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Permit •; CITY OF TIGARD ELECTRICAL PERMIT ° 1/ PERMIT # ELC2007 -00011 COMMUNITY DEVELOPMENT DATE ISSUED 4/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S136DD -03400 SITE ADDRESS: 11740 SW 68TH PKWY 100 ZONING: MUE SUBDIVISION: TIGARD TRIANGE COMMONS LOT : 008 JURISDICTION: TIG Project Description: OMA - Electrical TI Job No. A26101 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: 56 PER INSPECTION: 201 - 400 amp: 1 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 NW PROPERTIES CURRENT ELECTRIC PO BOX 2206 PO BOX 19652 BEAVERTON, OR 97075 PORTLAND, OR 97280 Phone: 503 - 626 -3500 Contact #: PRI 503 - 245 -5997 FAX 503 - 245 -2919 FEES Description Date Amount Reg #: ELE 26-471C [ELPRMT] ELC Permit 1/4/2007 $572.85 LIC 46994 [TAX] 8% State Surcharge 1/4/2007 $45.83 SUP 5232S Total $618.68 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 suspend than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Tho rules are set fo in 0 - 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 50 .246.6699 or 1.800.33Y. • . Is ued By: , /i /i � �;, Permittee Signature:' 0 ' — o p- 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 %_.' . /i DATE: l y77 LICENSE NO: / 3, Call 503.. ' .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. • Electrical Permit Application : . oR oFI Icl (1ST ONLY h F... _ - r City of Tigard • Rec F ' . q „ 7.060// Date /B : LT/ Permit No.: ! l.�{J 14 a 13125 SW Hall Blvd., Tigard. OR 97223 Plan Review • Phone: 503.639.4171 Fax: 503.598.1960 Date.B ; Other j �Permmtt: Page .l 1 G A it D . Inspection Line: 503.639.4175 Date Ready /By: III/// Ei See 2 for . Internet: www.tigard - or.gov Notified /Method: • Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 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. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings. . less to ground. or exceeds 14.000 ❑ Commercial -use agricultural ❑ I - and 2 family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A' "F" "I - �" "I - t" Job no.: A26101 Job site address: 11740 sw 68' Parkway: IOOHP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: 100 Project name: Tigard Triangle: OMA TI ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. 1 Total J • New residential single - or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. II. or portion 33.40 I Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi- family 75.00 2 residential (with above sq. II.) Add circuits /panel for Tenent Improvement 1 Services or feeders installation, alteration, and /or relocation 200 amps or less I 80.30 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 1 106.85 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 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 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: . A. Fee for branch circuits with ❑ APPLICANT . ❑ CONTACT PERSON above service or feeder fee. 56 6.65 385.70 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee. 46.85 2 first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 • CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited- Business name: Current Electrical Construction Company energy panel, alteration, or Address: PO Box 19652 extension. Describe: Page 2 2 City /State /ZIP: Portland, OR 97280 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 245 - 5997 Fax: (503) 245 - 2919 Investigation per hour (1 hr min) 62.50 • CCB Lic.: 46994 Electrical Lic.: 26 -471 Su. • -ic.: 5232S industrial plant per hour 73.75 ELECTRICAL PERMIT FEES • Suprv. Electrician signature, required: Subtotal: 572.85 Print name: Jason Jacobuc i A'Date: 1/3/07 Plan review (25 %ofpennit fee): State surcharge (8% ofpennit fee): 45.83 Authorized signatu TOTAL PERMIT FEE: 618.68 • This permit application expires if a permit is not obtained within 180 Print name: Kic, an O'Brien Date: 1/3/07 days after it has been accepted as complete. * Number of inspections allowed per permit. • CITY OF TIGARD BUILDING DIVISION I PERMIT #: ELC2007-00011 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007 Phone: (503) 639 -4171 ,,y1 O Inspection Requests (24 Hrs.): (503) 639 -4175 A- p-_.. INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7:OOAM PAGE: 26 SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: OMA DESCRIPTION: OMA - Electrical TI Job No. A26101 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500 CONTRACTOR: CURRENT ELECTRIC PHONE #: 503 - 246 Inspection Request Scheduled For: Date: 3/22/2007 Pour Time: Code # Inspection Description "Confirm # Contact # Message 199 Electrical final 045245 -04 503 - 245 -5997 N Corrections /Comments /Instructions: 3nvok't. rrAil rqL s Ito i■' sY2 .i- .J • ______________ \ -----\ ■ X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • M6kl Date: 3(' -2401 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 0001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007 Phone: (503) 639 -4171 44a ii � l Inspection Requests (24 Hrs.): (503) 639 -4175 `:_ � INSPECTION WORKSHEET FOR DATE: 3/2112007 TIME: 7:02AM PAGE: 38 SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: OMA DESCRIPTION: OMA - Electrical TI Job No. A26101 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503.62&3500 CONTRACTOR: CURRENT ELECTRIC PHONE #: 503 - 2455997 Inspection Request Scheduled For: Date: 3/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 045156 -02 503750 -7156 N rections /Comments /Instructions: . Do l V� bi(\I Ll. � P'vUA ai tJ E3 Pe6 6or. t. LL_ 3 C, C Q t,lo k aLs ww 5 f _r 03,:ux LJ . b wC v6A48\i AVb r�Lc csa� Po 61-a ❑ PASS 14 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ® CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G - . N ()ae Date: 3( 1-1/1 b1 Phone #: (503) 718 - 1-44 CITY OF TIGARD /� / BUILDING DIVISION PERMIT #:� OC 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 "400 I1/ , Inspection Requests (24 Hrs.): (503) 639 -4175 ":_.. INSPECTION WORKSHEET FOR DATE: ' ��" / /ID / TIME: PAGE: SITE ADDRESS: / /7 t4 ���" ' ���G �' CLASS OF WORK: SUBDIVISION: _v LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: i-� g--1 040 OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections/Comments/Instructions: y © 1 S iNs iek azsv f4`- MO? _-- IN) (l...)b.■ et] \1k Vzest&- Vct-Ogt e, ke,vIT bicrea41 N f1/40- S , Gj _i'IN w► _ c i ��Nuc 1 ► o P `� ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS y j FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: tg Date: 3i (41 on Phone #: (503) 718- 1-44kY CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00011 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 W "LL. INSPECTION WORKSHEET FOR DATE: 2/21/2007 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK: SUBDIVISION: TI GARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: OMA DESCRIPTION: OMA - Electrical TI Job No. A26101 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 -626 -3500 CONTRACTOR: CURRENT ELECTRIC PHONE #: 503-245 -5997 Inspection Request Scheduled For: Date: 2/21/2007 Pour Time: Code # Inspection Description Con • • # Contact # Message 195 Misc. inspection 043655 -01 503245.5997 N Corrections/Comments/Instructions: V(io .)IOC ALL (Niviita4) TRi M s`PA� bliv ►I C( S Q NjilV 1� ❑ PASS '4 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: r Z' 21 01 Phone #: (503) 718 - . 08 14 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00011 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007 Phone: (503) 639 -4171 / ,welnp Inspection Requests (24 Hrs.): (503) 639 -4175 ;, INSPECTION WORKSHEET FOR DATE: 2/12/2007 TIME: 7:05AM PAGE: 46 SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: OMA DESCRIPTION: OMA - Electrical TI Job No. A26101 OWNER: PACIFIC NW PROPERTIES, PHONE #: 5 G263500 . CONTRACTOR: CURRENT ELECTRIC PHONE #: 503-245-5997 Inspection Request Scheduled For: Date: 2/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 043240-01 503750 -7154 N Corrections /Comments/ Instructions: ),?(.( J (AL, F-0 a, . L10 \I bC`f iv w►a_.N 1 0 ba,op zg l i Ar - s e ,,_ U 0 6 I P`i I) 1ST ka-- \--ow V 611 t i i v i k , P o , 7 cs CD • A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Gi V (,' Date: Z'IL 0'7 Phone #: (503) 718- �'f CITY OF TIGARD BUILDING DIVISION ,:t PERMIT #: ELC2007 -00011 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007 Phone: (503) 639 -4171 ,, Inspection Requests (24 Hrs.): (503) 639 -4175 . `__.. INSPECTION WORKSHEET FOR ° DATE: 2/9/2007 TIME: 7 :Q4AM PAGE: 48 SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: DMA DESCRIPTION: DMA - Electrical TI Job No. A26101 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626 -3500 CONTRACTOR: CURRENT ELECTRIC PHONE #: 503.245 - 5997 Inspection Request Scheduled For: Date: 2/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 043186 -02 503 - 750.715E N Corrections /Comments/ Instructions: tip DT R€A'[. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS XFAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G NX% k_-.1 Date: Z 41 1 Phone #: (503) 718- 1'4 CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELC2007-00011 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007 Phone: (503) 639 -4171 ./y Inspection Requests (24 Hrs.): (503) 639 -4175 s� "'i I .. INSPECTION WORKSHEET FOR DATE: 2/5/2007 TIME: 7:05AM PAGE: 33 SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: OMA DESCRIPTION: OMA - Electrical TI Job No. A26101 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500 CONTRACTOR: CURRENT ELECTRIC PHONE #: 503.245 -5937 Inspection Request Scheduled For: Date: 2/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 042946 -01 503 - 245.5997 N Corrections /Comments /Instructions: • SO a A k W'`( c 1 Lj 6. -, ❑ PASS $ j PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: & 0 6P) Date: Z " ;Z 07 Phone #: (503) 718- L 'ib' CITY OF TIGARD BUILDING DIVISION PERMIT #: E•L(2 •C001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 1nr10, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: • b� - �� TIME: PAGE: SITE ADDRESS: 1\1 b.1 PKyk)y ' (o6 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 1- �� X0' Pour Time: Code # Inspection Description Confirm # Contact # Message 12E4 vs. Corrections /Comments /Instructions: . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: c'f . 0 6e LE Date: 1 Phone #: (503) 718-