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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00199 COMMUNITY DEVELOPMENT DATE ISSUED: 4/4/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 113AA -00600 SITE ADDRESS: 16130 SW 72ND AVE B1 ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK 1 LOT : OOg JURISDICTION: TIG PROJECT: GOODNIGHT ROOM Project Description: 1 branch circuit for forklift battery charger. 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: PACIFIC REALTY ASSOCIATES GARNER ELECTRIC 15350 SW SEQUOIA PKWY #300 -WMI 2920 SW 247TH AVE #A PORTLAND, OR 97224 HILLSBORO, OR 97123 Phone: Contact #: PRI 503 - 648 - 4552 FAX 503 - 642 -7925 FEES Description Date Amount Reg #: ELE 34 -305C [ELPRMT] ELC Permit 4/4/2007 $46.85 LIC 121159 [HRTAX] Hourly 8% State 4/4/2007 $3.75 SUP 37075 Total $50.60 REQUIRED ITEMS AND REPORTS 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 1.800.332.2344. Issued By: j Permittee Signature: t-1 1 Ce4. -+..._ 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. / ._R ELECTRIC FAX NO. : 5036427925 Apr. 02 2007 01:21PM P1 Ef l Permit A t pUfcatioa FOR OFd' KT i'SE ONLY • gr �f Tigard ` A �,°, d j Permit No.. C �� W Hall Blvd., Tigard, 0 ' : 7hE cE \ / `~ . Plan Review Other p • JOE: 503.639.4171 'Fax: 503.598.1960 -it' I ''' DateB c 93 Sae Page 2 for .tapection Line: 503.639.4175 APR ' �� � pate Notified/ //By. NM Supplemental Sae P2 information Intemet: www.ci.tigard.or.us A R 0 2 2007 cw.+�: 'T .,i '? "' *', r ' C ; ,, R � i;p n, '%' � °�1:;:' �` y„'T* Ol Mk " ^l rii i 1 t r ,�jr 47,,. t n �.rfeVS { r� rl t � y ' FA 4 i 741 J Y 1 ,,., , 1 J T,T 8 � + 5l li is U i , t1, , qi 1 lh, a ti f , - , 1 r % L, I, isutt. ..ml ' s -' , ti,.irt • t�ir�: tl61.• 3tztja3tti .cr��.(,i:�,� „(,..�..u,.w•n. �”, u.�,�1s:.. ��"�1��r�., 0 New construction h e F!� i . !!j r , a c7 r t tl . nt Please check all that apply: !_; Tc' Tl'R1lrCT�7' DService over 225 amps, comm'1 DHazardous location ❑ Demolition 11 ';' r Bra j DService over 320 anrpa - rating ❑Buildng over 10,000 sq. ft., P ,,,T'F 9 x, t y ,c;I 9 1 +i1.1� §: w r "7+^VR°`3 - j T!,i it"6 i'dprt',�,,jg1Uf:Mu ('F,..,'' ' . 'f 9 r - ti".:' of 1- and 2- family dwellings 4 or more new residential u` ,i 1 , , tp it rr?. , , ,.nhstr 11.. -,, i R e,hhN..,x � , ...t.R: A - " b +., r • , []System over 600 volts nominal units in one structure 1- and 2- family dwelling ► Commercial/industrial ❑Accessory building ❑Building over three stories ❑ Feeders, 400 amps or more ❑ Multi- family ■ aster builder © Other: DOectlpant Toad over 99 persons ❑Manufactured structures or t• , LJ lr i$1F, r'�'" ,)' i .,7, {T ,, y 4 -,i' 4� t -. z, � 1 Uar' f p t �' 4 7c, l'i .;I� . "e. . Y j' t1'I RV park } ,� 'gip(, a fe Jr i , kV r J, 1{ '; ;� ) • t i-' () I :l,l� :r ; y , '1'y ❑Bgrem/Iighting P !7.'t.LiC.,fa �i.:.i�{� (•; _c: 1 �., ..G. :,a�ta�; ax l.'Tei2r „ • - i..... �r�2 .. �Gd Lye,, aF.ti 3 r.(�'�':.,. ❑ Other: ( (e 1 / VJ - • o�z�lth -can facility lob no.: Job site address: . • Submit • j sets of plans with any of the above. City /State/ZIP: / �,, ( 2 The above are not applicable to temporary construction service, . � 4 �'� fSFrr ! 1 1 `� S1 `Vf ti' � ,. M'1_^ t ''*,'Y, Su bldg. /apt. no.: Project name: neeerlptron M• Foe Tarsi Cross street/directions to job site: New residential single- or multl - famlly dwelling unit. Includes attached garage. • --7 1,000 sq. ft, or less 145.15 4 Subdivision:. __ _ i Lr)t.no.: • Ea. add'I 500 sq. ft. or portion 33.40 1 - t limited energy, residential all 75.00 2 Tax map/parcel Eachmanufactured no.: Limited energy, non - residential 75.00 2 , � a rr. -, r, iy,fllk� n Ru .. t,rD i aa.-. �Ic zL� r;Tt1 z �1`? N� . �ji���' ��'}a'y ^�`�t(,:r'��t'i �� �. '�• ;;v�orir',:�Y:sfti�' Tara: e' 1. � „..�Iai�',.,,,1. "R ��JVfh�'.;.,I.. ormOdLLlaT 1°'• s' dwelling, service and/or J 0 ; Ab-t n - Hr/ C 1 sE' C, . ✓rtA— c feeder 90.90 Services or feeders Installation, feed alteration, and/or relocation 2 7� 1 ( -P- t - • aj i � I Z - • �' 200 amps or less 80,30 a "1 2 l' r ,+, 7, rs 5,� , . ,, : nz ic, t K.� l � „ i, , 1. i telizj" ttia , ,1 • ',gp • v.0 • nl 201 amps to 400 amp 106.85 - Tly 1 1., iMjr �e � L . , t a ,,.r ^. aS. { I + Y7 f fi �µJ : �t %D .,t3 160.60 2 h'.,$�'tiA5. i; , :,.2A42--a, �...Zix_k.'s i&..d:ki 4 . 1..ii di._-..a'7 1 i. r ' 403 .1 i mp5 t 6n0 amp Name: � frci- R ') - M 601 amps to 1,000 amps _ 240.60 2 . Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 Ciry /State/ZIP: ` — - c c ). 1 4 2_ -D( q 1 Temporary services or feeders installation, alteration, and/or relocation Phone: ( 6. . ' (. I (.1 200 amps or less i Fax: ( ) __ _ . 66,85 1 _ _ Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 amps __ 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension. per panel 1rrk pgr r� ,y Fx 1li 50 .3 ti -irk +t• ? �,, t ,, ntf .,.{. � i r ,.' ir g (P 7 :1 y �` 1 - A.. Fee for branch c with • r N f , i .. I o R 1 .1 . , ,.: {� _', L:leLli t.14: i t., : r!.i14 J yuc,,..,It � , di...rae}� , e6A . wir.J .,. i ','. .. n: service or feeder fee, each �'rt�_ ,„.w.:t�nJ..Y :�...,.•.,ta� 6.65 2 Business name: branch circuit _ .. B. Fee for branch circuits Contact names without service or feeder fee, / 46.85 7t 2 - each branch circuit T - Address: __ Eacb add'1 branch circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) ' Fax ) Sign ar outline lighting _ 53,40 2 , E-mail: Signal circuits) Or limited - tiy�1� n �� i u r c iti r Pl ' ri� �r y lig , . ,l .' 1ri'g • �r �,i1' ” q i �� ' lr " ;^ ; ist, �. J'."-`,t fr a energy t panel, alteration, or l+ ± )::` ` .. fr.s4: i t"' fi',� '` " .!,1.4'416,,, ',5.0 . pfi > : `�sVS11 , • v�1�fIG.i,"��dror' , ! . ' t ;�1 r. .i 2 ei:_i.. extension- Describe: P age 2 2 Business name: C. - x.24\) Ef� ELG� ( C... Each additional inspection over allowable In any of the above Address: :� Gj 2 L j ( :%? N 1 `P`� Ave `r 1 : 't Per inspection • 62.50 �? 7 Investigation per hour (t to min) 62.50 City/State/ZIP: l (� k, u�r� C:' 7 P . II L` {�,r . .,/1y —� . lnduatriel plant per hour 73.75 ern � ( v1 l ����' ) '� / ' - ( �--� n ;1' -V 47 ,,y' j ,n"`�r .A�lF.1 �t' o- ti . ,- „,-� jCa. . Y-,, ,.. ; �, i Phone: �,11� t ax” u�. ,3�. .t.. _ .a,��,t.e•, ,�a lei. n �'..:,� , : .� °:�; CCB Lic.: ('? , C Electrical Lie:. p j • - ic.: i 7 ? 7 � Subtotal L / ( • 8 s Supt'v. Slectriaittn signature, required: r � , /I J Plan review (25% of pertrrit fee) G S tate surchar (8% of permit fe J ' Print name: 7 � - bate: .-Q 7 .... - L ��?��$ - 'Z ' 1 l �• TOTAL PERMIT FEE Authorized signature: This permit epptisaaon expires if a permit is not ohtaTnerl with 180 - _ — daye after it hui been accepted 21 complete Print name: Date: " Fee methodology sot by Tri-County Building lnduarry Service Board -„ - „ — •, - •. Number of inspections per pctmit allowed. iABuildinipPermit ilELC- re+mWPp•doa 12/03 440- 4613T(10/02 /CONf/WEC CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00199 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/4/2007 Phone: (503) 639 -4171 �"' Inspection Requests (24 Hrs.): (503) 639 -4175 •"'I L INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 94 SITE ADDRESS: 16130 SW 72ND AVE B1 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: 00B TYPE OF USE: PROJECT NAME: GOODNIGHT ROOM DESCRIPTION: 1 branch circuit for forklift battery charger. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: GARNER ELECTRIC PHONE #: 503 - 648.4552 Inspection Request Scheduled For: Date: 419/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 046025 -01 '\ 503 - 648-4552 N Corrections /Comments /Instructions: , 4/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r N ®� �-G Date: t ` 0 J Phone #: (503) 718 - VV