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Permit •' � '" i►, CITY OF T I G A R D RESTRICTED ENERGY 1 ELECTRICAL PERMIT - DEVELOPMENT SERVICES PERMIT #: ELR2005 -00043 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/7/2005 SITE ADDRESS: 13500 SW PACIFIC HWY 15 PARCEL: 2S102CC -00500 SUBDIVISION: SHERWIN - WILLIAMS ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: HVAC. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: 13500 PACIFIC CORP BY CAP ADVISORS OREGON HEATING +AIR COND 38345 TEN MILE RD STE 170 PO BOX 397 FARMINGTON HILLS, MI 48335 DUNDEE, OR 97115 Phone: Phone: 503 - 538 - 2953 Reg #: ELE 522LHR LIC 125815 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 3/7/2005 $75.00 [TAX] 8% State Surchar€ 3/7/2005 $6.00 Total $81.00 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 952-001-1100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued by ; � / Permittee Signature Ct� 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 639 -4175 by 7:00 P.M. for an inspection needed the next 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. s ``d `` RECEIVE[ Electrical Permit Application FOR OFFICE USE ONLY ``• <- City of Tigard MAR 07 20 Re e y 3 - 1 -oc -62_ Permit No.: /45-.74 i 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.539.4171 Fax: 503.598.1960 U- l .''a Date/By: Other Permit Inspection Line: 503.639.4175 CITY OF T : -is - . Data Ready/By: Ju.-is: ® See Page 2 for Internet: www.ci.tigardor.us r �1 � f Supplemental InPor: nation 1 ottfied/Met fi mfgr :,. ti ly �p] i i y i'CT..ti•. + .� l +�� . . • - •L ~���T+ � �Y.. � ,�.,�� e .��•, ��, 1�1. ��� ���•�iK^•Y"�l'. ��(�� 1°i••••• _ �._ S•' � A \i;' -'. '��...+��r. xw.,��o..4..K1 = °.'ti� :��.F- ¢•2:- �-:,'S :., :-w ,.q �i' ��a'•71•q��M� '�";2[ =.�*�c a' aF`4 •y,]���''t G .. t:'a'• Y,:a �v�ri'.l�s.l•1� :1�Y.1��rf �- [� ;_t•: ,•, ❑ New construction ❑ Addition/altere Please check all that apply: ❑ Demolition ❑Other; ['Service over 225 amps, comm'I ❑Hazardoi:s location • 3f i' sly lr` r 1 ; : .•: •, _ •. r , ..,: ,s,�• nom. 1 y ,,. ❑Service rating ❑Buildngover10.000sq.ft., ^..{:r t si,. t +E% R� "* ,- b ti s a t °rs� t d :< tl.7 - 'S• >i 'Q: G tt.t' f A, - -q =° s4 e �. ' a -t. Q tr is Ga /,�1 .4 Cf* � of 1 and 2 dwellings • 4 or more new residential ❑ 1 - and 2 family dwelling A Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one sruc ❑Building over three stories ❑Feeders, 400 amps or more ❑ Multi family • El Master builder ❑ Other: •S, Vak"'Co t . , ^ t ii �, y , -. ; p k a ❑Ogcrcupant o plan over 99 persons ❑ManufzeNred structures or .4..S t , n.. O ;E b a. ° '`x � r � ❑ RV park _ E ess/li tm Job no.: Job site address: () r' t :l �r `- - J�, ❑Health care facility ❑O .1 �_ • , ,O( L 1�1 I N%. ° Submit 2 sets of p w ith any of the above. City/ State/ZIP: ��i t¢' G ( The above are not applicable to temporary construction service. , Suite/bldg. /apt. no.: - r Project name: FA=Q es 4 fr1-"°.• - , ;5� Q;Jo u`�a' fi � c;;_.:: Description I Qty. - I Fee. I Total 1 .- Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. R or less 145.15 j 4 Subdivision: I Lot no.: Ea. add'1 500 sq. ft. or portion 33.40 •• 1 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non- residential 75.00 2 v ' ' .-. Ltl • _, G1� 3T Q 9 9'" 7- • . .�&- -- 1 y� .r • - = c�: . . rFe • "-a'• . ' -r Each manufactured or modular i / A-C dwelling, service and /or feeder 90.90 2 ' 1 1 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ' rr [ a s � �, r• . ea" = tt t- ., - - - .. 201 amps to 400 a 1 0? 47 .© : a i. ti ��,,pp� ' • '; Y.;." mp mps 106.85 2 4 ' i7: w s' ., -: . - �.•_. . L` 4 +- f;; ...c i1� dii - - r {� � F = i '•', d - � 1 . x ^�. -:i:. l b ter, r7 :a,' � k [ ��z�' W ._�T'' 401 amps to 600 amps 160.60 2 Name: h ea L?. i I� W d Li_ 1 A-m 601 amps to 1,000 amps 240.60 2 Address: 5. ue .k__:. ° ` r + Over 1,000 amps or volts 454.65 2 s. City / State/ZIP: i /, f C Reconnect only • 66.85 2 1 (1 >_ r ..r.., , (w' . L./ Temporary services or feeders installation, alteration, and/or Phone: ( ) •J I F ax: ( ) relocation 200 amps or less 3 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 arts to 600 amps 133.75 2 • Owner signature: Date: Branch circuits- new, alteration, or extension, per panel `''' - � rrn � � a ; `. h• • ? i ° .g • y - . ...i!,..;43 � :fit A. Fee for branch circuits with service or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: . Each add'I branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: - Pump or irrigation circle I 53.40 I 2 ( ) Fax: ( ) - Sign or outline lighting j 53.40 2 E _ Signal circuits) or limited- 1 -, r:.r✓y ;•K "g3'lx- s[;tetf;'- z <• ? -, .. -. �r.;,.s �+ Y' n t �,... mil• h.9r•• „c S "a "'r` 3:Z 1'S: ' "' ___ _ ener gy. panel' alter r� '���� �'� -; f r CO��1'�':'�=.i-'OR� y,. ��. �a gY P orlon, or � -�'� extension. Business name: Descr.be I Page 2 ' . 2 OREGON - HEATING 1 Each additional inspection over allowable in any of the above Address: & AIR CONDITIONING, INC.. Per inspection 62.50 City / State/ZIP: . P.O. Box 397, Dundee, OR 97115 • p Investigation erhour (I ill. min) 62.50 I - (CO *4 ) 5 - r953 - ^T g Phone: ( ) I F ( ) Industrial plant per hour 73.75 CCB Lic.• : 5 - 15 Electrical Lic.. '� 1 ,' Suprv. Lic.: .r. = -' �^ 5��. Subtotal n Suprv. Electrician signature, required: / - Plan review (25% of permit fee) State surcharge (8% of p ermit fee) Print name: A i 1 , t i x� t'� a I Date: :.. _ _ 1 3 I• ∎. 'A; TOTAL PERMIT FEE 7 1 [ J `,: Authorized signature: This permit application expires if a permit is not obtained .within 190 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri -County Building Industry Service Board .• Number of mspcctees per permit allcwed. iABuildieg Temita\EI.C- PemitApp 12/03 440 461 sr(irmecOWWEs I' d 2L12- LES -EOS dST :20 SO LO -JeW CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2006 -00043 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/7/2005 Phone: (503) 639 -4171 . /A 1 e '41i�4lli`i Inspection Requests (24 Hrs.): (503) 639 -4175 -' .. fi I INSPECTION WORKSHEET FOR DATE: 5/9/2005 TIME: 7:10AM PAGE: 50 SITE ADDRESS: 13500 SW PACIFIC HWY 15 SHERWIN- WILLIAMS CLASS OF WORK: SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE: PROJECT NAME: SHERWIN- WILLIAMS PAINT STORE DESCRIPTION: HVAC. OWNER: 13500 PACIFIC CORP BY CAP ADVISORS, PHONE #: CONTRACTOR: OREGON HEATING +AIR COND PHONE #: 503 - 538 -2953 Inspection Request Scheduled For: Date: 5/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 006379 -02 503 - 849-8162 N Corrections/Comments/Instructions: g Le-'4 F/Mii-1, Cer kB- V . • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ol 1 I/,, /1 Date: Phone #: (503) 718 -