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Permit • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00068 , l DEVELOPMENT SERVICES DATE ISSUED: 2/8/2005 RO "III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 25101 DA -00101 SITE ADDRESS: 13190 SW 68TH PKWY 200 SUBDIVISION: TRIANGLE CORPORATE PARK ZONING. C -P BLOCK: LOT : 003 JURISDICTION: TIG Project Description: (2) branch circuits. 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: 1 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: SCHNITZER INVESTMENT CORP HILLSBORO ELECTRIC PO BOX 10047 21185 NW EVERGREEN PARKWAY PORTLAND, OR 97296 HILLSBORO, OR 97124 Phone: Phone: 503 - 439 -9666 Reg #: ELE 34 -4399C LIC 134481 FEES SUP 4941S Description Date Amount Required Inspections [ELPRMT] ELC Permit 2/8/2005 $53.50 [TAX] 8% State Surcharge 2/8/2005 $4.28 Total $57.78 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 - 2 (1 Issued By: y� C-Q L Permit 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 639 - 4175 by 7:OOpm for an inspection the next business day From :HILLSB0R0 ELECTRIC LLC. 5036013680 02/08/2005 13:21 #893 P.001 cvo Electrical Permit Application City EIVED Received -4 " - &.C4 Z0 0 Ci of Tigard Parmit Ne.: 13135 SW Hall Blvd, Tigard, Plan Review Phone: 503.639,4171 Fax: 503. 598.1 960 ` ;i ^ %- 1 -i • Date/By Other Permit: . Inspection Line: 503.639.4175 D 8 2005 �, I ,,L �i i Dote Ready/8y: June: 0 See Page 2 for Internet: www.ci.tigard.or.us F -- Notified/Method; T - 1 r� Supplemental Information • •.. ` ,, •. •_. . . , •.... � . . .. �r • �� O., Yr1•. • PLAN REVIEW ❑ New construction ::r.! 'lit* r1 :" Iv: replacement Please check all that apply: ❑ Demolition © Other. ['Service over 235 amps, comm'l ❑Hazardous location . Service over — r , _ ca ps ran Bulldnb over 10.000 sq. R , • .CATEGORY OF CONSTRU.CI'ION : .:. *: °; '' oft- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling IlKommercial /industrial E] Accessory building . ❑System over 600 volts nominal units in one structure ID Multi family ❑Master builder ❑ Other. ❑Building over three stones ❑Feeders, 400 amps or more .. , .. persons JO SITE IN:F .A N D .. LOCAT ': ".: `:.` ;:c,:;' © RV park :Occupant land over 99 d structures or ..:•..' : ❑Egress/lighting plan '/ / $t..)' eh ❑Heatth.carefacility []Other. Job no.: 557 Job site address: / � �� 1,2,4,44A/ Submit 2 sets of plans with any of the above. • City/State/ZIP. ��,// .7p7 j dk'• 9773 J The above are not applicable to temporary construction service, . Suite/bldg./apt. nno.: ::: ` Project name: �,,yIC.C. ; • i.... • , . . • FEE ". SCHEDULE s .. - -• ; ;° " " . .DetedptIon I Ob. I Feb I Total � �" Cross street/directions to job Site: New residential single- or multi- family dwellin unit. Includes attached garage. • 1,000 sq, ft. or less 145.15 4 Subdivision: . . 1 Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 I OF �,.., 75.00 2 • ._: ... ... -, . •'r: WORft ..;:;a', ':.::.. . _ Limited enemy, non-residential cotta . , • . , °.'....' ., . . ". Each manufactured or modular �/ dwelling, service and/or feeder _ 90.90 - 2 .74X- Services or feeders installation, alteration, and/or relocation • 200 amps or less 80.30 2 l ' OWNER: • . l0'• TLN" �C• T1T :" ';- ;'�..':':- '1: : °;:',°i' amps to amps 106.85 2 .;,:; ";; ;:: ` 401 amps to 600 amps 160.60 2 Name: Ss, \'--- r_+ v fit~ 601 amps to 1,000 amps 240,60 • 2 • Address: 7 O - o ' ( ) e 1 . Over 1,000 amps or volts 454.65 2 /State/ZIP: 7 �.-\ 29( Reconnect only 1_ 66.85 2 Ci tY 7 Temporary services or feeders installation, alteration, and/or Phone: ( ) • 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 3 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. Fee or C with = �::;:..:,•,' :^�• �` APPLICANT;'• {::. .: . �'�:::.•,:c•;e %' ❑• CONTACT :�PERSONii;:;.:5':i��'v, eef branch .... - . ' service or f fee, each name: branch circuit 6:65 2 Contact name: • B. Fee for branch circuits wi/hou/ service or feeder fee, ' 1 • 85 2 Address: each blanch circuit 46.85 ii, Each addi branch circuit 6 .65 j ( pCj 3 • City /State/Z1P: Miscellaneous (service or feeder not included) _ _ Phone: ( ) Rut: ; ( ) Pump or irrigation circle 53.40 2 • Sign or outline lighting 53.40 • 2 E -mail: • Signal circuit(s) or limited- • •, ..... CO RACTOR,:�;. •.- .�.:..:.��:: °:r" energy , . alteration. r Business name: xtension. Describe: Page 2 2 Hillsboro El ec t r i c L.L.C. L LC . Address: 2118 5 NW Evergreen PKWY $ to #110 Each additional inspection over allowable in an of the above Per inspcction 62.50 City /State/ZIP: Hillsboro, OR. 97124 Investigation per hour (1 hr min) 62.50 F ax: ( Phone:(503) 439 -9666 503)601-3680 industrial plant per hour 73.73 , :. :: •ELECTRICALIERMIT FEES* :: ::•':.• .; :•:.:: CCB Lic.:1 3 4 4 81 J Electrical Lic.:3 4 •- 4 9 9 C Suprv, Lie.: 4941 S Subtotal ,Q . Suprv• Electrician signature, required: Plan review (25% of permit fee) • State surcharge (sea(, of permit fee) Print name: Joey Vitacco Date' 5 _ TOrpt, PBRMIT FEE S7 q i cu c,c,e - Authori zed signature: Tills permit application aspires if a permit is not obtained within 180 . days after It has bean accepted as complete Print name: • Date: • Fee methodology set by Tri•County Building Industry Service Board •• Number of inspections pa permit slowed. i : auildiag \Pcrmius\ELC- PmmitApp.doe 12/03 44U- 1615r(10N2/COM/w® CITY OF TIGARD 24 -Hour . BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested S AM PM BUP Location / 3 / Wiz-L`- Suite 7 _-Oc MEC Contact Person Ph ( ) 1 7‘,3-?4 , PLM Contractor Ph ( ) SWR �y BUILDING Tenant/Owner S IeC- aJ11L_' ELC 5- 6 6 Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: )6)-1 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 /V (7 c C a larm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S ART FAIL Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line / ADA Approach/Sidewalk Date 2 5 Inspector • Ext Other: Final DO NOT REMOVE this Inspection record from the 1 ' site. PASS PART FAIL