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Permit ELECTRICAL PERMIT >,l; •, CITY OF TIGARD COMMUNITY DEVELOPMENT PERMIT #: E 00062 .;� DATE ISSUED: 2/5/2008 5/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S114AC 00700 SrrE ADDRESS: 17005 SW 92ND AVE ZONING: R - 4.5 SUBDIVISION: COOK PARK LOT : JURISDICTION: TIG PROJECT: COOK PARK Project Description: (1) 200 amp service (located between soccer field and parking lot. Job No. 70010 -100 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: 1 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: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC: Owner: Contractor: CITY OF TIGARD OREGON ELECTRIC CONSTRUCTION INC 13125 SW HALL 1010 SE 11TH AVE TIGARD, OR 97223 PORTLAND, OR 97214 Phone: 503 - 639 -4171 Contact #: PRI 503 - 234 -9900 FAX 503 - 535 -2763 FEES Description Date Amount Reg #: ELE 26 -95C FELPRMTI ELC Permit 2/5/2008 $80.30 LIP 203 [FAX] 12% State 2/5/2008 $9.64 SUP 4818S Total $89.94 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 form than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules re set foftb in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain co• ese rules or direct questions to OUNC at 503.246.6 99 or 1.800. 3- • . Issued B l Permittee Signet 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: ,ONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: , r i �� /�— t� 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. FEB-05 -2008 10:59AM FROM -OR ELECTRIC SVC ® 5035352763 T -634 P.001 /002 F -288 &ecir ill->lsl it AppLicat,uu 8 EC g ' k nV . _: . 11.. ,, d� 3 tica1 remit Ar t Ix.ttt, �L7.n 9'•G ...7p eT .R-%::a'L1,. �j4{!efa�d4b+4i�.Y. .e,G*W.'f[�3 III s City of Tigard 1 Date ;ley! 5 a /¢y Permn N0.: f�c a S 4(006 ,, F- u 13125 SW Hall Blvd , Tigard, OR 97223 1:. Review ®' -?: Phone: 503.639.4171 Fax: 503.598.1960 FEB - 52! V B . Other Pennit: ,.--f 1 Gil It hf inspection Line: 503,639.4175 Dare Ready/13y. Jars' y /, ^ H See Page 2 tar - ....... ., 1 w Internet: ww.tigard- or.gov CITY OF r ; l :• ethod: - / /r -- Supplemental laformadon t. • TYPE OF woRlc BULLDE 8 ' 0 ►, - . _ • PLAN REVIEW • ❑ New construction ® Addition /alteration/replacement Please cheek all that apply (submit 2 sets ofplans or/items checked below); ❑ Service or feeder 400 amps or more la Building over the stories. ❑ Demolition ❑ Other: where the available fault Current 1] Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or In Floating buildings. • leas to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1 - and 2- family dwelling ig Commercial/industrial ❑ Accessory building amps for all other installations. building. ❑ Multi - family 0 Master builder ❑ Other: ❑ fire pump. ['Installation of 75 KVA or . ❑ Emergency system. larger separately darived system. . • JOB SITE INFORMATION AND LOCATION _ ID Addition of new motor load of ❑ "A'. •'E ". "1 -2 ", "t -3 ". Job no.: 70010 - 100 I Job site address: 17005 SW 92 Ave 100HP or more. accupanry. ❑ Six or more residential uoirs, ❑ Recreational vehicle parks. City /State/ZIP: Tigard, OR ❑ Health-care facilities. ❑ Supply voltage for more than ❑ Hazardous location.. 600 volts nominal. Suitc/bldg /apt no.: I Project name: Cook Park © Service or feeder 600 amps or more. - _ FEE SCHEDULE • Cross Street/directions to job site: naCr+ u n t • 1 x� _L7otal 1 - Ncw residential single- ar 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 3140 1 Tax map /parcel no.: / 73' —0 APO Limited energy, residential DESCRIPTION OF WORK • _ (with above sq. ft.) 75.00 2 New 200-amp service at Cook Park 7 4.' -t;. Limited energy, multi- family 75.00 2 p �� residential (with above sq._ ft) � f�� �^ Services or feeders installation, alteration, and/or relocation {:'= I � iii... r'/ t L- / K/ 1 0 T. 200 amps or less 1 80.30 80.30 2 R PROPERTY • OWNER ID TENANT . 201 amps to 400 amps 1136.85 2 Name: City of Tigard 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: ( ) I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not amps to 400 amps 100.30 2 2 01 a m intended for sale. lease, rent, or cmchange, 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 ❑ APPLICANT I in CONTACT PERSON above service or feeder fee, 6.65 2 - each branch circuit _ Business name: 13. Fee for branch circuits without service or Contact name: 5 t brae h cirCUi (ceder fee. 46.85 2 Address: Each add'1 branch circuit _ 6.65 2 Miseellaneousjservice or feeder not included) _ City/State/ZIP: Each manufactured oe modular 9090 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: Oregon Electric Construction, Inc. Signal circuit(s) or l imited - energy panel, alteration, or Address: 1010 SE 11 Ave extension. Describe: Paget 2 City / State/ZIP: Portland, OR 97214 Each additional Inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 234 -9900 I Fax: (503) 535 - 2763 .� investigation per hour (1 hr min) 62.50 CCB Lie.: 203 E41,7 ' ic.: 26 -' SC A4 1: up • Lic.: 4818S industrial plant per hour 73.75 - ir- P /J msr ELECTRICAL PERMIT FEES — Suprv. Electrician signature, t�eg i Subtotal: 80.30 r n� � - review fee): / , Plan eview (25% of perm • s r.�r _ Print name: MArk1W / ,cite am evict � ( (25% of fp &w); 0.64 a Authorized signet # r � • � � � TOTAL PERMIT FEE: . ..WI; 4 ' 94 This permit application expires if a permit la not obtained wI n '0 Print name: Mark Wcinbender Date: 02/05/08 da after It has hewn accepted as complete_ \ • Number of ircnpections allowed per permit. t; \Building1PermirutELC-PettnilApp .doe 05153+06 440- 4615T(11 /05,COM/WEe CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008-00062 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 202.008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/5120013 TIME: 7:00AM PAGE: 20 SITE ADDRESS: 17005 SW 92ND AVE CLASS OF WORK: SUBDIVISION: COOI< PARK LOT #: TYPE OF USE: PROJECT NAME: COOK PARK DESCRIPTION: (1) 200 amp �:ervir..e (located between soccer field and parking lot. Job No. 70010-100 OWNER: CITY OF TIGARD, PHONE #: 503.633 1171 CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INC PHONE #: 503-234 -9900 Inspection Request Scheduled For: Date: 302001) Pour Time: Code # Inspection Description nfirm # Contact # Message 199 Electrical final 066129.01 503-1349 -2231 N Corrections /Comments /Instructions: (:)0 s v b�:i rn t 1 mf rD1L. f■C( Vi 0 .1(A) cbL•N - CAN t 6� Wit` Rai 2 • 2' Da •� cuss-et e t op -2,Pt P) c- z. S TSu ?a_gol Pkz.g) PtkA6 y1 - p t. sJ RtNAzE.. e■LL QPNL 6cR.G--� 5 0 &t& g- Lt3 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS A FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N L' Date: 3 .6 di Phone #: (503) 718 - SOY : CITY OF TIGARD A� BUILDING DIVISION PERMIT #: ELC2008•00052 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7J6/2008 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 s' __.. INSPECTION WORKSHEET FOR DATE: 2/29/2008 TIME: 7:03AM PAGE: 26 I SITE ADDRESS: 17005 SW 82ND AVE CLASS OF WORK: SUBDIVISION: COOK PARK LOT #: TYPE OF USE: PROJECT NAME: COOK PARK DESCRIPTION: (1) 200 amp service (located between soccer field an d parking lot. Job No. 7001x100 OWNER: CITY OF 'TIGARD, PHONE #: 503-639-4171 CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INC PHONE #: 503.234 -9900 Inspection Request Scheduled For: Date: 2/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 'i99 EIectiic::al finial 065899-01 503-849-2231 N Corrections /Comments /Instructions: i CD US> SE. C- Vila. O 2 i $ (p\ic) . cor.t.)46k5 W►t_L 01 AI Low US■ 1 6 «'I$(€ w t 1 I . e -- AM( A 0. 3 (�j Cb <I 4 NESE 1 . 2 %12. 1 AND MEI MA N• AM' 110.3 (..,) 'y TikoNA •p\ s► ( i,\_ - p age rR bM Acv T." W Tl NO CA Ms IN 0 l?�C�- w11 5 O 1L.- , G'n.z. .rL wo * %Q t vt. ■ , (Z.d s oil, . ACO 4 113.3 A . C ( Z o •i \ O S .p..0 -_ p d a " c Q . . ct '2- s c , . ) 5 - G' 1 10.3 (13) . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL __ NO ACCESS `) FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • N 66 L.e Date: 2. 1. . CA Phone #: (503) 718- ZIRO,. CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC 008 00062 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 215/20()8 Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/21/2008 TIME: 7:00AM PAGE: 60 SITE ADDRESS: 17005 SW 92ND AVE CLASS OF WORK: SUBDIVISION: COOK PARK LOT #: TYPE OF USE: PROJECT NAME: COOK PARK DESCRIPTION: (1) 200 amp Service (located between soccer field and p3rlang lot_ Job No. 70010 -100 OWNER: CITY OF TIGARD, PHONE #: 503-6394171 CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INC PHONE #: 503 Inspection Request Scheduled For: Date: 2/•21/'2008 Pour Time: Code # Inspection Description Confirm # Contact # .Message 199 Electrical final 065309-01 503.849 -2231 N Corrections /Comments /Instructions: s JR g ,vit-6" IP 156.0f; L n PASS • 111 PARTIAL APPROVAL ❑ CANCEL - NO ACCESS K FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED n om , 2 -4 1 % Inspector: 1 dQ Date: Z' 2- 1 "�� Phone #: (503) 718- _ I CITY OF TIGARD BUILDING DIVISION PERMIT #: Ft.C200B- 00062 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7j 5j2008 Phone: (503) 639 -4171 ' �,,,.�,������ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/7/2008 TIME: 7:03AM PAGE: 12 SITE ADDRESS: 17005 S11 92ND AVE CLASS OF WORK: SUBDIVISION: COOK PARK LOT #: TYPE OF USE: PROJECT NAME: COOK PARK, DESCRIPTION: (1) 100 amp seivi[:e (located between soccer field and parking lot. Job No. 70010 -100 OWNER: CITY OF TIGARD, PHONE #: 603- 63g- 4i171 CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INC PHONE #: 50 .23 - 9900 Inspection Request Scheduled For: Date: 2!7/2008 Pour Time: Code # Inspection Description onfirm Contact # Message 105 Underground/slab cover 051689.01 503.049.2231 Y Corrections /Comments /Instructions: f\1 L1� L . 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED N Inspector: t Iv 6P Date: 0'% Phone #: (503) 718- �q •