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Permit irk • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00962 DEVELOPMENT SERViCES DATE ISSUED: 12/16/2005 ' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25101 DC -04201 SITE ADDRESS: 07190 SW FIR LP ZONING: C -P SUBDIVISION: 72ND BUSINESS CENTER LOT : 001 JURISDICTION: TIG Project Description: (4) branch circuits for roof top heat pumps #4 & #5 & electric furnace. Job #05 - 965. 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: 3 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: T/W ASSOCIATES, LLC BOB'S ACTION ELECTRIC INC 7190 SW FIR LOOP 2700 NE BURTON ROAD TIGARD, OR 97223 STE A VANCOUVER, WA 98662 Phone: 503 - 624 - 1468 Contact #: PRI 360- 254 -7200 FAX 360- 254 -8219 FEES Description Date Amount Reg #: SUP 4322S [ELPRMT] ELC Permit 12/16/200` $66.80 LIC 53136 [TAX] 8% State Surcharge 12/16/200` $5.34 ELE 37-431C Total $72,14 REQUIRED ITEMS AND REPORTS 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: _T i , Permittee Signature: © �a 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. Electrical Permit A 1ica't t , pp m , Eh OR OFFICE USE ONLY City of Tigard " Date/By:/ — �� --7 Permit No • A Uo9( 13125 SW Hall Blvd , Tigard, OR 97223 PianReview Phone: 503.639.4171 Fax: 503.598.1960 DEC 15 o clr / W"lr' Kl o � ` '� Date/B Permit Other Pert Inspection Line: 503.639 4175 L ix '' I Date Ready/By El See Page 2 for Internet: www ci.tigard.or.us CI Ty Y Notified/Method• .OW Supplemental Information L r^ .; 'JPc: ,., „, ,. ryey}zte, .,7t,�lii.. , . ^; ; t,�s,.'aer � Ir y ' n i � � ' rk g ji E y �:,Ssi�,=i { .l, r .i, ^ �l !' ,,.. • ? } CF, ',,,tiiG`t ° -u . a{ st" ' tii ti t a: it-1 iiIiii ' a r ,. - Ai 4, i t ' - ;? intor...vii. i.'.,:� r 'k.` ,,t ` a.'”. ' a ` t" } : ..t" .' "" ' ' -' . �, �? ' ❑ New construction ❑ Addition/alter on%repl erWr tO Please check all that apply • ❑Service over 225 amps, comm'l ['Hazardous location ❑Demolition ❑Other: a .i 1 N;ark rd rtN.r }: r ,s•^5;�. , tit #� i7 �:k` c «,u ` �.-T; "r' i;'.>v 'i s9 ;•,�.e ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq ft , 1 t 11 0," . '. s` ' # IT ,0 1.44sx r "1 , �_;l,0' r a n ; °Q a ^ • p e- t_ .s .,.,^ Jh mot e new residential krx,�zti,vtr4,„� "? ; .; � :. a l fu��7r. �� �. ��� , �.s}a�*bz "z4+tar�ra�' 1 : , 2uA:, fe; us3;. is ,;'.t„t�'�n:�.�:?ita�u�,,i:.:. �t of 1 -and 2- family dwellings 4 or 1 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure • aPr ❑Building over three stories [Weeders, 400 amps or more ❑ iviuiti- family ill Master builder ❑ Other: 99 _� �„ p, 1'w r , / Occupant load over persons ❑Manufactured structures or ,. 'rC�,+'�. M' t� �) ,aWa9ib,",rv° k.ata:;tr, xr a ms �'!" R tt , - R� ��'� VL2 nti ,fir d 21 ='w ' 7. 'tat ❑E ess /li htin Ian RV palk ¢4` P.I- ;} '1 + 0 ,x,,,., ..7.ni4„„,,atxvstsss .,errt. .4.44A,o P4 ,;, 6,1 WA g gP Job no I J site address: ❑Health -care facility ❑Other: 05 -965 7190 SW Fir Loop Submit 2 sets of plans with any of the above Cit /State /ZIP: Tigard OR , 97223 The above are not applicable to temporary construction service Suite/bldg. /apt. no.: l Project name: 't ; r iii', ' *_', atte, e :IIEDULE . Description Qty Fee. I Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea add'l 500 sq. ft. or portion 33 40 l Limited energy, residential 75 00 2 Tax map /parcel no r v Limited energy, non - residential 75.00 2 � i r �. :il 1" 't i t ; s v „ ,, , „ :. • . . Each manufactured or modular dwelling, service and /or feeder 90.90 2 replacing unit #4 & #5` 1/2 ton unit rooftop her Services or feeders installation, alteration, and /or relocation pumps and 2 electric furnaces 200 amps or less 80.30 2 � ° r: 3p €a!A+c nr<�� -.� za n � �,�r� ;�„ a t. " t � s ' �,r.. �y m� � t^r,:aw m s:�..• � rz a a�:� 201 amps t0 400 amps 106.85 2 r ` x td R tr4 I2 t ., , -1, ` 1V• T rairr . t' r - � � « i~ s . ,"*"11 "4a,! 9 "'"' "4'44444'4 #' >d,�` 3'°a w4St 411— **4.6 nr,.'• ,z 1 ci :I 401 amps to 600 amps 160 60 2 Name: Thomas — Wright 601 amps to 1,000 amps 240 60 2 . Address: 7190 SW Fir Loop Over 1,000 amps or volts 454.65 2 Reconnect only 66 85 2 City /State /ZIP: Tigard OR. , 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66 85 ' 1 Owner installation: This installation is being made on property that I own 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 signature: - Date. - Branch circuits — new, alteration, or extension, per panel °'�� i�r 5' �1 MO y r "'� �t: i r'" 4 A Fee for branch circuits with I . r: t ra14 [ g ^.., , ,".t i k ii. i i II. ,.0 a r GO 1.►t 1e le S A O 1 .) ' x 1 � -1 � service or feeder fee, each 6 65 2 Business name: • • . - branch circuit - - — - B Fee for branch circuits Contact name: without service or feeder fee, -- each branch circuit 1 46 85 46.85 2 Address: Each add'l branch circuit '. 3 665 19.95 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: : ( ) Pump or irrigation circle 53 40 2 Sign or outline lighting 53 40 2 E -mail: I Signal circuit(s) or limited - rP 5'd'"'' ".'irt a °Rfi�' 'il ;Gi t $,'n "� "' r I 41rt° r`,�" f k,2 ti,},9� or a l on � -. )H r' r r}t +rg ., _ , energy panel, alteration, : al� �:'7•�v5a9';I.tct',,'4;s M r, �� J.�e.�a a a.• s .,.4.. .c et �i extension Describe Page 2 2 Business name: Bob's Action Electric Address: „ rr Each additional inspection over allowable in any of the above 2700 NE Burton Rd. A - Per inspection - 62 50 City /State /ZIP: Vancouver, WA. 98662 Investigation per hour (t hr -min) 62 50 _ , - Industrial plant per hour 73 75 Phone: ( 360) 254 -7200 Fax: (360) 254 -8219* ask t£ 3,.), erA�r, . s :: kItEOTRICA 113 1 1-04 1a`W.ES- CCB Lic.: 53136 Electrical Lic.: 7 _ 1C Suprv. Lic.• 43 Subtotal 66.80 Suprv. Electrician signature, required: Plan review (25% of permit fee) Plant name: Date: State surcharge (8% of permit fee) 5.34 Kevin Broselle 12/7/05 TOTAL PERMIT FEE 72.14 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: / Date. • Fee methodology set by Tri- County Building Industry Service Board • CO Number of inspections per permit allowed I \Buiiding\Pemuts\ELC- PermitApp doc 12103 440 46I5T(I0 /02 /COM/WEB CITY OF TIGARD BUILDING DIVISION r PERMIT #: ZO C.c. a 76 k 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 (9' o -t TL_ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJE .AME: DESCRIPTI•• • OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - -U Co Pour Time: Code # Cam) Inspection Descr' tion Confirm # Contact # Message Corrections /Comments /Instructions: 360 - a s 4F-7a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL I l CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: v - V Date: I (:).6 Phone #: (503) 718-24* ... CITY OF TIGARD BUILDING DIVISION ,.., . , PERMIT #: F1C2005-00962 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12116.'2006 Phone: (503) 639-4171 :fallpit Inspection Requests (24 Hrs.): (503) 639-4175 ....,_,61 ...!... INSPECTION WORKSHEET FOR DATE: "1/27/3006 TIME: 7:00Atvl PAGE: ea SITE ADDRESS: 07190 SW FIR LP CLASS OF WORK: SUBDIVISION: 72ND BUSINESS CENTER LOT #: 001 TYPE OF USE: 8130 PROJECT NAME: TM ASSOCIATES DESCRIPTION: (4) branch circuits for roof top heat pumps tt4 & #5 & eleciric furnace. Job #05-965. OWNER: TM ASSOCIATES, LLC, PHONE #: 503-624-1468 CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 360-254,7200 Inspection Request Scheduled For: Date: , / 1/27/2006 Pour Time: Code # Inspection Description Contact # Message 199 Electrical final 02577401 36(1-264-7200 V Corrections/Comments/Instructions: ib. Itzt i\MIc*-- .....,.._.........._.....,,,, __ • ( ) P O A 'Of 6 czwA T P■1 * EA e.AA, F %/row\ c-t uN TT Li i) _ -` so e L .,-. 1 . ,,. , ., . . .' ,-- . b • fki,. 4* op,A) A c_. 4 ■ Cz• --- 04 • \ 1--V4r Ci=sRytt\i‘Zsg. 124W . 1 5 e.g._ 2 .(1\ . cyc-t-LA ..1; c4, r:, t. (z)tibc-- ki ik % G.) w r---Eq b' NtSi tacL c_szezi . PASS 0 PARTIAL APPROVAL 0 CANCEL pi NO ACCESS Xi FAIL A CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Cr 14 1.... Date: 1 2.• 6 Phone #: (503) 718- __