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Permit : CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00465 mod I DEVELOPMENT SERVICES DATE I SSUED: 7/12/2005 "Iil 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 1 S135BB -00500 SITE ADDRESS: 10329 SW CASCADE AVE ZONING: C - SUBDIVISION: CASCADE COMMERCIAL CTR. LOT : JURISDICTION: TIG Project Description: Relocate existing lights & add plug mold. 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: 70 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: CASCADE BLVD CENTER LLC + COBURN ELECTRIC, INC. CORNELL LIMITED PARTNERSHIP PO BOX 118 BY GEORGE B HELLIG ATTY HOOD RIVER, OR 97031 CORVALLIS, OR 97339 Phone: Phone: 541 - 386 - 7866 FEES Reg #: ELE 33 -2C LIC 861 Description Date Amount SUP 436S [ELPRMT] ELC Permit 7/12/2005 $512.35 [ELPLCK] ELC Pin Rev 7/12/2005 $128.09 REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcharge 7/12/2005 $40.99 Total $681.43 . 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 1-8003...3.3-2344. Issued By: �. pz�, Permittee 4._,--#f 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 - 6394175 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. � E VED • Electrical �'erm i�aho it App� FOR OFFICE USE ONLY City of Tigard Day a _ 1 Permit No.: e a adz i 13125 SW Hall Blvd., Tigard, OR 97223 �' (� n JIM! 2 2O V , 8e an t` Date/By: By: Review ` Phone: 503.639.4171 Fax: 503.598.1960 — 7 O_ Other Permit: � �� � DatelBy: �S / �� Inspection Line: 503.639.4175 : ..,, Date Read H See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: CITY OF TIGP 7 7 r 1 ) .� 7'� Supplemental Information t�1111 �11N(� UIWG�CC.4I Notified/Method: ir �� r `� � n arm 4 - i �'y�;' fi .�.` � �:was93,v. ^;aN'rricxl, �3�aas�,�r lP � II a . � � : c� : { , < +� �C' � x ... =.s- �� �, +� x ., NK a t ' v rf _ t I PLAN °.REVIEW - ` ce• ��'i�;�y�s �;t y . '�� ,= ��,��TYPE � n . . .. s n'�`�c . � , �� �;•�`�� ��, �..: � ,x • .. � M� � � __...=.�e�. ., .,.v..w e ��_ , .�.`�,,.� , . � �Rar�.xi'w�. ,1 a_ 4, - ' ❑ New construction ❑ Addition/alteration/replacement Please check all that apply: ['Service ✓ ['Hazardous over 225 amps, comm'I Hazardous location ❑ Demolition ❑Other: ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft, g r , n' _� _. ' r rwrr..pis,+t<ra^ :;zii i}r.€aw srre!l s ma:ac+rvx:�,_ w " t r iv, 1 K 4 :041 .. V t , , x. �',CATEGQRY, ',U +CONSTRUCTION � ; pAS of 1 -and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure ❑ Multi family 0 builder ❑Other: ❑Building over three stories ID Feeders, 400 amps or more p x u J - � �''p5t '� , w ['Occupant load over 99 persons ❑Manufactured structures or Ke "' JOB SITE INFORMA ION�•AND LOC[AT_ Ii e:.f..:,�'" t-A ��\ ❑Egress/lighting plan RV pa ✓ :.'.!.°,?�:.w�����4k +us..aa.+:, - n x@� �.,ar �n�,a�m_- aoare�ti' ,- ._ma� ...� Job no.: Job site address: /O37S W CGS nI� !�,� de v • ,Health-care facility ®Other: R 1 + �1 tPSS - �l Submit 2 sets of plans with any of the above. City /State/ZIP: 'T ; ck , A 1 ©R • The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: V I Project name: 3• S ti ,4 • .= 4.FEE iSCHEDiJI Etingt :.`, . Description I Qty. I Fee. I Total I ** c) Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. } 1,000 sq. It or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. it or portion 33.40 1 .!A Limited energy, residential 75.00 2 (Ai Tax map /parcel no.: 1 Limited energy, non - residential 75.00 2 4.1,1 „,,,141:,,,?'; II r 7DESCRII'TIONn ing97, 0 1 0 ; ,i `�” .L.' %, Each manufactured or modular R loece.tt'n ex I�s11 f) ) l'(3)1 's ayd add dwelling, service and/or installation, alteration, and/or relocation feeder 90.90 2 t1 � Services or feeders installat I u yln _ ` 200 amps or less 80.30 85 2 VAli - `+ F414 2,FAE Pla rk 9M A R ° ra a ' E , - TEI 'ANT '� , t i'4: = 1 201 amps to 400 amps 106. 2 Rr, ,t';wi,. ^a.�,,..3�.nc; �mr:avwrnxw,a..; 7 .yr- a tn_...t+d .ne .,. 2sv<r ,.'..:a`� ..:rm x+��k. 'vta; .' 401 amps to 600 amps 160.60 2 Name: S -�\e s n 601 amps to 1,000 amps 240.60 2 Address_ J 0 a C S \ cs tr v-e. Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State/ZTP: g ram fie j m l � A O 1 ., O ' Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 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 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 s s 3 t gold °AI it ,a, a , , ® CO NTACT PERSOPT � A- Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: Cebu,, E, -, ` 1 v1C_ branch circuit // 1 e J B. Fee for branch circuits Contact name: c r r1 It), c J n� 11/ without service or feeder fee, 1 46.85 y b 2 p V i each add'l bra branch it Address: � 11 � Each aad'1 branch circuit '-) 0 6.65 y 6s. So 2 City /State /ZIP: \ \ p I Q R �1 b / 1 Miscellaneous (service or feeder not included) ' 1 p ^ 1 Fax: Pump or irrigation circle 53.40 2 Phone: ( S 1 O (" 1 % Lc, I "'L 1) 3 O 6' �� ICS Sign or outline lighting 53.40 2 E .1) rt an t (obu r A e) eC .Gorr Signal circuit(s) or limited - MKT* '' . CONTRACTOR , ,� ¢'� �y "��. WAS energy p anel ' alteration, or --- -, extension. Describe: Page 2 2 p Business name: C o h r L7c. 1', Inc_ ' � j , Each additional inspection over allowable in any of the above \ Address: Per inspection 62.50 r4 City /State/ZIP: t Rl ver" / Of 9703 / Investigation per hour (I hr min) 62.50 ,,,,,Phone: ( 5 32-6-7?,,/, I Fax (51/0 3e ... 6 - 3 '7 7 is Industrial plant per hour 73.75 ,�`''�� ; - EIECTRICAI,`1'ERMTI'FEES*;: _ Y " ��a� CCB Lic.: � ( Electrical ic � a e /J ,iv. " 7 3b S Subtotal 5 `'Z, 3 5'' Suprv. Electrician signature, required/ /���_ Plan review (25% of permit fee) 12,8 ,t7 e Print name:1 a� l - JI . 'Q d ( _ / Date: 6 a J , S TOTAL PERMIT FEE 8 y 3 Authorized signature�� " /�i /� This permit application expires if a permit is not obtained within 180 l days after it has been accepted as complete Print name: / l Date: 1 /� , ,= ding Industry Service Board I t1 �e,et - s on )..49 C�5 Fee me thodology set by Tii Co,mty Buil I CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC20000455 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/12120066 Phone: (503) 639 -4171 A �� 41m91011iiIA Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/3/2005 TIME: 7 :06AM PAGE: 14 SITE ADDRESS: 10329 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: CASCADE COMMERCIAL CTR. LOT #: TYPE OF USE: PROJECT NAME: STAPLES DESCRIPTION: Relocate existing lights & add plug mold. OWNER: CASCADE BLVD CENTER LLC +, PHONE #: CONTRACTOR: COBURN ELECTRIC, INC. PHONE #: 541.385 -7868 • Inspection Request Scheduled For: Date: 8/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 012728 -01 164- 149-0028 Y Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: iii2140.4 Date: e-7'- as Phone #: (503) 718-