Permit ��" OF TIGARD ��® ELECTRICAL PERMIT
PERMIT #: ELC2008 00267
COMMUNITY DEVELOPMENT
DATE ISSUED: 5/9/2008
TIGAID;; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 BD -00301
SITE ADDRESS: 08015 SW HUNZIKER RD ZONING: I -L
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: PERFORMANCE CONTRACTING
Project Description: Installing (5) branch circuits for office remodel.
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/ SVCI 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:
PERFORMANCE CONTRACTING GROUP WILLAMETTE ELECTRIC INC
16400 COLLEGE BLVD PO BOX 230547
LENEXA, KS 66219 TIGARD, OR 97281
Phone: 913 - 888 -8600 Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 5/9/2008 $73.45 LIC 75059
[TAX] 12% State Surchar 5/9/2008 $8.81 SUP 4226S
Total $82.26 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
SIONI•COP --
Issued By: f �� Permittee Signature: = i e
I1
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
05/09/200$ FRI 9:45 FAX 5036242938 Willamette Electric 0 002 /002
" C. ,\ .� 11 Electrical Permit Application • .. ..: :
FOR OFFICE USE ONLY. . ? . '.. : '. `
•
City of Tigard Received
i fZji Permit No.:
K - I' L2,S`SW Hall Blvd., Tigard, OR 97223 flan Review
III Phone 503.639.4171 Fax: 503.598. Dateat ': Other Permit:
f I G A R D Inspection Line: 503.639.4175 y T arc Ready/13y: 11165: ® See Page 2 For
Internet: www.tigard-or.gov ['allied/Method:
g Supplemental Information
,.' , ..TYPE, bF W ORK : PLAIN, REVIEW
❑ New construction d Additian /alteration /replacerncnt
Please Ise check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ nuikling over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
' CATEGORY OF. CONSTRUCTION.` ., exceeds 10.000 amps al 150 colts or ❑ floating buildings.
. ' ... .. . -. less to ground. or exceeds 14.000 ❑ Cornmetcial -use agricultural
❑ I- and 2- family dwelling Q'Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family 111 Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
. ❑ Emergency system, larger separately derived system
'' ' J OBi -SITE' INFORMATION AND LOCATION : • " -
.- - .- .. - .. . - .. .. ❑ Addition of nesv motor load of ❑ "A'. li .' I -2" "i l"
Job no.: Job site addl'CSS: 1001-11' or more. occupancy.
9 �-' B - �{U1.)- 1u1.1- ( ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /StatctZIP:
0 H ealth -care facilities. ❑ Supply voltage for more than
l�/�tf2r? f O� 9122.3
Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: PGZ ❑ Service or feeder 600 amps or more.
" 'FEE SCHEDULE '
Cross street /directions t0 job 0110: Description "
1 Qh�. 1 fcc. l Tmul
-��
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1.000 sq. ft. or less 145.15 4
En. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy. residential
DESCRIPTION OF - WORK (with above sq. h) 75.00
Limited energy. multi- family 75.00 2
C7)=FIC(r 2_ ♦f) L�_ residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
0 PROPERTY OWNER ` . •
.. - • TENANT 201 amps to 400 amps 106.85 2
Name: ?(....:z 401 amps to 600 amps 160.60 2
601 amps to 1.000 amps 240.60 2
Address:
O)5 140 )■./ a, LOI _ YL r24. Over 1.000 amps or volts 454.65 2
City /Stale /ZIP: Temporary services or feeders installation, alteration, and /or
- Z __ .... 4 cut, relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
v
Owner installation: This installation is being made on property that I own which is not 20) amps 10400 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, er panel
Owner signature: Date: A. Fee for branch circuits a ilh
:APPLICANT ❑ CONTACT PERSON above service or feeder fee. • 6.65 2
each branch circuit
Business name: 13. Fee for branch circuits
wid service or feeder fce, P°
Contact name: 46.85 L k,
first branch circuit
Each 7(1(1'1 branch circuit q 6.65 Z(, /O 2
Address: _
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
90.90 v
dwelling. service and/or feeder
Phone:
( ) Fax: : ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
. .. . :CONTRACTOR • - ,. Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
Business name: t. � 11.1--AvviLc TSL ! t energy panel, alteration. or
Address: extension. Describe: Page 2 2
T3 6x Z.S7
City /$laic /ZIP: -� I �� � Each additional inspection over allowable in any of the above
! Per inspection 62.50
Phone: (503 ) ( (Sa3 )
X 3t- 1 (nZy - Z538 Investigation par hour (I br min) 62.50
CCB Lie.: - -75 Electrical Lic.:34.4 2 Suprv. Lie.: /4224, 3 Industrial plant per hour 73.75
- ELECTRICAL PERMIT FEES
Suprv. Electrician signature. required: Subtotal: "73 `-.
Plan review (2555- of permit fee): ¢5
Prins name: r�-- Date : -
\O h t F t� • 5 c) State surcharge (12% of permit fcc): 8 �T ,
Authorized signature: TOTAL PERMIT FHE: 5:. Z2-7 )\Xl'
Print permit application expires if a permit is not obtained within
i t till 11aI11C: Date: days after it has been accepter) as complete.
- ' Number of inspections allowed per permit.
I4I4uiltlin411'ernlils \I -LC fern itApp.due 05/23/110 -1-1o.1(1 5 Ft lNj /CUmmilII
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2008.002 67
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8./200B
Phone: (503) 639 -4171 �� - �°'a, All l l 4.
!.!
Inspection Requests (24 Hrs.): (503) 639 -4175 J
INSPECTION WORKSHEET FOR DATE: 6/2012008 TIME: 7:O2AM PAGE: 2
SITE ADDRESS: ()t0015 SW HUNZIKER RI) CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PERFORMANCE CONTRACTING
DESCRIPTION: Installing (5) branch circuit, for office remodel.
OWNER: PERFORMANCE CONTRACTING GROUP, PHONE #: 913-888 -8600
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 603.6243631
Inspection Request Scheduled For: Date: 612 0/; Pour Time:
Code # Inspection Description Confirm # 1 C•nt=ct # Message
199 Electrical final 0716751 , 136243631 N
Corrections /Comments /Inst uctions:
- A i� i f- li la-0/4- k:W. `J • C c° A
0 644 -- Y Ike0,30 fo ,� G�,---- 7 13.7 orc
e ,l4,9".ne7S- / 770/v//1 •-
0 .i 1 S c • _ . , / : , . mama-
I le
1 A •
e-- v\ to _ itylf I ea X- dill f P Cif de.' .5
N S ,to /igi i ficcevss /9. 767
M),,0l'ev d /4 9nlP 1 13" . . . _ A-e7 67e ‘
7,/ ______-
•
LS — PARTIAL APPROVAL Ti CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a Date: / Phone #: (503) 718 -
CITY OF TIGARD .,
BUILDING DIVISION PERMIT #: ELC20O8 -00267
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2008
Phone: (503) 639 -4171 ,` p' + a
Inspection Requests (24 Hrs.): (503) 639 -4175 _W
INSPECTION WORKSHEET FOR DATE: 5020/2008 TIME: 6: 59AM PAGE: 15
SITE ADDRESS: 08015 SW HUNZIKER RE) CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PERFORMANCE CONTRACTING
DESCRIPTION: Installing (5) branch circuits for office remodel.
OWNER: PERFORMANCE CONTRACTING GROUP, PHONE #: 913` 888 -8600
CONTRACTOR: WIl.LAMEI I E ELECTRIC INC PHONE #: 503 - 62436:31
Inspection Request Scheduled For: Date: 5/20/2008 Pour Time:
Code # Inspection Description Confirm= Contact # Message
`
-Mt— -d am / 07016001 \ 603-624-3631 N
Corrections /Comments/ Instructions:
E iGJ AL, te1 Li I C_t•'J .
01 b(yz p 0- ilia ( 8 - , (rt/ 6" ,V fir, .
Sc_ 9IYe"
n PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G et L-E Date:
Phone #: (503) 718- 1• 'll