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Permit . ` " CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00592 DEVELOPMENT SERVICES DATE ISSUED: 8/16/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112DB-00400 SITE ADDRESS: 07337 SW KABLE LN ZONING: I -L SUBDIVISION: SOUTHERN PACIFIC TIGARD IND. LOT : 004 JURISDICTION: TIG Project Description: Branch circuits. 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: 4 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: CONSOLIDATED SUPPLY CO. BAILEY'S ELECTRIC LLC 7337 SW4BLE LN. 2160 SW LEEWOOD DR TIGARD, OR 97223 ALOHA, OR 97006 Phone: 503 - 684 -5904 ` Phone: 503- 849 -3134 FEES " Reg #: LIC 159814 • SUP 5115S Description Date Amount ELE 34 - 389C [ELPRMT] ELC Permit 8/16/2005 $53.50 [TAX] 8% State Surcharge 8/16/2005 $4.28 REQUIRED ITEMS AND REPORTS 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 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 32 - 2 4. Issued By: , ,(1 (C�CSt 1/ Permittee Signatur • Xde c-_ 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. Eip.ctril!'al Permit Applicationr FOR OFFICE USE ONLY Cl of Tigard �u��iC Receive I / Permit No. 13125 SW Hall Blvd., Tigard, OR 97223 ¢¢� 6 Plan Revie , . Phone: 503.639.4171 Fax: 503.598.1960AIJG 6 2005 AM Date /By: Other Permit: Inspection Line: 503.639.4175 el I' Date Ready /By: t ® See Page 2 for Internet: www.ci.tigard.ocus CITY OF TIGARD J Notified/Method: �/ L Supplemental Information (gYJC ©TICWOI2ICION PLAN REVIEW ❑ New construction Addition/alteration /replacement Please check all that apply: ❑ Demolition ] Other: ['Service over 225 amps, comm'l ['Hazardous location ❑Service over 320 amps - rating ❑ Buildn over 10,000 sq. ft., ' CATEGORY 'OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling 11 Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ❑Building over three stories El Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB' SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park Job no.: Job site address: 737 7 s(,,/ /cG bpi° L ❑Health - care facility ['Other: Submit 2 sets of plans with any of the above. City /State /ZIP: / / t9- f� c / 9 7Z 2 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: ' .FEE* SCHEDULE ` Description I Qty. I Fee. Total I '' Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK • , Each manufactured or modular _/ / ' ©�� dwelling, service and/or feeder 90.90 2 0( R..400 ` �� C � r Jr Services or feeders installation, alteration, and /or relocation • 200 amps or less 80.30 2 ' Y ' PROPERTY OWNER. - , ❑ . - 201 amps to 400 amps 106.85 2 • / f r 401 amps to 600 amps 160.60 2 (6, Name: C6 SO //'4)/ le .0 �J `Y t::, .6"&t.C6 601 amps to 1,000 amps 240.60 2 • Address: '7337 , j,j /4 /� / .e--_., Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: /� j�- /C l� r � 7Z z_ � Temporary services or feeders installation, alteration, and /or �+ 5o3 6W/ 200 0 2 J � amps ps or less 66.85 1 Owner installatio made on property that 1 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 - ° ❑. APPLICANT ; - ' ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, / 46.85 2 Address: each branch circuit Each add'l branch circuit Y 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone:( ) Fax::( ) Sign or outline lighting . 53.40 2 E -mail: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or -�- r extension. Describe: Page 2 2 Business name: /? rC /z', 7 �u ` zr` ._,L L Address: /6". 0 C.,(.2 �r• i�Jbc j> Each additional inspection over allowable in any of the above �L— Per inspection 62.50 City /State /ZIP: 7 -/, Z.- C-4._ Q 72_ 'q ' ' ) Investigation per hour (I hr min) 62.50 Industrial plant per hour 73.75 Phone: (<03 /� L Fax: ( ) ELECTRICAL PERMIT FEES * - ' CCB Lie.: / 5 g i 4/ Electrical Lie.: '('-4 s .ic Suprv. Lie.: 5 // <' $ Subtotal 62, . • Suprv. Electrician signature, required: /���— . Plan review (25 % of permit fee) .� (� ,� .,G �.:<- .---4..e.....-- State surcharge (8% of permit fee) '4/11 o`er Print name: Date: TOTAL PERMIT FEE S'7. K Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodolo y set by Tri- County Building Industry Service Board "" Number of inspections per permit allowed. is \ Building \Permits\ELC - PermitApp.doc 12/03 440- 4615T(10 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: :Rt iliLNTIAL woiza of r 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: COMMERCIAL WORK.ONLY: , - ` 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 ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total.number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Pennits\ELC- PennitApp.doc 04/03 .C!1W OF TIGARD BUILDING DIVISION PERMIT #: ELC200 00592 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: g116/2005 Phone: (503) 639 -4171 11 iusey�n' �I� f�li Inspection Requests (24 Hrs.): (503) 639 -4175 ° __� INSPECTION WORKSHEET FOR DATE: 8/26/2005 TIME: 7:06AM PAGE: 24 SITE ADDRESS: 07337 SW KABLE LW CLASS OF WORK: SUBDIVISION: • SOUTHERN PACIFIC TIGARD IND. LOT #: 004 TYPE OF USE: PROJECT NAME: CONSOLIDATED SUPPLY CO DESCRIPTION: Branch circuits. OWNER: CONSOLIDATED SUPPLY CO., PHONE #: 503 - 684591 CONTRACTOR: BAILEYS ELECTRIC LLC PHONE #: 503.849..3 134 Inspection Request Scheduled For: Date: 8/26/2006 Pour Time: Code # I c,, i . • s -s ' • 'oil . • # Contact # Message 120 Electrical rough -in 01.1y.y,' 01 503 - x49.3134 Y Corrections /Commen • — - - s: V g.S LL< CottS PASS I 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V • ' " OG LE Date: t Phone #: (503) 718 - t 4415 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200 00582 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2005 Phone: (503) 639 -4171 01/474/419041# Inspection Requests (24 Hrs. : (503) 639- 4175' .. INSPECTION WORKSHEET FOR DATE: . 11/18/2005 TIME: 7:17AM PAGE: 21 SITE ADDRESS: 07337 SW KABLE N CLASS OF WORK: SUBDIVISION: SOUTHERN PACIF { TIGARD IND. LOT #: 004 TYPE OF USE: PROJECT NAME: CONSOLIDATED SU •LY CO DESCRIPTION: Branch circuits. OWNER: CONSOLIDATED SUPPLY +0., PHON :. , 1,3 i IN CONTRACTOR: BAILEY'S ELECTRIC LLC PHI •• 503 -: .`\31:t `, Inspection Request Scheduled For: D: te: 11/18/2005: Code # Inspection Description Con m .. on ac Message 199 �ertrical final ) 02188 \ 01 503 -649 -3134 N Corrections /Comments /Instructions: Net in 6 cl PASS ❑ PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Nte) L Date: \l' I ° Phone #: (503) 718- 1 •