Permit ,,CITY OF TIGARD ELECTRICAL PERMIT
17 PERMIT #: ELC2007 -00825
.; • COMMUNITY DEVELOPMENT DATE ISSUED: 12/6/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112AD -00900
SITE ADDRESS: 14800 SW SEQUOIA PKWY ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: HOME DEPOT
Project Description: Electrical TI
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: 30 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:
HD DEVELOPMENT OF MARYLAND, INC LIN R ROGERS ELECTRICAL CONTRACTORS
POBOX 105842 2050 MARCONI DR SUITE 200
ATLANTA, GA 30348 ALPHARETTA, GA 30005
Phone: Contact #: PRI 770 - 772 -3400
FEES
Description Date Amount Reg #: ELE 37 -727C
[ELPRMT] ELC Permit 12/6/2007 $246.35 LIC 118038
[TAX] 8% State Surcharge 12/6/2007 $19.71
SUP 5100S
Total $266.06 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 •• - - han 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rul - : are set fo in • • - 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246 .699 or 1.800.3 .2 4, .
Issued =y: I i h At 4-''j Permittee Signa • e: � , 4 4A -
/ /
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:
ONTRACTOR 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.
12/06/2007 12:40 FAX 6235167389 ROGER'S ELECTRIC -AZ 002
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glectrical Permit Aoplicatio,u
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C City of Tigard � �t� .
I 13125 5W Hall Hlvd,. Tig d OR 97E4E 1• �� permit No.: ,. ? -o�8a
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TtCAh:u Inspection Line: 503.639.4175
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_ El ❑Sdviceerrfeeder400ampsormor; ❑6Wldmg over three swim.
CA7•ti CORY OF CONSTRUCTION a the aad>obte fault saran O Marinas and eoatyse&
e x c e e d s I O,5oo MOO at 150 volta or O Floating iwhldiegs.
❑1- and 2- fbnrilydwelling ❑Commercial/industial ❑Accessor kit tesmacd,aexao°et4 Otbrnmacia141ae i
0 Mum - family q Master builder Fi amp re tar orl other tnahelietionc, bmildhga.
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e 0 R 7.2 3 Cl P ee theilitits, Q Supply vellum for mare than
Suite/bldgJapt. no.: Project name: ❑ riaxdow bred= 610 sett amaiaad.
►- �► 1 �� r •� Malice m ftedor eao mks or „tae
Cross street/ditectinns to job s(to FEE 5
m I. 1 roe. j y s.e e t.
New residential single- or molt) -ffimlly dwelling init.
Inc `�
Madre attached Mo. Subdivision: Lot no.: 1,000 aq, (t. odor 145.15 a—
Tex map/meal no.: Ear d9 500 eq. R or portion 33,40 I
IIESCRIrni3N OF "R ' Lemke! crony, reardenthil 75.00
�wihMoored,) 2
Limited Mom A a .+ WW1— s . I:, hh esldeattisl (wlb Amu R) 75.00 2
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4 i + �^ f - Senders orfecden> ontatteraaoa,asdorrelocatdo
4 APB iC[ Y TENANT 200 amps less 8110 2
Nartie ` 201 amps to 400 amps 106.85 2
f rC t � )/ 7- 401 amps to 600 mops 160.60
2
Addle= �o �i aC e��056 �'� 601 'w to 1,000 amps 240.60 2 • Over 1,000 amps oryoke
City/9tntr,/Z1P: (.}-p f.Ntc (r 3.2 , retaporary sea feeders i umnxt eg and/ e
Phone ( ) relocation
Fax: ( ) 200 amps or fear 66.85 t
Owner lnetallataont This installation i9 being trade on properly that I own which is not . 201 amps to d00 : ,r 100.30 2
intended for sale, leases, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 temps to 599
MN 133.75 2 0%aner signature:
Datee Branch - � at or Rev ravel
�7 .AppLTOAKr `�� A. Fee for branch carols wolf �—
Business 1 ❑ c oNT >E above crevice or realm fee 6.6s
nano: — trees cirwle 2
-- r branch otrcuiti
COMM name:
service Of *oder fee, r 46.85 " 2
q
Aachen: stat bmechtati[ ,
Each add�6ranch circuit Co 6.65 2
C'iry/St atrJl�: 1►la�scdlaneoto !crake or sot em
Each ward or m or
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>%one" ( ) p8 ; ( ) dwetltng, service and/or feeder 2
E- .1.•
Reconnect onl 66.85 2
CONTRACTOR' , t'�porinis7tioa6rck 53A0 Z
• Bttsi�s . • • Si or Bodice lighting ~ i 53.40 2
hatne: t\ gC.O 5f 114 S J2 j1:. t: lc iv.� a . . Signal aI or limited -
Address: lY Panel, idte don, or
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Phone: (770) a — p O Fax ( ) • awed= 62.50
CCB Lie-: /1 • 7 S Lie.: S in tam pet ttmrr �) • 72.75
. D 8 E1�iaalUe.• 7 - 7� C �• 00 73a5
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Authorized signature: j � � /'► ✓ State acre a (8% of permit fee): , /9. /
......1.1w1 WI TOTAL PERMrr FEE: m , ' /� I, 0 4
.. " - -I o: .CMW Dale: /� (,� 0 / �soam t�awrNo plot eu+. Ow
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deya after it tees beau mined b complete
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CITY OF TIGARD ` �-
BUILDING DIVISION PERMIT #: F_LC2007 -00875
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/6/2007
Phone: (503) 639 -4171 s- �� I r�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ' IL.
INSPECTION WORKSHEET FOR DATE: 2/12/2008 TIME: 7:05AM PAGE: 56
SITE ADDRESS: 14E300 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: Electrical TI
OWNER: HD DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: 1IN R ROGERS ELECTRICAL CONTRACTORS PHONE #: 770 -772 -3400
Inspection Request Scheduled For: Date: 2/12/2008 Pour Time:
Code # Inspection Description Cgnfirri- Contact # Message
1 9 Electrical fine) , 064810 -01 406270.9762 N
Corrections /Comments /Instructions:
f
1■ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• -: ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GM NO3 O3 Date: Z 1 -' 04 k) Phone #: (503) 718- 446 ,