Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00457
04I DEVELOPMENT SERVICES DATE ISSUED: 6/28/2005
x ---+ 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 113 AC -00102
SITE ADDRESS: 07250 SW DURHAM RD BLDG J -100 ZONING: I -P
SUBDIVISION: COUNCIL VIEW ACRES NO. 2 LOT: 025 JURISDICTION: TIG
Project Description: Modify circuits to add new outlets for lighting.
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: 6 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:
PACIFIC REALTY ASSOCIATES EMPIRE ELECTRIC COMPANY
15350 SW SEQUOIA PKWY #300 -WMI 2014 SE 9TH AVE
PORTLAND, OR 97224 PORTLAND, OR 97214
Phone: 503 - 624 -6300 Phone: 503 - 777 -3108
FEES Reg #: LIC 147727
ELE 3-521C
Description Date Amount SUP 3192S
[ELPRMT] ELC Permit 6/28/2005 $86.75
[TAX] 8% State Surcharge 6/28/2005 $6.94 REQUIRED ITEMS AND REPORTS
Total $93.69
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.
FROM :EMPIRE ELECTRIC CO FAX NO. :5037774152 Jun. 28 2005 08:53AM P2
. _fir . .
]E1cctric�il Permit 44,... i ti �a � r
,. .. l OR orrice t.sl_:u,LY
City of Tigard Reeelwa �► WZINSITZMWA
13 1 2 5 SW Hal Tigard, OR 97223 `+ 1p,, 8 20 Daar Vi f
Phone' 503,639,4171 Fair: 503,598.1960 Jvi`1 Plan Rie
rnc�v
1GP � 't';•:ilf�- 77ue /1i ; QdwrpQrmin: him Inspection Lire: 503.639,4175 0 � l : •AA_ wu Il =y bee Page? ter
Internet: www.ei- tigard.or.us Gil: ∎ \11�. taoc:4a4.44.1.4, sap 4' 1wrvrewati.,w
4 :'!•f:�i;I r . c ' ' ' ' r I I I ` i, 'I,, n it jI .l'ii'r• PIlrl •.• S RE *. :. j. Ir
• 0 Now c it ' • ditionfalterdtion/replacemc nt Plow check all that apply:
❑ porttolition 0 Other. riService over 715 a.rnp &, marital DHazardous location
DSr'rvicc over 320 amps - rating DBulldng over 10.000 sq. ft..
';1:'. • - i , •, i . "' .' f- t k ?; , 1 ; •! '.' • e l ; i ! h .l' or i • and 2- faruity dwelling 4 or more lei resider 6'1 - 0 I. and Z- /sillily dwelling P. r mmerciai /industrial ■ Accessory building iDSystcm over 600 volts nominal units in one itmeturc
DAuitding over three stories InFooders, 400 amps or more
' ❑ Multi-family P Master builder p Other _ Q Msnufactu
•.t; • I e , • ,d 1,,• ' i �,�.,y� 404. b• i �,� r •I I, , ;t• i .i w� Occupant load over 99 persons OMa rCd structures or
,1 „ , .. - ; .•:*11 . 0. ' • n P1:I �Z' )# Ill._ ..1111 _ D wcS•iniguing RV ;wit
JJ ,,„ f OHcaltn care funny Dien;
Job no.: Job site address; � f n d-�^ -� cr submit x seta of plane with any of the above.
CityfSttue/ZW• — T 1 ; 2 r m • 7 ? q .. The above ago not tipyficable 10 temporary construction, service
Suiteebldgfapt- no. l Project now STS S ` J � �j_ I ' b11 • i l li f..., lee Thal » ,
tlwagra ea I fir. I O T — {
Cross atyr-I/directions to job site; New residential single- or multi- family dwelling unit.
includes enriched garage_ - ,
_ • 1,000 sq. ft. or less . 145,15 - 4
Subdivision: I it no.: tit, add`i $00 sq. it. or portion _ 33. � _
•-
Limited energy, residential 75.00 2
- B] no.: - --
Tax Limited energy', non- rmidential 75.00 2
.:::.`•q "I, '1Ir•I: 'r,:: • ' 4 • - t.. • 111:"1,4 75i ., .,... Each f rcd mod 1e f
l i r'".'''' •
. r.' r •,;; •Is � l ., r . r , '' m 0 , ; ;.' • roans scan •, .... -.- . -. - _ . _ —
l 6 'L it' C.—! 'Y 1.1 U TS To c tid n e. sJ dwellin service and/or. feed, 9090 z
Services or feeders Installation, afterglow and/or relocation
1 L t ' IZ 80.30 2
� -7-71 e. 4 • e- k. x00 amps or toi
t � u�.yAe1 a I f L -• i r : i 201 sntpa to a00 amps _ 106115 2
4 1 I ,. • c ' • - ( jj ` . . , t , . U' . •, - A - • 1 � .!" • ic"i. ; 401 artTa to 600 amps 160.60 2
Nana; 601 amps to 1,000 amps 240.60 2
'-
Address;
-
Over 1,000 amps Or Veit$ 454.65 2
_ - - Rrcot 6G.1s 2
CitytStatetZLP: Temporary services or feeders Iasta:iailon, alteration, and/o
- relocation
Phone: ( ) l ax: ( ) 200 amps ea less 66.85 1
Owner toataliatten: 'this installation is being made on propeny due I awn which is not 20i amps to 4 00 amps 100.30 . 2
intended for sale, lease, mat, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 attics 733.73 z
Qtvnter signature: _ Dater /trench circuits - stew, emanation; or watenaleo Par paned
, -� .', . l It r” A. Fat for branch circuits .vir/� Y • , 4�Jii�. a�.ar ' I ;r • . cervix of feeder fee, each _ 2
$uginess name: brawl circuit G t55 -
- B• Fee for branch circuits
Contact name_ v./0haur service or feeder fee 46 85 lice gs 2
each branch circuit .
Address: _ &eh add'_ branch circuit - 665 31 q 0 z
City /State/ZIP: MIscenseeout (service or feeder not Included)
Phone: ( ) Fax ; ( ) Pump or itri8 = lion oi rcic
Sign or outline iightin‘ 53.40 2
E -mail: Signal circuit(s) or limited -
. , rgy Panel ultrrltion, 0r
YG ! ?I''.;,:: ;i. :I,tiii),� r,'I 1 '• . /+ 47GCUR+ i,a'`t;'.`:. ; 1- 6 '':a,,�
►'�' ± y E � � C t extension. Describe: Page 2 2
Business maim �rQ,, ►� t 1
r / ( /� �n --- Each additional Ins action vrar allottuele In any of Mc above
Address: 7 O I ( s c t rl A- L ,A— Per inspection 62.50
City/State/ZIP: 7 p- '1'-4 ( ) 6 '17 'V t( Invcati per lour (1 hr nun) 62.50
' ) pho 6;O3) 77' .- 3 O g Fax: C 03) 7 7 — LI 5, z t„ per hour 73.72
, a,'Z1vECi Ric .- p)HillId'A71 use' "' I.
g--CCB Lit.: Electrical Lic -: 3— 5 j Suprv. Lic„ /4 /7, Sus
.. ' to ul
��az El
/ - Plan review (25% ofpermit fee)
5etprv. Electrician signature, required: ! . /fir ` app Jam _
r State surcharge (8 of permit feo)
Prim name: nae: l7 /" .. K C 0/0 i l (0 Nate; F'—.)5
TOTAL p ,T > ` ,
Authorized sigusrtur.: Th.. Parmii „•PUua.w a if a wens 4 wet sbraiaee — ice:. teo
__,_ _.._ — _ - ----. — dn artrr It boa boon &c moma at so,aplat.
Print name: Dec • Yes methodology net by 7li-Cowny Pudding tndnstry Service Board
--•' " Nurgbet et kapcsnos Ps, permit allowed.
,. Vt .,lteizterc,alu\etc- Pt„n:wpAaec 5 1/or d'oaon1T00,01COMiwl68
FROM :EMPIRE ELECTRIC CO FAX NO. :5037774152
Jun. 28 2005 08:53AM P3
.•0 . .•
EicsosaLrspocatim.- City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
F:0316 II 9 :11742
Fee for all residential systems combined..., $75.00
Check Type of Work Involved:
LI Audio and Stereo Systems*
El Burglar Mann
El Garage Poor Opener*
El Heating, Ventilation and Air Conditioning
System*
0 Vacuum Systems*
fl Other:
• h i 1 fiT4WeifitrdiM6 q11 ai[ 7:
Fee for each comntercial system. $75.00
(SEE OAR 918
Check Type of Work Involved;
• Audio and Stereo Systems
O Boiler Controls
El Clock Systems
fl Data Telecommunication Installation
O Fire Alarm Installation
o
El IIVAC
Instrumentation
El Intercom and Paging Systems
O Landscape Irrigation Control*
O Medical
O Nurse Calls
Ej Outdoor Landscape Lighting*
El] Protective Signaling
•
Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
tsunaktettfecOORL.C.4esnelkat* as D'on
COY OF TIGARD
BUILDING DIVISION PERMIT #: � -02006 00467
13125 SW Hall Blvd., Tigard, OR 97223 D ISSUED: 6/28 /20106
Phone: (503) 639 -4171 ��1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8f4/2006 TIME: 7 :08AM PAGE: 44
SITE ADDRESS: 07260 SW DURHA RD BLDG J-100 CLASS OF WORK:
SUBDIVISION: COUNCIL VIEW ACR NO. 2 LOT #: 025 TYPE OF USE:
PROJECT NAME: STASH TEA
DESCRIPTION: Modify circuits to add new r tiets for lighting.
OWNER: PACIFIC REALTY ASSOCIAT' (', PHONE #: 503 -624 -6300
CONTRACTOR: EMPIRE ELECTRIC COMPANY PHONE #: 503.777 -3108
Inspection Request Scheduled For: Date: 13/4/2005 Pour Time:
Code # Inspection Description Confirm • Contact # Message
199 Electrical final 012816 -01 5 503 - 580 -0962 Y
Corrections /Comments /Instructions: 325
P O V(( -62 p 4- (. c, 6
+t9 tA
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: //Q
a 7 "' Date: <l os Phone #: (503) 718 -