Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
'' "; COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00108
DATE ISSUED: 4/25/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
= PARCEL: 2S102AD -02000
SITE ADDRESS: 08777 SW BURNHAM ST ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: TIGARD WATER DISTRICT
Project Description: T - stats
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD WATER DISTRICT REITMEIER MECHANICAL INC
PO BOX 23000 19570 SW 90CT.
TIGARD, OR 97223 TUALATIN, OR 97062
Phone: Contact #: PRI 603 -0205
FAX 503- 603 -0150
FEES Reg #: ELE 4189LEB
LIC 153770
Description Date Amount
[ELPRMT] ELR Permit 4/25/2007 $75.00
[TAX] 8% State Surcha 4/25/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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 -0 00. You ma obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: L.� Permittee Signature: /......\71/4 \ X f1 c
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.
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141 City of Tigard e Receiv ' ' ,. / 1 r m ... .1 �(�
4: Da' :
° 13125 SW Hall Blvd., Tigard, OR 97223 APR 2 5 2007 Plan Revew
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C Plan
503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: yI I G•X' ° R D Inspection Line: 503.639.4175 C 1 T`' ; t i j j j ba te Ready/By: See Page 2 for
Rr i ;:,�C::i Internet: www.tigard or.gov � 1 ' {b Supplemental Information
TYPE OF WO IC ' , i @ PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or excess 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: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION • ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
Job no.: 07 - 103 - 01 Job site address: 8777 SW Burnham Street IOOHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, Or 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Tigard Public Works Bldg ❑ Service or feeder 600 amps or more.
• FEE SCHEDULE
Cross street/directions to job site: Hall & Burham Description 1 Qty. 1 Fee. 1 Total 1 •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
Installing DDC controls for new equipment at this location residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or Tess 80.30 2
® PROPERTY OWNER f ❑ TENANT 201 amps to 400 amps 106.85 2
Name: City of Tigard 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 13125 SW Hall Blvd Over 1,000 amps or volts 454.65 2
City/State /ZIP: Tigard, Or 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)221 1121 Fax: ( ) 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 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: Reitmeier Mechanical B. Fee for branch circuits
Contact name: Robert West without service or feeder fee 46.85 2
first branch circuit
Address: 19570 S.W. 90 CT Each add') branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Tualatin, Or 97062 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 6030205 Fax: : (503) 6030150 Reconnect only 66.85 2
E -mail: robert. west @reitmeiermechanical.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: Reitmeier Mechanical
energy panel, alteration, or
Address: 19570 S.W. 90 Ct. extension. Describe: 1 Page 2 75 2
City/State /ZIP: Tualatin, Or 97062 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 6030205 Fax: (503) 6030150 Investigation per hour (1 hr min) 62.50
CCB Lic.: 153770 Electrical Lic.: 4189LEB Suprv. Lic.:/ Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: /0/i/ g Subtotal:
Print name: Date: Plan review (25% of permit fee):
State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Eric Albv 1 Date: 04 -25 -2007
CITY OF TIGARD 4 i „, ,
BUILDING DIVISION PERMIT #: ELR2007 -00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2007
Phone: (503) 639 -4171 J
Inspection Requests (24 Hrs.): (503) 639 -4175 ! "�I I..
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:03AM PAGE: 74
SITE ADDRESS: 08777 SW DURNHAM ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD WATER DISTRICT
DESCRIPTION: T stats
OWNER: TIGARD WATER DISTRICT, PHONE #:
CONTRACTOR: REITMEIER MECHANICAL INC D \P N) PHONE #: 603 - 0205
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 050729 -01 503 -367 -8975 \ Y
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7( PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G- N v Date: IQ' in, 0i Phone #: (503) 718- °At