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Permit CITY OF TIGARD E PERMIT PERMIT #: CAL P RMIT 5 i�► DEVELOPMENT SERVICES DATE ISSUED: 3/10/2005 r �' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 2S102CC - 00500 SITE ADDRESS: 13500 SW PACIFIC HWY 15 SUBDIVISION: SHERWIN - WILLIAMS ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: <400 amp service. Job # 50150. 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: W /SERVICE OR FEEDER: 27 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: 13500 PACIFIC CORP BY CAP ADVISORS RICHART FAMILY ELECTRIC 38345 TEN MILE RD STE 170 14600 NE 20TH AVE. FARMINGTON HILLS, MI 48335 VANCOUVER, WA 98686 Phone: Phone: 360 - 574 - 5859 FEES Reg #: ELE 37 -1023C Description Date Amount LIP 50439 SUP SOI5S ISS [ELPRMT] ELC Permit 3/10/2005 $279.75 [ELPLCK] ELC Pin Rev 3/10/2005 $69.94 REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcharge 3/10/2005 $22.38 Total $372.07 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: TO ��� 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 639 -4175 by 7:00pm for an inspection 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. • Electrical Perrot A s ! l_ FOR OFFICE USE ONLY City of Tigard , - • Received ii DateB : a 3 05 61.6) Permit No. • U0 /0 13125 SW Hall Blvd., Tiga. 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1 60 1o0s 4 i� Date/By: Other Permit: Inspection Line: 503.639.4175 V� 2� e`II Date Read yBy: � _ J,WS:- H See Page 2 for Internet: www.ci.tigard.or.us y p Notified/Method: � / OS , I Supplemental Information vro....�- w.t, �"f,ir Y�':'r. "< :�r' - � ilk- °,r.':i'z - :t 7, � , J t � ' � � ' - �y� ^ e,=+;n '::. �1r .:4X� 'IrJ6 �JF' � +':�'� &'a'h�' �rL:a"�.�A r ,- .'..sa�z. .1 4 ikt . r . -. e;',. ..r ..l..,' ; .;; o,a /-:0.X �` y': �.. „l r y , y, a - , : "' fir r, N o tli .':`t" id, r• ' :�,. ? � =.r: « :. . r :ct . P ; �. © ' _a : 4e �,;4 i..0.; eo,,, ,J„ , d a c . , 5P. ,4IY'R , „ :; . ... c,.. -�5• k s�t:�, 'c :1',:. v`.�> ��'T�� .�...����.5r7?`�, ?.: �. �u• tf,. rr.��- „'q- ,z3.'(t,�l���...,.., az �a; t�� ��5/. t ,_.ar`�' " ?.._.- Rlew construction Q Vv 1 41/al eration/replacement Please check all that apply: 1 e ❑ Demolition v Other: rvice over 225 amps, comm'l ['Hazardous location V •��;� ;•,f.;:;= •'1 } l; - � gw•L,•? �t `4 ,� 7 �: �.;- d •�' r,: _ !; , - f Y;�.rr - .t :•,, e,i'••h� i.i�r • • 17� . ❑S ervice over 320 amps - rating ❑ Buildng over 10,000 sq. ft., C ,-- = r� ; . " .7 4 ';ri� : . c . ' :r�AT G tY § �eOl il l - CTIOF � . yy : t4i - 4, t ; . ; '' ;� , ' _'� of 1- and 2-family dwellings 4 or more new residential .M SA,- I.:t.a.rs.,.,,...:., r.,,,.. . : ... __f�,. :i', Y.,:hs�,... .a.:...dr .'^.,I,T,a�_n- , : r<4. n•N . y g y ❑ 1- and 2 family dwelling ®'C ❑ Accessory building ID s over 600 volts nominal units in one structure 1 ❑ Multi - family ❑Master builder ❑ Other: ❑Building over three stories [Weeders, 400 amps or more ❑Manufactured ` �? =��a "'�Y •;yLj.;:il �': � {'., =�+� •.•'��: ��•t. �:y� ,� „r,�fi.1.,.� -.r�c;,t 7 , - �.�sh'��,�, , DOccupant load over 99 persons structures or y .:s ti `:f = ,}a:. ; ' 0): S1iT ,,lI1V0I2� ATIiti,F, :0g'AtP.YON• 'y - �;=�-' ;= 'It 1:1 RV ark - - . 'u: -., •- wa• - ra±o-:r�•�:- - F:�:`'- t.:. �- �: r- 1•tu >.} .i- ,.3r�='•.%ucYkvr.�'Y Egress /lightingp1an P Job no.: Sd /SD Job site address: /3_5700 5u, Aa,t• c yU, ❑Health - care facility ❑Other: tc �` Submit 2 sets of plans with any of the above. City/State /ZIP: 744 are9 fe The above are not applicable to temporary construction service. e. Suite/bldg. /apt. no.. ,/ r t'-a'=, at- g:!= '`r:3`;�± ` :, §t?? *�J'LE''�c; J •.'.. .. Project name S/7t°�G l�� Zion 45- *.^;.:_; F ' { ;`'1:.'� .. Description I Qty. I Fee- I Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. - 1 \ Includes attached garage. '( 1,000 sq. ft. or less 145.15 4 r Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 ~ ax map /parcel no.: Limited energy, residential 75.00 2 ,, ,. r. <�., Limited energy, non - residential 75.00 2 1 / r i ' 'V,• ;; y:�' x:;j - °,,,: ;%'' DESCi2IP�TTO_i.,9;; t QRZ{: TM� ,;,vv.42 :4.e ;x i : V.4; ,,, , Each manufactured or modular dwelling, service and /or feeder 90.90 2 r e St Z Z. 5 4(rL ,e2.,6 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 I " 2 t. *. - r . , �., - ;:„; ,,; • , .: 6:K N :,-1,,, -° 201 amps to 400 amps 106.85 F: "�^r �'- ��O,I�ERTY- <O . �'�.Ry�.:;;��•' _ � � ..�,; /:�� , �'� P mP r � IU�.B.� i 'Y , .,•. f '*4...7 , , 3g w _ <+ K..T t .- . ,-w ...V z t i' ,., , f ® ! T { ,rFl 1� 1 . . ,„ 5 ky' ,,, 4 1;.t1- t # - ..> 1 - Yf -.S':} . i` .', hy.. ?:Y :l -! .. .�-1 .,.,.}.,.V - 1,•' ! or<� * nY• , ..l�.:... 401 amps to 600 amps 160.60 g/ 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: . Temporary services or feeders installation, alteration, and/or • Phone: ( ) Fax: ( ) relocation - _ 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 T 2 ' intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A 0'7 't -�Nr i'.414' f, > - ` r - ., ei; ; y . . I.l t 1,i;:.0,i Y ," . : .: , y-_ 4 S - vypt cam : :.:i A. Fee for branch circuits with y {, au t�... 4' r _,:_�'S3.•rc, Y ; w�A�,�. * .''d,'4 r , F els-4+'.:.` - : Y: ks:'�. - `h. ».c,+�e,.:,a•r. w,� - ._:.. 7F er g., ,: service or feeder fee, each 2 / d 6.65 �P ( /yid 2 • Business name: branch circuit H ' B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit . Each add'I branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: Pump or irrigation circle 53.40 2 ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - ";;ys' i ^ ,". --5' __ r, a:;r�iW F . - _ - .2.. '+!= �t.:,q. _ .c.a•+'� .. Y ?" y�' !ti ; ; _:y °, p, ;,rtifii, 3 , M, ; x.' ��.2 energy panel, alteration, or 'n,, rtr��lp. > :��.•,� :r,,f;.• :,,.;,: C,Q�RCFO�R z a M:.. , = A; _ .' .. 1., f.7 ",L`: _fi,• �h!:,1,:Y:,: ...��: -.., ,_�1 ,0. =. i..r ,�� extension. Describe: Page 2 2 Business name: /`/G G univ J t, / E2e.e:7r /c. Address: / v 600 //E. zv /tie Each additional inspection over allowable in any of the above ' / / Per inspection 62.50 City /State /ZIP: Va ever t "4 4 cC ,r/o Investigation per hour (I hr min) 62.50 Phone: ('3 (,o) 5 y- 5: i • Fax: ( 3 6 0 ) S y_ X16 9 Industrial plant per hour 73.75 k 4 -�i_ I PA,tiAMA .t. FEES* !'; %i;:;.21 CCB Lic.:' 50 9 39 Electr;CaLLic.: 77 -102 3 C Suprv. Lic.: Sv /5"- S Subtotal 1 � j3 • Suprv. Electrician signature, required: � � Plan review (25% of permit fee) jt 6 � 7y Date: State surcharge (8% of permit fee) ,f 3 b • Print name: tae O Ur 4 � 72 2 - 63- � J • TOTAL PERMIT FEE ■ 3- r7� aq Authorized signature: �// This permit application expires if a permit is not obtatnett w within 180 // days after it has been accepted as complete Print name: 7)7, / e _ t/,7/ C // Date:2.- 2 3 -05- • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. i Building \Perrnits\ELC- PerrnitApp.doe 17/03 440- 4615T(10/02/COM/WEB CITY OF TIGARD BUILDING O PERMIT #: 13125 SW Hall Blvd TigardDIVISI N , OR 97223 DATE ISSUED: ELG2005-00105 Phone: (503) 639- 4171 3/10/2005 Inspection Requests (24 Hrs.): (503) 639 -4175 • _ — INSPECTION WORKSHEET FOR DATE: PAGE: 5!10/2005 TIME: 7 :16AM 20 SITE ADDRESS: Y 15 SHERIMN- MS CLASS OF WORK: 13500 SW PACIFIC HWY TIGARD MARKETPLACE TYPE OF USE: PROJECT NAME: SHERWIN- WILLIAMS PAINT STORE DESCRIPTION: <400 amp service. Job # 50150. OWNER: PHONE #: CONTRACTOR: 13500 PACIFIC CORP BY CAP ADVISORS PHONE #: RICHART FAMILY ELECTRIC 360- 574 -5859 Inspection Request Scheduled For: Date: 5/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 006507 -01 360 - 909-0265 N Corrections /Comments /Instructions: OG, P /4y4 z g pp ', ✓,fin Ala r i ___ SI6p4ri i ti 7 ELe -f2/ cJL Pfiegrfr f$ &LiRR,2 it' u P fA r AdAtiffAe x PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6, K/., N Date: S `Di64 Phone #: (503) 718-