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Permit i htik CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00569 ��I�I DEVELOPMENT SERVICES DATE ISSUED: 10/10/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 BB 01400 SITE ADDRESS: 12172 SW GARDEN PL BLD3 ZONING: C -G SUBDIVISION: PARK 217 LOT : 002 JURISDICTION: TIG Project Description: FASTENAL. Upgrade interior lighting. Job # 610656. 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: 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: SPIEKER PROPERTIES LP HUGHES ELECTRICAL CONTRACTORS 4380 SW MACADAM AVE STE 100 9640 SW SUNSHINE CT STE 600 PORTLAND, OR 97201 BEAVERTON, OR 97005 -4689 Phone: Contact #: PRI 503 - 626 -3344 FAX 503 - 626 -3377 FEES Description Date Amount Reg #: ELE 34 -281C [ELPRMT] ELC Permit 10/10/200( $46.85 LIC 49850 [TAX] 8% State Surcharge 10/10/200( $3.75 SUP 40255 Total $50.60 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 r /1 Issued By: Permittee Signature: /114 41, 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. Electrical ' FOR O FFICE.USE ONLY , - - ctrical Permit Application> ����t� _ Received / ! � L p erm i t N o -6 o/F � l City of Tigard DateB / / Q J � CA L- -/ Ivy Cr 14 ° 13 125 SW Hall Blvd , Tigard, OR 97223• -f 1 © 20 P la n Review Other Permit- I: ''- Phone: 503 639 4171 Fax: 503 598 Date/By: Inspection Line: 503.639 4175 c 1�� O� TIGP1, D Date Ready/By: runs ® See Page 2 for TIGARD Internet' www. - gov �� �jtSi Notified/Method Supplemental Information g rat BIL ®1 ,». �., t�», =.: �,„ '�': Fes., z`s. ,.a;o-: X' �; �,,;r: s "� �'�`� "` :T]'1'E OF „- WOIiK<%. . ,. ,: ` ate' _:� „ . , > ter= �' ❑ New construction ®Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards ` „ , >`, f., .; „ d•,:y fv QNS s a TRU ` O dam' N -ilt 'a=',0; ,•, _;�' �...,. ; r '' r „,?',: ; �:. ; exceeds 10,000 amps at 150 volts or ❑ Floating buildings. r', ,4� ,., > - ' `L CATEGORY -OF • ,,_ •. , ° less to ground, or exceeds 14,000 13 Commercial-use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations buildings. El Fire pump ❑ Installation of 75 KVA or ❑ Multi- family ❑ Master builder ❑Other: larger separately derived system � � �. , . �, ❑ Emer gency system g P Y Y , "' ��° 7 ''4 :6 E . LOCATIO " 1 :;° ;',, - '� °`, ,` ' Addition of new motor load of ❑ "A" "E" "1 -2» "1 -3 '- `:: ,JOB`SLdE- IIVFORMAT'IOIV A i . 4 -.. < , ; �,,- ❑ ���`' 100HP or more occupancy Job no.: 610656 Job site address: 12172 SW Garden Home ❑ Six or more residential units ❑ Recreational vehicle parks 13 Health-care facilities ❑ Supply voltage for more than City/State /ZIP: Tigard, OR 97223 ❑ Hazardous locations. 600 volts nominal Suite /bldg. /apt. no.. Project name: Fastenal ❑ Service or feeder 600 amps or more ;, -.� '' FF SCHEDULEr' • : 4 ' : - -..<. " Cross street/directions to job site: Description , Y £ , ' I QtY I Fee. I Total I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision Lot no.: 1,000 sq ft. or less 145.15 4 Ea add'I 500 sq ft. or portion 33 40 1 Tax map /parcel no.: Limited energy, residential 75 00 2 rx 'T` TTO . t®F,,.'`WORK,% , -i ° ,„ -:' : '' 4 T. w (with a bove s ft ) t' r r , : e' ``'e` t- £ DES C„,- , _, ., ;, . A '' f '. i . ' ;;;.: , ,w - - '� Limited energy, multi - family 75 00 2 Supply and install electrical wiring to upgrade 6000 sqare foot building residential (with above sq ft ) Services or feeders installation, alteration, and /or relocation interior lighting. 200 amps or less 80 30 2 " 106 85 ^� � ' �,y� � � -. ;, " 201 amps to 400 amps 2 r . 15.1 tOPERER,i�,;;'" _ ; "T ,,,, ,�,il: "° °' `; P '�3t' %`, •;,�,, x, -,,, :,fin ° .'_w*,... ,I;- ;1c,.,, \ +`�;� 1; ;'�:. , :',°r� ",.4.' vx ,• "•..�, "',«',�; .k�:: 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 Temporary services or feeders installation, alteration, and /or City/State /ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 66 85 1 201 amps to 400 amps 100 30 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 133.75 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A Fee for branch circuits with a bove service or feeder fee, ` " ®:,"APELICAi � s� ", ' '*„. ` ? ® CONTACT- PR ESN',, ° ' ' 6 65 2 a 5 ., .a O each branch circuit Business name: B Fee for branch circuits without service or feeder fee, 1 46 85 46 85 2 Contact name: first branch circuit Each add'! branch circuit 6.65 2 Address: Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90.90 2 , dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53 40 2 o:' ;,� ,; a..: T` s ` _, , , " io :a F,': % ; ,;�, N :^,,.,; ; ; ',A Sign or outline lighting 53.40 2 �� n;;� ; . , �Y.=� a m, . `,". �°;, ` R,., ,: ^: F� . �� .,. � ,�;. N ,� ., �, '''° Signal circuit(s) or limited - Business name: Hughes Electrical Contractors, Inc. energy panel, alteration, or extension. Describe Page 2 2 Address: 9640 SW Sunshine Court, Suite 600 City/State /ZIP: Beaverton, OR 97005 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 626 -3344 Fax: (503) 626 -3377 Investigation per hour (I hr min) 62 50 CCB Lic : 49850 Electrical Lic. 34 -28IC Suprv. Lic.: 4025S Industrial plant per hour 73 75 4 :`'4,7 ,, , e':EI:EGTRICAL:"PERMIT: °- FEES' " , - ; ,"TA; - ... Suprv. Electrician signature, required: Subtotal 46 85 Date: 10/09/06 Plan review (25% of permit fee)• 0 00 Print name: Greg L. Woolfe State surcharge (8% of permit fee)' 3 75 Authorized signature:/ TOTAL PERMIT FEE 50 60 `"' Ll r This permit application expires if a permit is not obtained within 180 Print name: Y C a D ate:, i �� days after it has been accepted as complete. Number of inspections allowed per permit I \Buildm m g\Perns\ELC -Perrn iApp dh 5 /23/06 40 -46 T(I 1/05 /COM/WEB CITY OF TIGARD BUILDING DIVISION a PERMIT1'!zZOOt.003o 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 4)04191 iii Inspection Requests (24 Hrs.): (503) 639 -4175 °` INSPECTION WORKSHEET FOR DATE: , of 111 TIME: PAGE: SITE ADDRESS: 12.11 2, GiQ, Pl. QLr« 3 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: Q�� ; 1 �lu�3 OWNER: ,` k►! i14 PHONE #: CONTRACTOR: v &ES 'EL PHONE #: Inspection Request Scheduled For: Date: `Sl t�J 0 1 Pour Time: Code • : - • I - scription Confirm # Contact # Message IC\ C\ E L.Er.4 ®6�1 Fib_ _ =- \. t yl PASS I I PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N L.. Date: 1a { 11 c Phone #: (503) 718- 1414)0