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Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY DEVELOPMENT r SERVICES o � 639 -4171 DATE SSU 7/26/2004 p 00226 13125 SITE ADDRESS: 07337 SW KABLE LN PARCEL: 2S112DB 00400 SUBDIVISION: SOUTHERN PACIFIC TIGARD IND. ZONING: I -L BLOCK: LOT: 004 JURISDICTION: TIG Project Description: HVAC controls retrofit. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: X DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: OR -WASH ENTERPRISES, UNLIMITED TRANEOREGON BY JOHN F MEUPERT 7257 SW KABLE LANE 111 SW 5TH AVE #3400 TIGARD, OR 97224 PORTLAND, OR 97204 Phone: Phone: Reg #: ELE 0664452 FEES Required Inspections Description Date Amount [ELPRMT] ELR Permit 7/26/2004 $75.00 [TAX] 8% State Surcharl 7/26/2004 $6.00 Total $81.00 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. • Issued by_ � // ' 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 639 -4175 by 7:00 P.M. for an inspection needed the next business day 07/26/2004 08:32 FAX 503 639 1454 TRANE COMPANY E1002 U / f if walk 11 : MS FAX 5035981960 CITY OF TIGARD a 001 • Electrical Permit Applic t*„ FUR OFFICE LSE ONLY City of Tigard V �`��� �o,;- o iced Z4 D / /OE PestNo.:' /Dy �D 6 13125 SW Hall Blvd., Iigard, OR 97,... -. rQ' plan Review Phone: 503.63!9.4171 Fax: 503.5 °i:'1 .`w , ,,t .roi'I'r\ Other Permit: p ■■ ,, 11 Oatei}y: Inspection Line: 503.639.4175 �� � Date Re dy/By: tar e ® See Page 2 For Trimmer. www, cl.tiganl. onus y � at�,�® h i∎ -1 l Nodtl ed/Method: �T 3upplementaiTnformwtion T ,, .. ::: . v.!/,.;,•,'' +'. .::: ,'''' -- •,. • • • •• y. •. ; •...•.. .. .: .VY- is i : i:. • • ID New construction Addition /:4; hen/ lecemcnt Please check all that apply_ [] bcmolitiaa ❑ Other: [(Service over 225 amps, comtn'1 ❑hazardous location ❑Service over 320 amps - rating ['Bulldog over 10,000 sq. fl., ' :CA'1EIGOOy. CONS- TR170TI!ON ' ' ; ; • • of 1 and 2 family dwellings 4 or molt now residential ❑ 1 - and 2-family dwelling jg Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure El Multi- family ❑ Master builder per: ❑Building over three stories [(Feeders, 400 amps or more •. .. :• Occupan load over persons nu © t o 9 9 a Ma factor cd structures or : : TUB•• SI' I') y ; RVFORNIATION��A .Pt��'I:,OCA.xION .:. • • .',::: ':: ' ❑Egress/lightingplan RV park S.. • Job no rob site address: / 1,, ) , / ❑Sealril• care facility ❑Ocher: �' :� 3 � S (/v,�% � if', l- Submit? sets of platys with any of the above. City/State/ZIP: ! I c 2/.r 0 i- e # • ! The above arc not applicable to temporary construction service, u or 4 •. • .. : .''1:F." : el:MOi7T:E ` ': Suite/bldg. /air- no.: , L Project name: 0 ; S l I i , , 6,f 1 naectiption Qn. Fee' 1E12111111 . Cross street/directions to job site tit) e 31 d h alai'Yrt 't�1 / 1; N0) --i-h t, 9.24 New residential single or rktulti- family dwelling unit. Includes attached garage. (,U esf lt0i•1 Ka tole .-6n e_ -•o egreS d 5 (^011+, 1,000 sq, f, or less _ 145.15 -Q Subdivision: :Lot no.: Ea - add'1 sq. ft. or portion II. 33.40 -Q - energy, residential I= 75.00 Tax map /parcel no.: . 3. MI :: . • :..:. :• " DBSCa2•tP, energy, or modular gf, no • : • i r. ::: ; :; •, - • non-residential Limited en n- resider r • -•::- • -, • = Each r►7anu #a III r II ( dwellin _ service and/or feeder 90.90 X11 ?`i D C S "C (} I I Services or feeders installation, alteration, and /or relocation 200 amps or less Ell 80.30 -© ❑ IEITY' O �VPf)�R •i ' - • : • 201 amps to 400 amps 111111 106.85 Ell 'PROR - ':,': � ❑ TENANT : ' 401 amps to 600 amps Ili 160.60 ' Name: 4»»i 561. I - i / 1 :! 601 amps to 1,000 amps _ 240 -60 Q Over 1,000 amps or volts _ 454.65 -© Address: I , '1 1 ,[<,/ a Reconnect only 10. 66.85 _ City/State /ZIP: T 6 ark a ry oh T�,,2, Temporar services or feeders installation, alteration, and /or v relocation Phone: ( ) Fax: ( ) 2.00 amps or less MI 66 -85 - Owner installation: This installation is being made oh property that I own which is not 201 amps to 400 amps _ 10030 - . intended for ;:ale, lease, rent, or exchange, according ho OILS 447, 449, 670, and 701. 401 amps to 600 amps In 133.75 - © Owner signature: ' Date: Breach circuits - new, alteration, or extension, per panel • , D I ; ; ::.:',..!.:15':',1,!!:1 A. Pee far branch circuits with l AF:PLIGANT.:' CO1V7(`AC>rll?SOh1: ! " service or feeder fee, each Business name: / branch circuit 6 'I B. Fee for branch circuits Contact name without service or feeder fee, . - each branch circuit 46.85 2 Address; i Each add'l branch circuit 6 2 City/State/ZIP: Miscellaneous (service or feeder not Included) l�t.l Phone: ( ) I Fax : i{ ) mp or irrigation circle 53.44 ' 2 t Sign or outline lighting .53 - 40 2 E-mail: , Signal circuit(s) or limited- t : , l t ON?TRACTOR .: ;•: • .: • : , L. ' .. nel, alteration, or / - cn ctgy pa ' •'• - extension. Describe: Page 2 2 Business name: )• ] V (� r7 r� dt P r � r Each additional inspection over allowable in any of the above Address: l a '7 5 (� 1 K. a / I e• 1 Lah Gam• Per inspection 62.50 City/State/VP: t (nvesti8atian per hour (1 hr min) 62.50 • Phone: 6----Q-1 ) (. 0 , 0 g03 I Fax: ( ) (L ST = /1J . ..Industrial plant per hour 73.75 }l,,•,. :.:.; • °::EL ET'RICAL . •PE> T. :F'EES't CCB Lic.; ©ID,iF Electrical Li ic c / j/�. -s � Suprv- Llc.: >_ Subtotal 7_5; 0D Suprv. Electrician signatnl e, required: \ / / ! 1 ,J3 ..��� Plan review (25% of permit fee) nn y� Date: State surcharge (8% of permit fee) �p . Dp Print name; "l� (l= f t 1 (� S 0 �/ / Pc _ . TOTAL PERMIT FEE .6 I., D D J Authorized signature: 2� ) - n -' 0 c.{ This permit application expires if a permit is not obtained within 180 - days after It has Inca accepted as complete Print name: 7 Date: • rem methodology Bet by Tri-Courny Blinding industry Service t3oerd - •• Number of inspeetione poi-permit allowed. i• Anuildi•a\p.m1;�UEL AVp4 C- PQnni1 12/03 . 4 - 4615T(1 tll)PCOMM Ra I 1 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line:' (503) 639 -4171 MST _ BUP Received Date Requested 9`1 AM PM BUP Location ea I) 9-- - 4& Y"' Suite MEC Contact Person Qf 11..,i C 1 Ph ( ) g q 9 - 7/ - PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner AL—e—..., - / - ' ' 1 ELC Footing ELC y Foundation Access: Ftg Drain ELR .0.%) `T Dth Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors ,� Ext Sheath/Shear . IOW Int Sheath/Shear Framing Insulation - 1 Q7 F /�( 7 ,, .� e L Drywall Nailing PI/5 / Firewall .C." Fire Sprinkler C/' Fire Alalarm ( Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING ': Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL -` w. " Post & Beam Rough -In - Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL , Service Rough -In UG /Slab Low Voltage Fire Alarm 4 ' PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, .13125 SW Hall Blvd. S Pleas call for reinspection RE: ❑ Unable to inspect - no access Fire ADASupply Line .�0 /' ✓ ' !� r �Q Approach/Sidewalk Date Inspector' l/ 1-111, ,I C L1"' Ext Other: Final DO NOT REMOVE this inspection record from the Job site. . PASS PART FAIL