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Permit CITY OF T I G:ARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00258 rl ± � DEVELOPMENT SERVICES DATE ISSUED: 4/15/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S113AB -00600 SITE ADDRESS: 16125 SW 72ND AVE BLD.B ZONING: I -L SUBDIVISION: FANNO CREEK ACRE TRACTS LOT : JURISDICTION: TIG Project Description: (3) branch circuits for compressor, dryer & fan. 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: 2 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 REALTY ASSOCIATES NEW TECH ELECTRIC 15350 SW SEQUOIA PKWY #300 -WMI 20811 NW CORNELL RD #400 PORTLAND, OR 97224 HILLSBORO, OR 97124 Phone: Phone: 503 - 648 - 1900 FEES Reg #: LIC 41868 SUP 3849S Description Date Amount ELE 26 - 418c [ELPRMT] ELC Permit 4/15/2005 $60.15 [TAX] 8% State Surcharge 4/15/2005 $4.81 REQUIRED ITEMS AND REPORTS Total $64.96 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.:00-332-2344. Issued By: `, ./ „_„ 11 _ , . � Permittee Signature: c)c‘ cupl a . (D /71(` /71(` 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. 04/14/05 THU 10:05 FAX 503 648 3131 NEW TECH ELEC 0001 Electrical Permit Apt) -1:,1'.- fa EIVED Ole O1 i'1C1; USE ONLY ty- °-F p 1 q RaCO ived _ 03 639 d17 lit: 50 8. 3 • AP 1 '! Plea R ev iew V+0 1 Rrmit No. 9 �- 200 �(- �� oo, ■ 13125 S : Inspection Line: 503.639A175 _ _ �; ''l i'� D ate/13 R - 0 p e erni Internet www ct'ugatd onus CITY OF TIGARD � Y Nom 0 See Page 2 for Supplemental Information ❑ New construction Addition/alteration/replacement Please check all tha 1 r . JAIL \! _ ❑ Demolition 0 Other: a ma, Service over 225 , co - 1 - ' ['Service over 320 '1 ['Hazardous locution ❑ 1- and 2 - fatnfly dwellin ......... ..... ........... .. .: ....... of 1- and 2- family ddwwellingsn& 4 or more new res�ntial g ommercial/industrial 0 Accessory building DSystem over 600 volts nominal units in one structure ❑ Multi faintly ❑ Master builder Other: - ❑Blrildiag over three stories F : 1 r, } 1 0 ,I ?jl '"-'.- 1;. ant load over 99 persons °Manufa tared structures or � OccY p s or more Job no.: r S - 7 Job site address: Esl'sltting plan RV a 1 VI?•5 �h/ �Z ND ❑ Eleslth care facility DOthc p•a rk City/State/ZIP: T' � ,� -1 Submit 2 sera of pbns with any of the above. ' OA., 71Se above are not applicable ro temporary construction service Suite/bldg./apt no.: /) I Project name: GtC.r iiaatc ce H ��Ess. - _ ... _1. 6,i ,, , E °• J: _ Cross street/directions to job site: t � , , _; � pt1O1 Qty• Total Q E�t;�A1 IbrtJ New residential single. or multi - Family dwelling unit. Includes attached garage. Subdivision: _ 1,000 s • - ft. or less _ 1 Lot no.: Pa add'1500 sq. ft. or , onion _ 33.40 Tax map/parcel no.: Limited energy, residential 75.00 r L'rnited energy, non- [esidrnlial - 75110 _ " lEll - Each manufactured or tttodUlar GtRS�e.+ t `'tGtlt- L ou•4 7 SSe A• — , �! e4- ' s dwellin:, service and/or feeder 90.90 _© Services or feeders installation alteration, and/or relocation - amps Or lel . 1 . I i } - ,, ii 1 t1 t r II .Il of , 1 w - 01 amps to � as 2 80.30 s MI 106.65 _ Name. /INS P�RT1.�tV O 401 amps amps In 160.60 _� a Address: _ � 601 amps to amps amps or volts = 2 ® -� �1ZS r j � 1 2 . N a Over 1,000 mps city/stater/1p: fll"AR of... 61'41.2.1-4 — Reconnect only _ Phone: (S 1 Temporary services or feeders installation. alteration, reloca ? , agog, I Fax: ( 50V LSi - 5041 tion 200 amp Owner installation: This installation is being made on property that I own which is not 201 s to _0 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. : •,. s to 400 amps 1 ® _ © Owner signature:. a Date: m amps - if 1 :'' ' ' l v 1 i, A .'" `u F 1 - ic alteration, or exh n lees, per panel I! ., ..a .. : A Fee for branch cimti ts with Business flame. — Cj service or feeder fee, each branch circuit 6.65 II Contact name: B. Fee for branch circuits • Address: w/chntu service or feeder fee, IIIIIINEll each brunch circuit City/StatelZlp Each add'1 branch circuit © 6.65 IVZI Miscellaneous (service or feeder not included) Phone: ( ) I Fax: • _ ( ) - Pump or irrigation circle 53.40 _ _ Sign or outline lighting 53.40 _ Ell u i i n i .: ... ! .,._ ...__ . I 7 ` , l r 1, � ' ,... Signal circuit(5) or limited- 1jUSine6S narac. - ' n.. 1 .. —.,. -_ . _ .— — COm SY Paced eribe: or w�E'41 TeLei extension. Desc , ribr. Paget Address: Zp l N W Gem NfF Each additional �` C.v. �� 4{e inspection over allowable in any of the above City/State/ZjP: fi 1.4.51.-40&e, Per s ' le . o on 62.50 =- in / 9 � i Z. 4 ]rues ' .: � on per hour (1 hr min) 62.511 Phonc: (5 ) e,. Kq Ov I Fax: (cps) (i4 $ ,, Si S 1 Industrial plant • cr hour 111. 73.75 CC13 Lic.: 418.„4, I Electrical Lic.: Su rv. Lic. ' Y S I . _ . : , . T.' , Ind 7;VL .. - �i;r r 1 1 1 - J �` - � 1�lG p _ Suprv. Electrician signature, required: - Subtotal NI ` Plan review (25% of permit fee) MUM Print name: n ,1 v� N ava sae% Date: 3--/4 - r Sure surcharge (8% of permit fee) Authorized Signature: J TOTAL PERMIT FEE (,y, % Thla permit application etplres If a permit is not obtained within 280 Print name: I Dare: - P days after It has been Fee methodology set by 7}i accepted as complete .�9alhlio �„ Y •County Building lndurtry service Board Bwa.C- PeeUUtApp,ep t / Number of inspections per permit 'mowed ^ I CITY OF TIGARD - --, ' BUILDING DIVISION PERMIT #: ELC2005- 00258 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/15/2005 Phone: (503) 639 -4171 mnm �it`l Inspection Requests (24 Hrs.): (503) 639 -4175 _ - 40- s__ INSPECTION WORKSHEET FOR DATE: 4/18/2005 TIME: 7:14AM PAGE: 39 SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK: SUBDIVISION: FANNO CREEK ACRE TRACTS LOT #: TYPE OF USE: PROJECT NAME: ANS PORTLAND DESCRIPTION: (3) branch circuits for compressor, dryer & fan. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503 - 648-1900 Inspection Request Scheduled For: Date: 4/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 004735 -01 503 - 793.0269 Y Corrections /Comments /Instructions: -,;1 J XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: D ate: — b9, --j Phone #: (503) 718 -