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Permit
CIT OF 1 IGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00851 x_1 DEVELOPMENT SERVICES DATE ISSUED: 10/31/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S113AC - 00103 SITE ADDRESS: 07236 SW DURHAM RD N700 ZONING: I -P SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG Project Description: (3) branch circuits for new prefab cooler. 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: 2 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 D & L ELECTRIC INC 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 367 PORTLAND, OR 97224 WEST LINN, OR 97068 Phone: 503- 624 -6300 Phone: 503 - 656 -5623 FEES Reg #: LIC 88069 ELE 3 -161 -C Description Date Amount SUP 2662S [ELPRMT] ELC Permit 10/31/200`. $60.15 [TAX] 8% State Surcharge 10/31/200: $4.81 REQUIRED ITEMS AND REPORTS Total $64.96 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 suspe•: -: or more 180 d- . ATTENTION' Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rul are set forth in OAR 15 001 -c01 rough OAR 952 - 001 -0100 You may obtain copies of these rules or direct questions to OUNC at 514 -246-6699 or 1-800-33 : 2344. Is- ed By: L A / ,i Permittee Signature: _t.=:bii4t. 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: ONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: Aa ! __et 1 �:!!/l4'�IW — 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. 10.'26/2005 1)8:30 FAX 5035981960 CITY OF TIGARD 2001 l i Vet t A��iicat On z, s . . r.'ftt�F l SE 4 i t F °-. �: �" his .. +c �, City of Tigard c „'irt e ey L111!! WI ; penn t No., — GrokSl 13125 SW Mall Blvd.. Tigard, OR 97223 Plan Review gthcr Panrue Phone: 503.629.4171 Fax: 503.59 &.1960 N)11 uateBy Inspection Line: 562.639A175 ,. V,: ; � Date Ready /By: Ef See Page 2 for Interact: www cl.tigard.or.us NobtiecVMethod: ` 1 C., Supplemental Information — TYPE OF WORK 1 r - . PLAN REVIEW. - - .- © New constniction [ Addition/alteration/rcrlacement r Please check all that apply: °Service over 223 turps, comm'l ❑Hazurdotts location ❑ Demolition C1 Other: [] Service over 320 amps - rating °' Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION ' , of I- and 2-family 4 or rtiore aew residential ❑ 1 - and 2- family dwelling .t 1 Commercial/industrial ❑ Accessory building °SYstem over 600 vole nominal units in One gtrucatre :Nodding over three stories °Feeders, 400 amps or more D Multi - family ❑ Master builder ® Other: ❑Occupant load ova 99 persons c•Mlnnufactured structures or JOB SITE INFORMATION AND LOCATION . (J6rcesslligiztingplan 1W park '� ° -Care faetliry OOther: Job no.: lob site acidress�` �?f, S Submit 2 sets of plans with any of the above. ~City /State/ZI?: V 22.E The above arc not applicable to temporary construction service. FETE° SClifllaULE . Suite/bldg. /apt. no,: 7� J 1 Project name: � � -- ooseriptt a (rtty ; rec. 1 Teta1 .. j Cross street/directions to job site: 7 L J,�� 4C/ �_ New residential shigie- or multi dwelling unit. includes attached _stage. 1,000 se. ft. or less 145.15 ^ 4 e - L - a dd'! 300 sq. f!. or potion 33.40 I 1 Sut'dMVl9ion: L ot no.: limited energy, residential 75.00 2 Tax maplpareel no.: Limited energy, , non 75.00 2 ' ' . DESCRIPTION OF WORK • , Each manufactured or modular ``,, // 4 dwcllinu, service and/4r feeder 90 90 1 2 l�fl / e - G "' S ervices o r f eeders inst alteratlon, and relocat 20(7 stags or less $0.30 2 PROPERTY OWNEit j ❑ TENANT 201 amps to 400 turps 14°.85 2 ��_ __ C 401 amps to 600 amps 160.60 2 Name: , (J ✓ S 0, �,P .7p�G 601 amps to 1,000 amps 240.60 2 elli • G 1.f lid Address: o� C S� G t // L l` Over 1 ,00 0amps o volts _ 454.65 2 Q ���,,, ���111 an Recocet only 66.85 2 City /State /ZIP: / z r CX,e ! 7 Z _ Temporary services or feeders installation, alteration, and /or / relocation Phone: (5 --t57g0 Fax: ( ) 200 amps or lobs -- " 66 85 1 Owner installation: This installation is being made on property that I own which is not 201 turps 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 J 2 i Owner signature: _.___ — __ Date: _ Branch circuits - new, alteration, or extension, per panel — l �R- P.L ICA1S T , ❑ CONTACT •PERSON_`! A- Fee for branch circuits with I ' servi:c or feeder fee, each 6.65 2 Business name; Ci /�i' Fee branch �-� B. Fcc fo bnch circuits 1 � Contact W arne: without service or fced / er tee, / 46. iy� g 2 each branch circuit Address: J �� Each add branch circuit 46 6.65 ;j3.36 2 City/StateiZ1P: 5 . 7 4 G /,,„/_, Olt-- i I Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (5 ) �r�, tax= : '6 ) ‘ /2 /e, I Sign or outline lighting 53 40 2 l E -mail: Signal circuits) or - limited- ' CONTRAC 'OR energy panel, alteration, or 4 ...' extension, Describe: Page 2 2 "lf Business nacre: , t, ,P� Leah additional Inspection over allowable in any of the above ' Address: Q �p �� °--'-- — Per inspection 62.50 City /State /ZIP: �p ,vN ,j)/e.. 7 704 / _ I Investigation per hour (1 hr tan) 62,50 Phone: ) i •-.�3 Fax: G ? ) C — i OO ELECTRICAL. PERMIT dustriat plant per hour 73.75 p-- , IT FLEES* 1 CCB Lic : O 6 CJS Electrical u.... - Suprv. L � lc ‘Z 5 E.----- Subtotal 4.5, • Suprv. Electrician signature, required- 0 / _ Plan review (25% of permit fee . Print name: D a l e: Star surcharge (8% ofpermit fee) c7 v Ji✓ /� �_���/h , e� D z � TOTAL PERNEET FEE ,Z.2/.�.t Authorized signature: - This permit applkation expires if a permit is rat abtalued within 180 days utter It bas been accepted as complete Print name. Date: ' Fee methodology set by Tri•Couaty Building industry Service Beare . ° --' "* Number of inspections per permit chewed. .:■auedrnglPermite tst.C- Re:mii4pp.doc 12'03 440 CITY OF TIGARD Or" BUILDING DIVISION PERMIT #: ELC2005-00851 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 95 SITE ADDRESS: 0 .36 SW DURHAM RD N700 CLASS OF WORK: SUBDIVISION: PA RUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HAW .. PROVISIONS OF OREGON INC DESCRIPTION: (3) bran circuits for new prefab cooler. OWNER: PACIFIC Rk 'LTY ASSOCIATES, PHONE #: 503-624-6300 CONTRACTOR: D & L ELECTk C INC PHONE #: 503-656-5623 Inspection Request Scheduled For: Date: 11/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 019989-02 503-61-8623 Corrections/Comments/Instructions: 'k 4) ia. '36 % ) PASS PARTIAL APPROVAL fl CANCEL ( Ale IrDefiN t INSPECTION El ADDITIONAL FEES ASSESSED Inspector: G-4 NeL)' Date: if Y( Phone #: (503) 718- . / ' CITY OF ��um n n�"m nn����nm�� BUILDING DIVISION ~�~~"~~=°,,°~° ~~,°,~,"~,"° PERN1|T#: ELC2006'00861 13125SVVHaUB�d.. Tigard, ORA7223 DATE ISSUED: 10/31/2005 Phone:(503)680-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:001VI PAGE: 96 SITE ADDRESS: 07236 SW DURHAM RD N700 CLASS OF WORK: SUBDIVISION: PATRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HAUGE PROVISIONS OF OREGON INC DESCRIPTION: (3) branch circuits for new prefab cooler. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624'8300 CONTRACTOR: D & L ELECTRIC INC PHONE #: 503-656-5623 Inspection Request Scheduled For: Date: 11/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 019989-01 503'654'8823 N Corrections/Comments/Instructions: PASS El PARTIAL APPROVAL I] CANCEL El NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-