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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00574 — 13125 Sall Ai' DEVE r S o ERVIICES ) 639 -4171 DATE ISSUED: 10/13/2000 • PARCEL: 2S112AB-00400 SITE ADDRESS: 07400 SW LANDMARK LN SUBDIVISION: ZONING: I -H BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of three 200 amp or less services and one 400 amp service. Job No. 2035 -68 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: 3 W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1 1st W/O SRVC OR FDR: 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: HAYTER FAMILY LIMITED PARTNERS PHOENIX ELECTRIC CO 23643 SW STAFFORD HILLS DR 7379 SW TECH CENTER DR. WEST LINN, OR 97068 TIGARD, OR 97223 Phone: Phone: 684 -3600 Reg #: LIC 00052288 SUP 4140S • ELE 34 -247C FEES Required Inspections Type By Date Amount Receipt PRMT CTR 09/29/200C $347.75 2720000000( PLCK CTR 09/29/200C $86.94 2720000000( 5PCT CTR 09/29/200C $27.82 2720000000( Total $462.51 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE /7/9 ! , ISSUED BY: I C dip / r 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 7:00pm for an inspection the next business day f CITY OF TIGARD '' ul „ . Plan Check # Electrical Perr ft .A Recd By M .F . '13125 SW HALL BLVD. • ry Date Recd '7-4 "V TIGARD OR 97223 SEP - 6 2011 Date to P.E. 9 -.29 -0 0 Phone (503) 639 -4171, x304 Date to DST /0 - 5-eNz' Inspection (503) 639 -4175 Print of TONNUNITY DE VELOPMENT Permit # I LA 2oo° - 57 y Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development �� o i Number of Inspections per permit allowed Name (or name of business) \ - Service included: Items Cost Sum 'I' Address ' I U. Da LCc 1 I' �\ 4a. Residential - per unit City/State/Zip � �� //Zi ar -�3 1000 sq. ft. or less $ 117.75 4 \ Each additional 500 sq. ft. or portion thereof $ 26.75 1 Commercial% Residential ❑ Limited Energy $ 60.00 �� (]D -�_ -\" , V � l � Each Manufd Home or Modular 2a. ontractor insta only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders 6e7 Ago-lo information for COT •atalba �/ r Installation, alteration, or relocation r tl � $� Electrical Contractor \S' '7 _ Q! Q , l,f� a 200 amps or less $ ti4e15 _ 0' _ , V 201 amps to 400 amps ` $ 85.50 B O � Address 401 amps to 600 amps $ 128.50 2 City :F I. State 416.4_, �,2 , Zip . _ _ 601 amps to 1000 amps $ 192.50 2 Phone No. / -� "o'nV 0 Over 1000 amps or volts $ 363.75 2 a'O?7 Job No. ` -A_Q, Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 1 .- 1 -i-: - " a41 e. Exp.Date 4c. Temporary Services or Feeders OR State CCB Reg. No. 5 Exp.Date Installation, alteration, or relocation COT Business Tax or Metro No. 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 SI Signature of Su r. Elec'n (� _._ -- 401 amps to 600 amps $ 100.00 2 g p G�. Over 600 amps to 1000 volts, see "b" above. License No. Exp.Date eig c 4d. Branch Circuits Phone No. New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e. Miscellaneous • intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy (if required):* panL alteration or extension $ 60.00 3. Plan Review section ( Minor Labels (10) $ 100.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or mote residential units in one structure the allowable in any of the above Per inspection $ 50.00 �, Service and feeder 225 amps or more Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 - Classified area or structure containing special occupancy as h described in N.E.C. Chapter 5 5. Fees: 3 ' ' 5a. Enter total of above fees $ : * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ _7i! J ■ X1 Not required for temporary construction services. Subtotal $ ,__a 0 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ 9.11. PERMITS BECOME VOID IF WORK - Subtotal $ _! IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR 5/ WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # 4��; AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ s \dsts \forms \electric.doc i ' w Jt��''`"� �Qa,,t !''' , MAC 1:5�. 4DbED (2 A I L. /-04b 60 WP 72A _te Z Z J ------------ -... ------ . ------ _ ._. - - - -- - 3o Nr 4o R ® 0 30 ///° 4o MAIN MtP / //i 2,14 - CD CITY OF TIGARD j l The ,) -k93o99 Approved [ 1 Conditionally Approved [ ];:: l I For only the work as described in: 400 PERMIT NO. G OO OO Y74 See Letter to: Follow [ t / © I O Attzch. r [ 1: 4 /, E t 1 7- Job A e '7 t i l er , tk ( . . 1 , A . 4 . _ 6 , 0 0 eel-lit (2q. , By: l , . i j y f t , I A . - - Date: /D -p8 —o D / 1 Ew `icoA ill- PA suet g1e. -/.51904 0 1Uoi/ SO &r» /`1DP VE ■7 7 k- 425 iscirieQ !----- ln/ SAh,g RooM. — A>r',G LoAA /b4. /4 01.) pi. WR,c-- ii,),571?/1 %iOA k /ME /JE.C65S4 . 3.) 4 t , e4Cz - za/1 / "10 ∎FE ,t? V DOE. f/0FD 2 4J J ( 2 e . i,c./n/ 4 J 9.) Akt 4 , e 64S ,4 E Ala( fE dX/955 /F'E2, 5;) SEE ,477A d4.1d......t/ 7ioA) Foie A/e_ a9/a(S. 6,) ,ILL. C Z &rJ/ AE_.. Q 47 , oe 1 T, a.) 191C. VA LuEs. 7) /vEw JAJ4L. - 4-_6(.5.,v- Alf) AT 6S161 (9 4 b Lon re -S�, tpc - 114.5 1 / � 6°Rod b .g=., /04'4 e - i 6E ,;04i..'. Pk� EW / /2o,/ r aoc) ITi4 l�h'e -12/ y / / (? ,UU.k?s'A ra 9— �S atEukie_ O. '7 400 SuJ 1.44,14e 1444 ,� 1— S- ,2ao0 Gcloe< 4 5, 6: /ea 03.5 — E ; 9 - 8 -2 °°° 52 .0,0E; /vs:A c c �,v� ,vEry 4cb,� IcuN r. *: rl 1 O il 30 / �e/ / L . CITY OF TIGARD BUILDING INSPECTION DIVISION MST i . 24 -Hour Inspection Line: 639 -4175 Business Line: 639- 4171 BUP Date Requested // ° 7 _Y AM PM BLD Location 7t/ Uv 5 M4 / / L L r' Suite MEC Contact Person JGrc& Ph 5- v3— f'' -36 e) PLM Contractor 6 -e./ f /74ei6( Ph SWR Tenant/Owner ELC •4 —GO 3? ( Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: —` Final M ji PASS PART FAIL PLUMBING' e.'e - ASF: .. Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Post & Beam Rough In Gas Line V Smoke Dampers Final PASS PART FAIL EECTRI 4:' Service Rough In UG /Slab Low Voltage Fire Alarm LF . , - ART. FAIL - SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect - no access ADA Approach /Sidewalk / �� Inspector — Ext other Date ector p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.