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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 - 00574 DEVELOPMENT SERVICES DATE ISSUED: 10/11/2006 frz w,j : 411 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135BC -00600 SITE ADDRESS: 10777 SW CASCADE AVE ZONING: I - P SUBDIVISION: LOT : 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 CRC: 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: AMB PROPERTY L P CAPITOL ELECTRIC CO INC BY TRAMELL CROW NW INC 11401 NE MARX ST 4949 SW MEADOWS RD #150 PORTLAND, OR 97220 -1041 LAKE OSWEGO, OR 97035 Phone: Contact #: PRI 503 - 255 - 9488 FAX 503 - 257 -7121 FEES Description Date Amount Reg #: ELE 26 -496C [ELPRMT] ELC Permit 10/11/2001 $53.50 LIC 48748 [TAX] 8% State Surcharge 10/11/2001 $4.28 SUP 3132S Total $57.78 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: Permittee 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 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. V FOR OFFICE USE ONLY " Electrical Permit Applicat V r- Received Permit ns / �/) (� �L Date /By: /0//!706 6/5 •r/t 5e City of Tigard Plan Review OCT 0 f► Other Permit: • 13125 SW HALL BLVD., TIGARD, OR 97223 ��Q r I( Date /By: Phone: (503) 639 -4171 Fax (503) 598 -1960 CITY Op TIG CITY OF TIGARD Date Ready /By: Juris: ❑ See Page 2 for Inspection Line: 503- 639 -4175 BUILDING Dltf� i� Notified /Method: / Supplemental Information Internet: www.ci.tigard.or.us St TYPE OF WORK PLAN REVIEW ❑ New construction U Addition /alteration /replacement Please check all that apply: ❑ Demolition ❑ Other: ❑ Service over 225 amps, comm'l ❑ Hazardous location CATEGORY OF CONSTRUCTION ❑ Service over 320 amps - rating ❑ Building over 10,000 sq.ft. ❑ I- and 2- family dwelling Li Commercial /industrial ❑ Accessory building of 1- and 2- family dwellings 4 or more new residential ❑ Multi - family ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units in one structure JOB SITE INFORMATION AND LOCATION ❑ Building over three stories ❑ Feeders, 400 amps or more Job no.: 261550 Job site address: 10777 SW CASCADE AVE ❑ Occupant load over 99 persons El Manufactured structures or ❑ Egress /lighting plan RV park City /State /ZIP: TIGARD, ORE ❑ Health -care facility ❑Other: Submit 2 sets of plans with any of the above. I The above are not applicable to temporary construction service. Suite /bldg. /apt. no.: !Project name: STATE OF ORE MISC . FEE SCHEDULE Cross Street/Directions to job site: TO 107 & CASCADE AVE Description I Qty. I Fee. I Total I ** New residential - single or multi- family dwelling unit. Subdivision: Lot no.: Includes attached garage. 1000 sq. ft. or less $ 145.15 4 Tax map /parcel no.: Ea. Add'I 500 sq. ft or portion 8 33,40 I DESCRIPTION OF WORK Limited energy residential $ 75.00 2 INSTALLING ( 4 ) OUTLETS AND ADDING A SWITCH Limited energy, non - residential $ 75.00 2 Each manufactured home or modular Li PROPERTY`OWNER I ❑ TENANT dwelling, Service and /or feeder 5 90.90 2 Name: Service or feeders installation, alteration, and /or relocation TRAMMELL CROW 200 amps or less $ 80.30 2 Address: 4949 SW MEADOWS 201 amps to 400 amps $ 106.85 2 401 amps to 600 amps 5 1 60.60 2 LAKE OSWEGO, 9 601 amps to 1000 amps $ 240.60 2 Over 1000 amps or volts 5 454.65 2 Reconnect only _ 66.85 2 Phone: Fax: 503 620 - 9400 Temporary services or feeders installation, alteration, and /or Owner installation: This installation is being made on property that I own which is not relocation intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less $ 66.85 1 Owner signature: Date: 201 'amps to 400 amps $ 100.30 2 401 amps to 600 amps 5 133.75 . 2 ❑ APPLICANT I ❑ CONTACT PERSON Branch circuits - new, alteration, or extension, per panel Business Name: A. Fee for branch circuits with service or feeder fee, each Contact name: branch circuit 5 6.65 2 B. Fee for branch circuits Address: without service or feeder fee, each branch circuit 1 $ 46.85 46.85 2 City/State/ZIP: Each additional branch circuit: 1 $ 6.65 6.65 2 Miscellaneous (service or feeder not included) Phone: Fax: Pump or irrigation circle $ 53.40 2 Sign or outline lighting 5 53.40 2 E -mail: Signal circuits(s) or limited - CONTRACTOR energy panel, alteration, or Business Name: CAPITOL ELECTRIC CO., INC. extension. Describe: Page 2 2 Contact name: Each additional inspection over allowable in any of the above Per inspection $ 62.50 Address: 11401 NE MARX ST. Investigation per hour (1 hr min) 5 62.50 Industrial plant per hour 5 73.75 City/State /ZIP: PORTLAND, OR 9722 0 -1 041 ELECTRICAL PERMIT FEES* Subtotal 53.50 Phone: 503- 255 -9488 Fax 503- 257 -7121 ��� (� Plan review (25 % of permit tee) �=-.8 � State surcharge ( 8% of permit fee) 4.28 CCB Lic.: 48748 !Electrical Lie.: 26 -496C uprv. Lic.: -S TOTAL PERMIT FEE 57.78 Suprv. Electrician signature, required: / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print Name: C4/� /y4"Z.-/ _Date: 10/06/06 * Fee methodology set by Tri -County Building Industry Service Board Authorized signature: /� ',.. / * *Number of inspections per permit allowed. Print Name: j r CITY OF TIGARD .. ,� BUILDING DIVISION PERMIT #: ELC2006-00574 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2006 Phone: (503) 639 -4171 k r4 Inspection Requests (24 Hrs.): (503) 639 -4175 I L INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7 :01AM PAGE: 31 SITE ADDRESS: 10777 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE OF OREGON DESCRIPTION: 2 branch circuits. OWNER: AMB PROPERTY L P, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255.9468 Inspection Request Scheduled For: Date: /111712006 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 039960 -01 971-506-3076 N Corrections /Comments /Instructions: • 'SS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS �PA ❑> FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -7e-jil" Date: if — / 7 - © Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELG 0 74 inaho 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2006 Phone: (503) 639 -4171 -4/4401A I 1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7 :01AM PAGE: 30 SITE ADDRESS: 10777 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE OF OREGON DESCRIPTION: 2 branch circuits. OWNER: AMB PROPERTY L P, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 266 -9488 Inspection Request Scheduled For: Date: •i1/17/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 039960 -02 971-506-3076 N Corrections /Comments /Instructions: R.% PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: / `4;:,� Date: ! (7-0 -0 6 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200 -00574 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/11/2006 Phone: (503) 639 -4171 �° I��ii�yp�l?i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/W2006 TIME: 7 :02AM PAGE: 61 SITE ADDRESS: 10777 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE OF OREGON • DESCRIPTION: 2 branch circuits, OWNER: AMB PROPERTY L P, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503- 266.94888 Inspection Request Scheduled For: Date: 11/9/2006 Pour Time: Code # ispeetiea --! - scription Confirm # Contact # Message 26 over — 039526 -01 971-506-3076 Y Corrections /Comments /Instructions: ',PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: i( — ?`- 0,6 Phone #: (503) 718- •