4171 Fax (503) 598 -1960 CITY OF TIGARD Date Ready /By: Juris;'�f U See Page 2 for Inspection Line: 503- 639 -4175 CM' ;, JI._ If -iPAD Notified/Method: 1 1 Supplemental Information Internet: www.ci.tigard.or.us p pp ; enrr tyaea:T h TYPE OF WORK "44" 1-. t✓u v t '''' PLAN REVIEW U New construction U Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories CATEGORY OF CONSTRUCTION where the available fault current ❑ Marinas and boatyards U 1- and 2 family dwelling U Commercial /industrial U Accessory building exceeds 10,000 amps at 150 volts or Floating buildings ❑ Multi family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 Commercial -use agricultural JOB SITE INFORMATION AND LOCATION amps for all other installations. ❑ buildings Job no.: 271015 Job site address: 12753 SW 68TH STt /OD ❑Fire Pump ❑ Installation of 75 KVA or ❑ Emergency system larger separately derived system. City /StatelZlP: TIGARD, ORE ❑ Addition of new motor load of El "A", "E", "1-2", "1-3", 100HP or more. ❑ occupancy Suite/bldg. /apt. no.: Project name: GEORGE FOX ❑ Six or more residential units ❑ Recreational vehicle parks. ❑ Health -care facilities ❑ Supply voltage for more than Cross Street/Directions to job site: OFF HAINES RD ❑ Hazardous locations ❑ 600 volts nominal. ❑ Service or feeder 600 amps or more Subdivision: Lot no.: FEE SCHEDULE Description I Qty. I Fee. I Total I Tax map /parcel no.: New residential - single or multi - family dwelling unit. DESCRIPTION OF WORK Includes attached garage. DISCONNECTING AND RECONNECTION VAV BOXES & (2 ) RTU UNITS 1000 sq. ft. or less $ 145.15 4 Ea. Add'I 500 sq. ft or portion $ 33.40 I Li PROPERTY OWNER 1 ❑ TENANT Limited energy residential Name: (with above sq. ft.) S 75.00 2 Limited energy, multi - family Address: residential (with above sq. ft.) S 75.00 _ 2 Service or feeders installation, alteration, and /or relocation City /State/ZIP: 200 amps or less 2 $ 80.30 160.60 2 201 amps to 400 amps S 106.85 2 Phone: Fax: 401 amps to 600 amps $ 160.60 2 601 amps to 1000 amps $ 240.60 2 Owner installation: This installation is being made on property that 1 own which is not Over 1000 amps or volts _ $ 454.65 2 intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and/or Owner signature: Date: relocation 200 amps or Tess ' $ 66.85 ' 1 LI APPLICANT 1 Li CONTACT PERSON 201 amps to 400 amps $ 100.30 2 Business Name: 401 amps to 600 amps $ 133.75 _ 2 Branch circuits - new, alteration, or extension, per panel - A. Fee for branch circuits with Contact name: service or feeder fee, each Address: branch circuit 12 $ 6.65 79.80 2 B. Fee for branch circuits without service or feeder fee, City /State /ZIP: first branch circuit $ 46.85 2 Phone: Fax: Each additional branch circuit: $ 6.65 ` 2 Miscellaneous (service or feeder not included) E -mail: Each manufactured or modular CONTRACTOR dwelling, service and or feeder $ 90.90 2 Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 66.85 2 Pump or irrigation circle $ 53.40 2 Contact name: STEVE LAHUE Sign or outline lighting $ 53.40 2 Signal circuit(s) or limited - Address: 11401 NE MARX ST. energy panel, alterations, or extension. Describe: 2 City /State /ZIP: PORTLAND, OR 97220 -1041 I 75_ Each additional inspection over allowable in any of the above Phone: 503- 255 -9488 Fax: 503 - 257 -7121 Per inspection $ 62.50 Investigation per hour (1 hr min) $ 62.50 CCB Lic.: 48748 [Electrical Lic.: 26 -496C ISuprv. Lic.: 3132 -S Industrial plant per hour $ 73.75 Suprv. Electrician signature, required: zdA4AAAJ A i ELECTRICAL PERMIT FEES° 4/1(... Subtot ! $ 315.40 Print Name: DARRELL MCNEEL Date: 07/20/07 Plan review (25 %ofpermit fee) Authorized signature: TOTAL PERMIT surcharge ( 8% of permit fee) $ 25.23 TOTAL PERMIT FEE $ 340.63 Print Name: DARREL CN L Thls permit application expires If a permit Is not obtained within 180 days after it has been accepted as complete • Number of inspections per permit allowed. Iectrical Permit Application City of Tigard Page 2 - Supplemental Information L IMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systesm combined $ 75.00 Check Type of work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: [COMMERCIAL WORK.ONLY `. Fee for each commercial sytem $ 75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication installation ❑ Fire Alarm Installation II HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* El Protective Signaling ❑ Other Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations CITY OF TIGARD ' . BUILDING DIVISION PERMIT #: ELC2007-00512 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2512007 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 111 INSPECTION WORKSHEET FOR DATE: 10/8/2007 TIME: 7:00AM PAGE: 64 SITE ADDRESS: 12753 SW 68TH AVE 100 CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 032 TYPE OF USE: PROJECT NAME: GEORGE FOX DESCRIPTION: Disconnecting and reconnecting VAV boxes & (2) RTU units and (1) low voltage system for HVAC. OWNER: WESTERN EVANGELICAL SEMINARY, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 -255 -9188 Inspection Request Scheduled For: Date: 101$/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 109 Electrical final 057130 -01 971 - 506 -3076 N Corrections /Comments nations: a PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS • ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `T ► tl•Q L Date: 1 11101 Phone #: (503) 718- 14% CITY OF TIGARD - . BUILDING DIVISION PERMIT #: ELC2007 -00512 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/25/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/22/2007 TIME: 7:01AM PAGE: SITE ADDRESS: 12753 SW 68TH AVE 100 CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 032 TYPE OF USE: PROJECT NAME: GEORGE FOX DESCRIPTION: Disconnecting and reconnecting VAV boxes & (2) RTU units and (1) low voltage system for HVAC. OWNER: WESTERN EVANGELICAL SEMINARY, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255-9488 Inspection Request Scheduled For: Date: 8/2212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 054472 -01 971- 506 -3076 \ Y Corrections /Comments /Instructions: 2 t Ftrf0aa.. Ao4 C -crbOL 6 o (2.c^nwi jJ . ►��\. ® PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v Date: 1 Phone #: (503) 718 - +rR CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00512 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/25/2007 Phone: (503) 639 - 4171'°° lt�� Inspection Requests (24 Hrs.): (503) 639 -4175 '!!+� ^'; _.. INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:OOAM PAGE: 51 SITE ADDRESS: 12753 SW 68TH AVE 100 CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 032 TYPE OF USE: PROJECT NAME: GEORGE FOX DESCRIPTION: Disconnecting and reconnecting VAV boxes & (2) RTU units and (1) low voltage system for HVAC. OWNER: WESTERN EVANGELICAL SEMINARY, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.255 -948B Inspection Request Scheduled For: Date: 8/14/2007 Pour Time: Code # Inspection Description Confirm Contact # Message 130 Ceiling cover 053932 -02 971 - 506.3076 Y Corrections /Comments /Instructions: Rr CL.00l�l. i I\ ? ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 • N)81---G Date: 111 (T1 Phone #: (503) 718 - CITY OF TIGARD • • BUILDING DIVISION PERMIT #: ELC2007 -00612 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/25/2.007 Phone: (503) 639 -4171 4 Inspection Requests (24 Hrs.): (503) 639 -4175 1 'I �- INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:OOAM PAGE: 52 SITE ADDRESS: 12753 SW 68TH AVE 100 CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS • LOT #: 032 TYPE OF USE: PROJECT NAME: GEORGE FOX • DESCRIPTION: Disconnecting and reconnecting VAV boxes & (2) RTU units and (1) low voltage system for HVAC. OWNER: WESTERN EVANGELICAL SEMINARY, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 2559488 Inspection Request Scheduled For: 0a -: 8/14/2007 Pour Time: Code # Inspection Description Confirm Contact # Message 105 Underground/slab cover 053932 -01 971-506-3076 Y Corrections /Comments /Instructions: AOY\ 4U PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cyr N v8 L Date: o f 441 0 7 Phone #: (503) 718- 1,411t CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELC2007 -00512 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/25/2007 Phone: (503) 639 -4171 gf�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/6/2007 TIME: 7:04AM PAGE: 51 SITE ADDRESS: 12753 SW 68TH AVE 100 CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 032 TYPE OF USE: PROJECT NAME: GEORGE FOX DESCRIPTION: Disconnecting and reconnecting VAV boxes & (2) RTU units and (1) low voltage system for HVAC. OWNER: WESTERN EVANGELICAL SEMINARY, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.255.9488 Inspection Request Scheduled For: Date: 8/6/2007 Pour Time: Code # Inspection Description # Contact # . Message 130 Ceiling cover 053448 -01 971 -506 -3076 \ Y Corrections/Comments/Instructions: LE' C-+..Q 6a.. - N occ`PP "Pass tea. CoaQ. (1114C--- 1 4,r) 1461x : VN uS n D mg. writ q N ceiG 1 of R cso r 1 5 YA k)i 1 itc Ana La N ✓ s NAP . 4�N3 ` � O No b ,f `fl 6 41111414- 1.4) &D 9 ys`1E •. 15F N W' CPS LW 01041) iS N 0-r P itovaQ k-bk. 6E LiNi)(6 i\L6t! `' yr N Yh CA61.E iLo ) I 5 N vl t2 ci , t i N E b U CAV I t3 1 0-- pcc, ve N3 ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C.,'"+ I Ce L Date: '' V .0 1 Phone #: (503) 718 - 10114 r. CITY OF TIGARD •t - BUILDING DIVISION r PERMIT #: ELC2007-00512 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 7/2512007 Phone: (503) 639 -4171 Attilpipt II Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/1/2007 TIME: 7:03AM PAGE: 33 SITE ADDRESS: 12753 SW 68TH AVE 100 CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 032 TYPE OF USE: PROJECT NAME: GEORGE FOX DESCRIPTION: Disconnecting and reconnecting VAV boxes & (2) RTU units and (1) low voltage system for HVAC. OWNER: WESTERN EVANGELICAL SEMINARY, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.255 -9488 Inspection Request Scheduled For: Date: 8/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 053182 -01 971 - 506.3076 N Corrections /Comments/ Instructions: SO 0114 144L 1 . 42 6. ( SCAV1 Cas1M- 2d1- wt.. r E L�?'1 t r C!(t _ Roo N` : 2N P attest. t4 all • ❑ PASS *PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t" o L-IC Date: I( 11 01 Phone #: (503) 718- 11.11.k