Permit ELECTRICAL PERMIT
q CITY OF TIGARD
PERMIT #: ELC2008 -00446
COMMUNITY DEVELOPMENT DATE ISSUED: 8/4/2008
:TIGARD'' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102AA -04800
SITE ADDRESS: 08960 SW COMMERCIAL ST ZONING: CBD
SUBDIVISION: TRI-MET COMMUTER RAIL LOT : JURISDICTION: TIG
PROJECT: TRI -MET TRANSIT ADA
Project Description: Replacing existing services.
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: 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:
TRI - COUNTY METROPOLITAN DYNALECTRIC
TRANSPORTATION DISTRICT OF ORE 5805 SW HOOD AVE
4012 SE 17TH AVE PORTLAND, OR 97239
PORTLAND, OR 97202
Phone: Contact #: PRI 503 - 226 - 6771
FAX 503 - 226 -7818
FEES
Description Date Amount Reg #: ELE 26 -59C
[ELPRMT] ELC Permit 8/4/2008 $160.60 LIC 66793
[TAX] 12% State Surchar 8/4/2008 $19.27 SUP 4653S
Total $179.87 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 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: Permittee Signature: / Gtf�
Z e. A ...a g. ,0 ,
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.
8 4 - 08: 8:47:- .M:Dyna I ectric se - vice .503 226 7720
k ectrical Permit Application FOR OFFI USE ONLY.....• . . •
City of Tigard
M ' 1
13125 SW Hall Blvd., Tigard, OR 97 TA Date/ Recei $ ved y: 8�g
Plan Revie Permit Peut No.: tR _ , . 8-,,,''�tr� t.
Phone: 503.639.4171 Fax: 503.598.' . 1 Date/By: Other Permit: Permit: TiGARD Q inspection Line: 503.639.4175 r l 2t0" Date Ready /By: twin: 0 Sec Page 2 for
Internet: www.tigard-or.gov U t � Notified/Method: A: / Supplemental Information • T: OF W OR � _ Q
P LAN REVIE
❑ New construction Addition /alteratio 6Ctt$ Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑ Other: B Vj}l ❑ Service or feeder 400 amps or more ❑ Building over three stories.
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION' exceeds 10,000 amps at 150 volts or ❑ Hosting buildings.
less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
❑ 1 - and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi-family ❑ Master builder
❑ Other: 0 Fire pump. ❑ Installation of 75 KVA or
JOB SITE' INFORMATION AND LOCATION ❑ Emergency system. laigrr separately derived system.
6� --- ❑ Addition of new motor load of ❑ " °E "1 2 ", ' 13 ",
Job no.: t - ��b Job site address: %O) 6, n_ 100HP or more. occupancy.
5 �
l 1inh ft-G1.4 1 ❑ Six or more residential units. ❑ Rec-eational vehicle parks.
• City /State /ZIP: n (,� 5 �I ❑ Health -cart facilities.
I 1 `� r U►� fili ❑ Supply voltage for more than
s ❑Hazardous locations. 600 volts nominal.
Suite / bldg. /apt. no.:
Pro ec name: "rte M,T Serer cc cl1 p
J 1'` 0 or feeder 600 amps or more.
Cross street /directions to job site: �� 7 K fT M FEE SCHEDULE
/ e ! " 1 Ei ron
�✓� ��� � 404 Desci ti P (Tr Fee. Total -
New residential single- or multi - family dwelling unit.
includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less i 45.15 4
Tax map/parcel no.: Ea. add'! 500 sq. ft. or portion 33.40 1
Limit -
tr gy.
pE5CR[PTION OF_ WORK ;'; " (with above >�jtdential
75.00
2
Litnited energy, multi - family
l toe e_ `�-ke_ C' 40; i✓�(' Se (Lu is Cj residential (with above sq. b.) 75.00 2
Services or feeders installation, alteration. and /or relocation
I �-' A -O A e J c e 2 °L tr 200 amps or less 80
❑ : PROPERTY OWNER • bob 2
' ❑TENANT 201 amps to 400 amps 10!1.85 liGo.
2
Name: 401 amps to 600 amps 160.60 2
Address: — 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts I 454.65 2
Ciiy /State /ZIP: Temporary services or feeders installation alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85
I
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 599 amps 1 ! 33.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
--- A. Fee for branch circuits with
`APPLICANT,:
®CONTACT ` PEkSON . • . above service or feeder fcc,
Business name:
each branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'I branch circuit I I 6.65 _ I 2
Miscellaneous (service or feeder not included)
City /State/ZiP: Each manufactured or modular
Phone: dwelling, service an_ d /or feeder 90.90 2
( ) Fax: _( ) Reconnect only 66.85
2
E -mail: Pump or irrigation circle 53.40 2
. CONTRACTOR Sign or outline lighting 53.40 2 - a
Business name: h �, r ' Signal circuit(s) or limited -
_ energy panel, alteration, or
Address: g ^ 5 — }. Z / �7 V extension. Describe: Page 2 2
City /State /ZIP: �`°�� t ZO
��` f �� 7�� Each additional inspection over allowable in any of the above
Per ins ection 62.50 i
Phone: /��� / Fax: L / � (� P 61.50
`� �` O W ��� f (`"�/) a�CP' 7j �3�C� investigation per hour (1 hr min) 62.50
CCB Lic.: 7 Electrical Lic.: ��// � Suprv. u rv. Lic.: Industrial plant per hour
�r/ ' � / � OCGO P P P � 73.75 1 -
• Suprv. Electrician signature, required: J ELECTRICAL PERMIT TEES
i `` _ Subtotal: 1 (00 •!„ O
Print name: tArr4 1- A hate: 1 5(1/ ? Plan review (25% of permit fee):
T `�/ State surcharge (12% ofpennit fee): , C� �'
Authorized signature: �, ■ •i1/ TOTAL PERMIT FEE:
Print name: C This permit application expires if a permit is not obtained within 180
444„..,../0 �Eiv /�!'] Date: 75 �pr� X
days after it has been accepted as complete.
1
Number of inspections allowed per permit.
_1Suilding/Pe, nits \ELC- Pern,itApp.doe 05/23/06 440 46151111/05/C0M/WED
CITY OF TIGARD
BUILDING DIVISION PERMIT #: L LC200B 00446
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/4/20(0
Phone: (503) 639 -4171 I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 '. re it
INSPECTION WORKSHEET FOR DATE: 9/3/2000 TIME: 7:01AM PAGE: 4:3
SITE ADDRESS: 00960 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: TRl - T COMMUTER RAIL LOT #: TYPE OF USE:
PROJECT NAME: TRI -MET TRANSIT ADA
DESCRIPTION: Replacing existing services.
OWNER: TRI- COUNTY METROPOLITAN, PHONE #:
CONTRACTOR: DYNAI_ECTRIC (� , PHONE #: 503. 226
Inspection Request Scheduled For: Date: 3/: 2008 Pour Time:
Code # Inspection Description Confirmm #\ Contact # Message
199 Electrical final ( 074950-01 \503 79;3 - N Y
CQ
Corrections /Comments /Instructions:
N
T . \ \
lU \
j PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL 1 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: � >av bg Date: 't' 310 Phone #: (503) 718- vib
CITY OF TIGARD _
. A _
BUILDING DIVISION PERMIT #:
EL.0 2008-00446
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2008
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/ TIME: 7 : OOAM PAGE: 22
el b
SITE ADDRESS: t)8 3i,t1 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: Ri MET COMMUTER TER RAIL LOT #: TYPE OF USE:
PROJECT NAME: TRI -MET TRANSIT ADA
DESCRIPTION: Replacing existing services.
OWNER: PHONE #:
CONTRACTOR: TRI'COUN rY ME.TROPOLITAN, PHONE #:
DYNALECTRIC rf N\A ll , f : J03. 226-6771
Inspection Request Scheduled For: Date: 8119/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
N
115 Electrical service 074329 -01 503-793-5117 N y
Corrections /Comments /Instructions:
•A'1(\---
G-R45 LlNI iN 1 c;c (L0D.E GONZJ4 mt, 5 T ALL C
?(Z.c-1 1 b c R.1m a s 1 C bko•k. sr .
— r\ik; 5 " A SnaL\11 C./.. let*a_ca‘iit4... V -1 0(1... PA itS,‘N (MA...) S .
? e, 0 -41) ti, 411 b ** s A clZ
--% In? 41/4 Q.
n PASS 4411111111 11 I► ' PARTIAL APPROVAL l CANCEL n NO ACCESS
n FAIL 1 I CALL FOR 1 - - - 6 , 1 1 ADDITIONAL FEES ASSESSED
Inspector: G N66 6 L Date: t.19•1) Phone #: (503) 718 - 1-11%