Permit C ITY OF TIGARD ELECTRICAL PERMIT
414/4 PERMIT #: ELC2003 -00044
11 DEVELOPMENT SERVICES DATE ISSUED: 2/4/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -00700
SITE ADDRESS: 07000 SW REDWOOD LN
SUBDIVISION: PACIFIC CORPORATE CENTER ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: 1 abrrtLL, (a.) tRAt.1�t e,,61&u+rs
`4- I.ow JoL. rii
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: 1 401 - 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: 1 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 REALTY ASSOCIATES GARNER ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI 2920 SW 247TH AVE #A
PORTLAND, OR 97224 HILLSBORO, OR 97123
Phone: Phone: 503 - 648 -4552
Reg #: LIC 121159
SUP 3707S
FEES ELE 34 -305C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 2/4/03 $128.50
[TAX] 8% State Tax 2/4/03 $10.28 Low Voltage Inspection
Rough -in
Total $138.78 Elect'I Final
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 OA - • - 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 -3 -2344.
_ O
Issu - a By: , ,4'. � I Permit Signature: 3101._ ; c 0,0-Q LD`."'
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: AS24..- t t 4-. DATE:
LICENSE NO: c707 5
Call 639 -4175 by 7:00pm for an inspection the next business day
03/15/2001 01:48 397 -9022 DOUG MOBERLY PAGE 01
Electrical Permit Application
Date received: i/iJ /0l Permit no. :ae200.3- 000''/9
. ` A . '`1 City of ` i AI Bry t ar3; v' �lect/appl no.: • Expire date:
C i t y of Tigard
Address: 13125 S W Ha D a t e iss ued: R eceipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 IJAN 3 0 2003 case file no.: Paymenttype:
_
Land use approval: QTY OF TICARffr
l s 1'i. OF Pt'. It\I1I
01 & 2 family dwelling or accessory XComrnercia1industrial 0 Multi - family 0 Tenant improvement
O New construction 0 Addition /alteration/replacement CI Other: 0 Feral
J(llt tit i is IN1 ION
lob address: 7 QCJ0 IQs - NAJD •! La - Bldg. no.: Suite no.: Tax m: . /tax lot/account no.:
Lot: I Block: J Subdivision:
Project name: [Description and location of work onYr+emises: ( ) Circulf•5 at .L6 1444
Estimated date of completion/ins • - on: p-et Dca+G • owl • - le iH o'f ga, 'v (fs h GLA1Q1 leS
('ON'1 itA( Olt APPLICATION 1 1.F ti('111 :1)ItL
Fee Ma:
Job no: on Qty. (au.) Total no. leap
Business name: • / N 1 I G New leaidentml • giggle or ®It14 y per
Address: , a . ' dwelling ladt. laded= attscdedlounge.
CitY: IOW /. I d ZIP: '.7 23 • Senieelnclade .
1 t>DO sq. ft. or less _
Phone'r' , -- 'AM t► �... - mail; D -/ -0 -
4
30 5 w Each additional S00 sq. t or�ortion thereof
CCB no.: / RIec. blab. Iic. no: mot% Limited energy, residential 2
s r Ci ■ • lic.no.:,4 '3'x`"'6`, Limited energy, non- residential 011g►" L 2
• Bach manufactured home or modular dwelling
�
{fir %rrw.�!F. fr !�� / r - wired) Date Service and/or feeder 2
Services or feeders - (ostallattoty
Sup. elect. nanie (print): ./ s / alteration or telueatlon:
I'ItOPI :It I l OWNER 200 amps oriels 2
2
Name (print): CL) l 1'i'Q('�i Q r i[ s� 201 amps to 400 atnpa S l0 10� 401 amps to 600 amp .- . 2
Mailing address: 601 etupa to 1000 amps 2
City: State: ZIP: Over 1000 amps or volts 2
Phone: ;24O 4 1 - 1 03 Fax: E -mail: Reconnectonl 1
Owner installation: The installation is being made on property I own Temporary services or feeders - � -
which is not intended for sale, lease, rent, or exchange according to lnstalladoe alteration, orrelocation: .
200 amps or less 2
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owner's signature: _ _ _ Date: 401 to 600 a .. a 2
1.,N(:1NI:L11 Branch e lts-new,alteration,
or WAtenaloa per panel:
Name: _ A. Pee for branch circuits with purchase of .
Address: service or feeder fee, each branch circuit 2
State: B. Fee for branch circuits without purchase a <
City: of service or feeder fee, fast branch circuit: 4 440 5 2
Phone: Fax: E-mail: Bach additional branch circuit
;TAN IZI :\`11':11' (Please check all that appl) ) Misc. Menke or feeder not lncbuded):
O service over 275 al 0 health-care facility Each pump or irrigation circle 2
O Service over 320 amps-rating of 1&2 0 Hazardous location Bach signor outline lighting 2
family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel.
O System over 600 volts ttorrpinal more residential units in one structure alteration, or extension* — 2
O Building over three stories 0 Fcedea, 400 amps or more *Description: , ,
0 Occupant load over 99 parsous 0 Manufactured structures or RV park Each add111onal Inspection over the allowable to any of the above:
O Bgee saAtghtingplan ❑Odra Pet impaction I I I
•
Submit — sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdiction Weld credit cords. plume adl iuridialew for ace Ixibrmotito. Notice: This permit application Permit fe $ • S)
Visa • • ∎ -- - - . - expires if a permit is not obtained Plan review (at _ %) $
cord
within I80 days after it has been Stale surcharge (8%) .... $ r ,. / a •
-. �
�. .,.�,.�. , :161 •4t 1 :1•; accepted as complete. TOTAL AL S. ( $• - 7/ 1
, �T,1/, em eeedit cord � � -� y
r t),i ,�, e�.t!_ � • ► �J�1„e
. , uai 440.4615 (5/0 WCOM)