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Permit r: mi III CITY OF TIGARD ELECTRICAL PERMIT : PERM #: ELC2009 00067 COMMUNITY DEVELOPMENT DATE ISSUED 2/19/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 101 C B - 00500 SITE ADDRESS: 12670 SW HALL BLVD MOD 1 ZONING: I - L SUBDIVISION: TIGARD CENTRAL INDUST. PARK LOT : JURISDICTION: TIG PROJECT: SPEC SPACE Project Description: Reconnect meter base. 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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: GAZELEY, H WILLIAM OWNER PO BOX 230414 TIGARD, OR 97281 . Phone: Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 2/19/2009 $66.85 [TAX] 12% State Surchar 2/19/2009 $8.02 Total $74.87 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. Issued By: 4q_Cti.R.Q. ` it� Permittee Signature �' OWNER INSTALLATION ON 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. Electrical Permit Au l E CEIVED icatio FOR OFFICE USE ONLY City of Tigard Date/By: a ' lq-oct �, Permit No. .0320 r " 13125 SW Hall Blvd., Tigard, OR 9722 LL Plan Review Other Permit: '`�+ Phone: 503.639.4171 Fax: 503.598.1gt39 9 2009 Date/By: TIGARD Inspection Line: 503.639.4175 Date Ready/By: _tuns 0 See Page 2 for Internet: www.tigard - or.gov �g C TIGARD Notified/Method: T ` q Supplemental Information '';',P0 is *i .i tt. - `O 'TYPE f [ NGDWl I'',.ONL iPz 4 `,F , .. . 1, AN„IREVIEW t . .,''a . `�} . F ,,, `'s' .. .,-. °r. , , .: sr 4 . et , ..I, . . , ❑ New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition Other: where the available fault current ❑ Marinas and boatyards. :° "` ' ` ' CATE,04,0'OF'CONSTRUCT ONir ,rAv4 . :e. l °, : exceeds 10,000 amps at 150 volts or El Floating buildings. ��. �. .�. '��.. ?:. "` ` less to ground, or exceeds 14,000 0 Commercial-use agricultural ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ,Other: ❑ Fire pump. ❑ Installation of 75 KVA or g '° . a.." =t "w e r : , , , ... k _.a _ ._nT - .,* ,.. �,, °., ,,, * ❑Addition of new motor load of ID system. larger separately derived system. .:.4; ,�, „, "` '; ,' �; z OB SITE? INFORMATION ,AND, .IA_ CATIQ1Y7114 .,- res' n , - •- +��, -� J _� -. -:�; . - �a�,rp- ,x ,c'�' e..� �e ,._ ❑ "A" "E" `•I - 2" "I - 3 „ t t7 1 n IOOHP or more. occupancy. Job no.: Job site address: . W [ V G I/ El Six or more residential units. P ❑ Recreational vehicle parks. City/State /ZIP: 1 - C reel e 'v» Mod 1 M o d 2. El Health-care facilities. ❑ Supply voltage for more than 1 ❑ Hazardous locations. 600 volts nominal. _ Suite/bldg. /apt. no.: Project name: ,„(4,,J _tv ,tS 4Q ❑ Service or feeder 600 amps or more. fi #• ` 4. EE SCFIED il - 6 ) Cross street/directions to job site: Description I Qty. Fee. I Total " * i , x + / New residential single- or multi - family dweliing unit. 4-eJn., - t 1J &, i•Z, t-� L 4 R 1 1 V t Z Includes attached garage. Subdivision: f Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 l Tax map /parcel no Limited energy, residential 75.00 2 q�° $r s "" i ESCRIPTIOIN WORKt f ° g (with above sq. ft.) n�.. -Ft Limited energy, multi - family 75.00 2 fe ((LA I V t C/' e� Ct -{ 6q � ���5- E residential (with above sq. ft.) �q, Services or feeders installation, alteration, and /or relocation or Me�)d 1- a,r'd M,Vd 200 amps or less 80.30 2 . ,[ #PRO Mi,,_ I R 7+ t ▪ � 4a TEINA H 201 amps to 400 amps 106.85 2 Name: 1 c _t' i Liz_ 401 amps to 600 amps 160.60 2 i ' -` 601 amps to 1,000 amps 240.60 2 Z Address: I ©S K1 W as Aue__ Over 1,000 amps or volts 454.65 2 City/State /ZIP: ----- ,I ' ® ye_ Temporary services or feeders installation, alteration, and /or relocation Phone: (y() 3) , 4 - 9 gs Fax: ( ) a0)7- Li 1 7 Z 200 amps or less 66.85 1 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, t, or ex , an e, accqrding to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signal -C-(- .a e: Zf I Z/Q1 Branch circuits - new, alteration, or extension, per panel � a = A. Fee for branch circuits with 4,7 lr° APPIICAN * ' 1� T/ .�`�'GONTACTlPERSO i. 6.65 2 above service or feeder fee _, �� _ 5 t- - , . N ., . , 1 1 n a . _ each branch circuit Business name: B. Fee for branch circuits Contact name: �Go (i 1/lll without service or feeder fee, 46.85 2 P�� first branch circuit Address: (,) / s. / �,, (y! 00 Each add'I branch circuit 6.65 2 t. i Miscellaneous (service or feeder not included) City/State /ZIP: poi/y/ D 72 ©S Each manufactured or modular 90.90 2 '�lb� dwelling, service and/or feeder Phone: (6Di j ) 225 044 Fax:: (5 2 2- ). 13 (o Reconnect only (1) 66.85 1ze4S7 2 E-mail: S( p. an!'1�•/'is S'�a Pump or irrigation circle 53.40 2 , g it., a' f " C o b ( T R " A C T O R r - o ` , , A 1 , Sign or outline lighting 53.40 2 Business name: Signal circuit(s) or limited - energy panel, alteration, or Address: extension. Describe: Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75 ;®4 =;»x°?/41' -» ' EL'ECTR_IC.4L PE0III, FEES r =; . -ri ;^ t: `'' '` Suprv. Electrician signature, required: Subtotal: Print name: S,, / - , , - d1� if Date: z/ I l/t S Plan review (25% of permit fee): State surcharge (12% of permit fee): . 0 Z Authorized signature: ,- c- s d s , . TOTAL PERMIT FEE: - , e 7 This permit application expires if a permit is not obtained w thin 180 Print name: (2.4 D e / r C 1 ;-ry )i., 41rL days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ Building \Permits\ELC- PerrnitApp.doc 05/23/06 440- 4615T( t t /05 /COM/WEB ;���'' 1 tl�Ai TO ,,,,,,„"Y / �_ , SCO fatty x Gi- - € 44451A' ' rNi4VibtU), I\ 3 13 w 3 W 0 3 l . THGARD .CEN fMJ INPUSTRIAL PARK c) D ,GA _ 'Ti . GRADE LEVEL ACCESS - X filiTE PLAN — Building & allies Ditjauatians & Suuare Footseea tri En OFFICE BLDG ill BLDG #2 BLDG 113 MOGUL N2 3 3,0001f 20,000 SF 10,000 SF 20,000 SF 1056 if OFFICE a 02 Ofc: • 5 d #301h: 46 MODUL NI 1,300 n {056 U sf V A) DOCK LEVEL A r rD• z m . , z )2700 S. liALi, v . Rei it/Lmtlu1 om620 (upper level) o S ' 201f Oawer 1eve1) ma • to • • 1 11f �: ND-1 BLDG NF m 3,• ;. 6.2401 N 15,417 if WH Oft: 663 if + + BLDG 4D-2 i 11 BLDG NG r- ID • c 2,2841 Gfc: 84 d.. 6,2401 I8,533 if BLDG, NA BLDG #0 BLDG WC I Hi ; 3,4361f 16,950 if 13,400 if 8,160 of D-3 - ' BLDG NE , gill 29,660 if BLDG /D-4 9.45751 - D 4 . RAILROAD TRACKAGE - R R SPUR b IV N N CD • m R ill A UM --- - $ ate w s m kip 3 r CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2009 -600b7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/19/2009 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/20/2009 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 12670 SW HALL BLVD MOD 1 CLASS OF WORK: SUBDIVISION: TIGARD CENTRAL INDUS(. PARK LOT #: TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: Reconnect meter b: se..# 96995256-E OWNER: C AZELEY, H t�Uil.l.lAM PHONE #: CONTRACTOR: OWNER PHONE #: • Inspection Request Scheduled For: Date: W20/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 080683 -01 503 - 225 -844 N V c‘ Corrections /Comments /Instructions: • ti (� \•S rV PASS ❑ PARTIAL APPROVAL ❑ CANCEL 7 NO ACCESS _ F ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: vteA Date: ?.- °2® - 0 c • Phone #: (503) 718 - I410