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Permit 7 i-'. ,- ,\ - . CITY OF TIGARD ELECTRICAL PERMIT ,6 PERMIT #: ELC2008 - 00146 COMMUNITY DEVEL DATE ISSUED: 3/13/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135DD-03301 SITE ADDRESS: 11945 SW PACIFIC HWY 246 ZONING: C - G SUBDIVISION: TIGARD PLAZA LOT : 002 JURISDICTION: TIG PROJECT: DAXING SEAFOOD STORE Project Description: Electrical TI, (4) branch circuits and low voltage for HVAC. 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: SIGNAUPANEL: 1 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: 3 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: TIGARD PROPERTIES INC MOUNTAIN VIEW ELECTRIC INC 2106 SE OCHOCO ST 29719 NW 51ST AVE MILWAUKIE, OR 97222 RIDGEFIELD, WA 98642 -9213 Phone: Contact #: PRI 360 - 695 -8439 FAX 360 - 735 -8439 FEES Description Date Amount Reg #: ELE 37 -103IC IELPRMT] ELC Permit 3/13/2008 $141.80 LIC 159093 ITAX1 12% State Surchar 3/13/2008 $17.02 SUP 3837S Total $158.82 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 da s. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 010 t gh OA k � 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. _ Permittee Signature: I!�(/ , i���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: CONTRACTOR INSTALLATION O ■ Y SIGNATURE OF SUPR. ELEC'N: / 44i . ' b Are III DATE: .54 3/0 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. Elictrical Permit Application FOR OFFICE USE ONLY City of Tigard Date/B ea Permit No.: G� . 00 I II q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' C Phone: 503.639.4171 Fax: 503.598.1960 Date/BV: Other Permit: 1 . I G A D � Inspection Line: 503.639.4175 Date Ready/By: Juris: 61 See Page 2 for Internet: www.tigard- or.gov Notified/Method: a. Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ❑ 1 - and 2 dwelling Commercial/industrial less to ground, or exceeds 14,000 ❑ Commercial -use agricultural y g ❑ ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ['Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "l -3 ", Aoy Job no.: I Job site address: 0 945 �r� Imore. occupancy. ❑ ❑ Six or or more residential units. Recreational vehicle parks. City/State/ZIP: ❑ Healt - c are facilities ❑ Supply voltage for more than /( ,�} ty I `'� , / � ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt no.: t L t , I Project name: �') x / o q /von i ❑ Service or feeder 600 amps or more. ``f' - FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential. 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) ��'�• L energy, multi - family 75.00 2 (( residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocatio 200 amps or less 80.30 2 r pROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: - // �DtL�.2 r, ,O P�2 / / S / 401 amps to 600 amps 160.60 2 C 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I 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 599 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits without 6ery ice or feeder fee, / 46.85 y�, S`J 2 Contact name: first branch circuit ` / Address: Each add'l branch circuit ` 7 j 6.65 j9 95 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CO OR Sign or outline lighting 53.40 2 �-Q C .. \ t ' Q Signal circuit(s) or limited- Business name: ' 1Ou tj��}-1 ( 1 L IA) l�Le 7t energy panel, alteration or r-00 Address: exten ;iqn. sc Ibex J Page 2 � b• 2 City/State /ZIP: Each additional inspection over allowable in any of the above Phone: Per inspection 62.50 hone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: t 5/Q93 Electrical Lic.: 37 -/ 3/ C Suprv. Lic.: 38375 ' Industrial plant per hour 73.75 Suprv. Electrician signature, required: ELECTRICAL PERMIT FEES Su ,// P g eq � � ��� Subtotal: Ail. ' � r -&-- Print name: e I � ( i , I Date: „�� �- ! Q Plan review (25% of permit fee): " State surcharge (12% of permit fee): 1 7. 0 r 7 Authorized signature: TOTAL PERMIT FEE: J .I r 9 Print name: Date: This permit application expires if a permit is not obta within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. t :\Building\Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11 /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information - LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* El Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* . ❑ Vacuum Systems* El Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system • (SEE OAR 918- 309 -0000) Check Type of Work Involved: • • ❑ Audio and Stereo Systems El Boiler Controls ❑ Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical • . El Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling ❑ Other • Total number of commercial systems: k ' ' ` *No licenses are required. Licenses are required for all other installations I:\ Building \Permits\ELC - PermitApp.doc 03/23/06 • CITY OF TIGARD BUILDING DIVISION PERMIT #: EL.C2003.00146 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 I I— INSPECTION WORKSHEET FOR DATE: 4/3/2000 TIME: 7:02AM PAGE: 24 SITE ADDRESS: 11945 SW PACIFIC HWY 246 CLASS OF WORK: SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE: PROJECT NAME: DAXING SEAFOOD STORE DESCRIPTION: Electrical 11, (4) branch circuits and low voltage for HVAC. OWNER: TIGARD PROPERTIES INC, PHONE #: CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360- G9 Inspection Request Scheduled For: Date: 4/3/2009 Pour Time: Code # Inspection Description Co -- • Contact # Message 199 Electrical final - 0679313 -01 360 - 600.3316 N Corrections/Comments/Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N 66 Le" Date: 4' 'I O Phone #: (503) 718 - A CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008 00146 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2110:3 Phone: (503) 639-4171 ' i , �ll Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 4/1/20013 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 11945 SW PACIFIC HWY 246 CLASS OF WORK: SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE: PROJECT NAME: [)AXING SEAFOOD STORE DESCRIPTION: Electrical TI, (4) branch circuits and low voltage for HVAC. OWNER: TIGARD PROPERTIES INC, PHONE #: CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360 - 69&8439 Inspection Request Scheduled For: Date: 4/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 067662 -01 360-600.3316 N Corrections /Comments /Instructions: . vt L • r, q\1 91Z o ofs;Qc . ©-- S ►L. .11)s c ts s F , i () . kNgt cz ) o - CSSt Olt . Vit,wtAL, t �(vov; OA c st .)5E3 w Iced -,s. Q caz.� � K.0 s Z Mod N1 'b,stiz.NNEc-/ . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL y FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G. N 06 LE" Date: '1 • I U o Phone #: (503) 718- 2-4