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Permit a: - 'CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00365 COMMUNITY DEVELOPMENT DATE ISSUED: 5/29/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112AB-00500 SITE ADDRESS: 07300 SW LANDMARK LN ZONING: I -H SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: PIKE AWNING Project Description: Change out ballast and lamps in office and warehouse area. 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: 1 201 - 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: SPEARING, KENNETH M + HOLLY R + LARRY CONNER ELECTRICAL SPEARING, DANIEL N + MOLLY A PO BOX 1862 7300 SW LANDMARK LN BEAVERTON, OR 97075 PORTLAND, OR 97224 Phone: Contact #: FAX 503 - 642 -9549 FEES Description Date Amount Reg #: ELE 34 -471C [ELPRMT] ELC Permit 5/29/2007 $62.50 LIC 129196 [TAX] 8% State Surcharge 5/29/2007 $5.00 SUP 19955 Total $67.50 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 -00 through • . °52- 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: I y 9//1 Permittee Signature: $ o f 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. l ipp "'' -07; 3 :39PM; INTEL ; 264 3485 # 2/ 2 E jectrical Permit Application FOR OFFICE USE ONLY City of Tigard ., , .. �:� w " . " Receiv :1 `1 d Date Permit No.: - -�3�qS a _ y: S Iz� 1 — s �i_C 13125 SW Hall Blvd., Tigard, OR p7223 " ' Fi ,g la--,,. , ..A plan Review Phone: 503.639.4171 Fax: 503.698 hO � mi �'! �A Date/By: n R Rev Other Permit: Inspection Line: 503.639.4175 � 1 el Date Ready/By: Ju ® See Page 2 for Internet: www.ci.tigard.or.us MAY 29 2 00 Notified/Method: Supplemental Information { 1 TYPE OF WORK. ; - •, PLAN REVIEW - ❑ New construction 4t(it on%alfeiatioriii-ep9aeeineiit Please check all that apply: El Demolition © Qt$8tT sn ' t,1 1 n, ['Service over 225 amps, comm'1 ['Hazardous location „ , ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CA'TEG OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure 111 Multi family ❑ Master builder ❑ Other: ['Building over three stories [Weeders, 400 amps or more ['Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park 73 O CR r P--4$12,1 k " ['Health-care facility ❑Other: Job no.: L Job site address: Gj�. f, <Submit 2 sets of plans with any of the above. City /State/ZIP: Pole "fla 1 Q vc/ d a lc t q 7 Z Z 41 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE Description Qty. I Fee. I Total I *' 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'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular 014 i 7 dwelling, service and/or feeder 90.90 2 e ll a S IamPS .7 Ce Services or feeders installation, alteration, and /or relocation A !.2 ���!!! 200 amps or less 80.30 2 C 0 PROPERTY OWNER I ❑ 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: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) 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, or extension, per panel ❑ APPLICANT El 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, each branch circuit 46.85 2 Address: Each add'! branch circuit 6.65 2 City/State /ZIP: 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: R to, y Ce,NN .eIv k 1ec�fr,.CG Address: Po �V ! g 6 Z Each additional inspection over allowable in any of the above . --- Per inspection ) 62.50 61,..,64 City/State /ZIP: 6 tea .i eev ¢ervl C ee e q 70 75 Investigation per hour (1 hr min) 62.50 Phone: (s03) 6 �Z -G C • Fax: ( I p per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lie.: I c� , Electrical Lic.:3L.( 7 fC I Suprv. Lie.: 1 qj s S Subtotal 6,z ci b Suprv. Electricl s re, required: C Py lU 1 Plan review (25% of permit fee) n State surcharge ( 8% of p ermit fee s O' Print name: J � C I4 vte �, Date: -2 I _ Q ` 7 • '+� TOTAL PERMIT FEE 67, 6 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * pee methodology set by Tri -County Building Industry Service Board ** Number of inspections per permit allowed. is V3uildingWetmits \ELC- PennitApp.doc 12/03 440- 4615T(I0 /02 /COM/WEB i CITY OF TIGARD BUILDING DIVISION - PERMIT #: ELC2007 -003&5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/29/2007 Phone: (503) 639 -4171 MO i l Inspection Requests (24 Hrs.): (503) 639 -4175 '' L INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 14 SITE ADDRESS: 07300 SW LANDMARK LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PIKE AWNING DESCRIPTION: Change out ballast and lamps in office and warehouse area. OWNER: SPEARING, KENNETH M + HOLLY R +, PHONE #: CONTRACTOR: PHONE #: LARR.\ — Inspection Request Scheduled For: Date: 7/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 052716-01 503.969 --9462 Y Corrections /Comments /Instructions: PO TA— + R vp /4,94 01d'", jzzx 46(7 rr� fjzl3O�r� ‘44 4111P q__ [/' PASS I _I_PARTIAL n CANCEL _ _ __ _ NO ACCESS FAIL I I CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED , Inspector: �T'• 1 v Date: 1 VI Phone #: (503) 718- 1-106) •