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Permit A , CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00557 .�� DEVELOPMENT I ' SERVICES DATE ISSUED: 8/30/2004 (503) 639 -4171 PARCEL: 2S112AA -00600 SITE ADDRESS: 06713 SW BONITA RD 250 SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -L BLOCK: LOT : C - JURISDICTION: TIG Project Description: Add outlet to existing circuit. Job # 62373. 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: 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: SPIEKER PROPERTIES LP FRAHLER ELECTRIC CO 4380 SW MACADAM AVE STE 100 11860 SW GREEN BURG RD PORTLAND, OR 97201 TIGARD, OR 97223 Phone: Phone: FX 639 - 4673 Reg #: 160-4627 37410 • SUP 1816S FEES ELE 34 -13C Description Date Amount Required Inspections [ELPRMT] ELC Permit 8/30/2004 $46.85 [TAX] 8% State Surcharge 8/30/2004 $3.75 Rough -in Elect'I Final Total $50.60 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: ii , 7 Permit Signature: p, Vc 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 639 -4175 by 7:00pm for an inspection the next business day ylectrical Permit Apple 0� FOR OFFICE USE "ONLY C ty of Tigard `3 �0 / ,C `` Received ^� p ermit No.: 13125 SW Hall Blvd., Tigard, OR 97223 6 C , Plan R : f � Q 1 I J (� L� l Phone: 503.639.4171 Fax: 503.598.1960 Plan Review ( //yrm,M1'N11 , Pz • O Date/B : Other Permit: F �C' � �\ Inspection Line: 503.639.4175 o cct N �► CIL Date Ready/By: MI B( See Page 2 for Internet: www.ci.tigard.or.us \ VC) Notified/Method: Supplemental Information ,,,�. ' r; k '% pzi" a- a *a c,s; c. ,C� - t• _ r r .r- w+ � xm, = r,.• ' tw a t, i e S " ,. t .. ', ,,,,,' ,,. �� : 4 ? t. t,,,, ` ` t, k ;s: . t4 x ri h t t s [ �� � -2'�z .hi`�� ����`��., �'� ... rs ^no� � � .. wt.:, -'r *Y.'.. i� u.�, -+ ? r `,�. ^ �r ��` 'L'�'� l�r��'`}5 {,� L } - � r: '>S�a- �. a,.:zC roes. '+�."��'S�++� =. .z v, , �;. s�sa,a �� 5��w�e �,t �.a.�!'u�- .'�... �3?.7 �.a„�.� P; - ❑ New construction [ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ['Service over 225 amps, conun'l ['Hazardous location ;;,�c4 ,a ,_ha „,� �,; ..,,- .,.,,., r. ['Service over 320 amps - rating ❑Bulking over 10,000 sq. ft., . �� ,', e R ° w >d>a 'r + 1 .t, of 1- and 2-family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ] Commercial/industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure ❑ Multi-family ❑ Master builder ❑ Other. ['Building over three stories ['Feeders, 400 amps or more r s w « , , builder ❑ Occupant load over 99 persons EManufactured structures or a u �' � . "= W $= { N ws, ° , t , 'i a m '&x,, ❑ Egress/lighting P RV . � a� z � � c;�„_r� � ,:�: .�.�, ;. a�. ' 4>v r I k,,a. o�� Y � Plan park P Job no.: 62373 Job site address: 6713 SW BONITA ROAD El Health-care facility ❑Other: Submit 2 sets of plans with any of the above. City /State /ZIP: TIGARD OR 97224 The above are not applicable to temporary construction service. SENCO PRODUCTS 4: � �. - l :i�, �- eg �� ��,� . ,: „ - Suite/bldg. /apt. no.: 'r Project name: ...., ,- ,,,u..-. ,. � CHARGER OUTLET �~" d � :�?���" � e Description Qty. Fee. I Total Cross street/directions to job site: 72nd AVENUE New residential single- or multi - family dwelling unit. Includes attached garage. NEXT TO GRAINGER 1,000 sq. ft. or less 145.15 4 Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no Limited energy, residential 75.00 2 t i` a `e a p � z yf p 4 "� � Limited energy, non - residential 75.00 • 2 t t . , - 0..e , s ,,, -Q tt ',14;..., -H �.; , _ „ O a, . '`� • , ,, E ac h manu or modular • dwelling, service and/or feeder 90.90 2 ADD OUTLET TO EXISTING CIRCUIT Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 11 �"' era °. A.. a ,4; r" .' "" R *i `,.s ray , Y �.. 201 amps to 400 amps 106.85 2 �{{pp��::� f ,," f.,. ' `" 4 Py r� , fir ?r i �l~5�. ; " ' '1, � ' t t p 1 : r 1 - alli R i+vi.� r..0 ..5rt n[�i's - NAIL, p ,e.' .t 'Mir J3 L 401 amps to 600 amps 160.60 2 Name: . 601 amps to 1,000 amps . 240.60 2 Address: - . . . Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or Phone: ( ) I Fax: ( ) relocation 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, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A � € a xt �. �. >* 5 °,� s tv 3r ro ' t r . ,.: r t e 4 . pia i Ni e 4 , t }i , ,ov , r w,,,,:;:1,41,-, i oT i- +C©' , - A. Fee for branch circuits with "` "' "` °"p "a )144M, -�`" service or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 1 46.85 46.85 2 Address: Each add branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 . 2 • Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- . A:214 t A1't f 1 N' .._ # P 1 aV `c °;" ,. t s a, ' ener Panel, alteration, or extension. Describe: Page 2 2 Business name: FRAHLER ELECTRIC COMPANY Address: 11860 SW GREENBURG ROAD Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: TIGARD , OR 97223 Investigation per hour (1 hr min) 62.50 Phone: ( 503 639 -4627 Fax: ( 503) 639 -4673 Industrial plant per hour 73.75 CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 1816S Subtotal 46.85 Suprv. Electrician signature, required: ` Plan review (25% of permit fee) Print name: R, 1,7. FRAIL t Date: 08/27/04 State surcharge (8% of permit fee) 3.75 TOTAL PERMIT FEE 50.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete • Print name: Date: ' Fee methodology set by Tri- County Building Industry Service Board " Number of inspections per permit allowed. i:i Building ' Pennies tELC- PermitApp.doc 12/03 440- 4615T(10 /02 /COM/wEB CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested AM PM BUP Location (D 7 / J Yl A Suite MEC Contact Person Ph ( ) L tc 2,7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC JO O -OO slc Footing ELC Foundation Access: • Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam LRAM Shear Anchors .4F Ext Sheath/Shear Int Sheath/Shear Framing Insulation Q-()�� Drywall Nailing 1�j C— Firewall Fire Sprinkler Fire Alarm . V Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain ' Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line - Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI Please call for reinspection RE: 111 Unable to inspect – no access Fire Supply Line ADA -� -� /402.,rir Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL