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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: 44411 DEVELOPMENT SERVICES DATE ISSUED: 9/17/2004 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126DC SITE ADDRESS: 09430 SW CORAL ST 230 SUBDIVISION: LEHMANN ACRE TRACT ZONING. C - P BLOCK: LOT : 007 JURISDICTION: TIG Project Description: Installation of (5) branch circuits. 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: 4 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: MARTIN OFFICE BUILDING THREE PHASE ELECTRIC 1672 SW WILLAMETTE FALLS DR 8960 S. BLACK BEAR WEST LINN, OR 97028 CANBY, OR 97013 Phone: 503 - 557 -8000 Phone: 503 - 263 -2558 Reg #: ELE 24 -390C LIC 128282 FEES SUP 4498S Description Date Amount it Required Inspections [ELPRMT] ELC Permit 9/17/2004 $73.45 [TAX] 8% State Surcharge 9/17/2004 $5.88 Rough -in Elect'I Final Total $79.33 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 1-800- 332 -2344. Issued By: Permit Signature: -c A V c 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 • 09/16/2004 13:20 503 - 651 -3540 THREE PHASE ELECTRIC PAGE 02 06/08/2 _13:28 FAX 5035981960 CITY OF TIGARD id 003 , ,. ;tom EgEIV ED lit lectrica g FOR 0 1 ir1; IisE o'si.Y 2 004 lteeelved �� ' Farrar' No..'6 .s City of Tigard SEP 1 6 Date/8 : - (ee _,,� -t005-4, j 13125 SW Hall Blvd., Tigard, OR 97223 Plan Rey cw Other permit: Mom: 503,639.4171. Pax; so3s9s. OF TIGARD ��i Da• - t: F3 See Paa4a for Inspection Line 903.639 x175 DI V III �;=z- a ate Ready/BY waive!: vroiw•ci- tigara.or.ua BUILDING NotiBedJMetbod: Su • • 'entente! Iotormoeten • y, .n �1k • "u f qq •.f;,iar: r.,21-0 ,i ., h ,�� T� .. ... ' a p,l'. rri ,, ��� > � ^����� ,'� �! �' ? ,��ry�d�:�i�n,' ,�. al 'a 1n .� � � '^� y l ;: y (� [( ��• - a: ,r' -:'. r. � i ti F: ,ml`:�.:.:.:' =. ∎vi Addition/alteration/ laceulent Please check all that apply: [j New construction ❑Servic: over 225 amps, corirm'I ❑Hazardous location a Demolition ' Q Other: „Dir. �{ 0 Service over 320 wrtps - rating ❑>dutidng over 10,000 sq. R, e. -' ' 4 7 t ft7g:4'1'•0I'l''i ('^`id `;i�; A i :i q(h : " ., r . }lu st t � ,` - ''` I' .` P IT of 1- and 2- family dwellings 4 or more new residential ,,f... .i, ;':m fir ,.L � itv�.. .au::.�:.:3i -s 1iv' . .�d 0 1 -En Z- family dwelling . Commercial/industrial Accea ❑ Sysum over 60 vo llomin units i n one structure. gery building ['Building over Ones stories QFeeders, 400 amps or more ❑ Muita ■ Master wilder Q Other. QOccupantload over 99 persona QManu1 etured structures or ay �, 1 9 - .. r�,••:= t"' .. ,•t!.x„'t y d:e ° 5 F; I "t" i myic: l; , x> , c l Vi Rg '^s ,F. r~f ::;; nl �+ 1331 t t' -i alTA � 7: ii ©ESressnighting RV park , v+ N �w u � S a � l �, r.• r .,+:1,1t:. 9 :• , y . ' Z i r� 1 ∎: 5, n ;._7 6 r � t,- a t k t �'i1' i�� t •* 12' t QHea1Ui- carefaciiity ❑Other: Jab no., Job site address: �� � 1 y • - Submit z sets of plans with any of the above. City /State/Z't fA 1 AS the above are not applicable to temporary construction service, SuiteJbldgJapt. no, ,r1 ti Project name: �. - e 4 ty be ptreA . Fm •• Total Cross street/directions to jab site :. � e 4.Q - New residential single -or multifamily dwelling unit. Includes attached gars - s. 1,000 so. ft. or less 145.15 4 Subdivision: — Lot no.: Es add'l 500 so, ft. or portion 33,40 1 '.ironed energy. residential 75.00 .2 Taxmap/pareel 210.. � �R Limited energy, non-rdsidential 75,00 ' .,y-r,: ^,s• -�,I' c5 ':1•,?y'i?;".j"�% iL st: ~4: .I a.. ,. `�"" 1 1 11 1 4••II'I pp ++ or modular .. .;�;_,: !.r -.r:� _ —,_ ',si;:�.c i ,-� „'t v „:�,b:�,'Trwt��;�l:ilh��,'3ci' tiih� �acltn>azurfaet II ceder 90.90 l -`i13' i{ - d dcueuin service and/or Services or feeders installation, *iteration, and/or relocation 200 amps or lcae II 80 -30 Ell i - . ; 'a.i):+ ,..., Vi c . ' l ;' ; ?., 41; 7 -r 7 ;12 } , �1~ .T y i. 41.. , 201 am3Ps t0 400 a `I 106.85 F,SA.> l , . lL,A' .":"'• `', - , ` ``' 1 4 o b 4 ' l i i • ,. �7 aagierr m'tJ' ° 4:•A ai ” 401 arms to 600 amps 160.60 II '.T 601 amps to 1,000 amps II 240.60 • Over 1,000 creeps vrvolts 454,65 '- 2 Address; Paconneot only 66.85 2 City /StateiZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) _ fax: ( ) 200 aaapn ar less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 _ 2 intended for sole, lease, tent, or exchange, according to OILS 449, 449, 670, and 701 401 m281 to 600 amps 133.75 2 Owner aignatute: Date: Branch circuits-. new, alteration, or eztastalan. per panel Y :t:;;^, ;; ':!' «7,•;s; -- e A-Ted for broth circuit9 wri t s ' • c ss nemG: I ,`,..1 W - 1`� << � 0: 412.4.111,A. .4.1 1 G .. ,._1 o.. «.. :7)., ..,.w-iL_ A i service or feeder'fec, each '' . -- � branch circuit 6.65 2 Busne i B. Fee for branch circuits ` Cont3Ct name: without service or feeder fee. 1 46.85 v 2 each branch circuit t Address Each add'l branch circuit 6.85 ;�� .4 2 /���; Mitcellaneotis (service or feeder not Included) Pump or irrigation circle 53.40 2 PhOnC: ( ) ( ) Sign or outline lighting 53.40 2 Signal citouit(a) or limited- l' •�• W ..l-' ' panel, al terativlt, or 7f,x . r , �:;,'�" mo w _: 1 ' ',u�y't ,�cri rs F •p( �.:,. rr _ y1`' ..n l i i : energy P Page 2 ru4' -., 4.cK.. .. extension. Describe: Etit4ine,3a name ,� i it ., / Each additional inspection over allowable in an or the above Address' C .� Per inspection 62.50 City/State/ZIP: '/ 1 r +t� , Investigation per hour (1 k' min) 62.50 Industrial . lant per hour 7175 Phone: ) '2 ,� , . k} ty p Fl; V�i�t` t, ii 1:...d.S 1v ?. ';4l�:.5 J . Y ; !-._ :iii a Subtotal '- Lis- _ supr „,„ Electrician signature, required . N Plan review (25% of permit fee) {/- „ ��, � I \ at� s I 1. 1! S avc surcharge (896 of permit fee) `� Print natlao:! • �, is � i a TOTAL PERMIT PEE Authorized signature ` A This pariah application expires if a peretit is not obtained , eunto 150 ' Says dire It bs been accepted as complete Print name; Aata: - Fao metbodeiogy set by Tri-County Building Industry 5ar tce • • Niunber of Inspections per parade allowed. 1•A8uitdiaRvermi618LG8amitAOaaae 17103 seo-4Gtsr'p0A2lC061WBB CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503 ) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 :4171 BUP / Received D ate Requested ` d 2-6 AM PM. BUP Location C l 13 v es-4A__, Suite Z3 d MEC Contact Person S LP /Yt .c.o Ph ( ) ,5 ja J (3 4 4 -4 1/ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Z4) V 160: S93 Footing ELC Foundation Ftg Drain Access: EL Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing 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 T FAIL ELECTRICAL Sery �e Rough -In UG /Slab Low Voltage Fire Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SI. ❑ Please call for reinspection RE: Li Unable to inspect — no access Fire Supply Line ADA t°'/2-- Approach/Sidewalk Date ° 7` Inspector E7ct Other: Final DO NOT REMOVE this inspection record fr the Job te. PASS PART FAIL