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Permit CITY OF TIGARD ELECTRICAL PERMIT !PI PERMIT #: ELC2007 -00395 COMMUNITY DEVELOPMENT DATE ISSUED: 6/11/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102 DA -00401 SITE ADDRESS: 13125 SW HALL BLVD PD ZONING: CBD SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: CITY OF TIGARD Project Description: Install (1) branch circuit for security panel at PD. 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: TIGARD, CITY OF OREGON ELECTRIC CONSTRUCTION INC 13125 SW HALL 1010 SE 11TH AVE TIGARD, OR 97223 PORTLAND, OR 97214 Phone: Contact #: PRI 503 - 234 -9900 FAX 503 - 535 -2763 FEES Description Date Amount Reg #: ELE 26 -95C [ELPRMT] ELC Permit 6/11/2007 $46.85 LIC 203 [TAX] 8% State Surcharge 6/11/2007 $3.75 SUP 4818S 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. Issued A /U I � // Permittee Signature: 24.e_ 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. JUN-41- 2007 11:37AM FROM -OR ELECTRIC SVC 5035352763 T -700 P.001 /002 F -139 1LlectrlcIt rerun' .t-i ll5.saa.avia mot. `� Re�er�ed it its— s L E� ? - - �S • C;i � bfHigard Datd ) r ! PermirNo.: 1 SW Hall Blvd., Tigard, OR 972_3 Plan Review Other Permit: - O() r b Phone: 503.639.4171 Fax: 503.598.1960 J U N 1 1 Z Q Q `; l ; DnteIB', Inspection Line: 503.639.4175 A 1 1 Dnie Ready/15y: j ° °- ql See Ins Internet; w�vw,ci.tigard.or.us t7r ra r e 2 f CITY OF TIGAR I Notified/method! - '� Supplemental Information . )_y4 PLAN REVIEW Please check all that apply: ❑ New construction Addition /alteration /replacement ['Service over amps, comri l ['Hazardous location ❑ Demolition ❑ Other: ❑ Service over 320 amps - rating [113uildng over 10,000 sq. it., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ System over 600 volts nominal units in one structure • I- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑Building over three stories ❑ Feeders, 400 amps or more ❑ Multi- family El Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or ij JOB SITE INFORMATION AND LOCATION , _ ❑ Egress/lighting plan RV park ❑ale Ith -care facility ['Other: Job no.: 99065 -111 lob site address: 13125 SW HALL BLVD Submit 2 sets of plans with any of the above. City / State/ZIP: TIGARD, OR 97223 The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt no.: Project name: TIGARD POLICE DEPARTMENT Pop:ripens L ow. I F ; , Total I •' Cross street/directions to job site: New residential single -or multi- family dwelling unit. Includes attached garage. 1,000 sq. R. or less 145.15 J 4 Lot no.: En. add'l 500 sq. ft, or portion 33,40 i Subdivision: Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non-residential 75.00 2 DESCRIPTION OF WORK _ Each manufactured or modular dwellin :, service and/or feeder 90.90 2 INSTALL POWER TO SECURITY PANEL Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 201 amps to 400 amps _ 106.85 2 ❑ PROPERTY OWNER ©' TENANT; 401 amps to 600 amps 160.60 2 Name: CITY OF TIGARD 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 relocation Phone: ( ) I 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, of extension, per panel 0 APPLICANT —I ❑ CONTACT PERSON - A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, I 46.85 410 2 each branch circuit Address: Each add'I branch circuit 6.65 2 City/ State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) f Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- . CONTRACTOR � energy panel, alteration, or extension Describe: Page 2 2 Business name: Oregon Electric Ofottp c Ab a Gl cup _ F,ach additional inspection over allowable in any of the above Address: 1010 SE 11th Ave Per inspeotion 62.50 City /State/ZIP: Portland, OR 97214 Investigation per hour (1 hr min) 62.50 _ Phone: (503) 234 -9900 Fax: (503) 5352763 Industrial plant per hour _ 73.75 ] rQ 5 _ ELECTRICAL PERMIT FEES* CCB Lie,: 203 ! Og sT c ical Lic.:_ 26 - 95C u rv. Lie.: V pr 1 1 - S ubtotal 4• Ip :g Suprv. Electrician signatu - IPM rif /o Plan review (25% of permit fee) In � r • ' State surcharge (8 of permit fee) 3 • 5 Print name: Y ` liflyryi ' vJ Q ! ate' OG /Il 17 J .`dr TOTAL PERMIT FEE 50 . ((J 0 Authorized signal Ar _ ' nd,'F/1/ � . This permit application esplrea if a permit is not obtained within ISO [� n days after it has been accepted as complete Print name: 1 " l a ,Q tin ,f . • Date: 06/11/07 • Fee methodology set by Tri- County Building Industry Service Bon - - ** Number of inspections per permit allowed, 1:1Ruilding \Pennita\1 t,C- PermitAPp.doa 12/03 440- 4615T(10,02ICOM/WGIi • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00335 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2007 Phone: (503) 639 -4171 4 41iiAli Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 47 SITE ADDRESS: 13125 SW HALL BLVD PD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CITY OF TIGARD DESCRIPTION: Install (1) branch circuit for security panel at PD. OWNER: TIGARD, CITY OF, PHONE #: CONTRACTOR: OREGON ELECTRIC CONSTRUCTION PHONE #: 503 -2 -9900 Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 050934 -03 503 - 849.2652 Y Corrections /Comments /Instructions: — 211 ' 2'606 1 ' C V ' /, PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 1 `�V _ Date: Zgd 9 Phone #: (503) 718 - 2.-14A