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Permit • * ELECTRICAL PERMIT C,ITY OF TIGARD PERMIT #: ELC2005 -00030 ' DEVELOPMENT SERVICES DATE ISSUED: 1/18/2005 '� Illl 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112AC-02600 SITE ADDRESS: 07320 SW BONITA RD SUBDIVISION: EMPIRE BATTERIES MLP2000 -00002 ZONING. I -L BLOCK: LOT : 001 JURISDICTION: TIG Project Description: Rewire fire damage. 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: 19 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: 2 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MOORE, ROD A ET AL ABC ELECTRIC c/o EMPIRE BATTERIES INC 135 NE 9TH P 0 BOX 23962 PORTLAND, OR 97232 TIGARD, OR 97223 Phone: Phone: 233 -7551 Reg #: L1C 26 -1226C SUP 5096S FEES ELE 161501 Description Date Amount Required Inspections [ELPRMT] ELC Permit 1/18/2005 $306.90 [TAX] 8% State Surcharge 1/18/2005 $24.55 Rough - Elect'I Final Total $331.45 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 -33 -2344. Issued By: � p Permit Signature: CA-13-12-2( �� Gjy`� 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 JAN -18 -2005 10:40 A'M P.01 a Electrical Permit . AAt ?IT 1 ,D1 Mk UFI i( i :: i:.st'. ()NI .1' i Q ,a I .-- . r . Rees yeti 'a BP) PenldtNo :�- C�t7S- 0,!:2 03 City of r i and noway. /" / g 5 13125 S W Hall Blvd„ Tigard, OR 97223 Plan Review Other Permit: Phone; 503.639.4171 Fax: 503.59B,19 1 8 2003 ■■ ,, ` 1 Date/By' Iwo: la gee Page 2 for Inspection tine: 503,639.4175 ...• F. 'i i _ . Nodded/Method; led/ Nodded/Method; etho d: / Supplemental Information tho Internet: www.ci.tigard.or us w _ , . ' • , :, , t it , iRfs,l14 • f� f' r�, . i' .. ! ,. • . ,! l P iii l is Jih IJt ?,Qi. • • - ;, • , _ �!l ' m ace meat Please check all that apply; (] New construction a e p °Service over 225 amps, comm'I ❑Hazardous location ❑ Demolition Y Other: ©Service over 320 amps - rating © Euildng over 10,000 sq. 1 \., i s ,..., i . ." ,.. to ., j • ' . �t f •`L , r : . T:.:....,,:•,, ,•. :••:.:•:•:•. : : of 1 -and 2- family dwellings 4 or more new residential t l (1 f -(.,: OS ystem over 600 volts nominal units in one structure ❑ 1 • and 2- family dwelling P14 Commercial/industrial ■ Accessory building ❑Building over throe stories ❑Feeders, 400 amps or more ❑ Multi - famil Q Master builder 0 Other: ❑Occupant load over 99 persons En Manufactured structures or Egress/lighting plan V pa .: ...::.::...:..::....: ❑Other. Job no,:e, .. , Job site address: . 0 S - l a • its � � Health - care facility Submit 2 sets of plans with any of the above. City /State /ZIP: \ a t 0 • c2 ,9 3 The above are not applicable to temporary construction service. .:.•::.. , . t.:• : ' °14., ?,4t l•'ir' Suite/bld Project name: $• /a t. p no,: Project Description - Qty. ro. Total '- Cross street/directions to job site: ` j ' , . `,• 1 ‘ ••d-' , New residential single- or multi- family dwelling unit. Includes attached garage. _ 1,000 sq` ft. or less 145.15 d E a, ad d'I 500 sq ft o r p ortion 33,40 1 Subdivision; Lot no.: _ — Limited energy, residential 75.00 Tax map /parcel no Limited energy, non - residential 75.00 2 r : + :• ,• : .. ' . l' h manufactured or modular • . a.c. •, • • ; .:. .a.,:,,,:•, .. .:.;.:. . Lac t , ‘ dwelling, service and/or feeder 90.90 2 el: 41. ti._ SsiL ♦. • .. w A Services or feeders Installation, alteration, and/or relocation � 200 amps or less 80.30 2 �' ` 201 amps to 400 amps 106,85 2 • ., .,/ i t_ 401 amps to 600 amps 160.60 2 f t+:. S !!. a , r 601 amps to 1,000 amps 240.60 2 Address: T - -11 ! CM d Over 1,000 amps or volts 454,65 2 Reconnect only t 66.85 15 Temporary services or feeders Installation, alteration, and/or relowtlon Phone: ( ) b5q — _ a 200 amps or less 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 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 6 00 arrlps 133.75 _ Owner signature: Date: Branch circuits — new, alteration, or extension, per panel r� t t A, Fee for branch circuits wrlh ! ' ` .;...: service or feeder fee, each 6.65 Business name: A,, branch circuit B. Fee for branch circuits Contact name: '' `s a 1 la without service or feeder fed;• a6.85 each branch circuit _ 1 ��D rFSS Address: \ I a , y _ Ea ch add'I branch circuit / 6.65 • • Miscellaneous (service or feeder not included) ENIIMISIVELEMI - Pump or irrigation circle _ 53.40 Phone: ( ) a .88,.. Sign or outline lighting 53.40 E -mail: Signal circuit(s) or limited - ai;r :.: '•.:;; x: °:: Fa ?j` :... • energy panel, alteration, or ks st; ; 6.,..:,; :']__::;t ..:...:.:::::•,:...... extension, Describe: Page 2 i Each additional Inspection over allowable In any of the above Address: . i 0 A 1 ' a I . Per inspection 62.50 / , ! r Investigation per hour (I hr min) 62.50 Phone: ( ) Industrial plant ,cr hour 73.75 . 1 4 Suprv. Lic.: /(c ISUI , Subtotal ,-, '\( , 9 ( i� .1,... Suprv. Electrician signature, required: � , P lan review (25 %of permit fee) � . / State surcharge (8% of permit fee) �� Date: � � TOTAL PERMIT FEE '3 1, 4/5 Authorized signature: r r Thue p ermit application expire', If a permit Ie not obtained within 180 t days af I ha', been ccepted a', co Eirr -' • rf. A. Date: . Pee nuthodolOpy set ter by t Tri•County a Bui industry Service Hoard " Number of In spections per permit al lowed. iN8ulldingPermde\SLC •AmnttiiApe40r lyo3 4404615r(le /07/COMIwaH • - • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 3 AM PM BUP Location r-# Suite MEC Contact Person ABC �� Ph ( ) 233 - 7$5 PLM Contractor Ph ( SWR SWR BUILDING Tenant/Owner 'i i ✓ P' iYe-%eS lap gaO as- -D 0030 Footing ELC Foundation Access: Ftg Drain / ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fire Sp 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 PART FAIL ECTRlab Service Rough -In UG/Slab •w Voltage Fir: • - On PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SIT Please call for reinspection RE: ❑ Unable to inspect - no access - Fire Supply Line ADA Approach/Sidewalk Date; Inspector G' Ext Other: Final DO NOT REMOVE this inspection record from the o b site. PASS PART FAIL