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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00596 111 ° COMMUNITY DEVELOPMENT DATE ISSUED: 9/11/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136DC-04400 SITE ADDRESS: 11945 SW 70TH AVE ZONING: C -G SUBDIVISION: DARTMOUTH SQUARE LOT : 030 JURISDICTION: TIG PROJECT: DARTMOUTH SQUARE Project Description: Dartmouth Square Building Shell 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: SIGNAUPANEL: 2 MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 4 W /SERVICE OR FEEDER: 27 PER INSPECTION: 201 - 400 amp: 4 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: 1 >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: X CLASS AREA/SPEC OCC: Owner: Contractor: DARTMOUTH SQUARE, LLC CAPITOL ELECTRIC CO INC 7165 SW FIR LOOP # 100 11401 NE MARX ST TIGARD, OR 97223 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 9/11/2007 $1,599.30 LIC 48748 [ELPLCK] ELC Pln Rev 9/11/2007 $399.83 SUP 31325 [TAX] 8% State Surcharge 9/11/2007 $127.94 • REQUIRED ITEMS AND REPORTS Total $2,127.07 . 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 t gh 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: Permittee Signature: f ag r IP L 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 OFFI(1; USE ONLY ermit Application Received i i _ ^'� g -1 . � � DateB -mot 1 y: I � !. • Pe of Tigard . 5 . , . 4 if , � Plan Re iew 13125 SW HALL BLVD., TIGARD, OR 9 C , t. , ' �I mo I,, ;, III : Date /By: Other Permit: Phone: (503) 639 -4171 Fax (503) 598 -1960 CITY F TIGARD Date Ready/By f . Juris: 11 See Page 2 for p AUG Inspection Line: 503- 639 -4175 2' r' 2001 Notified/Methoa�: I supplemental Info anon I mo. � � Internet: www.ci.tigard.or.us ' �,, •■ TYPOY Al:A C up..: t r r : PLAN R IEW New construction U A. . . e r i s '` Y ' -1 g le e check all that apply (submit 2 sets of plans w /items checked below): Demolition ID o. nn. 1 r .Jfl r) �T � J Tr ,- le or feeder 400 amps or more ❑ Building over three stories CATEGORY OF CONSTRUCTION ail I Nvh ere the available fault current ❑ Marinas and boatyards U 1- and 2 family dwelling X 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.: 270775 Job site address: 11935 SW 70th Ave. ❑ Fire Pump ❑Installation of 75 KVA or ❑ Emergency system larger separately derived system. City/State /ZIP: Tigard, OR 97223 ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ", 100HP or more. ❑ occupancy Suite/bldg. /apt. no.: Project name: Dartmouth Square ❑Six or more residential units ❑Recreational vehicle parks. ❑ Health -care facilities ❑ Supply voltage for more than Cross Street/Directions to job site: ❑ Hazardous locations ❑ 600 volts nominal. ❑ Service or feeder 600 amps or more Subdivision: Lot no.: FEE SCHEDULE Description I Qty. 1 Fee. I Total I " Tax map /parcel no.: New residential - single or multi - family dwelling unit. . DESCRIPTION OF WORK Includes attached garage. Dartmouth Square Building Shell Electrical 1000 sq. ft. or less $ 145.15 4 Ea. Add'I 500 sq. ft or portion S 33.40 1 U PROPERTY OWNER : • ' 1 U TENANT Limited energy residential Name: (with above sq. ft.) S 75.00 2 Limited energy, multi - family Address: residential (with above sq. ft.) _ $ 75.00 2 Service or feeders installation, alteration, and /or relocation City/State/ZIP: 200 amps or less 4 $ 80.30 321.20 2 201 amps to 400 amps 4 S 106.85 427.40 2 Phone: Fax: 401 amps to 600 amps S 160.60 2 601 amps to 1000 amps • S 240.60 2 Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts 1 S 454.65 454.65 _ 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 less S 66.85 1 U AI'PLICANT 1 U 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 branch circuit 37 S 6.65 246.05 2 Address: 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: . S 6.65 _ 2 Miscellaneous (service or feeder not included) E -mail: Each manufactured or modular CONTRACTOR dwelling, service and or feeder S 90.90 2 Reconnect only S 66.85 2 Business Name: CAPITOL ELECTRIC CO., INC. r �1( �j �j Pump or irrigation circle S 53.40 2 Contact name: Richard Martin Sign or outline lighting $ 53.40 2 Signal circuit(s) or limited - Address: 11401 NE MARX ST. energy panel, alterations, or extension. Describe: f - Al. 2 Page 2 150.00 2 City/State /ZIP: PORTLAND, OR 97220 -1041 VOt GE ` DA r Each additional inspec over allowable in any of the above Phone: 503 - 255 -9488 i pi t ( Fax: 503 - 257 -7121 � Per inspection $ 62.50 . Investigation per hour (1 hr min) S 62.50 CCB Lic.: 48748 " rical Lic.: 26 -496C Suprv. ic.: 65 -S Industrial plant per hour _ $ 73.75 Suprv. Electrician signature, required: ELECTRICAL PERMIT FEES* Subtotal $ 1,599.30 Print Name: RICHARD MARTIN Date: 0 r23107- Plan review (25% of permit fee) $ 399.83 Authorized signature: State surcharge ( 8% of permit fee) $ 127.94 TOTAL PERMIT FEE $ 2,127.07 _ Print Name: RICHARD MARTIN — This 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. CITY OF TLGARD BUILDING DIVISION PERMIT #: t LC2007 Qif5% 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91/1/2007 Phone: (503) 639 -4171 1 9 q A ( Inspection Requests (24 Hrs.): (503) 639 -4175 . ' „ s'I INSPECTION WORKSHEET FOR DATE: 10/28/2008 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK: SUBDIVISION: DARTMOUTH SOUARE LOT #: 0 TYPE OF USE: PROJECT NAME: DARTMOUTH SQUARE DESCRIPTION: Dartmouth Square Building Shell OWNER: PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.255.8488 Inspection Request Scheduled For: Date: 10/28/2008 Pour Time: Code # Inspection Description Conm-# Contact # Message 199 Clec .rical final 263-01 971 -506 -3108 N Y Corrections/Comments/Instructions: goo PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Es Na)L Date: Phone #: (503) 718 - 11 CITY OF TIGARD BUILDING DIVISION PERMIT #: EL C2007-00596 U(1596 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2007 Phone: (503) 639 -4171 u� Iii Inspection Requests (24 Hrs.): (503) 639 -4175 y- INSPECTION WORKSHEET FOR DATE: 10/9/2008 TIME: 7:01AM PAGE SITE ADDRESS: 11945 31�/7UTM AVE CLASS OF WORK: SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE: PROJECT NAME: DARTMOUTH SQUARE DESCRIPTION: Daitmnuth Square Building Shell PHONE #: CONTRACTOR: PHONE #: CAPITOL ELECTRIC CO INC V 503_255.94m "\• Inspection Request Scheduled For: Date: 10/9/2008 Pour Time: Code # Inspection Description onfirm_# Contact # Message 199 Electrical final 076446 -01 971 - 506-3108 \ Y Corrections /Comments /Instructions: Pit " 2 I 1 v DNSpt 16P `7 cs6�` N0C u N 0 GO E1 -w i czi tN,r Ac•lb b *NA L'1- , 662, Fi( A ti #,(6, \Io , 3(■ ■Zt Fi AArt ow61 e `Q R Rviw; -4 , ,,,;(z.t„)-izg, „Eb„,,e- e *a. i6Dott\ H-ft teWsz.vtk., c6 Ot■IV c-.4,xf tsit, o,€cli Ri(itiL 81 MD . V ( 5e 'O° © Qc lIUE C ' - F G A P tEi ALL i ObObLIL- 1■.,, ,. , 0 J A+ l■1 S Ev \ a i ► J g Per 6eJ - VCt(. 6f r Ze(Lt VIP Si S'IW ❑ PASS ❑ PARTIAL APPROVAL V ❑ CANCEL ❑ NO ACCESS ` FAIL ( CALL FOR INSPECTION % ADDITIONAL FEES ASSESSED 1\) �, - Inspector: &--., �'♦ (k Date: 1 0 g al Phone #: (503) 718 -1)4 CITY OF TIGARD BUILDING DIVISION PERMIT #: EL C2007-00596 005c36 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2007 Phone: (503) 639 -4171 Zvi Pntny�I�I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/2612008 TIME: 7 :00AM PAGE: 16 SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK: SUBDIVISION DARTMOUTH SQUARE LOT #: 030 TYPE OF USE: PROJECT NAME: DARTMOUTH SQUARE DESCRIPTION: Dartmouth Square Building Shell OWNER: PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503- 255.9486 Inspection Request Scheduled For: Date 9/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover p - 075972 -02 971 - 506-3108 N Corrections /Comments /Instructions: I N ) P( A) rOlbi iNsfECRoA . 1440 / / / / / PASS Z1 PART = ' - 0 , ° L ❑ CANCEL ❑ NO ACCESS ■ Z,N, FAIL CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 �1D Lei Date: Illiq cri Phone #: (503) 718 - MIL_ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00596 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2007 Phone: (503) 639 -4171 ,I Inspection Requests (24 Hrs.): (503) 639 -4175 $- "IL INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 54 SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK: SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE: PROJECT NAME: DARTMOUTH SQUARE DESCRIPTION: Dartmouth Square Building Shell OWNER: PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503. 255.9488 Inspection Request Scheduled For: Date: 7/2 212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 072990-01 971-506-3108 N Y Corrections /Comments/ Instructions: 01/4. g 4 61'4 C Ov & :, EcT L T. cs1 1N eisc- r6N ( b s r .-to.,, ri f4AnY\ Pik“_ tiCAi cizso (4/ E* afaett r ❑ PASS ►i1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: I 68 Date al Phone #: (503) 718- t-llit CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00596 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2007 Phone: (503) 639- 4171gl�ll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:OOAM PAGE: 19 SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK: SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE: PROJECT NAME: DARTMOUTH SQUARE DESCRIPTION: Dartmouth Square Building Shell OWNER: PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255-9488 Inspection Request Scheduled For: Date: 7/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 072517 -01 971- 506 -3108 \ Y N.TE-- Corrections /Comments / Instructions: c..luoy. U ❑ PASS IX PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G • P% Lir Date: /III tri Phone #: (503) 718- PO • CITY OF TIGARD _ BUILDING DIVISION PERMIT #: ELC2007 -00596 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2007 Phone: (503) 639 -4171 / vl @ I 'l, Inspection Requests (24 Hrs.): (503) 639 -4175 `'I� INSPECTION WORKSHEET FOR DATE: 7/3/2008 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK: SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE: PROJECT NAME: DARTMOUTH SQUARE DESCRIPTION: Daitmouth Square Building Shell OWNER: PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255 -9488 Inspection Request Scheduled For: Date: 7/3/2008 Pour Time: Code # Inspection Des '. on Confirm # Contact # Message 115 • ethical servic: _--'' 072202 -01 971 - 506.3108 N Corrections Comme I - structions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I Inspector: ( / , ( Date: 7' ) 4 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00596 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/ ?J2008 TIME: 7:01AM PAGE: 42 SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK: SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE: PROJECT NAME: DARTMOIJTH SQUARE DESCRIPTION: Daitmouth Square Building Shell OWNER: PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255 -9488 Inspection Request Scheduled For: Date: 7/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 072119-01 971-506-3108 N Corrections /Comments /Instructions: Cr _m_fo Le_rk_ • rC 4-e_c / a to 7-e • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7- Z e Phone #: (503) 718- CITY OF TIGARD . r BUILDING DIVISION PERMIT #: ELC2007- 00596 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9111/2007 Phone: (503) 639 -4171 itt ill Inspection Requests (24 Hrs.): (503) 639 -4175 _.-:. `__.. INSPECTION WORKSHEET FOR DATE: W19/2008 TIME: 7:OOAM PAGE: 13 SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK: SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE: PROJECT NAME: DARTMOUTH SQUARE DESCRIPTION: Dartmouth Square Buildin hi11 OWNER: PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.256 -9408 Inspection Request Scheduled For: Date: 6J19 /2008 Pour Time: Code # Inspection Description Confirm # Contact # ` Mess ge 125 Wall cover 071697 -01 971 - 606.3108 Y Corrections /Comments /Instructions: E oyA �. 1 ' - ® s ( r ( ave., ! // 1 'i A e1/1/A ? ---- , 03 .4 4 10_ )1". r C Z e � Di I IIIII R It' 1 S PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD • 'BUILDING DIVISION PERMIT #: ELC2007 00596 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2007 Phone: (503) 639 -4171 j�l Inspection Requests (24 Hrs.): (503) 639 -4175 °_ .. INSPECTION WORKSHEET FOR DATE: 6113/2008 TIME: 7:01AM PAGE: 28 SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK: SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE: PROJECT NAME: DARTMOUTH SQUARE DESCRIPTION: Dartmouth Square Building Shell OWNER: PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255.9486 Inspection Request Scheduled For: Date: 6/13/20013 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 071351 -02 971-506-3108 N Corrections/Comments/Instructions: - 0 D Z . 11. L cokyak A Mkt V.0 . tJ Lal►�s . E.2 1'142\ E4 . 0 ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 5r-. N63 LE Date: 6 / J 01 Phone #: (503) 718- 2-414‘