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Permit J, CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00145 p� DEVELOPMENT SERVICES DATE ISSUED: 6/8/2005 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: LOT : JURISDICTION: TIG Project Description: 2 services, 139 circuits, Low voltage (FA, data, clocks) 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: 3 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: 139 PER INSPECTION: 201 - 400 amp: 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: TIGARD- TUALAIIN SCHOOL DISTRICT 23J BROADWAY ELECTRIC - COCHRAN INC 6960 SW SANDBURG ST 626 SE MAIN TIGARD, OR 97223 PORTLAND, OR 97214 Phone: 503 - 431 -4000 Phone: 503 - 234 -6564 FEES Reg #: LIC 72942 SUP 3447S Description Date Amount ELE 37 - 546C [ELPRMT] ELC Permit 5/18/2005 $1,309.95 [ELPLCK] ELC Pin Rev 5/18/2005 $327.49 REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcharge 5/18/2005 $104.80 Total $1,742.24 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 an 0days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are forth in OAR 952-0q1-0010 ough OAR 952 - 001 -0100 You may obtain copies of these rules or direct questions to OUNC -t 503 -246- 699 or - 800 - 332 -234 . Issued y: - �o i� , - Permittee Signature: A -,,„� 6 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lea e, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ��P , ,17/� / DATE: LICENSE NO: /' T 75 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. 5035981950 06/07 /2005 13:06 FAX 5035981960 CITY OF TIGARD Z001/001 ti - Electrical ctrical Perm ��y (11 \ Y 1 OR c ►l l It t: t st: (1 1.1 "; ED R ved �< City of "Tigard . . 7 7 Per t No.: EGC `� ., [/.S 13125 SW Hall Blvd., Tigard. OR !972.24,1 k Q 1 Q 2An Platt Review Other Permit: Phone: 503.639.4171 Fax 50S .598.1 '`" " - I De/B. Inspection Line: 503.639.417 �.. 1,14- '1 1 Date ReadyBy 51 see Page 2 for `J Of Ti � Nuai ed/Mctbod Supplemental laf rmattoo Internet: www cl tigard,or x V r�JM 7�.F , , y . �Ir; �r -rr , y C c i. ''.'c,'-::'..'.' - 4 . e'e+_; •i : :'i �'�1 rTA L�9 '��'- .{N ,�.... . 7�'� �'C'1•. �` .'.. x.i!... I �Y P L s : o� w'.., a s < 4 ai p.„ a`lyd'ttl<.t` mn �� �....� #ia.y4'fY'. ❑ New cOnStructio *.i :'.! Addition/alteration/replacement Please be all that apply: -- 71 b monition ['Service over 225 amps, eorruit'l ['Hazardous location [ � Other: IDScrv over 320 amps- rating OBuildng over 10,000 sq. ft, \3, �b" , ' t K •. '' ''2 "�" ; :', • a " "OF CO1 S1'RUC ICI , = , err s, r -- `' i Fti a of 1 - and 2 dwellings 4 or more new residential l�' �>1'. `.., . x • i � : v �' _ .. 'n .�l+i+��'p� ?t • a .a }� , Y @r� ❑ 1- and 2- family dwelling 74 Commercial/industrial ❑ Accessory building ❑ System ova 600 volts nominal units in one structure C]Building over three stories OFeeders, 400 amps or more ❑ 'M ❑ Master builder Q Other: ❑Occupant load over 99 persons CIManufactured structures or L.7 ... ,. , Di7- :VCit:K '0'':tW71: fl� LO ,.. , . , V ;' i; DE ess/li htin plan RV park ,; ., - 1 •� ; ` ' „ '4�t ,,;�'� .a,`. , �v Fl g gP El Other: ' - 1 e-7 < DHealth -care facility Job no.: Job site address: a 5W , Submit .L set o f plans with any of die above. City /State/ZIP: —T t 1._ 'lie above are not applicable to temporary construction service. - H --"----.e.,61., t , . :: . ( , ..Y ,3«s ,, ; :n: a :: s rt c9 c; Suite/bldg./apt no.: Project name: t - 5 u��pdom _ � ncz tau Cross street/directions to job site: ilk .. ` - _ __- New residential single - or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft or less 145.15 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 Limited energy, residential 75.00 Tax { m map/parcel no.: � {y �{ y. Limited energy, non - residential 75.00 V�IrT ; ',. ;,�•�., ." n , .. " r'..1 � � •:�� �, lti p( .- y/", �� ' • . '''5;`�.', '' •*'' s ' /Y': ',7 .,"Q1 Each manufactured or modular � © , ,F y _ dwellin: service and/or feeder 90.90 �'" ~r -�^��( !� Services or feeder's installation, alteration, and/or relocation i 200 amps or less - 80.30 /) 2 ;, .. ' 201 amps to 400 amps 106.85 2 ,, �`I `'� � �c � �; I" ; [�1 vti r >tr'4 40 am • � , _ _ ` • amps to 600 psi 160.60 2 -I Name: II „t) . , • tom v ( - 601 amps to 1,000 amps 240.60 2 1 Address: -1 10 • .. y _ r _ Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: / - 2- Temporary services or feeders Installation, alteration, and/or relocation Phone: (co ) 4 �, Fax: ( c fr j) D 200 amps or less -. 66.85 .. 1 Owner iustallatiba: This installation is being made on pprop that I o ' which is not - 201 amps 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 _ 2 Owner s i gna l- • Date: Branch circuits - new, alteratwu, or extension, pC J)anet �, _, : "a*++ ='• aJ A . Fee for branch circuits with .i.,; y3 als t . s r` i, y A � y , : ` ...3.,.i1,+1 service or feeder fee, each h� Business name: 1 3 i branch circuit \ 6.65 ?WV,- 2 B. Fee for branch circuits Contact name:., • , © ..,..1 A 1- t without service or feeder fee 46.85 2 Address: . each ddress: each branch circuit 42- ±- • a .,: E ach add'i branch circuit 6.65 2 City /State/ZIP: I d y Miscellaneous (service or feeder not included) , Pump or irrigation circle 53.40 2 Phone: ( b ) • ' _ . A Fax:: ( b-7) C - b 1 Signor outline lighting 53.40 2 E-mail: Signal circutt(s) or limited- F / A �� 773 ?_ ' "1` ('ANTRACTOlt ', r v .'', °,;9<',- ",,i`, mealy panel, alteration, or 9 " extension. Describe: V 9`1 / Page C----1"9 2 Business name: �j�a, / L L- £CT�1e - 6 ffM,.3 /I � (4 (� 5 Address: r { - T N nd' 5 _Each additional inspection over allowable in any of the above Per inspection 62.50 City /St 1ZIP: Lb 0 • 9 (� Investigation per hour (1 hr nun) 62.50 Phone 6) -• $L6 ° _ Fax: Industrial plant per hour 73.75 �-ry .� - ' §:, y 'tia t.'•i. J. ;ti " ^: w• . ...Ng/CT ` 5�, CCB Lic 72 2_ I Electrical Lic ::3 - ` d Suprv. Lic.:,344 . . Subtotal ( ._ Suprv. Electrician signature, required: Plan review (25% of permit fee) Sat .L \ State surcharge (8% of permit fee) l� ' : � 0 Print name: \L «v V\ - I Date: c - TOTAL PERMIT FEE / _ .Authorized siiaturc: This permit application expires if a permit is not obtained thin I80 - __ - - ' — . . - days after it has been accepted as complete Print name: Date: ' Fee methodology set by Tri- County Building Industry Service Boant •+ Number of inspections per permct all owed i' 1&rildrc+$Ser.140.ELC- PamaApp -doC i -C 44i44 15T(I n/OIICOMAVEB CITE' OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 518/2005 Phone: (503) 639 -4171 7 mypp filil' Inspection Requests (24, Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/23/2005 TIME: 7:05AM PAGE: 50 SITE ADDRESS: 09000 SW DURHAh� RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD HIGH Sc: OOL DESCRIPTION: 2 services, 139 circuit ,Low voltage (FA, data, clocks) OWNER: TIGARD-TUALATIN SCH' OL DISTRICT 23J, PHONE #: 503 -431- 4000 CONTRACTOR: BROADWAY ELECTRIC -C HRAN INC PHONE #: 5 -6564 Inspection Request Scheduled For: ' l ate: 8/23/2005 Pour Time: Code # Inspection Description Co ■firm # Contact # Message 199 Electrical final 0140'• 01 503 - 522 -7909 N Corrections /Comments /Instructions: I \ PASS I 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL C FOR INSPECT *N ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /3 - 0, Phone #: (503) 718-