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Permit
CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2007 -00747 COMMUNITY DEVELOPMENT DATE ISSUED: 11/6/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AB - 04800 SITE ADDRESS: 12454 SW MAIN ST ZONING: CBD SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: COMMAND Cs Project Description: 2 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: 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: 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: CAPISTRANO, NICOLAS N + CHRISTIN CROWN VOLTAGE 6646 SW 35TH AVE DANIEL TUCKER PORTLAND, OR 97221 12607 NE 199TH ST BATTLE GROUND, WA 98604 Phone: Contact #: PRI 360 - 666 - 0995 FAX 360 - 666 -4673 FEES Description Date Amount Reg #: ELE 37 -984C [ELPRMT] ELC Permit 11/6/2007 $53.50 LIC 153934 [TAX] 8% State Surcharge 11/6/2007 $4.28 SUP 41165 Total $57.78 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 By: � t��� Permittee Signature: 02,71 J3Q-L►i` 1.•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. `. 'N'v 06 07,05:33p CROWN VOLTAGE, INC. 1 360 666 4673 p.1 Electrical Perm it Application FOR OFFICE USE ONLY Tigard R T Cif of � eoei'V A / I 22 irNEi ev 747 City � Lhldd� � � / D� Prrm i� "bOO S 13125 SW Hall Blvd, Tigard. OR 97223 Plan Rewe (Liner Hermit Phew: 503.639.4171 Fax: 503.598,1960 M_'v.f.? ' nadir . Inspection Line: 503.639.4175 - "' � J - Date Ready/By. knit: ® See Page 2 for ' da rat www.ci,tittrd.re.ua ,e4/-''OaS NotifieNMtlbud: Sappkahad information •-- T»• . OF WORK PLAN REVIEW ❑ New. construction WAddition/atteratianheplaoznent Please cbcck all that apply. ❑Saviceuvex225amps, oomro 1 ❑ tianntonslocatio ❑ Demolition [] Other n► ❑Sayice over 320 amps - rating []Butldng over 10,000 sq. 0.. CATEGORY OF CON TRt.KTION of I- and 2- family dwellit s 4 ar snore new residential ' - and 2- family dwelling ❑ Cornm«'dal/mdusb ial 0 Accessory building ❑System over 600 volts nominal units in one structure [] Multi - family ❑ Haslet txlildtx Other over clues stories ElFeedeas, 400 amps or more []Occupant load over 99 persona ❑Manufactured shnetura er JOB SITE INFORI'LLTION AND LOCATION QEgivsshieh6og plan RV park Job nor: Job s i t e a d d r e s s : / .) 5 A.1 At .. ❑He.ldt -ante faddy ©aha" r� Submit 2 sets of plans with any of the above. City/StaterZ1P: r /, � i 2 0 - q.1-7,7--- The above are for asplimhlc to tdnpoiry construction service. --_ $UitC/Illd + n0.: FP naI17 : 75t. / FEY.' SL 1 Qt i .' Cross street/directions to job site: New residential uncle- or Inatti-fataiy dwelling raft. Includes attached garage _ 1,000 sq. R or less - 145.15 4 Subdivision: �- �� ) ot no.: l : Pa edd'I 500 sq. R. or portion _ 33.40 1 ` Limited energy, residential 75.00 2 Tax map/parcel no.: Limited • energy, non-residential 75.00 2 DEJ(:RIRTION OF WORK Each marrufactined or nodular " Ao& 2 ` .. dwdJling service and/or feeder 90.90 , _ 5e 2 rviees or feeders installation, alteration, retoeattior 200 amps co lrss: 8030 2 - PROPERTY OWNER ❑ TENANT 201 amps ter 400 amps 106.85 2 � 401 amps to 600 amps 160.60 2 Name: — �0 d ' e h 601 ampa4o 1,000 amps . 240.60 2 lddress: Ova 1,000 maps or volts 454.65 2 Reconnect only 66.85 2 ..t ity /State/ZIP: Temporary services or feeders installation, alteration, and/or ( eclocatioa — Phone: ( ) _J Fax: ( ) - . _ ,... � 200 amps or Imn 66,85 1 Owner installation: This installation is being mad¢ on property that I own wh�t5 not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or cxchanf e, according to ORS 447, 449, 670, and 701- . 401 amps to 600 amps 13175 - 2 Owner signature: Dtrte: Branch eirettib - new, alteration, or extension, per panel �" A Fee for branch circuits with t ❑ arPU[ _ANT ❑ CONTACT PERSON ----- service or feeder fee, each 6.65 2 Business name: brancheiraait B. Fee for brands cireuiis . Contact name: wrthoul service or feeder foe, �'— each branch circuit 46.85 2 Address: V _.. Each add bandl6itat4 1 6.65 2 City/State/ZIP: V Miscellanea (Service or feeder net Included) ( ) r . ( ) Pimp or irrtigttion circle r 53.40 2 Phan= Sign or oudipc lighting 53.40 2 Crmalt: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration. or /► extension. Desalt= .age 2 2 ( usinen name: (,./(^0 (� ... \J tj t € - i l Q Each addilloaal iaspettion over aBuynthlr is ray of the above Address_ :1� �D ';1 . ew Per inspection 62.50 CV/State/ZIP: O44 ex.).(t J Investigation per hour (1 hr min) 62.50 I Phone: m fp q�t Fax: ( ) ) (4 `/ to -I3 p•I ' le Industrial plant per lour _ 73.75 ' / ELE(TRWAL ['KRAUT FF:F.S B Lie.: 163 ef al Elcciticul Lk,: -48ei I .Snply. Lie: .4614,3 sabtof.' 5'3 . ,rSuprv. Electrician signature, required: Plan review (25%ofpamii flee) ' t � • � wthargc(8%ofpermitfee) Z� rift trams Ckke� 1 L , r -1 onlc: 11 states TOTAL PERMIT FEE 51-. Authorized signa ire: i to y h rho permit appacsilca calms it ■ permit is apt obtaaed wlitml 150 days alter it tau beer accepted as complete Print name: littyr `I.( . r+ 1 i Ke7- ` Fen meeodotogy set by 7ri- cuanry Building I.doury Service Hoard " Nmnberaf farm lions on permit Arcata CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00747 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/6/2007 Phone: (503) 639 -4171 A i l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7 :00AM PAGE: 56 SITE ADDRESS: 12454 SW MAIN ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMMAND CENTER DESCRIPTION: 2 branch circuits. OWNER: CAPISTRANO, NICOLAS N + CHRISTIN, PHONE #: CONTRACTOR: CROWN VOLTAGE PHONE #: 360.666 Inspection Request Scheduled For: Date: 11/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 060460 -01 360 -G66 -0995 N Corrections /Comments /Instructions: % , . X DASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G.--. AtQ5 Date: 19, v Phone #: (503) 718 - 1.. b CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007..007'17 13125 SW Hall Blvd., Tigard, OR 97223 ./ DATE ISSUED: 11/6/2007 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 s : _� _.. INSPECTION WORKSHEET FOR DATE: 11/28/2007 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 12454 SW MAIN ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMMAND CENTER DESCRIPTION: 2 branch circuits. OWNER: CAPISTRANO, NICOLAS N + CHRISTIN, PHONE #: CONTRACTOR: CROWN VOLTAGE PHONE #: 360 - 666 -0995 Inspection Request Scheduled For: Date: 11/28/2007 Pour Time: Code # Inspection Description ('Cfiim-# Contact # Message 199 Electrical final 060360 -01 360666 -0995 Y Corrections /Comments /Instructions: H1\ ' 341 5cV'- <'D (kov ro b � x o �� N1 -L ' p ;mks Pk� z , c� ._og?2,2 PA - <, r ioJ W otti E0 RZ66Y\ft ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (r gi M Date: Ik 241(1), Phone #: (503) 718- 1,4416• CITY OF TIGARD o r BUILDING DIVISION PERMIT #: ELC2007.00747 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/612007 Phone: (503) 639 -4171 - ���l Inspection Requests (24 Hrs.): (503) 639 -4175 r' -. INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7:00AM PAGE: 25 SITE ADDRESS: 12454 SW MAIN ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMMAND CENTER DESCRIPTION: 2 branch circuits. OWNER: CAPISTRANO, NICOLAS N + CHRISTIN, PHONE #: CONTRACTOR: CROWN VOLTAGE PHONE #: 360. 666 - 0995 Inspection Request Scheduled For: Date: 11f7/2007 Pour Time: Code # Inspection Description C..- • -- Contact # Message 199 Electrical final 059181 -01 360.666.0995 Y Corrections /Comments /Instructions: ,' A <5 Ces MT 1--C"FrL R.0 1/4) 1 IA •-■ AI wiKiNt\A 6(t.. vc f■Gd ka60 M a v-75 . RekilVol fIttm 1r10 QN `NvG CALL . v44 6 ■ipeal SQL ‘ IN is v at cf% NE INs,p 1 t4_ icy sztb\(IPa .i 1 k 1 Al, '"v IL% O1 a b • DVS ‘4 ..1 21 -f v€ cc % LiNI_ TI Lzi: Fta- cci Liv0 DNS dolts , C ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N ` L Date: 4l f 0`7 Phone #: (503) 718- I