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Permit - -'CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00800 DEVELOPMENT SERVICES DATE ISSUED: 12/14/2004 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 25101 DD -00100 SITE ADDRESS: 07000 SW SANDBURG ST SUBDIVISION: ZONING. I -P BLOCK: LOT : JURISDICTION: TIG Project Description: Sign connection. Job # 62614. 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: 1 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: 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: PAPE' PROPERTIES + FRAHLER ELECTRIC CO PAPE', TERRANCE/TOOKE, DIAN + 11860 SW GREEN BURG RD PAPE', SHIRLEY N TIGARD, OR 97223 EUGENE, OR 97440 Phone: Phone: 639 - 4627 Reg #: LIC 37410 SUP 1816S FEES ELE 34 -13C Description Date Amount Required Inspections [ELPRMT] ELC Permit 12/14/200 $53.40 [TAX] 8% State Surcharge I2/14/200i $4.27 Rough - Elect'I Final Total $57.67 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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: � . ry_� Permit Signature: ca-e, p 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 E1ectr:a1 Permit Application FOR OFFICE USE ONLY r Plan Review ® Received City of Tigard : i /, t / Permit SW EI� DateB : � !/ % 4 , � �_ / j, � ) / 13125 S uJ Hall Blvd., Tigard, i l iB iZIG °Phone: 503.6 39.4171 Fax: 5.1960 ''-s - + \ Other 100 4 : DatrJBY Inspection Line: 503.639.4175 r( � '� -• Date Ready/By: 7 . /0 , 0 See Page 2 for Internet www.ci.tigard.or.us oE li , t1D - Notified/Method: Supplemental Informatloo ., . � r t k - 1 '{ -4 t - ?' 2 ---,...t'=" ..-t. - -m x - 4 M C _ - . ,.+ '' �. " +� r-s- r 5- nF" "0yR "-' ,� 1 - I A - n. '�`' ". . r ) . � _ _ ■ k r k y } 3 � i t s ue ' r F � . 0 . 1 -- h J e . ° ' 4 . P � � � .r.,s_.._ /.�ct...sa.2._ _ems >.:C3s:�., � 1 ? _.: , "" G i��S '>' _ - . - ❑ •New construction C71.114 a, 0 N era Please check all that apply: ❑ Demol ❑Other ['Service over 225 amps, corl ❑Hazardous location ' 3' 4 i '-'-'-'2,-,'.,, M �t ti L s ['Service over 320 amps - rating ['Bulldog over 10,000 sq. ; +ry- x _ _ r ti5 7 �� t ( ti h .1 t .r.:5+I u . f . i - r Y I of 1- and 2-family dwellings 4 or more mew residentia ❑ 1 and 2 family dwelling i Commercial/industrial El Accessory building ❑ System over 600 volts nominal units in on_e structure ❑ Multi- family ❑ Master builder ❑ Other: ❑Building over three stories ['Feeders, 4100 amps or ma ❑Occupant load over 99 persons ❑Manufactured structures s x . r - _s. ..y4 a cii t 2_: 7 U t �. fl. 1 n � ng, F ( p 4 7h _4L]Q .-4r� ?4'1 ❑ RV Egress/11 tm plan . park �._- !wIV . : _fr' -.. ..' V 'r re__ = - - a rk._ 34 ∎ 77. grey gh gp Job no.: 62614 Job site address: 7000. SW SANDBURG STREET ❑Health-care facility ['Other: Submit 2 sets of plans with any of the above. City /State/ZIP: TIGARD, OR 97223 The above are not applicable to temporary constru ction service. ri i ?t's' s L k . F - ' • �- r..:,,-ri -.A - r.�- , .r . y "c i+ 'Y . • Suite/bldgJapt. no.: Project name: PAPE GROUP x t v r` r ,' t ~ '``` ' - ° Deaeripdon • Qty. Fee Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. R or less 145.15 Subdivision: Lot no.: Ea. add'] 500 sq. ft. or portion 33.40 Tax map/parcel no.: Limited energy, residential 75.00• ,, 3rg�,1•.�� Limi energy, non - residential 75.00' a ii _ .� t . , ? i '1 s2 _, >� ., _', ^ 1 ' , ,; ;i.r`e.,s9 ^� y x tf •... _ - -, t a � Each manufactured or modular CONNECT SIGN dwelling, service and/or feeder 90.90 Services or feeders installation, alteration, and/ or relocation 200 amps or less 80.30• -_,.......i 4 ,__'` t ........4, ` . ' . 4 F. , 4 `'�iA J � A n ,-- 201 amps to 400 amps 106.85 401 amps to 600 amps 160.60 Name: +� • _ " y 1 . 601 amps to 1,000 amps 240.60 Address: Over 1,000 amps or volts 454.65 Reconnect only 66.85 City/State/ZIP: - Temporary services or feeders installation, alte ration, and/or • Phone: ( ) Fax: ( ) relocation 200 amps or less 66.85 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel '- rt t . s` y rt ; s ` , t ti -� f w °r , T f� a� ti ei, a r, rt-#' A. Fee for branch circuits with a• 7. ;r ��_: +.r t S a..s__ 1 r ' y, . _ F, _ _ I dli a� L t ; ' 41.. t y7 t : = I L I �4� r y! < . _ ._._ _�. ... service or feeder fee, each Business name: branch circuit 6.6s Contact name: B. Fee for branch circuits . without service or feeder fee, 46.85 Address: each branch circuit Each add'l branch circuit 6.65 City/State/ZIP: Miscellaneous (service or feeder not Included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 Sign or outline lighting 1. 53.40 53.40 E-mail: Signal circuit(s) or limited- ) j W : ff * . 5 _ _ `. rr,.+;`•` a , :i 0- 1 11 i `k rites ` i4 X , : ' ` .W energy panel, alteration or Business name: FRAH1 ER FT .F,CTRIC COMPANY extension. Describe: Peke 2 Each additional inspection over allowable In any of the abov Address: 11860 SW GREENBURG ROAD Per inspection 62.50 Cih' /StateaIP: . TIGARD OR 97223 Investigation per hour (1 hr min) 62.50 Phone: ( 503) 639 -4627 Fax (503) 639 -4673 Industrial plant per h 73 75 Res qa+ .a`� (g, r 7 I ? fit • IETR g' CCB Lic.: 37410 Electrical Lic.: 34 -13C suprv. Lic.: 1816S Subtotal 53.40 Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: W. FRAPL Date: 12/10/04 State surcharge (8% of permit fee) 4.27 TOTAL PERMIT FEE 57.67 Authorized signature: , This permit application expires if a permit is not obtained within 18 • days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri-Comity Building Industry Service Board •• Number of inspections per permit allowed. elBm7dmg %PermitAELC•PerraisApp.doe 12/03 440.4615T(10/02/COM/WEB Electrical Permit Application - City of Tigard -' Page 2 - Supplemental Information • LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning - System* ❑ Vacuum Systems* ❑ Other: - Fee for each commercial system. $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* • ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations E aoo 04103 CITY OF TIGARD 24 -Hour BUILDING Inspectionine: (503) 639 -4175 INSPECTION DIVISION Business Line: 1503) 639 -4171 MST BUP Received Date Requested l — AM PM BUP Location © ,A ..r _ ` Suite MEC Contact Person – 7/%2 . cvi.1 / Ph ( ) (n 7 9 ..STS pLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing n ' ELC °Z�'1 -0 O ?O a Foundation Access: G w� Ftg Drain 1.-f •1 dr( qa l ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling I Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In Low Voltage L C 6 V. c o ! J V -/- / / o / �' S'/ �- 5 �i Low Voltage ��i- ��` a - 482, �� `� Fire Alarm ■NiaP^► ter. Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 4 1l PART FAIL SITE fl Please call for reinspection RE: Unable to inspect - no access Fire Supply Line / _ — /L ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from th job site. PASS PART FAIL