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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELC2008 00447 DATE ISSUED: 8/4/2008 '_TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 114AA -00200 SITE ADDRESS: 16285 SW 85TH AVE 101 ZONING: I -P SUBDIVISION: DURHAM HALL BUSINESS PARK LOT : JURISDICTION: TIG PROJECT: BRITTLE KITTLE Project Description: Installing (2) branch circuits for NC unit. 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 HM/ SVCI 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: BIRKEMEIER, BRENT T /JANET D TRS SQUIRES ELECTRIC BY THE BIRKEMEIER FAMILY TRUST PO BOX 16851 10573 SW NAEVE ST PORTLAND, OR 97292 TIGARD, OR 97224 Phone: Contact #: PRI 503 - 252 - 1609 FAX 503 - 253 -5831 FEES Description Date Amount Reg #: ELE 26 -1101C [ELPRMT] ELC Permit 8/4/2008 $53.50 LIC 135085 [TAX] 12% State Surchar 8/4/2008 $6.42 SUP 4882S Total $59.92 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 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. I Issued By: i ` �,j �j� Permittee Signature: Kr ` jGG 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. 08/04/2008 13:02 5032535831 SQUIRES ELECTRIC PAGE 02/02 Electrical Permit A 1 licatio * 2 s' � . � � : UI2 OFhlf [ li.SE ON LY City of Tigard • . �3' �� r Received 41 13125 3W Hall Blvd., Tigard, : 1 ,y' r'{� @�0" Dace/B': �,� Permi1No.: • Phone::03.639.4)7I Pax: SI i 1+ Plan Revie '��t��� 8 . 1 960 t ,\ •. \' . a :ie R a Permit , / s 4 Prp for Internet: w or.gov ; ,,,,L t ,,, l 1 C r . Inspection Lino; 303.63 5 ry ,, i other : i/AkA � �, : a Ready/By: RIPE ' \ o�[fied/Meth S See Page 2 nr , .r � � � + , - :: " �. :. F i Supplemental ID �? �–� 4S forvnatU Nev construction c;... I�il Addltion/altem;a� i i 4 Cellleitt Plea check all that a l '` s t plans .::> PP Y (submit 2 seta o. wlitams checKed'oele ❑ Service or feeder 400 am 111 Demolition • Ctther or more ❑ Building over three atones ,,,,::•.... > < > < < . pa pp�� a ,. ,— ..-.� excee the evadable fault 50 v o l ' ' - :£ . F!> "i7�?:iG i ?AS F tt� -k > z „�. ;:,.:, :< ❑ Marinas and boatyards >g : lees to s 1 0.00C amps n 150 volts or ❑ Floating buildings. t - and 2-fartlily dwelling Corte ial /isUindusttial tear to Sround or exceeds 14.000 ❑ .Accessory building ❑ Gomtnercial -use agicuL +ur:. ❑ Multi family amps . all other installations. star builder in Other: inEs <,; . ,.<.? °r . p' ❑Ina Ration of 75 KV,a or .. ., 5`11'k ? Re'o y5]aiem ... , : .......:..........;,<... :.... l` :�1�M! .::< timer •.?4',�5 �`: >`.,. � ",;_;: • larger 3eparatelY derived y <i;< ' ,,':� ., ❑ Addition of of lxr a Job n0.: new motor load o ❑ °q° "1-2', .,i -3' Job sit a ddress : 1 g5 f t g 64 more, �" L /" — f) Y4 � 100HP or < : occupancy. City /State/Z ❑Six or more residential units. ❑ Recreational vehicle parks. t , Et licalth -e acitiea. ❑ supply voltage Y' car tii for more tit.: Suite/bldg. /apt, n0.: ❑ Hazardous locations 600 volts nominal P ro ject name; ., Y i ( i , , Service feeder amps or more. Cross street/ directions to job site: <,.`. ..a.'' : t ' i "? rg, l Aosc�don pee, .. Taal New reaidentlnl single- or multi- hm11y dwelling unit. Includes attached garage. Subdivision: _ — Lot X10,: I,000 sq. R. or Is J45.15 Tax map /parcel no.: Ea NMI 500 .8. or •onion 33.40 's; i; "s' Limited it3i'�'$ ��, l(� ` „. . < (with above aq. Et.) energy, residential 75.00 �.. ....,<.< ° l Y C. V( 3 -4 a &- L r L energy multi - family residential (with above eq. ft. 7500 Services or feeders installation, alteration, o <_ ;; ., ; � . n sad /or relocation '.<::: :):: { J::� i:): ,:. 200 s Or le ! <', '1: >'f�>i` ` ., 86.35 Name: e::.: `:F.:'.'.:i:': ,.. >.: K�'<`< >.;.:'<::' .... ,>� >.<.< ' 201 amps to 400 stns II, 106.85 401 amps to 600 amps 160.60 Address: 601 amps to 1 amps 240.60 Over 1,000 amps or volts 454,65 — C1tvlState/ZJp' Temporary services or feeders installation, alteration, and /o Phone: ( ) �� relocation Fax: ( ) 200 amps or less al 66.85 Owner installation: This installation is being made on properly that I mil which is not 201 amps to 400 amps — intended for sale, lease, rent, or exchange, according to ORS 447,449, 670, and 701. 401 amps to 599 amps 133.75 Owner signature: 133, 73 Branch circuits – new, a :�.: �,;,. ,:; ' I? te: alteration or estetsiou, per panel for branch ; :... Fee y ::. > 400 '" 3:fi[f :>:ii: :� d: `�.'r nits with ,. : :; ' :: f � tenet circ :3:a � ;:, } .. >:A''� � i:;i .;� «: above sert'icc or feeder fe Elusi tesS name: 4'i.,:x,,<':: each branch circuit 6.65 B. Fee for branch circuits COntaCt Hartle; without service or feeder fee, first branch circuit f 46.85 46 Address. Each add'I branch circuit 6.65 (Q • 4, City /StatelZlP; Aliacellaneous service or feeder not i ncluded ) Each manufactured or modular ]'}tone ( ) Fax :: ( ) dwe service and/or feeder 90.90 Raconmect only 66.85 E-mail: .......... ;. irrigation c :;;r:.c.: >,; ;s "'�• ::k:: k:a:::< Pwnp or im circle r.., : >.: > <i::e:: :�:'s:a �<��� : ;:a: , . 53.40 ?. Husme .. > ::i:,:<.:,!. Sign or outline lighting 53.40 ss marine Ut./ re...5 4— e. - ' i _ Sig ei , al er limited. oor Address: i — energy Panel, alteration, or 1 • �.� extension. Describe: Page 2 City /StatejzIP: 1 I , /c� 9� / f o e 9 Each addition lnspet tlon over allowable In my of the ahoy Phne: ( ) 5 _ j i _ O(� Fax Per inspection to l ( ),) tJ ' J0o' / 62.50 investigation per hour (i hr min) 62.50 CC$ tic.: G606 Electrical Lic — ib tc Suprv. :4g Ind plant )let 73,75 Lic.� stria] hour Suprv. signature: re ture� rr' i», ,: S; Print name: ( C 1) e (6 rem I Date: e �$ Plan review Subtotal: � / G > u_i � I (25% of permit fee): 1 State surcharge (1246 of permit f ee); Authorized signature: , ~� TOTAL PERNIfr FEE; 6C G_ Pratt name: This permit application �L ----- Date; p PP expires if n permit is not obtained within 18 �- days after A has been accepted as complete, IABuild ng \Pamirs \I:LC- Petmitapp.doc • 05/23 * Number of Inspections allowed per permit 440- 4 615T(11/05 /COM WEB CITY OF TIGARD BUILDING DIVISION ` �; - PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/.2200830!)4'17 Phone: (503) 639 -4171 ' ,, o ��, I t,/4 /l_tIJB Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/6124)00 TIME: 7:03AM PAGE: 39 SITE ADDRESS: 16285 SW 83�rTH AVE 'i01 CLASS OF WORK: SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE: PROJECT NAME: F3RITLE KITTLE DESCRIPTION: Installing (2) branch circuits for NC unit. OWNER: F3IRKEMEILR, BRENT T D TRS, PHONE #: 310 CONTRACTOR: SQUIRES ELECTRIC PHONE #: 503 -252 -1609 Inspection Request Scheduled For: Date: 8/6/24108 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 073771 -01 603 -262 -1609 -- ¥ ___- Corrections /Comments /Instructions: ( N64) et IVAA N.,,, -----„,..,....___ ) N . OY f�\ \ c ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ( N i(S`© Date: t 41 1 Phone #: (503) 718- 1)4 14)