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Permit
CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2007 -00839 COMMUNITY DEVELOPMENT DATE ISSUED: 12/13/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AC -01101 SITE ADDRESS: 12562 SW MAIN ST 210 ZONING: CBD SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: SPEC SPACES Project Description: (2) services, 12 branch circuits. OK for (1) permit per Brian B. and the TI permit. 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: 2 W /SERVICE OR FEEDER: 12 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: WILKING INVESTMENTS V LLC BOONES FERRY ELECTRIC INC 16325 BOONES FERRY RD STE 200 PO BOX 628 LAKE OSWEGO, OR 97035 W1LSONVILLE, OR 97070 Phone: Contact #: PRI 503- 682 -4936 FAX 503 - 682 -7946 FEES Description Date Amount Reg #: ELE 3 -223C [ELPRMT] ELC Permit 12/13/200' $240.40 LIC 88482 [TAX] 8% State Surcharge 12/13/200' $19.23 SUP 49185 Total $259.63 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: 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. ' Electrical Permit Anl City of Tigard OR OFFICE US D DEC 1 3 2 Received ! " 13125 SW Hall Blvd., Tigard, OR 97221 p/ fIGARD s 6®O fIGAR Plan Revie w D •: �y / Pcnnil Nc Phone: 503.639.4171 Fax: 503.5 tie ,rt Review 71GARb Inspection Line: 503.639.4175 BUf�.U��CDI1�ISi ®� Date/I3 �� Other P Internet: www.tigard Date Ready /By: Notified /Method: rOf s see Page 2 Information ►VORK" , • • TYPE -OF , 410 Supplemental Information volt ❑ New construction �Addilion /alteration /replacement ❑ Service PLAN (submit . REVIEW REVIEW ❑ Detn0l l llOtt Please Check all that . sets; sets of plans ,t'titeras checked bbelow): ; ❑ Other: n ice or feeder 400 amps or m ire CA 1 'CC1 Othe : F tw here the available fault current ❑ Building a d ata dories. CONS17tl}CI Ld exceeds 10,000 amps at L5(1 ; or ❑ Marinas and boatyards. ❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Floating buildings. ❑ Accessory building less to gr or exceeds 11,001 ❑ Commercial-use ❑ R lush- Ialtll l }' Fi anu agricultural - ❑ Master builder El for all other installations. ❑ Other: ❑Fire pump. buildings 'JOII SITE INFORMATION ANI) .LOCATION ❑ Installation of 75 Kvq or ❑ Emergency system. Job no.) Z 6 S 0-7 Job site address: 6 Z ❑ Addition of new motor load of 10111 large' separately derived system. S M a i q I ❑ Six or store residential units, ❑ Recreational vehicle parks. 1P o inure. ❑ occupancy City /Slate /ZIP: -•� rrccupa / I - O ❑ Hazardous l ❑ Supply voltage for more than facilities. Suilerbldg. /apt. no.: Project name: 6 c S ❑ Service o locations. (,, t . T;.. aY volts nominal. ❑ Sen it a or feeder 6 a mps or more. street /directions to job site: - FEE SelIEbULE . Cross Uesa _silos New r esrd enitaI sin le or multi- faanniilly (Netting �� unit. Subdivision: Inudcs attached garage. d 1,000 sq. 11. or less -- 145.15 _� La. adtl`I 500 sq. R. or portion �1 SCIi1PTION OF WORK Limited energy, resi deulial _33 10 _v .1111 . 7 _ (tt'ith above sq. R) 75.00 Limned energy, multi family resi (with above sq R) 75.00 2 y � Scr \ ices or feeder i i � l s © alteration, and /or relocation ❑ PROPERTI OIVNER 200 amps o less Name: : ail TENAN i' ' 201 amps to 400 amps - 80.30 / 60. . 11/1 401 amps l0 6 150.60 00 am ps = S 106.85 1 Idress: 601 antes Io 1,000 mp as 240.60 City /Slate /ZIP: Over 1 000 an tes or rolls I ----L-7 2 j )' 5•!.65 2 Phone:! ) l Tempura' services or feeder:; installation, alteration, and /or I relocation Owner installation: This installation is being made on property that l own which is not I 200 aipp Io 400 amps — _ intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670, and 7U I . � 401 amps to 59 a mps 3 7 5 IIIIIIIIIUIII 201 am 100.30 Owner signature: ` 13 Date: Branch circuits— new alteration or Cxlensf Cr and A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PER$ON MI • Business name: above service or feeder fee ea ch branch circuit 12. Is .65 Contact name: B. Fee for branch circui lu without circuit or feeder fee, U \ddress: st branch circuit 4(x85 Cil;rSla/ Lach addI branch cit I lisccllancous servifd n of includd) Phone: ( J Each manufactured o modular Fax: : ( ) dwcllin , service and /or feeder i 00.90 2 E-mail: Reconnect only Pun or irr circ _ 66.85 3.40 _� CONTRACTOR ' . - • 5 , Business name: Booties Ferry Electric INC Sign or o utline lighting 53 Signal circuil(s) or lim ited_ 53 _© energy panel, alteration, or MI Address: P.O. Box 628 City /Stale /7_IP: Wilsonville OR Describe: OR 97070 Page 2 Phone: (503) 682- 4')3( Lae_ rult alloteattl� i rt i rr any of the above 50 MINE nspection Fax: (503) 682 -7946 Per i (2C13 Lie.: 88482 In i ans pe per per hour hr min) 7 75 Electrical Lie.: 3 -223C e2.50 S uprv. Lic.:�9 / $ S. Industrial plant hor Supry Electrician signature, required: I / 73 - t / /�, 1LCCfRICAL PERMIT FEES IIII tnl Hanle: f � 4>n He r /i'otn Date: Subtotal: ,2Li0 , o - Authorized signature: flan review (25 of permit fee) ^1 Slate surcharge (8% of permit fee ( 9 Print mune: l'O'I'AL I' 2..1 E erm permit is FEE: 2 S9 , (S.? Dale: • i bis pernri ex ir (aptrlicalinn tes al" t 'ttuitding' I'ernrits•j' --. I pcnnil is nn( obtained within IAO Perndr. \pp doe oV2 trn6 d ays after it has bee, accepted as complete. t•m "nets'rt t uosrcur.rnvFU * Number of inspections allo,sed per permit CITY OF TIGARD 410 BUILDING DIVISION PERMIT #: ELC2007- 00839 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2007 Phone: (503) 639- 4171 I t, Inspection Requests (24 Hrs.): (503) 639 -4175 -__.. INSPECTION WORKSHEET FOR DATE: 2/21/2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 12562 SW MAIN ST 210 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SPEC SPACES DESCRIPTION: (2) services, 12 branch circuits. OK for (1) permit per Brian B. and the TI permit. OWNER: WII.KING INVESTMENTS V LLC, PHONE #: CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 603- 682 -4936 Inspection Request Scheduled For: Date: 2/2112008 Pour Time: Code # ion Description Confirm # Contact # Message 195 Misc. inspecti 065385 -01 503 -682 -4936 \ V actions /Commenfs /Innst uctio s: �� ` y 14 0 v 5 Sv* ■i \A nc.C,v \ 0 Ql. k G- .Nog (;\ iki PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .----■ 0 • LE Date: 2/24 - Phone #: (503) 718 - 1-440 CITY OF TIGARD 410kk ' BUILDING DIVISION PERMIT #: ELC2007- 00839 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/1007 Phone: (503) 639 -4171 �g . � l l Inspection Requests (24 Hrs.): (503) 639 -4175 . ' ? INSPECTION WORKSHEET FOR DATE: 2/13/2008 TIME: 7 :01AM PAGE: Q3 4 4 SITE ADDRESS: 12562 SW MAIN ST 210 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SPEC SPACES DESCRIPTION: (2) services, 12 branch circuits. OK for (1) permit per Brian B. and the TI permit. OWNER: \MI.KING INVESTMENTS V LLC, PHONE #: CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682 -4936 Inspection Request Scheduled For: Date: 2//312008 Pour Time: Code # Inspection Description nfii: # Contact # Message 199 Electrical final 064936-01 503682 -4936 N Corrections /Comments /Instructions: \ A \ \ 4 F � .. N f . • AI .4 , '' ,'. . t A ^- C. cl) -71..)% c tk cist b i_l fttt. c s _ 6 Piko$4i -- G■LL ft P L S c2b - •wS-, The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OM 918 -271 -0030 ■ V. ❑ PASS 111 PARTIAL APPROVAL ❑ CANCEL l\ \ \1 SS FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 8---- 0 LE Date: 1 ?) Phone #: (503) 718- lkiLkf CITY OF TIGARD • W BUILDING DIVISION PERMIT #: ELC2007 -00839 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121130007 Phone: (503) 639 -4171 �mvq�;q�lll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/4/2008 TIME: 7:18AM PAGE: 3 SITE ADDRESS: 12562 SW MAIN ST 210 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SPEC SPACES DESCRIPTION: (2) services, 12 branch circuits. OK for (1) permit per Brian B. and the TI permit. OWNER: WILKING INVESTMENTS V LLC, PHONE #: CONTRACTOR: E3OONES FERRY ELECTRIC INC PHONE #: 503.682 -4936 Inspection Request Scheduled For: Date: 2/4/2000 Pour Time: Code # Inspection Description nfir -m # Contact # Message 199 Electrical final 064429 -01 503 682 -4936 N Corrections/Comments/Instructions: ¥ 6 No 61■1(ZoS N6 I.NDpreL `IAA ctrw-- s wri V 6 5 4R V The electrical installation defects noted on this report shall be corrected and an Inspection request made within 20 calendar days per OAR 918- 271 -0030 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N os e l Date: V+ Phone #: (503) 718- 2,'1 v CITY OF TIGARD 4-, BUILDING DIVISION PERMIT #: ELC2007 -00839 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2007 Phone: (503) 639- 4171 y l Inspection Requests (24 Hrs.): (503) 639 -4175 �� F:_.. INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7 :0IAM PAGE: 22 SITE ADDRESS: 12562 SW MAIN ST 210 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SPEC SPACES DESCRIPTION: (2) services, 12 branch circuits. OK for (1) permit per Brian B. and the TI permit. OWNER: MMLKING INVESTMENTS V LLC, PHONE #: CONTRACTOR: E300NES FERRY ELECTRIC INC PHONE #: 503-682 Inspection Request Scheduled For: Date: 1/11/2008 Pour Time: Code # Inspection Description ,00fifirm # Contact # Message 115 Electrical service 063079-01 503-682 -4936 N Correcticlftsi omm /Inst ructions: - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G aQ Date: 1- 4.6 D Phone #: (503) 718- MIA) CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2p07.00839 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/ Phone: (503) 639- 4171µl Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/28/2007. TIME: 7:00AM PAGE: 26 SITE ADDRESS: i2662 SW MAIN ST 210 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SPEC SPACES DESCRIPTION: (2) services, 12 branch circuits. OK for (1) permit per B. and the TI prmit. OWNER: W LKING INVESTMENTS V LLC, PHONE #: CONTRACTOR: E30ONES FERRY ELECTRIC INC PHONE #: 503-682-4936 Inspection Request Scheduled For: Date: 12/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 052281 -01 503.682 -4936 N Corrections /Comments /Instructions: 1..NE L Ott■% �.. d�A►N beJkv Ai Sco &O T(s) o ■) avi" s1be F E1.l clicks ■.,'Iij At\C N si +� • VR.v. %DC 3 6" CLIZA,R. 6pq au 1 of 1 �i O SV �1 tc b 1 s cto N Ts PRJ:3\l'icre 6CS IN rno4iN rt 3caN 1 . ❑ PASS PARTIAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' O8 Date: 12' 23' 09 Phone #: (503) 718 - 111{b. CITY OF TIGARD . . �., BUILDING DIVISION • A... PERMIT #: ELC2007- 00839 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2007' Phone: (503) 639 -4171 'i � � � 1` Inspection Requests (24 Hrs.): (503) 639 -4175 . � INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIME: 7 :03AM PAGE: 47 SITE ADDRESS: 12 562 SW MAIN ST 210 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SPEC SPACES DESCRIPTION: (2) services, 12 branch circuits. OK for (1) permit per Brian B. and the TI permit. OWNER: WILKING INVESTMENTS V LLC, PHONE #: CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 603 -682 -4936 Inspection Request Scheduled For: Date: 12/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 062023 -01 503-682 -4936 N Corrections /Comments /Instructions: Na 04 C i3 ° tDe tt`y 4x/ PR, WAGS Ge. CA I Li NI v r'14k a a? Mit TA11 l INS volt &NA _____Nepft\ift.. ' Ti4st. oLL.. ts3-u) V V A E . ,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G • N ) L Date: 12. 09 Phone #: (503) 718 - ,.. .