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Permit
P A !I � CITy OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00594 4 0�i�i DEVELOPMENT SERVICES DATE ISSUED: 10/19/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S133AD -16200 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 ZONING: C -P SUBDIVISION: PP1995 -073 LOT : 003 JURISDICTION: TIG Project Description: TI - (32) branch circuits. Job No. 5153 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: SIG NAL/PANE L: / 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: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 31 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: PACIFIC CREST PARTNERS SCHOLLS L. ADK ELCTRIC, INC. 1430 EASTSIDE RD PO BOX 2676 HOOD RIVER, OR 97031 BATTLE GROUND, WA 98604 Phone: Contact #: PRI 360 - 608 -0665 FAX 360- 576 -6975 FEES Description Date Amount Reg #: ELE 37 -934C [ELPRMT] ELC Permit 10/19/200( $253.00 LIC 148882 [TAX] 8% State Surcharge 10/19/2001 $20.24 SUP 4853S Total $273.24 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 i suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules a re t-f6rt in,OAR 95 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of thes rules or direct questions to OUNC at 503 -24 699 or 1 -800 -3 -2 Issue By: �Jy1 `' Permittee Signatur • gpci// air rd C- ---- 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: • ONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: !. �i=- R � /,,„„,,L DATE: /�* LICENSE NO: J �� «g.�3 S ' 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. A an Kangas 19805766978 10/19/08 12:41P P.002 ' kr- ....... 0 f electrical Permit Application roi; OP VIC' • I. 'N 11 0 \ 1.1 • Roxii.ed City of Tigard A reataftty: /0 / ? 04. -X..CW Permit No•• tie, 4.1406 - 6051 13 Rovioo125 SW Hall Mud., rtgard, OR 9 0 t1 CEN ED . Pim Other Pan*: Phone: 501639.4171 Fax: 503.5 - •• •'", '7 Incion L i'''sirc• ', - 1 SP 2 far I , Dewar spaiao: 503.639.4175 r.-. ,..4.1,1.-• 'I„;_. Cam Iterdyler 20 0 • . . - i RI ee age nteret: www.eitimird.ar.na 0 C 1 9 u Netifirsweeed: ...-7 /a. Supplemental Intarmatien . .. . •• .: '. • • • re* ' : ''',''' ,:.'.', . ..• .. ......'s'f: : .....7: :-.•.:.. . ' ... . ...; " PLAN. REVIEW .. . • . . • . • : ' erizmuktament . Li construction 0 itteitatial Ptease check all that apply: ElSavice over 225 amps, conmel Clilezardous location Demolition ' I Other. ['Service over 320 amps - rating 0Buildog over 10,000 sg. fl., • • • •• • ' :. ' • cAlicOtor ott:cONsraticrtoiw • • ' ".• •: ••••• • -.. ' "' or! and 2-family dwellings 4 or more new readeatial .,.... • . U 1- and 2-family dwelling 0 Commercialfindustrial 0 Accessory building 0System over600 volts nominal mob in OW structure El Building OW ihreo =mica OFoodoro. 40 D IMP or MOM 0 Multi-family 0 Master hulder 0 Other: Ocenpaiii toad over 99 persons ONitinvfactured struatires or • • ' . • JOB SITE DIFORPAATION Arm LOCATION -. : :.:.' •• • ' - • Cl : El Egreasflighting plan RV park Job no.: t6 Job site address: 12 • i 6,4 0_ A , 1.. Elmakh-ane facility 1:10ther Salmis 2_ sets of plans wish imy of the above. City/State/ZIP: •-fl 0 . - 0, 0,,,1:. The above are not eppl ;cable to temporary construction arvice. Suite/bldg./apt. no.: LE= O Ilff asesposs • _____Ilter. i rm. j ram I ''' Cross strect/directions to job site New nelderstial single- or multi-fanny dwelling milt. Includes attached garage. . 4000 sq. B. or Ian iiiiTET SUbdivigimu Lot no.: Ea. addl 500 sg. ft. or portion 3140 1 Limited energy, residadial 75.00 2 Tax map/parcel no.: Limited cnagy. non-rasideotial 75.00 2 . • : .• • • • • • •DESCBJPTION OF wORK • • ' . • .: •. : •• • • •:•• • • •• . - ••• Each maraufactured or modular dwellirig. service and/or feeder 90.90 2 32. cacutrs — sem°ti or ituiders isniallaiSon, alteration, w,d/orrtlocstio 200 amps or leas It 0. ,ii ' • 201 amps to 400 ampa 106.85 2 • :. s' • ,... 0 TRorisztiv . 0 wP&ER • ... I • : .. . •13 TENAPk . • • : ' -- ' • 401 anips to 600 amps 160.60 2 , Neu= 601 snips to 1.000 amps 240.60 2 Address: Over 1,000 ampa or volts 454.65 2 Itaxamoci only 66,115 2 City/State/ZIP: Temporary aervieee or feeders laatatiatioo. alteration, nadier relocadon Phone: ( ) Fax ( ) ---------...„......... 200 amps a- las 66.85 1 Owner butallarloir This installation is bring matte an property that 1 own which is not 201 " 400 10030 2 Intended far sole, lease, rent, or occlumge, according to ORS 447, 449, 670, and 701. ' 401 amps to 600 angst 133.75 2 Owner signature: Date: Branch curets - new, alteralon, or extension, per panel . : . • • • ' . • 0 APPLICANT • ' ' • ' El .C'ONTACT 'PERSON . .. A. Fee for branch circuits with service or feeder fee. each 6.65 2 Business aunt branch circa B. Fee for bean& circuits Contact name: iv/thew service er feeder fee, I first branch circuit 46 4.1SS 2 Address: _ Each addi branch circuit '• I ts204,IS 2 I City/Slab:U.1P: Mbeellaneeas (ser vice or feeder but included) Pump Dalian circle 53.40 2 ( ) I Mine: Fax : ( ) Sign or quake° lightiog 53.40 2 E-mail: Signal circuit(*) or limited- ii I " . . •. • . . energy pand, alteration, or .. . • . • • • ' Busines nard h actension. Describe: Page 2 2 C Address: • b ' 1 , Each additional Inspection over allowable in any of the above • pee inspection ' 62.50 City/State/VP: lattiV vw qcou o lavaitigreiso per hour ti hi' min) 62_50 Phone (Ifit) 541.11• ISr'", Ill!' ( '0 SI 0 ' U 1 • lntlintrial AM pa bour 73.75 . " .k.141.CTIOCAL .PERMIT.1 •:;".':!:.',. • .. CCB Lie.: 1 • • a — I Electrical Lic.: 31G1 .6 Suprv. Lic.: vi .., .35 II... Subtotal _265 • co Suprv. Electrician signature, require& / •). ° ' Plan review (25% of permit (ee) Print name: Aiam ‘` / ) / • I ' -'' • to I il 1200 Stale surcharge OM or permit leo) .20 . ,24 TOTAL pratmrr 2913. ,2147 Authorized simiature: 7 DA This porton amnesties expires its permit is not obtained within 180 &qv alter It tea been annepted as complete Print name: atm b . ( 4a . S ........_ Date: i ifl• .. I / , • Fee snabodolotgr act by Tri-County Building Industry Service Board CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006 -00694 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 10/19/2006 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/7/2006 TIME: 7 :03AM PAGE: 44 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK: SUBDIVISION: PP1995 -073 LOT #: 003 TYPE OF USE: PROJECT NAME: QUIZNO'S DESCRIPTION: TI - (32) branch circuits. Job No. 5153 11/27/06: Added ((1) 200 amp service. 12/6/06, added low voltage for data OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #: CONTRACTOR: ADK ELECTRIC, INC. PHONE #: 360. 608 -0665 Inspection Request Scheduled For: Date: 12/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 040783 -01 360-601 -2751 N Corrections /Comments /Instructions: I ,1 �1 I N Q,Q PASS ❑ PARTIAL APPROVAL ' ,L ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION \ DD" I • AL FEES ASSESSED Inspector: 3- 6 Date: I - 06 Phone #: (503) 718 - I b C CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200&00594 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2006 Phone: (503) 639 -4171 , iloi Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1216/2006 TIME: 7 :01AM PAGE: 42 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK: SUBDIVISION: PPi995.073 LOT #: Q03 TYPE OF USE: PROJECT NAME: OUIZNO'S DESCRIPTION: TI - (32) branch circuits. Job No. 5153 11/27/06: Added ((1) 200 amp service. OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #: CONTRACTOR: ADK ELECTRIC, INC. PHONE #: 360.608 -0655 Inspection Request Scheduled For: Date: 12/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 040727 -01 360- 607 -0000 Y Corrections /Comments /Instructions: 1 .---6 5150 A64 0 pfkovi D. NpoR0‘)e-:-.0 I_A ...091 its)ioik b4o1� - 9too•ho iN s *.vi 15cor t o& 14E vi' (AL. n Peov . WAtoCir.) 6oN kIyA CY vmP i i )E N0 . (1.%0—., C- v N@ v 1 N &v v XII OA a= l- tt.0 p C UoOCk. 10 W t tS MAN CI . 4 (Di R- era ioND So CAS W - AO 'L • <C1 pkov v‹ -- N ow vw. - N m lc L W ' ) uJ V \ T- � i �.� r -+s T , ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ►Z/ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (3 %\, b© IQ Date: 1 '2.. 0 tO Phone #: (503) 718- 2- - CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006- 00594 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2006 Phone: (503) 639 -4171 bizdk '' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7 :03AM PAGE: 44 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 160 CLASS OF WORK: SUBDIVISION: PP1995 -073 LOT #: 003 TYPE OF USE: PROJECT NAME: QUIZNO'S DESCRIPTION: TI - (32) branch circuits. Job No. 5153 11/27/06: Added ((1) 200 amp service. OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #: CONTRACTOR: ADK ELECTRIC, INC. PHONE #: 360 -6013 -0665 Inspection Request Scheduled For: Date: 11/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 040299 -01 360 -608 -0665 N Corrections /Comments /Instructions: Pr& t Vet?-\)--/E 4 1 \ 1\1.9)11■:W ‘i 6 (2x-e,A) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I Date: t I Z 0 Phone #: (503) 718- 20441,4 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006 00b94 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19 /2006 Phone: (503) 639 -4171 � A Inspection Requests (24 Hrs.): (503) 639 -4175 I INSPECTION WORKSHEET FOR DATE: 11/20/2006 TIME: 7 :01AM PAGE: 30 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK: SUBDIVISION: PP1995-073 LOT #: 003 TYPE OF USE: PROJECT NAME: QUI7_NO'S DESCRIPTION: TI - (32) branch circuits. Job No. 5153 OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #: CONTRACTOR: ADK ELCTRIC, INC. PHONE #: 360-608-0665 Inspection Request Scheduled For: Date: 11/2W2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 040029 -01 360.608 -0665 N Corrections /Comments /Instructions: ?I•• 5 ° I Pm : No AbbITIroNAI-, o ACS ss , No b s f Oi\AL FE PA a) s\,/ W Lc_ N 0l MA LC* 4\1> II" i ON Pl. 1 c* Po s i` -e u N I' i �. ,p t`► b� . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL KNO ACCESS FAIL a CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • N dB Date: al-040(o Phone #: (503) 718 - 1-11411D CITY OF TIGARD . - BUILDING DIVISION ,. PERMIT #: ELC2006-00594 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2006 Phone: (503) 639 -4171 III Inspection Requests (24 Hrs.): (503) 639 -4175 "_ INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AM PAGE: 33 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK: SUBDIVISION: PP1995 -073 LOT #: 003 TYPE OF USE: PROJECT NAME: QUIZNO'S DESCRIPTION: TI - (32) branch circuits. Job No. 5153 OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #: CONTRACTOR: ADK ELCTRIC, INC. PHONE #: 360-6013 -0665 Inspection Request Scheduled For: Date: 10/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 038874 -01 360 - 608.0665 Y J Corrections /Comments /Instructions: f e - Pkov to ;`P . 00_., N'Ew 206• Any • si \11 c- et % o(t, 1 o *tort I onlrl, it v se ig 1 of - \ AASS El PARTIAL APPROVAL ❑ CANCEL (0 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . , v Ibe lg Date: 10 2-4)104) Phone #: (503) 718- viilL