Permit �I CITY I �" OF T I w ^ ® ELECTRICAL PERMIT
`y T (�H�"( PERMIT #: ELC2007-00219
f ° COMMUNITY DEVELOPMENT DATE ISSUED: 4/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DB -01000
SITE ADDRESS: 07080 SW FIR LP 110 ZONING: C -P
SUBDIVISION: 72ND BUSINESS CTR -YARNS PARK LOT : 012 JURISDICTION: TIG
PROJECT: BRADFORD
Project Description: TI - (2) 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: 1 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:
SHROYER RANCHES INC GLOBAL ELECTRIC, INC.
BY REX SHROYER PO BOX 162
PO BOX 1538 NORTH PLAINS, OR 97133
PHILOMATH, OR 97370
Phone: Contact #: PRI 503 - 647 - 5650
FAX 503 - 647 - 5649
FEES
Description Date Amount Reg #: ELE 34 -655C
[ELPRMT] ELC Permit 4/10/2007 $53.50 LIC 156838
[TAX] 8% State Surcharge 4/10/2007 $4.2$ SUP 5210S
Total $57.78 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 rule are set for SOAR • 40 -0010 through OAR 952 -001 -0100. You may obtain coyiet these rules or direct questions to OUNC at
503.246.6 99 r 1.800.332. 3 , , .
Issued By: 1 4 A Permittee Signatur•. �.�
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: • r. 1 / / • 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.
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City of Tigard - , ^��1 t2ewelVtrj
13125 SW 11x11 Blvd., Tigard, OR 972 O L I3ttw'6 y 9 0 7 X Permit No E 047 - ooRi 9
(� Plan Review
Phone, 503 639 4171 Fax: 503.598. • 0� ` 1 lktieRoad Y aa �'V.n „ I i�ed)ty. COther Permit
inspection Line SU ,639 4175 0j. V N FB SC Page 2 Me
! y; kris:
Internet wwei tt and or us
L � i. ertidittl /Method �
„ .. -- ,,,„,x. / Sappkm.w inform.60.,
N ew ' ' _li : ,'+; ,
❑ construction e►`i ,1 1' diti.on/alterationJreplacement Please check all that apply, "
❑ Demolition ❑ Other: ❑Service over 225 amps, conlm'l ❑flazardous location
"'' / "' .�' t' ❑Scrviee over320a
• ' : • - ' 'lI ,T'>s1 3< OF C OIaa>PT)lRTJ traps l rating ❑F3 over Ir esid s ft ,
`..,� of I • and 2 dwellings 4 or more new residential
❑ 1- and 2- family dwelling ,�f Commercial/industrial ❑ Accessory building Qsystetn over 600 volts nominal units in one structure
❑ Multi - Rosily ❑ Master builder ❑ Other ❑t3uilding over three stones ❑.Fiseders, 400 amps et more
r
,.. , ,, (hcupant load over 99 persons ❑Manufat.lureri sat/cm or
,. ' '• $ E 'H 'ORIF ATIION AND L( 'ATkt' P p
❑r ,gross/li g htin g p RV part.
Job no . Job site address; 76V0 5(,,i Ft L ,'y0 ❑1-tealth -care factbty ❑other-
- - - it __., ___, submit _L sets of plans with any of the above
City /State /ZIP' The above are not applicable to temporary construction service
Suite/bldg /apt no //C Project name: � Cif ' ', � O �� PPP: C & • -'
Descripnp„ r Qty r pea. ] .i.o41 1 .. •
Cross street/directions to job site: New residential single- or multi- family dwetlitig unit,
. Includes attached garage.
- -- __ 1,000 sq ft. or les 145 15 4
Subdivision Lot no : La add'I 500 sq ft or portion 33.40 I
Tax mop /parcel no Limited energy, residential 7S (X) 2
Limited energy,
' ,iON OF WORK lion -residential
' 75 00 2
_.-- Fisch a
rnnukaGUred or
,..„,,.4. a C/CTS dwelling service and/or feeder _ 90 90 _ 2
Service* or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
ry 20111011M to 400 amps 106 85 2
,'`' 1 - - • 401 amps to 600 amps 160 60 2
Name c0,1 amps to 1,000 a mps 240,60 2
Address, Over 1,000 amps or volts 454.65 2
- - - ltecotrncot only 66 85
( try /State1ZIP Temporary services or feeders installation, alteration, and/or
Phone. ( ) lax, ( ) relocation N—
200 amps or less 66 85 _ 1
Owner installation: Tlus installation is being made on property that I own which is not 201 amps to 400 amps MI 100 30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 70 401 amps to 600 amps _ 1111 133 75 2
Owner signature: - _._...._._ , Date: Branch circuits - crew, alteration, or extension, per panel
" Aff,1404a : 0 comcr ransom, A Fee for branch circuits with
Business name service or feeder fee, each
_ branch circuit 6.65 2
- _ 13 Fee for branch circuits
Contact name, - without service or feeder fee, 1 46.85 y4,, g , 2
first branch circuit
Address
_
,_ Hach ad c d'1 branch circuit 6,65 �, 2
City /State/ZIP, Miscellaneous (service or feeder not Included)
Phone: ( ) Fax, ( )
-.... Pump or irrigation circle 53 40 2
_ _._...._. or outline lighting 53.40 2
E - mail Signal circuit(s) or limited- -
1fhT) JillktC[UIt energy panel, alteration, or
Business name- 4i. O&4 L EL E mo / C. extension. Describe: Page 2 2
Address' PD / 3 0 /< ! IX Each additional lfnpectlon over allowable in any of the above
-- Per inapectian 62 50
City /State/ZIP t , .; H PI/r'-
A S € I2 / 33 ____ ___.-
/V q-7 m� investigation per hour ( l hr min) 62,50
Phone: ( 5 C;,i) 6 b 7- 545 I Fax' ( 543) PI 7- 50y7 y'7 Industrial plant per hour 73.75
CCB Lic /54g3 9 Electrical Lic 3`/ 5 Su pry Lie.: rte /(1
.. - -- -- — �.,,.,.„. �_ _ Subtotal 5 3_ Co
Supry Electrician signature, required' 49-' , ' Plan review (25% of penntt fee)
-- - State surcharge (8% of permit fee) i-/ , /V
Print name' fa ST / t.l5/�� / A/c Date y 5 6 — --
�7 TOTAL PERMIT FEE 5'7_ 72
Authorized signature, C f , 7- 5' '!'his permit appYicattu expires if a permit Is not obtained within i60
�"_" g ":77‘,,,7 days after it lout bean accepted u complete
Print name Jl r : / r) /e, �„/V , ,. Date: : Fee methodology :let by Tri- ,rusty Building Industry Service Board
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00219
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10'2007
Phone: (503) 639-4171 zonaollgt
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/13/2007 TIME: 700A1v1 PAGE: 37
SITE ADDRESS: 07000 SW FIR LP 110 CLASS OF WORK:
SUBDIVISION: 72ND BUSINESS CTR PARK LOT #: 012 TYPE OF USE:
PROJECT NAME: BRADFORD
DESCRIPTION: TI - (2) branch circuits
OWNER: SHROYER RANCHES INC, PHONE #:
CONTRACTOR: GLOBAL ELECTRIC, INC. PHONE #: 503-647-5660
Inspection Request Scheduled For: Date: 12/13/2007 Pour Time:
Code # Inspection Description ,- Contact # Message
199 Elecnical final 061442.01 503-53G-3364
Corrections/Comments/Instructions:
- ;/ •
-
I 1111
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' PASS EI PARTIAL APPROVAL El CANCEL NO ACCESS
FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: WSf16 Date: 12.4'6' 61 Phone #: (503) 718- sippp
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00219
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10/2007
Phone: (503) 639 -4171 40 41 � ��i
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 6/16/2007 TIME: 7:02AM PAGE: 79
SITE ADDRESS: 07080 SW FIR LP 110 CLASS OF WORK:
SUBDIVISION: 72ND BUSINESS CTR• - YARNS PARK LOT #: 012 TYPE OF USE:
PROJECT NAME: BRADFORD
DESCRIPTION: TI - (2) branch circuits
OWNER: SHROYER RANCHES INC, PHONE #:
CONTRACTOR: GLOBAL ELECTRIC, INC. PHONE #: 503. 647.5650
Inspection Request Scheduled For: Date: 6/15/2007 Pour Time:
Code # Inspection- Des,cription Confirm # Contact # Message
125 I'. all cove-- 060280 -01 503. 536.33 &4 Y
Corrections /Comments /Instructions:
SS I PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 6 - ls Phone #: (503) 718-
$ � w � Via .v�,.�. I '
CITY TIGAR® ° ' ' '� A �
t
, BUILDING DIVISION Z /r 7 Al 1'_.
,' .. �. ; PERMIT #: ELC2001.00219
13125 SW Hall Blvd., Tigard, OR 97223 `' tt nm r�ii - - i _ DATE ISSUED: 4110/2007 _
Ph'one:' (503) 639 -4171 r wf`q�� A et -
Inspection Requests (24 Hrs.): (503) 639 - 4175 - -- 67 1 -
,,,-
INSPECTION WORKSHEET FOR DATE: 6/14/2007 TIME: 7:00.e PAGE: 30
SITE ADDRESS: 0/th 0 SW FIR LP 110 CLASS OF WORK:
SUBDIVISION: 72ND BUSINESS CTR - VARNS PARK LOT #: 012 TYPE OF USE:
PROJECT NAME: BRAQFORD.:..
DESCRIPTION: Ti - (2) branch circuits
OWNER: F ROYE.R RANCHES INC, PHONE #:
CONTRACTOR: GLOBAL. ELECTRIC, INC. PHONE #: 6.03-647-5650
a0
Inspection Request Scheduled For: Date: 6/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
E 16%..;::..; I ; ice? CO V t-- 050215.01 503-536-3364 . v- 7 , / � `. 4:" ��r
I ;� ?,fir r y
Corrections /Comments /Instructions:
t / R,e. ii i /— -til g)- 4 r( ii- fie L 90 R ,-1I)
_
i" AY 1\1 n , �r 1
l
,,,
❑ PASS [ ` PARTIAL APPROVAL ❑ CANCEL I ' NO ACCESS
1 FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: - i ) L ...� ! r v Date: 6/I Phone #: (503) 718-
'
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