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Permit A _ CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00324 4veritei DEVELOPMENT SERVICES DATE ISSUED: 6/7/2006 {- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 DD -00101 SITE ADDRESS: 06975 SW SANDBURG ST 170 ZONING: C -P SUBDIVISION: TIME SQUARE LOT : JURISDICTION: TIG Project Description: TI Job No. 9297 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: WESTON HOLDING CO LLC NEW TECH ELECTRIC 2154 NE BROADWAY 13970 SW 72ND AVE PORTLAND, OR 97232 PORTLAND, OR 97224 Phone: - Contact #: PRI 503- 648 -1900 FAX 503 - 670 -9572 FEES Description Date Amount Reg #: ELE 26 -418c [ELPRMT] ELC Permit 6/7/2006 $60.15 L[C 41868 [TAX] 8% State Surcharge 6/7/2006 $4.81 SUP 38495 Total $64.96 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 suspend - formore•than 180 days. ATTENTION: Oregon law requires you to follow rules adopted b t e Oregon Utility Notification Center. Those rules set forth in OAR•• • 0 0 1 - 0 through OAR 952- 001 -0100. You may obtain copies -se rule or direct questions to OUNC at 503- 46 -6699 • 1 -800- •• 1 Issu d By: i/j , 0 Permittee Signature: • 11 , 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 INS ALLATION ONLY SIGNATURE OF SUPR. E EC � - '' �r�_'' DATE: C 7 LICENSE NO: ' 43 5 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. 06/07/2006 01:14 503 -648 -3131 NEW TECH ELECTRIC PAGE 01/01 E1ectli ciil Permit A lien ' �� FOR OFFICE USE ONLY Received 0 , Permi Na: E� c3'2 City of Tigard V6 DatoB . •�� 13125 SW Hall Blvd., Tigard, OR 972 w\ 1 2 plan Review other Permit: Phone: 503.639.4171 Fax: 503.59&.1960 , v \v " '� 'k ; L� . '`• . Inspection Lino: 503.639.4175 f '` \ GP' - - '�� 1 r'i 1 -, Date Ready / �'"' See Page 2 for Internet www.ci.dgard onus 0 \'N G 0 0 \V - NotlfedfMethed: A� ® Supplemental Information - t a + 1 /1 I ?" ` 1 � 71 ' ii 11{IA{1 . 111 01 . 1...tr',t• rt.. i(` k1 4 4 ., Lw 0 New construction E( Atldition /altcration/replaeement Please check aII that apply: °Service over ❑ Demolitiom ❑ Other: ['Service over 3 0 ❑Bu fi over 10,000 sq. ft., s comm'1 � 9 rating f, . - , � i 11 P ¢r ` I.. ; { i i ( rE11n 11 0,1U1 1 1 I'l • A r:' i „ p f . J ` -..i i 1- and 2-family dwellings 4 or rote new residential • rag of [] 1- and 2 family dwelling ZCommercial/industrial ❑ Accessory building ❑SYs over 600 volts nominal unit in oils structure ❑Building over three stories ❑Fccdcts, 400 amps or more ❑ lul family ❑ 1vL-s er _ _ ❑Occupant load over 99 person ❑ M structures or t builder ��' Manufactured m �._ r , RV � :� - - ' f I J�L)I ; dE1 � Ilu ,`II 111 I,,I Jl f �'(i if)�I�>, I� 1t t ul'.( .� � 4/]lglttln plan � k ... _,.,.. ...,:.<.�.. I „•. -, ,, r.,•. ❑1�• gP []Other Job no.: L Job site address: 214 !'A s F� ❑Hmltb•care facility Q 1 Jb idd i 6 Submit,/ sets of plans with any of the above City /State /ZIP• P 01Z- 11 -/NV, ()f2 The above are not apphmble to temporary consttuetton service, ir Z i r r 17 f { t7 1. �r11t`I I x- r i L1 ' ): Suite/bldg. /aptno.: / Project name: Ill.4 1 .1pitZ'� ?. s „••rl 1 < , It /. t -,�r t,:� neonates Qty- Fre. Total " Cross street/directions to job site: New residential single or multi - fancily dwelling snit Includes attached gam 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ba. add'I500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax m / arce1 no.' 75.00 2 ap P J - u nited energy, `'i -;7 „ ., . '....' , _ 7 . 4r ( .i (‘ :', '' c -,5r- " 5.IT fl 1 k ' :=1.Ill � i l l'1 I: f61 l'-'.77.0 . + a d \ ':.:.'‘..7.7 �; ' _J. f,. ' 4 Each manufactured or modular i dwelling. service and/or feeder 90.90 2 k• ► n lC � UP -t.IJI Services or feeders installation, alteration, and/or relocation I) I 1 •ct-4 ''jc tai -) NI6 1-1 R'4 LJ t 200 :.... s or less 80.30 2 IF I' r ,, y , , 1 a 7Ir a r, 1 201 amps to 400 amp 106.85 2 ,_.1 t i n ,. :,1r � �1, 1 1 u, + i`tl , 10 : 1 „) „ :.1 ,,it 1' {�,:� .), 11 .,1 i',. k ‘,1, 4 ,4 , RP IPIJ¢ �J- _,r t n .:.l<.,1th1:t 401 amp to 600 amps 160.60 2 Name: t P:V. r4 f' . - M Ao■J,tf -t �• - 1 T 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: p09,114 0.4p -4Q p «122''7.- Tempnrary services or feeders Installation, alteration, and/or Phone: (� ) 2t4. ,1°7 F ax: (56 264 . ILL 200 z dlon ?j 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 s ign Date: Branch circuits - new, alteration, or extension, per panel _. i s 4' - 1, 57.4 = : }'' _ 1' 7 .-_ - 7.4.11. - :1 .rrt; r1, - � ',��.''I - r- k ,,:,,: fi r , j ., 1,; - _i•r ',1 ( ui�� .',10'-11,) *11 11 n.! 1 V-I, ' 71,. ir , -0.1' 0t l - .4. � ' ` 0 " * :�T,- 1 , A with scrvi co or feeder fee, each 6.65 2 Business name: branch circuit B. Pee for branch circuits Contact name: without service or feeder fee, d • 46.85 41.,t 2 each branch circuit Address: Each add'l branch circuit 1.65 112? - lej 2 City/State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle I 53.40 2 - Sign or outline lighting 53.46 2 E-mail: Signal circuits) or limited- J ' ' 1_ t r ^t T -i ( 1 f 11 2:!' i rt r , t r 1 - 1 r 1 ` t,� j „ 1 I rJu I �: I,,_,. >' r . , J ;II , - 1wti.:I „ % • ` . 1 : ; .. i µ ` i en ims panel, , a ,ihc n, or • extension. Describe: Page 2 2 Business name: l J T, L L 9_1( Pit, . Address: j4 - 214D A4e Each additional inspection over allowable in any of the above Per inspection 0290 City / State/ZIP: - , f_T, , Investigation per hour 0 by min) 62.50 AA 1572.- Industrial plant per hour 73.75 Phone: ( L. - a �� Fax: ( (, b I:!9.1i.3:,s,� Yr ., ., 'D 1 - Z , 1 it 4 .' _I?S�r�� . � 1 NV' n_. r ! �i ..0.1 h'.r.,, 1r3G_ CCB Lic.: 41%4 Electrical Lic.: 21.• 1 ()L. Suprv. Lie.: 3 0q , S Subtotal 6 - I C 2 Suprv. Electrician sigtature, required: jj ■ i, , Plan review (25% of permit fee) Print name: Date: e p State surcharge (8% of permit fee) 4 - flI l \ Gt,�A 5 �� b V , b� . 0 V TOTAL PERMIT FEE U4 qL Authorized Signature: This permit appll®Uon expires If a permit Is not obtained within 180 days after It has been accepted as complete Print name: Datc: 4 Fee methodology set by Tri -County Building lndortry Service Board r •• Number of inspections per pem it snowed, I: 1BUnding %Pmc1LL122.C.Pmndtnpp.doe 12403 ,L 'ii.., 1 t--r- .A u X19 " 'toloaAmw"® C CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006.00324 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2006 Phone: (503) 639 - 4171 Az:./ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 43 SITE ADDRESS: 06975 SW SANDBURG ST 170 CLASS OF WORK: SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE: PROJECT NAME: TIMES SQUARE DESCRIPTION: TI Job.No. 9297 OWNER: WESTON HOLDING CO LLC, PHONE #: CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503-648-1900 Inspection Request Scheduled For: Date: 7/27/2007 Pour Time: Code # Inspection Description ./Z # Message 199 Electrical final 052902 -01 503.793.5735 N • Corrections /Comments /Instructions: • V P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Q• N 1 . 1 B Lc: Date: 1 Phone #: (503) 718- viLik, CITY OF TIGARD BUILDING DIVISION • PERMIT #; 4— JC-)3?-- q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 17$ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: — iS " D Pour Time: Code # Inspection Description Confirm # Contact # Message � . 4112 r ( rection Comments /Instructionsl S 6 9K---/ w — flv1 5 M ft is �► e i to4L. : i f s c. i ■i oN- The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918- 271 -0030 1 111(er) y r, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �' Q) �"` Date: 6i(Old) Phone #: (503) 718- /3-1410 CITY OF TIGARD . , BUILDING DIVISION PERMIT #: ELC2006.00324 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2006 Phone: (503) 639 -4171 tr�fiill� Inspection Requests (24 Hrs.): (503) 639 -4175 " :_.. INSPECTION WORKSHEET FOR DATE: 6/812006 TIME: 7:03AM PAGE: 32 SITE ADDRESS: 06975 SW SANDBURG S T 170 CLASS OF WORK: SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE: PROJECT NAME: TIMES SQUARE DESCRIPTION: TI Job No. 9297 OWNER: WESTON HOLDING CO LLC, PHONE #: CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503 - 648 - 1900 Inspection Request Scheduled For: Date: 6/8/2006 Pour Time: Code # • Inspection Description Confirm # Contact # Message --1439-S p`'\'• V et ['M 1 t t1� • 031386.01 503-969-9851 Y 125 WALL z e6L, 't) 51 i N Corrections /Comments /Instructions: tC;6k PIY- 1 t (oq C fl Lit w v t o sQ typ W)11/2L. APASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CTAV--- i 4 8 Date: 6 - I " Ub Phone #: (503) 718- 2.4 4b