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Permit CITY OF TIGARD ELECTRICAL PERMIT lipq COMMUNITY DEVELOPMENT DATE PERMIT ISSUED: #: 1/29/2008 ELC2008 00053 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 110 D C - 02200 SITE ADDRESS: 15660 SW PACIFIC HWY A - 6 ZONING: C - G SUBDIVISION: TIGARD PROMENADE LOT : 011 JURISDICTION: TIG PROJECT: WU'S OPEN KITCHEN Project Description: adding (2) branch circuits 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: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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 CENTER DYNALECTRIC 9777 WILSHIRE BLVD. 5805 SW HOOD AVE #609 PORTLAND, OR 97239 BEVERLY HILLS, CA 90212 Phone: Contact #: PRI 503 - 226 -6771 FAX 503 - 226 -7720 FEES Description Date Amount Reg #: ELE 26 -59C [ELPRMT] ELC Permit 1/29/2008 $53.50 LIC 66793 [TAX] 12% State Surchar 1/29/2008 $6.42 SUP 4653S Total $59.92 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 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: Permittee Signature: /� /� 7)g OWNER INSTALLATION ONLY J 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 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. • t- 29 -08; 8:34AM;Dyna s e IVE. ;503 226 7720 # 2/ 3 . Electrical Permit ApplicationRE FOR OFFICE USE ONLY City of Tigard JAN 2 9 2008 R ! Lc. 13125 SW Hall Blvd., Tigard, OR 97223 n Rev Wen— P ermit No.: t : �' V (�3 : , M : Phone: 503.639.4171 Fax: 503.598.1960 Plan Review TIGARD Inspection Line: 503.639.4175 CITY OF TIGAR ,ateRe: Juris• emtit: Internet: www.tigard BUILDI DIViSI S 'f eed/Method: YtlS I S See Pent nr mental ! Inforrmafion ❑ New construction Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked I - ❑ Demolition ID Service or feeder 400 amps or more ❑ Building over three marries. .. -. Other: RY ' OF available amps 1 0 volts - :C.ON6TRU•C`•I'ION ` .:: = � [,.:,::. : ": - " exceeds 10,000 ¢ ntps at 150 boatyards. _. ...: r. .... ... .: .:::.•�. ,.,; .. - :...,., ... ,, .. :....;.,., .., .. ..,._ I e vo Floating buildings. ,,, xc lso ❑Flo less to ground, or exceeds 14,000 ❑ commercial-use a ❑ I- and 2- family dwelling Commercial /industrial ❑ Accessory building a i ricmltaral amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Installation of 75 KVq,or JOB: _I PE S ', „iNFORMATiON :AND CATI larger separately derived system • mergency system �'•� ❑ Addition of new motor load of Job no. - /Of, Job site address: /3242,45/.4-We; �_ �, [ /, , 100HP or more. occupancy. r7L[/ ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: � — (( a ©� ` �/ ❑Health cart f¢cilities. ❑ suppl voltage for more than u LL J� � e lf ' � / — ❑ H azardous locations. 600 volts nominal. no. 1 64.. Project name: !eu/i� v�1� ❑ Service or feeder 600 amps or more. Cross street/directions to job site: K Y Lc C D esMpti �/ L�/(� / 1 Deu p . _- _FEE: ._SGHEDUCE r on f Qty, I Pee Thal al I • ' �' cr New residential single- or multi - family dwelling unit. Rtr- Lx itiVL ill includes attached garage. Subdivision: I /�.ft I Lot o.: 1,000 sq. II. or less 145.15 4 Tax map /parcel no.: s ft. o portion 33.40 1 ti Ea. a dd 1500 ,,.} i;:'::.' • :': P FSCR[P7i'bN !O .., ..: •” �.y: ,,:.._ Limited energy, • . �:! �OR�: iR�, � i�;' r,; }+ {ii�' (with¢bovesq. 75.00 ; Lim ited energy, ,-� - l . - , � multi- family 2 D /d , [� i j s residential (with above sq. R.) 75.00 Services or feeders installation, alteration, and/or relocation 06iiiiKi . I amps or less 80.30 2 . _ . :...... : ... . * TENANT :' "i� .::',�: -�,� 201 amps to 400 amps 106. 2 Name: �- 401 amps to 600 amps 160.60 2 Address: CI r / 601 amps to 1,000 amps 240.60 2 `I / / e4/7c47 ' ' 3 Lf. r Over 1,000 amps or volts 454.65 2 City /State/ZIP: & / y /7S / / W I (4-- "())'j ). Temporary services or feeders installation, alteration, am9 /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps I 1 100.30 2 I 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, Lrerpanel 'P.PLI 7 � - : CAdT�s�.' - ,". - , ";;� =. for branch circuits with .. .. . . ..... .... I I ,. . ,.,... '�Q, ,O��,A,CT. t � above service or feeder fee Business name: each branch circuit 2 B. Fee for branch circuits ' Contact name: without service or feeder fee, 46.85 2 first branch circuit �, Address: Each add'! branch circuit / 6.65 4 2 City / State/ZIP: Miscellaneous (service or feeder not included) Each manufactured or modular 90.90 - Phone: ( ) Fax : : ( ) dwelling, service and/or feeder 2 Reconnect only 66.85 I 2 E -mail: Pump or irrigation circle 53.40 2 +..:•, T)¢�i•- .:•...:.- .. ... . . . ..... : - . -, .. . •. -` . j Sign or outline lighting 53.40 ,n Business name: , A4 ` e — [ Ct /�_ ' Signal circuit(s) or limited - Address: l`-K ,..94) � �J e__ n energy panel, alteration, or Q ��� /0"-te extension. Describe: Page 2 2 City /State /ZIP: / © 9 7La9 Each additional inspection over allowable in any of the above ■ Phone: r, Per inspection 62.50 -• � - - �7 Fax: Vv 7-, _ ���� Electrical Lic.: a�` � Suprv. Li c.: investigation per hour (i hr min) 62.50 CCB Lie.: El x.5 5 Industrial plant per hour 73.75 _ Suprv. Electrician signature, required: ∎ t ` <E.4 .CTRIcA'L'' FEES • .::.. • : hL • .A, Subtotal: 5 3 . Sp , , � \ Print name: 1 ."� ly$. ei ,( L Date: // , js Plan review (25% of permit fee): 1— � �. State surcharge (12% of permit fee): /_ ( a Authorized signature: IQ ri► �••. // 7 �'`� TOTAL PERMIT FEE: S 9 a Print name: a/ 1 j� Date: ,` - This permit application expires if a permit is not obtained within r.9 � ` . 4 , L� days after it has been accepted as complete. \ Building \Perrrnits\ELC- PermitApp.doc 05/23/06 * Number of inspections allowed per permit. 440 l/OS /COM/wEB CITY OF TIGARD • . BUILDING DIVISION I PERMIT #: ELG2008 ia0G33 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1!29/2008 Phone: (503) 639 -4171 ,4., *h1 I*l Inspection Requests (24 Hrs.): (503) 639 -4175 __ 11- INSPECTION WORKSHEET FOR DATE: 2/21/2008 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 15560 SW PACIFIC HWY A - 6 CLASS OF WORK: SUBDIVISION: TIGARD PROMENADE LOT #: 011 TYPE OF USE: PROJECT NAME: WU' S OPEN KITCHEN DESCRIPTION: adding (2) branch circuits OWNER: TIGARD CENTER, PHONE #: CONTRACTOR: DYNALECfRIC PHONE #: 503 - 226 -6771 Inspection Request Scheduled For: Date: 2/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 065381 -02 503 - 849.2328 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C N 641i LC Date: 14 ' v U Phone #: (503) 718- 1 –"t YD, . A CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2OO8 0001,3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/29/2()O Phone: (503) 639 -4171 Ar , Inspection Requests (24 Hrs.): (503) 639 -4175 !,� `:_.. INSPECTION WORKSHEET FOR DATE: 2/21/2008 TIME: 7:00Am PAGE: 29 SITE ADDRESS: 15660 SW PACIFIC, HWY A - 6 CLASS OF WORK: SUBDIVISION: TIGARD PROMENADE LOT #: 011 TYPE OF USE: PROJECT NAME: WU'S OPEN KITCHEN DESCRIPTION: adding (2) branch circuits OWNER: TIGARD CENTER. PHONE #: . CONTRACTOR: DYNALECTRIC PHONE #: 503 225.6771 Inspection Request Scheduled For: Date: 2/21f2008 Pour Time: Code # Inspection Description Confirm # Contact # \sage 130 Ceiling cover 065381 -01 503- B49-2328 Y Corrections /Comments /Instructions: ik F a- `. 10:30 Oz, PAS' ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ ' IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t 0 (YE Date: 1- 1 3 1 6 Phone #: (503) 718- 1-14