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Permit CITY TIGARD ELECTRICAL PERMIT . 4 PERMIT #: ELC2005 -00252 � \ DEVELOPMENT SERVICES DATE ISSUED: 4/12/2005 c 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S126CA -01000 SITE ADDRESS: 09009 SW HALL BLVD 142 ZONING: C - G SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT : JURISDICTION: TIG Project Description: Power distribution & branch circuit wiring. Job # 85503. 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: 3 W /SERVICE OR FEEDER: 42 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: WASHINGTON SQUARE PLAZA OREGON ELECTRIC CONST /GROUP BY THE CAFARO COMPANY 1010 SE 11TH AVE P O BOX 422 PORTLAND, OR 97214 FLORHAM PARK, NJ 07932 Phone: Phone: 503 - 535 - 2652 FEES Reg #: LAC 203 Description Date Amount SUP 4460S ELE 26 -95C [TAX] 8% State Surcharge 4/12/2005 $41.62 [ELPRMT] ELC Permit 4/12/2005 $520.20 REQUIRED ITEMS AND REPORTS Total $561.82 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: .2 f 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. 04 - 12 - 05 09:17AM FROM - Oregon Electric Estimating 5032313587 T -968 P.001 /002 F -035 • - E lectricalTerlmit A - - 1:._� EC IV ® NTh 4 City af"�igarei Date a� " -/,�- 13125 SW klall Blvd., Tigard, OR 91 Plan Review (Abel Permit: p�} 1 Phone: 503,639.4171 tax: 503.598.1960 4 ij ";r7 { `' Dnte/n Inspection Line: 503 - 639.4175 APR 1 20 0 t'I` "�� I .. Date Re nvIer y: El See Page 2 for Internet: ww_ci.tigrrd.or_us N a: SappleaientnlIs�Pormation w . , a: 7; 4, • PLAN REVIEW ❑ New construction ® atoll aittattOtt%I s"giertt Please check all that apply. UService over 225 amps, comm'l Qliazauduus location D Demolition D Other: _ ❑ Service over 320 amps - rating ❑Buildng over 10,000 sq. ft, • • , CAT EGORY' OF C ON STRUCT) ON of 1- and 2 - family dwellings 4 or more new residential ❑System over 600 volts nominal ►nuts In one Stntcture CI ) - and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑Building over three stories ❑Peedors, 400 amps or more ❑ NIulti family 0 Master builder ❑ Other: ❑Occupant load over 99 persona ❑Maliufactured structures or JOB SITi INFORMATION AND LOCATION _ []E plan RV park ❑Health - care facility El Other: Job no.: 85503 1 Job site address: 9009 SW Hall Blvd #155 Submit ? acts of plans with any of the above. City /State/ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service. FEE*. StDULE Suite/bldg. /apt. no.: # ./ Project name: Bajio Restaurant - ne tuueo 1 Qty. I Fee. r Total 1 Cross street/directions to job site: New residential single- or mull- family dwelling unit- Includes attached garage. 1,000 sq, 0_ or less 145.15 4 Subdivision: I Lot no.: Ea. add'! 500 sq. ft, or portion 33.40 1 - Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, servic and/or feeder 90.90 2 _ Restaurant-power distribution & branch circuit wiring Services or feeders Installation, alteration, and/or relocation 200 amps or less 3 80.30 2 Y0%70 2 © PROPERTY OWNER • • ❑ TENANT 201 amps to 400 amps 106.85 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: Tempoi•euy services or fecder5 installation, alteration, and/or relocation Phone: ( ) I F ax: ( ) 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 an 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 • 0 APPLICANT • I ❑ CONTACT PERSON A Fee for branch circuits wall service or feeder fee, each 7 Z- • 6.65 7 / • jel 2 Business name: brunch circuit . B. Fee for branch circuits Contact tame: without service or feeder fee, each branch circuit 85 2 Address: Each addi branch circuit [ 6.65 *NM 2 City /State/T.IP: • Miscellaneous (service or feeder not included) _ Pump or irrigation circle 53,40 2 - Phone: ( ) 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 Group Address: 1010 SE 11th Ave Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: Portland, OR 97214 Investigation per hour (1 hr min) 62.50 Phone: (503) 234 -9900 I Fax: (503) 535 -2763 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lie.: 203 I Electrical Lie.: 26 -95C 'uprv, Lie.: 4460S Sabtotai ,1520. 2a Suprv. Electrician signature, required: «1 - Plan review (25% of penult fee) . Print name: Date: �5 State su rc harge (8% of permit fee) y/ ' L Z TOTAL PERMIT EE. __5 /e 8 2- Authorized signature � /�' 1i This permit application expires tf a permit Is pot obtained within 180 ,, " 1 ♦��_� days after It bas been accepted as complete Print name: ' / Date: 4 /12/05 • Fee methodology cot by Tri•Coudty Buildin8lndustoy Service Board CC Number of inspections per ne,mff allowed. CITY OF TIGARD BUILDING DIVISION . PERMIT #: ELC2005-00262 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2005 A . Phone: (503) 639-4171 Jitil lir Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/13/2005 TIME: 7:08AM PAGE: 83 SITE ADDRESS: 09009 SW HALL BLVD 142 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: BAJIO DESCRIPTION: Power distribution & branch circuit wiring. Job # 85503. I I OWNER: WASHINGTON SQUARE PLAZA, PHONE #: CONTRACTOR: OREGON ELECTRIC CONST/GROUP PHONE #: 503-535-2652 Inspection Request Scheduled For: Date: 6/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 009023-01 503-793-5712 N orredtiqns/Comments/Instructions: • . L\ ),A 0 of s - tx,1 (,i, 0/.f ek HZ , cN,wi. k<. '&■)■ \ Mi.A tl ( -C ,N O - V o '7 r i\sk, ,c,\\*A) t €r N3C A P iN) 2 • 1_1(4, Fl._ , \F(kINI C-h. \-- c RHO__ ED 'k ( W \-1(A 'L. ir) M b° 1c' H• \ ( - - - , . C Y . , P L A C = . 2 \ ( ) N \ -- c q i C M 1hr tP LI t`i i ?\-kA & • - \ C - IN, - WO qd\I 1 A VI CA) ( (\q 3vt \ . PASS tr,z1; IAL APPROVAL 11] CANCEL 0 NO ACCESS [1] FAIL D CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: 1-- i i - rj -V Phone #: (503) 718-