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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00770 ,: „4 "Al j4L DEVELOPMENT i E VI 9E2 503- 639 -4171 DATE ISSUED: 10/12/2005 13125 SW Hall Tigard; PARCEL: 1S135DA SITE ADDRESS: 11481 SW HALL BLVD 100 ZONING: C -P • SUBDIVISION: LOT : JURISDICTION: TIG Project Description: Service w/28 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: 1 W /SERVICE OR FEEDER: 28 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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: L N PROPERTIES, LLC DYNALECTRIC 12725 SW 66TH AVE 2901 SW FIRST AVE. PORTLAND, OR 97223 PORTLAND, OR 97201 Phone: Phone: 503 - 226 - 6771 FEES Reg #: LIC 066793 SUP 4653S Description Date Amount ELE 26 - 59C [ELPRMT] ELC Permit 10/12/200`. $266.50 [TAX] 8% State Surcharge 10/12/200` $21.32 REQUIRED ITEMS AND REPORTS Total $287.82 . 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: (4 0 !' i /, 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. 10- 12 -05; 6: 39AM;Dyna lectr lc service ;503 226 7720 # 2/ 3 .El Permit Application FOR OFFICE USE ONLY i% City of Tigard i' E Q ` ®p '�' Received t. Date/By: i 0alo #5 '6 6 Permit No.:... 4.--24 !C 71 0 13125 SW Hail Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.196 •� U . 7 LU Date/By: : Other Permit: Inspection Line: 503.639.4175 UL .L Date Ready/By: .1 is: • El See Page 2 for Internet: www.ci.tigard.or•us Notified/Metbod: Supplemental Information : . ; ••, .:.,.... , . .,, : ,., ,, . r ,: :: ::,111.. ;_, . m . :.. •. : . _11 ,........... ....... . . -1111, . :.. ,;..... n a _ » .. • : : : ;:,::.:: .- ,.,,,......, . . : : ........................... , ...........:....... ...,... 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F... 1l: �.. ,:+ N£: St< Mt.......... m. �.: :!i.:l : :.tS. ».... :. :.ry:r : : :�•l � � :ii :nr�: i =� : �" i; „.;.: ': :. ❑ ` • /t p Please check all that apply: New construction �∎ � • ■ t lon a teration/re ]acement PP Y= ❑Demolition ❑Other: [(Service over 225 amps, comm'l DHazardous location :111., 11:,11 ,,.��. :.: - - =r.. ,::,,: ; r• -, :.,, -- _ _., .;,,,;, r;�,. ;,.,,,;e,;.......-• , �.,, t . ❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., : : :..- ' : :.,., :_ : :,.._ :� :;!;: � :,t : : : = =eti£i«tl : : :,,.,...., .. r .. l� ?!??.,�,,,;i�„ „�b > ,,, : ,,,,., u . �. Yl(li�l�QjFl: :; I,£1?; ,.. y��•;.- ,hh�,t.'tii8 :� :• + :; of 1 - and 2 dwellings ,. !, -: 1•s.. t z4r:.r: : a�ta"a � : "�tiii � : :. Y 4 or more new residential g ❑ 1- and 2- family dwelling !: Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family El Master builder F:3 Other: uild ng over three stories ❑B i t ri OFeeders, 400 amps or more - t :. :. :K : :, •::_: ,, ❑Occupant load over 99 persons ❑Manufactured structures or 1,111. . • � 1111... 1111.: � ^ .Y.: : s ;.i ; "• a :r.:::. » ....a..., -: - s.t£.....i,ro :.::,u." s: >.:; �•: , si': .. . .::, - . :. .:. : :. : : : : ",... ".., :�... : :,� :.t ": .i �[��£ t •; «;y ir.. :,•. :� :: •._ "' - 't :£+ :ur 1111.. 'rr- - : :1;.1 :£:;.T€ ,.'i: ' .:... ".RMA:. 151 t: .: .«: ACi 'fI + a *; ^..;::� .dt .. . : " � : i' "t RV •'° ° - ° ° ° •� � ❑Egress /lighting plan park ... : :.�n• :: :.;,.• _ .. :ss :. ,. , "11 ��,.., ......e: :� : : :. :n. :a :, :u :ar.• t..�..._. ,. • r : :r•u'r : : + : • i iiiil•• : :. r : :•s;d; tub .t - �. .t ; ., ; ! � . ; " aik Job no.: /0 _ ! 'i , Job site address: //Vg ' , ,! El u a ❑Health - care facility ❑Other: . Submit 2 sets of plans with any of the above. City /State /ZIP: O • if / / ''• 9 7■a 3 The above are not applicable to temporary construction service. ?'ii=iiTi!�ki ;i +a Vi � iji ii�ii` :'•iii£;:n `,`,iki :'" - 1,11:1:,_ ::.s...... -1111. . Suite/bldg. /apt.no.: DO Project name: " ' . . yt�.!, 1111.,, 1111., • ' ii:.t£i: :i!�£re£; :£�P. :.r.,..� �+: iy:;, �. 7tiiw. �'-: u: : ::�.�.:(•''••?••���l;G•�'•iii � . ?;;c:.' j::..`::'i �� : :.' ".��.�•,�� ... ' . r... ,1;,111 .: .� 1 r . ■ / Description I Qty. I Fee. I Tots! .... 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'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 ... _ ;.. :,; :�. : : :� :.., : : :..... .:,•, �:•::: �::::::::,:::: �: : :�; :,..., :. : :. : :. :.....; : : :••r =rxs.uai =:r ;a ._- � ,1 =• } ,:..:: Limited energy, non- residential 75.00 2 ........: .. ............. _.............. _111,1 .:. } s : t!_, ... ,.,: -, :, :.a; i :ss£x:-:,; ONO UE'r_W!.0* I 1 4,.,1...:.1..:.,.1, -~_,... r r li.. ( : ;i' < :d't : ? Sii. i?t :ild :ii i. :..y :.- » <.,..: of .E :p•r�;aq : :f" :Msh`L: :rt.;i' :,: s:.. ,£ -.,, �•1,,._:.! SBNI�liatn ^3t!t�iir'ei�i- ;ii :hgprrc:c't .r.:;;=....o£iriii{Li •• +• :,� : :'��: ..r..._:£.... a,t,.a- ..:� : : :,..t :., Each manufactured or modular - dwelling, service and/or feeder 90.90 2 J/Q /ez 11 ■ 0 .4 /0 / �4 Services or feeders installation, alteration, and/or relocation 1 J , Gag e. w . 200 amps or less / 80.30 8 ^ , 2 h :tl :£ : ^•'s:, •ills.. .:: »'At :I't v , { {e4 : 1?,. . �,, I� :e : ::.ri = 1111 1111. 11,11 t.., , . .. . ..: 1111 . : :...... 1111. .. :......,.' ,. a4 i gi , 1' i e .. : : :•:•� i •• 1{ : l, » 201 amps to 400 amps 106.85 :..3 :�;Eiil;i �.'(„b h '� `. ! t ' ' sig °i• 5t {!i%r l Y�i er 3.fgilt7e'.iil� K!f I � , ii1 ' 9 £ " e �: »: s ls ::' r 'sl::, .; ; 1.;i : ,..,,, . �., 'R ST T ' • t ' • � Ya �. .. ".<-s.. ; ` 1'.rs£s : s ?,: IA s Si_ o i - Ida i-' ' ;' s s.. :, :. : :r:- ss :..., -.,, :i .. ,. : , , ... ;;• a£ , r , .;,x:;n::£uer::.::o: ... �_•£ : 1+7t _& s.R£•:.:_ , .:•. sx::•u:m its .. _t a ;1I.IiKE'•,.' 2 , 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or Phone: ( ) Fax: ( ) relocation 200 amps or less 66.85 I 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 1 111 111 . 111: , :.;,.�,, : : :: ...,..... ; .., 1 ..� :! :< :: � : :t , ,., �:: :I :. :': :I' : :� ...t:::ll' :1 lilt :. „ . - •- - . -1 1 1 . =•;A , :£' : ; :..r:. �...;. A. Fee for branch circuits with 1,111 •,:,,. :::tt: 1111 , 11 ; :11. .,. , , . ;.; .. �1Q ;..' tClt's. •ERS ; 1 111., service or feeder fee, each 2% Business name: branch circuit 6.65 /gb A9 2 B. Fee for branch circuits Contact name: without service or feeder fee, Address: each branch circuit 46.85 2 Each add'I branch circuit 6.65 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: Signal circuit(s) •,; : r „ , • . .t .. ": � ti •ry t .•• "• • , : ;;,: or limited- .. ...,t.::,;:: " ... ......... .........._.:. ,1 111.. , . "......_. : . 1111 ;: t.. :.....,"..... 1111, •! «s iitit£ «s� ! : «i :; : :�.ti,r; t :: e.o:. .. _ ... ; •. : ". C.. ,"t.::m' s : r ' e : ,, f , ..Mra'.•: £ :ti;11 rz:awl£i£ : +iC:;^ £i::•rinti: u:.:, ................... 111.,. ,." .. s}...r..: • :�: • ., y..." ,. , t ". ".. s .. `..}, sal••: ({, ; ti -M ,i . is �sv es ^ :: » :53� ..: p, rr !' : ,1s' »t+ s'• is ' energy o:... 1111. �.... ..- e:5 -1.i 'i 'h t'�.. � ���;; O�' i• :£ + :.£!• : ••, ..r Is t � :: !s.» r.r• ...... ,111_1. °li5cu:r a£ sJ • «4 :t,_.,..:: : :u••�riL. ... +iiti "fi i:t1u "•:.::ail. �.. gY anel, alteration, or 1r - .. 1111... , ........_ 1111.. Business name: 11111 , ` extension. Describe: Page 2 2 Address: ♦ . - . //6L- 4, f Each additional inspection over allowable In any of the above ..0%, Per inspection 62.50 City /State /ZIP: Q in 0 4 ' / + Q t ' Investigation per hour (1 hr min) 62.50 n, Phone: ( "7:3 ) eR , &'77 Fax: (Jrj3) 77 , Industrial plant per hour 73.75 :,..Ii. i,3 ! is iz ry g. riz : r a�i : a IMa , 111 1 ., . . ..:. : :�, :::,. CCB Lic.: �6,6,79, Electri i L' .: ,R6 -59 . Suprv. Lic.: • �S� 11 Subtotal a6,6,6--0 Suprv. Electrician signature, require* �� Plan review (25% of permit fee) Print name: „ 0 , L' ate: 1 'O M® State surcharge (8% of permit fee) ( V, 3, TOTAL PERMIT FEE 5 7, g� Authorized signature: I / A O 4 J l , This permit application expires if a permit is not obtained within 180 ' /A t l days after it has been accepted as complete Print name: L _ A I � . - ' Dat e: /U /� eQ " Fee mctbodology set by Tri- County Building Industry Service Board "" Number of inspections per permit allowed. 1:\ Building \ Permits \ELC- PermitApp.doc 12/03 440- 4615T(10 /02 /COM /WEB • • CITY OF TIGARD BUILDING DIVISION r PERMIT #: ELC2005r00770 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/12/2005 Phone: (503) 639 -4171 kg/SAP Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORK EET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 97 SITE ADDRESS: 1148 SW HALL BLVD 100 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: OTS SE VICES DESCRIPTION: Service wI '; branch circuits. OWNER: L N PROPER 5, LLC, PHONE #: CONTRACTOR: DYNALECTRIC PHONE #: 503.226 -6771 Inspection Request Scheduled For: Date: 10/26/2005 Pour Time: Code # Inspection De rip . 0 Co # Contact # Message 199 Electrical final 01932' 01 503- 840 -7438 N Corrections /Comments /Instruc ions: G.R.f 01.11..:T. \--,,.........______ • PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL ❑ C LL FOR INSPECTION n ADDITIONAL FEES ASSESSED l Inspector: 417/7I/L Date: /®1 Phone #: (503) 7182' flit6