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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00387 ' 111 11 DEVELOPMENT SERVICES DATE ISSUED: 6/28/2004 ' • 13125 SW Hall Blvd.. Tislard. OR 97223 (503) 639 -4171 PARCEL: 2S112DA-00800 SITE ADDRESS: 15055 SW SEQUOIA PKWY 120 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P BLOCK: LOT : JURISDICTION: TIG Project Description: Tenant Improvement 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: 2 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: 25 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 ENDERS ELECTRIC 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 1661 PORTLAND, OR 97224 BEAVERTON, OR 97075 Phone: Phone: 626 - 4813 Reg #: LIC 00026728 SUP 2028S FEES ELE 34 -265C Description Date Amount Required Inspections [ELPRMT] ELC Permit 6/28/2004 $326.85 [TAX] 8% State Surcharge 6/28/2004 $26.15 Ceiling Cover Wall Cover Total $353.00 Elect'I Service 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 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: 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 • Jun '22 04 02:45p ENDERS ELECTRIC 503 - 646 -3871 p.4 Electrical Permit Ai 1 g ;lp • I V ED FOR OFFICE USE ONLY City of Tigard Received LUU4 Date/By: Permit Nov io�O p / — g (_ c Plan Review • 13125 SW Hall Blvd., Tigard, OR 97223 - "" - 1 e � � Date/By: b Phone: 503.639.4171 Fax: 503.598.1960 ' •' 4a • 'r,, Other Penult : OZ.3 i Inspection Line: 503.639.4175 CITY OF YIGAF I- °AL. Dale Ready/By: Juris: 0 S c P D � age 2 for j Internet: www.ci.tigard.or.us , G DIVISION Waffled/Method: Supplemental Inl'urntativa ❑ New construction Q Addition/alteration /replacement Please check all that apply: ❑Service over 225 amps. COMM ❑Flaearluus location ❑ Demolition ❑ Other: :...:.. u .. . . . .. . t b over :. AT6, � �t ',: ¢;. -, v.• •;.:;.,;:,:'.... , ... -:. fi''t��( "' � �;�.;,��Q�. ,.. _ , ,. � t more cs t u�.tl r:, ,., . c v over amps r m ng h 1 .. O $ ..,,:,'' ::.; .n. . .. . or and 2- family dwellings d or nw � nr t )il s , n � 1 y. I ❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑Buildin over three sullies ❑l:ceders, 400 amps or inure ❑ Multi - family 0 Master builder ❑Other: DOccupant load over 99 persons ❑Manufaruurd hi u " nu: u es or 0'' ' T I?.O O ; U-('-,kTlpN .. ❑ lgress /lighting plan RV park 11 Health-care facility 001her Job no.: Job site address: 15055 SW Sequoia Pkwy Submit 2 sets of plans with any of the above. City /State /ZIP: Tigard -- The above are not applicable to temporary construction see we Suite/bldg. /apt. no.: •� Project name: FEE* SCHEDULE _ j t�0 Description 1 Qtr. I ice. L Tout I —J Cross street/directions to job site: New residential single. - or multi - family dwelling unit Includes attached garage. J 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: _Ea. adtl'I 500 sq. ft. or portion 33.40 I Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 +''''''' ;:i•al,! ) v1? K -1 :N. '' :: < • ::;DESCOI'TI r tiO; t©RT C -•'% rf: <t= . : t :'''' Each manufactured or modular - -- dwelling, service and /or feeder 90.90 2 Suite 120 - T. I . LBraneh Circuits & Fteders Services or feeders installation, alteration, and/or relocation 200 amps or less 9.--- 80.30 7/00,6D 2 Vig pr, t r rip1:5 .-.. 201 amps to 400 amps I06.85 2� 401 amps l0 600 amps 160.60 -- Name: PAC Trust 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts — 454.65 ! - 2 Reconnect only 66.85 '_ City /State/ZIP: - Temporary services ur feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) _ 200 amps or less 66.85 I hi Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps __ _ 100.30 _ '_ intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 40) amps to 600 amps I ]) 7S Owner signature: ! Date: —._ Brunch circuits - new, alteration, or extension, per panel .ic: ':i44 t •. , . E ",�� :; Oc , t;- i� :r ,f i;' E[RS A. Fee for branch circuits with _� i . ---, ::;e,t _: G.,:._.... T: «; , fF:.Ce::; . t la ",N i! ;? (1`F ' ' '''',41"''''.'''' ' ' • I - I service or feeder fee, each t t , 65 1142 615' 7 aC , Business name: Enders Electric Inc. branch circuit P B. Fee for branch circuits Contact name: Allen G. Robertson without service or feeder fee, 46.85 ? Address: cacti branch branch i t - �� PO Box 1661 Each add'I brunch circuit 6.65 City /State /ZIP: Beaverton, OR 97075 Miscellaneous (service or feeder not included) x:: (503) 646-3871 Pump ro outline l ig lighting 53.40 - _ _ ' Phone: ( 503) 626 -4813 Fa v:(503) Sign or outline lighting --_-_— 53 { — ? . _ l 13 • Signal circuit(s) or limited. [ '< > ": .. s > -",e, . 1 k M t ,•. � _ • - . energy panel, alteration, or extension. Describe: Page ..... 2 ' Business name: Enders Electric Inc. __ — .. Address Each additional Inspection over allowable in any of the above PO .BOX 16 Per inspection 62.50 City / State/ZIP: Beaverton , OR 97075 Investigation per hour (I Iv nun) 62 50 - Phone: ( ) F ( ) - Industrial plant per hour 73.75 503 626 -4813 5 s 646 -3871 •..,,.., ::ELFC itto,u;:;pEE MIT FEES* ' CCB Lie Electrical Lie.: Su Subtotal _ 26728 _ :5s p I - . __ 3a 1 ! p.0 8�7 Suprv. Electrician signature, required: ` , V Plan review (25% 01 permit fee) __ - Print name: Date: State surcharge (8 %, of penmen fee) A , /6" Allen G. Robertson 6/24/2004 TOTAL PERMIT FEE 053 De) Authorized signature: This permit applicatiuu expires if permit b nut obtained within ISO days after it has been accepted as cannden. Print name: Date: • Fee methodulugy set by • 1'ri. County Building Industry Ser ee Board •• Number of inspections pct permit allowed. .\ BuildingWemds 'L'LC- l'ermitApp.doc 12/0) 4 40 - 40 15T(nv02reohvwau CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -41,. MST BUP Received Date Requested , v 1- C AM PM BUP Location Si) -! ' . Suite 20 MEC Contact Person ,6f-( ''. Ph ( ) 79 3 ,s PLM Contractor Ph ( ) (a Ze - (Le/_3 SWR ° 0 O 3F7 BUILDING Tenant/Owner ELC Footing Foundation ELC AcceSS: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam NMI Shear Anchors Ext Sheath/Shear IAN Int Sheath/Shear Framing Insulation Drywall Nailing Firewall P/ V � l 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 Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line - — ` n I / i4frk_ d ew La� r n FDA l J / fro L.rtb" Approach/Sidewalk Date Inspector LLL ��rlll Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL