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Permit • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00085 = I � DEVELOPMENT SERVICES DATE ISSUED: 2/15/2005 .,7144-A11 13125 SW Hall Blvd., Tioard, OR 97223 (503) 639 -4171 PARCEL: 2S103DD -01200 SITE ADDRESS: 13970 SW PACIFIC HWY ZONING: C -G SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Description: 200amp service. 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: 1 W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 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: LUTHER, WILLIAM VMIINNIE M NW PUMP & EQUIPMENT c/o L P BUSCH INC 2800 NW 31ST. AVE. BY CAIN PETROLEUM INC PORTLAND, OR 97210 FOREST GROVE, OR 97116 Phone: Phone: 503 - 227 - 7867 FEES Reg #: LIC 64567 ELE 26 -852C Description Date Amount SUP 4884S [ELPRMT] ELC Permit 2/15/2005 $80.30 [TAX] 8% State Surcharge 2/15/2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86.72 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 -3 2344. Permit Signature: Issued By: � � � � � g (� C 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 ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 - 4175 by 7:00pm for an inspection the next business day 02/14/05 MON 13:08 FAX 503 205 1465 NW PUMP 21001 Electrical Permit AdarragIVED FOR OFFICE USE ONLY Cite of Tigard FEB 14 2005 0 cBV „1// 4/0 t3_6 PettnitNo.:06 a�vrl 6 _ 13125 SW ball Blvd., 'Tigard, OR. 97223 Review d Plan Rev Phone: 503.639.4171 Fax: 503.59S.I i1(�TY OF TIGARD '" '' jlll Datl/Bv: Other Permit: Inspection Line: 5(')3.6.39.4175 � , ^_ Datc Ready /By: e fo Internet: www.ti,ligurd.or.uv BUILDING DIVISI Norifcd/memlyd: f / (. S0 uppSelc cmc 2 llnfonnoliun r ,.... .... ......... .. .. ..... ...... ... , _::::::,,:.. , .,..... , ,v,., ..... ..., ,,._. -.,,. ,; ;!i- :':: ,ir::;;c:•:,::_:: ' Err.•,:::::::;:,:. 'r t,,!;a;•.:�• „ -. .... ..... ... ........1 „r.::: -: -. b:., ..... 1...- ...... -....r ,tt ,- ........ -.v ...... *, ,,r�e-�: .,....._. . r. .::• r• 1 1':leii' t:: ',, _.. ........ .. .. .. •:':: ............._ - .- ..........,�1 - .......... ly�yr.::c:;; +... ............. , .r.::.:.:'.i,r,::,:., ,..::,......�.. t. - - „1Pt "� >al: �;1... � �I_ _:::.. 11 , ... ,;:.:;; i:l .... 1,la,rl. :>::. ,: 7:�,!: =_ :;. ,:!E1 „`I>�,.. _ ,„ .... .� >t;;,:_ :tl;lu is:++t::�:: ❑ New construct iOn - Addition /alteration /replacement L Please check all that apply; OService over 225 amps, comm'I ['Hazardous location El Demolition ❑Other: :':,,: � :...:......' •,............,., .,......, :: .......r', p� `` iti!).(:a'•': =:t:,MIt.... ....r, "' ?'ifl;tt'„r: � sq. .._ r. „. -.... ,.. ..... .. I, F^ , .. .._... .._._.- .,' .,....... - ,..vr,:: lid ,ti;: *ai11Gi1:iis� =:,.� of 1 - and 2 dwellings 4 or more new residential 0 1 - and 2- family dwelling Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal unity in one structure ['Building over three stories ❑Feeders, 400 amps or more ❑ Multi - family 0 Master builder ❑ Other: ::::' ....:..:: ::- ::::,,, • .. , . • .... ,...• ['Occupant ed stn, . ,.,... ...•, ;:,q• ,,• apart load ❑M structures ' . I{ :.: ... +;�Li : k'kil�;; * :;ii ; ; ; '': t pl lan p k (ci .� .. ,r . . ❑F.gttESS/li . ° R V par Job no.: l °Z� � Job site address: ) 3 9 ? O. so e � ❑IIealth -earn facility ❑Other: ��� L W Submit 2 sets of plans with any of the above. City/Stare/ZIP: (�� . j Q � 2 q 7 as 3 The above are not applicable to temporary construction at rviee. � ( a � ,` � :: ?i:S +j1' +7;;:ap , {:;•: -- * r � -.:y : p � .!I , .. .. . - :; p.: Suite/bl dg./apt. no.: Project nam ( 1 v I � > be Uira 1!!Uiith _,1i , yt!1 ail IC Q r yu oa tl 1 + ,1 1k;lili , r rorat !4it,,, ° ;:: Cross street/directions to job site. �`� New residential single- or mltlti family dwelling unit. includes attached garage. 1,000 sq. ft or less 145.15 4 Subdivision: Lot no.: F.u. udd'I 500 sq. tt. or portion 33.40 _ I . Tae mat) /parcel no.: — Limited energy, residential 75.00 2 ...:• :::::.....:....::: 6�::: �::;:::: �:':' ::_ "':::�:.;_..:; ,'., ,�.,,,.,..:....:::�,:, . r', „_.:_.:,:y,,�::: ;:::::i::';!il :l.. energy, non-residential 75.00 2 . .........::.:.::. :::::::.:! ::•.,:::.::.::;::;.::::.:::�:: igg gt 6 t' .l :1,51 ......... ...:. .:.. .......,.:..... ......,;�....... >� �t!1, F��:,?Y,Y;4�'' ! = {r; - .,Et1 :i:::t: ?!alai;::.:;;';,;,;:, ?�,!:� ': ' -.::- lti� == =iY:,.::,!t{,,,::;_:.. , .1.,)•,1,.,. - i Each manufactured or modular dwelling, service and /or feeder 90.90 2 Services or feeder's Installation, alteration, and/or relocation 1 80.30 . 200 amps or less - — .:. #i'lIlGli ;Tit;iii;lK,:41'TF r0 =tl' =: 't'1 . .iFl� � f1i''tii:��'.:::, amps l r., - I 20 L o 400 amps f . ,...�'i, ..,..:..a `� , � -•S ti + 10 6.55 2 -- 401 amps to GO atrtps 160.60 2 Name: ( pck. . ` �„.'., 601 amps to 1,000 amps 240.60 2 Address: eaG a4 ce.L l Fh _01= 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State./ZIP; yyn! — • - 1 t,l v $ G e l' �Q Temporary services or feeders installation, alteration, and /or Phant:: (150)) G3q —C(4 a.5 ax; ( ) relocation 200 amps or less 66.85 1 (?Wirer installation: This in 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 600 amps 133.75 • 2 Owner signature: Datc: Branch CitCUit8 — new, alteration, or extension, per panel a y � Y { ` } w � J -- ..•:•,•,:::.:.. _. .... ':s sli!,:.:•;:;':::- ::.6Li ts �'' �'�itrl�l.:.: :i;`E'- ::;;. A.I�ccfarhranchcirCUltsNrlh :�:: .. ..:.:..� .:.::.::.....:......... ,::.:::::.:: ,. .,it.r.,.,.._........ 1, .:..: ".:. =:..:, „ t, tea t:: �:; _::, _,. aervica or frxder fcc, cacti Lirts {Hess name: 0 l branch circuit 6 2 T I B. Fee for branch circuits Contact name: r with. service or feeder fee, Address: aCcx, 3 s.±- branch circuit 46.85 2 r Each adds branch circuit 6.65 2 (:ily /State /ZIP: G v l Qv 0 .. C 7 �1 I � Miscellarlevrus (service or feeder not included) Phone: ) Pump or irrigation circle 53.40 2 ( ) Fax:: E-mail: , ..... _� �� 9 1,10 Put�l� .• C d vv. Signal circtdt(s) limited- 53.4() 2 „. Sign or outline .., .:�..: -. ....-..... �. � ::•: _ . �� 1? �'i_ 11::�.!C7'I.�t, , .... .. . . . .. ...... . ......... �� . .. ....... ..._ ty t: , r;. r ' , mc;,..... lE +N :,. , u::, (IE energy panel. alteration, or Q Business name: iiii 7 extension. D scribe: Page 2 2 Address: .e7,/c3 /1 i 1 3! L° 4_ Each additional inspection over allowable in any o the above d � Per inspection 62.50 City/State/ZIP: A L � 0 d 97QI In vestiguti on per hour (I brim) _ 62.50 M Phone: (Sp 3) .2,2+7 _ '� 7 l Fax: (5 0/OS Cl& s -- Industrial plant per hour 73.75 ., .f. :::ii i; (: ti __ ' r ,- r � J il' 'o ..,,.,i CCB Lic.:6 T Sop Electrical ' r Lie.: ' ' i "hid. t .............. ..... .:. })'tail= i: . L ,r� ,r ' Lic.:. c Subtotal 40136 rv. Electrician signature, r Hired• �� ��i :%� Su (25% p -�” 7�/ C . /0 — � � _ Plan r eview (25'/0 ofpcmtit tee) _ Print name: ii 11__ Date: , r Statesun.harge(8hofpermit mu� �r C�_� 2... 1"[ _05' TOTAL PERMIT FEE g icco + ri '_ Authorized signature: _ • -•.- This permit application expirCS if n permit i9 out ulrtained within 180 / days after it has been accepted as complete Prins name: /nPc t .' b v- Date: a—iv� O' • F•el: methodnlr+775etb Tl'i- Colmt ow , ldiug Industry Serrico no rd •• Nuntbcr of inspecli,n,s perpe allowed. 4iuildinp'P n 12:U3 440d615T(I /oZft:OM /W EB CITY OF TIGARD 24 -Hour BUILDING Inspection Lip 3 5 M43 -7 INSPECTION DIVISION Business Line: (503) 639- 1 BUP Received Date Requested A PM BUP Location /39 �� G ^ G t co r Suite MEC Contact Person Ph ( )mil 9 - 4t © 1 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ASV 20 DE -00 cgs' Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection No = : SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ■I■ Framing D ywalon 0 f L /4/tT1 ► 1 A-& A/�' 5 To /.3E ,U� /-1 ) Drywall Nailing Fire wall COi /� W 1 i'll��� �C LD /9 4,-41 f',OU7 _A Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam 131R Under Slab Rough -In Water Service Sanitary Sewer Rain _, v Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In • Gas Line Smoke Dampers Final • •ART FAIL Cia; Rough -In ` t TO 2 27 — 4/ UG/Slab r _ - / Low Voltage f ' Q PE ' Fire Alarm v‘e•d Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PAR FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line D ,p� t Q AAo ch/ ' Date 13 + Inspector 4 1 P w� " 1 Ext Approach/Sidewalk Sidewalk Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL