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Permit i CITY OF TIGARD ELECTRICAL PERMIT jig . ° 1 PERMIT #: ELC2008 -00671 COMMUNITY DEVELOPMENT DATE ISSUED: 12/12/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 DD - 00300 SITE ADDRESS: 07100 SW SANDBURG ST ZONING: I -P SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: AMERICAN LASER Project Description: (1) branch circuit. 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/ 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: 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: HAYTER FAMILY LIMITED PARTNERSHI BECK ELECTRIC INC 23643 SW STAFFORD HILLS DR 15600 SE FOR MOR CT #B WEST LINN, OR 97068 CLACKAMAS, OR 97015 Phone: Contact #: PRI 503 - 656 -7396 FAX 503 - 656 -4397 FEES Description Date Amount Reg #: ELE 3 -5C [ELPRMT] ELC Permit 12/12/2001 $46.85 LIC 2629 [TAX] 12% State Surchar 12/12/2001 $5.62 SUP 50245 Total $52.47 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: a . Signature: , . $ • A'� 1 \df 1 Q 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: 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. Dec _11 08 . 4a /D , 2p p. 1 ✓., 'II. Electrical Permit ApplicatiRECEIVED FOR OFFICE USE ONLY City of Tigard I Dalee/ fl g Bv U ii Permit No.: I O • " 13125 SW Hall Blvd., Tigard, OR 9720E 11 2008 Plan Review �i C ' Phone: 503.639.4171 Fax: 503.598.1960 Date /B •: Other Permit. I OAS . et _1, TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD. DateReadyBy: l See Page 2 for Internet: www.tiaard CITY 1(l N Notified/Method: Supplemental Information '• TYPE O K • - ,C . • PLAN REVIEW Please check all that apply (submit 2 set, of plans w•ritcros checked below): ❑ New construction $ Addition /alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards CATEGORY OF - CONSTRUCTION •. . exceeds 10,000 amps at ISO volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I- and 2- family dwelling ''Commercial /industrial ❑ Accessory building amps for all other installations. buildings ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75 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.: 143 �� Job site address: 1 OD 5v\./ 6C(001 ti { C 1o0 or more. R c Iv.L °� ❑ Six o r more residential units. ❑ Recreational vehicle parks. City City/State/71P: , ( C ^ U' 5 -1� ❑ Health -care facilities. ❑ Supply voltage for inure than J t ❑ Hazardous locations. 600 volts nominal. Suite /bldg.lapt, no.: Project name: ❑ Service or feeder 600 amps or more 1 ∎cyv1 elikc , -v, Le j C : .c s-- FEE SCHEDULE Cross street /directions to job site: Dmrrripfion I Qty. I Fee. l 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'l 500 sq. ft. or portion 33.40 1 Tax map parcel no.: Limited energy, residential DESCRIPTION OF WORK , , (with above sq. ft.) 75.00 2 Limited energy, multi - family I c icT -- Coley t-.+ I trot Li-0\/ \/ 3 residential (with above sq. ft.) 75.00 2 (. Services or feeders installation, alteration, and /or relocation - -�/ 71-L e.- LA S e.V O '' � (-) 200 amps or less 80.30 2 ' ❑ PROPERTY OWNER - - ❑ TENANT 201 amps to 400 amps 106.85 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, and /or 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 599 amps I 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: _Date: A. Fee for branch circuits with ❑ APPLICANT . • . -. ... ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: withou service or feeder fee, time branch circuit 46.85 2 Address: Each 444'1 branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( ) Fax; : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR . Sign or outline lighting 53.40 2 • Business name: i Signal circuit(s) or limited - ��� �C a e� i r ► L- �`y energy panel, alteration, or Address: I s (y 00 -`-> 1_ Iz�12 IM OV eT - extension. Describe: Paget 2 City /State /ZIP: Cio-G .a nas /\T— cl - 105 S . Each additional inspection over allowable in any of the above lC �� Per inspection 62.50 Phone: (57 ( 1 G,A I Fax: (S7.8) (oS(_ 4.3C Investigation per hour (I hr mini 62.50 CCB Lie.: r.?(o ,A`1 Electrical Li 3-- j� Suprv. Lie.: 37) L1S Industrial plant per hour 73.75 1 � (�� ELE PERMIT FEES • Suprv. Electrician signature, required :0 • U�'! i' )1 ,, fir ( _ r t,� Subtotal: (a. � , • Print name: CA,AGt r L, > vIvl (5 Da te: '2_ i I `v� Plan review (25% of permit fee): + [ State surcharge (12% of permit fee): 5 . 12 L— Authorized signature: ( , , , uy U r� TOTAL PERMIT FEE: Z .4---) / i j This permit application expires if a permit is not obtained within ISO Print name: C_�t� ✓ I j9� t • t;,�115 "� Date: i)_., 1 t 1 0 y drys otter it has been accepted as complete. . Ntunbcr of inspections allowed per permit I' iBuildinc 'JtennitsiELC- PermitApp 05;23106 440- 4615T/Il /05 /COMVWEB CITY OF TIGARD BUf13tNG DIVISION PERMIT #: ELC200I3.00671 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12112 /20013 Phone: (503) 639 -4171 4p�' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 211012009 TIME: 7 :01AM PAGE: 5 SITE ADDRESS: 07100 SW SANDBURG ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: AMERICAN LASER DESCRIPTION: (1) branch circuit. OWNER: I IAYTER FAMILY LIMITED PARTNERSHI, PHONE #: CONTRACTOR: BECK ELECTRIC INC PHONE #: 503 - 656 -7396 Inspection Request Scheduled For: Date: 2/10/2009 Pour Time: Code # Inspection Description ( Coii . #; Contact # \ssage 189 Electrical final 080456 -01 Y 503 - 6601396 Y Corrections /Comments /Instructions: Sc - A 0 2. 9 ■ \\ PASS (J PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v N (Ye Date: Z I 0 I Phone #: (503) 718- 1 CITY OF TIGARD ..._ BUILDING DIVISION PERMIT #: FLC2000-006/1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/12/2008 Phone: (503) 639-4171 Ah 4441,0 .., Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/29/2009 TIME: - 7:01AM PAGE: 22 SITE ADDRESS: 07100 SW SANDBIJRG Si' CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: AMERICAN LASER DESCRIPTION: (1) branch circuit. OWNER: FIAYTER FAMILY LIMITED PARTNERSHI, PHONE #: 8 CONTRACTOR: BECK ELECTRIC INC PHONE #: 03-656-7396 Inspection Request Scheduled For: Date: 1/29/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 080114-01 503-0E18.7396 N Corrections/Comments/ Instructions: , V a) set du ct--t S ‘-e 5Lect 0 9 (1 i` pn 0 4-4 e_ 4-'e ,c a i■ € 4-6 0 /er T 0 NO PI,SiCkifecti i' ii 4' ii\-11 00 CA-.f q "q ) ' N4. ie See. I/o 3(b) n PASS 7 PARTIAL APPROVAL El CANCEL D NO ACCESS 1iL n CALL FOR INSPECTION 11] ADDITIONAL FEES ASSESSED Inspector: _11-12463 Date: /— 2 9 - 0 q Phone #: (503) 718- . . ),..„ CITY OF TIGARD 131.ALDiNG DIVISION PERMIT #: ELC2008-00671 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - 0/12/1:1.00a • Phone: (503) 639-4171 „llt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/27/2009 TIME: 7 PAGE: 12 SITE ADDRESS: 07100 SAN SANDBURG ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: AMERICAN LASER DESCRIPTION: (1) branch circuit. OWNER: HAYTER FAMILY LIMITED PARTNERSHI, PHONE #: 5 CONTRACTOR: BECK ELECTRIC INC PHONE #: a Inspection Request Scheduled For: Date: 1/27/2009 Pour Time: Code # Inspection Description Co7.m__# Contact # Message 199 Electrical final 100046-01 503 N Corrections/Comments/ Instructions: 0 b b ci&le`ii 64J (f uozaK _ pa_ovto: bscizi,Titti) 6F v•)0g- o IAEff--/ete_ ,,,0 Bao-DiN) 'To sot,0 ! t41.4 bu miLiAAEL Ti PASS [1] PARTIAL APPROVAL 0 CANCEL E NO ACCESS FAIL /(CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: MA \--E Date: I - gi - 1 Phone #: (503) 718- *It I\ .