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Permit C ITY O 1 TIGARD OD ELECTRICAL PERMIT PERMIT #: ELC2004 -00472 A infi I DEVELOPMENT SERVICES DATE ISSUED: 8/6/2004 .'4.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 114AA -00100 SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5 SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Description: Music area, electrical TI. Job No. 9026 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: 2 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 WIO SRVC OR FDR: 5 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: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: SCHOOL DISTRICT 23J TEAM ELECTRIC CO 6960 SW SANDBURG RD 9400 SE CLACKAMAS RD TIGARD, OR 97223 CLACKAMAS, OR 97015 Phone: 503- 431 -4000 Phone: 557 -7180 Reg #: LIC 47336 SUP 4416S FEES ELE 3 -225C Description Date Amount Required Inspections [ELPRMT] ELC Permit 8/6/2004 $430.80 [ELPLCK] ELC Pln Rev 8/6/2004 $107.70 Low Voltage Inspection [TAX] 8% State Surcharge 8/6/2004 $34.46 Rough -in Elect I Final Total $572.96 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100 You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1 -00 332 -23 4. Issued By: / /-4 Permit Signature: ,-e_., R's \`n sqs OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: - DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day 08 /05 AUG i . 5. 00 FLU :01PM 9819 TERM ELECTRICITY OF TIGARD NO.008 P.4305 E1ectriCa �'et lit A Ft lit (11TH t: t NI' i y,N 1. ) City of Tigard A na b d ParmltNe.tie .. j,' _Doff/ 2 13125 SW 1'1a11 Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503 -598 -1960 '` *'ti+ +C l I Duet . Othez Fannin Line; e; 503.639.4175 ; -! _ ILA Pitt RcudyrlBY • 83 see Page 2 for Internet w�wr.et.d16ard -or -us No tilfedrd,Methed; '7`f ' SupDlcmen�l In(1 don p•., ••�,;ri_I:,�},r;tr�'r.,; �,,�n ' � ! e�{ , "_'i I: 11'� s l l P r n�p ! �� 217 -I��' r �' - '_i��1 .r - ti = ' " ,, •' ,! I "'t-� 'n:,., •,' •I'4,,;:, • ,� • • i 1 4�1� I+ = 'I 1 ICI$ rM1 lI 'I' 7 [ v l i r l i R f ' 14 � I' „ ( u.- -rl '. - r. S D '0"', �h . 4::1'1 =-i: �NfI l i�� 4A1r -� r�a d,t- •,,, ! {� i 7 • 1' l I !.... _ .� „' 6.YI t_:.. r.;!,�r'tl .I 6.i t - ' Q New construction :1 Additiotllalreration /replacetuent Please check all that apply: IE1&tviec over 225 arms, comrn'1 flHa2at'dous 10Cation 1]ernoliti0n ❑ Other: I]Service over 320 amps - rating 013uildng over 10,000 sq. ft., I R 'Fr 'l,uls I • ,�n "•[:. -ra. +�iRZ' ,U H + . .!^ L. . _, 1 . ;l � • t ?L�, • •• r, ` F.( �, Dl rti_�'ti� 7 'I 4,e .. 'l i] �i � r of t and Z family dwellings 4 or more new residential U 1- and 2- family dwelling ►i Comrneroial/industrial ID Accessory building ElSystem over 600 volts nominal units in one smtcttire d Multi- family ❑ 1�ianer builder ❑ Other_ ['Building r three stories M ?ceders, 400 amps or more y 1•qr % 11 �r � h_ A . r': 1 _ . . i • • ;� 2 ,m I '._'� - - ; t, ,1 ' ©Occupant load over 99 persons CIManufactured structures or �rl F kit ^ °r ..; I. f4 l' r 1e�4n �p ti` f ; ; i� r hJ ) d 'rl' i i ,'I rr' RV < I.1. :,.∎ ..1, _, ,_�. ,- -ij� i.�i.i•_. ., .- r.3 - ,,,� - 7... , -•r _. , ;! v,. I-- ,_.,',I [3Egeaeiligbling Job 0 Job Site address: / pith -care facility 00 : ° 4. 1 1 2 Subrmit1 seta ofplans with any ot•the above. City /State /Z/P1 - 770 The above are not applicable to temporary eonaRuction service. Suite/bldg./apt. j i Q 1 cL //S ,f 1 ' ;'!! : ;.N S ! , yi . I" ,�w � no,; Project name: - Cross street/directions to job site: New residential single- or multi- family dwelling unit. . Includes attached garage. 1,000 sq, ft. or less 145_l5 4 SubdiViSion: Lot no.: Ea add'1500 sq. ft. or portion 33.40 1 Limited energy, residental 75.00 2 Tax rnap/pareel no.: • Limited energy, aon•residenriel IM 75 -00 ' IN LiLi 1 , ,f' i t , " , J' rI li 7 117) �'UU -',;--n �+7,'. •M,:•' ! S L1'� !r ' - u , � � li i /_ d � +� :lwlf 1 .'t,- �, �,. "l` : � . `t'' ' :i'_ Each manufactured orrtuod modular dwellin • service and/or feeder 90.90' Services or feeders ibatllllatiou, alteration 'an relocatioh 200 amps or less 80.30 lel } .r 1 '.�' v Nl * ^rr 1 1' . :1'' �. _ g- 1 ?..' '� 201 amps m 400 amps 106.85 �MI • +` : � l , � '� rll� + •r �' 1.9' Y, 'I! a'I`, . U .I 'd n 1 1 + ^'�: 5 � -;. n ' 61 • ,F,.a.• .!'14, „ „ . _ .. ,.__,.,_ - !_'�. ' _: rs, i 401 amps to 600 amps 160.60 11111191 • Name: 601 • • s to 1,000 amps III 240.60 Address: Over 1,000 amps or volts NM 454.6$© Reconncet only 66.85 2 City/State/ZIP: Temporary setvinu or feeders installation, alteration, and/or • relocation Phone ( ) I Pax: ( ) 200 •' ,,. • or lase 66.85 1 Owner installation: This installation is being made on property that I own. which is not 201 attrps to 400 amps MI 100,30 • Ul intended for sale, lease, rent, or exchange, according to ORS +141, 449, 670, end 701_ 401 amps to 600 sa=ps 133 - 75 2 Owner signature: Date; - Branch circuits - new, alteration, or extension, , er panel I5 ` '. _ with . r ,_,.,_ ".. I.I...:.`I M" ?ITtIljrv� 0,t1.'!_ ,.;:i �67.� �I:ilt,� ,h C 1 r• %�5 :; - � ,t A.F eeforbranchcircuits �:1J�3Y"'.''; �J -- - ' �1 _.f�! ': :: , r,' . _.,��'�. x2r•,,,,y�� 13�,,. _ I service or feeder flie each . 1111 Business name: - reQ vy le c-i- (r e...... • branch circuit 6.65 B. Poe for branch circuits Contact name: ciA.CA \( L k k v � ' wairous service or feeder fee, 46.85 Address: 9400 S1.7,--_-- • C (LC.�Q M& y each branch, eiteuit Ea ch adel branch circuit 6.65 MI City/State/ZIP: 0.„c+L (- 11.0 -t'V L.C.t. a/ I sD 1 i' •' on cit e .____ 53 . Phone: �� per: ; g Ptlznp or irrigation circle $3,40 r ( �s "� • �O '5 - D 2-0 Sigh or outline ll: tins, EN 53.40 © E -mail: �., ,.i Signal circuit(s) or limited - I it• ; ...•.i- y 1 1?' + '6•�!k:B 'Y o - 1� 4 1 4i r ;ly , ;r ' j11 i. ' t fi? %� of r7 • i� . TO ddr I'L:S''le., , } �I{{}} I R1�S� l' i n I Ric gy ptstel, altctStlotl, or - 4.s . ,?iii:.l� �ISI 4 l � i extension. Desrnbe: Page 2 ili Business nano: "-- ^ / - . A ` L r. , , et COW/ l • Address: 54 p !J Each addl[Ienal inspection over allowable in onyof the above r �' Perinspcctien .50 City/litase1ZrP: Ian estigatienperhour (1 hr miry III 62 62,50 ' 11 Phone: Industrial planter hour 73.75 - � Phone: ( Pi t: ( ) ��J � J ' i ' q'C11:.I:u drL t!,?1 CC8 Lic -: 7 33 Elcctticel Lie.: 3 22 Subtotal if j, e 0 • Suprv. E1ectrici nxt signature, required: ", 14 - 10.• Han review (2535 of permit fee) 1, -10 D g - State surcharge (8% of permit fee) 3 if io Print name: l� Ll (.l i TOTAL PERMIT FEE , 4 . Authorized signature; This permit applkadon expires If a permit is not obraiac4 within 180 dart after It his been acaoptad u aompiete Print name: Date: • Fee roerhodolo=y sot by Tri- County Building Industry. Service Board , •• Number of Inspections per permit allows. • i.\BUildiagPO ot2LC.PrmerAPn.doc 12102 44040 5rit010VCOM1W , CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received D to Requeste / AM PM BUP Location FOOO Suite MEC Contact Person - Ph ( ) PLM Contractor Ph ( ) SWR , / BUILDING Tenant/Owner ELC R� -ed ` r 7,z Footing - Foundation ELC Access: Ftg Drain ELR Crawl Drain • Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler F Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL', Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL r Service Rough -In UG /Slab Low Voltage _ Fir Alarm in. E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. '1 - PART FAIL SIT Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA I 1 � \ Approach/Sidewalk Date I � Inspector `- Ext ®� Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL