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Permit CITY OF TIGARD ELECTRICAL PERMIT 311111 PERMIT #: ELC2007 - 00537 COMMUNITY DEVELOPMENT DATE ISSUED: 8/1/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S114AA - 00200 SITE ADDRESS: 16285 SW 85TH AVE 103 ZONING: I -P SUBDIVISION: DURHAM HALL BUSINESS PARK LOT : JURISDICTION: TIG PROJECT: CHEZ GOURMET Project Description: Branch circuits: Oven, swamp cooler, range, fan, mixer. 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: 5 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BIRKEMEIER, BRENT T /JANET D TRS 3D ELECTRICAL SERVICES INC BY THE BIRKEMEIER FAMILY TRUST PO BOX 173 10573 SW NAEVE ST OREGON CITY, OR 97045 TIGARD, OR 97224 Phone: Contact #: PRI 503 - 657 -9173 FAX 503 - 655 -7140 FEES Description Date Amount Reg #: ELE 3 -460C [ELPRMT] ELC Permit 8/1/2007 $80.10 LIC 135234 [TAX] 8% State Surcharge 8/1/2007 $6.41 SUP 44785 Total $86.51 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: 411! � / Permittee Signature: 4��: ryj 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. AEG -01 -2007 WED 09:58 AM P.001 /003 A Electrical Permit Ap ' ;motion Daterecelved'' S Permit no.:._ _ _..spa .5 ' •,.4... ' t 1'��1� City of Tigard �. ',, " ProjeoUeppl.no.: Expiredat; , _ . , • City nf7l'J;nr:d Address: 13125 S ,1�d, i gaM, OR 223 Date lssued: By: Receipt no.: • Phone: (503) 63 Q Fax; (503) 59S 1.0 o� � .. Case file no.: Payment type: • • Land use approval : - - `J , - ; �`` .s� ,. . O 1 & 2 family dwelling or accessory; ::.., ,g oinuiercia1/lndustrial 0 Multi -family 0 Tenant improvement . •. 0 New construction Ad dition/a1tera1io n/ rep1acement • Cl Other: ' 0 Partial • , • lob address; / . 28 5 g W S /' Bldg. no.: Suite no.; 1 Tax map/tax lot/account no.: ' Lot: Block; Subdivision: Project name: tZ O IA iv . t Description and location of work on premises: 1.4 eat_ O fr J sae.-Q Cop alts — Estimated date of corn letion/ins. =don: e i 01- , • • J - t £i1 dt"64 • Fdp..I ;Itt2 uoN 1 itAC1'o!c AI'1'1,1(:'A'1'It)N FEE St 711111 Job no: 0, , ; .. � ... ....: , >c Business name: ELE(TP ('(_AL• J• C.ES (NU 011 ' Toad. ni; NeW tesidendal - s or could -fan dly per Addles: P0 /20y. 1- d grmlt.inclaticeAttaclrcdQeragn City: --�JN C.P t T Ste:( J Z 7 D4 -° S Seivloelnctuded: . 1000 s. , ft or less 4 Phone: ,S ��r `t mail; _� t Hach Additional SOD sg. ft. or : onion ;};arse! CCB no.: 1 .ts `- Elec. bus. ila no: - ,p Limited en -. ,residential MINI MI 2 ' . C M L'L '�_' . �i - Limited energ on - residential �� • 2 l ViM i II J • ��ff� Bacmanufactured home or modular dwelling SI %,r'1 ,..'>t'!':� a e �'•len - . ulred D Service and/or feeder III II Sup. (print): �exP�1 1 'gs'">�i� Services or feeders- all Blinn, P (lr �... / .: alteration or relocation: . 1 ltll` OWNER 200 amps or less 2 201 amps to 400 asps . , . • .. •. 2 • Name (print); 401 snipe to 600 amps, Mailing address: 601 amps to 1000 amps . 2 • Lyon: 1 State: :. j ZIP: • Over 1000 amps or volts •' 2 _ Phone: I Fax: - _I E -mail; Reconnect only - ' • Owner installation: The installation is being made on property 1 own 'Doppler•y eft-vices or feeders '- , . which is not intended for sale, lease, rent, or exchange according to installation alteration, orreloratiot' 200 amps or I., • ORS 447, 455, 479, 670, 701. 401 , t o 40 amps - 2 Owner's sl r ature: . • Date: 401 to 600 am • a 2 I :AM N ha•:IZ Branch circuits - new, alters , on, , or extension per panel; Name: • A. Pee for branr.h circuits with pisrobaee of Address: ' . • . . service or feeder fee, each branch circuit 2 City [State: • j ZIP: B.' Fee for br n hcircuitswithout II g6:- of service or feeder fee, first branch circuit: . • _ Phone: • Fax: E-mail: Ranh additional branch circuit: PLAN RLVILW (Ples;sc check all that :apply) M1sa (Service orleederdotincluded), ❑ Serviee over 2Z5 amps- oananacdel ' O Health-care facility Each pum p or irrigation chola 2 2 0 Service over 320 amps- isthig of 18c2 , 0 Hazardous location 'Each signor outline lighting . _ family dwellings U Building over 11,000 square feet four or Signal circult(s) or a arched energy panel, t3 Syatemover600 volts needful' ' more residential unite inonaatruoture alteration, or extension* 0 Building ovet O Feeders, 400 amps ormore *Description: —,„,.. 0 Occupant load over 99 persons 0 Manufactured utructnres orRV park Fitch additional inspection over the allowable In any of the above 0 8gress/l,'ghtingplan 0 Other: - Per Inspection I I . 1 I 1 Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not an Jmted;o tae swop; credit cards, please call Jw more inforreed e. Notice: This perm application Permit fee $ �b . ((A O Visa .n MasterCard • ' empires if a permit is not obtained Plan review (at — %) $ 64'r 1 • Credit card numbs: - , 8 xp i r i within 180 days after it has been ETsurcharge (8 %) .... $ ___13- accepte as complete. __ — Frans of cardholder as shown on credit Card $ • — Cardholder signature A,ncrmt 440.4615 (SnWCOM) CITY OF TIGARD _ _ BUILDING DIVISION PERMIT #: ELC2007 -00b37 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:00AM PAGE: 45 SITE ADDRESS: 16285 SW 85TH AVE_ 103 CLASS OF WORK: SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE: PROJECT NAME: CHEZ GOURMET DESCRIPTION: Branch circuits: Oven, swamp cooler, range, fan, mixer. OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #: CONTRACTOR: 3D ELECTRICAL SERVICES INC PHONE #: 503.657 -9173 Inspection Request Scheduled For: Date: 8/10/2007 Pour Time: Code # Inspection Description Confirm # . Contact # Message i99 Electrical final 053783 -01 971 - 570 -5665 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr- N Vt7 Le Date: /I I oi 131 Phone #: (503) 718- VOA CITY OF TIGARD - _ • BUILDING DIVISION PERMIT #: ELC2007 -00537 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1/2007 Phone: (503) 639 -4171 1 i l l Inspection Requests (24 Hrs.): (503) 639 -4175 . ---4 INSPECTION WORKSHEET FOR DATE: 8/3 /2007 TIME: 7:03AM PAGE: 39 SITE ADDRESS: 16285 SW 85TH AVE 103 CLASS OF WORK: SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE: PROJECT NAME: CHEZ GOURMET DESCRIPTION: Branch circuits: Oven, swamp cooler, range, fan, mixer. OWNER: BIRKEMFIER, BRFNT T /JANET D TRS, PHONE #: CONTRACTOR: 3D ELECTRICAL SERVICES INC U4W 1J . PHONE #: 503.667 -9173 Inspection Request Scheduled For: Date: 8/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 053370 -01 971- 506.8564 Y Corrections /Comments /Instructions: c o cc i t>:S 3 pitle_IK; 01 T wort -■f, Dote 3b ,.� . Vig.. N i A ttPti ' tliN0 S f3 - 22 33111 . V Li (oasits t s` vrs 2.25 $47R ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' Mbe 1.. Date: 11'3- 09 Phone #: (503) 718- VI% CITY OF TIGARD 4411; t BUILDING DIVISION PERMIT #: ELC2007 -00537 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1/2007 Phone: (503) 639 -4171 r1a Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/2/2007 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 16285 SW 85TH AVE 103 CLASS OF WORK: SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE: PROJECT NAME: CHEZ GOURMET DESCRIPTION: Branch circuits: Oven, swamp cooler, range, fan, mixer. OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #: CONTRACTOR: 3D ELECTRICAL SERVICES INC PHONE #: 503 -657 -9173 Inspection Request Scheduled For: Date: 8/2/2007 Pour Time: Code # Inspection Description onfir Contact # Message 199 Electrical final 053274 -01 503.657 -9173 N Corrections /Comments /Instructions: CD ALL wi R1 N ;NIL f v 7.ff cAoLes'�. IM \3'` Or Rnsfil) (L. W Lo tot ► et '. Ilk, s i Is►ct,ob 5 M-1., bit Nis 6 . 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Ct La�4L Q L r.,04 L 4 G -zooND NW) ,t) a lcc4 612 AN 2s L f NLE — ❑ PASS ❑ PARTIAL APPR Q CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C5" N (e ) Date: 1 % TJ 0 1 Phone #: (503) 718- 2.106 CITY OF TIGARD BUILDING DIVISION PERMIT #:e1 C QO 1 " 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Aw Inspection Requests (24 Hrs.): (503) 639 -4175 •-_.. • INSPECTION WORKSHEET FOR DATE: �� pp�ti 2-- TIME: PAGE: • SITE ADDRESS: CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: • Z'Qn Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: vAvta ca p c� al 1, ks mot} e.:imp v crat 4:1 3&. ob.) C.;►a,c t 8c4- s . stED tikes eb14411.1 61 6) & V L cbobST1 fa x.'1601 v s 1 41 - ��� Nag P.4 . ® oA °"11 i 5 •Al P,N eoweig - VP(' - ® g- ew,ovw tA,K, 1.1eiNiksii N , e cr .. q.) Ng PcN ■ • 'itt=t •\ l 5 kvb kakis acs tM 6 el Nej t b seism ikag Nts? itliltaraD c - a kieu w A ( . 1 c 1 e z i ) y F t N - w (LI N t f czt)b QE 051 -QP `b(Lv lo 8 L LX 1.:►1■CeS I w42 t"ANS O wmN c Ste. cat PoNQL. is Nod 40, ov 7 ems. v �o T its' coal 1.) ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS N FAI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CAKC Date: % Z - Or Phone #: (503) 718- 2.-tr*