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Permit CITY OF TIGARD - ELECTRICAL PERMIT PERMIT #: ELC2005 -00519 44 DEVELOPMENT SERVICES DATE ISSUED: 7/25/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2 S 113A6 -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 cord drops. Job No. 8235 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 13970 SW 72ND AVE PORTLAND, OR 97224 PORTLAND, OR 97224 Phone: 503 - 639 -6300 Phone: 503 - 648 -1900 FEES Reg #: LIC 41868 SUP 3849S Description Date Amount ELE 26 - 418c [ELPRMT] ELC Permit 7/25/2005 $60.15 [TAX] 8% State Surcharge 7/25/2005 $4.82 REQUIRED ITEMS AND REPORTS Total $64.97 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 f R 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these r s or direct questions toOUNC at 503 - 246-66 or 1-800 - Issued Permittee Signatu 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: C • NTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: - - % = -_� DATE: LICENSE NO: CaII 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. ■ 07/22/05 FRI 14:55 FAX 503 640 0571 NEW TECH ELEC 0002 Electrical Permit Application '' - ---,• FOIL OFPICL LSI :OT'LY City of Tigard Received _ 13125 SW Flail Blvd., Tigard, OR 97223 Date/B / , _ �� Permit No.: # 5 _ r Phone: 503.639.4171 Fax 503598.1960 > ,. , Plaaew Inspection line: 503.639.4175 .' 'i ;� �i Da Other Pernik. Internet www.ci.tigard.or.us !.! a� lsetay/By ` adSedTQdhod. IFI for d : ( _ , \ l earal ornua See Page 2 Supplem Ttl[ ❑ New construction ❑ Addition/alteration/replacement ;_I ' , �: ,i t '',.1,11:',J Please check all that apply: Sti_ pother ['Service over 225 amps, cnmm'1 E)Harardoas location ❑ Demolttien '\II jl f „ ( I U ii.:1t I r,J�ll(, ❑Setvtce over 320 amps — ratio g El 1 and 2 dwellin of 1 and 2 Ropil dwellings wellin 8 ❑Boildn a new residential s l g ❑ Commercia /inus al 4 unor its mor. new residential MU-Ira-family MU-Ira-family d i❑ Accessory building ❑System over 600 volts nominal units one structure ❑ Master builder Other ❑Building over three stories ❑Feeders, 400 amps or more 0 M ..__ )I full IGi J 5 1 . III : :\ ill n (: - ' �, if l I li;;f I,r 64 s ' _ ❑Occupant load over 99 persons I:3 Manufactured structures or .12k20-:- a Job site address; 01 a t - n g Pin RV park 14) facility ❑Other Cit/StatelZIP: •A"k g • • `VA 1 Submit . sets of plans with any of the above. 2 4 'The above are not h cable to temporary Suite/bldg./apt. no.: aPP tlnporary construction service. Pro'ect n ,. . � name: • • • Ii II' Illllllgll r Cross street/directions to job site: I�eripnon a L I , v, ;1 New residential Q17* �+� Tom` single - or multifamily dwelling unit. Includes attached garag Subdivision: ft. or portion — 1,000 sq. ft. or leas — Lot no.: Ea. add'I 500 sq. ft Tax map/parcel no.: I 33.40 =� Limited energy, residential _© 75.00 .. . , I `I I 1_0 9 ., o,,, ( t ,_ ), Each manufactured 75.00 © gy, non- residential 4 Each matlufachured or modular ■ a .V !�(. 11 .a. dwelhn _ service and/or feeder 90.90 - © lnstallatio , Services or feeders n, alteration and/or relocation �I lJ tt_ Itit,, .', 11_ I 200 amps or less ::.. i r i r l l - 201 amps to 400 am _ 2 80 30 G = _ 106.85 _© Name: , _ � 401 amps to 600 , , . MI 160.60 _© Address: 601 amps to 1,000 amps IIIII 240.60 MIIIIIIII Ci /S Over 1,000 amps or volts — 454.65 _ ty tate/ZIP: Reconnect only / 66.85 _© Phone: ) , 9— , T0Q Fax: ( ) ° N services or [seders ation, alteration, and/or Owner installation: This installation is being made on property that I own which is not 200 amps or less 66.85 _ NEE intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps — 100.30 _ Owner signature: Date 401 amps a .. — Ell l l , \.i --,.. is . ; , ;i-1,,,, C � t us 111 ' Branch is — new, alteration, or extension, panel (t t. { � ` ` �, l y i , . , ' _ E , ` ' A. Fee for or circuits with Business name: service or feeder fe eac III circuit 6.65 11111111 Contact name: B. Fee for branch circuits Address: without service or feeder fee, each branch circuit 46.85 l(( 8� Each add'! branch circuit ir_a 6.65 J© City/State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I Fax: : E ( ) Pump or irrigation circle Mill 53.40 a Sign or outline fighting 1111 53.40 © , �' t / . j e . r I rr i rr r R eif circuit(s) or "°° limited- - .. - ',: - .: j: i S. = .. . 1L - .�. 1 .l_. rl N_.,�_{`._If 11 ..1. g5 1 � . , - : ... I : ; . �:, �' ` :; e panel, alteration, or Business name: NEW TECH ELECTRIC, INC extensi Descr Address: ‘ 7J°1-40 S - 1'7— Pt Ye. Each additional ' r1 Inspection over allowable in any of the above city /state/ZIP: Po ��(1� , C i� -.. q I on 62.50 -- Investigation per hour (1 b min) Mme:( 11111 50 3.648.1900 I ( ) Industrial lant per hoar 62 50 -- Fa "' 503.648 CCs 41868 . 31 31 - ' � 73 7s Lac.: I Electrical Lic.: ¢ `:� , i ! a i �a 1_C °� + , r - _ -- 26 - 418c! Suprv. Lie.: 3849S 1�!= , �a X-. ,t •,�a Suprv. Electrician signature, required: ( Subtotal Plan revie (25% of permit fee) Print name: PHIL HANSEN J Date: '7�2 - - 0� State surcharge (8%of permit fee) Authorized signature: TOTAL PERMIT PEE Print name: This permit application expires u a permit Is not obtained within 180 Date: days after It has been accepted as compiete :\Buildiag\pe .. N methodology set by Tri County Building industry Service Board 1'emd4►pp.doe 14/03 +t•,n . , C l � 61rt � amber of inspections per permit allowed. :. OF TIGARD �' BUILDING DIVISION PERMIT #: ELC20f)5 -00519 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/25/2005 �,, Phone: (503) 639 -4171 �,, ,�� lii Inspection Requests (24 Hrs.): (503) 639 -4175 _-_5 �' AL INSPECTION WORKSHEET FOR DATE: 8/5/2005 TIME: 7 :02AM 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 cord drops. Job No. 8235 OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: 503 - 639.6300 CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503 - 648-1900 Inspection Request Scheduled For: Date: 8/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 012930-01 503 - 969 -9461 Y Corrections /Comments /Instructions: C1Z, G- G- 4t. 1\n"NtQ- LP L - S 0130 " ?R.B V 1 L A 1 3 s 1- aN i s L-, SR6t4 2. 6 � ► C LE CrLtic-AL S112 G %s g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Cr - W - 3 1\1()G Le Date: c 6'' ls`'Q Phone #: (503) 718- ZA 0