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Permit a7 4 CITY OF TIGARD ELECTRICAL PERMIT " PERMIT #: ELC2007 -00419 COMMUNITY DEVELOPMENT DATE ISSUED: 6/19/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 DA -01500 SITE ADDRESS: 07150 SW FIR LP 202 ZONING: C -P SUBDIVISION: 72ND BUSINESS CTR -VARNS PARK LOT : 005 JURISDICTION: TIG PROJECT: VERTEX Project Description: (6) branch circuits and low voltage voice /data cabling (see signal /panel). 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: 0 401 - 600 amp: SIGNAL /PANEL: 1 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: 5 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: HALSTEAD INTERNATIONAL TICE ELECTRIC 7150 SW FIR LP 5405 N. LAGOON AVE. TIGARD, OR 97224 PORTLAND, OR 97217 Phone: 503 - 244 -1969 Contact #: FAX 503 - 872 -8290 PRI 503 - 233 -8801 FEES Description Date Amount Reg #: ELE 26 -126C [ELPRMT] ELC Permit 6/19/2007 $155.10 LIC 166 [TAX] 8% State Surcharge 6/19/2007 $12.41 SUP 25865 Total $167.51 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 Permittee Signature: , , 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. 'Tice ical Permit Applicatiloa4a p FOROFFICE US . ONLY REC-.."' ; >� �Recei 1 � - �, •r ,City of Tigard Permit No.: nat elil : • 13125 SW Mall Blvd., Tigard, OR 97223 J U N u t� t 4' ' c' ) 7 Plan Rev,cw Other Permit: • ;, , TPhone: 503,639 4171 Fax: 503 598.1960 X11,, _ , 111' Date/B : pa Re /B Su • See Page 2 for Inspection Line' 503 639.4175 CIT - " - , �lonfied/Ivlethod: e5 Supplemental Information Internet- ,vww,ci.tigard.or us f ►- !' 1 1, TYPE OF WORK PLAN REVIEW Please check all that apply: New oonstnlctron ID Addition/alteration/replacement []Service over 225 amps, cormn'l ❑Hazardous location Q DeniOlition ❑ Other: ['service over 320 amps — rating ❑ Buildng over 10,000 sq. ft , CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ System over 600 volts nominal units in one structure (1 1 -and 2- family dwelling ®Corrrmcrcial/industrial I3 Accessory building ❑Building over three stones © peeders, 400 amps or more ❑ Multi - family ['Master builder ❑ Other' - ❑ Occupant load over 99 persons ❑Manufactured structures or JO) SITE INFORMATION AND LOCATION ❑Egressflighting plan RV park _ - ['Health-care facility ❑Other Sob no.: 8 0.2 4 3 2 Job site address: 71 5 0 SW Fi Loo. Submit 2 sets of plans with any of the above Z he above are not applicable to temporary construction service. City/State/ZIP: Ti an d OR 97224 - FEE" SCHEDULE Suite/bldg. /apt -no -: Project name: Halstead I<at 1 Description I Qty. I Fee. I Total " Cross street/directions to job site: �� New residential single- or multi - fancily dwelling unit. Includes attached garage. 1,000 so, ft, or less 145.15 4 '" -- Lot no.: En. add'l 500 sq. ft. or portion 33.40 l Subdivision: Limited energy, residential 75 00 2 Tax reap /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK • - Each manufactured or modular dwelli ser vice and/o fee der 90 90 2 (6) elec ckts & voice/data Services or feeders installation, alteration, and /or relocation 200 amps or less MI 80.30 2 201 amps to 400 amps NM 106 -85 2 )PROPERTY OWNER ❑ TENANT 401 amps to 600 amps = 160.60 Name: Halstead International w 601 am.sto 1,000a ••s 111. 240.60 Over 1,000 am.s or volts 454.65 Address? l 5 0 SW Fir Loop w Reconnect only = 66.85 City /State/ZIP: Tigard, OR 9 7 2 2 4 Temporary services or feeders installation, alteration, and /or relocation Phone: 6 0 3 )2 4 4 -1 9 6 9 I Fax: ( ) 200 amps or less 66.85 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 . Owner signature: .- Date: Branch circuits -- new, alteration, or extension, per panel ❑ CONTACT PERSON A. Fee for branch circuits with El APPLICANT service or feeder fee, each �- branch circuit 6.65 Business name: — B. pee for branch circuits Contact name: without service or feeder fee, 1 46.85 46.85 -, - each branch circuit Address: Each add'l branch circuit 5 6.65 3 3_2 5 City /State /ZIP' Miscellaneous (service or feeder not included) Pump or irrigation circle 53,40 Phone: ( ) Fax:: ( ) Sign or outline lighting 53 40 E-mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or 1 75.0C extension, Describe: Page 2 Business name: Tice Electric Co, . Address: 54 05 N LagOOn. Avenue Each additional inspection over allowable in any of the abov1 Per inspection 62.50 City /State/ZIP' Portland, Oregon 9 721 7 Investigation per hour (I, hcmin) 62,50 Phone ( 503) 233 -8801 Fax: (503) 872 -8290 Industrial plant per hour 73 75_ ELECTRICAL PERMIT FEES* CCD I is : 166 Electrical Lic.: 26_1260 Suprv. Lie,: 2586S Subtotal 15 5 . 1 C Supry Electrician signature, required: 401,,,, i Plan review (25% of permit fee) State surcharge (8% of permit fee) 1 2 . 41 Print name: John J. Maloney Date; 6 / 1 9 / 0 7 - TOTAL PERMIT FEE '167.51 Authorized signature: Taiq permit application expires if a permit is not obtained witbin li days after it hes been accepted as complete Print name: Date' • Fee methodology set by Tri- County Building industry Service Board " Number of inspections per permit allowed, 440 -461sT 10/01 /COI�B ,: 1HuildmC\ Aetr114a■El- C- kermitAP➢ dot 12/03 � CITY OF TIGARD BUILDING DIVISION PERMIT #:�1.GZC�J'/•D�p�11 "1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 %�m vd A t „, �uyl��� ��'� Inspection Requests (24 Hrs.): (503) 639 -4175 ''__.. INSPECTION WORKSHEET FOR DATE: - Ct . Q.55 TIME: PAGE: SITE ADDRESS: 15 O F 1(L v.? . Z■ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: " S OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: - I - Q Pour Time: Code # Inspection Description Confirm # Contact # Message 1c` c Oss Cril.r . Corrections /Comments /Instructions: PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: a" 46 Date: V 9, '61 Phone #: (503) 718 - 11)01 CITY OF TIGARD BUILDING DIVISION PERMIT #: FLC2007- 00419 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611912007 Phone: (503) 639-4171 1,r, Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/8/2000 TIME: 7:01AM PAGE: SITE ADDRESS: 07160 SW FIR LP 202 CLASS OF WORK: SUBDIVISION: 72ND BUSINESS CTR PARK LOT #: 005 TYPE OF USE: PROJECT NAME: VERTEX DESCRIPTION: (6) branch circuits and low voltage voice/data cabling (see signallpanel). OWNER: HALSTEAD INTERNATIONAL, PHONE #: 603-244-1969 CONTRACTOR: TICE ELECTRIC PHONE #: 603-233-8801 Inspection Request Scheduled For: Date: 1/0/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 062710-01 971-322-7301 -/D 1 10244 \ Corrections/Comments/Instructidns: S tp c Le' A 6 0% 14 D . riNolL is A, L.L nicr3 k1-1 0 PASS j2 • RTIAL APPROVAL El CANCEL H NO ACCESS n FAIL CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED Inspector: C& Th L_e" Date: I -4 0) Phone #: (503) 718- -11114) CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00419 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2007 Phone: (503) 639 -4171 Nlii"��I( Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7:00AM PAGE: 60 SITE ADDRESS: 07150 SW FIR LP 202 CLASS OF WORK: SUBDIVISION: 72ND BUSINESS CTR - VARNS PARK LOT #: 005 TYPE OF USE: PROJECT NAME: VERTEX DESCRIPTION: (6) branch circuits and low voltage voice./data cabling (see signal /panel). OWNER: HALSTEAD INTERNATIONAL, PHONE #: 503 -241 -1969 CONTRACTOR: TICE ELECTRIC PHONE #: 503 - 233 -8801 Inspection Request Scheduled For: Date: 9/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 055458 -01 503 -341 -7317 N Corrections/Comments/Instructions: PASS a PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 6 KI_//it Date: // r Phone #: (503) 718- • M \ CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2007-00419 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/181200`1 Phone: (503) 639 -4171 N IptiIII Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:00AM PAGE: 41 SITE ADDRESS: 07150 SW FIR LP 202 CLASS OF WORK: SUBDIVISION: 72ND BUSINESS CTR - VARNS PARK LOT #: 005 TYPE OF USE: PROJECT NAME: VERTEX DESCRIPTION: (6) branch circuits and low voltage voice/data cabling (see signal /panel). • OWNER: HALSTEAD INTERNATIONAL, PHONE #: 503.244 -1969 CONTRACTOR: TICE ELECTRIC PHONE #: 503 -233 -8801 Inspection Request Scheduled For: Date: 8/10/2007 Pour Time: Code # Inspection Description Co_ . .• • Contact # Message 125 Wall cover •N 1.-LA t 053785.01 503.341 -7317 Y Corrections /Comments /Instructions: U ,L SO • E A5( 06 i tJ 9 e - e;C 6N5 r2 - Q, v ■. f kt_L.. Levi LP ‘ S S s )6 E- ccvia j Levi Levi , r --- ------i 1KZASS PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C ( 0 U)1-.61 Date: 111 In Phone #: (503) 718- 1*116