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Permit
/� /s /o8 ► . c. .. -- L • p � - 44.4.- CITY OF TIGARD ELECTRICAL PERMIT IN ° PERMIT #: ELC2008 -00585 COMMUNITY DEVELOPMENT DATE ISSUED: 10/14/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136DB - 02601 SITE ADDRESS: 11606 SW PACIFIC HWY 200 ZONING: C -G SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: KETTLE BELL Project Description: Electrical TI. 10/15/08, ADDING DATA. 11/5/08, CORRECTED SERVICE FROM 400 AMP TO 200 AMP. 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: 1 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: 8 PER INSPECTION: 201 - 400 amp: 0 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: ALPROP CO ELECTRICAL SPECIALTY CONTRACTORS 6149 SW SHATTUCK RD PO BOX 2853 PORTLAND, OR 97221 OREGON CITY, OR 97045 Phone: Contact #: PRI 503 - 723 -0371 FAX 503 - 656 -4537 FEES Description Date Amount Reg #: ELE C126 [ ELPRMT] ELC Permit 10/14/20W $160.05 LIC 168161 [TAX] 12% State 10/14/20W $19.21 SUP 1558S [ELPRMT] ELC Permit 10/15/2001 $75.00 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $263.26 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 orth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.66 or 1.800.3 .344. Issued By: f4�tNV�,I Permittee Signatur ex.f dp:6 j 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. 1 0 5708 � � (� �Q�... ELECTRICAL PERMIT CITY OF I ARD PERMIT # : ELC2008 00585 . COMMUNITY DEVELOPMENT DATE ISSUED 10/14/2008 • T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 136DB 02601 SITE ADDRESS: 11606 SW PACIFIC HWY ZONING: C - G SUBDIVISION: ���� .� � . LOT : JURISDICTION: TIG PROJECT: N L EVoE nnn � R9S Project Description: Electrical TI. 10/15/08, ADDING DATA. 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: 1 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: 8 PER INSPECTION: 201 - 400 amp: 1 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: ALPROP CO ELECTRICAL SPECIALTY CONTRACTORS 6149 SW SHATTUCK RD PO BOX 2853 PORTLAND, OR 97221 OREGON CITY, OR 97045 Phone: Contact #: PRI 503 - 723 - 0371 FAX 503 - 656 -4537 FEES Description Date Amount Reg #: ELE C126 [ELPRMT] ELC Permit 10/14/2001 $160.05 LIC 168161 [TAX] 12% State 10/14/2001 $19.21 SUP 1558S [ELPRMT] ELC Permit 10/15/2001 $75.00 (additional fees not listed here) REQUIRED ITEMS AND REPORTS . Total $263.26 This Permit is issued subject to the regulations contained in the Tigard Muniapal 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 • - than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rul= are set fo b in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain c• - o these rules or direct questions to OUNC at 503.24..6699 0 1.800.3' 2 1 / Issue. By: �,� / Permittee 'rgnature: / - • OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease,'Fent. 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. ,.., OF TIGARD ELECTRICAL PERMIT .? rtykipte-mit ; e-tdde_c,/ st if 11 1 ° ' COMMUNITY DEVELOPMENT E ISSU EDD ELC4 DATE SSU: 10/14//200200 8 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S136DB -02601 SITE ADDRESS: 11606 SW PACIFIC HWY 200 ZONING: C -G SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: KETTLE BELL Project Description: Electrical TI. 10/15/08, ADDING DATA. 11/5/08, CORRECTED SERVICE FROM 400 AMP TO 200 AMP. 12/16/08 ADDED sign lighting. 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: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: 1 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: 8 PER INSPECTION: 201 - 400 amp: 0 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: ALPROP CO ELECTRICAL SPECIALTY CONTRACTORS 6149 SW SHATTUCK RD PO BOX 2853 PORTLAND, OR 97221 OREGON CITY, OR 97045 Phone: Contact #: PRI 503 - 723 -0371 FAX 503 - 656 -4537 FEES Description Date Amount Reg #: ELE Cl26 [ ELPRMT] ELC Permit 10/14/2001 $160.05 LIC 168161 [TAX] 12% State Surchar 10/14/2001 $19.21 SUP 15585 [ELPRMT] ELC Permit 10/15/2001 $75.00 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $293.34 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 •• = • •ies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. 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. /041 /OS zw.I - 7. TY 9R6 7 PERMIT : ELC2008 -00585 ° COMMUNITY DEVELOPMENT DATE ISSUED: 10/14/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136DB-02601 SITE ADDRESS: 11606 SW PACIFIC HWY 200 ZONING: C -G SUBDIVISION: ' lam[ I Lt -- 8S 1 LOT : JURISDICTION: TIG PROJECT: € BELL Project Description: Electrical TI. 10/15/08, ADDING DATA. 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: 1 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: 8 PER INSPECTION: 201 - 400 amp: 1 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: ALPROP CO ELECTRICAL SPECIALTY CONTRACTORS 6149 SW SHATTUCK RD PO BOX 2853 PORTLAND, OR 97221 OREGON CITY, OR 97045 Phone: Contact #: PRI 503 - 723 -0371 FAX 503 - 656 -4537 FEES Description Date Amount Reg #: ELE C126 [ELPRMT] ELC Permit 10/14/2001 $160.05 LIC 168161 [TAX] 12% State Surchar 10/14/200! $19.21 SUP 1558S [ELPRMT] ELC Permit 10/15/2001 $75.00 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $263.26 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: 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. CITY OF TIGARD ELECTRICAL PERMIT !PI PERMIT ISSUED 10 ELC2008-00585 COMMUNITY DEVELOPMENT DATE ISSUED: 10/14/2008 ''TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S136D6 - 02601 SITE ADDRESS: 11606 SW PACIFIC HWY/ 7/r° ZONING: C -G SUBDIVISION: ,, j LQ r�Ftc LOT : JURISDICTION: TIG PROJECT: Project Description: Electrical TI 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: 8 PER INSPECTION: 201 - 400 amp: 1 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: ALPROP CO ELECTRICAL SPECIALTY CONTRACTORS 6149 SW SHATTUCK RD PO BOX 2853 PORTLAND, OR 97221 OREGON CITY, OR 97045 Phone: Contact #: PRI 503 - 723 - 0371 FAX 503 - 656 -4537 FEES Description Date Amount Reg #: ELE C126 [ELPRMT] ELC Permit 10/14/2001 $160.05 LIC 168161 [TAX] 12% State 10/14/2001 $19.21 SUP 1558S Total $179.26 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by t. - • regon Utility Notification Center. Those r s are set fo •. Os - • 52- 001 -0010 through OAR 952 -001 -0100. You may obtain co •• - of these rules or direct questions to OUNC at 503. 6.6699 or 1.800.33 344. Issued By: ` /1 •• / , ! Permittee ignature: eArialllyr ,p —`_� OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: - CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — �/r1 ��� , DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Application FOR OFFICE USE ONLY t City of Tigard , Received `•y g 1 �� DateBy: Permit No.: € t$ -- t 1111 • 13125 SW Hall Blvd., Tigard, OR 9 Plan Review lIl Phone: 503.639.4171 Fax: 503. Z' (. O� Date/By: Other Permit: Ti G A li D Inspection Line: 503.639.4175 ♦ 6 �� Date Ready/By: Juris: RI See Page 2 for Internet: www.tigard - or.gov O GC i _A N otified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction / Addition/alterati Ir. ' • • ' , Please check all that apply (subm 2 sets of plans w /items checked below): t ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition Other: S where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ,Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Mastcr builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ", Job no.: Job site address: // 6 66 `^'"'S t w � ❑ Six Sx or or more. more residential units. ❑ R c r eation. � � � eceational vehicle parks. City/State /ZIP: �� n ❑ Health -care facilities. ❑ Supply voltage for more than j C/ it ( ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. - FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 (B• PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: ,( le S C )& 401 amps to 600 amps 160.60 2 �°'/ 601 amps to 1,000 amps 240.60 2 Address: ii (� / _ 6 ( SSu) Q f F.c l�f,,.l Sr- 2,61-0 Over 1,000 amps or volts 454.65 2 City/State /ZIP: � y^-, /l2 i, 1 2 / 9 - 2 �..3 Temporary services or feeders installation, alteration, and/or �I relocation Phone: (Sc 3) F66,-9, Fax: ( ) 200 amps or less 66.85 1 Owner installation: r is ins . ation i ing i •!'•1. • roperty that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, - as , re j '; ing to b t S 44 • • •, . - :, . ! 401 amps to 599 amps 133.75 _ 2 ri.� —'� a Branch circuits - new, alteration, or extension, per panel Owner signature: ���� - �� �v A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PE ' ON above service or feeder fee, 6.65 2 Business name: LZ TC /l ` _�Z z. bet _ /' L Feehorb branch irci circuit C Az. C, 7 B. Fee for ban circuits Contact name: r without service or feeder fee, 46.85 2 3 /9-/� G � 1-Ad L ( first branch circuit Address: 4 Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: . II Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting f 53.40 5--3 . lit 2 g- r Signal circuit(s) or limited - Business name: +�ifx'.• t(6i / ) l /. - ; (.e,1,1 fira,t.fe Li$ energy panel, alteration, or Address: 4, e.')Q i; .Z 5' i extension. Describe: Page 2 2 City/State /ZIP: t;• L,.� -j C�i)[,_ /70-15— Each additional inspection over allowable in any of the above 1 % Per inspection 62.50 t Phone: (�/` j - ) - 1)3 - C j - 4 1 Fax: ( j / ) 6 5 1' - Investigation per hour (1 hr min) 62.50 CCB Lic.: 1 P i L Electrical Lic.: 61 a Suprv. Lic.: 15-5--c7)5 Industrial plant per hour 73.75 EL ECTRICAL PERMIT FEES Suprv. Electrician signature, required: Q. /`, Subtotal: 57y, � �� () l� Plan review (25% of permit fee): Print name: (��1 (' Date: / `l �1NHt cc w ���, t og State surcharge (12% of permit fee): G _ I Authorized signature: TOTAL PERMIT FEE: 5. ( Print name: Date: This permit application expires if a permit is not obtaineb within780 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ Building \Permits\ELC - PermitApp.doc 05/23/06 440- 4615T(t1 /05 /COM/WEB Electrical Permit ApplicatioRECEIVE I FOR OFFICE USE ONLY Cit of Tigard Received Date/By: l'a / Li Pg Penni! No., 4462ape±et2 14 'I 13125 y SW 1.1all Blvd., Tigard, OR 97223 OCT 14 7r„ K Re : . M : Phone: 503.639.4171 Fax: 503,598.1960 Datc/By: Oilier Penn& T I GA RD Inspection I .ine 503.639.4175 Jul El Nee page 2 for Internet; www.tigard-or.gov CITY OF TIGARG N O CatlY C I i ( Supplemental information DIVIS10 : 0 New construction zr Addition/alteration/replacement Pica= check all ilist apply (submil 2 sets aid:ins w/ilems checked below): 0 SOY iu or 1110(1431'400 amps or mare 0 nailiting over three stories. O Demolition 0 Other: where the availnble NM cairronl 0 Marinas and hinny:ink • - ' - • - . • - • - • .. -. .. • .. • CATEGORY. OF-CONSTIIIVOTION: .:... .: • - . '..• • .. excedg e 10,000 amps et 150 volts or D Flaming buildings. • . les to ground, or exceeds 14.000 0 Commercial-use agricultural O I. and 2-family dwelling arCommercial/intlustrial 0 Accessory bui . lding 1 lamps for all other insiallallom. buildings. D Multi-family 0 Master builder 171F1re pump. 0 heaallation of75 KVA or 0 Other .., .., .. . ., .. ., 0 P.nierguncy SySICM. larger separalely derived syment. - . . •. .... . .. •JOB SITE INFORMATIO$ ' .:.: -L'...: .. ".::-. ': 0 Addition or taw motor land of Job no.: 1 Job site address:0 (b t p ..,.. )4t...51 0 Six or lour!: residentinl units, "HIP nf InmIL 0 m'c itec u rc P a mi lion cY• al vehicle parks. alicalth-cire facilities. 0 Supply volume for lortro Omo City/State/Z . IP: T q cLe,,,a OK- ?7 7...z-3 CI Ilmardcus Inclailms. On0 volts nominal. Suite/bldg./apt. no.: 1 Project name: 1(4cookle____1:44,4,0 0 Scrvicc or feeder 600 maps or more — ‘.. 4 ,::::::.:::, •:... . ..00.C:SCIIEBUtk • • : '''' . Cross street/directions to job site: flre_g_ Z El../.... Descripilon 1 171M7171ee. TeliFM" . New residential single- or multl-family dwelling milt. Includes attached garage. - 4 Subdivision: Lot no.: 1,000 sq. R. or less I 145.15 I ... Ea. .thr I 500 sq. IL or portion 33.40 I Tax map/parcel no.: Limited energy, residential 75.00 2 ' . • • ... . . • .. .. DESCRIPTIOBI '.01■• WORK . -. 1 ': • : • "... •:: ..,.., ... .... ' . i .,::. (with ;,ow !tt.t. fl.) I Mnitecl energy. multi-family 75.00 2 Te--4,1, ta1:1 14.•\ p a° ,-.4_0....44,...1 rcsidmilial (with above s9- 81 — Services or feeders installation, alterni on, nod/or relocation _— 200 amps ur less 80.30 2 -. '. - - • -'• la ;PROPERTY OWNER 1. . ;:...`.' 1.. .:. : . ' al 201 amps to 400 amps r 106.85 . /06 RS' 2 Name: 401 amps to 600 mumps 160.60 2 -- 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders ituttallti Ion, alteration, and/or — -- .._ relocation . . Phone: ( ) Fax ) 200 amps or less 66.85 1 Owner installation; This installation is being made on property that I own 201 amps 10 400 amps 100,30 2 which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps — 133,75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with --- oAirmo*T.:.:..1•::.?;....'..:,....1:.:,....:.:...Er4bot*T.;:::itgasoN..,..',,-;.C::::, above service or feeder fee. I ( 6.65 4 , t5 -- 2 catch branch circuit Business name: B. Fec for branch circuits lilt/pa/ service or feeder fee. Contact name: 46.10 2 first branch circuit Address: Each ;WW1 branch circuit 1*7 6.65 Lic, Ts 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufacwrcd or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) I Fax: : ( ) - Reconnect only 66,85 2 E Pump or irrigation Circle 53.40 2 _ • - - - . • • . " . • CONTRACTOR - • .... . .. • : .. .......:. .•.- :;• • ,-: : , Sign or outline lighting 53.40 2 - • .. , Business name: ,/ , Signal circuit(s)nr limiicd- 2 , - ,.., _ . , , ' E - energy panel. aileralitni, iii' Address: -_ extension. Describe: Page 2 2 p , 7...isos City/StatefZIP: z2r12. Each additional inspection over allowable in any of the above ........ . - Per inspection 62.50 Phone. (5p3 ) 7 .- Fax: (5Z)3 ) ist, __ • Investigation per hour (I hr min) 62,50 CCB Lic.:/bw c/ Electrical Lie.: C,--i z,/, Suprv. Lie.: /59;3 —5 Industrial plant per hour 7175 • Electrician signature, required: e„ ...... 1 0..... ,,, , ae±4.477.1" .1. .• i:,.•• • •• :: ELECTRICAL WM FEES Suprv. Elect . Su Plan review (25% of permibttioleel: : Ptin name: Z. crtOlzf e 1bl-ilia Date- . JO - 11 , -° 8 State surelcirge (12% of permit fee): ill Authorized signature: a. TOTAL PERMIT F": 71 th a % permit application aspires If n permit 6 0 01 old. nod w ithin Print name: L k.L This 7 Date: /0e2 days after It has be.e.a accepled as complete. • Number of inspections allowed per permit. lAllillidmprennitsltiLC-PennilApp.dpc 05 .140-451511 I 11115411M/WED / # # . 096[869E09 01.:9V80-t1.-01 i Xlectrical Permit Application PLeiA se FOR OFFICE USE ONLY City afT1t and � Reed ® � eix 2.o- V � DmdB • / Gam Perron No.: aS p 3 III n 11125 SW Hall Blvd, Tigard. OR 97223 ohm Review = A-170 • Phone: 503.639,4171 Fax: 503.598.1960 UatcJBy. Caller Pernik; 1 1 t ; n 1 1 Inspection Line: 503.639.4175 r � 1� `r I j I Mau Reedy/13y: Juris: l see Page 2 for • Iniorncl: www.ligord -orguv NeliIIuUMelhod: Supplenlcnt allnfnrmnlinn .: .. .. . - ... .:. ,... ; : ' :TXPD; OX? `. ;VVOItiC. ; :. : :.... ;. ;'. :. :; ' ;•?:: : : .. . . ,:; :`. P0A ....................... . ❑ New construction Addition/alteration /rcplaeutttenl rlcnsc check all that apply (submit 2 Acts or plans w/iicros checked helfnv): ❑ Scry icc or feeder 40(1 :imps nr store ❑ building over Three Alunc'v. ❑ Demolition ❑ Other, when: the available fault current ❑ Marinas and boolyords. . CATEGORY OR CONSTRUCrrON ' ` • -• exceeds 10.000 amps al 150 von or El i Mating buildings. ICU to ground. or exceeds 14,11110 ❑ C :ommcrcinl -use agricultural ❑ I- and 2- family dwelling (:ommercial /industrial El Accessory building i lamps [or an other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ fire pump. ❑ iaetallaticm of 75 KVA or - ❑ emergency system, Inraer separately durlved ayvinn. • • , . • ' JOB SI TE INFORMATION; ANt)•.LOCATION .. am tanl r . '•, ❑ Addition of llcw m n ❑ '•A" "I�" "I 2 1 -3 100111) or more. occupancy. Joh no.: Job site address: I i (o(t SW `^ i p n F1C t fir l'' mimic ❑ six mimic residential units. ❑ Recreational vehicle parka. City/State/ZIP: e�--V >�� ❑ LL-trudcwe locations. I ' El Iluahlrcate . Neililiea. ❑ Supply w+haRe for u u m Ilan WO volts nnmima. � 1� � Suite/bldg./apt. no.: Project name: ❑ Seivioc or Ibeder NO amps or more. .. Lt+E; >b • —. Cross strect/dircetions to job site: • D e scri pllon Qr[ y I- Fre, TMM New r esidelnlal single or multi- family dwelling unit. III Includes Winched garage, Subdivision: j Lot no.: 1,(1(1(1 sq. IL nr loss 145.15 4 J L'a. add 500 sit. R. or portion 33,40 I lax map /parcel 110.: Limited energy. residential D SCRIPTION OF .WORK, . (with atn,ve v II) 75.00 2 Limited energy. multi family ` 75,(10 2 residential (with nbnvc sq. n.) I . -_ Services or feeders Installation, alteration, and /or relocation 200 amps or Icss 80.30 2 - Q. PROPERTY .OWNER• a ;TENANT. •; 201 amps to 400 imps 106,8S 2 Name: a01 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240,60 2 Address: Over 1,000 amps or volts — 454.65 2 lily /SlaleJ7_IP: Tcmpornry services or feeders installation, alteration, and/or _ .- relocation _ Phone: ( ) Fax: ( ) 20(1 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. 4(11 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with 7 ACT P ERSOPT : : ' ,,':`.. a b ov e service or feeder lee, I] APPLICANT . :''CQN ., 6.65 . •^ cach branch circuit Business name: B. Fee for branch circuits without service nr feeder (cc. 46.85 2 Contact name: Oral branch circuit _ Address: Emelt atld't branch circuit 6.65 2 _ Miscellaneous (service or feeder not included) •,_ City/State/LIP: each munuliicurcd or modular 90,90 2 dwelling, service and/or feeder Phone: ( ) 1 Fax: : ( ) Reconnect only 66.85 2 E -mail: l'ump or inigalion circle 53.40 2 • — • — ' - CONTRACTOR :. :.. Sign or outline lighting 53.40 • Business floral: �t e , 1r ^ �, _ 1 Jr�, Signed i;il'cuit(a) nr limited- t al e-r � '�( thirS energy panel, ollerdion, or , Address: extension. Describe: + Pagc2 , 2 (city /Statc/ZII': Each additional inspection over allowable in any of the above Per inspection 62.50 . Phone. (5 -115 . 621 Fax: () 6�, 4..' Investi per hour (I hr min) 62.50 CCI3 lie.: Electrical Lic.: 7 Suprv. Lie.: [Mandril plant per hour 73.75 _ • :. Fi(iECCRICAL; • PERMIT FEES . Suprv. Electrician signature, required: Subtotal: `i en -- Print name: Dale: Plan review (25% of permit rte); Slate surcharge (12% ol'pcamit fee): 9 Authorized signature: / o 1•crl'A1, PERM rrFEE: a Li- •— l Print n / - 1 Date: 'rids permit npplientinn expires if a permit' Is not obtained within 180 days after it bas been accepted six complete- L.- * Number of illsperllnas .allowed per pcnail. I: nuildinae rmirslELC- PcnniiApp.doc 052 3'OM1 41u.4a1ST(I I/OS /COM/1VEa E R # O96 86SCOS : ti : c [ f sQ -51 -01 Electrical Permit Application FOR OFFICE USE ONLY City of Tigat -d Received UatclliY• Pefmil Nu.; ELG nog ' a6e5 n 13125 SW Hall Rlvd „Tigarrl,OR 97223 Plan Review _ Phone; 503.639.4171 Fax: 503,591.1960 lkdu/Oy. Oilier Pemil; '1'1c;ARD Inspection Line: 503,639.4175 vale Randy /11y, Juric: ® See Page 2 far Internet: WWW.tiigard•or.gov Notified/MoIunt Supplement alInfnrmatInn • CYPE':OF WORK. PLAPI7:REVIEW 0 New construction ❑Addition /nllcnition/rcplaccmciu Mann cheek all [hal apply (atitattil 2 sets of plans w/itcnis chccked bu■Inv): D 0 Service nr feeder 4aft 0I)uilding three slorits, [] Demolition Other: whale the available fault current 0 M:ainoc mid boatyards. ,. • • CATEGORY OF CONSTRUC ION exceeds I 0,000 yaps :d ISO vans or d Floating buildings. ICS to ground. or exceeds 14,000 0 COMM rcial - use agricultural ❑ I- and 2- family dwelling Commercial /industrial ❑ Accessory building I Imam 14 311 other installations. buildings, ❑ Multi - family ❑ Master builder ❑ Other: 0 i'irc pump. O Installation of 73 KVA or - tcrgcncy s yslem. Iargr scparatdly dn cved ayslmn. .. . J(08 SITE INIFORMATYON• AND LOCATION:... ' ; : . ❑ Addition au ,v mo loan, o Job no: lob site address: 0 loon, or nwre. nSUpmary, I 1 4 �p 0 ke P&Gifr _ `' µ+, �L, 0 S ix or mute re idumia' units, U Recreational vehicle p:uks. City /Slate/ZIP: 2 OF' Gj tJ Olk:allh•enre f , 0 Supply voltage l'tirrolae Ill F LL (� . El I Lv :vrhgc. Iacslimlc 600 volts Ilumin:d. Suite/bldg. /apt. no_: ROO S name: kg ❑ Service or reed= firm mnps or more. ,'w.'.• : ' : :.. : ' . .•,GTs9CH - EDUGE Cross street/directions to job site: Iks�Ilan I . 91y, i Pee I cocoa I New residential single or multi - family dwelling unit. Includes attached garage. Subdivision: ' Lot no.: 1.000 sq. 0. ur less 145,15 4 Ea. add'l 500 sq. IL nr potion 33.40 I Tax snap /itttrccl no.: Limited energy, residential • 75,00 2 DESCRIPTION OF WORK (with above sq. 04 Limited energy. multi-family 75.00 2 - 1\111 f1A. 4- 2;4 Pt•Y, I ■ r A Maidential (wills ubuvc sq. 0.) _ S � � n or feeders in illalion, alteration, and /or relocation O • • 11 1` tiervice • i � I OF . . 200 ore S or leas R0.30 [2 . O'.PROPERTY. . .. ,C7 :TENANT :: . 201 amps in 4110 amps - 106.15 2 .. • Name: 401 amps to 600 amps 160.6 2 601 amps to 1010 amps 240.60 2 Address: „_ Over 1.000 amps nr volts 454.65 2 City /Slate/ZIP: Temporary services Or feeders installation, alteration, and /or relocation Phone: ( ) I Fax: ( ) 200 an or less 66,85 1 Owner installation: This installation is being made on property that i own which is not 201 amps 1n400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 tamps 133,75 2 ()taller Slgrtalun:: Date:__ Branch circuits - new, alteration, or extension, per panel I A. for branch circuits with • ' • • 0 APPLICANT ...' . . . . ^” A - Ills :'CONTACT :ERSON; P :. , . `.. above service or fester fee, each bnmch circuit 6.65 • -,. 2 Business name: I). Fee Ibr branch circuits Contact name; without service or feeder fcc 46,85 2 first brunch circuit Address: Etch add'' branch circuit - 6.65 . 5 -y 2 Miscellaneous (service or feeder not In cluded) City /State/ZIP: * Each manufactured or modular 90,90 t 2 dwelling, savicc and/or feeder Phone: ( ) Fax:: ( ) Reeonntx l only _ 66.85 2 E -mail: Pump or irrigation circle 53.40 2 • :CONTRACTOR • •• ' ' . ,.. • • . .. Sign or outline lighting 53.40 2 Business name: - Signal circuits) nr limned. .c S energy panel, alteration, or Address: extension, Describc. I Page 2 — P.O. �X off' • T■frw1- City /State/ZIP: 1• _ •� 1r ar AI i4<- Each additional inspection over alluwahle in any of the above Phone: (.9j �) a. : c 1 Fax: (52".. ) u Per inspection _ 62.50 • 6 .- k S3 Investigation per hour (I hr min) 62.50 — CCB Lie.; r v/ ,' Elecitical Lie.: `. Suprv. Lic.: IS" Industrial plant per hour - 73.75 . TI �LrC:°TRIC.4t PERMIT `FF .S _ Suprv. Electrician signature, required: Subtotal: _ Print nallli ; p Plan review (25% of permit fcc) 6 L/ . r I7r Lt 4 Date: // 7 L/ �4 Suite slim r,lrge (12% orperm fa; ); Authorized signature: TO'1'AI. Plil(Mrf FEE: This permit application expires it n permit is not obtained within IMO __ Print name: L,4, , ! / Date: /[��� days WIC,' It tins broil accepted as complete. t Number of inspcciions allowed per peril. 1- n 4ukliiwlrcrmilslL 'Lc- Pcrmitoixi1k.r 05'2vo6 +I1M615T(I 8 /8 # 0961865£05 '. 99:0r80 -170 -11 W . ELECT S PECIALTY CO NTIRACTO RS► P.O. Box 1853 Oregon City, OR. 97045 Phone: 503 /723 -0371 Fax: 503/656 -4537 FAX TRANSMITTAL FORM To: City of Tigard Attn: Brandon Fax: 503/598 -1960 Date: 4- Nov -08 Number of Pages: 3 From: Chris Riehle RE: Correct suite numbers on permits Message: Here are the corrections for the following permits. Please call if you have any questions or concerns. Thank you for your help! We appreciate your business! C /1 # 0961869£09 : 55:oz :80 -ti0 -11 ,;; ` City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • 11 TIGARD December 1, 2008 • Electrical Specialty Contractors P.O. Box 2853 Oregon City, OR 97045 Attn: Meredith Etzel Re: Permit No. ELC2008 -00585 Dear Ms. Etzel: The City of Tigard has processed a refund for fees on the above referenced permit(s) for the following: Site Address: 11606 SW Pacific Hwy, Ste. 200 Project Name: Kettle Bell Job No.: N/A Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $29.73. ❑ Trust account "deposit" receipt in the amount of $ Notes: Applicant applied for 400 amp service but installed 200 amp service. Refund 80% of the difference for permit fee. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse • Building Division Services Supervisor Enc. • • I: \Bull ding\ Refunds\ Administration \LtrRefund - RefundOnly.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 ;,1 City of Tigard T 1 G A R D Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Electrical Specialty Contractors DATE: 11/26/08 P.O. Box 2853 Oregon City, OR 97045 REQUESTED BY: Dianna Howse Attn: Meredith Etzel DEB TRANSACTION INFORMATION: Receipt #: 2008 -3556 Case #: ELC2008 -00585 Date: 10/14/08 Address /Parcel: 11606 SW Pacific Hwy, Ste 200 Pay Method: CreditCard Project Name: Kettle Bell EXPLANATION: Applicant applied for 400 amp service but installed 200 amp service. Refund 80% of difference. REFUND INFORMATION: • , . • Fee Description From Receipt. • Revenue' Account No.'. ' • Refund" . Example:. [BUILD],Permit Fee _ Example: 245 - 0000 - 432000 . $ Amount [ELPRMT] ELC Permit 220 - 0000 - 431510 $26.55 [TAX] 12% State Surcharge 100- 0000 - 207020 3.18 TOTAL REFUND: $29.73 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager If under 22 500 Department $ p nt Manager el,G If under $50,000 City Manager j �C'' If over $50,000 Local Contract Review Board • . FOR TIDEMARK.SYSTEM ADMINISTRATION USE ONLY V Case Refund Processed: I Date: I f /G r I B I I: \Building \Refunds \RefundRequest.doc 05/23/07 A J 11111 ® Community Development RECEIVED TIGARD Request for Permit Action NOV 0 5 2008 TO: CITY OF TIGARD CITY OF TIGARD Building Division Services Coordinator BUILDING DIVISION 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor 1 City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) � l±1 2 \ a:n1 Tit £rx - FLiark /eAL. dte7D -5 Mailing Address: .28 City /State /Zip: (DPI Coo) C tr./ , D2 x'1701/5- Phone No.: 507. - 723 -0' PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): a - 4 RMIT APPLICATION. Ag REFUND'' RMIT FEES (attach receipt, if available). G E FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: Et -C A0( g - nn (� 5 85- Site Address or Parcel #: j 1 4Olo � ) Pry - 1,•l c_ 14-ty does Project Name: Li-- Subdivision Name: PI Lot #: EXPLANATION: 1 ppL e A fJr q pPl,,.> >:� �o a _ 4to 41.4 51)e. and Pt- P (a3c 1 k,.,)-1, 57007o r L ,3e . '�(� Signature: C.�y Date: 11 y 0Ci Print Name: — 1) PFD MSV- Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80 of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date // s 04 By 41.7' Rte to Bldg Admin: Date By Refund Processed: Date By or By ( Invoice Processed: Date By Permit Canceled: Date / B �l • Parcel Tag Added: Date _ By Receipt #Qi -.3s5 , Date% / t � Method CC.. _ Amount $ 1: \Building \ Forms \RegPermitAction. oc ev 07/26/07 CITY OF TIGARD 1 1/4 /200s • . ph 13125 SW Hall Blvd. 3:47:56PM Tigard, OR 97223 503.639.4171 •TIGARD Receipt #: 27200800000000003556 6/ Date: • 10/14/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid ELC2008 -00585 [ELPRMT] ELC Permit 220- 0000 - 431510 160.05 ELC2008 -00585 [TAX] 12% State Surcharge I00- 0000 - 207020 19.21 • Line Item Total: $179.26 Payments: Method Payer User ID Acct. /Check No. Approval No. • How Received Amount Paid CreditCard • MEREDITH ETZEL - DEB 415119 Fax 179.26 ELECTRICAL SPECIALTY CO Payment Total: $179.26 • • 4 0 ASP 11 C''' eq00 A 5v e„ • ] S 3o a..,� i ufLe.,.t+, & e - I a . It if ll 7 • cRcceipi.rpi Page I of I • CITY OF•TIGARD BUILDING DIVISION PERMIT #$14,20•tb 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 ' it, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 102 1 i • O s TIME: PAGE: SITE ADDRESS: " bob ph GI.:IG a, tint LOT #: CLASS OF TYPE OF WORK: SUBDIVISION: USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: I loll • Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments/ Instructions: , N \ ■.X \: v ( 4.\ C` XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6- 14 CA L. Date: VP 11. • . 8 % Phone #: (503) 718- 2.10:21, CITY OF TIGARD BUILDING DIVISION' PERMIT #: E! 02008.00586 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/14120N Phone: (503) 639 -4171 !V V Inspection Requests (24 Hrs.): (503) 639 -4175 ' °__.. INSPECTION WORKSHEET FOR DATE: 12115/2008 TIME: 7:00Am PAGE: 10 SITE ADDRESS: 11606 SW PACIFIC HWY 200 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: KETTLE BELL DESCRIPTION: Electrical TI. 10/15/08, ADDING DATA. 11/6/08, CORRECTED SERVICE FROM 400 AMP TO 200 AMP. OWNER: ALPROP CO, PHONE #: CONTRACTOR: ELECTRICAL. SPECIALTY CONTRACTORS PHONE #: 503-723-W1 Inspection Request Scheduled For: Date: 12/160008 Pour Time: Code # Inspection Description N Confir • Contact # Message 199 Electrical final 079045 -01 503 -604 -3179 N Corrections /Comments / Instructions: • ❑ PASS ❑ PARTIAL APPROVAL WI CANCEL ❑ NO ACCESS • ❑ FAIL ❑ CALL FOR INSPECTION • ADDITIONAL FEES ASSESSED Inspector: O'• 14 Date: t L• 1 ir el Phone #: (503) 718- 214" CITY OF TIGARD BUILDING DIVISION • PERMIT #: ELC2008. 00596 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/14/2008 Phone: (503) 639 -4171 , � I � ' �I Inspection Requests (24 Hrs.): (503) 639 -4175 „.t INSPECTION WORKSHEET FOR DATE: 12/12/2008 TIME: 7:O0AM PAGE: 19 SITE ADDRESS: 11606 SW PACIFIC HWY 200 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: KETTLE F3FLL DESCRIPTION: Electrieal TI. 1O /15/08,'ADDINV DATA.•11 /5/08, CORRECTED SERVICE FROM 400 AMP TO 200 AMP. OWNER: ALPROP CO, PHONE #: CONTRACTOR: ELECTRICAL SPECIALTY CONTRACTORS PHONE #: ;03-723 -0371 Inspection Request Scheduled For: Date: /2/1212008 Pour Time: • Code # Inspection Description Confirm # Contact # Message 199 Electrical final 079004 -01 503723-0371 N Corrections /Comments /Instructions: CX■ec) ( PAM ' y ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS 6 FAIL la CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' Inspector: �l 1 `v Date: ii-11- Phone #: (503) 718- AffLib CITY COFTIGARD :_ BUILDING DIVISION PERMIT #: LI_C2008 OOrsf35 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/14/2008 Phone: (503) 639 -4171 Az' I Inspection Requests (24 Hrs.): (503) 639- 4175jll INSPECTION WORKSHEET FOR DATE: 12/9/2008 TIME: 7:O2AM PAGE: 11 SITE ADDRESS: 11606 SW PACIFIC HWY 200 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: KETTLE BELL DESCRIPTION: Electrical 1 10/1'd08, ADDING DATA. 11/5/08, CORRECTED SERVICE FROM 400 AMP TO 200 AMP. OWNER: ALPROP CO, PHONE #: CONTRACTOR: ELECTRICAL SPECIALTY CONTRACTORS C,I R; S PHONE #: 503 - 723.0371 Inspection Request Scheduled For: Date: 12/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Elect.iical final 078890 -01 503 -504 -3179 Y Corrections /Comments /Instructions: CAW F\� 1 0 P c0vto, e s,' ® r 0 00..... u6GD `E' ti s v - 1 c q 6 `0 ( AO 1( 31A, ','► s CP c -5 b ' `Zzio . n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C) 0 6e Date: 11-1 • Phone #: (503) 718- IA% CITY TIGARD BUILDING DIVISION ' _ PERMIT #: ELC2008-00686 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •0114/200B Phone: (503) 6394171 14v 40 1 _ Inspection_Requests (24 Hrs.): (503) 639-4175 ,,,,,ILI. j ,1 1 1_, 'INSPECTION WORKSHEET FOR DATE: 12J6/2009 TIME: • 7 : 00Am PAGE: 9 SITE ADDRESS: 11606 SW PACIFIC HWY 200 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: • PROJECT NAME KETTLE BELL DESCRIPTION: Electrical 11. 10/15/08, ADDING DATA. 11/5108, CORRECTED SERVICE FROM 400 AMP TO 200 AMP. OWNER: ALPROP CO, PHONE #: CONTRACTOR: ELECTRICAL SPECIALTY CONTRACTORS PHONE #: 503-723-0371 Inspection Request Scheduled For: • Date: 12/5/2008 . Pour Time: VIM, 2 Code # Inspection Description QoifhsT # Contact # Message 1 7 199 El eci 1 I Cal final \ 078623-01 503723-0371 N Corrections/Comments/Instructions: N,.... In A i & A _,' . i i k l :. ■ f'l U t _ ..1 b.t... • ■ .7. • V --- 4■1.... I Furt.Azre., ezr - ctAu-'4Its i-t) it. v., Ktatk tet•ma : skciu • 421.6 1 S SVil V■AA 1-..‘ eiWT . Gk. 1____A61,N___b_p________i `V t tivE6 . p, d3 . 1 t . 11 COO . .-- Uta C..1(k V / QN) - I S Ng' kqpitcskii• Et&.. 'Rim. ‘iiv...otevta Pink 0M062._ 06V - KT. 4 ■11 6 . 3 ( il+ CO . No \AO-g Kibtir- A c..)66 V e a t.) 6' e c..1 i 00 4- . I\ / c„. ( 2 1-art L gi.— vatvIc_t ViFt_Q&ips - AR 2.30- e(,_)____ ihtSD 2 31 . Lik(?0,—. NA' v.iiiii41,AD 11.1 vi (Z(yiNt • n PASS I 1 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS , X1 FAIL CALL FOR INSPECTION yi H ADDITIONAL FEES ASSESSED Inspector: G IN) i47 ib (...' Date: )245. CI Phone #: (503) 718- li , ,., ., •,. ., .„ ,„ • Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 t. Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: • ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ - Medical ❑ Nurse Calls • ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations • I:' Building \Permits\E1.C- PermitApp.doc 03/23/06 „ CITY OF_MARD . BUILDING DMSFON PERMIT #: FLC1008-00635 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/14/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/1/2008 TIME: 7 PAGE: 6 SITE ADDRESS: 11606 SW PACIFIC HON 200 CLASS OF WORK: SUBDIVISION: LOT #: • TYPE OF USE: • . PROJECT NAME: KEITLE DELL DESCRIPTION: Electrical TI. 10/15/08, ADDING DATA. 11/5/08, CORRECTED SERVICE FROM 400 AMP TO 200 AMP. OWNER: ALPROP CO, PHONE #: CONTRACTOR: ELECTRICAL SPECIALTY CONTRACTORS PHONE #: 503-723-0371 Inspection Request Scheduled For: Date: 1211/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 078630-01 503-5043179 N • Corrections/Comments/Instructions: ceJi e)d- 0 PASS 0 PARTIAL APPROVAL .!■c\ICEL NO ACCESS fl FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: /), — 0‹? Phone #: (503) 718- CITY _ BUILDING DIVISION PERMIT #: ELC2008-00685 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/14/2008 Phone: (503) 639-4171 • Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7 PAGE: 21 SITE ADDRESS: 1160613W PACIFIC HWY 200 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: KETTLE BELL DESCRIPTION: Electrical TI, 10/16/08, ADDING DATA. 11/5/08, CORRECTED SERVICE FROM 400 AMP TO 200 AMP. OWNER: ALPROP 00, PHONE #: CONTRACTOR: ELECTRICAL SPECIALTY CONTRACTORS PHONE #: 503-723-0371 Inspection Request Scheduled For: Date: 11/14/2.008 Pour Time: Code # Inspection Description . Confirm # Contact # Message 115 Electrical seivice 078071-01 503.723-0371 Corrections/CoMments/Instructions: 061.4" 'P OST e5A 6E LL y■A-cot.1 4g bol onni Al Ll_ mAi \i be, 6 &twirl R4 S j PASS El PARTIAL APPROVAL 111 CANCEL fl NO ACCESS fl FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: GTh 1-g Date: I 19( 1 . Phone #: (503) 718- 2,1110 CITY.:01FTIGARD . ... _ ,,.. _ A , BUILDING DIVISION • PERMIT #: ELC2008-00685 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ion4/2008 Phone: (503) 639-4171 •ittltilil‘ Inspection Requests (24 Hrs.): (503) 639-4175 „, --- INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7:OOAM PAGE: 32 SITE ADDRESS: 11606 SW PACIFIC HWY 200 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: KETTLE BELL DESCRIPTION: . Electrical 11. 10/15/08, ADDING DATA. 11/5/00, CORRECTED SERVICE FROM 400 AMP TO 200 AMP. OWNER: ALPROP CO, PHONE #: CONTRACTOR: ELECTRICAL SPECIALTY CONTRACTORS PHONE #: 50.773_03n Inspection Request Scheduled For: Date: 1111212008 Pour Time: Code # Inspection Description Confirm # Contact # _Message 120 Electrical rough-in 001\ 50'3.723-0371 \ Y II 5 SCIA.V t OE 1 Corrections/Comments/Instructions: 6 tiNit 240 . (I-0400-g Pt() e66 1 %ZS 4 2.35M1 . IL tveietto (104a t.) arria. a-2.NIN 1.-■ ED) MI K , 0 PASS 0 PARTIAL APPROVAL 0 CANCEL )(1\10 ACCESS FAIL Fr,j CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: Date: Date: ili I 0 1 Phone #: (503) 718-1 ._ - CITTOFTIGARD ; BUILDING DIVISION' PERMIT #: ELC2001100585 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 10114/2008 Phone: (503) 639 -4171 t ^i,i.'�j Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/4/2008 TIME: 7:OOAM PAGE: 20 SITE ADDRESS: 11005 SW PACIFIC HWY 200 CLASS OF WORK: SUBDIVISION: LO'T #: TYPE OF USE: PROJECT NAME: CATTLE BELL DESCRIPTION: Electrical 11. 10/15/08, ADDING DATA. OWNER: ALPROP Co, PHONE #: CONTRACTOR: ELECTRICAL SPECIALTY CONTRACTORS PHONE #: 603,723 -0137 Inspection Request Scheduled For: Date 11/4/2008 Pour Time: Code # Inspection Description Co firm # Contact # Message '11 5 Electiic:al service 071606 -01 503 - 72 0371 N Corrections /Comments / Instructions: . 2V0. 91- %0K A) DAVIU, .QVc -osv( uNa'E D cot t toz N 0 AL das4 ufZ^ • • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL SI CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: 0 Date: 11 u (11 Phone #: (503) 718- ,4)- • Electrical Permit A licatio EcElvE 1 FOR OFF ICE USE ONLY City of Tigard (1 i MM nm� . /°11"4. Perini' No.: E/ / OV + D(/J U " 13125 SW Hall lilvd., Tigard, OK 97223 0 C T 1 4 l I Phu, /a Re Pcrm pemrit: " S � IN : • Phone: 503.639.4171 Fes: 503.598,1 960 60 Date/fly: T I C A It P Inspection Lino: 503 - 639.4175 Dntc Rca(1 (I) Ju6 ' El See page 2 nor I nl rnct: wwW.lig i'd- ot'.gov CITY OFT9taAR Nolific(VMclhnd: 1 6 Sui Iemcnlal Inform_mon ,.: _ ..:... •IiI;AN.::REVI &W: pl... check all that apply (submit 2 .e'. 01 w /lien's checked below); ❑ New construction ,$' Ad(lition /ahcralion /replacemuit ❑ Serviw or Ibodor 400 maps or more ❑ nullding over Three stories. ❑ Demolition ❑ 01 hei': whore Mc available full currant ['Marinas and hnalyardo. CATEGORY. OF CON$'1701CTION . • . - exceeds 10,000 amps at 150 volts or ❑ T Ioallag buildings. Icsa W ground, or exceeds 14.000 ❑ Cnumle'cial -usc agricultural CI 1• and 2- Gamily dwelling Commercial /in(lustrial ❑ Accessory building I lamps for all otherinsu buildinta. ❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. ❑ ta.l3Ialinn 0175 KVA m —. .. : , , . , . . . . , . , . , . . . 1 : P.mcrguncy SySleill, Larger Separately derive(' a:VSlem. • . . •. • JOB SITE INTORMA9' ION'.•AND' LOCATION'.. ' . :'..:..'.' :.:• . ,' •i • ". ":. " ❑ Addition nr tow motor load of I70.: lot) site AdChisS:' / ((��� 11 '55 �- 1001.1P or mom. occupancy, Job 6 t7Y CI i C. 4 0 Six or mutt residcntinl units. ❑ Keel al vehicle hark.. Ti Iieallh -r:arc mdlll tog. ❑ Supply voltage for mnro ',:m City /State /ZIP: I f CI a.� d 1' T -�3 ❑ hazardous mewl„... nau volts nominal. Suite/bldg. /apt. no.: Project name: '( k s1 _ .rcl, 0 Service or feeder ma amps or more. .. ` 'Iii LIE; <SCHEDULE • ' Cross street /directions to job site: _ nmerlurio IlirIli® 'I'oIul • -• New residential single- or n family dwelling milt. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add 500 sq, It. or portion 33,4(1 I Tax trap /parcel no.: Limited energy, residential 2 . . • . DES •Or .WORK.. • . (with ;limo sat. 0.) 75.00 Limited cncrgy, multi- family 75.00 2 'rte- In &4As k-^ . ` ,- c -� residential (with ribnvo vq a.) - Services or feeders Installation, alteration, and /et relocation ' 200 amps or less 80.30 2 : (]'.PROPERTY. OWNER .. I- : ja. :TENANT . _ 201 amps to 40O amps - 106.85 106_107 2 - Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 _ 2 Address: Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, find/or _ relocation Phone: ( ) Fax: ( ) 200 amps or leas 66.15 I Owner installation: This installation is being male on property that I own which is not 201 amps lo 4(1(1 amps 100,30 2 intended for sale, Icasc, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps lc 599 toms 133.75 2 Branch circuits - now, alteration, of extension, per panel Owner signature: Date: _ A. Fee for blanch circuits with Q" • . .APPLICANT ❑'` CO N 'Ih,•ACT.; PERSON ; ' •: •above su• vice of 'ceder lee. I f.65 / 2 each branch circuit V r P Business name: B. Pee tot branch circuits Contact name: service nr feeder fee, first branch circuit 46.85 2 Address: Each atlrl'1 branch circuit O tt 6.65 r 5 2 Miscellaneous (service or feeder not included) City /Statc/ZIP: I_uch manufactured or modular 90.90 2 dwelling, service ttn(Uor feeder Phone: ( ) , Fax: : ( ) Itecunnecl only 66,85 2 F - mail: Pump or iirig;dion circle 53.40 2 • ' - Sig" nr ou(lin lighting ghtin' 53.4 GbNTRACTOR g b b _ • rI - / ® / Signal cimuit(s) nr limited - Business name: rC✓?S - / 24 cp i /"l y 6,yr-r2{s.,,b,„ -� cncrgy panel. nlIer:5liun , ul' Address: r / �s extension. Describe I'agc2 2 City /State/ZIP: ‘ 6 14 Each additional inspection over allowable in any atilt! above ` 2,■ a / per inspection 62.50 Phone: (5'03 ) - Fax: (3 ) �s Z, T Investigation per hour (I ISr min) __ ° 62.5(1 CCB Lic.: /68/ G i Electrical Lic.: G_, Z,� Suprv. Lic.: 15-57,3_5 Industrial plain hour 73.75 E(�EC1�R1CAti .PERMIT FEES Sup Elect signature, required: , /' Subtubd: �a� 5 0 J Plan review (25% o f permit fe e): Print name: // n - Date: v-co l • ilikR � , d �� Slale surcharge (12 %ofpermit fee): l' - Authorized signature: • a. :� TOTAL PERMIT V k I : 7 ,' ...ai s • mi. I wrntil appllcallon explres if n permit i. um obi: ned w thin I a Print name: e „ ' r � Date: /0///0.9 dap after It has [wen nxxepled as complete. ""'� • Number of to =.peClions nllow per',anti'. b\n nllding hrcmvl:Vi:LC:.Pem,iIAnn.dnec 0S2)/06 'b10 0 IRIS'LOM/WCa Z / # 096186S£OS : OL :91.'80 -17L -OL _ �n><t A� 1ic lion 171-6-11-6; FOR OFFICE use ONLY Electricai e'er • City of Tigard' � � � zoo e. 005e RCCCIVCtI D / Permit Nu.: 11::) Nun nevic,r on,erremtlt: y 1.125 SW Hall Blvd., Tigard, Olt 97223 Untc/B . tuns: ® ties Page 2 for Phone: 503.139,4171 Fax: 503.59K.196U��� 17:du Rosily /13y: Snpplontcalnl Information 't' I ( i n K t) Inspection Line: 503.639A ird-0r av Notified/method: horn ncl www.ligt d -or, guv w� O � .. .::• .:... ..:, .. ::i � .`' � ;. .,::;. ,I i m1 WS 01'pI31115 wI11CI115 CI1�GkCll below): I'Icncc check all that apply (sa b A < lClition /ahcrati011 /rcpitteupetl{ ❑ IS CVICC or (bcdcr 400 : aaq,g r nro' ❑ Building �1 inn¢ awl boatyards. 0 New c ht1(11 c(ioa when the washable fault current 0 M• ' Other. where 10.000 amps :d ISO vans nc ❑ i' !Milt)); buildings •tL 0 J)(:111llltttltll :,. C:nmmcrcinl -use ag okural CATEGORY OF, CONSTRUCTIAN :. . • Icss t o ground or cxt:ca 14 0 al t, Accessory building 1 l:uops fur :di other instniuoinns. 0 Install lirnt o1'75 1(Vnur © 1- and 2- family dwelling Co11 ncrcia1I10tlustrial ❑ y ❑ fire pump. huger fcpar;acly durlvcd syelcn+. ❑ Master builder 0 Other: 0 Vi p c� »• � Multi ---.' ., 0 ❑ "K "l - 2" "I - � .. ::., . otcnp:awy. COQ gY;f)E IN7TORMATION: 'A N f1 • t�O.CATlON;:. 1001 u∎ or more. c i mininu vcluClc pails. I 1 t,o04, �,Jw rt. ❑ Six or more residential units. 0 RCC on ; v n» more than .11th n0.: Job sill: add( eSS: 0 I IC:dllrcarc Pocilitics. 0 Supply 600 volts »nu,inl. I, ,rd,wa locations CIIy /Slate/Zlp : - Service or ft cdcr 600 a» ` "' 111 Orc- Project name: pre, tabu • Suitl/bl(tg. /apt. n(+,: U C S er! non Crass strectldireetions to lob site: _� _ New residential single- or multi family -- Fve. unit. Includes attached garage, 4 145.15 1 sq. IL or Icss � 145.15 - -- Lot n o. Subdivision: .. lie. add') S00 Sq. h, or pnlvon I.imitcd energy, residential 75.00 1 aX map/parcel 110.: with above ul. It. 2 Ui C RIPTIQ N ',UT'.VKUI t><C, Limited Cnerp,y, multi- family 75,(1(1 rosidcnlinl_ (wish nb_ °c $`p n.) ." tiervicas or (Ceders lstn111tion alteration and /or relncatinn 2 211(1 amps rn 80.30 less 1 06,KS 2 - ' ,p ANANT ,': 201 Ianps to 4011 amps 160.60 2 []I2UP.ERTY, • (MINTER. a t 41)1 amps t t 600 amps 24(1 6O 601 amps to 1,000amps 454.65 • Name: Om 1 , (1110 amps or volts II gd(1resE: Temporary SCI'vlcev or feeders installation, a and/or _ rel ocation - bb.85 1 Cil Phone: ( ( e/ 7_IP: 200 amps or leas _ _ C 1(10 2 Fax: ( ) 201 mops lu 40o amp¢ 2 Phone: ( 7 133.75 30 a0 t amps l0 5 amp Owner installation: This installation is being made on property that 1 which is not Branch circuits – new alteration, or extension,. p er noel intended for sale, lease, rent, or exchange, according to ORS 0`17' 670, and 701. A. Fee for branch circuits with c ltatUl'e: Date above servicc inc of feeder fcc, (, (,5 II circuit_ 'CUN��AL� . -- each btnnch cin l - ,LtR S . C ] ' �,rrLicaNT . • .. . B. Fee for branch circuits 2 without service or feeder fcc, t(,,g$ Business name: _ 2 first branch circuit 6.85 Contact name: (:nett WW1 brunch circuit _ 61 . edianeom (xcrvi of feeder not included 2 • Address: ! . i nch Iruu ulftd orC(1 or mp d u lnl' 90,90 City/State/ZIP: _. — dwelling, service aril /sir Ivcdcr 2 Reconnect only �® IMO . 2 Phone: - m ail ( ) Pump or in igtt U On circle 53,40 2 l ((tall: . ... Sign or outline lighting . IN J • CONTRACTOR :. ' Signal tiro nt(a) m- limited- . � � cncr •y pond, alteration, nr Page 2 2 Business name: �` e G V ' ��l i ltl�� extension. Describe; 1 �J Address: -. - . Each additional Ma . ee1101 over allowable io an o f the above Per inspection (;Ely /51ate/'LIP: '" atirnt t' huur (I hnnin) KM ' lnvcs c lte p Fax: (tom,,) row �® _ CCB ( � "�' • 63 Industrial plant pe hour Supl'v. Lic.: ' :I? El ms ... IT ES CCB l..ic.: Electrical Lic.: :'.1Far4`.�.CTRICAL; PERM ' Surrv. Electrician signature, require(!: Plan review (25% el- permit fee): complete. Q( Stale StarCluargr. (12% o permnit fee): P _ --- - -- t I P Print name: — A' ) Ol'n1.P1i1tMf1" FEE: r ` � A i 1' 115 permit n ,plicutiun e■ tires:(a coral is not ahtuiucd .vithfn f Authunze(I signature: / / r � flays ill after it ipl hall r td In Date: R Number of inspc nag 'allowed per permit. Print Il itltlC` - - �! ��� 4 n -4! I Sl'(I 11051(IOMnV [a I: Duiidina:wermitat.C- rcnnilAPn doe 05'23-'¢6 ! , L I, . 8 Q - 0 096�865E05 0 A # — • 16 -2" 21'-6' 21' -4" f / 24'-2' 11 4' -10" t 7-3" -' -0" 7' -2" f 4' -I" 3' -2" t 7' -0" 7-0" t 3' -2' 4' -2" —tea f .....:. -: .. ... -., / 111113 �''� ; ., Mini °�i r� r, S V 7. a: ANTh 1.1 N-N- -,,, /. pec._ I r r 1� `p/ !!! (�� I 1 'STUDIO J EX. SUITE c s AREA m 6 ; 1 799 S.F. 0 t -} V • • a • a • \ 44' 6" 9 y 5V-0" 3' -4" 5' -2" 25-2' BUILDING UPPER FLOOR ���, • SCALE: 1 /8"= I' -0" I 1 ( P ° (1° SW Pa e 1 `' l • • /c: 1 ,r — / /q-r TI (00 f%lr' flG90( StO CITY O®FTIGARD BUILDING DIVISION PERMIT #: ELC2008 -00E05 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .1 0/140:11)(113 Phone: (503) 639 -4171 42 Inspection Inspection Requests (24 Hrs.): (503) 639 -4175 -±+� °'IL. INSPECTION WORKSHEET FOR DATE: 10/23/2008 TIME: 7 :00AM PAGE: 17 SITE ADDRESS: 11606 SW PACIFIC HWY 200 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CAFILE BELL DESCRIPTION: Electrical 11. 10/15/08, ADDING DATA. OWNER: ALPROP CO, PHONE #: CONTRACTOR: ELECTRICAL SPECIALTY CONTRACTORS PHONE #: 503- 723 -0371 Inspection Request Scheduled For: Date: 1W23/2008 Pour Time: / Code # Inspection Description Confirm # Contact # Message 11'a Electrical service 077090 503-723 -0371 N Corrections /Comments /Instructions: CD L A� sL tMs` � s vo -s . ract-Ismrs Foci. b '� 6 u it 46L 6 caw P :1 1 cS ?, nk '1' P r%YI 4 LL Ga. 6011E I 1 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS u FAIL >1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . (NI QQ _ Date: ro 23 01 Phone #: (503) 718 - 2- *16 CITY, OF TI.GARD BUILDING D1V1SION PERMIT #: F_I.- 0200$ -00685 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/14/2008 Phone: (503) 639-4171 ,_._ Requests (24 Hrs.): (503) 639 -4175 'I J. INSPECTION WORKSHEET FOR DATE: 10/17/7008 TIME: 7:02A�r1 PAGE: 23 SITE ADDRESS: 1160E SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NEXT LEVEL MARTIAL ARTS DESCRIPTION: Electrical TI. 10/15/08, ADDING DATA. OWNER: PHONE #: CONTRACTOR: ALPROP co • PHONE #: ELECTRICAL SI ECIAL.TY CONTRACTORS 503-723 -0371 Inspection Request Scheduled For: Date: 10/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message i 25 wAU- cmu --7Ft- }rin 076851 -01 503.723 -0371 N ��� LOW Vo P�C Corrections /Comments /Instructi ns: Ai ipK t o D 0i a L 1-o w V t. T e r ` � S ( Apt) `So 11.\ 2(L.,►�c1 1 - PA - SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G". \ jQ LC Date: 1011 I1 Vt Phone #: (503) 718- Dili , ,. Er s CITY OF TICARD 12/1/2008 1312; SW Hall Blvd. 6:54:29AM Tigard, OR 97223 503.639.4 171 :TIGARD: • Refund Receipt #: 27200800000000003982 /2.e. /4= -72 .C- c— Date: 12/01/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid ELC2008 -00585 Reversal - [ELPRMT] ELC Permit 220-0000-431510 (26.55) ELC2008 -00585 Reversal - [TAX] 12% State Sur 100 -0000- 207020 (3.18) Line Item Total: ($29.73) Refund: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Credit Reversal ELECTRICAL SPECIALTY CO - 415119 Fax (29.73) MEREDITH ETZEL Refund Total: ($29.73) — e r q C 0 cs a4 o `' L - ° Il z a� 1 !� N a� e o .4 . iii; P, e, lk • ar I g . kri O 0 6 'E' ■-2 8 ) 0 .0 py i 8 C w o —x a „V °W '' . ., § S > el) d v � , ■ V iu u Q H w r a I 01'1