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Permit . .CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: 2 4714T . DEVELOPMENT SERVICES DATE ISSUED: 8/6/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S114AA -00100 SITE ADDRESS: 09000 SW DURHAM RD SUBDIVISION: ZONING: R -4.5 BLOCK: LOT : JURISDICTION: TIG Project Description: Counseling office, classroom. 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: 2 W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 40 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: SCHOOL DISTRICT 23J TEAM ELECTRIC CO 13137 SW PACIFIC HWY 9400 SE CLACKAMAS RD TIGARD, OR 97223 CLACKAMAS, OR 97015 Phone: Phone: 557 -7180 Reg #: LIC 47336 SUP 4416S FEES ELE 3 -225C Description Date Amount Required Inspections [ELPRMT] ELC Permit 8/6/2004 $576.60 [ELPLCK] ELC Pln Rev • 8/6/2004 $144.15 Low Voltage Inspection [TAX] 8% State Surcharge 8/6/2004 $46.13 Rough -in Elect'I Final Total $766.88 • 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 N otification 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 OUN C at (503) 246 -6699 or 1-800- 332 -2344. Issued By: 4,(y, .7_ Permit Signature: QS 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 p8/05 AUG. sc2004 Fn 2•e0PM ELECTRIC_ OF TIGARD N0,008 P.2 Electrical 'erniit Applicatu n 1:012 Of Fli list!' ONI \ City of Tigard D a .. • 13125 SW Hat blvd_, Tigora,'OR 97223 pi. Ra i, y .,, f , , Phone: 503.639.4171 Fax: 503.598.1960 ur ^,'I� DAY: OdterPct�t: Inspection Line: 503.6394175 paleRcaely/By: %it I F St Vte or Interncz wmw.ei•ngud -or,vs NotlfiedaMothod; i1 SupptemearalInformsoon + 11 I I . �`1 -TL�•„ Y: V rc u.4I 1p� >. f �` �' �ZS1' a7 1 - ' r + + �',•t ••+ — - s t +T 0 rr ;r)1 M "° 1 11' , Y �p l I• ' x� , i '� .sib i., :.,,. _+ :r.,- I dLr�.�S 'o n+- {i�!t�dM�l'i�.l��e, :i ��4 ,��1 I��7tu'+St_���1]x�'�1'�.e +�i :. ,. _i�t ,� }i;� ; :+ lsrt ��'� � ll7�iu �u,a�V.� F� : ;, -' ,� „�_ �- � ,. .. ❑ New construction '-t Additiois /altetation/seplacet>sent Please cheek all that apply. • Demolition ©OrIler QServiae over . 225 amps, oomnni I �l4aiardous !oration ❑ ❑5erviec over 320 amps - rating Opuildng over 10,000 Sq. fr., .� t P :A7 1+ ^ 0,N H [ n ':,, %''t 7 : 6t'4i I9l 4. 1 ` l' � �: � ' I ∎:i'a 4 : �d I N Oil. and 2-family dwellings A or more new residential 01- and 2•faraily dwelling r ,+ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure Building over five stories DFeederS, 400 atrlps or more ©Multi-family ❑ Master builder ❑der. Moccirpni load over 99 persons rilvlanufactured structures or III.li{ +JP _ viq ,i I i h. . ,-. p glt:; 19rvut lea Ir , A +iri ,.Zi . _ ..' 1... + ., ©Egrw9/lflgb� plat► RV, park ' - 1•_,_- r• ... _., .+. t :rt _� ' 1 _ ©0tIom Job no.: ) G Job site address: -00# i ,, i J Cf 1. J Oliealth `�� �� / 6ubnpt 2 sets ofphns with any oft= above - City / State /ZIP: --r Cl.tr Ut o 2_ ,, Z The above are not applicable to tenlporery construction scrvice• Suite/bldg. /apt. no.: Project ` + /.Q/llj. IA a n r + !� �'r :'ri,�� �' B� l oco, •• o act naaro: r ' atr Cross stre et/directiotls to job site. New residential single• or multi - family dwelling unit. 1nctudes attached garage. ' 1,000 Eq. or less 145.15 4 Subdivision: . Lot no,: Fes• add'1500 sq. ft. or portion 33.40 1 Limited ene -a , residential 75.00 2 Tex map/parcel no. Limited energy, non - residential 75.00 2 TY. 77-- , x-1 0 ly > ; � • .,t,, :r'-Ei ' i loirt” { "p ? _ ,,,:! _k .1 li' :711:- __. . . t - I, t ; '' c .` ' :..,. . ;.,,,, _.�,yi„* -4 i a I ^t•'<< Bleb manufactured or Modular 1 • dwelling, servie`and/rrfecelcr 90 -90 l 2 or If - 4 ( f 0, ' GP° f c Q f& /-OG • Services or fe .dsrs installation, 2 lreration, and/or relocation 200 amps or less 80.30 rinfrall • r + - _p , + r 7rI '77,1777 + Faint i + ' • r 201 amps to 400 an1p8 106.85 2 ' I,�,fti I W : 0,1, 1 1 1 12 1 ,�� � h +f`i� k t dlFns nN ! �t1 +nU 9 !LM1l.., ,.,..;1 a +t •�1a.,.�.K�,,,..z . d_ •1= 1. ,. �i ...e,l„�411ti�. � + �; ,� -� � ., 201 amps to 600 amps 16260 , a Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 45 2 Reconnect only 66.85 2 City/State/.ZIP: Temporary services or feeders Installation, alteradon, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This iastaliation is being made on property that I own which is not 201 amps to 400 amps 100.30 _ 2 intended for Sale, loss; rant, or exchange, according to ORS 447, 449, 670, and '701. 401 amps w 600 amps 133.75 2 Owner signature Date: �. Brar1th circuits - new, alteration, or'extt asion, per panel 1111 - - I' , • ' ' d 1 - 1 cq •- yJ A Fec for branch circuits with t , :I . +�y �{,�' .l ; ` .h a + tr�Fi , tel- -_ r�_ �' rt,. 7 11 4 !:. . C .'7_ _ 't ; ." . +ua'ccr_ =J ., ^ - ,}ill! ,: 1:r, �� . ECUY�.t!(� ..,r.G1:r .s+ 1 ti 1: f . �: w - service or feeder fee, each 6.65 2 Business name: - lea, -- - 1 ' brunch circuit _ - — B. Foe for branch circuits Contact name: ` Lc �Y (� L ! I(� without service or feeder thee, , 46,85 2 Address: �}, I each branch, ccircuit f `f (� i _ 1 � I P selr add') branch circuit , . riog. 6.65 $— 2 City /State/ZIP: ' „wL.A. 0 / 0 _MileeWnemis (service or feeder a eluded) ( - O _ AumP or irrigation circle 53,40 2 Phone; • Fax: or outline lighting 53.40 2 B -mail: _ Signal citeuit(s) or limited- �, :�'.It+ s- R 'i + y?t.'^ �. iQT�n�5�.1 � f+ C + 1 I + 1 1 4 I nergypanel' alteratlo4� or ' 6; l l�t t� , I + t t L �.� : t �_ rd�l �.� -: flt.!1� :IL 11! e P e 2 a!' 2 extension. Describe: erg J ' '0 `1.-'' F4 /n Address: — - a• Each addidloaal Inspection over allowable In any of tbepbove '1 ____ Per inspection 62.50 City/State/ZIP: 'Investigation per hour (i 'Troth) 62.50 -- ( ) 1fl4UErial plant • tie hour 73.75 - Fax- � os tr , i'th Yis vii =" S 1 ':1¢ f'i"I�a ;� G a } EIZIEEESMEMMILMISIECE i 5ubwtal 5 Sup. Electrician signature, required: f A. � Platt review (2S °�o of permit fee) 4 fi , 5 ' L�� State surcharge (8% of pesnit tea) (p Pont name: A A e Aate: r D roraL PERMIT max p 4 ;lee J Authorized signature; This permit opplicetion expires it's permit is aoe obemir ed;Ramon IN days atter It hag been =spud ai complete • Print name: bate: - Fee methodology set by Tri-coacty Bundles Inclusey Services Board ►• Number of inspections per permit 1l4. ctteilldlnakP fTa.c.PermItApo,dne 12M3 ua.estsrftolovCOMMEM CITY OF TIGARD 24 -Hour BUILDING Inspection Line:., (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Re uested 5-7 AM PM BUP Location . q60 v W114..7.L/jt" Suite MEC Contact Person 0 Ph ( ) 3' - 7 / PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC a id 4 1 - 10 6 43 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam ( � � " / War' Shear Anchors Ext Sheath /Shear MIW Int Sheath /Shear Framing Insulation G� / CO � 19W IP to ii � � A,q1 Drywall Nailing '�Y _"� t 1"�' "' v // V Firewall Fire Sprinkler 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 ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Off Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE: Unable to inspect — no access Fire ADASupply Line G /6/ft Approach /Sidewalk Date Inspector ` Ext Oth er: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL