Permit w CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00308
11‘ ^ DEVELOPMENT SERVICES DATE ISSUED: 6/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111 AD -16500
SITE ADDRESS: 09045 SW WESTLUND CT ZONING: R -4.5
SUBDIVISION: MALLARD LAKES LOT : 031 JURISDICTION: TIG
Project Description: NC unit & plug.
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: 1 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:
THOMAS ALBRIGHT HILLSBORO ELECTRIC
9045 SW WESTLUND CT 21185 NW EVERGREEN PKWY #110
TIGARD, OR 97224 HILLSBORO, OR 97124
Phone: 503 - 443 -6149 Contact #: PRI 503 - 439 -9666
FAX 503 - 601 -3680
FEES
Description Date Amount Reg #: ELE 34 -4399C
[ELPRMT] ELC Permit 6/1/2006 $53.50 LIC 134481
[TAX] 8% State Surcharge 6/1/2006 $4.28 SUP 4941S
Total $57.78 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: '17) 7,0 ; r Permittee Signature: _;.2e- \r
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- 31 -'06 10:37 FROM- Hillsboro Electric 503 - 601 -3680 T -599 P002/002 F -704
a.•.. .t,a i ..a i vi tZ. ia� uvtAi \ \ 1 1 - FOR (.)1 1'1(:'1 t ' l: (J \t.)
Cay of Tigard � � " � Received -- , �
oats . /- 66 ( �.
13125 SW Hall Blvd.. Tigard, OR 97773 .� . ,
Phone: 503.639.4171 Fax: 503.598.1960 cf, 4- ?. i.`'• Pie^ Rpview
n
Inspection Line: 503.639.4175 '- t i . � l Date Date/ R Other Penult:
, ied/Meth S Srr Pogc I for
Internet: www.ci.tigard.ar.us NotifitxUMeth p m�nm11 o molten
Sup le of r
... • .: YPE A# W : " : „ i . .
, ., :. PLAN REVIEW
---.� ' ` ..,., 1 .. \ .• . .
❑ Ncw construction Addiliiin Valtcration/replacement Please check all that apply: `
•
0 Demolition ❑ Other: Service over 225 amps, comm'I QHazardous location
- cell re new residential
den ft,
['Service over 320 amps rating r ❑Buil
do
CATEGORY OF CONSTRUCTION • • ',. ., .- • ' t
o I -an 3 - f am i ly dwellings 4 or more i rice
L"] 1- and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building System over 600 volts nominal units in one structure
.JOB SITE INFO RMATIO °AND LOCATION "':., p ersons ured structures or
utlding over three stories Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other:
❑Occupant load over 99 ❑Manufact
['Egressllighting plan RV park
lob no.: �j Job site address: ��115 �QC� L ['Health -care facility ❑Othe
` , - ��:1�5�1! J �/� � .� -� 't r.
Submit 2 sets of plans with any of the above.
City/ State/ZIP: 4 4 ' / O 1T. The above arc not applicable to temporary construction service.
Suite/bldg, /apt. no.: Project name: = /` I , .. - . .FEE''. SCHEDULE . ei'. : ~ ;; ....,
Deuription I Q Pee I.... Total I
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
• 1,000 sq. R. or less 145.15 4
Subdivision: Lot no,: Ea. add'1500 sq. R. or portion 33.40 i
•
Tax map /parcel no.: Limited enen,y, residential - 75.00 2
-- '. :-'' 'i' • DESCRIIPTION OF ' WO � f,, : „iv;i,::. .. -
Rt{:;
Limited energy, non-residential 5
.. :'..
. ::.. . ,• .� .. ,.� . � .. ,. _ Each manufactured or modular
dwelling, service and/or feeder 90,90 , 2
- PA �l Servicea or feeders installation, alteration, and /or relocation
200 amps or teas
30 • 2
... .:r,, PROPER'rv.:O -
. ,; ... ;.; 301 am sto4
,..,:.::> WNER`. r . :.::5, °i'::;i>; . P OO amps 106.85 2
8
401 amps to 600 am. - 160,60 2
Name: , g A A / , „ 601 amps to 1,000 amps 240.60 . 2
Address: , „ 2 .2 1 AL / / ( , / Over 1,000 amps or volts 454.65 2
- - Reconnect only 66.85 2
Clty /State/ZI P: Temporary services or feeders installation, alteration. and /or
Phone: ) hit, 11 1 Fax: ( ) relocation
200 amps or less . 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 3
intended for sale, lease, rent. or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 1 I 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
- ;= . Q . AP LICANT - ':['.CON.TAC1• :PERSON?;:. '>', " " A. Fee for branch cirduits with
• • service or feeder fee, each '
6,65 • '
Business name: , branch circuit _
8, Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address: _ • Each add'i branch circuit 1 6.65 - 6 - .115 "-- 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump Or irrigation c ircle 53,40 2
Phone: ( ) Fax :: ( ) .
• Sign or outline lighting 53,40 2
E —mail: Signal circuit(s) or limited-
.' f I.•! .I. ' CONTRACTOR'; ...,. energy panel, alteration, or
extension. Describe: Page 2 3
- Business name: Hillsboro Electric L. -C.
Address: 21185 NW Evergreen PKWY Ste #110
Each additional inspection over allowable in any of the above
Per inspection 62.50
City/ State/ZIP: Hi 11 sboro, OR. 97124 investigation per hour (1 hr min) 62.50
Phone:(503) 439 -9666 [ :.(503)601 -3680 Industrial plant per hour _ 73,75
ELECTRICAL :PERMIT FEES* ` : • ••
CCB Lic. :1 3 4 4 81 Electrical Lic.:3 4 - 4 9 9C Suprv. Lic.: 4941 S Subtotal 5 ,
Suprv. Electrician signature, required: . Plan review (25% of permit fee)
-
Print name: Joe State surcharge (8% of permit fee) •
,_ V ita.cCO Date:
, TOT PERMIT P >Gl; i
Authorized signature: i�.�
This pe rmit application expires if a permit is not oblate within 18D
days after it has been accepted us complete
Print name: Date: • Fee methodology set by Tri-County Building Industry Service Board
w r• Number of inspections per permit allowed.
is \8uilding1Pamits\ELC- PamitApp.• • tia; 440.4b15T4Iu/02/C0WWEB
CITY OF TIGARD ELECTRICAL PERMIT
d • PERMIT #: ELC2008 -00308
COMMUNITY DEVELOPMENT DATE ISSUED: 6/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112AB R O W
SITE ADDRESS: SW NO ADDRESS ZONING:
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: COMMUTER RAIL
Project Description: Installation of (1) service and (2) branch circuits for signal. Job No. 3.3938 •
Work is located just north of Bonita Rd, between the 2 sets of railroad tracks.
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: 1 W /SERVICE OR FEEDER: 2 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:
GENESEE & WYOMING RAILROAD SVC INC TICE ELECTRIC
• 1200 -C SCOTTSVI LLE RD STE 200 5405 N. LAGOON AVE.
ROCHESTER, NY 14624 PORTLAND, OR 97217
Phone: Contact #: FAX 503 872 - 8290
PRI 503 - 233 -8801
FEES
Description Date Amount Reg #: ELE 26 -126C
[ELPRMT] ELC Permit 6/3/2008 $93.60 LIP 166
[TAX] 12% State 6/3/2008 $11.24 SUP 2586S
Total $104.84 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended f. o • .n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rul: are set forth 0 • r 52- 001 -0010 through OAR 952 -001 -0100. You may obtain copi�,orrhese rules or direct q - stions to OUNC at
503.246..699 o 1.800.33 2 . • 44.
Issued y: . ,1LA_ r _ I , , Permittee Signatu W ,/ BMW �
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
TRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: i' ,,:� /, DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
T ~
- r
s
A�dd.rees give . - i� pre- construction meeting
Electrical Permit Applicaticw _ '*
FOR OFFICE: USE f)Nl,>
IN City of Tigard % Received � r .ZJ$
n o % Date/By: 0 Penn,! Nu.: �/. O � -
13125 SW Hall Blvd., Tigard, OR 97221)JN
• : Plan Review
Phone: 503.639.4171 Fax: 503.598.1460 `G
Ins Inspection Line: 503.639.4175 Date/13 : Other Permit.
TIi7lVt1) P ` `9 �q � ,� ® ate a /
Internet: igard- or. i1 Y v \ y Ju ia S See Page %tor
wmv.t r NotifipReed/MethB od: ft
eTSrT.a, ,. etv qtr u } ..,, .. _E +, i to C 7 } ^ total Information � ; � !, g ��\ G Sapptero
tSaSNL is � '1 tk 9 1� r .; t SI 1 "4 l rA ., ,.-: I l t (i r t rntrtr1 iint::hdkt.t',%; t1r r «;ei1 ,,i{t ilt 1 q , r' 1 , 1 6 n k
.,.:. F. , . :.�w4:: : ., ,t, % 1 :ri; ".4 , 1.' � ` r tt ,, �' „ A r, l^ d I, S , , tL S: • I d ,, w ino ., ,, ��, 1sf
.t . ! rq 1 }I � mih ii,�,i t ,da .. d. f o � { , 4��ia�i�a'rlicu�l: .�`�ii�n�E�i�;"t}lit�
Please check all that apply (submit 2 sots of plan m
s w /ites checked below): New construction ® Addition/alteration/replacement
❑ Demolition ❑Other: ❑ Service or feeder 400 amps or mare CI Building over three stories.
}� F ,t . , �
1 r�nr n { x � where the available fault current
� i 't 7'14x. t T,. ❑ Marinas and boatyards. " ,n 1.: � t a'i za 11�ir -ds r or, ' :,-. u, t , rn , : ii` „' exceeds 1 0000 , amps 1 50
,i3i+1, t, u z �Q��k„�, ,,, , fa�fet c,, i + •l � P volts or ❑ Floating buildings.
1:3 1 and 2- family dwelling [ Commercial /industrial less to ground, or exceeds la,000 p Commercial -use agricultural
❑ Accessory building amp
❑ Multi pump. ❑ Installation of 75 KVA or
t s for all other installations. building.
❑ Master builder ❑ Other ❑ Fir '-i ,a 'k; a ;1 1 s , }e x� zrorw trnur +^�;, c n. ,
(z � } t i trJ "1= a 7 f I Tt W 1?! F:' •:W ❑ Emer syste larger separately derived system.
r. .. a n... u, k ,. tF`w,.x:W4 rs3 . i∎ :.ItWI !a:444%W% E stSt 9 i , �t 1 t t`1 !
'swlit��l$� $s. . •>v f „ r' ir
,u s t.,, ❑A dd i tion o new motor load of ❑ "q" ••g^ "1 - 2" "1 - 3"
Job no.: 3. 3 9 3 8 Job site address: 74th & Bonita 1o01 or more. occupancy.
Cl Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR ❑ Health-care facilities. i] Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt.no.: ProjectnameWA Cty Commuter Rail ❑ Serviceorfeeder600anipsormore.
,�f•) RI 'SMhWdwru •n,•, �.f/ "" .l:
Cross street/directions to :arn ;,' tEfiih't.� At,, t R r Y ^ ,�, up. : ;; i ?> _g ll k p� 3 `" i
' tt '�� t .4..k�M!a,41i::_r.^.:.idv'x'. ' l h e ^1 l •alT }!'si;tru. ai'�(Q }. ! 1.
J naeW * x.! a°!. S. tm�6t;.,:., 1:. 34': ,..1.4as +''t,� ;.., ;'i.•l: ?:�z✓l
job site:
Otloa t Fe' Tbtd "
New residential single- or multi- family dwelling unit.
_ includes attached garage.
Subdivision: - 1 Lot no.: - 1,000 sq, ft. or less 145,15 [ 4
Tax map /parcel n0 ,A1,-,. a 19- i - - co Ea. add'I 500 sq. ft. or portion 33.40 1
Fitt r I� n�� -P ht f'j�^, p t ,u f + . ,. ,. + , �,, t v ,y, mr 'µ Limited energy, residential
t #viti �fi.tc ,t i�_r bll7l �,str d":.i�rtrsi ?tlr7at:.•'�r*,�... > �,}fh o ,, '�t�riif fi (with above sq. ft.) 75.00 2
(1) Svc & (2) ckts for traffic Limited energy, multi family , 00
residential (with about sy. ft,) 75 - 2
ontact: Mike Kehm (Foreman) @ 503 - 341 -7328 Services or feeders Install ation ,alteration and/or relocation
t xYiA , �v e tsste nrp } , 200 amps or less
1 $ c2tottr s n tlidia {3 tti ^ t �; 1 r ;k �, 1 80.30 80.3
C' ;1 1i$ @) i t x3 , �' tx " yid x4a ' c'A ,J 11,: : :! F e l s ,'E'a ^ r19�'�fi, t 1', , ll ft? 201 amps to 400 amps 106.85 2
Name: f �� 401 amps to 6 00 amps C �' i �G 4 r D / lO / ' ° "- / P P 160.60 E
601 amps to 1,000 amps 240.60 2
Address: /A d _ (° i.OTJ �Q
f!( 7. % Over 1,000 turps or volts 454.65 2
City /State /ZIP: ' Temporary services or feeders installation, alteration, and/or
5 2 �� Y r _ relocation
Phone; ( ) Fax: ( ) 200 amps or less _ 66.85 1
- Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
in
intended for salt, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits -.new, alteration, or extension, per panel
fWs r" rn�v �* ; plljt1Rir„ "' °s w^- ►tm� n. Na� �, � A. Fee for branch circuits with '
6d E 1Ft tk vrti iy a p r I : Md, r ...'1 NNS 22uu�I ` t t•, 2 1 3. 3 0
� r�tr� ,�.�. mr '�t�,,' � 1 t,. .., „ .. � ud����:�r` ril+.- r�;'sa w s1 a a ,,,., .1,., above service or feeder fee, 6.65 2
Business name: each branch circuit
B. Fec for branch Circuits
Contact name: without service or feeder fee, 46.85 2
--- _ first branch circuit
Address: Each add'I branch circuit 6.65 , 2
' -- Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
Phone: ( ) Far.; : ( ) dwelling, service and/or feeder 90.90 2
, Reconnect only 66 .85 2
E -mail:
ry r y r t Punt p or irrigation circle 53.40 2
�h' a , a n3 7S' t ,l :tt i't h fii.` t , xi$! "I I st
a irzec da, ' F ,:;1 vt. r xi_ 4 S 1 I ,:,, "'Skis!! ; r,l Sign or outline lighting
r s ..,) �, 53.40 2
Businesstlamc: Tice, Electric Company Signalcircuit(s)orlimited-
energy panel, alteration, or
Address: 5405 N Lagoon Avenue extension, Describe: Paget 2
•
City/State /ZIP: Portland, Oregon 97217 Each additional inspection over allowable in any of the above
Phone: (503) 233 -8801 Fax: (503) 872 -8290 Per 5 62.50
_ Inveestigation per hour (t hr min) 62.50
CCB Lie.: 166 Electrical tic,: 26 2 6 C Suprv. Lic,: 2586 S Industrial plant per hour
/ 73.75
Suprv. Electrician signature, required; lC // / �d u '1yii:I'k jN ,4di ",::,Nisi o �� 5' .
.. Subtotal: : 93.60
Print narnc. Date: 6 / 3 / 0 8 Plan review (25 %of permit fee):
John J. Maloney
Authorized signature . - ;. ry
State surcharge (12% o of pens! fee): 11.24
" L_ TOTAL PERMIT FEE: h 0 4 8 4
Print name: Date: 6/3/08 This permit application expires tf a permit is not obtained within i30
- day after it has been accepted pied as complete.
hrRuildina\Pennit9 \ELC Perrnirggq ddc 05 /2 /ue
• Number of inspections allowed per permit
44 0 - 4 61ST(! I /Oi /C0M /WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 -00308
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/3/2000
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/10/2008 TIME: 7:00AM PAGE: 32
SITE ADDRESS: SW NO ADDRESS CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COMMUTER RAIL
DESCRIPTION: Installation of (1) service and (2) branch circuits for signal. Job No. 3.3938
Work is located just north of Bonita Rd, between the 2 sets of railroad track: :.
OWNER: GENESEE & WYOMING RAILROAD SVC INC, PHONE #:
CONTRACTOR: TICE ELECTRIC PHONE #: 503-233 -81301
Inspection Request Scheduled For: Date: 7/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 072417 -01 503.407 -2721 N
Corrections /Comments /Instructions:
FA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v r r,v (w) L L Date: 1 ' ' v O Phone #: (503) 718- pi 1)