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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00216 DEVELOPMENT SERVICES DATE ISSUED: 4/25/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 102DB -00100 SITE ADDRESS: 08840 SW BURNHAM ST ZONING: CBD SUBDIVISION: LOT : JURISDICTION: TIG Project Description: HVAC unit, 3rd fl. Job # 72243. 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: 1 W /SERVICE OR FEEDER: 4 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: GTE NORTHWEST INC E C COMPANY GARY N WILLIAMS PO BOX 10286 GTE TELEPHONE OPERATIONS PORTLAND, OR 97296 IRVING, TX 75015 Phone: Contact #: PRI 503 220 - 5377 FAX 503 - 295 -3012 FEES Description Date Amount Reg #: ELE 26 -45C [ELPRMT] ELC Permit 4/25/2006 $106.90 LIC 49737 [TAX] 8% State Surcharge 4/25/2006 $8.55 SUP 4040S Total $115.45 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 1- 800 - 332 -2344. Issued By: � m Permittee Signature: r^ 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. 04/24/2006 00:22 5032205347 PAGE 01 -- _.._...— -- FOR OFF, - ;., u 1. D'11 - Reserved - r - Daeel'BV' � pa other 1'ermiC City of 'Tigard n Plan Review P, LI 21 A "; °, a : � ' ' , \ te�y ,, ee rage 2 for 13125 S 5 11611 Blvd., Tigard, ax: 50 598. 960 AR l 4 1 � Date Rea ° Y supplemental Inrorrttaoon Phone: 503.639 -4171 P ax: — troti£adlNledtod r +t 7 Inspection Line; 503.639.4175 a d 0u9 QQ Y � �� ti , .., '(` , b', e 4 M x ' •6 r a r A :. t ` j ,:g ihY. i I;i , . Internet: www.ci,rig H V \ , ; ,�� . ;^ � t r ; p , r c"r " r ,ra,, ,. „ cwM C , R 7) , ? t J 5 , r N � . ", ) r \ M ,,; 1 y\ M , S 1, 4..:„\... . : . {{! �m t ttmicrua r, w)tt, r � t , .::,. r. i ' 9ii:,.h,Y,.a.C(4,,.sjr1.f, .:, *• pease chec alltbatalrp t {� H.al ' ,;1y1 � ^ r t ?,,:, 'h ll r. tl; ddit ['Service over CO ttlrrl ' ) ['Hazardous location Aion alteration /re lacetnent 225 snips, Buildng over 10,000 sq. ft. Li New constructlox• Service over 320 amps rat I] ❑ Other: ... ... . ..... ............... • :::r: :;7 s 4 o mere Ilew residential enlolitiotr ,:;,:.,M,.;7:,• e };r; >s.% <::';?':" i' ; `:`:i :. ;sk:;:;;-c:, o 1 - and 2 £surely dwellmg one structure D ff t F 7 J r T I r + " . ,A e .. r l - , { v�b a ,: ,.m ot( M "h units in Y gflgfal"ii i { r r•,n; , ,t, , ?,,,....1; ". ,:(:1 ,,,t,..:,.,• (ti:., �Systena ever 6OO O1t5 nOtNnffl Feeders, 400 amps or more • il' 1 �.'...'.. i . Accessory building , 1 ry t,'r(r I +, r ,, ..zC o ial/industnal ❑ EBuildins over ttu eve stories 1 - and 2 flUl Lily dwelling Other: ❑Occupant load over 99 persons ©Manufacturod structures or Master bu>ldex tan v pa � M art :- .;: >:•;, ..;.. s`;;;` E ss/IightttzBP ,.... ....,... r�,: ,.. • ...::::.: ::.:: � : ,>. , � ,;!,,:...., �;t ether: — • - .. . ... $ � ... i, .a J ., x.�:.11l6:. ,.,. r( �fi: ^a•. •� i•; ,, ;: r ,.i.�,y!x�'. ".Z:...(..n;:2:c1 S ,iLb- a:,J�r.:... • o-1 �'; �r. . „ I , ..�- : �r.. :: ��,.I, , . ,.;; >.•:.;;� », ..,,,- ..:,.,,, H facility 1 ll ,. : •.. . _..: �;., �^�'; x ^' "� ... ,� "'isr.� �;�:.�;?, -„ kI -care f xy�� � : : ' - •._.... is .. ;,,,. ,:• , Submit 2 sets o f p lans with any of the above. r Job no.: ‘-\''S ‘-\''S Job site address. %y Sa...) n t,knrtu � temporary construction service. The above are not applicable to pY • City /State /ZIP; ?{ y ktrr� v 1 ,,,� t , r } r r r t1 ,, it. : ) lak:: t ar- _ ' , ( ) ,. „... ) > ^:�Mf x vyr,..': i r) r.,..� i Qty. t7 L Total Suite /bldg. /apt. no.: 1-' r,\ >3 ' Project name: \(9 r 17 0- 1 u "ertp°F°u New residential single- or multi - family dwelling unit" Cross street /directions to job site: Includes attached garage. 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Subdivision: Lot no.: 75.00 2 _ iimited energy, residential Tax map/parcel ao -: 75,00 2 ...,.:..w.w..... ,,., , . v.v ,.,: ^::::: n, rog r :: ,,, v. w :::::.:::.. Y. v ::C.v ": /,'v'i:.:::':v: `h � . . ,., a.. , .- , .....it •a 'lei :., "1,. ., ^... , ... ^ . i;: :a. (, r.: ^. K. t . `:! ✓..:: _W1 %;" e l l 8 � a1 j�{� t ..ft , ..r „.u... ,.,.. .. .. , ..,1 , . ,::, ••,,;,. •,: . A (,.:: t ch t manufaci r lred - - - - t�':`� ?tF4`r ?�e t r , ll r r� +T� y tt,t t. ,� s " . .,, r� \it �.t )rr,� .,. 2f1F .G n .,. d P, 5 �� dwelling, service and /or feeder 90 90 2 Net,,,) 1, v Pt C t",.) ,' 3 u u - Services or feeders installation, alteration, and/or relocation 200 amps or less \ 80.30 %) .10 2 od..,, ,•n wFg.'., . M:a:. .:•r::::.: ':a3: 201 amps to 4 .,........ �.. �. c��, r. c,,:.. �m: .,, :,� :,r:: - !r. t'ii:'i: m 400 amps 106.85 2 P _ rt ,9(S#rilA , 1 . ; ,, , .,,/:•,,,,..i..a,::rs.,..,:- , , ,,.,,.,... e 401 axlrps to 600 amps 160,60 W Name: V e.,r . ‘ .. t. ,) , ..) 601 amps to 1,000 amps 240.60 2 Address: S .S-1- Over 1,000 amps or volts 454.65 2 it u1 ... �`)� — Reconnectonjy 66.85 2 City /State /ZIP:. , ,, ,1- W Pr - Temporary services or feedersinstallation, 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 r Yl p t> > () i : t { ,m � r „ r � N; t i f) I Y '(,, A. Free for branch circuits with �J 4 'I, . r r.J._i i t{ ., . . 1 ,,, , ( ,;. j"C l ., ,.nt.,. ,) ..,..g • - ... . :r... . ,..,. .. :: < Y' .,, cl a • ; ° oT feed' r t ee e ach 6 65 ' 2 branch circuit . ... serviCe Pee for branch circuits without service or feeder fee, 46,85 2 each branch circuit address: .. Bach add'l 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- _ t. .,p ..,... {.q, T .r...,r^:e..:..r:r.. �...n:"k'!1x{, : : : : ;... •. ._ie. ,.1• ' :: n';./M ;:? .�s;: :•.v.:: } •,x- ;.,;.... ...............<..., ... . ... .... ...,;,...,..,,.,. : :�,. S•.;. >,,. - ever alteration or ry.,..,: a,., L. ..r..,. ,,.J......,.....u. a.. x�.0 6=S£: F /. S .. e.411 t:: gV panel, 1tt11 ,. r. e.. ...n,...J:�•:l.... C.... v.....d.., .. ....._...,.ca,:y dr`';;:;.:? r...,.. „,. "i''•:. :, ":, :1ai.,,,, . -:,a +, .,:.,,,.:,.•:.,, :SS:c::: {.: cr..•.,:.,a,., ..,... .,;! r. r. •. , extension, Describe: Page 2 2 Business name: C Co ) - a 0 Address: Each additional Inspection over allowable in any of the above 1 V ( n Vh 1 Per inspection ME 62.50 M City/State /ZIP: s7 \ 4 0f - c Vl a ` 1 investigation per hour (I is min) _ 62.50 Phone: (su ) 7 4 _ .S :11 1 Fax; (S 4 ) ap1 S U r 2 Industrial plant per hour IIIIIIIM1.1114 CCB Lie,: t.• ()-N1 -7 Electrical • • L, L Suprv. Lie.; Subtotal > 0 ` C p Suprv, Electrician signature, require // r ,. / Plan review (25% of permit fee) Print name: Date: S tate surcharge (8% of permit fee) St.,. S /G • : 1* 1 a/A Z TOTAL PERMIT FEE 11 c ,`A S Authorized permit signature: This peut application expires ii permit is not obtained Within 180 days after it has been accepted as complete na Print name: Date: • Fee methodology set by Tti -County Building Industry Service Board "" Number of inspections per permit allowed. 1:, BulcuoVerrmtsuit LC- permittipp.doc 12/03 44045I5T(10/02/COta/Wrira CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200$-00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2512006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/1212006 TIME: 7:03AM PAGE: 74 SITE ADDRESS: 08040 SW BURNHAM ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: VERIZON DESCRIPTION: HVAC unit, 3rd fl. Job # 722A3. OWNER: GTE NORTHWEST INC, PHONE #: CONTRACTOR: E C COMPANY PHONE #: 503220 Inspection Request Scheduled For: Date: 511212006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 029731-01 503-220-3665 Corrections/Comments/Instructions: siN 424 Th pri cAmbj .■2 PASS n PARTIAL APPROVAL n CANCEL , NO ACCESS l I FAIL CALL FOR INSPECTION I l ADDITIONAL FEES ASSESSED . Inspector: G NO 8 LC Date: 5 Phone #: (503) 718- 1jJ