Permit u fi
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00049
i i COMMUNITY DEVELOPMENT DATE ISSUED: 1/22/2007
'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102AC -00400
SITE ADDRESS: 09230 SW BURNHAM ST ZONING: CBD
SUBDIVISION: BURNHAM TRACTS LOT : 001 JURISDICTION: TIG
Project Description: Job #95354 Add 5 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: 4 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:
DOLAN + CO LLC OREGON ELECTRIC GROUP
BY FLORENCE T DOLAN 1010 SE 11TH AVE
4025 SE BROOKLYN PORTLAND, OR 97214
PORTLAND, OR 97202
Phone: 503 - 225 -9009 Contact #: FAX 503 - 535 -2763
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit 1/22/2007 $73.45 LIC 203
[TAX] 8% State Surcharge 1/22/2007 $5.88 SUP 4460S
Total $79.33 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: Xis Ar4 .� /!J Permittee Signature: 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.
JAN -22 -2007 03:25PM FROM OR E I. . a - 0 P.001 /002 F -414
1 ^ � 5035352763 � .;. ,..� ._4, , , T .. 86 .. _....
electrical Permit A ��
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AA/0 ? _ ? --�
City Of Tigard p Kan Review % __ D0
ew Other Permit: 13125 SW Hall Blvd, Tigard, OR 97223 IN U , 2 �7 t i « I�tcIBy tutl8; ®S page z ror
Phone: 503.639.417 Fa: 503.598.19 ,I I Date ReadyR3Y Suppicroentnl Information Line 503.639.4175 CITY OF TI Gr1R ` "`' Noti6ed/Method
Internet: www.ci.tigardot.us B II I. a - 11 ; PLAN REVIEW
• TYPE OF WORK Please check all that apply:
❑ New construction Addition/alteration/replacement
['Service o ver 225 amps, comet ❑Hacttdous location
Other, ❑ Service over 320 amps - rating ❑Buafing over 10,000 sq. fl.,
❑ Demolition of 1- and 2 family dwellings 4 or more new residential
' CATEGORY OF CONSTRUCTION pg over 600 volts nominal amts in one su„cttrrc
® 1 -and 2-family dwelling 0 Commercial/industrial ❑Accessory building El Feeders, 400 amps or more
❑Building overt 600 v stories
Master builder ❑ref: - ❑ Occupant load over 99 persons ❑Manufactwed structures or
Multi family 0
JOB SITE INFORMATION AND LOCATION � ❑ p S �g/li ttn g plan RV park
�Odter -
❑Hcalth -rare facility
Job no.: 95354 Job sitc address: 9230 SW BURNHAM ST Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service.
city/stateJZ1F: TIGARD, OR 97223 - FEE* SCHEDULE
1 Project name: DAN DOLAN RENTAL o , j (Mr. I Fee. I [
Tntul I
$uitr./bldg. /apL no.: J
New residential single - or multi-family dwelling unit
Cross street/directions to job site: - Includes attached garage _
1,000 sq. fl_ or less 145.15 4
1 Lot no.: 3 Ea add'l 500 sq. It or portion — 33.40 _ 1
Subdivision: Limited energy, residential 75.00 2
Tax map/parcel no.: _
Limited energy non -re sidtnstial 75.00 2
DESCRIPTION OF WORK F ttch manufactured or modular 2
dwelling, service and/or feeder 90.90
ADD CIRCTJITS TO PREVENT NUISANCE TRIN'IING. Services or feeders i alteration and/or relocation 2
200 amps or less 80.30
201 amps to 400 amps 106.85 _ 2
❑ PROPERTY OWNER _ 0 TENANT 401 amps to 600 amps - 160,60 2
Name: DAN DOLAN
601 amps to 1,000 amps 240.60 2
-
Over 1,000 amps or volts 454.65 - • 2
Address: Reconnect only _ 66.85 _ :
City/State/ZIP: Temporary services or feeders installation, alteration, and /or
Phone: (503)225-9009 I Fax: ( ) 200 amps or less 66.85
t to 400 amps 100,30
Owner installation: This installation is being m� made m property hat T own which is not 201 ant 7 449, 670, and 701. b 133.75 i :
intended for sale, lease, tent, or exchange, g 401 amps to 600 amps
Date: Branch circuits - new, alteration, or extension, per panel
Owner signature: A Fee for branch circuits with
El APPLICANT 1 0 CONTACT PERSON _ service or feeder tee, each 6.65
branch circuit -
BusineSS name: - B. Fee for branch circuits /► p�
Contact name: without service or feeder fcc, I 46.85 410 - o 5
eaeh branch circuit
Address: Each add'' brmch circuit H_ 6.65 to (0C
Miscellaneous (service or feeder not included)
City/State/DP: P or irrigation Circle 53.40
Phone: ( ) I Fax: : ( ) Sign or outline lighting 5140
E - mail: Signal circuigs) or limited-
- CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2
Business name: Oregon Electric Group
Each additional Inspection over allowable In any of the above
Address: 1010 SE 11th Ave Per inspection 62,50
investigation p er hour (b to min) 62.50
City/State/ZIP: Portland, OR 97214 73.75
industrial plant per hour
I Fax: (503) 535 -2763 ELECTRICAL PERMIT FEES'
Phone: (503) 234-9900 ( )
CCH Lic.: 203 -
IElectrical Lic.: 26-95C Story. Lic 4460S Subtotal ? 3 . 4c
Ptah review (25% of permit fee)
Suprv. Electrician signature, required: I State stucharse(8%ofpernricfee) , gg
• tc: 01lZZJO7 L 7 9 ,. 33
This apeadon expires If a
Print name: ^ TOTAL PERMIT FEE Authorized signature: pn permit is not obtained i hid t!
5-n -- l/,NL� • p days after It nna been accepted ns eomptcte
p r i nt name;
u�'�� t � i i/ ' /' I i . . 1 1/22/07 � � •. Fee mcrhodolo set by T pCounta Building industry Sep,
t igi ,
/ i N mntrer of impactions pet permit allowed
::keaaafnav�amrur� t}Pesmienvo.aa 1J03 qao wtsr(laov
■
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Ft-C7O0 7.00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/ 2 200f
Phone: (503) 639 -4171 ill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7 :01AM PAGE: 10
SITE ADDRESS: 09230 SW I3URNI ST CLASS OF WORK:
SUBDIVISION: BURNHAMi TRACT'S LOT #: 001 TYPE OF USE:
PROJECT NAME: DOLAN
DESCRIPTION: Job #95354 Add 5 cirr. :nits.
OWNER: DOL_AN + CO LI-C, PHONE #: 503-225- 9009
CONTRACTOR: OREGON ELECTRIC GROUP S PHONE #: 503 - 9900
Inspection Request Scheduled For: Date: 10/10/2007 Pour Time:
Code # Inspection Description ( Confirm # Contact # Message
199 E.Iocliicatl final 0578718 -01 503 -522 -9376 \ Y
Corrections /Comments /Instructions:
LE, 63 1`1
\
\ \
`VI � /'\
\ \
\,
• I 1 PARTIAL APPROVAL ❑ CANCEL Il NO ACCESS
n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: . KALE Date: 10 1) ® Phone #: (503) 718- V41-16
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: L.C�2a 7 Otl B
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i!:? /2C10%
Phone: (503) 639 -4171 °'..
Inspection Requests (24 Hrs.): (503) 639 -4175 r ! °AIL.
INSPECTION WORKSHEET FOR DATE: 10/12/2007 TIME: 7:01AM PAGE: 12
SITE ADDRESS: 0c ;230 SW t3URNI1AM ST CLASS OF WORK:
SUBDIVISION: BURNHAM TRACTS LOT #: 001 TYPE OF USE:
PROJECT NAME: DOLAN
DESCRIPTION: J #95354 Add 5 circuit`:.
OWNER: DOLAN . CO LLC, PHONE #: 603-225-9009
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503..73E -9900
Inspection Request Scheduled For: Date: 10/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Ek xtrical firs. -1 057545`01 \. 503.522 -9376 N
Corrections /Comments /Instructions: -�.__ -')
�_ h [ki0 q I 7 !L ` e' I' g `o its) 4 ti ,..S
-/ wk6' 4 . , 1%q 240- 6 2r
�- E Paib Cy-f PaigErgicsA Fa, ALL
ZEtilltit ' (N s 60 te--17,1w cs3v, Mr •
lurf 2A 0.6
�--- WZILJZ P 6 --- QQ Imo 1 �a�`P �,o�. -
--_,______ ® Pcto•Jiw , 1kL 16 LA RP F- i oac.
PASS 1 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
A FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Cr ‘ No a L. Date: 1 1 1 a) Phone #: (503) 718 -2J*1 b
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -000 9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/22/2007
Phone: (503) 639 -4171 °r
Inspection Requests (24 Hrs.): (503) 639 -4175 -!i. ,•__
INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 09230 SW BURNHAM ST CLASS OF WORK:
SUBDIVISION: BURNHAM TRACTS LOT #: 001 TYPE OF USE:
PROJECT NAME: DOLAN
DESCRIPTION: Joh #95354 Add 5 circuits.
OWNER: DOLAN + CO LLC, PHONE #: 503- 225 -9009
CONTRACTOR: OREGON ELECTRIC GROUP \I\P\v � \ � PHONE #: 503. 234.9900
I )
Inspection Request Scheduled For: Date: 6/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 050061 -01 503. 522 -9376 \ Y
Corrections /Comments /Instructions:
%I PAS PARTIAL APPROVAL ❑ CANCEL I 1 NO ACCESS
FAIL CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: ' N Date: b 1 - 240 --- ) Phone #: (503) 718- MI6'
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007 -00049
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: //2212007
Phone: (503) 639 -4171 . ����I
Inspection Requests (24 Hrs.): (503) 639 -4175 s •....,
INSPECTION WORKSHEET FOR DATE: 6/4 /2007 TIME: 7:01AM PAGE: 63
SITE ADDRESS: 09230 SW BURNHAM ST CLASS OF WORK:
SUBDIVISION: BURNHAM TRACTS LOT #: 001 TYPE OF USE:
PROJECT NAME: DOLAN
DESCRIPTION: Job 1195354 Add 5 circuits.
OWNER: DOLAN + CO LLC, PHONE #: 503 -2255 -9009
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503. 2349900
Inspection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description ( Confirrnfi Contact # Message
120 Electrical rough -in � 049503 -01 �•. 503 -522 -9376 N
Corrections /Comments /Instructions:
a %®K G- s P p • Kt G� vR.IVac 1911 u vr.
14 - e.v 4 ? vat Po, • 4a/ kt& 3 ( )
rit,
R 1 :J d.L. s 6 \ d I 641k. w ;T-
6 c ottoN. gnu; 1)CLet? �I �S ► , 23p
c4cr L .0 CRwNct 141. 6C 403 A 1vkk w '- ry s �A
�� c> kv .b. - °I 0 ,
-- 1�1x 6 ry1GQ` `:LN sITc
PASS PARTIAL APPROVAL n CANCEL 1 I NO ACCESS
FAIL t CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 6 • N Date: C •4• ti Phone #: (503) 718- 194 •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00Q49
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 112212007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: EJ412007 TIME: 7:01 MI PAGE: 62
SITE ADDRESS: 09230 SW BURNHAM ST CLASS OF WORK:
SUBDIVISION: BURNHAM TRACTS LOT #: 001 TYPE OF USE:
PROJECT NAME: DOLAN
DESCRIPTION: Job #95354 Add 5 circuits.
OWNER: DOLAN + CO LLC, PHONE #: 503 - 225 - 9009
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503.234 -9900
ection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 049504 -01 503- 522 -9376 N
Corrections /Comments/ Instructions:
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1\1 1°18 '_ Date: 6 " 1:1 Phone #: (503) 718- 1.'f
CIT ■ OF ■ IGARD
BUILDING DIVISION PERMIT #: ELC2007- 00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/22/2007
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/26/2007 TIME: 7:00AM PAGE: 53
SITE ADDRESS: 09230 SW BURNHAM ST CLASS OF WORK:
SUBDIVISION: BURNHAM TRACTS LOT #: 001 TYPE OF USE:
PROJECT NAME: DOLAN
DESCRIPTION: Job #95354 Add 5 circuits.
OWNER: DOLAN + CO LLC, PHONE #: 503 -225 -9009
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503 - 234.9900
Inspection Request Scheduled For: Date: 4/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 047182 -01 503-535-2644 N
Corrections /Comments /Instructions:
'M4v1 1 AL.L. q L RioxS oN j cUtL 11\ C11
Gacmb
PASS 1 1 PARTIAL APPROVAL 1 1 CANCEL 1 1 NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. Inspector: W*LE Date: L AI 41 Phone #: (503) 718-