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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 00453 COMMUNITY DEVELOPMENT DATE ISSUED: 8/6/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135BB-00300 SITE ADDRESS: 10185 SW CASCADE AVE ZONING: C -G SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: CLEARWIRE Project Description: Job No 8536 RESIDENTIAL UNIT TEMP SRVC /FEEDERS..• MISCELLANEOUS 1000 SF OR LESS: 0 - 200. amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 2Q1:- 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: 2 W /SERVICE OR FEEDER: 8 PER INSPECTION: 201 - 400 amp: 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: PORTLAND GEN ELECTIC CO ADK ELECTRIC, INC. 121 SW SALMON ST PO BOX 2676 PORTLAND, OR 97204 BATTLE GROUND, WA 98604 Phone: Contact #: PRI 360- 546 -5155 FAX 360- 576 -6975 FEES Description Date Amount Reg #: ELE 37 -934C [ELPRMT] ELC Permit 8/6/2008 $213.80 LIC 148882 [TAX] 12% State Surchar 8/6/2008 $25.66 SUP 4853S Total $239.46 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: A / � OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Aug 05 08 12:05p 360- 576 -6975 p.2 J 41 • Electrical Permit Application. .. , FOR OFFICE USE ONLY g : ' t ` lk. City of Tigard Recen 9�{' zd - • - PemutNo.: a y � t� Dte/By: L=LG doB U ri x.5 . ' j1 • 13125 SW Hall Blvd., Tigard, OR 97223 Review Plan Revi, _ Phone: 503.639.4171 Fax: 503.598.1 � Q l�te!$,�: OthcrPe a� o-�do ode 6�_ ' TIG ` AF.I3 Inspection Line: 503.639.4175 `�oO© DateReadyBy: tuna: RI See Page 2 for ' ' - Internet: www.tigard or.gov (\` \{� - .J �Notified/Method: Supplemental Information TYPE OF WORK • c•1 �� 1 ,0 • -PLAN RE ' ❑New construction i 15 Please check all that apply (submit 2 sets of plants w/items checked below): Addition/alteration! 10 . -.t \I� • ❑ Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑ Other ( 01k9 1 where the available fault current 0 Marinas and boatyards. CA E GORY OF CONSTRUCTION • ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ii Commercial -use agricultural , ❑ 1 and 2 family dwelling Commercialfindustrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system JOB SITE INFORMATION . AND LOCATION D Addition anew motor load of Job no.: a4 1 Job site address: J c'i - dc /4-11 G omoreoccupancy. ecre L. ❑ Six x or r mom residential units. ❑ Recreational vehicle parks. City/State/ZIP: U✓ � / ❑ Health-cart facilities. ❑ Supply voltage for more than e N �� L R 1 -4.-2. ❑ Hazardous locations. 600 volts nominal. Suite/bldgJapt. no.: Project name: pt.; /' 2 2 .. ❑ service or feeder- Eno amps or afore. FEE SCHEDULE Cross street/directions to job site: j. 5_ ,56. , .. r .„ . • + v ,. A, , . . U ; . 2( [ ,t,) Description . I g tv. 1 Fee. 1 Total 1 • // � l/ New residential single- or multi- family dwelling unit. 2f) th re.r. 1k. - z 11 ( (..'`)4 /5rt,r,il fit• ied PAi ( LIh 1=2 - Slhc 115 �tn^1 ' Includes attached garage. iuisien: if/ f s- v./ ere( 6. PV L Lot no.: 1,000 sq. IL or less • 145.15 4 C( Ea add'l 500 sq. ft. or portion 33.40 l Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. 11.) 75.01) 2 4 Limited energy, multi- family 75.00 2 (�i ' J f lam' I& r 5-../ -e 1 00 4 ) v' ,, - r r U t-v Ct v! t'1 II. ' residential (with above sq. IL) Services or feeders installation, alteration, and/or relocation a (. c v 200 amps or less .2 ' 80.30 / jp . G.,0 2 ❑ PROPERTY OWNER • ❑ TENANT . 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: • 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Temporary services or feeders installation, alteration, and /or City /State/ZIP: Phone: ( ) • Fax: ( ) 200 amps or less 66.85 l Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits- new, alteration, or extension, per panel _ Owner signature: Date: A. Fee for branch circuits u'it /t ❑ APPLICANT • ❑CONTACT PERSON above service or feeder fee, g 6.65 J-? a0 2 each branch circuit Business name: A h 4- 6 - 1 - m I / T7, B. Fee for branch circuits � without service or feeder fee, 46.85 2 Contact name: J / In (n t i first branch circuit J Each add'! branch circuit ` 6.65 2 Address: i)(., 1': i k Z 0 Miscellaneous (service or feeder not included) _ City/State/ZIP: e, a y1( it = ,,, ` i f '•v , .'l " C Li` Each manufactured or modular - dwelli, service and /or feeder 90.90 2 Phone: (� t . , ) 5,1 L ., • S l , Fax:: (i,;• ,. )- 7v , L: r r 7, Reconnect only 66.85 2 E -mail: 1 .1 1/11.( ci,�` �t (i k,,- / y7. e. / h [ . L ar a Pump or irrigation circle 53.40 , 2 J CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: , D1( i (L+ ; -- j: f,3 r , energy panel, alteration, or extension. Describe: Page 2 2 Address: 'c .,, Zu--l(:, City/State/ZIP: 1 Each additional inspection over allowable in any of the above )6(" - e (- 1(A.. :Ytcl , 1:, /'l /1 ∎:"v� Per inspection 62.50 Phone: (: v.t, ) �,:) id - 1S S Fax: ( - ),'7- (.' -Ls- Investigation per hour (I hr min) 62.50 CCB Lie.: 1 a r t. z 6 , L -, Electrical Lie.: 311311(,,, Suprv. Lic.: .53 Industrial plant per hour 73.75 i ELECTRICAL PERMIT FEES Suprv. Electrician signature required: J Ill ` Subtotal: 21 .E-ii /l D ate: �/✓ /c Plan review (25% of permit fee): -- Print name: 4 !Cr i- r� A Ct / State surcharge (12% of permit fee): 2.5 - ti (,, Authorized signature: TOTAL PERMIT FEE: .L 5 9 , 4 f / J This permit application expires if a permit is not obtained within 180 Print name: it 6., i). A-AY. - : Date: s ! t t / t i, days after it has been accepted as complete. J if • Number of inspections allowed per permit. r:tawndieg\Pexnits\ELC- Petnitt op.dec 05123t06 440- 4615T(r 7I0511:OM/WEn CITY OF TIGARD ' BUILDING DIVISION PERMIT #: ELC2006- 001 53 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/6/2008 Phone: (503) 639 -4171 :�NNW�ii� @Ii�ii Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/13/2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 10185 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CLEARWIRE DESCRIPTION: No No 8536 OWNER: PORTLAND GEN ELECTIC co, PHONE #: CONTRACTOR: ADK ELECTRIC INC PHONE #: 360- 546 -6155 Inspection Request Scheduled For: Date: 11/13/2008 Pour Time: Code # Inspection Description / onf# \ Contact # Message 199 Electrical final 078018-01 36e1646 -5155 Y Corrections /Comments /Instructions: 1elk 310 b0$1b01 2.300 L-oc _ G2 N v� fv PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: A V ()• Date: 1 1 t Phone #: (503) 718- ILK p r CITY OF TIGARD . BUILDING DIVISION ,`'� ', , PERMIT #: ELC2008-00453 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/6/7008 . Phone: (503) 639 -4171 Vud� ,11f Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/20/2008 TIME: 7.07AM PAGE: 15 SITE ADDRESS: 10185 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CLEARWRE DESCRIPTION: Job No 8536 OWNER: PORTLAND GEN ELECTIC CO, PHONE #: CONTRACTOR: ADK ELECTRIC, INC. PHONE #: 360.546.5155 Inspection Request Scheduled For: Date: 8/200008 Pour Time: Code # Inspection Description Confirm # Contact # Message Iectrical service 074405-01 360 - 516 -5155 N COS Corrections/Comments/Instructions: 1 PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS U FAIL 7 CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector: • W�� LT Date: 1. 20 1 Phone #: (503) 718- 1.43 • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008-00453 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 816/2008 Phone: (503) 639-4171 iartivilii?\ Inspection Requests (24 Hrs.): (503) 639-4175 ni■ ' INSPECTION WORKSHEET FOR DATE: W20/2008 TIME: 7 PAGE: 16 SITE ADDRESS: 10185 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CLEARWIRE DESCRIPTION: Job No 8536 OWNER: PORTLAND GEN ELECTIC CO, PHONE #: CONTRACTOR: ADK ELECTRIC, INC. PHONE #: 36054&6155 Inspection Request Scheduled For: Date: W20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 Underground/slab cover 07440401 360-546-5155 N Corrections/Comments/Instructions: • 0 PASS n PARTIAL APPROVAL pi CANCEL 0 NO ACCESS I I FAIL 0 CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: Cr" • iis) % de Date: #: (503) 718- 24 , , .