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Permit Ai CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00351 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/2/2007 PARCEL: 2S 112AD -01100 SITE ADDRESS: 06670 SW BONITA RD ZONING: I -P SUBDIVISION: PAUL SCHATZ FURNITURE LOT: 001 JURISDICTION: TIG PROJECT: PAUL SCHATZ FURNITURE MAJ. MOD Project Description: Phase 2 - Low voltage wiring for thermostat A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACA PROPERTIES LLC HVAC INC 6600 SW BONITA RD 5188 SE INTERNATIONAL WAY TIGARD, OR 97224 MILWAUKIE, OR 97222 Phone: Contact #: PRI 503- 462 -4822 FAX 503- 462 -6555 FEES • Reg #: ELE 26- 571CLE LIC 50897 Description Date Amount SUP 605LEA [ELPRMT] ELR Permit 10/2/2007 $75.00 . [TAX] 8% State Surcha 10/2/2007 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 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 questio s to OUNC at 503.246.6699 or 1.800.332.2344. i / Issued By: 'j / � / _ / ` Permittee Signature: , �'l'1 r 2 _ h 6 6-.).-, 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. Electrical Permit Applicatiwk.,e% . . 'FoRoFFict: USE ONLY ' . 2 , . -.. - . .', ;= A, ,p, • ' . - . . , it of Tigard ' - Received titUE1 _, 0,......1 Date/By. -/ 1‘..7 i Permit No.: e&a 7 ...551 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 SEP 1 , ..,,,,IL, , D Plan Review Other Permit: -- Inspection Line: 503.639.4175 -1-Ir '74 - 11 - Mat : inns: El See Page 2 for Internet: www.ci.tigard.or.us CITY() - - 4:. . ,r Notified/Metho Supplemental Information - BUILDINGDIVISION , .- ' 0 New construction ii Additio(alteraticreplacement Please check all that apply: . 12 0 Service over 225 amps, comm'l 0 Hazardous location Demolition 0 Other: OService over 320 amps - rating 0 Buildng over 10,000 sq. ft., :. • ":„ 2i.;. Ekii6Z):::_if-rii ' C, NSilliJCI101■1 ', ..:.--":-- :- of 1- and 2-family dwellings 4 or more new residential 0 1 - and 2-family dwelling iv, Commercial/id p ustrial 0 Accessory building _., DSystem over 600 volts nominal units in one structure 0 Building over three stories OFeeders, 400 amps or more 0 Multi 0 Master builder 0 Other: DOccupant load over 99 persons 0 Manu factured structures or . . ,. , '-. -',' = -....•.!..:••,',-- 40B SITE INFORMATION AND 'LOCATION - . ]'- ' :' .2 0 Egress/lighting plan RV park Job no.: 3 7 Job site address: Cogio SU) Bo„...„-tk_. p...ei 0 Health-care facility DOther: Submit 2 sets of plans with any of the above. City/State/ZIP: • 1 c 4a,, reAer")/7 The above are not applicable to temporary construction service. i \ •‘" ". Suite/bldg./apt. no.: L-) Projt name:? S l pf, •2_ • • Description 1 Qty. I Fee- 1 Total 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 Limited energy, residential 75.00 2 Tax map/parcel no.: Limited energy, non-residential 75.00 2 .. • ... OF :WORK - 'L:=r :-."-- ' ':"' .?, -,. . 1 ' , ''. 4.7 1 , :.:,.::: - ':2- --- -'. Each manufactured or modular dwelling, service and/or feeder 90.90 2 L..\) CU C/11(..411 a \ -1-6,L, p s . 6 -I- Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ,.....:: .. ,PROPEITidOWNER 1!'. - -, - El TENANT , - 5''...:t.. 7_-•...i-'-1-.7:- 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 N ame: - - 7 .'= :: :' ."'....: ',: ':- - 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 relocation Phone: ( ) Fax: ( ) 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 T.".:,:' CI 'APPLICANT '''. : ' .- ' -.. : . .' 0 CONTACT. PERSON. ':.-- ..- ":-" A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 2 each branch circuit 46.85 Address: Each addl branch circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 E Signal circuit(s) or limited- -I ''•-=.'2•• . --:= 1 .f•`:;$::-;' , :".:• - r;;: , : - ..M:.4 . 6::' , 1 1. 7CONTRACTOR ., •: • • ,--- 'L - '' - - • - . --Ol:;= : -;:--..-..-: energy panel, alteration, or extension. Describe: / Page 2 2 Business name: 14-V/6Q, / Address: -,- _4) , .„ Each additional inspection over allowable in any of the above Si g 5 E j..... 4 ( kJ 4 Per inspection 62.50 City/State/ZIP. (V\ I • al..) Q(..)...k k/2 -, i-e clo-y-\ Investigation per hour (1 hr min) 62.50 l Industrial plant per hour 73.75 Phone: 5C-: ) 4 4 g.-- Fax: 3) w s :.q;,-k-;•,--T. smamELEcnticAopER 4 CCB Lie.: 5 Electrical Licab...5-71C&& Suprv. Lic.:6,05•LEA Subtotal Suprv. Electrician signature, required: F ) Plan review (25% of permit fee) State surcharge (8% of permit fee) Print name: 1 4.,( 1'77: SColo 6.2- Date: TOTAL PERMIT FEE , 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. iNBuilding\Permits1ELC-PertnitApp.doc 12103 440-4615T(10/02/COMANEB i CITY OF TIGARD BUILDING DIVISION 0 PERMIT #: ELR2007.00351 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101212007 Phone: (503) 639-4171 i�u�h � l' Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 315d2006 TIME: 7:00AM PAGE: 16 ADDRESS: 06570 SW BONI1 DDRESS: gG�70 Lam` Dt Nlfi A, RD CLASS OF WORK: SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE: PROJECT NAME: PAUL SCHATZ FURNITURE MAJ. MOD DESCRIPTION: Phase 2 - Low voltage wiring for thermostat OWNER: PACA PROPERTIES LLC, PHONE #: CONTRACTOR: HVAC INC -''\‘ PHONE #: 603 - 462.4822 Inspection Request Scheduled For: Date: 315120013 Pour Time: Code # Inspection Description C ' Contact # \sage 199 Electrical Final 06613F° 01 503- 462 -4822 Y Corrections /Comments /Instructions: . \\\\ , V \ \ ` �1 A PASS ❑ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS ❑ FAIL _ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED Inspector: V ' iits Date: 3'6 v Phone #: (503) 718-