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Permit CITY OF TIGARD ELECTRICAL PERMIT • PERMIT #: ELC2004 -00068 ;���• DEVELOPMENT SERVICES DATE ISSUED: 2/11/04 `--•' 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2 S 102 AD - 01100 SITE ADDRESS: 08845 SW COMMERCIAL ST SUBDIVISION: ZONING: CBD BLOCK: LOT : JURISDICTION: TIG Project Description: (2) branch circuits for new rooftop unit. 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: BIRKEMEIER, BRENT T AND DAVID CHANDLER ELECTRIC JANET D TRUSTEES 3521 SW CARSON ST 10573 SW NAEVE ST PORTLAND, OR 97219 TIGARD, OR 97224 Phone: Phone: 503 - 245 - 7774 Reg #: LIC 94908 ELE 26 -1081C FEES SUP 688S Description Date Amount Required Inspections [ELPRMT] ELC Permit 2/11/04 $53.50 [TAX] 8% State Surcharge 2/11/04 $4.28 Rough -in Elect'I Final 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 • e 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 re than 180 .. • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set rth in OAR 952 - 001 -00 c hrough 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. Is ed By: ! �i`i� "d"O&/44- Permit Si nature: �' Y �r� g � ,�� W� l 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: CONTR CTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: o.-'/ I "isz) L.( LICENSE NO: ogg` Call 639 -4175 by 7:00pm for an inspection the next business day Electrical Permit Application FOR OFFICE USE ONLY iLy of Tigard A Date/Bed A M Permit No.: /� �7Q 13125 SW Hall Blvd., Tigard, OR 97223 y i Plan Review Phone: 503.639.4171 Fax: 503.598.1960 pl l0 Date/B : Other Permit: Inspection Line: 503.639.4175 6. W Date Ready/By: luris. RI See Page 2 for Internet: www.ci.tigard.or.us {il 9 e Yte y�� - Notified/Method: Supplemental Information . ,,.�.. ;,°s-sr'�. i '?rA T ���I ` "` � KK .?. ::. � �>.v ` N '� f .• �:'a^,w.. t. , i ezp-a.:: `.�.,�° �''t&-S�v ;C Z ^;E,;;c,.::F� . 'Ty{s:.; =�'s<. ,.°- z-:.�. a<' ;� e � - - 4. ' f TI`�PE'OF WORK ; . -_ PLA °REYFIEW . ❑ New construction [ddition /alteration/replacement Please check all that apply: 111 Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location m.-3- ['Service over 320 amps - rating ❑ Buildn over 10,000 sq. ft., , s CATEG `OCONS RI3CTION fir, of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling [ 4<ommercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ID Multi - family 111 Master builder 111 Other: ['Building over three stories ❑Feeders, 400 amps or more r ['Occupant load over 99 persons ❑Manufactured structures or . t g ` 7 J s OB" SI INFORMATIO ° AND L ®CA`�'TION t park RV , ? x aa,4„. ,ALJ , , _ _, e t . ❑Egress /lighting pl an P Job no.: Job site address: gsL1i r' ❑ Health -care facility ['Other: �a�, 2/ l / Submit 2 sets of plans with any of the above. City/State/ZIP: - • ,_d � 0' 72 Z- "�� The above are not applicable to temporary construction service. no.: Il l Pro Project name: ��A �ry 0....-.-1-- f ., . ' .. :..., FEE* SCHEbuLE Y ** :, Suite/bldg./apt. j ✓V I ,pPr / 1/ i •A Description Qty. I Fee. Total } Cross street/directions to job site: Se -■-L't C'e eLL4. C New residential single- or multi - family dwelling unit. sE n }� ' Includes attached garage. - / 8 - 29- r' I' p f 6LL I' /CI / 1 Ji 9 1,000 sq. ft. or less 145.15 4 S Rill Cs t J 1 � C / ' I ( A'°t n o.: Ea. add'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.: Limited energy, residential 75.00 2 , energy, Limited ener gy non - residential 75.00 _ r :v�� _ � � b.�, �, . �_ m �Sr �,,_ DESCRIP;TIONy O O k ! , Each manufactured or modular .� Q q � dwelling, service and /or feeder 90.90 2 �iSCO� ;L1LS' Jt� J ��l 4v' t � Services or feeders installation, alteration, and/or relocation AC 4(5•p G• _s c9o©t '- ®yl gQo(-2-- 200 amps or less 80.30 2 �� s��� � . p � 201 amps to 400 amps 106.85 2 a . PROP R TY�� OWIV ER `... x ', Ati,. .�. ® T 401 amps to 600 amps 160.60 2 Name: 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 Phone: ( ) l Fax: ( ) relocation 200 amps or less 66.85 l 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 A. Fee for branch circuits with �, w `,..... 'PLIC ., � . I : 1a.. x C D NTACT EERSO i Z; O service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, l° Address: each branch circuit ! 46.85 / (' p 2 Each add'l branch circuit / 6.65 &,b,5- 2 • City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) l Fax:: ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited - gag: 7 i : � "- energy panel, alteration, or �'� ��w � � "' �,i CON,T � � r x � � _ ""' ' Business name: J7 � eka y „ � ' /� r� extension. Describe: Page 2 2 Address: 3S ( . Ca --.'0")\_ '— Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: 6 -'I a KA 0.c t ' 7 Z ` 9 Investigation per hour (1 hr ruin) 62.50 Phone: 7 Fax / /(1 `/ Q j Industrial plant per hour 73.75 ) ZY S 77 y �3) Z 7 7 - "T LEWRIMPITOTOMiittODAM-3 -3 7 CCB Lic.: 7LF9) 2 Electrical Lic.26_ �c Suprv. Lie.: � ?gs Subtotal �3 Suprv. Electrician signature, required:' // r/ / ;a / Plan review (25% of permit fee) Print name: ci 1 0 V�J ' /Vc . 111 !!llll , r v(/ Date: �) 1 _ 91 41 State surcharge (8% of permit fee) ���� 9 IJ TOTAL 'PERMIT FEE e g Authorized signature: 1 a $n T his permit application expires i a permit is not obt�ed wit in 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. i.\Buitding \Permits \ELC- PermitApp doc 12/03 440- 4615T(IOIO2 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: f MIDE ., T WCIRK ONLY tr n , :: r Via.: l Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: CClMi1REY2C ._ W'WR Or'L r tS Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation ❑ • HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling D Other _ Toial•number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Permits\ELC- PermitApp.doc 04/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Lire: 03) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received kl _ e: V Re uested 010/ //3 . /. AM PM BUP r) Location o Z"� %�t_P/).�C' ! aQ V 7 7 Suite MEC Contact Person Q / - 3 3 3 ‘c7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner _ /, , /9.1 � De %. 62 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation C,A/ 1� Q� I 0 Drywall Nailing l ■ V v 1 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling • ,l� Roof `6 3 X'k )- Other: 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 , /� �II / / Low Voltage C aLC. 7 - r� �� // eio F 'arm SS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: D Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL • !■