Permit CITY OF TIGARD ELECTRICAL PERMIT
14
r CITY TIGARD
DEVELOPMENT PERMIT #: ELC2008 -00493
DATE ISSUED: 8/28/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DC 01400
SITE ADDRESS: 15865 SW 74TH AVE 110 ZONING: I -P
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT : 004 JURISDICTION: TIG
PROJECT: BRAND INNOVATORS
Project Description: Add (3) branch circuits. Job No. 360
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: SIGNAUPANEL:
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: 2 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:
J DS, LLC & SANTA FE CORP RK ELECTRIC INC
17700 SW UPPER BOONES FERRY RD 24495 NWOAK DR
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone: Contact #: PRI 503 - 640 - 1344
FAX 503 - 356 -0513
FEES
Description Date Amount Reg #: ELE 34 -375C
[ELPRMT] ELC Permit 8/28/2008 $60.15 LIC 94275
FAX] 12% State 8/28/2008 $7.22 SUP 4724S
Total $67.37 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 form • -n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rules a e set forth 1 Oe : 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246.6 9 or 1.800.33 34 4 rs
Is y : Permittee Signat e: i e P"VIV ii / jam >
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.
1 - - _Alu;; 28 2008 7:38AM HP LRSERJET 3330 p. 1
is -•• \�
Electrical Permit Application ' x Pe
. ,R , r �'° o �o u
�)' �pa vl �} a, #r l ON,Ll y -s .. hr .a
t p i /y� 71{ �� j 45Ft0J 4::. t4.:.. t ote' ,g "r. n�u.. i l ra �itiihi+6 rfu,. ` 1h1.: r ir�arn
4 ; C of Tigard Date/By: i • , 1 L / Received A N
D 8 t% Permit No.: E ' / C ?
', . 4 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
�0� J
r Phone: 503.639.4171 Fax: 503.598.1960 AUG 2 8 2008 DataBy' Other Permit
T 1 t; nrR'ta; Inspection Line: 503.639.4175 Date Ready/By: lard H See Page 2 for
1 > +e Internet: www.tigard-or.gov �
a Notified/Method: '/ tel., Supplemental laformahon
'at /iPita d+ r traTtp. qa { aiktr o:t kt,„t -a ^a'i 5- •!-'figs mutt! "t ilk '.•1k l c ru. r t91... l _ a
'akiirn x'� lii t �# � u1 gatI rtit a l I.ix .. � VI 101.4 ) 'di lit l , - a . 9 i4 p -a 1: - r ' :.
E; ><1 �83i:. � ` , � �.a, . =��i�lll :ii r�
❑ New construction ® Addition/alteration /replacement Please check all that apply (submit 2 sets of plans wfitems checked below):
0 Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
It, I rii tlil t r €fyi ,, I nttr 1111 'I lr r r i iF * at � P g r° tl 9.R 1 ( s ,
m • %. „t tl s:L. si l illllli mast ibtrmaiii:�i r rof .at3r, V..ci!zi .� A sS :. : ' i. lw ' t i� " _ �i Irt "':s'i exceeds 10,00D sat 150 volts or ' less to p ❑ Coating ia i -u a .
1- a nd 2-family dwelling ground, or exceeds oija, ❑ Commercial -use agricultural
❑ y g ®Commercial /industrial 0 building amps for alt other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75 KVA or
1 ,, t: '_i. L tfi. flg i i tr a r n ,Tr fl P1 ,�,. gtit tr u" ;<t g r ❑ EmergernY systemi larger separately derived system
w "titttit,rr3;tiltt 7' ittar.be, rtatnliitalit itei r i li tibl tt. 4itii ❑ Addition of now motor load of
"A". „E,...1.2,...1.3..
Job no.: 360 Job site address: 15865 SW 74' Avenue, Ste 110 1 ooxp or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: Tigard, OR 9'7224 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: � l - ❑ Service or feeder 600 a s
rJ0 p,J � - 25 " or M014. � �,
Cross street/directions to job site: ± -r • I' i • I s M Q'v• 1 } ..J ,liw , ` ,,.
Desoiption Qty. Fee. 1 Taw •
New residential single - multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: I 1,000 sq. ft. or Less 145.15 4
Ea. add'I 500 sq. fl. or portion 33.40 1
Tax map /parcel no.: Limited cone` o t a r r a q r • c gyp residential
*II � " i ll'ag 1rI �ll t ' h''o M I E :n � I mt4tats i M ill i 1ipt ' tp�
i.. be ti ' I 10" k (with above sq. ft.) 75.00 2
ri
Limited energy, multi- family
Add 3 circuits residential (with above sq. ft) 75.00 2
Services or feeders install atien z alteration, and/or relocation
y txi l Y�;,� arat rowral alr Y a i) i °t : G f1 t ' •• If I.
200 amps or. less 80.30 2
.r:. 11, t,„' l st'19it a }r III row r„1. 'r.e ' j 3I . ' ,. 201 amps to 400 amps 106.85 2
1 l It
Name: 401 amps to' 600 amps _ 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 1 I
Owner installation: This installation is being made on property that I own which is not 201 amps 10.400 amp 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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
f .,t �., , t pimp tR , t
a�' I t l� � N a to � x+ p i I �p f 1L [ t jtp + q � '� ' a 1 f 1 � S y F ' 6 t � d t�► " p e° t n above service or feeder fee,
ly �"' •fi 1 i /I_ii( ' wo L ia..,{i r to 41 AASHIatq�. . Uu yt *b Iat w tar
t Ili
each branch circuit 6.65 2
Business name: Brand Innovators S. Fee for branch circuits
Contact name: Brenda Ross
without service or feeder fee, I 46.85 46 2
first branch circuit
Address: 15865 SW 74 Ave., Suite 110 Each addl branch circuit 2 6.65 13.30 2
Miscellaneous (service or feeder not included)
City / State/ZIP: Tigard, OR 9'7224 Each manufactured or modular
90 .90 2
dwelling, service and /or feeder
Phone: (503) 640.1344 Fax: : (503) 356.0513 Reconnect only 66.85 2
E -mail
Pump or irrigation circle 53.40 2
i - fix' I .I`' 1 `l '9�' l IN u�- (I Vii ;. I 'ems'.,` ' NI
i r •u•,wr r� ; r .r:•.sr �:u1,ar.,, m �, t: i ( Si or outline lighting 53.40 2
Business name: RK Electric, Inc. Signal circuits) or limited -
energy panel, alteration, or
Address: 24495 NW Oak Drive extension. Describe: Page 2 2
City /State /ZIP: Hillsboro, OR 97124 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 640.1344 Fax: (503) 356.0513 Investigation per hour (1 hr min) 62.50
CCB Lic.: 94275 Electrical Lic.: 34 -375C Suprv. Lic.: £ 7dY- 5 Industrial plant per hour 73.75
Suprv. Electrician signature, required
,/ :, 1 • ri it ll ..., nm'tm110: 1 ins -- 'i'i'' 111 :3 R.�. i. is
Subtotal: 60.15
Print name: Ron L. Kurtz Date: 8/28/08 Plan review (25% of permit fee): 0
State surcharge (12% of permit fee): .2 9 7. '),
Authorized signature:
(27.1 TOTAL PERMIT FEE: ^7.137
Print name: Ron L. Kurtz Date: 8128 /08 Tbis permit application expires if a permit Is not obtained within 180
days after it bas been accepted as complete.
s• Number of inspections allowed per permit.
1: iBuitdieePcrmue \1l.C- PemitApp.doc 05/23OC 440 4615T(1 Um/COM/WEB
CITY OF ° °
��xm n ��m� TIGARD �
BUILDING DIVISION
PERMIT #: ELC2008-004133
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/]U000)
Phone: (503) 639-4171
Inspection Requests �
o4Hro�:�@3)6304�175 m��W-�W
INSPECTION WORKSHEET FOR DATE: 9190008 TIME: 7:OOAM PAGE: 3O
SITE ADDRESS: 150GGSVV74[H AVE 11% CLASS OF WORK:
SUBDIVISION: CREB(V1[W INDUSTRIAL PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: BRAND INNOVATORS
DESCRIPTION: Add () brnch circuit. Job No. 360
OWNER: J[)S, LLC & SANTA FE CORP, PHONE #:
CONTRACTOR: RK ELECTRIC INC PHONE #: 603-640L1344
Inspection Request Scheduled For: Date: W9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 075114'01 503•640- 1344
Corrections/Comments/Instructions:
fl PART APPROVAL E1 CANCEL | |NOACCBSQ
1 FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
[ 1 9 �� � � /7._e_pL Inspector: — Date: �� r Phone #: (503) 718-