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Permit • „CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00381 cll DEVELOPMENT SERVICES DATE ISSUED: 6/24/2004 ��� 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S114AA SITE ADDRESS: 09000 SW DURHAM RD ZONING: R - 4.5 SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Description: (5) temporary services for new portables. Job No. 9026 RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 5 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: 1 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: SCHOOL DISTRICT 23J TEAM ELECTRIC CO 6960 SW SANDBURG RD 9400 SE CLACKAMAS RD TIGARD, OR 97223 CLACKAMAS, OR 97015 Phone: 503 - 620 -1620 Phone: 557 -7180 Reg #: LTC 47336 SUP 4416S FEES ELE 3 -225C Description Date Amount Required Inspections [TAX] 8% State Surcharge 6/24/2004 $26.74 [ELPRMT] ELC Permit 6/24/2004 $334.25 Elect'I Service Elect'I Final Total $360.99 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Spedalty 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 suspend -th.q 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules re 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) 246 699 or 1-8•0-332-2344. Iss d By: I���/ P ermit Signatu e: 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 INSTLATION ONLY SIGNATURE OF SUPR. ELEC'N: ��✓ .%}J�.. DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day `" • , ar Eleivtrical Permit Application I (> ( R i l I(! i 't (,N 1 . City of 'Tigard �� ��� Do a l # , A Permit No_: ge.� - -oe3g/ 13125 SW Hall Blvd., Tigard, OR 97223 pl an y: Review Phone: 503.639.4171 Fax 503.598.1960 i [ 1 `'' 'r r4 1 � Date/13r. Other Permit' Inspection Line: 503.639.4175 ' % 2, i 2 a J' "�_.. Dery i &i y / B y . huts: id sic Page 2 for Internet wWR.el.tigard.or•US � " ' Notified/Method: , SuPplementalInformation r . :,lam. nP!t� -rn �>?,� E l; ie' ' G ';7��ra:� I, J;' ' i . 2 , + x'1d/ sr TJt , 7 ,,(; i n t.�.,.y V,7 t t , r d 1 , ;, 4 „?4. � i. .• : ;- ;r,1' p '"' ,s, T 1.,-/ t„ ''244llft'yk,k�:i � i,.m.f,:� 1� :.62�s QauivLiw N iii i : �. "A r 4- ; .:.''' '' <_' r1 t t • E'''i '''' J� 6; ✓: ?i • . . ; , 4'.",14 1 i � �' ,�, � h' "•, 1 • '�yu.�i . C��' +�ti yam uhv trvn iIt r, ^ - r 4 &yM'• P lease check all hata I ❑New construction Ix Addition /9iternuan/resplacemeJtt apply: ['Service over 225 amps, comm'1 ❑Flarardoua location © Demolition ❑ Other � � d -, • ° -,: , 'X. ,'`.∎ FT,, : 1 • aa'.±' 1 `�y f n?' 'jtiq g, 312,41 ❑Service over 320 amps - rating C(Buildng over 10,000 eq. r --, `, *.�,; „. , 4 . ,.. ,�;; :,- g'�-.� r > r:zt xs 00,. 7:t.. c w of sb oft- and 2- family dwellings 4 or more new residential 0 1 and 2 family dwelling 'Comxnercial/industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure [Mudding over three stories ❑Feeders, 400 amps or more 0 Multi - family ❑ Master builder , Other: LJc cupant load over 99 persons ❑Manufactured structures or r I ir r :.: `r,),,Y., ' : ;l " ; ? i,. r:' t i i ,yi: 'J P sly, y f t , r , , i WAS li 1 417,5 , 1 1 " t l'443.5 xt ['Egress/lighting plan R Park ••••'.'.`":''''),' ' ,^., , ,..: �. et + Z -,:r at +t'.n .'2 :• EY.017 : 'fb.to•,g, , nstlif,"J „Fr-, ,r.:t, t t :Li "gt , D � r , L. 0,,,, Job no.: 70 zip ` ' Job site address: g000 SW DL4 r_ Gc vn R. L S 2. sets of plans with any of the above. City /State/ZIP: The above are not applicable to temporary construction service. Suite/bldglapt no.. I Project name:-" � i' + ;'r1 t , "L i lx � , 4.: ' :wt ,, ' • S• Sl c: " S ' . " �� ncriptLs Qty- Fe.. Tow Cross street/directions to job site New resldeutial single- or multi - family dwelling unit. Includes attached garage, 1.000 sq. ft. or Ices 145.15 4 Subdivision: Lot no.: P.a. add'I 500 sq. ft, or portion 33.40 1 Limited energy, residential 75.00 2 - Tax map/parcel no.: L energy, non- residcnUal 75.00 2 ;, ,;;, ( ;y am .,, y r •y �, �- ¢o /' ~ y:y �:: t,l-" '' : e s!a ,1L41 r' Each manuthaired or modular -- V _ 4r-VA..?. €C....1/1.) 1 C4.S dwelling, rf !ice and/ or do 90.90 2 � 9ervices or feeders installation, olteratiou, and/or relocation 200 amps or less 80.30 2 R r�'t94i b t r„ t 7 -+ �;' t r u � 'r ; r { ,* amps to 400 amps 106 -85 2 `i-. ,.,..a- 'x,4 b fnT s , r it r r �i ,�''� r ;t� d e 201 am _ • vS"'1'' :,, ,' , ,g „ 1 . , - P 4T .;wils;;'ieiil8u ;.s tie«. ?4, ,,v,z ism,n3tv..t�: "' hi lt?) 401 amps to 600 amps . 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 am or volts 454 2 Reconnect only 66.85 2 City/State/ZIP: : services or feeders nstallation, alteration, and/or relocation Phone: ( ) l Fax: ( ) 200 amps or less 66.85 S 1 Owner installation: This installation is being made on property that I own which is not 201 snips to 400 amps 100.30 2 intended for salt, lease, rent, or exchange, according to ORS 447, 449, 610, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel f. i1,t/' asjf �--� �ep, w` I r + ° : 'f`"H , � M1�'' u` , rf , � z +� e r "�o "` ' m �:,r17 $' �' A. Fee for branch circuits with ' ,F r.J `;FYt�R�aAty �rn a�..,,.. •�^ . ✓� A.� �f � �• 1�s�� service or feeder &e, each 6.65 2 Business name: �ti 6 /�- - ele .. c ' t' ► C._ branch circuit - -. `' �lI 4 S l U� B. Fee for service cirettita Contact name: t *thou( service or feeder fee, (��/ I Q each branch circuit 46 -85 2 Address: `l 40 s cto-G�- Q._.� S a_. Each add'1 branch circuit 6.65 2 City /Stare/ZIP: (/n„!2--s tyvl. 1-7 o (s Miscellaneous (service or feeder not included) i (c C c � ' Pump or ,mgahon c ircle 53.40 2 Phone: 503) SS, `7" 1 U J Fax:: c b r 5 - Sign or outline lighting 5 3.40 2 E-mail: Signal citeuit(s) or limited - ;r ,.• -', 6' „', 'ti 1 w,�, T ,' ; 'a rrh 1 : i r r°�E ipry� l)Z i 1A 6 ", T �k °t ener el etion,or ., ; 1 a. ?r;M'li ia , gj� ,Md;;;�t�lJw�a�.,atlk,�.., -¢1 A .��':r= •�`.G..`��J'`fi':t<ti�3� . � ;4��:,lrPu1�,R.1°,41u�a��,: g Y P� alteI � extension. Describe: Page 2 2 Business name: - '.)PiUU _ _ Address: Each additional Inspection over allowable in any ;Attie above Per inspection 62,50 City /State/ZIP: Investigation per hour (1 hr min) 62.50 Phone: wJ ) 6J _ -1 o Fax; (5>4. SS 7- ZO r Industrial plant per hour t 73.75 CCB pit:.: 322 s - G Blecuitl s subtotal 3 5 , as Suprv. Electrician signature., required: Plan review (25% of permit fee) Prim name: M1 t'_� 4 YkAJ �l.A..JI.Y� Date: (_ -2J -0(.. tOTAL State surcharge (8% of permit tbe) (91.0 :7 4 �a ,PERMIT PEE 3 0 . ! c, Authorized signature: 6A-me This permit captive ira permit is not obtained within 180 days after it has been accepted as complete Print name: I Date: • Fee metbodolog' sot by Tri-Counly Building Industry Service Board • • Number of inspections usr permit allowed Td 969 9I X119313 Wd3l WdLE : T bee ' ti 2 ' Nflf CITY OF TIGARD 24 -Hour BUILDING Inspection L(9,e: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested q AM PM BUP Location 9/9 0 C� t.e/l Suite MEC Contact Person Ph ( ) 9 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC cR6V) ( -06 3E/ Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam _ ev yti9 Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation 11 Q/) '� 0 � Drywall Nailing r �` Firewall Fire Sprinkler k I 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 Fir- ► larm ` AO 11 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL E Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Ci _3 - � Approach/Sidewalk Date Inspector �- "' Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL