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Permit - CITY OF TIGARD ELECTRICAL PERMIT CITY V PERMIT #: ELC2006 -00536 DEVELOPMENT SERVICES DATE ISSUED: 9/22/2006 °---� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 101 AC -00900 SITE ADDRESS: 07128 SW GONZAGA ST 200 ZONING: MUE SUBDIVISION: PAHLISCH /GONZAGA PROFESSIONAL LOT : 015 JURISDICTION: TIG Project Description: 1 branch circuit. 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: 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: PHIL GENTEMANN DEXHEIMER ELECTRIC INC 7128 SW GONZAGA SUITE 100 10639 SE FULLER ROAD TIGARD, OR 97223 PORTLAND, OR 97222 Phone: 503 - 620 - 2047 Contact #: PRI 503 - 786 -0886 FAX 503 - 786 -2040 FEES Description Date Amount Reg #: ELE 26 -321C [ELPRMT] ELC Permit 9/22/2006 $46.85 LIC 43935 [TAX] 8% State Surcharge 9/22/2006 $3.75 SUP 2514S Total $50.60 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. / � _ l Issued By: A` . _/ 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. ,, Y 1 Electrical Permit Application , � ,FOR OFFICE �Is+� oy City of Tigard REGE V t Received. ; --'�� , >� Date- ; . t • • 1 • Pe No.:, 6 ,r� 13125 SW Hall Blvd., Tigard, OR 97223 - ?hone: 503.634.4171 Fax: 503.598.I460 2 20 r.ti•, Plan y +l'• "� J ,Date/B : Other permit Ittspection Lino: $03.639.4175 S t P Y. .._,. ,-!'i _� ]J etc Ready/By: Iii See Page 2 for Internet www cl tgard or us TI(aH CITY OF t"tU Nouned/Methee: Supplemental Information hT7 / T •.Y RT R EG 1t 5'. 1'" ,� t �`„<�w, �t. y+lk � �. ` ,d � r � � �' '! : � �f b ^ tr - ' . ^4 , ry a �; " � F w y . � t^c�t z � r t w Y 5riu. /1 ar,yco 1�tu 3 . }tr t rP �n� 876 it t+a (�3.'.ikll;%ti`�i.!+.F, :10 �,U5k I N .4 is 95u: L..11'. �.1 : 1 3 , �`P.:Lui d� fi r �r r rl�� �^ i ��'" d t.; �. : fa l a tR unc.7 • s r .. dStis Itri�ttRl}' ,� + �-. , Ut` r- 4, � • . . a • , �.; � : . ❑ Ncw construction to Addition /alteration/replacemerlt please check all that, apply: ', Demolition ❑ Other: DService over 225 amps, comm'1 ° Hazardous location • � c rr i ° �i "� : r �c ;", � r t r�i �, ` � ; its t • fi ti ; ❑ Service over 320 amps - rating ❑ Buildng over 10,000 so, ft, .. t Y ^ , r ; , •, ,u -r ' � � F ` � _ u!y. of 1 -and 2-family dwC1hi, a 4 or more new rTSi�+Cniial 0 1- and 2- family dwelling FZ. Commercial/industrial © Accessory building ' ❑System over'600 volts nominal units in one structure I=1 Multi-family [] Master builder ['Building over three stories ❑Feeders, 400 amps or more [� Other. C,. ,+ Ocu ant load over 99 persons ❑Manufactured structures or a cY �1 'tai 1'.�,1,,,.5''�. + � (��,i�� t .'7�' �7 �� '"-1 ?"' 1�u � [ t�,,, a'L IRF'v r y.... .f'i CS ,, �Fa" ❑cP :itr is t tlAh5:T`4t ,v^fe+; x'11 d A ! ll3 A 4 4. r 4f {pt)M l�f"i p� i �,� la �''�, � , GF {, I'll .saE* N.r415Fil'tt,,..: :- t t. Lz,thnv vitikeZ,- :.17 ,,.4 , ,tI.I�C _ ,vtm ..3r. .. �LL �� i.1,G12 P h.1 • ❑E g htin g p l an 11./. park Job no.: ❑Health-care facility °Other: Job site a ddress: l A U c a o 0 `� ! , Submit 2 sets of plans with any of the above - CttytState/ZIP: f " �� { Suite/bldg./apt. r1 G- 7 �� S The above are not applicable to temporary construction service, ./ / l/ s r =a .. . . : dg apt. no.' 1 Project name: uVt � ;�' �r ; �" +r< '��}� r ,r �?�'Ss o :�� fa , �:::"x` - " , , J amG: � ^s .ilt.�tw�'��:�c:�1, <,t *.��n» „w L.,n:'�^ .. .i._ "� Cross street/directions 10 job site: l � � Description Qty. Bee Total " � "Ira"' _ multi-family dwelling unit. " imply New residential single- or mults " ` 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 1 Tax map/parcel no.: Limited energy residential ' 75,00 2 ir�n!F 't j ,•, 8 " � rcry r `.� ,may x,,. a*,y Gr crgiet+l rr -� . _ � � Limited energy, non - residential 75,00 2 I 4 P R ' s 1,1 `�rt' F�.Y +f' 7Y si¢ . 9'+W... i'9 3h�P g'e .�t : Y ltr f Y'" �`i lP w L 7 ' I rv, NY e r• rte. t .lidarz , .kt idl 4 { n= ,1 fl . .tr d t y �' tt'm 7�., 1 ,. fi , ,, , Y ' .1,,,J . �.� :rte '"' �raa,as`,^- t.•;aaa,i,^� i, ?,J1�,y,1?i!I��,';i, E dwelling, service and/or feeder 90.90 2 S1 A Services or feeders instailation, Alteration, and/or relocation N L ,j1 � ^ G'' ,� ur�lr'�'' 4 +` }, 6n�ly" t{i+f,r Pf 5f ,,, , 200 amps or less 80.30 2 ,� ,,,{{1 ti' ,i a i , , d ? }1 rr W. , �,, 2' Zr t'ii � �1° '- a 9,Vol � 201 amps to 400 amps 106.85 • z i'*aksY. <..f4 .iii. tab'�.e -1 �t,^.s.n` , P3r.1�_T..f.. ti"1�.it.�riCre F�.1,lffir . !Yi idtl i:AI -i " ��.r, { kie f 3ikli ., -M1? Name: A ' , (_ , Gin M 401 amps to 600 amps 160.60 2 t'1 f - L ci 4./ 601 amps to 1,000 amps 240.60 z Address: -- WA s (A/ .n -t---01:S. f //t 1. Over 1,000 amps or volts 454.65 2 GSity /Statc✓ZIPA V f { ,r // ? J (J� Reconnect only • 66 -85 2 (� 3 Temporary services or feeders installation, alteration, And/or / relocation Phone: ( 0 �,) 2 o- () Fax: (51)1 ) f2'l - Z i 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 exohangc, according to ORS 447, 449, 670, and 70!. Owner signature: 401 amps to 600 amps 133 -75 2 6igA turn Date: Branch circuits 7f ,'�.Y�T N ;"�'y , t 7� o ,� r m- � "k ^u � ' , *a L - new, alteration, or extension, per panel .l kt..til l T'y: ....:wcsl7 3 6 1N �1t : 21 ' ' f r " yiTl�.�yil 1rl3,t t . rr ^ ,a,� ,r r'..,r7f � ; +,. 2i ... .i.. ,u.a, __ ..e i .-- t. C.;ift .,.,...vL .t ge2..iti_: „I, "i-L i, fc' ,. ,. , t ,,.. ,FQ}( }?t);A, tii. s e Fee far branch circuits with 4 Business name: /� ` service or fee edr fee, each • 6 C ✓� 1 i/�ITt s/1 I MLS/1 C, branch circuit ,�1 Contact name: A ( o .v) a 13 - pee fox branch circuits �` a i without service or feeder fee, / Address: SG.) _ 1 each branch 'circuit 4b.85 2 to /" �� ` Each•add'] branch circuit 6.65 2 City/State /SIP: p 0 d' • O 13-1 ; • Miscellaneous (service or feeder not included) Phone: (9 > • ) C,.2{)- - Fax:: 9 ) G 1 0_ ) q ptrn 1p or irr igation circle . , __ . 53.40 . 2 E_ �" s or outline lighting 53.40 2 l-- (Av. -) c44.6e c ✓1 C� fP�II �'�*� �..t �.�t < <` S Ff(r�7i d��' �'1'Y.� Ft,���^•"LL a'"�` rY � « r r,c r . , Signal circuit(s) or limited- N ... _.:::1; : yalYA 1 ^�''�d."... { _ '::r'CT�' F�_�.+ .:� •:1. rl3i`il1 YS h '.WP 'p t S ldyn'7' � 7 YY ;� �i t�.nT. en . t t ut r " " , , ik, s; i ` ; u` _.:111 , s. h ct6Y panel, alteration or Business name: A . '1 vii t1 { e Z y t \ yu extension. Describ Page 2 2 Address: / A .� L / I 4. r Each additional inspection over allowable in any of the above • • City/State/ZIP: : Per inspection 62.50 ' C-' �_ Investi per hour (1 hr min) 62.50 - - Phone: ( �„�) c 03 Fax: } _ �� Industrial plate per hour 73.75 Electrical Lie.: ! � � - '."fi a T iiiV'.`F . �t;t .Lr '=t'1%. i : '^7f Suprv, Lic. f 1 ,mow :w =o n.. aaJ � ? _: L a 1 � e •. > P as �1� � a :. .... Subtotal ./ /, fI7' ✓ Suprv. Electrician signature, required: ` � ' plan review (25% of permit fee) -� � - ✓ Print nam State surcharge (8% of permit ree) 3 .� . tF1 1 O O . rc• ri . t 7 r . Date: - 2:_. / - -"- 5 - Authorized signature: TOTAL PERMIT FEE i 5. b °-^ ._. This permit application expires if a permit is not obtained within 180 Print name: Date: days after it hos been accepted as complete - Fee methodology set by Tri_County Building Industry Service Aoard " Number 02 per penllil allowed. iAltuilding tPcnnitslriLC- Penviuk Svc 1203 44c.4e t sr( t OM /COMrWE'B • Td NdLZ : i=0 900E EE ' d Ot O 9BL :: '0N , XUd '9N I 01813313 W I 9HXdG : WONd - ' CITY �~�������������� _ ; ��n n w OF n^m�m��nm�� BUILDING ��U��U��U��0� DIVISION PERMIT #: ELC2000-00538 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/25/2006 TIME: 7:03AM PAGE: 35 SITE ADDRESS: 07128 SW GONZAGA ST 200 CLASS OF WORK: SUBDIVISION: PAHL1SCH/GONZAM PROFESSIONAL LOT #: 015 TYPE OF USE: PROJECT NAME: LENDING SOLUTIONS DESCRIPTION: 1 branch circuit. OWNER: GENTEMANN, PHIL PHONE #: 603-620'2047 CONTRACTOR: DEXHEIMER ELECTRIC INC PHONE #: 503'706-0036 Inspection Request Scheduled For: Date: 10/25/2006 Pour Time: Code # Inspection Des. iption Confirm # Contact # Message 199 Electrical final 038812-01 503-764'6001 � Corrections/Comments/Instructions: r F� �� / / pART�LAPPROVAL / / CANCEL NO ACCESS I I FAIL pi CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED �= w� Inspector: Oote: Phone #: (503) 718- ds1410 CITY OF TIGARD --, BUILDING DIVISION PERMIT #: ELC200&.00536 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2006 Phone: (503) 639 -4171 lii Inspection Requests (24 Hrs.): (503) 639 -4175 „,_111- � INSPECTION WORKSHEET FOR DATE: 10/5/2006 TIME: 7 :00Am PAGE: 41 SITE ADDRESS: 07126 SW GONZAGA ST 200 CLASS OF WORK: SUBDIVISION: PAHLISCH /GONZAGA PROFESSIONAL LOT #: 015 TYPE OF USE: PROJECT NAME: LENDING SOLUTIONS DESCRIPTION: 1 branch circuit. OWNER: GENTEMANN, PHIL PHONE #: 503-620.2047 CONTRACTOR: DEXHEIMER ELECTRIC INC PHONE #: 503 -786 -0886 Inspection Request Scheduled For: Date: 101512006 Pour Time: Code • In. • -ction Description Confirm # Contact # Message 120 Electrical rough -in r� 037736 -01 503 - 754 -6001 Y f Id Corrections /Comments /Instructions: S ' tjLAlNA Ct e. ®.Jtp i yw "p Si" 2 R.. W 51 y i`t k) PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: v N Va L Date: i O V'V Phone #: (503) 718- L CITY OF TIGARD -, BUILDING DIVISION PERMIT #: ELC2006-00536 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9f22/2006 Phone: (503) 639 -4171 �qm�N "i Inspection Requests (24 Hrs.): (503) 639 -4175 �' I!.. INSPECTION WORKSHEET FOR DATE: 10/5/2006 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 07128 SW GONZAGA ST 200 CLASS OF WORK: SUBDIVISION: PAHLISCH /GONZAGA PROFESSIONAL LOT #: 015 TYPE OF USE: PROJECT NAME: LENDING SOLUTIONS DESCRIPTION: 1 branch circuit. OWNER: GENTEMANN, PHIL PHONE #: 503 - 620 -2047 CONTRACTOR: DENJ-IEIME.R ELECTRIC INC PHONE #: 503 -788 -0886 Inspection Request Scheduled For: Date: 10/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 195 Misc. inspection 037746-01 503 -754 -6001 Y Corrections /Comments/ Instructions: n PASS XPARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: Cr 1 {I J CO C— Date: a Phone #: (503) 718- CITY OF TIGARD • ., 1 - BUILDING DIVISION PERMIT #: ELC2006-00536 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/05 Phone: (503) 639 -4171 /o'dt�il�i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/29/2006 TIME: 7 :06AM PAGE: 66 SITE ADDRESS: 07128 SW GONZAGA ST 200 CLASS OF WORK: SUBDIVISION: PAHLISCH /GONZAGA PROFESSIONAL LOT #: 015 TYPE OF USE: PROJECT NAME: LENDING SOLUTIONS DESCRIPTION: 1 branch circuit. OWNER: GENTEMANN, PHIL PHONE #: 503-620-2047 CONTRACTOR: DEXHEINIER ELECTRIC INC PHONE #: 503-766.0886 Inspection Request Scheduled For: Date: 9/29/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 037376 -02 503 - 7546001 Y Corrections /Comments /Instructions: Y-P! N b(2--. * na. S ' �' C ILA _. - 3 34 - 1'2- 6 J �J PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS ►j/ FAIL Fj CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 'v 68 L Date: C I CIO Phone #: (503) 718-