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Permit 57 1 l ( d y 1 U � -- ELECTRICAL PERMIT CIT OF TIGARD PERMIT #: ELC2004 -00249 1 DEVELOPMENT SERVICES DATE ISSUED: 5/11/2004 • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126BC-01506 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 500 ZONING: C -G SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Description: Job No. 2735 5/11/04 Add 100amp feeder and 15 branch circuits to total 23 branch circuits. 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: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 0 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 23 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 OFFICE ASSOCIATES HILLSBORO ELECTRIC BY TC PORTLAND, INC 21185 NW EVERGREEN PARKWAY 8930 SW GEMINI DR HILLSBORO, OR 97124 BEAVERTON, OR 97008 Phone: Phone: 503 - 439 -9666 Reg #: ELE 34 -4399C LIC 134481 FEES SUP 4941S Description Date Amount Required Inspections [ELPRMT] ELC Permit 5/11/2004 $93.40 [TAX] 8% State Surcharge 5/11/2004 . $7,47 Ceiling Cover [ ELPRMT] ELC Permit 5/11/2004 $139.85 Wall Cover • (additional fees not listed here) Elect'I Final Total $251.91 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: h 0-79 72J rv� ) 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: `i L I Call 639 -4175 by 7:00pm for an inspection the next business day C ITY OF T I GAR D ELECTRICAL PERMIT PERMIT #: ELC2004 -00249 DEVELOPMENT SERVICES DATE ISSUED: 5/11/2004 s� I � 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126BC-01506 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 500 ZONING: C G SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Description: Job No. 2735 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: 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: 7 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 OFFICE ASSOCIATES HILLSBORO ELECTRIC BY TC PORTLAND, INC 21185 NW EVERGREEN PARKWAY 8930 SW GEMINI DR HILLSBORO, OR 97124 BEAVERTON, OR 97008 Phone: Phone: 503 - 439 -9666 Reg #: ' ELE 34 -4399C LIC 134481 FEES SUP 4941S Description Date Amount Required Inspections [ELPRMT] ELC Permit 5/11/2004 $93.40 [TAX] 8% State Surcharge 5/11/2004 $7,47 Ceiling Cover Wall Cover Total $100.87 Elect'l 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: i 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 From ELECTRIC LLC. 5036013680 05/10/2004 13:41 #756 P.002 Slect?PcaI Permit Applicatio hc)R i» tile !Isl.: min' � Received City of Tigard tb � Date/By Permit No. i0 00 07 13125 SW Hall Blvd., Tigard, • ' 3 Plan Review Phone: 503.639 4171 Fax: 503.598.1960 1 00k ' , r:: i '- Date/B • Other Perini Pas — 0d o� Inspection Line: 503.639.4175 �,t � ' ` lJ �,.p 0`1 Date Ready /By lure, 05 See Page 2 for Internet: www.ci.tigard or us r �(��D Notified/Method, Supplemental Information � S10M . ' PLAN REVIEW ONew \,-1 ':„. ; - ISAAItedrt a teration/replacement Please check all that apply: ❑Service over 2 amps, comm'l ❑Hazardous location . ❑ Demolition ❑Other. - Service over 320 amps •- rating ❑ Buildng over 10,000 sq, ft . CATEG9'RV OF CONSTRUCTION RUCTION of I- and 2- family dwellings 4 or more new residential ❑ 1 and 2 family dwelling Commercial/industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure El Multi family ❑Master builder ❑ Other: ['Building over three stories ❑Feeders. 400 amps or more ['Occupant load over 99 persons ❑Manufactured structures or • JOB SITE INFORMATION AND LOCATION ❑Egress/lightingplan RV park Job no.:Zil� Job site address{�Q� hA l l ❑ea care £aciLry ['Other t 1 •sub lth sets of plans with any of the above. City/ State/ZIP: The above are not applicable to temporary construction service. Suite/bldg./apt. no.: 'NM Project name: j j G A FGE" SC j Qty. ,E Description I Qty. I Fee. I Total I .. Cross street/directions to job site: New residential single- or multi - family dwelling unit. - Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no_: En. add'I 500 sq, ft. or portion 33.40 ^ 1 Tax map /parcel no.: Limited energy, residential 75.00 2 r Lim energy, non - residential 75.00 - : DESCRIPTION OF WORK . :.0 •. , .' Each manufactured or modular dwelling. service and/or feeder_ 90.90 2 Services or feeders Installation, alteration. and/or relocatio 200 amps or less 80.30 2 -:❑ PROPERTY' ER " ❑ NT _ , ' I �. , ,• "TENA 201 amps to 400 amps 106 83 401 amps to 600 amps 160.60 2 Name: ' I ' 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 _ 2 Reconnect only 66.85 2 City/ State/ZIP; Temporary services or feeders installation, alteration, and /or Phone: ( ) I Fax: ( ) relocation 200 amps or less 66 85 1 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps i00.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 4.49, 670. and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: _ Branch circuits— new, alteration, or extension, per panel . • • ..:' : ❑ APPLICANT - . • " . .1 ' ' ' ;;'/;: E CONTACT PERSON ,• ; ', , . A. Fee for branch circuits with service or feeder fee, each 6,65 2 Business name: t , branch circuit �J I B. Fee for branch circuits Contact name: wilhouw service or feeder fee, ' t 46,85 467:0 2 Address: each branch circuit _ Each add'l branch circuit 6.65 44, .55' 2 City / State/ZIP: Miscellaneous (service or feeder not Included) Pump or Irrigation circle 53.40 2 Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- 'CONTRACTOR . , ' energy panel, alteration, or Business name: extension, Describe: Page 2 2 Hillsboro Electric L.L.C. _ Address: 21 1 85 NW Evergreen PKWY Ste 1 0 Each additional inspection over allowable In any of the above Per inspection 62.50 City /State/ZIP: Hillsboro, OR . 97124 Investigation per hour (1 hrmin) 62.50 ` Phone; (5 0 3) 439-9666 fax: (503 )6 01 - 3 6 8 0 Industrial plant per hour 73.75 - • ELECTRICAL PERMIT F E E S - " . . . - _ CC B Lic.:1 34481 i Electrical Lic.:3 4-499 C Suprv. Lie.: 4941S Subtotal ei 39 40 Suprv. Electrician signature, required: /' ity .. �i! Plan review (25% of pennit fee) — _ — / / State surcharge (8% of permit fee) Print name: Joey Vitaceo Date: Si r) ) TOTAL PERMIT FEE WO - g Authorized signature: This permit application expires if u permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Foe methodology set by Tri -County Building Industry Service Board •• Number of inspections per permit allowed. i• 1Bwiding WormiteleLC- panmtApp.doc 17/0; 4411461STf1iRI1/COM/WeB CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 4 /' ( PM BUP Location 7 0 IN�Suite SZ MEC Contact Person Ph ( 4.3 9,--% 1.0eo PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC 40. Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Appt c FIN Drywall Nailing / IA Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 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 J TRICA� c � Rough -In UG/Slab Low Voltage Fire Alarm rte Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL si ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date 2 I / o V Inspector ) A1/ 160611 i t Y Eat Other: Final DO NO T REMOVE this inspection record from the job site. PASS PART FAIL