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Permit 44: CITY OF T PERMIT PERMIT #: ELC2000 -00029 ft, � DEVELOPMENT SERVICES DATE ISSUED: 01/20/2000 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S101AA -TTOOC SITE ADDRESS: 12447 SW 69TH AVE SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE BLOCK: LOT : OOC JURISDICTION: TIG Project Description: Installation of a signal circuit or limited energy panel. 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: SIGNALIPANEL: 1 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: 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: TIGARD CORPORATE CENTER LP STONER ELECTRIC 15400 SW MILLIKAN WAY 2701 SE 14TH BEAVERTON, OR 97 PORTLAND, OR 97202 Phone: Phone: 233 -3631 Reg #: LIC 00044823 SUP 4025S ELE 26 -122C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT GEO 01/20/200C $60.00 00- 321269 Elect'l Final • 5PCT GEO 01/20/200C $4.80 00- 32126 CRIGINAL Total $64.80 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. PERMITTEE'S SIGNATURE ISSUED BY: Ar • 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: 3 L/94 Call 639 -4175 by 7:OOpm for an inspection the next business day v. TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec'd RECEIVES Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print of Type JAN 1 8 2000 Permit #EGC°7000 -0a,Pf Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called COMMUNITY DEVELOPMENT 1. Job Address: 4. Complete Fee Schedule Below: /� Number of Inspections per permit allowed Name of Developmen ��.f D f�cz. e,�? �v -- A' Name (or name of business) Service included: Items Cost Sum Address &-A C /2447 . 69 4a. Residential - per unit Ci /State /Zi r! 4.‹ 97Z 1000 sq. ft. or less $ 117.75 4 ty ' P Each additional 500 sq. ft. or portion thereof $ 26.25 1 Commercial g Residential ❑ Limited Energy $ 60.00 Each Manned Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). Installation, alteration, or relocation Electrical Contractor .5;a c.4 .. - e_. 200 amps or less $ 64.25 2 Addres 270/ ./4417 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City State 6 Zip 9721:YL 601 amps to 1000 amps $ 192.50 2 Phone No,.. 3..3r 03 i Over 1000 amps or volts $ 363.75 2 Job No. /516 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 2& Exp.Date ia�ot , ov 4c. Temporary Services or Feeders OR State CCB Reg. No.44e2:- Exp.Date.. zo oo Installation, alteration, or relocation COT Business Tax or Metro FILL /6 Ex Dateca62r�t7 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts, see "b" above. License No. .3 Exp.Date /// A/ 4d. Branch Circuits Phone No. Z33 3( 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 $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit $ 37.50 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 $ 42.75 Owners Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy �, 3. Plan Review section (if required):* ie panel, alteration or extension / $ 60.00 �p �. Q � Minor Labels bels (10) $ 107.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 5a. Enter total of above fees $ 465 * Submit 2 sets of plans with application where any of the above apply. ail% Surcharge (.05 X total fees) $ 4 gc Not required for temporary construction services. Subtotal $ .-4. e0 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ -0; PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ 64. g 0 IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ S9 1: \dsts \forms \electric.doc r CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST s / O � BUD Date r Requested AM PM BLD Location 1 Z G7 "l 1 LOq ` Suite MEC Contact Person aA Ph g Z PLM Contractor 2` n/E7C Ll {Y'cL Ph SWR BUILDING Tenant/Owner ELC 7 06-00621 2J Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation ;S' r Drywall Nailing Il U2�� Cdr % — Fi rewall 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 PASS PART FAIL E L E C T : • Service - ough ' G�,t VA) Low Voltage Fire Alarm F' • - PART FAIL 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: [ 1 Unable to inspect - no access ADA Approach /Sidewalk Date J ° 3 0 ` c D Inspector �a�; Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ' CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 • Business Line: 639 -4171 BUP Date Requested ? 1( AM PM BLD Location /Z tOC7 si-tiCc z( Suite ( MEC Contact Person Ph F1)S -I / Z-6 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC vv- ova 21 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall ' /f 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 PASS PART FAIL CTRI ervice Rough In UG /Slab Low Voltage Fire Alarm ta 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 einspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date Inspector �' EXt Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.