Permit ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT #: ELC2005 -00715
DEVELOPMENT SERVICES DATE ISSUED: 9/26/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 DA - 01200
SITE ADDRESS: 07165 SW FIR LP 205 ZONING: C -
SUBDIVISION: 72ND BUSINESS CTR -VARNS PARK LOT : 014 JURISDICTION: TIG
Project Description: (3) branch circuits. Job #8433.
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 WIO SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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:
WESTON HOLDING CO LLC NEW TECH ELECTRIC
2154 NE BROADWAY 13970 SW 72ND AVE
PORTLAND, OR 97232 PORTLAND, OR 97224
Phone: Phone: 503 - 648 - 1900
FEES Reg #: LIC 41868
Description Date Amount SUP 3849S
ELE 26 -418c
[ELPRMT] ELC Permit 9/26/2005 $60.15
[TAX] 8% State Surcharge 9/26/2005 $4.81 REQUIRED ITEMS AND REPORTS
Total $64.96
•
•
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- 800 - 332 -2344.
Issued By: `'2): Permittee Signature: i 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 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.
— 09/22/05 THU 13:07 FAX 503 640 0571 NEW TECH ELEC 001
• Etectrical Per . .....Le e :_
City of Tigard ~ I:Olt OFFIC t]S ONLY
l toce;ved
13125 SW Hall Blvd., Tigard, OR 97223 D b�/B � _�
g 1 f� L Permit
Phone: 503.639.41'71 Fax: 503. 6p ri - Plan Review ... D
Inspection Line: 503.639.4175 2005 r: l' ' i R Other Permit:
Intp'net www•ci.dgard.or.ns CITY OF TIGARDI � ` N /m a seaP,ge2for
u u ra l U> N e Supplemental Information
n d/Mc[hoG
�( Addition /alteration/replacement r �-L
0 New cOnstruction
❑ Demo_ litiozl 0 Other;
❑S over 225 amps, comet'] ❑
B ..
ii .u!tt��� '' tip , It ib' c J 'till , t tit }lSpt�), -` ['Service over 320 amps _ ta[ia8 ❑AUild °g over location 0 600 sq. ft ,
of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling 9 Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
1=1 Mui i- faeoil
y ❑Mss [
., .,, <:,........ ore
,.. � . . cr 400 am or to
builder Other
ing over three stories ['Feeders,
k ,_. �yi >, , ,i c,i 1 , ::,t ui t� ,) vpan[ l oa d ove 99 e
,, ) a4L ) r, G7 persons ❑Man slru Cllr
".:._.........:::.._..::. �..,, ... . ,,.,...,..�,•t ; ; ;ilis,�'i:i'{ Ufacturcd 0
J FIB oP
is r
Job no.; � ,..,, :.:.:_. .. . :. : ....:.. .,�:. . , . .• .,.:. . ; 1 ❑ gr /lighting plan RV park
y3•7., lob site address: '7yy ��LG L � ❑Health care facility ❑Other;
Ciry /$Lete/LIP; �� r��� t Submit 2 sets of plans with any of the above.
Suite/bldg./a t. ; .• a ` c to temporary construction service.
0 �' Zo5 The above not applicable t ni ,,
ry ton
p no.: Project name: ,, i io „-, , , I„ , R
(2r4LIF1L L 12ESr , ,.• r _� , tl n , ty ,.., ,=: .. r1' r u t i rt r : .,
Cross Street/directions to job site: pr.. Qtr tt� rnrAd
New residential single. or multi - family dwelling unit-
Irseludes attached gag
1,000 sq. ft. or less 14515 d
Subdivision; Lot no.: Ea. add'1500 sq. fr. or portion 33,40
Tax map /parcel no.:
limited energy, residential
i
ln9tt , ,irlri0, , (tl�'` n� i i _ _Limited energy non residential 7 5 . 00. 2
_ ...__ , , _ _. Each manufacptred or modular -
dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
t� i 7 tilt + n ls,llr i �r1i 11747 200 amps or less 30
r ,,, U { ' , tt 5 1 j i , l it 20 1 amps to 400 amps ] /6.85
,, 2
Name: APM 401 amps l0 600 amps 160.60 2
601 amps to 1.000 amps 240,60 2
Address: Z, t7 1� 6 U A 1 AEI Over 1,000 a
1 N f Jt� tops or volts 454.65 Z
City/State/ZIP: r17 LAN>� � � �2 7 _ Retonneet only 66,85 2
J Temporary services or feeders installation, alteration, and/or
Phone: ( ) Z 1,1527 I Fax: ( ) _relocation
Owner installation: This installation is being made on property that I own which is not " 200 amps or less 66.85 1
intended for sale, leasc. rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps 100.30 2
Owner signature:. 407 amps to 600 amps
13175 2
.: ,,, r - r _ h circuits alteration, Date:
Ll T i.i \, f �i[' a ` Arendt -new, n, or extension, per panel
,,.,,L : .. . -V _ ....o Ft.. ! 4' - ,e _ : .,,;1.n _ l' a ":.. ;T ' �Irl .L,�et i � ..- : r E, tt) filn ; l:''u 1 i ' : 7 c l j . A. Fee for branch circuits
Business name: service or feeder fee. each
branch circuit 6.65 2
Contact name: B. Pee for branch circuits
without service or feeder fee
Address: each branch circuit I aG.BS c l�, 2
Each add' 1 branch circuit 'L 6.65 1,-7210 2
City/State21P:
Miscellaneous (service or feeder not Induced)
Phone: ( ) I p : ( ) Pump or irrigation circle 53 2
]retail: 1 i or outline lighting 53.40
.. ,.: ;:,•..,..Y�,. i "i ^,{ ; ;.,' , r, - r,�n ^.;r.. _ • Signal eirC '`�
U1L(s) or limited-
.. :.7. �,t ,�,..a!_7.ki, ,,.f7J l!_4. l:a "gi yl7r tip: �� t :! :"JilF : i 7 1.1 r 7Ir r s r . r ;ZE energy panel, alteration, or
Business name: Ne Tech Electric extension. Describe: Paget 2
Address: 1 9 7 O SW 72nd Ave _ Each additional inspection over allowable in any of the above
City/State/ZIP; Po r t land , OR 9 7224 Ptr inspection 62,50
Investigation per hour (1 hr rain) 62.50
Phone: ( 0 3)
648-1900 I Fax' E• 0 3 )64E3-3131 Ind trial plan[ per hoer 73.75
,
CCBLIC. ;41865 ,r;;i. ; tle,- ll�'I_` [7d�r1d of �y. Y! „1 ` b, Ix tot�'va: F`I i,7 " ,'1 .
Electrical Lie.: 26-4182 6 - 4 18 2 I Suprv. Lie.: 38r{q a : u L ,rut nc In°
Subtotal i 0 , I
Suprv. Electrician signature, required :< (-, ,��� =
Plan review (25% of permit fee)
Print name: ptl ti.- ' N�.d4 Date: 11Z2 105
State surcharge (b% of permit fee)
Authorized Signature: TOTAL PERMIT FEE A 4 , 96
— rhls permit application expires If a permit Is not obtained within 160
Print name: — days after it has bees accepted as complete
Date: ° Pee methodology set by Tri- County Building lndusuy Service Board
1 ;�BuildmQwcrmtn‘F.t„C- Pemrlr - ” Number of inspections per permit allowed.
Mp.doc xvo3 a OMM B
liZL1ST<
CITY OF TIGARD .
BUILDING PERMIT #: ELC2005.00715
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2612005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 1J2.
INSPECTION WORKSHEET FOR DATE: 1012512005 TIME: 7: 10Albil PAGE: 15
SITE ADDRESS: 07165 SW FIR LP 205 CLASS OF WORK:
SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK LOT #: 014 TYPE OF USE:
PROJECT NAME: PACIFIC COAST RESTAURANT
DESCRIPTION: (3) branch circuits. Job #8433.
OWNER: WESTON HOLDING CO LLC, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503-648-1900
Inspection Request Scheduled For: Date: 10/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 01927B-01 503-969-9851
Corrections/Corriments/Instructions:
4) 0 v e 4 1` (le t_Q_ ` 64 OA A AA
Y I
p CkAi •
— PASS El PARTIAL APPROVAL 1 CANCEL fl NO ACCESS
- AIL .. -- C<LL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: P..frisel Date: i/O 2 - 6 Phone #: (503) 718-
. , . .
f
CITY OF TIGARD
BUILDING DIVISION 4 PERMIT #: ELC2005.00715
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/2005
Phone: (503) 639 -4171 4 1 1 "ih iii
Inspectio Requests (24 Hrs.): (503) 639 -4175 1.1..
INSPECTI ORK
W SHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 111
SITE ADDRESS 0 SW FIR LP 206 CLASS OF WORK:
SUBDIVISION 72ND BUSINESS CTR-VARNS PARK LOT #: 014 TYPE OF USE:
PROJECT NAME: AC4FIC COAST RESTAURANT
DESCRIPTION: ( 3: branch circuits. Job #8433.
OWNER: WE, ON HOLDING CO LLC, PHONE #:
CONTRACTOR: NEW CH ELECTRIC PHONE #: 503 - 648-1900
Inspection Request Scheduled or: Date: 10/27/2005 Pour Time:
Code # Inspection Descript •n Confirm • Contact # Message
199 Electrical fins \ 019445-01 503-648-1900 V
Corrections /Comments /Instructions: N
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v C Niel Date: % bit/1kb Phone #: (503) 718 - 1 9 4 t