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Permit 'y_, CITY OF TIGARD ELECTRICAL PERMIT Ili PERMIT #: ELC2007 -00844 COMMUNITY DEVELOPMENT DATE ISSUED: 12/17/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 113AC -00103 SITE ADDRESS: 07216 SW DURHAM RD 200 P ZONING: I -P SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG PROJECT: WELLPARTNER Project Description: (8)branch circuits. Extend floor box power to office furnitue. 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: 7 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: PACIFIC REALTY ASSOCIATES MILESTONE ELECTRIC 15350 SW SEQUOIA PKWY #300 -WMI 1800 NW 169TH PL. SUITE B700 PORTLAND, OR 97224 BEAVERTON, OR 97006 Phone: Contact #: PRI 503 - 645 -5323 FAX 503 - 690 -4843 FEES • Description Date Amount Reg #: ELE 34 -618C [ELPRMT] ELC Permit 12/17/200' $93.40 LIC 153480 [WAX] 8% State Surcharge 12/17/200' $7.47 SUP 4574S Total $100.87 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: / ,,,1 mil F' Permittee Signature: 9 ' (� ; , `J 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. i Dec. 13. 2007 12:53PV Milestone Electric No. 9058 P. 2 Electrical Permit ,A lication FO OFFICE USE ONLY Ca of Tigard Received `J 1 . T f ) Date/B . / , 1 0 .. Perot 1vo.0 ._ ✓ 2 �071y i. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1 0'C 1 "J'r { + +p Datela. Other permit: Inspection Line: 503.639.4175 20 :� ` Date Ready/By: lial ® See Page 2 for Internet: www.ci,tigard,or.us CITY OF f/G Notified/Method: Supplemental Informat .. �^ Q 6� - l kI�AN.: gVttW. ❑ New construction Addition/alteration/replacement Please check all that apply: ID Demolition Other: ❑Service over 225 amps, comm'l ❑Hazardous location - ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION. ., . of I- and 2- family dwellings 4 or more new residential k] 1- and 2- family dwelling M.Commercial /industrial 0 Acctssory building DSystem over 600 volts nominal units in one structure ©Building over three stories ❑Feeders, 400 amps or more 1:1 Multi-family El Master builder El Other: ❑occupant load over 99 persons ❑Manufactured structures or - ,TOR SITE. INFORMATION AND' LOCATION °Egress/lighting plan RV park Job no.: 7. 0 Job site address _ •72-4 67 S(aA + , t i ❑Health -care facility ❑Other: I � Submit 2 sets of plans with any of the above, � D ( City /State/ZIP: ( / CG rs t , 2 The above are not applicable to temporary construction service. �-.. Suite /bldg. /apt_ no.: Q f Project name: / N / f l�DVI E Wit Description Qty. Fee. l Total .. Cross street/directions to S job site: New residential single or multi- family dwelling unit. J - - Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tai map /parcel no.: Limited energy, residential 75.00 2 • Limited energy, non - residential 75,00 2 AESCRJPT1ON OF WORK Bach manufactured or modular / 1 / r t dwelling, service and/or feeder 90.90 2 '�r��. =- o J �a1 - - I Al. �•irM. ~ fsiY hi.. h — Services or feeders installation, alteration, and/or relocation `' .LAA) P ' - (q 200 amps or less 80.30 2 . ❑ PROPERTY.' OWr4Ett. 0 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 Reconnect only 66.85 2 City /State/ZIP: Temporary services or feeders installation, alteration, and /or Phone: ( ) !Tax: ( ) relocation 200 am.s or less Ns 66.85 MIN 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 111 100.30 III 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 aims to 600 am.s 133.75 2 - Owner signature: Date: Branch circuits - new, alteration, or extension, per panel Q' APPLICANT . . . ❑ CONTACT,; PERSON A. Fec for branch circuits with service or feeder fee, each Business name: branch circuit 6.65 2 Contact name: B. Fee for branch circuity without service or feeder fee, f Address: branch circuit / 46.85 j 2 Each add'I branch circuit 6.65 cG ✓ 2 City /State /ZI!?: Miscellaneous (service or ceder not included) l'llone: ( ) Fax:: ( ) + 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 Business name: ( extension. Describe; Page 2 2 Address: / 0 � ®� f ? O Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: J2 �, 0f /--- 9� �M^ Investigation per hour (I In min) 62.50 Phone: ( )‘ � z/s' �-S' •,3 Fax: ($'3 690 — C A L I industrial plant per hour 73.75 ELECTRICAL, PERMIT FEES* . CO3 Lic.: /5 ! Electrical Lic.: 3 S/ c.,_, Suprv. i,ic.: lIZ.5-2%.01t Subtotal 9 3 , e Suprv. Electrician signature, required:,,/ I Plan review (25% of permit fee) Print name: / State surcharge (8% of permit fee) 7, ,Lt' /-(3? TOTAL PERMIT FEE Authorized signature: this permit npplicatiop expires if a permit is not obtained � blp 180 y ' "" � ME T T days after It has been accepted as complete Print name: r 5 r// Date: /z /3_D(2 * Fee motttodology set by Td- County Building Industry Service Board is Number of inspeciaos per permit allowed, i:\ Bu ildnaV 'ennits■F.LC- Permiu#pp.doc 12/03 440-4615T(IO/02/COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00844 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12117/2007 Phone: (503) 639-4171 ,;(1111 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7:01AM PAGE: 49 SITE ADDRESS: 07216 SIN DURHAM RD 200 P CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: WELLPARTNER DESCRIPTION: (8)branch circuits. Extend floor box power to office furnitue. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503.645-5323 Inspection Request Scheduled For: Date: 1/4/2008 Pour Time: Code # Inspection Description Corifirm-# Contact # Message 199 Electiical final 062562-01 503.718-5715 PAUOD Corrections/Comments/Instructions: b't 5 '31-) o INa 5 wErg., • 0)'\ • IN PASS I 1 PARTIAL APPROVAL El CANCEL NO ACCESS 0 FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: c3 Th N beLt Date: /. q 6 '?) Phone #: (503) 718-