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Permit
" CITY OF TIGARD ELECTRICAL PERMIT II . PERMIT #: ELC2007 - 00440 f : .. 2. COMMUNITY DEVELOPMENT DATE I SSUED : 6/27/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AA - 01400 SITE ADDRESS: 08925 SW CENTER ST ZONING: C - SUBDIVISION: KINGSTON LOT : 005 JURISDICTION: TIG PROJECT: LUKE -DORF Project Description: 1 service and 2 branch circuits. 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: 1 W /SERVICE OR FEEDER: 2 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: LUKE -DORF INC TICE ELECTRIC 8925 SW CENTER ST 5405 N. LAGOON AVE. TIGARD, OR 97223 PORTLAND, OR 97217 Phone: 503 -726 -3702 Contact #: FAX 503 - 872 -8290 PRI 503 - 233 -8801 FEES Description Date Amount Reg #: ELE 26 -126C [ELPRMT] ELC Permit 6/27/2007 $93.60 LIC 166 [TAX] 8% State Surcharge 6/27/2007 $7.49 SUP 2586S Total $101.09 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. 0 Issued By: \( Permittee Signature: et p.. ') " 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. • Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Rnoeived/1 Date/By b i/g Permit No.: 0 _ 13125 SW Ball Blvd., Tigard, OR 92223 Plan Rev' w ss Phone: 503.639.4171 Fax: 503.598.1960 JUN 2 7 20 0 t ; „ „ u , 'I'I h patRY other Retmmt• Inspection Line: 503.639.4175 Date Ready/By: Jae./ 0 See Page 2 for Internet: www.ci,tigard,or.us CITY OF TIGP, v Notified/Method: / Supplemental Information TY OF3vt�Ol f fl7f�91 ^IV PLAN REVIEW ❑ New construction ® Addition /alteration/replacement Please check all that apply: ❑Service over 225 amps, cons 'l OHazardous location {] Demolition ❑ Other: OService over 320 amps - rating ❑Buildxtg over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ® 1- and 2- family dwelling ❑ Commercial/industrial El Accessory building ❑SYstem over 600 volts nominal units in one structure ❑ Master builder © OCb Other: ❑Building over three stories OFeeders, 400 amps or more ❑ Multi-family DOccupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park no8 0 . 2477 Job site address: ❑health -care facility [ Other: Job 8925 SW Center Street Submit2 sets of plans with any of the above. City /State/ZIP: Tigard, OR 97223 he above are not applicable to temporary construction service. FEE SCHEDULE Suite/bldg. /apt. no.: Project name; Luke Dorf Inc Db eortptioo I Qry, I Fee. I Total I 'e' Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. ox less 145.15 4 Subdivision: Lot no.: Ea. add'1500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax•, map /parcel no.: _ Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK. • Bach manufactured or modular dwelling, service and/or feeder 90.90 2 service and 2 c k t s Services or feeders installation, alteration, and/or relocation 200 amps or less 1 80.30 8 0_ 3 0. 2 PROPERTY OWNER O TENANT 201 amps to 400 amps 2 401 amps to 600 amps 160.60 2 Name: Luke Dorf Inc 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 Address: 10313 SW 69th Avenue ., Reconnect only 66.85 2 City /State /ZIP: Tigard, OR 9722 Temporary services or feeders installation, alteration, and/or relocation Phone: (503 )726 -3698 Fax: (503) 726 -3699 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 ❑ APPLICANT , El CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 2 6.65 1 3. 30 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: _ Each add'l branch circuit 6.65 2 City /State/ZTP: Miscellaneous (service or feeder not included) Phone: ( ) F es; ; ( ) Pump or irrigation circle 53.40 2 . Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: Tice Electric_Co. , — Each additional inspection over allowable in any of the above Address: 5405 N Lagoon Avenue - --- Per inspection 62.50 City /State/ZIP: Portland, Oregon 97217 Investigation per hour(lhrman) 62.50 A Phone: ( 503) 233 -8801 Fax: (503 ) 872 -8290 Industrial plant per hour 23.25 ELECTRICAL PERMIT FEES= CCB Lie.: 166 Electrical Lie.: 26_126C Suprv. Lic.: 2586S Subtotal 93 . 60 it Suprv. Electrician signature, required: , - Plan review (25% of permit fcc) Print name: John J. Maloney Date: 6 / 2 7 7 State surcharge (8% of pit fee) 7. 4 9 TOTAL PERMIT FEE 1 01 . 09 Authorized signature: This permit application expires it a permit Is not obtained within 180 days after It has been accepted as complete Print name: Date: " i ce methodology set by Tri•County Building Industry Service Board '' Number of inspections per permit allowed. i:\ Building \Pcm6Ita \*t,C- PctrnitA,pp.doc 12/03 440.46IST( loiortCOM/WEs CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00440 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2007 Phone: (503) 639 -4171 10aylloOf Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/16/2007 TIME: 7:00AIVI PAGE: 53 SITE ADDRESS: 08925 SW CENTER ST CLASS OF WORK: SUBDIVISION: KINGSTON LOT #: 005 TYPE OF USE: PROJECT NAME: LUKE - DORF DESCRIPTION: 1 service and 2 branch circuits. OWNER: LUKE -DORF INC, PHONE #: 503- 726 -3702 CONTRACTOR: TICE ELECTRIC PHONE #: 503 -233 -8801 Inspection Request Scheduled For: Date: 8/16/2007 Pour Time: • Code # Inspection Description Con irrrr# Contact # Message 199 Electrical final 054106 -01 971 - 235 -3027 N Corrections /Comments/ Instructions: • p PASS I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS II AIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Cr Date: i t 14 / 6 - 7 Phone #: (503) 718- vitito CITY OF TIGARD BUILDING DIVISION � } rt PERMIT #: .ELC2007 -00440 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2007 Phone: (503) 639 -4171 µii 1111 A. Inspection Requests (24 Hrs.): (503) 639 -4175 'I �., INSPECTION WORKSHEET FOR DATE: 8/1/2007 TIME: 7 :03AM PAGE: 57 SITE ADDRESS: 08925 SW CENTER ST CLASS OF WORK: SUBDIVISION: KINGSTON LOT #: 005 TYPE OF USE: PROJECT NAME: LUKE - DORF DESCRIPTION: 1 service and 2 branch circuits. OWNER: LUKE -DORF INC, PHONE #: 503-726.3702 CONTRACTOR: TICE ELECTRIC PHONE #: 503 - 233 -8801 Inspection Request Scheduled For: Date: 8/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 053134 -01 603 -341 -7302 N Corrections /Comments/ Instructions: % P0 it6 Ntal i''M.V1 C6 E afi. N • The electrical installation dRfPC:ts noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918- 271 -0030 ' SI I0 7 fl PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS pI FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . N �i3 Date: 0 Phone #: (503) 718- Itt &, CITY OF TIGARD , BUILDING DIVISION PERMIT #: ELC2007 -00440 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27 /2007 Phone: ,(503) 639 -4171 � ary�� ii at i I Inspection Requests (24 Hrs.): (503) 639 -4175 _J INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7 :06AM PAGE: 36 SITE ADDRESS: 08925 SW CENTER ST CLASS OF WORK: SUBDIVISION: KINGSTON LOT #: 006 TYPE OF USE: PROJECT NAME: LUKE -DORF DESCRIPTION: •I service and 2 branch circuits. OWNER: LUKE -DORF INC, PHONE #: 6603. 726.3702 CONTRACTOR: TICE ELECTRIC PHONE #: 503 233 - 8801 • Inspection Request Scheduled For: Date: 7/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 051619 -01 503- 233 -8801 N Corrections /Comments /Instructions: ti- c r -6kQ 1-x (C5. ;6 5 it-UAC - 9 *"" R,411 f `1(fir Viktvs ckl, k rkiet\ . ` — PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS A AIL / FOR INSPECTION n ADDITIONAL FEES ASSESSED L Inspector: , • 0 6 Date: '1 k' b1 Phone #: (503) 718- stk.