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Permit CITV O TIGARD A.N. DEVELOPMENT SERVICES ELECTRICAL PERMIT PERMIT #: ELC2000 -00079 SSUED: 02/25/2000 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 25101 DA -00102 SITE ADDRESS: 13221 SW 68TH PKWY 500 SUBDIVISION: CORPORATE PARK ZONING: MUE BLOCK: LOT : 002 JURISDICTION: TIG Project Description: Install 1 branch circuit. 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 W/O SRVC OR FDR: 1 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: SCHNITZER INVESTMENT CORP PHOENIX ELECTRIC CO PO BOX 10047 7379 SW TECH CENTER DR. PORTLAND, OR 97296 TIGARD, OR 97223 Phone: Phone: 684 -3600 Reg #: LIC 00052288 SUP 4140S ELE 34 -247C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT KJP 02/25/200C $37.50 00- 321848 Elect'I Final 5PCT KJP 02/25/200C $3.00 00- 321848 Total $40.50 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. 7e pp1 PERMITTEE'S SIGNATURE ISSUED BY: 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: e DATE: 3 , c6 . 0d LICENSE NO: 17//c40.5 Call 639 -4175 by 7:OOpm for an inspection the next business day 4 -0.0 THU 10:31 AM PHOENIX ELECTRIC CO FAX NO. 15036843611 P. 02 • CITY OF TIGARD Electrical Permit Application Plan Check # 1 SW HALL, BLVD. Recd By TIGARD OR 97223 Date Recd Phone (503) 639 -4171, x304 Date to P.E. _ Date to DST Inspection (503) 639 -4175 Print of Type Permit #C - . Qqo - ch cs Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called 1. Job Address: 1 j�,, 4. Complete Fee Schedule Below: Na eve �' lo/Sment' AV b 1 CA' ~ 1 ` \Nr1(1�y Number of Inspections per permit allowed Name (or name of business) Service included: Items Cost Sum Addre `•S nt. �- 4a. Residential . per unit City/State/ii S \ X ,'L. � 1000 sq. ft. or less _ S 117.75 4 er�{ C t Each additional 500 eq, ft. or Commercial,l'_J� J Residential ❑ portion thereof $ 60 1 ll limited Energy S 60,00 \ C E d (-;41c-; St. '4Y. Each Manufd Home or Modular 2a. Contractor ins allatio only: Dwelling Service or Feeder _ s 72.75 2 (Prior to pormit issuance, applicants must provide contractor license 4b. Services or Feeders Information for CO1'� Installation, alteration, or relocation base). ,� Electrical Contract ,-= f�� -�`� �. 200 amps or less _ s 64.25 2 Address ':1d -- ! <. (.e. `r. Co i„ � I� 201 amps to 400 amps 5 85.50 2 . 401 am l0 600 amps $ 126.50 2 Ci ty���,� ∎r State C`( Zi 7a 2 p 601 amps to 1000 amps S 192.50 Phone K� � . � ?S • - 0(1 _ Over 1000 amps or volts S 3G3,75 2 Job No. " - .--. r , Reconnect only - 5 53.50 2 Elec. Cont. Lice. No. al! - �� 12 -- Exp.Date rAcI t Ir0 dc. Temporary Services or Feeders OR State CCB Reg. No. -.• -�- - r Exp.Date DD.t_'` Lin( Installation. alteration, or relocation COT Business Tax or Metro Norliffl, Exp.Date 200 amps of less S 53.50 2 201 amps to 400 amps S 80.25 2 Signature of Supr. Elec'n . 401 amps to 600 amps _ 5 107.00 2 Over 600 amps to 1000 volts. see "b" above. License No. Z.f /o) Exp.Date �� D I anD) Phone No. (P.R " ( .Q ) 4d. Branch Circuits New, alteration or extension per panel • a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owners Name Each branch circuit s 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip orfeederfec. Phone No. First branch circuit 1 s 37.50 SI-) Each additional branch Circuit $ 5.35 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent (Service or feeder not Included) Each pump or Irrigation circle 5 42.75 Owner's Signature Each sign or outline lighting • $ 42.75 - Signal circuil(s) or a limited energy * panel; alteration or extension • 5 00.00 3. Plan Review section (if required); Minor labels (10) 5 107.00 Please check appropriate item and enter fee in section Se. 4f. Each additional inspection over 4 or more residential units in one structure the allowable In any of tho above Service and feeder 225 amps or more Per Inspection S 50.00 Per hour $ 50.00 System over 600 volts nominal In Pint S 59.00 - Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: n 5a. Enter total of above fees $ v * Submit 2 sets of plans with application where any of the above apply. 5% Surcharge (.05 X total fees) $ Not required for temporary construction services. Subtotal $ IS . 1) Sb. Enter 25% of line Sa for ' NOTICE • Plan Review if required (Sec. 3) $ _ / ^ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal 5 // IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ;a1. Trust Account # 43c �� � - AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due 1: \fists \forms \dcciric.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 3 "?..,3Z o — O AM PM BLD Location /32-7-4 6-f Suite ,:270 MEC Contact Person Ph 6 ,f-36 o PLM Contractor 9 Phh SWR (J BUILDING Tenant/Owner flJ '(J ©/ / ? D cit/fx ELC ai O't` 7q Retaining Wall ELR Footing Access: Foundation 7"7 7 /fz J FPS Ftg Drain ` SGN Crawl Drain Inspectio Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing f /' Insulation AZ/ CL Q 1 cote_ 3 v /9 Drywall Nailing L�"C Firewall Fire Sprinkler • Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final S FAIL EL'ECTR Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: r Unable to inspect - no access ADA Approach /Sidewalk Date 3 - 2/ Oo Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.