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Permit ,e CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00176 it DEVELOPMENT SERVICES DATE ISSUED: 4/10/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135DD -00900 SITE ADDRESS: 11875 SW PACIFIC HWY SUBDIVISION: HOFFARBER TRACTS NO.2 ZONING: C -G BLOCK: LOT : 021 JURISDICTION: TIG Project Description: Electrical TI, installation of (3) 200 amp or less services, (1) 225 amp feeder and (58) branch circuits. Partial electrical permit ELC2003 -00177 issued to start work. 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: 3 W /SERVICE OR FEEDER: 58 PER INSPECTION: 201 - 400 amp: 1 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: LEFEVER, GEORGE & TAMMY NEW TECH ELECTRIC 11875 SW PACIFIC HWY 6950 NE CAMPUS ST TIGARD, OR 97223 HILLSBORO, OR 97124 Phone: Phone: 503 - 648 - 1900 Reg #: LIC 41868 SUP 21 I3s FEES ELE 26 - 418c Description Date Amount Required Inspections [ELPRMT] ELC Permit 4/10/03 $733.45 [ELPLCK] ELC Pln Rev 4/10/03 $183.36 Ceiling Cover - [TAX] 8% State Tax 4/10/03 $58.67 Wall Cover Elect'l Service Total $975.48 Elect'l Final 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 1:I • • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in O - • 52- 001 -06104 rough OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 or 1 -800 -3 -2344. Issue By: (2/51. 41r11-4/J Permit 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 IN TALLATION ONLY ,�,, �, ,� I - SIGNATURE OF SUPR. ELEC'N: ` e v` DATE: LICENSE NO: g 5 Call 639 -4175 by 7:00pm for an inspection the next business day RECEIVED e5 3 Permits it 41 ;, ;Ic Datereceived: i Q Permit no.: _ _ .. .o , — ,, / /7! • wit ,∎1 i.ii. C ITY OF TIGARD ,,�.� 1� City of algal d Project/appl.no.: — , .•. date: IVIS City of Tigard Address: 13125 SW Hall Blvd TiI��RA Date issued: By: / I Receiptno.: Phone: (503) 639 -4171 r/� Fax: (503) 598 -1960 'ease Payment type: 1 ! / Land use approval: / Ti if / � — /77 s TYPE OF PERMIT 0.1 & 2 family dwelling or accessory 0 Commrrcial/industrial 0 Multi - family j81 Tenant improvement 0 New construction 0 Additic•n/alteration/replacement CI Other. 0 Partial ° SN JOB SITE INFORMATION Job address: : • _ r t • _ . , 1.11 Bldg. no.: Suite no.: Tax map /tax lot/account no.: \U Lot: Block: Subdivision: Project name:14011er m 0 QS I Descri j lion and location of work on premises,t Estimated date of completion/inspection: Q ,200 CONTRACTOR APPLICATIO: FEE SCHEDULE Job no: Fee Max . '''.- Business name: New Tech Electric Description Qty. (ea.) Total no. Imp Address: 6 9 5 0 NE Campus s Wa New residential l single atfaortcmtd Lary per A Way dweltinganit . lncludesthedgarage. City: Hillsboro StateOR 2.IP: 97124 Servicefaluded: Phortd33 - 64 8 - 1 900 Fax648 -3131 E -mail: 1000 sq. ft. or less 4 CCB no.: 41868 Elec. bus. lic. no: 26 -418C Each additional soosq.ftor Ct _ Limited energy. residential 2 /metro tic. no.: limited energy, non- residential 2 3 -.2 7-cri Each manufactured home or modular dwelling ate of supervising e earician aired) Date Service and/or feeder 2 p. elect. name(print): t ,1, r,/ � ,. Li. caseno:3 -^ Services orfeeders— Ittstailatioty � PROPERTY OWNER alteration or relocation: �j� d 9 200 amps or l ess ' 3 0 2 , Name (print): `C t.pr M r f -t I} 65 201 amps to 400 amps I /A�o. Sb z Mailing address: nu 7 2 � . IN la • 601 amps to 1000 amps _ 2 City: '•'ri 9 a r aka' I sta te: d RI 22P: 9 72 Z Over 1000 amps or volts 2 Phone: I Fax: I E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchangs according to installation, alteration, orrelocation: 200 amps orless 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: ate: 401 to 600 amps - 2 ENGINEER - Braancti circuits - new, alteration, or extension per panel- . Name: A. Fee for branch circuits with purchase of / f0 Address: ' service or feeder fee, each branch circuit 5a 5&7 ' 2 City: I State: I :3P: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: PLAN REVIEW (Please check all tlta r Misc. (Serviceorfeedernot Included): ft Service over 225 amps - commercial 0 Health -care facility Each pump or irrigation circle 2 0 Service over 320 amps-rating of l&2 0 Hazardouslocaticn Each signoroutlinelighting 2 family dwellings 0 Building over 10,100 square feet four or Signal circuit(s) or a limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration, or extension* 2 0 Building over three stories 0 Feeders, 400 amp r or more *Description: 0 Occupant load over 99 persons 0 Manufactured stn m-tu es or RV park Each additional inspection over the allowable in any of the above: 0 Egress/lightingplan 0 Other: Per inspection 1 I I I Submit _ sets of plans with any of the above. • -Investigation fee The above are not applicable to temporary construction service. Other _ Not al jurisdictions accept credi , please wisdictioa f f • inf•entatioa Notice: This permiiapptication Permit fee $ 73 ' • V5 0 vi • • • ; expires if a permit is not obtained Plan rev (at _ %) $ 8 3 • 0 redi ant ■ b ' r within 180 days after it has been State surcharge (8%) $ . • - •- • ' A' # � 1.7 4I1" f-WAilrP.air 4� accepted as complete. TOTAL $ - _ tor _�rAW,. Trust Account # 41868 1111111111 •- di •'' v 'gnatwe Am. ent , 440-4615 (6■00/COM) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received Date Requested -5 AM P M .� WBUP BUP Location / I g 75' Suite MEC Contact Person fie, ^ Ph ( ) f — / 48/ PLM Contractor Ph ( ) SWR • BUILDING Tenant/Owner ELC - O � 7 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING )V 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 Post & Beam Rough -In Gas Line C / �\ v2 // Smoke Dampers ! Y �j Final , °> ©D3 t7 / 77 PA- PASS PART FAIL �" ELECTRICAL l 1Z3-■r' ( ^ a (L/ _ U - $4.S i3 Ro -In � j 0 6 Rough -In � UG/Slab \ t� \ S 1 Low Voltage 1 oZ 0t) ()6) D� (- \\ L-6) \ � j I J � 'mil L (� . ` 413 Fire Alarm na Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call tor reinspection RE: Unable to inspect — no access Fire Supply Line /LiiJ ADA Approach/Sidewalk Dat rQ Inspecto Ara Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL