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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00116 A.(- , - 11 1 D ra DEVELOPMENT SERVICES DATE ISSUED: 3/15/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -01400 SITE ADDRESS: 06650 SW REDWOOD LN 200 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT : 002 JURISDICTION: TIG Project Description: Tenant Improvement 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: 12 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: PACIFIC REALTY ASSOCIATES BACHOFNER ELECTRIC INC 15350 SW SEQUOIA PKWY #300 -WMI 55 SE MAIN PORTLAND, OR 97224 PORTLAND, OR 97214 • Phone: Phone: 233 - 2006 Reg #: LIC 44569 SUP 1769S FEES ELE 26 -451C Description Date Amount Required Inspections [ELPRMT] ELC Permit 3/15/04 $160.10 [TAX] 8% State Surcharge 3/15/04 $12.81 Ceiling Cover Wall Cover Total $172.91 Elect'I Service Elect'I 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 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: Permit Signature: Jy) J 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 03/12/2004 11:17 5032332963 BACHOFNER ELECTRIC PAGE 01 I Electrical Permit JgcraritlitED Received Electrical �,eG , Da Permit No. P lanning Approval S City of Tigard M A R 12 104 DaleIBy: Permit N o.: 13125 SW Hall Blvd. C OF 1 I' •A Dated view PtNo.:� Tigard, Oregon 97223 BUILDING r I S �•„ Post- Review Land Use Phone: 503 - 639 - Fax: 503 -598 -1960 ; ., Date/By:. Case No.; Internet: www.ci.tigard.or.us AIL , Contact Jnris.: 1 181 Sec Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information. � q ate e+� �t ,: .r, ;..' R:.. ��i. -�.. ��,... s Health-care facility ■ • Demolition ■ S over 225 amps- commercial 0 Hazardous location New construction ■ Addition/alteration/ • lacement 11 Other: ❑ Service over 320 amps- eating of ❑ Building over 10,000 square feet, ,r,: i 4 , _ c��11�'Sd, 1 6'r��,: ,�::,� • .`r ' ui• .'. •+n family : ' 1 & 2 famil dwellings four or more residential units in ' • � :?� {, a p� : , { ? Gj,�• �l +1 ,1 1 , G�.�: i ' El System over 600 volts nominal one struttetre ■ 1 & 2- Family dwelling Commercial/1ndUStrial _ ❑ Building over three stories El Feeders, 400 amps or more • Accesso Buildin: II Multi - Family ❑ occupant load over 99 persona ❑ Manufactured structures or RV park • Master Builder l• Other: � Sub t _ gets of plans n th } ny of the above. Egress/lighting Z , U :1(., .c Ylt zt0.'...�rtll t ww,s,, r ` :. _.:P� f�,�,,,(`�., _„ ... 1 4 The above are not a lleable to rem ra construction service. Job site address: 6650 SW REDWO LANE .l Y 7 g: l; 111 C i 1 t dl r l`f -1. 1 . ;V r!^ 1. FR Suite #: 200 1 Bldg. /Apt. #: _ Number of ins one per permit allowed Deseri , tlon Qty Fee (ea-) Total Project Name: irTf�R g wrt $ New residential - single or mold -family per 1 Cross street/Directions to job site: dwelling unit. Includes attached garage. Service included: 4 1000 s4. R or less 145-15 Each additional S00 sq. ft. oon thereof 33.40 I Limited residential 75.00 2 Subdivision: j Lot #: Limited energy, non residential ■ 75.00 r WI Tax ma • / • areel #: Each manufactured home or modular dwelling v y t �A're r � serv and/or feeder 90.90 II ' 1 , '.7i FF•.,a ?,1, is } r I N ', 0.c`',. I'. I`1 j ,..I %, ,. ..r ,0 '' • Services or feeder! - installation, alteration or relocation: ec30 20 am to 400 em . ■ - 201 . i1 I � 401 am to 600 , . 240.60 © '; q. ? <J � , I:. .'.! � . . °.l r; '. .I .t . 601 n.. m 1000 i.. k 1! ��a?ut„ ;� ?!�4.h i ,. .. 's . ...�.,. ' over now amps orvolts Name: Reconnect only Address: Temporary services or feeders - installation, alteration, or reloeatloo: City /State/Zip: 2 0 0 , - 2 0 1 amps to 400 amps 100.10 2 Phone Fax 40I w boo emus 133.75 a , V' L ' I' �A' j ' i∎ ' 1..1 i i ;1 :i Psi 7N 0iI lyI'. t I : `+ � d � � (r ,, � � 4 .F.. G ., ... c;l. �?� _, i .,e......l,' ■ ; ... t s ...., r.y...' "�. Bran d rer its alt era ti o n . or Name: extension per panel: A. Fee for branch circuits with purchase of : r Address: service or feeder fee, each branch circuit I 6.65 City/State/Zip: B. Fee for branch circuits without purchase of service or feeder foe, first branch circuit Phone: I Fax: Each a dditional branch circuit E-mail: Miec.(Service or feeder not included); ' 1 Eactr or iRi.• chele S �� .' ' 14 I ., iii �, t .: ? tf .. ,I ! ..,.... 1 , , . . ,.,!. . , , . . . .,., . .� -' „ ■ fir . .,, Rah si _„ or orela+e 1i .,tin � 53.40 il Job No : signal eircuit(a) or a limited energy panel, ■ 2 alteration, or extension Business Name: BACHOFNER ELECT,RR, INC . _, nescr;poon: Address: 55 SE MAIN Each additional leyectien over the allowable In an of the above: — City /State/Zip. pORTGAND, OR 9721 — Per •,,. . - ... • . hour min. 1 hour 62.50 Phone: 503- 233 -2006 Fax: 503- 233 -2963 investigation fee: = other CCB Lic. #: 44569 H Lic. #: 26– 151 C -,. .: .... ' „I,, ' r .,< Supervising el Subtotal $ L„U • l ( ) signature requit Plan Review 25% of Permit Fee S Print Name: t ORPH•P H. AAIQ1wit : 17695 # _ State Surcharge (8% of Permit Peel S . 4S I -- — TOTAL PERMIT FEE $ I l ,?.–, C I Authorized Notice: Tide permit application expires If a permit Is not obtained within Signature: _ Date: 180 days after it has been accepted as complete. *Fee methodology set by TN-County Building Industry Service Board. (Please print name) i:lDsta'Perrnit Forms'ElcPemfitApp.doc 01/03