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Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY e�'�l DEVELOPMENT SERVICES PERMIT #: ELR2004 -00339 Aj. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/29/2004 SITE ADDRESS: 07632 SW DURHAM RD 125 PARCEL: 2S113BA-00400 SUBDIVISION: SW CENTER SDR1999 -00020 ZONING: I -P BLOCK: LOT: JURISDICTION: TIG Project Description: HVAC. 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: OPUS REAL ESTATE OREGON IV LLC HVAC INC 1000 SW BROADWAY 5188 SE INTERNATIONAL WAY 1130 MILWAUKIE, OR 97222 PORTLAND, OR 97205 Phone: Phone: 503 462 - 4822 Reg #: LIC 50897 ELE 26-571CLE FEES Required Inspections Description Date Amount Low Voltage Inspection • [ELPRMT] ELR Permit 10/29/2004 $75.00 Elect'I Final [TAX] 8% State Surchari 10/29/2004 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued by 7 112 ) �2�? Permittee Signature _10 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day 10/22/04 FRI 09:56 FAX 5039626555 HVAC INC 12I 003 1 + . ,..:::::,,, , ,. , :r: : - - , .: : :.:',' F( ()F00 o.F Ok y t`'' • Electrical Permit A,, •, a h ' i R ecerv ed d Electrical G ` .: Q ' - Date/ ri G' / Permit No.� 7 `64 / City of Tigard ?farming Approval ` ;j Sign Date/By: Permit No.. 13125 SW Hall Blvd. 2 9 260 Plan Review Other Tigard, Oregon 97223 OC ! Date/Ey: Permit No.: Phone: 503-639-4171 Pax: 503;$ �$rj�9� Post-Review Land Use Internet: www.ci.tigard.or.us , VI �` f t 4 Date/BY: Case No.: 24 -hour Inspection Request: 503MP -4 175 ® p `" ' � ' `I ``t N tia S./ Su See Page for Name/Method: I V Supplemental lnfurmatiun. TYPE :OF W0RK T: .. ,. (Please check all thtiti:aPplY):: .': . -- 1 . . ': `. ❑ New construction Demolition Ti Service over 225 amps- ❑ Health -care facility Addi fiOnl' p l WO commercial ❑ Hazardous location r�at1 acement Other: _ ❑ S ervice over 320 amps-rating of p g ❑ Building over 10,000 square feet, . • ... .. . . . . ... . CATEGORY OF_CONS CTI'ON ` : ' ' I & 2 family dwellings four or more residential units in ❑ 1 & 2- Family dwelling I ! 'otrun is I dustrial ❑ System over 600 volts nominal 1 one structure ❑ Building over three stories I ❑ Feeders, 400 amps or more ❑ Accessory Buildln_ I II Multi -Famil • ❑ Occupant load over 99 persons D Manufactured structures or RV park [J Master Builder I • Other: ❑ Egress/lighting plan D Other: Sol? ' ::JOB SITE TNFOR N: MATIOatitLOATION` !' Submit _ sets of plans with any of the above. The above are not applicable to temporary construction service. site address: `7 03a Lt! �cyrhAm 1 .0 . , . ,: ., ' *"IEIEDIJLE :: ; : ; :. "',:' Suite #: Bldg. /Apt. #: '.:., Number of inspections . '.',:2:_:,:'''' : . ,.. . :. per permit allowed Project Name: .- ai , a i , 1 „fj 7' , Description Qty ree(ea.) I Total 1 ! New residential- single or multi- family per 3 Cross Street�irectlt)n5 to job site: dwelling salt. includes attached garage. Service Included.: 1000 sq. Pt. or less 145.15 4 Each additional 500 sq. I or portion thereof 33.40 ! Limited energy, residential 75.00 I 2 Subdivision: Lot #: Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling .... .. DESCRiPTIO . :OF'sWORIC' ; :.. : ; , :.' •:, service and/or feeder 90.90 2 � { Services or feeders - installation, r l0.A.)rf1 —9'1C tS 4A.505`rs alteration or relocation: q _ n 200 amps or less 80, 30 2 (J `"� 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 d ^ PRoPERTY • OWNER: . : is 1`,:D TENANT' : :': + °,: ;; . ; •..i.'r :. ;,; ;.' 601 amps to 1000 amps 240.60 2 Over 1000 amps or volts 454.65 2 Name: , only 66.85 2 Address; Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: 200 amps or less 66,85 1 Phone: Fax: 201 amps to 400 amps 100.30 2 0 401 to bU0 amps 133.75 2 "APPLICANT ;; ` :'' . :.1'{ .CONTACT PERSON: „r`',;: r 4°1 circuits •new, alteration, or Name: extension per panel: Address: A. Fee for branch circuits with purchase vi' service or feeder fee, each branch circuit 6.65 2 City /State /Zip: _ B. Fee fur branch circuits without purchase of service or feeder fee, fast branch circuit 46.85 2 Phone: ^W Fax: _Each additional branch circuit 6.65 2 E -mail: Misc.(Service or feeder not included): "`' CONTRALTO Each pump or irrigation circle 53.40 Each signor outline lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel, alteration, or extension I Page 2 2 Business Name: V .t--,,..__,., ________ Description: Address: egg" s E Q 1„061,,,i___ y q �- Each additional inspection over the allowable in any of the above: City/State/Zip: � � - I �"" Per inspection per how (min l hour) 6250 -- CCB Lic. #: so $C 7 Lie. #:.��- S7 (l? LC Other Phone: 3y3 -q f�,3 -'.¢$ D.,.. Fax: 3 -( d (m2 (555 I Investigation fee: .::.., .. Electrical :A.eriiQft °.Fees *: _ ::'u: :: Supervising electrician Subtotal S Signature required: W ,�..4-• I Plan Review (25 %ofPermitFee) S Print Name: Torn l,J (Son Lic. #: 2102_ • State Surcharge (5% of Permit Fee) 5 _ ___ , /� 1 TOTAL PERMIT FEE S Authorized �� � y� ,` Notice: This permit application expires if a permit is not obtained within Signature: _ JS1. : 't A l�0L)1. 'e 14 r1 Date: to !° JOB/ 180 days after it has been accepted as complete. S ` ( `Fee methodology set by Tri- County Building Industry Service Board. vex fit- 1 2c,b lrtSG-41 (Please print name) i:\DstsTerrnit Fo ms \ElcPernitApp.doc 01;03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line : (50,3) 639 -4175 • INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received Date Requested AP? — ' AM PM BUP Location - 7 ( 3 Z C Suite Ja 3 MEC Contact Person - Ph ( ) PLM Contractor- / — _ Ph ( 7-4D ) 7 7.2 - /1 SWR BUILDING Tenant/Owner ELCc ? 4 Footing Foundation ELC � Ftg Drain Access: ELR L ' V A Crawl Drain Slab Inspection Notes: SIT 1 "V " �� Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing p� Insulation �V ^_ y' r S \ \55, C\ ' 1 / 01 \ � * Drywall Nailing ) Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING . Post & Beam Under Slab - fi11 Rough In G� k'AW� ,1 G Cia Water Service X Sanitary Sewer Rain Drains - Catch Basin / Manhole Storm Drain Shower Pan Other: Final b4• PASS PART FAIL MECHANICAL Post& Beam Rough -In - Gas Line Smoke Dampers Final V 714A PASS PART FAIL E y L J ELECTRICAL S \ ©u — D-b S G � ` v) lao Service ` Rough -In L L© 0D s3 UG/Slab Low Voltage Fire Alarm ma Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SI Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line _ ADA Approach /Sidewalk Date Inspecto ■ / bps' Ettt Other: Final D i NOT REMOVE this inspection record from the Jo site. PASS PART FAIL