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Permit • A , CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00084 :unr DEVELOPMENT SERVICES DATE ISSUED: 2/20/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 103 D D -00400 SITE ADDRESS: 13727 SW PACIFIC HWY 150 ZONING: C -G SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Description: E 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: 2 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: 9 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: CB RICHARD ELLIS MATHEWS ELECTRIC INC PROPERTY MANAGER 18822 SE 12TH WAY • 1300 SW FIFTH STE 2600 VANCOUVER, WA 98683 • PORTLAND, OR 97201 Phone: 503 - 221 -4810 Phone: 360- 885 -0228 Reg #: ELE 37 -892C • LIC 132524 • FEES SUP 4463S Description Date Amount Required Inspections [ELPRMT] ELC Permit 2/20/03 $256.70 [TAX] 8% State Tax 2/20/03 $20.54 Low Voltage Inspection Rough -in Total $277.24 Elect's 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 180 •. - . ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OA : - 001 -01 • through 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. 1 4j Issu - • By: 1 1 , , l �� : ) 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 INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: x � nw� DATE: LICENSE NO: I/4t LO 3s Call 639 -4175 by 7:00pm for an inspection the next business day , F72/2v!2Ee3 E1 5:113E735520 JANTWEL LCD PAC -.F. FJi /02 .Eiectricai Permit Application r -.-- 7,--_. — Received nn Electrical r. - • I Date/B : 0( ilk 613 Permit No.:C�Xd g 5 City of Tigard l ! Planning Approval Sign I Date/By: Permit No.: 13125 SW Hall Blvd. l II Plan Review Other Tigard, Oregon 97223 i Date /By: , • Permit No.: Phone: 503 -639 -4171 Fax: 503- 598 -19M) Post-Review •' Land Use p . Internet. www.ci•tigard •r.us _."1,1-' ° " ' I + ' � I Contact Cast No,; Contact , ,ru '' - 2c See Page 2 for + 24 -hour Inspection Reg est: 503.039- 41751; Name/Method: /(f S upplemental Information. 1 0. &A -psi ?l!__' ■ Se i� ::, !' :.:; ; : t. ',..� t , Vii t , Y' .F ! , t '. . ::r ..rlti, ' ;� h::r3.tti''r.� ., �a ��.��1'.�4� .:V1 : ,il !'11��I��I:. ,. ! :'..•�'.pp//! .� r i (�y '::•o�i :.. • " "' L +I:ul � ..: •� '^ u .�. .. S•1:'�`: 1 t � e.i � �. Fu t 'nf.�'. New construction - �', gas d � I _ Pe;t101S,ij,Ul Service over 225 amps- El Health-care facility commercial 0 Hazardous location Additionralteratio re lacerDtet;t i Other: , ' �.....�.,:.: ; _ ,� .� _.. I Service over 3�0 amps-rating of Q Building over 10.000 square feet, ..: ;, ' „ . ;' I� ', Y Q � 0_ $ ' N '', T�� , y ;,1';,,,,,,, , 1 & 2 family dwellings four or more residential units In -- 1 & 2- Family dwe l in . 1 / Corr„,.rcial /Industrial ❑System over 600 volts nominal one structure Accessory Bdin • 1 ❑)3vi! ding over three stories 0 Feeders, 400 amps or more ry uil � M ulti- a mit y 0 Occupant load over 99 persons 1 ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ;! ❑ Egressntghting plan i ❑ Other: ,,:..r.!, i,lfy s:' 'Sly 's etae\ . o g ? ::' ".:': it _ plans with jS'r. ' ..,:rJ ? t . 'y�a�� `�� • , � �' _ • ? i 6!.; Submit Seta of le wit ny oftheabove. a Job site address: r Z �P' , w iry , . The above are not a • • licable tto ore • construction service. Suite #: • Bid t./Act - : Number of ins sections • er • ermit allowed Project Name: v 7, Descri • don Qh Fee (ca.) Total Ilw � ; New resldeottat�ingle or multi - family per i Cross street/Direction� to job site: dwelling unit. Includes attached garage. ' Service included: 1000 sq. ft. or lees 145.15 4 1 ,. Each additional 500 sq. ft. or portion thereof 33.40 1 k • • ited energy, '. ergy, residential . .00 2 Subdivision: —_ u I L,Ot #: '. Limited ener_� non residential 75.00 2 Tax ma./ areal #: I' Each manufactured horse or rn • ular dwelling . ( 4 • :.i 'a,, •,• •' i : •.i:t ! ?'2 L - r,.o ma?" ?" v i' i: , i:d,' ,V,Li: tv.. . : ; :' service andlor feeder 90.90 2 Services or feederr - installation, 1: alteration or relocation: ! i! I 200 am • or less 80.30 -- is -- 201 am. - to 400 am •' 106.85 2 401 amps to 600 amps 160.60 �- �ii EsT2. ll� E,i.7-.•:�Jyl:i r P tv " , ::I iiP: I r k l: i,... : �', : 1 „ c.1, '! 601 a t ,.�i�tiUr�`�! ' ,! 16�: �14{ 9 �, 4 , -,. ,,l' -.!'' : '� raps a 1000 amtn 240.60 Over 1000 amps or volts 454,65 Name: M/��l Reconnect only 66.85 Address: / 3 72.7 l eisiA ir9 J e.,._ / Temporary services or feeders • installation, ; alteration, or rdocation: Cit /State/Zip: 7'V4p 1 200 amps or less 66.85 �, P � h , one: 6 78 4,.5 " Fax: 4—e 201 amps to 400 amps 1.0('.30 09' . ;.'�, 3�s !li "•t !li g� ')p .,; ,,., 40: to60Darm 133.75 a �!1 .J l44Fn4 :., :d f , f1:.'li kL ''rs..!:a. .14-, ! , :.'f}! :l sin. Branch circuits - new, alteration, Or Name: U , iC y' L" extension per panel: A. Fee for branch circuits with purchase of Address: • � t ! 410 service or feeder fee, each branch circuit 6.65 C1tV /State/Zi : W� I':, B. Fee (r branch circuits without purchase of MR • � � C R 9arvid fee, enc first branch circuit 46.85 2 Phone: : _ i9 3 Fax: r — O d each addi tio aal al bra branch h circuit `III 6.65 2 E - tlnail: 2.22— ' G' !• Misc,(Serviceor feeder not included): r r� �y {� ‘••::.:' x ; •, Eaeh or irri tion circle ''0 I I ! Ii 4191i� � 1.' F !, i l.V,Zi.'C,:�'� : S5 � 1 : ,7 r '' i . : " '. NII h ji ?� p 53.40 II '�' �'`' ! ! Each man or outline lighting 1 53.40 Job No: _ _ I' Signal circuits) ot•a limited energy panel, 1 I Business Nam y+R•a•'7 r' t , £ ;- Description: ti on: cr extension Pa' • 2 ZT 2 ' F- �-- e C � Descripti Address: _ i I' 14-i,r.Dt1�°, '04i1 i Cl ' /Si3te /Z7 : I Each additional inseection over the allowable in an of the above: —•..T I' Per ios1 action per hour (min. 1 hour) I 62.50 Phone: Fax: I in sti _ . Lion fee: i CC$ Lie. #: j Z Lie. #: -7-- g e- Supervising electrician ?-1- : t :i ! a c 4g • S R ; ;r : '3' ;' � , •a 7 ii :i!„I i " ;,. ' _ Subtotal $ 5 , - t signature required: _ Plan Review '25% of Permit Fee $ Print Name: trLta�rK � at �Lic. r' :)3�.5' a � • y State Surc -e 8% of Permit Fee IFIIIIIIVAIEV � � TOTAL ,PERMIT FEE $ ,- 7 , al Authors ! Notice: This permit applicationet pirea if a permit is not obtained within Signature: Ac....4D a te: © 3 180 days after it has been accepted as complete. 'Fee metho set by Tri•County Building Industry Service Board. i,\.t•k- ' lc 412 k ... a (Please 'lit name) 11 /,, J i 1 I i' \psts ■Perm m it Pora■EirPerrni lrp.doc- 01103 h ,,rt.,� 0 a sr. ' J , i, • 11 • •