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Permit li, r ' CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00189 COMMUNITY DEVELOPMENT DATE ISSUED: 3/28/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136DD-01300 SITE ADDRESS: 06855 SW BAYLOR ST ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 002 JURISDICTION: TIG PROJECT: TILLAMOOK FOOD SALES Project Description: (1) branch circuit for a/c unit. Job No. 7130 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: ESLINGER BUILDERS INC MILESTONE ELECTRIC 11575 SW PACIFIC HWY 1800 NW 169TH PL. SUITE B700 TIGARD, OR 97223 BEAVERTON, OR 97006 Phone: 503 - 620 - 9515 Contact #: PRI 503 - 645 - 5323 FAX 503 - 690 - 4843 FEES Description Date Amount Reg #: ELE 34 -618C [ELPRMT] ELC Permit 3/28/2007 $46.85 LIC 153480 [TAX] 8% State Surcharge 3/28/2007 $3.75 SUP 21 13S Total $50.60 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 800.'3 Issued By: Permittee Signature: ` �, .larr ✓!111► 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: -. 6 2 7 %YVl7 ' DATE: 1=I•■ - 77 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. Mar. 28. 2007 11:13,60 .;M• „ l l es , t.o 9 e, E71,F=c`tiin't N o. 6005 P. 3 Electrical Pertlni# Ate ut atia.,n ;a 11 i•._ 4 - l C)It ul rte: r tl;lE C►Ni,l City oi'Tigat'(3 Receive d - If/ a 7 ' /` Permit Na.: e& (! jk2 7—a / g' „ 13125 SW Hall Blvd., Tigard, Olt 97223 y p, + 2007. . Plan Review 4 Phone: 503 - 639,4171 Fax: 503.598,1960 `•,f, d e� 4rit” ";,,i ) 1 +,•, Date/B , Other Permit: Inspection Line: 503.639,4175 • � � w�. • Die Ready/Br H See Page 2 for Internet; www.ci.tigard.or,us p I. y .kl, _ Notified /I�fethod �JL SnpPleGtwta IIoforntedam E OFWORCC a.,r P EVIEW v R . ❑ New construction Addition /alteration/replacement Please check all that apply: ❑ Demolition ❑ Other: amps, comet Hazardous location . ', .. erviceover225 '1 ❑Service over 320 amps rating El Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION, .. of 1 -and 2-family dwellings 4 or more new residential ❑ 1 - and 2 family dwelling tRt ommercialfindustrial ❑ Accessory building ©System over 600 volts nominal units in one structure ❑ Multi - family Master builder ❑ Qom; OBuiiding over three stories ©Feeders, 400 amps or more ❑Occupant load over 99 persons 1011 SITE INFORM ID Manufactured structures or A ND LOCATI ` ; :,,:: ,.; . ; , ,. ,,, • :' : : . ...: .. ❑Egress/lightingp]an RV Park Job no.: 11 Job site addressA: ❑Health-care tactility ❑Other: 3 _ SS 5.W, , ' , Submit," sets of plans with any of the above - City /State/ZIP: "r /Z d r� O ' ' L The above are not applicable to temporary construction service. Suite/bldg/apt no.: "! Project name: : >;)i Destriplion ..,, E I Qt7. I Fee. I Totyl • I ' ''' Cross street/directions to job site: New residential single- or multi - family dwelling unit. - Includes attached garage. • 1.000 sq, ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 I.:;; ,.; ... :::: ' I).fsCRIPTIQN Or,' WORK '..+; .. Limited energy, non-residential 7S ,00 2 Each manufactured or modular ' ` dwelling service and/or feeder 90.90 2 S vLA i Services or feeders installation, alteration, and /or relocation 200 amps or less 80_30 2 Q' PROPERTY' OFt'N)R 201 amps to 400 amps 106.85 2 k r 401 amps to 600 amps 160.60 2 Name: 'r ( I I Z ma t4 k Food cA to S 601 amps to 1,000 amps 240,60 • 2 Address: :5 S S .j , _ (err Si-. Over 1,000 amps or volts 454.65 .. 2 s^ r� b Reconnect only 66.85 2 City /State/ZIP: "r j /2 C4 ` ?? Temporary services or feeders installation, alteration, and/or Phone; ( ) `"J Fax: ( ) relocation 200 amps or leas 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 ctrcults -new, alteration, or eztension, per panel ; " rant ,:.. ,: :: ❑: ,APPLICANT '.:,'_:. A. branch circuits " _ •;Q COACT F�SO�i` s . ; - A Fee for b h wlth service or feeder fcc, each Business name: _ branch circuit 6.65 2 Contact name: B. Fee for branch circuits without service or feeder fee, I , Address: each branch circuit 46.85 `1 :85 2 Each add'1 branch circuit 6.65 2 City/Statc/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I F ; ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- , CON"TRACTOR , , ., energy panel, alteration, or Business :name: extension. Describe: Page 2 2 Address: �i (•� 1}. - A Each additional inspection over allowable in any of the above a �� ^ L 7 �v _Per inspection 62.50 . City/State/ZIP: � 0 C:1 11606 Investigation per hour (1 hr min) 62.50 _Phone: (. 5) l –S 323 Fax' • (S:5) o - t t pI , Industrial plant. per hour_ 73.75 : -10� J ELECTRICAL PERMIT FEkS"' • CCB Lie.: .t 4 o Electrical Lie.: 314 -t'8 ( Suprv. Lic,: )f/ '. 5 Subtotal y •$s Suprv. Electrician signature, required: r J Plan review (25% of permit fee) Print name: I Date: _21 � State surcharge (8% ofperrnit fee) S--7 S W` � � • TOTAL PERMIT FEE t'50- 60 Authorized signature: This permit application expires if a permit is not obtained within 130 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:\ Buildina \Pemlils\ELC- PermitApp.doc 12/03 440.4615T(10/02/COM/WEn CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00109 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/28/2007 Phone: (503) 639 -4171 - hw��i��ii�q 'i Inspection Requests (24 Hrs.): (503) 639 -4175 �"+ - INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7 :01AM PAGE: 22 • SITE ADDRESS: 06855 SW BAYLOR ST CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE: PROJECT NAME: TILLAMOOK FOOD SALES DESCRIPTION: (1) branch circuit for a/c unit. Job No. 7130 OWNER: ESLINGER BUILDERS INC, PHONE #: 503- 620.9515 CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503 -645 -5323 Inspection Request Scheduled For: Date: 4/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final / 045978 -01 503- 645.5323 N Corrections /Comments/ Instructions: . � A s +i!'st 1' - R s %, 1) PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N Date: 4 "1 Phone #: (503) 718 - Y"i V