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Permit C ITY pF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00738 DEVELOPMENT SERVICES DATE ISSUED: 12/23/03 ..� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 113 B0 - 00600 SITE ADDRESS: 16580 SW 85TH AVE SUBDIVISION: SEWER TREATMENT PLANT ZONING. I -P BLOCK: LOT : JURISDICTION: TIG Project Description: PEPS building, installation of (2) 250 amp feeders in a non- hazardous area. Job No. 321 -42 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): 1 SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 2 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: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: UNIFIED SEWERAGE AGENCY FARNHAM ELECTRICAL CO. 150 N 1ST AVE 1050 LAFAYETTE AVE HILLSBORO, OR 97123 MCMINNVILLE, OR 97223 Phone: Phone: 503 - 472 - 2186 Reg #: ELE 36 -3C LIC 1217 FEES SUP 1597S Description Date Amount Required Inspections [ELPRMT] ELC Permit 12/23/03 $213.70 [TAX] 8% State Surcharge 12/23/03 $17.10 Elect'l Service Elect'l Final Total $230.80 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 • UNC,: (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: ' Gl: t a ��� �[�%C P e rmit Signature: Y j� r /V 1/ 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 639 -4175 by 7:00pm for an inspection the next business day Dci.c.22. 2003 4:41PM farnhari electric co No.8870 P. 2 7(A = B/513 -- Electrical Permit p lication FOROFFJCFUSEONLY Received Electrical Dam/By: i2 (3 A I' Permit No.: f d-,9a v3- 01'7.90 O Planning Approval Sigh City o Tigard Da1eIBy: PermitNo.: 13125 SW Hall Blvd, Plan Review . Other Tigard, Oregon 97223 Date/B Permit No.: . Phone: 503 -639 -4171 Fax: 503 -598 -1960 Post Review Land Use r ... r _�. �� DatdBr Case ?Jo.: Internet: www_Citigard onus c • I. �Coniact El See Page 2 for 24-hour Inspection Request 503-639-4175 Narne/Method: - , / /C C. Supplemental Information. -n ;;, ni ; : :s •.'u7 :iS; �'••i ' C :: ; % � :_ :; !a;i - . ,f. . .I i'i . W eZtA `�R1t64' :- " e- �y.i'su :0 : ��� - �i?�� : : ';! ?��'s�.'a�1t : ^�; °r � : : : i;�i; :?1'.�'•.,�+1��'�'�ip' :::':^ i' a�i` ^ :... :ar , . , . : : : =i : „`` r#. :�.,.:; ' ,., �lE , ,� � � �aP`, . ,,. la b w construction • Demolition r barvice over 225 amps- Health -care facility • Cotttmcrcial [[[]]]]]] Hazardous location V Addition /alleration/replacement • Other: ❑ Service over 320 amps- rating of .0 i3utlding over 10,000 square feet, '; ri?:>! a+: :)P , d . i a '' "••`•' °ir.; ';;' „ .. I & 2 family dwellin four or more residential units in n• 1 & 2 -Famil dwellin° X Commercial/Industrial ❑ System over 600 volts nominal one sa ame ❑ Building over three stones ❑ Foams, 400 amps or more • A c- so ' a • 1 AM ■ u • -Fa s, • 0 Occupant hoed over 99 persons - 4 I tructu Manufactured smiths= or RV park r Master Builder j* • Other: 0 Egte3SIltghttng plan LJ Other :` • :, ;I AF.. : ” ..). BiSITOi o • t .. ,, ,1 IO.Ziiiii'd l l TIQ i :. :, `!. d . :...!.; !I Submit sets of plans with any of the above. The above are not a Iivable to tem a construCtioh Service. Job site address :14.58 a $W S'5 - Qve 1 . c VIM i, ,.�r.; 1,' Pilki,i yet?;.~ S 19EEb e S'._ - 4 :*iai5 * Suite #: B1da. /A •t.#: Number of inspections per permit allowed , Proj et Name: ■ a • ' • • . : Description . Qty I Foe tea.) Total 1 : New residential - single or maltl•famtlY per Cross street/Directions to job site: ' p.5 Ac ► U r dwelling eel& Includes attached garage. . /thl PM/ 6 o rL as 10Service 00 .. f. or less l4S.IS 4 (C Each additional 500 N. ft. or portion thereof 33,40 l -5/4" Lot r�l' Limited energy. residential _ � 75 -o0 2 Subdivision: • Limited energy, nonresidential 15.00 `2 Tax ma • • arcel r#: Each manufactured home or modular dwelling Ni...., r."- ,i i � -•. ., ervice andfor feeder 90.90 2 "'r' � „t,." R���tIL�94.��ii� �'. :its "� :. : -- - s � � Ga "''' $ar rice3 a�- i ustanadon, alteration o don_ i 200 amps or leas 80.30 2 201am.:to400am.= 2 ,/.MINIU1_' 106.85 V".1 [' 2 401 amps to 600 amps 160 - 60 2 R 3i_ 0 .,,1-,:/,,,. iTr ��9� -- i' cli _ ' iZp ' Ti 601 =two 1000 amps 344.60 2 +m� � ' Over 1000 amps or volts 454.65 2 Name: . _ i � � � ' r ii; Femtmect only I 6685 2 �� i_'.•:!/ Address: / • • 27C Temporary services or feeders - Installation, alteration, or relocation: Ci /StateiZi : INff „ 4 -e j 200 am • s or less 66-85 1 _ - 201 auras to 400 Russ 2 Phone- g.. _ � � g 401 to 600 amps 133.75 2 1i0; 4, ,; w"• - , y t• 1 '� 5 i T !! jR�p .. •' ? �i. N' i circuits F'` • '1' - s" SI'�. :�i., :5 ::�;,1'��� ::i� �,:F .:� :�: .1� ,� 0 �n"''� - B ranch at`ca alteration, or Name: extension per panel; A. Fee for branch circuits with piee1Wa of Address: sarviee or'feader fair, each branch circuit 6-65 2 City/.State /Zk: B. Fee for branch circuits without purchase of service or feeder fee first branch circuit _ 46.85 2 T Phone: 1 Fax: Bach acl416oit1l branch circuit 6.65 - 2 E- mail: Mice.(Servlee or feeder not Included): , w . yl r : r Each , or jai •lion 01t ie 53.40 2 =alit „,, .,. j 3 . r'?r °S..l7„ � r 1 R ; :: r : .,.. ' '. '” G t i ' t oll' Fh 6. ar o ii htin • 53.40 2 . Job N / ~ • Signal circuit(s) ora limited energy panel, alteration or extension Pie 2 2 Business Name: It A r 1 /n MINZIN Description: . Addres : /6 • t , Ci 15l atelZl : 4 rd i r 7 / 2 Each additional inspection over the allowable in an of the shoves - acs inspection per hour (min. 1 hour) 62 -50 Phone:50 i 2. / S _ _ Fax :5ii : 03 _ 7 - %- lnveSnsation fee: .. f 2.('.. #: �� L '� r.�.n f"< 71 h: : :� I' �-. y:: Supervising electrician CCB Lic. . _ a 1 �! • . v - ;,� :k,r? iii '.k'.',•;L: E� 6.LA atiti +v t :'f`. ., y J�i:�w: L iBi - Subtotal $ _Z2 . 7l) signature required: .��7 -�Y� / Subt l�� _ Plan Review _25% of Permit Fee) S P r i n t Name: L l - £ L Lic. ' : ' 7-.5 State Surcharge (8% of Permit Fec) s — 7 ' re TOTAL PERMIT FEE { S 2 .$n Authorized Notice: This permit application expires if a permit is not obtained within Signature: Date _ 180 days after It has been accepted as complete.. _ Fco methodology set. by Tri- County Building Industry Service Board. (Pieesc print name) • CITY OF TIGARD 24 -Hour BUILDING Inspection Lines (598) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received 3: 5 U � Date Requested / 3 . 3 AM PM BUP Location [ �A 5d O ✓°� Suite MEC Contact Person ( 1 0(1/), JYL. Ph ( 50, ScW- PLM Contractor Ph ( SWR r/ BUILDING Ten ant/Owner L .tJ Z_ 4 CWVv d,a SLW dZ /Z4 LC ©() "3 2 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall ✓ Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage F' rm Ana Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SS PART FAIL SITE El Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA Z i Approach/Sidewalk Date / ° _ 3 cJ 6 ,/ Ins - + Ext Other: Final DO NOT REMOVE this inspection record rom the Job site. PASS PART FAIL