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Permit
7 /1/0,F /LiJi I p rrr f - f , __: CITY OF TIGARD ELECTRICAL PERMIT 1114 PERMIT #: ELC2008 00039 ° ■ COMMUNITY DEVELOPMENT DATE ISSUED: 2/4/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 101 CA -00200 SITE ADDRESS: 07900 SW HUNZIKER RD ZONING: I - L SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: VIAL & PHAM LLC OFFICE Project Description: Installing new feeder 2/1/08 ADDED (10) 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: SIGNAUPANEL: 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: 10 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 0 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: VIAL & PHAM LLC. NEW TECH ELECTRIC 7900 SW HUNZIKER ST. 13970 SW 72ND AVE TIGARD, OR 97223 PORTLAND, OR 97224 Phone: Contact #: PRI 503 - 648 -1900 FAX 503 - 670 -9571 FEES Description Date Amount Reg #: ELE 26 -418c [ELPRMTj ELC Permit 1/22/2008 $80.30 LIC 41868 [TAXI 12% State Surchar 1/22/2008 $9.64 SUP 3849S (ELPRMT] ELC Permit 2/4/2008 $66.50 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $164.42 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: —yl J` Permittee Signature: 5 # 73-4.5 . 7)Y - \-/ # 73-4.5 . 7)Y - \-/ ...r..0 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. 02/01/2008 11:44 5036709571 NEW TECH ELECTRIC PAGE 03/03 Ele ctlr i cai Permit Application • FOR OFFICE USE ONLY City of Tigard R6natccivcd a i t+6rmit No,: & LL $ -cog Q c/8 - Noi� '� n 't 1.3125 SW F.Inll Blvd,, Tigard, OR 9 3 i q Plan Review r p� rc /13 Other permit . • Phone; 503.639.4171 Fax; 5 y` Turlp; 111 ties Page 2 rnr Inspection Line; 503.639.4175 �.) Date Ready /By: TiGARD p - (L1 Notified /Method. gupplorricotai Information Internet; www.tigard-orgov ,, :....�,. n1CViGW • q ti r Please cheek all that aptly (submit Vets of plans w /items checked below): r] New construction El Addition /alters 4 , }�� r 1 t ❑ Service or fender 400 naps nr more 0 Building over three stnriea. ❑ Demolition ❑ Other: Vin ,e available fault current © Marinas and boatyards. t l • , : •: C ATLt7(y]RY'h: : CdlVSti; X IC/N. . , , Commercial -use lura _ ; .. 10 000 amps at 150 volts Floating buildings, ,' , exceeds P . ,... l� C - I1,,,, to t;rnnnd, or excee 14 , 000 0 Comacrnh - ngric n ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for ell other inatatlndot buildings. ❑ Multi - family ❑ Master builder Q Other: ❑Piro pump. 0 Installation of75 KVA or ---. ,... .. ,.� 1 :. -. +.+ — Emergency system, larger separately ' '. •• 'lh MktioN ;ANb':'LOCA 1 1O�N,! . ,... l sc 1 , it •, ,OIi . S ; ,:f1V�'(1R ❑ Addition of new motor load of ❑ 'A'' " env IOOi1P or mare. occupancy. Job no.. 311480304 ! Job site address; 7900 SW Honziker Street ❑ Six or more residential toils, ❑ ttccrcniional vehicle pirks. ❑ Health fncifiltas. n Supply voltage for more Ihnn City /Stare /ZIP: Tigard OR 97223 _ ❑1Taanrdona locations, 0110 v&te nominal, Suitcfbid$. /apt. no.; Project name: EA Cj' t. ( r _ • G00 amps or mar . ` l ' Sorvicc or £eeri a 11(1 „ , , :. . . 11,1) + ,..�.,.: � �; FCC 5C '1�. ll'C';�,. • ,...: ; ; "'�':: Cross street /directions to, job site; Dc,c ,on ,, a Qty. Tn tn1 .I " New residential single- or multi - family dwelling unit. includes attached garage. Subdivision: Lot: no.: 1,000 sq. ft. or less 145,15 4 Ea. add'l 500 sq. 11.. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 ,.. C ' • abnvc sq. 0.) , . ' : D ; IL1PT"TG1N' '��: 'VIWCIRK` � (with • Limited cat =rgy, multi- family 75,00 2 Additional 10 circuits to existing permit # ELC200S -00039 residential (with above sq, n..,) Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 it, OP:ERTX:.,OWislER: TENANT', " 201 amps to 400 amps 106,85 2 ;/ L� 401 amps to 600 amps 160.60 2 v' Name: a (d- tn�1�'f 601 amps to 1,000 amps 240.60 2 Address: '7.700 5(4) ithANZi r S Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration. and /or Y – T , e.� , G� �7,� relocation Phone: ( ) ✓ Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being mode 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 l0 599 amps 133.75 , 2 nature. Date: 'Branch circuits -� new alteration, or extension, per panel Owner signature: A. Pee for branch circuits with LT'CANL, ..i: :. � is0' :.CONTAC''i'PtR OI'�:,' feeder t d /+.It]' f V 6.65 G G 2 �: .::...: above service o fx cc each branch circuit. Business name: — 8, Pee for branch circuits Contflel: name: without service or feeder fee, 46.85 2 first branch circuit a:>•i. AddrCSS: P. o I iIIr =ea — Miscellaneous (service or feed r . ncluded) City /State /ZIP: Each manufactured or modular 90.90 2 dwelling. 5c rvice an d /or feeder Phone: ( ) Pax:: ( ) Reconnect only �^ 66.85 _ 2 E -mail: Pump or irrigation circle 53.40 2 ,. .,, CO ,N:'1'1� lC'T"CyTfI':." .... ' : _ Sign lg tl ng Business name New Tech or it a m e i h Electric � Signal circuit(s) or limited- — energy panel, alteration, or Address: 13970 SW 72a Avenue extension, Describe; Page 2 2 City /State /ZIP: Portland OR 97223 Each additional inspection over allowable in anyof the above Pcr inspection 62.50 Phone: (503) 648 -1900 Pax: (503) 670 -957.1 Investigation per hour (I h r _min) 62.50 CCB Lie.: 41868 Electrical Lie.: 26 -418C Suprv• t.ic.: 42865 industrial plant per hour 73.75 '' ?`; •.... EL:CC.TRICAl,, :1 ,12M1T MTS Suprv. Electrician sign ature, required: a � stn Subtotal; ( ` } l� V• Plan review (25 % of permit fee): Print name: Izicic Zupan Date; 2/1/08 _ Stale surcharge (12%ofpermit fee): '7 q r Authorized signature; ,�� ., e % TOTAL PERMIT FEE; 7 e Print name: Sue Ros ID mes Date: 2/1/08 This permit application expires if n permit is not obtained within ISO days after it has been accepted as complete. * Number of inspections allowed per permit, imuil ag\nrrnd&O.C- acrmitApp.doe 05/21/06 440•1615T(11/05/COMMED 02/01/2008 11:44 5036709571 NEW TECH ELECTRIC PAGE 02/03 . , t, / .. ..r City of Tigard Building Division 11111 12,125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 Inspection Line: 503.639.4175 T t A. R D Internet: www.tigard -ax.gov PAYMENT AUTHORIZATION FORM Permit No. if available): eL cqt s \. _ Job Site Address: q CO —..... WU i Project Name: U CA " V \mon Credit Card Information: Visa or MC No.: Expiration Date: Cardholder Name (on card): Contact Phone No.: Address for this card is: Zip code fox this card is: Eiectri.cal Trust Account Information: For cicctrical permit Applications only. Trust Account (CCB) No.: 14 Contractor Business Name: 0 Qw Fl c C, Contact Phone No. : � j t- -. 0 hereby give the city of Tigard permission to pay for the above referenced permit with the credit card or electrical trust account number given. Authorized Signature: 1 ! 0 _ I A„ � i 0 X11 Name Printed: 3 Date: :69-04018 I FL i Please .fax this completed and signed form to 503.598.1960. This form will be destroyed ,afteryour payment has bcext processed. I;\ Building \Porine \PaymcniAuthaRrneie)n.doc 04 /1 CITY OF TIGARD BUILDING DIVISION PERMIT #: EL Q2008-00039 0003 ,,A,A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 102 ;2008 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/4/20013 TIME: 7: 113AM PAGE: 23 SITE ADDRESS: (1798() SW HUNZIKER RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: VIAL & PHAM LLC OFFICE DESCRIPTION: Installing new feeder 2/1/08 ADDED (10) branch circuits OWNER: PHONE #: CONTRACTOR: NEW TECH ELECTRIC PHONE #: 603-663 -1900 Inspection Request Scheduled For: Date: 2/412008 Pour Time: Code # Inspection Description Confirm firm # Contact # Message 199 Electrical final 064411-01 503•793 -02 Y Corrections /Comments /Instructions: PAS n PARTIAL APPROVAL n CANCEL n NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N 4 6 VG Date: 1 Phone #: (503) 718- 1.1010