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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00237 DEVELOPMENT SERVICES . DATE ISSUED: 5/3/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 1 S136DD -03400 • SITE ADDRESS: 11740 SW 68TH PKWY ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 008 JURISDICTION: TIG Project Description: Temporary electrical service for job trailer and temporary feeder for construction of building. Job No. A25119 RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 2 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: 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: PACIFIC NW PROPERTIES CURRENT ELECTRIC ATTN: PAUL GRAM PO BOX 19652 P.O. BOX 2206 PORTLAND, OR 97280 BEAVERTON, OR 97075 Phone: 503 - 626 -3500 Contact #: PRI 245 -5997 FEES Description Date Amount Reg #: ELE 26 -47IC [ELPRMT] ELC Permit 5/3/2006 $132.70 LIC 46994 [TAX] 8% State Surcharge 5/3/2006 $10.69 SUP 36895 Total $143.39 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 tha . ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in 0 952 -001 -0 10 th R 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 50 •• :99 or 1- 800 -33 2344. -� Issued B • I Permittee Signature: .49 .- 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: 411111111111111111111ft/ _% ;L/ DATE: LICENSE NO: - c9i 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. Elect- ical Perm Applicatioa FOR OFFICE USE ONLY C1 of Ti and Received © �� , / - yti� 5 'J Date /B : i JI /J Pcnnit No.: liC Cl 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 - ,,'' , ti, Other Pennit: _ Date /B Inspection Line: 503.639.4175 s - " - -' Date Ready /By: B El See Page 2 for Internet: www.ci.tigard.or.us Notified /Method: � ► if Supplemental Information TYPE OF WORK 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 ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I - and 2- family dwellings 4 or more new residential ❑ I - and 2- family dwelling ® Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ❑Building over three stories ❑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.: A25119 Job site address: ' // 0 Health-care facility ❑Other: l�7yV St:J �� Submit 2 sets of plans with any of the above. City/ State/ZIP: Tigard, OR The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: Tigard Triangle FEE* SCHEDULE Description I Qty. I Fee. 1 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'I 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 200A Temporary Power and Trailer Hookup dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less % 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 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 Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less d g 66.85 66• I 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 ❑ 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, first branch circuit 46.85 2 Address: Each add] branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: Current Electrical Construction Address: PO Box 19652 Each additional inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: Portland, OR 97219 Investigation per hour (I hr min) 62.50 Phone: (503) 245 -5997 Fax: (503) 245 -2919 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lie.: 46994 Electrical Lie.: 26 -471C Suprv. Lie.: 2223S Subtotal /4,V Suprv. Electrician signature, requiree 4l Plan review (25% of permit fee) id // , ,, ✓ Print name: Date: 5/2/06 State surcharge (8% of permit fee) X0,60 atZ I �v�e TO TAL PER MIT FEE � / 3.3thi9 S Authorized signatu i This permit application exp i f a permit is not ob tained win I(1 days after it has been accepted as complete Print name: 1ik� Date: 5 /2/06 • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. • i:rBuilding `Permits \ELC- PermitApp.doc 12 440 -46 t5T(10,02,COM /WEB ■ CITY OF TIGARD BUILDING DIVISION PERMIT #: Fl.C2006- 0237 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006 Phone: (503) 639 -4171 6, :�11.1 Inspection Requests (24 Hrs.): (503) 639 -4175 „, ,,�`_ INSPECTION WORKSHEET FOR DATE: 511 1/2006 TIME: 7 :00AM PAGE: 59 SITE ADDRESS: 11740 SW WTI PKWY CLASS OF WORK: SUBDIVISION: YVFST PORTI AND HIFIGI ITS LOT #: 0013 TYPE OF USE: PROJECT NAME: `f IGARD "I RI ANGLE COMMONS DESCRIPTION: fotrrpurary electrical service for job trailer and ternpuraty feeder fur cunsttuctinn of building. Job Nu. A25119 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626 3500 CONTRACTOR: CURRENT ELECTRIC PHONE #: 245 -5991 Inspection Request Scheduled For: Date: 5/11 /2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 110 Tc r orary electrical service 029672 -01 503-245599/ N 19 s:\ 611 +AL. Corrections /Com - - - : ctions: C C C1V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 51 II 0 Phone #: (503) 718 - 2.114' 1 CITY OF TIGARD BUILDING DIVISION `' PERMIT #: 1-.1.(.:2(1M t :0:?.W 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: at3litir1C Phone: (503) 639- 4171rjti i Inspection Requests (24 Hrs.): (503) 639 -4175 4 " I .. INSPECTION WORKSHEET FOR DATE: FfEd20t16 TIME: P :'10AM PAGE: (,1:3 SITE ADDRESS: 11/10 :11N 6fITH PKWY CLASS OF WORK: SUBDIVISION: WF: y: f'ORl LAND Flt_IGHT. LOT #: tltk3 TYPE OF USE: PROJECT NAME: 'fIGARD TRIANGLE COMMONS DESCRIPTION: Tompor.)Iy electrical ..r`rvice Gm Joh trailer and tenlpmeo fee der for conururtion };it building. Jol, No. A2 119 OWNER: PACIFIC NW PROPLRTIE=S, PHONE #: 503- 626.3A;() CONTRACTOR: CUM' NT DEC TM t ;' PHONE #: l/16-(,t397 Inspection Request Scheduled For: Date: 5/5/7006 Pour Time: Code # Inspection Description Confirm # Contact # Message i ►tt T'ernporary electrical service 02931601 50745.599/ N Corrections /Comments/ Instructions: * N (S 1 M `M1 stild ■c‘Wt bos3 Na cettVWA v.) I`71 `A P ''E' - FS R IRAN) ■*.L- p e . 21 vv Nt • 14 5 i 0 I s b 9. e N m c ;� c C OR,(kc., >► ON 6: R 0km t•>~ hht•l_. - e. G-Rowi rm ∎1 0 43e.Nb; 0 d V v i 1■1 ` rlE >. ; 6.l.. 4 KT . 7,5 . 102 A 7.50. A. D. yvE$ . Z5 (5" 10 No NE CM L csNJ(Au4sut. rnoi RE c-4N u O e_aa , 1 4 ` - -elt, et ,-,,S I N - 6 iS CAIN K j 6 VAT C` 6 . 1 1l p_ 3 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ,CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( NUid Date: I 06 Z Phone #: (503) 718-