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Permit ' - I A. CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00371 gln DEVELOPMENT SERVICES DATE ISSUED: 6/1/2005 „� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S126BC-01500 SITE ADDRESS: 09000 SW WASHINGTON SQUARE RD HOTEL ZONING: C -G SUBDIVISION: EMBASSY CENTER LOT : JURISDICTION: TIG Project Description: 100A generator for event. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 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: 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: PORTLAND HOTEL ASSOCIATES HOLLYWOOD LIGHTS, INC. BY R E T S 5251 SW MCLOUGHLIN BLVD. 100 SPEAR ST STE 1440 PORTLAND, OR 97202 SAN FRANCISCO, CA 94105 Phone: Phone: 503 - 232 - 8855 FEES Reg #: LIC 78109 ELE 26 -673C Description Date Amount SUP 4337S [ELPRMT] ELC Permit 6/1/2005 $66.85 [TAX] 8% State Surcharge 6/1/2005 $5.35 REQUIRED ITEMS AND REPORTS Total $72.20 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 NotifiQion 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 re 7V32-23 , 14. Issued By: Permittee Signature: �� 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 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. 05/01005 13:27 5032328505 HOLLYWOOD LIGHTS PAGE 02 ! 1'(111 fll l ll l: l �l: ( >vl.l Elect al Pal Pe>rmlt A licatil�n �eOC,,ro d Ptatnit 1 , •vS -ov Cif of Tigard d EC EIAD 'atc/s : r Penn Review Other Permit Phone: 503.639.4171 F 503,598,1960 13125 5W Hall Blvd., Tigard, OR 97323 , , 7. ,, patty; Fax: i;� iI • i Inspection line: 5 Da Ready/By, mr � ®See Pa@e Z for r,¢pplc,n c 2 Information Interne t www.ci.tigard.or.us r.us Ild'M � : . Notified/Method: Internet Itl , I 1 , rI,AN REVIEW •TYPE OF WORK � -,t, w . - Please check all that apply: t y ❑ New construction ❑ Addition : -tin a en DService over 225 amps. cnmm'1 1:31-1117ardous lxatinn DWISION ❑ Demolition Other: • JILDIN � ❑Service over 320 amps - rating 0Buildng over 10,000 sq, ft., GORY OF CAI L . of l - and 2- family dwellings 4 or more new residential System over 600 volts nominal unity in one structure ❑ l- and 2- family dwelling 0 Commercial/industrial _ IE OFocders, 40 ps 0 am. or more al /industrial ❑ Accessory building ©Building over throe sicries 0 Multi - family 0 Master builder s Other: DOccupant load over 99 persons j]Manufactured structures or /lightin); ! an RV pork .SOB SITE INFORMATION AND' LOCATION j] -cart facility D RV pu 1.' 1 Job no.: Job sikc address: gQb� ) �+, W . (t j - Submit 2 sell of plans with any of the above. _ q 7 11----- the above arc not applicable to temporary construction service City /Stat /211': d r e FEE• SCREDULE •• Suite/bldg./apt. no -: Project name: Fe e: Description I Qty. e I Total - New residential single- or multi-family dwelling unit. - Cross street/directions to job site: Includes attached garage- 4 1,000 sq. ft. or less 145,15 _ add'! 50(1 sq. tt or portion 33.40 1 _ Subdivision, 7 Lot no.: Ea. -- Limited energy. - 2 + residential 75.00 1 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRLPflON •L31~,.`WO)�K path manufactured or modular 90.90 2 . / dwelling, service and /or feeder v a G e' h �� o r r' Services or feeders installation, alteration, and/or relocat - T Y . l 1 s O E L '� k 5 200 amps or less 110.30 2 201 amps to 400 amps 106.85 2 TENS 401 amps to 600 amps 1 G0.60 2 �] PROPERTY. OR'NER 240.60 2 Name: 601 amps to 1,000 amps Over 1.000 amps or volts 454.65 2 Address: Reconnect only 66.85 1 2 City/Statc/ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 r• .. 1 20 Owner installation: This installation is being made on properly that I own which is not 201 amps to 400 amps MI 100.30 2 g g 670, and 701. 1 33.75 2 intended for sale, lease, rcpt or exchange, according to ORS 447, 449, 670, amps alterntinu, or extension, per pains! Owner signature: _ Date: A Fee for branch circuits Huth ^ ; . . . . . , t ,.. ' : .� .CC9Nd' > ; ' . " _ feedet fee, each 6,65 2 I ice or branch circuit - — Business name: Fee far branch circuits tt ithout service or feeder fee, 46.85 2 Contact name: eac h b ranch circuit _ Address: Each add'I branch circuit 6.65 J 2 Miscellaneous (service or feeder not included) City/State/ZIP: Pump or irrigation circle 53.40 2 Ttdx:: ( ) SiFA m cutline litilliing 53.40 2 . Phone: ( — - Signal circuits) or limited - E-mail: energy panel, alteration, or Y . CONTRACTOR � ~ ,'/ extension. Describe: Page 2 2 Business name: ti O L� ` %p I 1) C. ( S 1 4 Each additional inspection over aDawable in any of the shove Address: r( g , G ' M .) Per inspection 62.50 � t City/State/ZIP: r '6 ; C /1/ p 9 1 �0 Z Investigation per hour (1 hr mm) 62.50 73 75 (.5-6 Industrial plant per !tour ,i) Phone: 9. ) a . a_3.,. 5'5 Fax: 3) . Z. — I 0 ' E)LECTR[CAL PERMIT FEES° k' e CCB Lie.: ' 8 i a 9 Electrical Lie.: 4,73 Suprv. Lie.: • y - Subtotal 6 $ 5' nture, required: _ /- Plan review (25% of permit fee) Suprv. Electrician sigh � 9 State surcharge (8% of permit Tee) � • 3 _ Print name: T Q 1. i t✓ 61_5 Date: , TOTAL PERMIT FEE 7 Z 2, a Authorized signature: , This permit applieadon expires Wu permit is not obtained within 180 days after it has been accepted as complete Date: • Fcc rnethodology net by 7}i•County Bonding industry ice Board Print name: .. \, ._,,,__ . e r __ _,t , a /Q —i — D '1 q 3 31 5 CITY OF TIGARD ,.. BUILDING DIVISION PERMIT #: ELC200300371 13125 Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2005 Phone: (503) 639 -4171 ,,cqc illh, Inspection Requests (24 Hrs.): (503) 639 -4175 "__.. INSPECTION WORKSHEET FOR DATE: 6/212005 TIME: 7:12AM PAGE: 39 SITE ADDRESS: 09000 SW WASHINGTON SQUARE RD HOTEL CLASS OF WORK: SUBDIVISION: EMBASSY CENTER LOT #: TYPE OF USE: PROJECT NAME: EMBASSY SUITES HOTEL DESCRIPTION: 100A generator for event. OWNER: PORTLAND HOTEL ASSOCIATES, PHONE #: CONTRACTOR: HOLLYWOOD LIGHTS, INC. PHONE #: 503- 232 -8855 Inspection Request Scheduled For: Date: 6/2/2005 Pour Time: Code # Inspection Description . Confirm # Contact # Message 110 Temporary electrical service 008203-01 503.519 -3469 Y Corrections /Comments/ Instructions: C3 N \i i (-- C C.../ . /14/2 / PASS ❑ PARTIAL APPROVAL ' III CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I nspector: - o Date:Lr — ." 2 — `c) Phone #: (503) 718-