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Permit fig t, C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00736 DEVELOPMENT SERVICES DATE ISSUED: 10/4/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S126BC -01506 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 480 ZONING: C - G SUBDIVISION: LOT : JURISDICTION: TIG Project Description: TI branch circuits. 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: 15 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: PORTLAND OFFICE ASSOCIATES WILLAMETTE ELECTRIC INC BY TC PORTLAND, INC PO BOX 230547 8930 SWGEMINI DR TIGARD, OR 97281 BEAVERTON, OR 97008 Phone: Phone: 503 - 624 - 3631 FEES Reg #: LIC 75059 SUP I965S Description Date Amount ELE 34 -283C [ELPRMT] ELC Permit 10/3/2005 $146.60 [TAX] 8% State Surcharge 10/3/2005 $11.73 REQUIRED ITEMS AND REPORTS Total $158.33 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 -8 32 -2 Issued By: , 6 -,.A . 42) Permittee 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 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. SEP 4 2005 7: 558RM HP LRSERJET 3200 p 2 • EO fit+ - - , - ' � � NS f - : FOR UFFICF USE ONLY Electrical' : ; omit Application Received / / ] ^ 0tv roc i7 � City ' of 3 '�H5 - d t ' `G b 1 Dsu - B � r P ertn,. N o. v�� � 13125 SW Hall Blvd., Ti glf � OR 97 • Plan Review - - i Phone. 503 639 4171 f �, � OtheJ Permit. inspection Line: 503 fi ty V(QF981 f i t dfi� Date./13 _ k}'. NINO ��+�# N -a+ " ' .: ! Date/ Date Ready/By. -∎ See Page 2 for Internet: ww w.ci.ti - • Notifmift1ethod. r ' ii Supplemental information ,g ?}�! g 3� s'' y r,,. ri ,a .' ` �t fir i \ < d 7 4 '9 , ,2- ''i'(` 0 J `' r ^t w`l ` 1 ( ' k + A . ^C r , -; . A 'aVl,' I tt igr i I. ,',?' 1; :'a # • ° tOr sr,� �h n,C4' . "''f # °`a.. cats:' : _ - s. .-. Please check all that apply. ; ❑ New construction .ddttion /alteration/replacement ❑Sennce over 225 amps, comm't ❑HazardoLs Location ❑ Demolition ❑ Other ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., ti r 1 ?` mo t} t , 1 ^ 1It r; a _ V.-Me s ; t t lrs g of 1- and 2- family dwellings 4 or more new residential ' ' '�t��t:- �.��j'+'s�ti1d. ,: 3lvv�s __�+.+:1'iii.itt»'�. F1�1•.�;s� 41 �' iv+c;u_. ❑System over 600 volts nominal units in one structure ❑ 1- and 2-family dwelling Commercial/industrial 0 Accessory building OBuilding over three stories ❑Feeders, 400 amps or more ❑ Multi family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or 1�; „cst ' ii` i1, �� a r �,Er t N � or s j am. ,.i_ y r ■i ,. , °N'�`i =i;n RV park i Lt i, L :1,� !>I k t + -1y,1 t i trit '{ � t:3t 1 o ,. 4 1 u .-, fi i ,,,.1.1441:1, , � ,K ❑ E gre ssli g htin gp lan p i 1 xeF6�? cs fiC Jtr .. , _ i r.a a.. mad _ .» c ,t.:- []Other: ❑Health -care facility Job no.: q g Job site address:90 to ‹� txn 6.. ..„ 14 ,e,/, ,,0 �j,�, S, Submit Z sets of plans with any of the above. City/State /ZIP: /i e7 /� �"' The above are not applicable to temporary construction service. �4 t�� 7 rt ': q V r w� 7 •; a) t SuiteibidgJapt. no.: y 0 ' Project name: U�l/TPe/ . /7'� Description Qty. Pea Total 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: I Lot no.: Es add'/ 500 sq. ft. or portion 33 40 i Limited energy. residential 75.00 2 , Tax map /parcel no.: Limited energy, non - residential '15.00 2 �' 1- 7 }'i r 7-0 i, : 2 : t> SM' i-R " R c , ' �. • l • . ±i ix'J.f± r:� - Each manufactured or modular , t'ri ,.-- .--- dwelling, service and/or feeder 90.90 2 eruct, 1 /yk ired..4trf1-.1/1.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ,^ Tin. 1:M14. u A', +,g, ma ' i �"ht, ,"3 411. 2°1 amps t0400 amps 106.85 2 Jig �J � 1n . � +j .ftitt t� :l. Illik int5J v,Llo Jle n ..�i '_7c 41.q! :edf,r ;. PU:ij; i�'••i. "s;S . �t,L s,, a -k � r � � r �, s3: it M _ "� ,1��''� '� '� � 401 amps to 600 amps 160.60 2 N om; / r�cre, es-. gj J e _�, Ca� 601 amps to 1,000 amps 240.60 2 u - Over 1,000 amps or volts 454.65 2 Address: ! 3 /,5----- •� S Jr/© e..../e.5,,,,,--- Reconnect only 66.85 2 City /State/ZIP: 5 4 /72,41.fi f (. e >/ Sf' Temporary services or feeders installation, alteration, and/or relocation Phone: (rot ) g l 53 A Fax: ( re4) '/'s— S' :7 200 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 4.47, 449, 670, and 701. 401 amps in 600 amps 133.75 2 Owner signature Date: Branch circuits - new, alteration, or extension, per panel n Ia 4 " , 0 '� ,' i s sl 3 i ' l i,, - ;t,,l�..p,�rls��`�a� h cfre �''r . .1 ?0 � Mt . � o t lr � l r. A. Fee for branch circuits with ; LrY 1 -, . ' 7 W service or feeder fee, each 2 6.65 Business name: branch circuit B Fee for branch circuits Contact name: • without service or feeder fee, ' 46.85 % Ii 2 each branch circuit Address: - Is' Each add'I branch circuit /$' 6.65 2 ! 2 City/State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53 40 ( 2 Phone: ( ) I Fax: ( ) Sign or outline lighting 53.43 2 E-mail: Signal circuit(s) or limited- 9 ^� s u ,,4 'r i d a P ' �' 17; - F t�� M1 A ' r''' 1: W,. -1 ',.1 ,, �`'it.ps f. u' F 't sl-. r energy p anel. alteration or p it +f .E . s,: /3 ', +'. is •` d. , �? � . ice.,.•,« ,i li. 5,,.. 46: - i extension. Describe: Page 2 2 Business name: t,a) r L( ii. tMIt t,‘„ F 1 t;,,: i'rl ic . (Ad . - Each additional inspection over allowable in any of the above Address: f? ti g' Per inspection 62.50 City /State /ZiP: t 1 i. i C) ry/ 7 -.6° i Investigation per hour (1 h- non) 62. `50 II Industrial plant per hour 1111 73.75 Phone: ( Si*) &2t4 / 43 i Fax: (5013) 4^2/4 - ,i. r ' 'rE' "'a s ,; 'a' l ... CCB Lic.: 7 - i ') c ett Electrical Lic.: t� - 2 6 -2 ( , • uprv. Lic.: 416 s C, /yG e � y Subtotal ' Suprv. Electrician signature, required: ‘,/t��... / Plan review (25% of permit fee) ((((���'""��� /1, State surcharge (8% of permit fee) ii � �/ Print name: ,I A - ......f t Date: !'- � l TOTAL PERMIT FEE / st 1 . Authorized signature: This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete Print name: ` Date: * Fee methodology set by To-County Building Industry service Board •• Number of inspections per pernnt allowed ,-\Buddlna‘Penmts\ELC- PemdtAPP doe 1ire3 440.4615T('O+CO/COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00735 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2005 Phone: (503) 639 -4171 �+ Inspection Requests (24 Hrs.): (503) 639 -4175 ., &. I .. INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 149 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 480 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: UNITED HEALTH- DESCRIPTION: TI branch circuits. OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #: CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503- 624 -3631 Inspection Request Scheduled For: Date: 11/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 021050 -01 503 -624 -3631 N Corrections /Comments /Instructions: • • (. Q r� ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS -PAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Ins p ector: • I / Date: � -O Phone #: (503) 718- �� CITY OF TIGAR® BUILDING DIVISION PERMIT #:ELC:WO ;Ze 36 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �I�I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE:11 • •03 TIME: - PAGE: SITE ADDRESS: 9 0 to 6 W Lou it1 ' ((�� t � .V ss,„ I� . CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: l• iyeA G(LCaT! , OWNER: PHONE #: CONTRACTOR: W 4I. 0.6. EI.€M PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # - Inspection Description Confirm # Contact # Message 30 -\.4G- cas TttKiaw Qldaur Corrections /Comments /Instructions: 61 wt Low 6C4" t1/40. vse—mr4 NaZ 4,,p0R.csNiik-% c3:1_ w► \fb fan. cow 6-LI) • ❑ PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: NW Date: \\I • 3 Phone #: (503).718- 2'i4b • CITY OF TIGAY ■® BUILDING DIVISION PERMIT #: ELC2005 -00736 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2005 Phone: (503) 639- 4171i�l Inspection Requests (24 Hrs.): (503) 639 -4175 '__.. INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 44 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 400_ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: UNITED HEALTH DESCRIPTION: TI branch circuits. OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #: CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503- 624 -3631 Inspection Request Scheduled For: Date: 11/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 020123 -01 503-624 -3631 N Corrections /Comments /Instructions: • cam' t; e I n pp c-P �--� • • • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS . 11FATL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `/ Date: 11- Z " Phone #: (503) 718- is ► - CITY OF TIGARD . �; BUILDING DIVISION PERMIT #: ELC2005 -00736 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 10/4/2005 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639- 4175II�� INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 64 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 480 CLASS OF WORK: SUBDIVISION: N PA' + 4-o i"= bet y Gr r_ LOT #: TYPE OF USE: PROJECT NAME: UNITED HEALTH DESCRIPTION: TI branch circuits. • OWNER: PORTLAND OFFICE ASSOCIATES. PHONE #: q7/ - ug - C`/'s CONTRACTOR: • WILLAMETTE ELECTRIC INC PHONE #: 503 - 6243631 Inspection Request Scheduled For: Date: 10/'1212005 Pour Time: Code # spection Desc 'ption Confirm .# Contact # Message • 125 ' Wall cover 018070-01 503 -624 -3631 N • Corrections /Comments/ Instructions: • • • • • • • • • PASS • ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /0 ^/ Z I Phone #: (503) 718- CITY OF TIGARD A _ BUILDING DIVISION PERMIT #: L= . ��3�0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �e� Inspection Requests (24 Hrs.): (503) 639 -4175 �' R__.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: �� SITE ADDRESS: � � U �-t/ � � _s-62 CLASS OF WORK: SUBDIVISION:, L _ LOT #: TYPE OF USE: PROJECT NAME: ��. �" ' DESCRIPTION: AA i s OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 1 1 - d S p q Pour Time: Code # Inspection Description Confirm # Contact # Message • 6'. — 3 / ri Corrections /Comments /Instructions: v 0 5t1-- .1 4 s ' • 1 • • , I E PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS . FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: 15 Phone #: 503 718 - •