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Permit (33) PERMIT #: ELC2003 -00273 CITY OF TIGARP &( s / j �� ECTRICAL PERMIT DEVELOPMENT ` I A EV �LOPMENT SERVICES 4'tw la -Ifl/ A TE ISSUED: 5/13/03 `'� �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 2S115AB-01900 SITE ADDRESS: 16200 SW PACIFIC HWY A SUBDIVISION: TIGARD TOWNE SQUARE ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Replace 100 amp panel with 200 amp panel. Job No. 3001 -12 5 -30 -03 Addition to permit. 2 circuit breakers. 6/23/03 addition to permit; 400 amp 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: 5 W /SERVICE OR FEEDER: 2 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: 1 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: BIT HOLDINGS LTD PARTNERSHIP BRIGHTSIDE ELECTRIC BY FORUM PROPERTIES INC PO BOX 930 FIVE CENTERPOINTE DR STE 290 CARLTON, OR 97111 LAKE OSWEGO, OR 97035 Phone: Phone: 503 - 852 -7900 Reg #: LIC 153860 ELE 36 -110C FEES SUP 3863S Description Date Amount Required Inspections [TAX] 8% State Tax 5/13/03 $12.85 [ELPRMT] ELC Permit 5/13/03 $160.60 Elect'I Service [ELPRMT] ELC Permit 6/23/03 $361.15 Elect'I Final (additional fees not listed here) • Total $653.71 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 07/03/2002 18:32 5038529573 • BRIGHTSIDE PAGE 01 Electrical Permit Application . = OM_, V g i /i . Pane N • :E 0 City of Tigard s Lf,GP.ri ..t! 13125 SW Ball Blvd. • Plan Review Other Tigard, Oregon 97223 tea - Permit Pro.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 . '411111111111111W11111111111111.1. Interact: www.ci.tigard.or.ue f i 24-hour Request 503- 639 -4175 `' • . - - Comm . kris: • hoe 2 for NandMahod: Suyplame.al tutbrmadoo. 15 w E O . 0 1%1E.W - V. .,r. 0:.`ii ..",.4 74;.2: S : �` 71 E ' 1 r. Sii�Slbt .y�ta-•E m><' � r r � _� �i1r�� ■ construction ■ Demolition & Service ova 229 amps- ■ liealdP are &citify C Addition/alteration/replacement Other: ' co mm rcia Hamden location tioNt� O S ervice o ver 320amp. ratbµt of 0 Building era 10.000 square feet. '_c`o' = "'7i r, '4,:. c•. . .1 . P a F; 0 �y • UlMON. ` 4t::• :'1` . ::•.i -1 7 :,'. 1 & 2 family dwcUfngs !bur or more rcatdandel unite in 1I 1 •' 2 -P-i i , L.A. 1 1 :41C Commercial/tndustrial O System ova 600 volts nominal one eunrntre Building ova three stories O Feeders, 400 amps or more 1111 ''' { ', • i TMEM Multi -Fam' Occupant rood over 99 penes p Manufactured structures or RV park ■ Master Builder • Other: ens plan O Other: • •' : 4 .>e" ^ $411TEINFORlllFAT %• iiiirtookiioN f "'` :.', Submit sots of plans with any of the above. .TOb site The shove are not • • I • to tam • eoostrvetloa se ice. address: / a' / / F/� " -; :N`rr . ' . 717 �w Suite #: ' ' BldgJApt. #• . Number of Inspections oar "twilit allowed Pro'e t Nara: HA4eso i _ ,,,L "% d _ . f %r; - ' ' . Fe* Om) Teat Cross street/Directions job site: • • rte" a or ° °°y per dweillog oak. Wades attacked arrpe. Saute, t■doduis 1000 • . a. or lees Each additional 500 m. R. or elation thaw ■ B Subdivision: Lot #: Lames :u. L :.:�:,.,• I Mil IIIMIW2.11 MIMI Tax ma !,j• : - 1 #• • ..... home or weeder • Eamr, g ^=� :, , ,., . c j 140 • - 11: • •F+,. i.r^=4 - . servie* "kw feeder 11111 90.90 e a & Mon a- feeders - l a dladoo. Df4rrt. ,w 4 S ! 1 r= QL / • • • ,i._- _ _ • -• A alteration or reload= 200 Of l , 20.30 1111 1 20 ...-11-1 11 so [� _ _P Q�� :.�_ ro / V !I/ _ �© 7 r-- C F �/ C.i?:Li L 4 - h . LI" � E � e7:� Yi � .. • ,� f `I t .. .. W -J'.: 1) Vl. A : .K" Name: Rime_ t as Address: Tempera" s.r iaa or feeders - Installation, Cr /State/Zi alteration, or rdaeatla i 200 or loss Phone: Fax: 201 to 400 corps 100.30 � 173.73 � •E ® - ^ i ll; • � L trA - , s ecr.neh drama new, alteralis., or Name: atemba per peed: Address: A. Poo for brands Meats wtm pa hale of or dada • • eseh - 1 •, 663 Ci Phone: t i.: Fax: ur • • : 4_ ■ 4t;H3 � e E-mail: ,.. MI 6.45 !•� H ¢ 1, l:, u7 a l'• is t 1:,. u .- IN 53.40 © Job No: Soo i -- f - , Oars °' ' inu,iee g m iniarii � �S enaEyp�i. ■ _ Business Name: aR, 4 47 3 a� a-/• -c.� i2.' C, Description: III 111 Address: '. D x Each additional letedsni aver the *Racal* is an of the above: ' • • ' # Par i•eatahterhaul (mbh. l banal ■ 62.30 II Phone: alicirlIME fax CCB . ' . " . • Lie. #: " �- / c.- � _ �` =II IMMEN�- S �..`::le_�:ti: : H1:�1�f= . 1' , •x'1 " q'; r��11. �1. �i:ri '��u -�:� uper vtsbrg elec trician • I Subtotal S Si 1 • re . uired: net by Print Name: 'L1/4�T !t Lic. #: • I�r��= . su $ • • • . 8 % o f P F i i �:� ,;Iri�,10 �rL .jhL� I Authorize gnature: Nt • Dec 6 az3 -O r� a ' .+tern babe tr eapi. steepled a c tr. rte. b not ^• wit • , • aye Couy o Budding 1e. �— K C *Fee eoethod.lop/ TN-County Budding a Industry Sarvtae gourd. (Plane print rdme i.'1Dsta Pem h PaarmstElePenrdtApp.doc 01103 • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date equested �" " 2 ' AM PM BUP Location / cx.) Suite MEC Contact Person /E /Qy Ph ( ) PLM Contractor `d ) Ph (-, S') 7/ - )5 7 y SWR BUILDING Tenant/Owner -►1/= T2'L) ELC3 75 Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling , Roof 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 T FAIL Rough-In UG/Slab Low Voltage Fire Alarm A SS` PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ) ADA Date / 7 � Insect . 7 �• Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this Inspection recor from the • b site. PASS PART FAIL