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Permit C ITY OF TIGARD ELECTRICAL PERMIT ^ PERMIT #: ELC2005 -00540 DEVELOPMENT SERVICES DATE ISSUED: 7/29/2005 r °7,f,1 1312 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S102DA -00100 SITE ADDRESS: 12970 SW HALL BLVD ZONING: I -L SUBDIVISION: LOT : JURISDICTION: TIG Project Description: Wire & connect (2) roof top A/C units & (1) outlet. .Job #22 -552. 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: 2 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: POST INVESTMENT CO LLC 3D ELECTRICAL SERVICES INC 16200 NW LEWIS ROGERS LN PO BOX 173 NEWBERG, OR 97132 OREGON CITY, OR 97045 Phone: Phone: 503 - 657 -9173 FEES Reg #: ELE 3 -460C Description Date Amount LIC 135234 SUP 4478S [ELPRMT] ELC Permit 7/29/2005 $60.15 [TAX] 8% State Surcharge 7/29/2005 $4.81 REQUIRED ITEMS AND REPORTS Total $64.96 • 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: yl` 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. JUL -27 -2005 WEED 04:37 PM P. 002/002 t . , 2 R 2-5 - . .. E1e;4rical Permit A licat on- I� l--` - 1-•uu 01.1:14:1: (: I.4]1 1.1 City of Tigard i �l Data/By: v 7;� q -6) permit No.. p�� da Sf 6 13125 SW Hall Blvd., Tigard, OR 97223 P lan R avin' / '.° , Other Permit: Phone: 503.639.4171 Pax: 503.598.1960 M „, t ('' Date/it Inspection Line; 503.639.4175 20 roar el See Page 2 for .� l ::•„ !'t L ' `•�_I' Dart: Ready/13y; Intorrlat: ww�+'.oi.tigard.ar.us of T�GP Nutitied/Metltoa: � f (� Supplenient*Iltformaliod r.tTY _ n • RI� , 'li 0 New construction iri A,ddition/alteraton/replaaement Please cheek all that apply: CI Demolition ❑ Otter: ❑Servloo over 225 amps, come! DHazardous location DServlae over 320 amps - rating OBulldng over 10,000 eq. ft., :, : •;;;;• `:.:i,. ;t.r` :;i' T R, .< `OF: IJ . O of 1- and 2- family dwellings 4 or more new residential • D 1 - and 2- family dwelling DO Commercial/industrial 12 Accessory building ❑SYelcm over 600 volts nominal orals in one structure 0 Multi- family ❑Building over three stories OPeeders, 400 amps or more 0 Master builder 0 Other: fOoeupant load over 99 persons ❑Manufactured structures or :`i.',: ; ;1j)B, . TE . Rliii iTJO , li ∎t ;: WC4 " 1W park DHealth•care facility ©Other: Job no.: ; :; Y ' . Tl??�4 iV'. ... ' : ' ,. ,.. ... i `� ` ....... ❑13gresa /Ngllti plan 2 5 Job site address: �p 1 vl 70 C; 44 ) 1 4 44 W-- Submit 2 sets of plans with any of the above. 1 n City / State/ZIP: 1 6 ft X. 1) The above arc not applicable to temporary construction service. • ',q.::.;,! �' r II,'I iil)gl'�' ..� lll'Io' 'M•. l: %'' :. I ' 1 ; . . /' . Suite/bldg. /apt. no.: ' ' I Project name: M1�. i 1-0 r�l iL t et $Q ner,9puon r• j Q; J Foe. I total Y 1 ' I .. Cross street/directions to job site: New residential single - or multi - family' dwelling unit. / ' �I , rr Includes attached garage. . 1 0 . a • . e_. l _y f 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'1500 eq. ft. or portion _ 33.40 _ 1 Limited energy, residential 75.00 2 1$x map/parcel no.: _ _ Limited energy, non-residential 75,00 _ • 2 i' 1 '1i',�:'" ,r;,:' ;Pipi:S B, t $.',. F'''%V.D41C'` rt•�r? ;iA:` a.'; yl `'i , l Each manufactured ufactured or modular ,,.f... : „• v:.� ;n... .''.`;:...,;.. .;...... ... ' ........, `s`, ,,, „ ,., � d ' g.serv[aeandlorfcedor 9090 _ p � r dwelling, 2 I rte ci S it 14 (2-) t'C �F 1 p� � f 0) Services or faders Installation, alteration, and /or relocation 200 amps or loss 80.30 ! 2 • D :. / 5 ccy t*'., ; p 106.85 2 f c.. :.>...: / 201 amps to 4AO amps RQi'T $:. '` TIIAN :;:' 160.60 2 I - "' 4ill amps t4 600 amps . Name: _ 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State/ZIP: 'Temporary services or (ceders Installation, alteration, and /or relocation Phone: ( Fax: ( 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100,30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 ^ 2 Owner signature: Date: Branch circuits- new, alteration, or extension, per panel „.. :z:i ,.i"r;.0 : ` YPLZ6,00f3; ;,:.,A,:,-...,„..,r, - " + ;:' 'CONTA'GT:-1'F$BOAF' ° : . ` A.Fee {'brbranch circuits with .. 1 .. r ' �.... r feeder fee - - --- - ecrvioo o , each Business name: branch circuit y 6 /3 2 - B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit . 46.85 �Gi�'2 Address: - Each add'I branch circuit 6.65 , 2 City / State/ZIP: Miscellaneous (service or fader not Included) _ Phone; ( ) Fax : ( ) pump or irrigation circle 53.40 . 2 • Si or ou0ine lighting 5 3 .4 0 E•'maii: Signal circuit(s) or limited- ;._ ' <t ; • ,,. .i nl.+• NTf4CVORn: %,:IA`ftn 1, . ;1,:' + - .q ' enargy panel. alteration, or r 1 t <1 ... . r t �.... , 1 :ti: �f:,¢ '' J7:J.?W1a ;:LYR, ... �,�. �.1�� J ^� ���; q :i .. I'y :;.:��., :.1 ;• I 2 " "° l s ,' `` -- ealension. Describe: Page 2 Business name: . p W .....,..f E LL c:Tae, 1 rft L cee) Vic 65 Address: I .4 • , ' Each additional inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: 0 R o ,J C /'y d 1764 {5 Investigation per hour (I min) 62,50 ! I Industrial plant per hour 73.75 /� / j Phone: (5 4.S'7' 9i �7, I Fax:d�� ) Cf3 -7/�1 „ ; N. / 3 £ I Electrical Lic.: 3.- ` f 6c Su ry p . Li £ f i t ! �S� Subtotal �� CCt3 Lic.: - � s Suprv. Electrician signature, required: az I P lan review (25% ofpeimit foe) Print name: (� Date: 747 State surcharge (8% of permit fee) VS/ '�' �'� �% �'J r !r' /� C . J� (l am 4..c."' TOTAL PERMIT FEE - -7 Authorized signature: This permit application expires If a parrnit is not ob wlthia 180 days after it has been accepted as complete Print name: • Date: • Fee methodology set by Trf- County Building industry Service Board - 1.0 Number of inspeoUons per permit allowed. 11ButIdltpW e+mtlApp.Eet 12/05 440 .461ST(lo /02/COMdWl ‘ , 1 /CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 00540 I I' 13125 SW Hall �I T igard, OR 97223 DATE ISSUED: 7/29,'2005 Phone: (503) 639 -4171 A ilnypi��utiI�i Inspection Requests (24 Hrs.): (503) 639 -4175 11:. INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7 :08AM PAGE: 39 SITE ADDR S: 12970 SW HALL BLVD CLASS OF WORK: SUBDIVISIO . LOT #: TYPE OF USE: PROJECT NAME:. .• • GNO HUMPHRIES DESCRIPTION: Wir- & connect (2) roof top NC units & (1) outlet. Job #22 - 652. r I OWNER: POST IN STMENT CO LLC, PHONE #: CONTRACTOR: 3D ELECT* ' ;AL SERVICES INC PHONE #: 5 -9173 Inspection Request Scheduled For: Date: 814/2006 Pour Time: Code # Inspection Description • firm # Contact # Message 199 Electrical final :128 ri 503 -657 -9173 Y Corrections /Comments /Instructions: 9(1 e � '� _ o ti 1ki 5 - Q Lpv Np` 5 u'rK. 15 NET l (J csulettA A GE w %`FA 4 ; o NI AL E uz C (ZQ C., Lb lb fba �. i3O ) ' N O MA ► tJ 'Y3 c_t. e ■ 5 Q 6ZE-6' 1 % \J 4 co N N,:c1 1 \k.E. '1.-t. qi tai, c PA-- k es 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - t\ \\. Date: S -Li - OS Phone #: (503) 718- a-1gta