Permit A__ ,•. CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00040
i DEVELOPMENT SERVICES DATE ISSUED: 2/16/2005
��' 11 13125 SW Hall Blvd.. Tigard, Q R 97223 (503) 639 -4171 PARCEL: 2S115BA-02500
SITE ADDRESS: 16200 SW PACIFIC HWY W
SUBDIVISION: TIGARD TOWNE SQUARE ZONING. C -G
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description: TI Elec. (2) branch circuits.
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: SIGNAUPANEL:
MANF HMI 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: 1 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:
SN INVESTMENT PROPERTIES ENDERS ELECTRIC
1121 SW SALMON STE 400 PO BOX 1661
PORTLAND, OR 97205 BEAVERTON, OR 97075
Phone: 503 - 242 -2900 Phone: 626 -4813
503 - 646 -3871
FEES Reg #: LIC 00026728
tion Date Amount SUP 34
Description ELE 34 - 265C
[ELPRMT] ELC Permit 2/16/2005 $53.50
[TAX] 8% State Surcharge 2/16/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
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 a re 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:
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
Feb,.16 05 08:47a ENDERS ELECTRIC 503 - 646 -3871 p.2
Electrical Permit Ap h)f u J �` FO OFFICE USE ONLY
. 1 !
City of Tigard bcivcd �� Rc Datc/B y a r �i /6 v).--- p. - • permit No :6 g y
13125 SW Hall Blvd.. Tigard, OR 97223 ' Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 FEB 1 200' / t - ''' l'i' Date/By: Oilier Pennie
Inspection Line: 503.639.4175 r `I Date Ready/By: tuns til See Page 2 for
Internet: www.cl.tigard.or.us Notil ied/Metlwd: T��
I •. d } y a Supplemental Information
^>2 i5 " 1: •• I : ; . , . yr , 6 "a . ... • - , y e l{& :
, .. d: t
. i? J 1 +i r `-v Se 1\ ' +1ivtFis_ 5�•r , r: s3 ....PLAN REVIEW
❑ New construction VI Ai • 1 ton/a teration/replacement Please check all that apply:
OService over 225 amps, comm'I 0 location
CI Demolition ❑Other:
-1 : • ,v . ,r, ;u t „ - , , ._ 1,5S1 ,. . ,: -•, : �. - ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. It.. .
x, yi�u e . �1 j :St v:.1_ • ..,, , : ,.., N' ..- s ,:.; sv`1 . r' : , e s_ A N. or I - and 2-family dwellings 4 or more new residential
❑ 1- and 2- family dwelling NI Commerciallindustrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family 0 Master builder ❑ Other:
r . � m , ['Occupant ant load over 99 r
pr persons ['Manufactured structures or tvF+.Yi,, F+ ' '1 .74 � X3 - 's • e. o , A. �.4.r. od�t ❑ R V park
.... r > . �., �,: V 1 t ,- P .�',� ,•. �:;::._ ? • 513;: L•gressRighting plan P
❑Health -care facility ❑Other:
Job no.. 1 Job site address: 16200 SW Pacific
Hwy Submit j sets of plans with any ui the above.
City/ State/ZIP: ri,iqar d, C R 97224 The above are not applicable to temporary construction service. •
Suite/bldg./apt. W apt. no.: Project name: paw mart • � � . FEE • SCHEDULE Y Uescrip0m, I Qty. I Fee. I Tout I .•
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
•
1,000 sq. fl. or less 145.15 4
Subdivision: Ea. addI 500 sq. Q. or portion 33.40 d
m
I Lot Ito ' q� P Tax map /parcel no.: Limited energy, residential 75.00 I""Iw ,� ,,,, ( ��,, , Limited energy, non - residential 75.00 t a
a1S ara , -- :at+h?t� f'r,. 1 ! ;:Q� 0, 'lt�:'!fa!`.,1'•'�k:;,,. Each manufactured or modular
dwelling, service and /or feeder _ 90.90 2 J
Branch circits for remodel Services or feeders installation, alteration, und/or relocation I
200 amps or less 80.30 2
Jti. 137 a_ , ? E _{t t • ,�„ .,174 i . 1�1`'d :04.x y"�R • r : t ; y^ 1 :}�`?„o - 201 amps to 400 amps .) 06.85 2
..� ' .1:. • ' 61. .'Jatili ��G.'•:w tAi a t '.lG !� f' '' ini.;'N. ' 1i
401 amps to 600 amps 1 60.60 2
Name: Party Mart/ Doug G'rgy 601 amps to 1,000 amps 240.60
2
Address: 16200 SW Pacific Hwy Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2 •
City /State/ZIP: ,
Tigard, OR 97224 Temporary services or feeders installation, alteration, and /or
-
(503 ) 639-9414 I ( ) relocation
Phone: Fax: 200 amps or less 66.85 I
. Owner installation: This installation is being made on property that I own which is not ' 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: • Branch circuits - new, alteration, or extension, per panel
T ` � OW , i A. Fee for branch circuits with
. '•,nq 4 t7 ;:_, "m,: MI,. , f�'S' I'�° r' `ORF5 1 9 �'lrL''h1 , FP
o f " 1 w� s service or feeder fee, each •
Business name: Ender r Inc branch circuit
6.65 -
S �� ^mil B. Fee for branch circuits
Contact name: Al Pn G w ithout servi or feed fee,
] Robertson 1 d6.a> 46.85 2
Address: each branch circuit
P.O. Box 1.661 Each add'I branch circuit 6.65 , 6.65 2
City /State/ZIP: Beaverton OR 97075 Miscellaneous (service or feeder not included)
Phone: ( 503) 626 -4813 [Fax: : ( 503) 646 -3871 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail:
�- r Signal circuit(s) or limited-
t r rti 5,)± ?`• ..'It;"'t{r )�, ' ma t iI`r'k 4 energy panel, alteration, or
Business name: extension. Describe. Page 2 2
Enders Electric INc
Address: Each additional inspection over allowable in any of the above
P P n Pox 1661 Per inspection 62.50
City / State/ZIP: Beaverton OR 97075 • Investigation per hour (I hr min) 62.50 •
Phone: ( 503) 626 -4813 I Fax' 603 ) 646 -3871 Industrial plant per hour 73.75 _
•. .. ;.,. 4"`ET C'
CCB Lic.: 26728 Electrical Lic,: 2650 A Sup • 5s Subtotal $51 _ 50 _-
Suprv. Electrician signature, required: Plan review (25% of pemlit fix:)
Print name: Alleb G Robertson Date: 02/16/2005 State surcharge (8% of permit fee) _ 4.28 -
TOTAL PERMIT FEE $57. _
Authorized signature: This permit application expires if a permit Is not obtained within ISO
days after it has hems accepted as complete
Print name; I Date: • Fee methodology set by Tri -Cowny Building 'otiosity Service hoard
•• Number of inspections per permit allowed. •
l: WuildingWer miu\L•LC•PamitApp.dot 12/03 450.461 5T(11/O2/COMIWill1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FLir200b- 0004()
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W`IE/2tX)6
Phone: (503) 639-4171 • lft%
Inspection Requests (24 Hrs.): (503) 639 -4175 „!
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 8)
SITE ADDRESS: ii;200 W PAC iFIC NWy + ' CLASS OF WORK:
SUBDIVISION: t ,d. ARD ', ()WNE a ARr LOT #: 001 TYPE OF USE
PROJECT NAME: PARTY M. K i
DESCRIPTION: T I .iea: ;at) itf n h t.ii; Litt+.
OWNER: :its i N V E S I M' NI M t)! k. id i !ES, PHONE #: ,k1; - 142.790 a
CONTRACTOR: ENDERS El PHONE #: 603 CAG iB1
Inspection Request Scheduled For: Date: 4f191200b Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 EIeaiwcri final O04813 - fJ1 603 - 625.4913 V
Corrections/Comments/Instructions:
co
444 ci2- 040 occu p Ai in.
p n✓; 4.0 cr wg h v H„ 7) o
e I�- K r ' e+ f c /P Ct t v- (140
e iro c� p (i ii • P_ /
C M 0 r d rLnr.rS 94 r��.,.. /y)
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: iti4A<NdDate: Or l ri'— OS Phone #: (503) 718-