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Permit ' s `; ITY O F TI GAR.D • " ELECTRICAL PERMIT �' PERMIT #: ELC2003 -00264 In DEVELOPMENT SERVICES DATE ISSUED: 5/12/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134BC-00500 SITE ADDRESS: 12388 SW SCHOLLS FERRY RD SUBDIVISION: PP1993 -057 ZONING: C -G BLOCK: LOT : 001 JURISDICTION: TIG Project Description: Installation of service /feeder and (3) branch circuits for energy management system. 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: 1 W /SERVICE OR FEEDER: 3 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: • MCDONALD'S CORPORATION MIKE'S ELECTRIC 036/0002 11070 SW ALLEN BLVD PO BOX 66207 BEAVERTON, OR 97005 CHICAGO, IL 60666 Phone: Phone: 503 - 649 - 6991 Reg #: LIC 50209 SUP 4230S FEES ELE 34 -18c Description Date Amount Required Inspections [ELPRMT] ELC Permit 5/12/03 $100.25 [TAX] 8% State Tax 5/12/03 $8.02 Rough -in • Elect'I Final Total $108.27 This Permit is issued subjed 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- 800 - 332 -2344. Issued By: Permit Signature: o-AJ' ,97'/°G1 ( • 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: 4A/ ftP/ / DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day Sent By: MIKE'S ELECTRIC; 591 7847; May -8 -03 5:13; Page 1/2 110/31/ 2003 1L25 FAIL 5035981980 CITY. OF TIGARD .: i r 0002 Electrical Permit Application F 0 It 1171 r I ':� t. t � 1. Y • �r Received Electrical • Datcrayi as 4 PermitNo"ELC 20(22 - ' DOZE . • city Of Tigard Planning Jbte/By Pa�ntitNo.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 RECEIVED DatdBY. Permit No.: Phone: 503 -639 -4171 Fax: 503 -598 -1960 - P05t xevicw Land Use IIItetnet w w.cI.ti ard.or. RR ny �� D : Cue Na. • 24-hour Inspection R equest: 6 1 8 - 1 J� Contact 7 Su See e l for "� c ��� Supp4enmtalln[orntadOp. CITY OF TIGARD { [fi p ��y�, . , 8 l • t . JnliRt�f Y'.liti_: TLiiYZ'AVIE I =r � - 2e = I 7 _17"7. '._.'.5�� :. .3' III New construction 1 Demolition • serviCe ova 225 amps. • Realth facility • • i!I Addition/alteratio. .lacement lb Other: • Building �', ` ' ' + :. 4 �;,: 0 servic over 320 -sang of di ❑ Buii oval 10,000 square feet, o I: � -. - ytl ( � a t at 2 farrsiiy drvallirxg� tour or more residential units in • Ail A •1 & 2 -Fams3 dwell' IL Cominercin)/Industrial ❑ Spann over d00 velta nominal ono structure • Access ory Building ■ Multi-Family ❑ Building over three scones ❑ Feeders. 400 a or more _ y ❑ Occupant load over 99 permits Manufactured squetilres or RV path Ill .Master Builder 1U Other: ❑ BSressaighting 8 mbar 1=figiggE: =d1+ t Submit Sets of plans with any of the above. ' •-' s ' t f � ` Tbo above are not . • • Ora . 1 1 Ale to mn . ore • eonstracdon movie .. • Job Site address: .. C 0 s r y r i� i',:0:1•1171MBEINISIMEMIE State #: Bid JA . t. #: Number of ins • • one • or 7 - • alloyed • . Project Name: T c ( on a r s Deter; • don Qty l Tn.l I ■ Cross street/Directions to job site: New i Iodides d e a to attaches; par 3 dwelling unit ladada sttar>ted 8vngs. Servlesi.eladed: II ' 1000 • ft or l - 145.15 • Ea - addutonal TI l . It • _. 'on thereof 11.111 33.40 MEM= i0 Subdivision: Lnt # M. 75.00 �E3a ^� iv � si a .a . iiiili-� —© 3� :- :: " F� I> ONJat10P4�1i6lt S 1•' : ;.1,6 ' � 1 ,.. ■ 90.90 �© Installation of energy management ais:rn onorniocatt niiim, e quip e n • 200.m • or km ® 10,30 • I , 30 II 101 • • • • s 400 .. i♦ =IMO MIM © 11 to 600 - i• 160.60 MINIM • . • 11> %I a :.;.:C ' : J Ul ME 601 ..., to lo00.m.. 1 - • a 1000 • • or volts ■ 45465 Q • . Name: • -• .ow on • ■ 66.85 — Address: P 0 Box 517 Temporary ervices or feeders - installadn Ci /State /Zipl Mukilteo WA 98275 alteration, rless relocation x �� a 66.35 II 00 :phone: 783.0383 Fax: 425) 315.0920 : am, to 400 •.••• i♦ 10010 © It ,si }tJi W,u ;i ; ; ;'t' uJ li>>;Ip 401 to 600 am• ■■�© -� �� Tt f ^ Branch circuits - new, Aeration. or Name: extension per panel: A. Fee for branch circuit; whit purchase of Address: service or fccdra' fee, each branch cituie II 6.65 19.95 •• Ci /Stateai • B. Fee for broach c - tt without par • . -of Of � faat'b..ndl circuit III 11 �e h Phone: ' I Fax: UM T anal bras circuit ■ 6.65 Iii Fi -Mil yygg ((9 I. a Irl;i�'�V 57� W1 I.ti:I - • • :r° F Misc.( mice a fe!d 53.40 tr not included): me '7 ' i:r i ti T.: - ' a • . b .. • er . ; • n circle Y�e %3 ' Each st ., ereudi .�... • i♦ 63.40 — 1111 Job No: M c D o n a l id s swat circuit(s) or a il energy • . _ II T R altered° or • - ion Add a g: 11070 S W Allen Blvd . Cl / g fZ , : Beaverton 017 9 / S 8 Each additional in • sotien over the allowable in • of the above: 'MI M742711 ■ 0 3 Phone: • • * • • 1 Fate: 13 . , 1.1902 revised e r , n e . ■ CCB 1.10. #: s s s • Lic, sure - - other: ■ Supervising eltwtfici Subtotal $ 10 s . signature required: - P lan R eview 2 5% ofpermit Fee $ Print Nome: Douglas J Mille L, :, .4230 S State Surd .e 8% of Permit Pee TOTAL PEIRMIT PEE 111111MWEIMIE Authorized Nudes: This permit upyiilestioa expires Ira permit le nut 'Wined within • Signature: Date: 180 days alter It loss bean accepted a0 complete. *Fee methedstegy sat by Tai- County Building industry Service Board (Pease print name) i MeststPgresitFeemtOE1CPernMtApp.doe 01/03 . • CITY OF TIGARD 24 -Hour BUILDING,. i Inspection Line: (503) 639 -4175 MST IN T TION DIVISION Business Line: (503) 639 -4171 BUP Receive Date Requeste AM PM BUP Location 23 g Zs O _ S f Suite MEC Contact Person ✓k4 ! Ph 645"" `� 7 I PLM Contractor 1 ^ ^ Ph ( ) SWR " BUILDING Tenant/Owner `i `tr\ 24' Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall (7 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole C Storm Drain �� Shower Pan Other: Final ,ST i t „ 1 PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PART FAIL AL Service Rough -In UG/Slab Low Voltage F' m PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA D a t e - � Approach/Sidewalk Inspector Other: Final DO NOT REMOVE this inspection record from the J PASS PART FAIL