Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 - 00034
COMMUNITY DEVELOPMENT DATE ISSUED: 1/15/2008
TIGARD` 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 113AC -00101
SITE ADDRESS: 16655 SW 72ND AVE BLDG L ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : 029 JURISDICTION: TIG
PROJECT: JOHNSON CONTROLS
Project Description: tennant improvement
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: 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:
PACIFIC REALTY ASSOCIATES KEC ELECTRIC INC
15350 SW SEQUOIA PKWY #300 -WMI 1281 NE 25TH AVE UNIT K
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone: Contact #: PRI 503 - 439 - 0904
FAX 503 - 640 -3838
FEES
Description Date Amount Reg #: ELE 34 -426c
(ELPRMT) ELC Permit 1/15/2008 $60.15 LIC 99267
!TAXI 12% State Surchar 1/15/2008 $7.22 SUP 4489S
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 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: Permittee Signature: SPA i1�� ��'/y)� G{/(/
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 15 2008 9:17 KECELECTRIC 5036403838 p.l
Electrical Permit Application
City of Tigard CEIVED Receivyd
i • 13125 SW Hall Blvd., Tigard, 0% 9 ,4•_ Dat e/8 r/5 ea. Permit No. r �L r,G r,3y
L Phone: 503.639,4171 Fax: '503'598.190 Plac Review A
Inspection 5 03.639.4(75 J 1 5 c-°v DatelReady/By: Other Permit
/ A R ED
P Date
Internet WW w tigard -or gov Notified/Method: kris' ®Sce Page 2 for
1 1
s , ,• -- _ r r a ]f S pp
i= .. x f1 4t r. i " sI' 1 t a- _� f i� lr-.�I„t-A temental Information
'I ..,. ._ 4, ul a�t.. 4.,.2I3r. _e —,. -;t l',_ d, t.:: �I� I• , f't i!s�
❑ New construction ED Addiuon/al e . o' - replacement Please check all that apply . � y c
(submit .a sets of plans wldems checked below).
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑Other
f j v �+ t where the available fault current ❑ Marinas and boatyards.
�-= • _ ' s:: 'r , ,g: ie's :-r, 1 .., d Pt __ 1 i i J ' 't. - t ,j `= r exceeds l0,OG0 amps at 150 volts or ❑ Floating buildings.
:.._ -.r: less to
❑ I - and 2- family dwelling ® Commercial /industrial ❑Accessory building ground, or exceeds 14.000 ❑ Commercial -use agricultural
amps for all other installations. las /
❑ Multi family ❑ Master builder Wo
❑ Other: ❑Fire pump.
t,_, a �r1� °•, r�xra�w.., � lnstallationof75KVAor
a t - at ? .- , : J . r - 4 } ! R } ` (,, - -. y r _u ,•- 6 .` ❑ Emergency system. larger separately derived system.
• .,:.. . ,. .3 .._ ri !. S'''-4' t _- . - 1 _;aA,' , ;: ,4
(] Addition of new motor load of ❑ °A^ ••� ••} _g ••1,g >.
Job no.: Job site address: 7245 SW Durham Rd. 100trpormore. occupancy,
❑ Si x or more residential units. 0 Recreational vehicle parks.
City /State /ZIP: Portland Or. ❑ Health•eare facilities. ❑ Supply ioltage for m ore than
❑ Hazardous locations. 600 volts nominal.
Suite /bldgiapt. no.:,_ /CC) I Project name: Johnson Controls ❑ Service or feeder 600 amps or more.
Cross street/ directions to job site: 72 Ave. .t lifi • - _ T} f �+ _ , -
Dee ripabn Qty. Far •_.... Total •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft or less 145.15 1 4
Tax map/parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 I
l } ' _ l r •4{ _ _l� J Limited energy, residential
.._ rte, f_.. �i 7i — t 1�r. 1._ a 75.00
�� ,� 2
... ._ ,_.. i- i4..:'! (with above sq. R.)
Tennant Improvement Limited energy, multi - family
residential (with above sq, R.) 75.00 2
Services or 1i; I` t 8= a t , i t
200 amps or le aders 2
��,� ��,,_, installation, relocation
1 :: ii! L . i .Ali - l n ti . __
• �1' ` ,I , 5 A) 201 10685 80.30 2
.. ,��. t_ - �.,.� .�,- . *�=� amps t o 400 amps 06 .
Name: CI r—, c_ 401 s to 600 �fFtLTy �S �t^_ . amps ]60 -60 2
Address: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
CitylState,ZlP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 1
66.35 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100 30
1 _ 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 40I amps to 599 amps 2
Owner Signature: Date: Branch circuits new, alteration, or extension, per panel
i _ A, Fee for branch circuits with
..5 r,- °' , :.. :. i a rr ; r 8 i r _:' -4 4 .t. it .M i above service or feeder fee,
6.65
Business name: each branch circuit 2
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46 2
first branch circuit
Address: Each add'J branch circuit 2 6.65 13.30 2
City/State/ZIP: Miscellaneous service or feeder not included
Each manufactured or modular
III
Phone: ( ) I i dwellin:, service and/or feeder 90.
E-mail:
F ( ) Reconnect only 6b.85 _
v f Pump or irrigation circle 5 40
;I. ,ro .,_": t ti d 1 �t.�, 1 fi 3 —s• .y. i _ -3. 2
�•' ."...:ii. . .. .t .�r� . , ,,... 4 ,..': { i `;�'h,;' �.: 4,1; in er, Sign or outline lighting 53.40 2
Business name: KEC Electric, Inc Signet circuit(s) or limited-
energy panel, alteration, or
Address: 1281 NE 25 Ave Unit K extension. Describe: Page 2 2
City /State /ZIP: Hillsboro, Or 97124 Each additional inspection over allowable in ais of the above
Phone: (503) 439 -0904 ' Fax: (503) 640 -3838 Per inspection 62.50
Investigation per hour (1 hr min) 62.50
CCB Lic.: 99267 Electrical Lic.: 34 -426C Suprv. Lic.: 44895 industrial plant per hour 73.75
prv. Electrician signature requiree. it:.•_a •' 'a u
CAT): Iv Subtotal: 60 1 S
P rint name: Kenneth E Conway Date: ISJttn08 Plan review (25 % of permit fee):
_ State surcharge (8% of permit fee): 4 1 /'
\ w uthorized signature: , 'rte i - / ..t4.19.2-
I
= ` , - ( , .. ' TOTAL PERMIT FEE: 97 (D7
Print name: / This permit applicati
L- '-
Date: on ex permit is not obtained within 180
days after it has if a s been accepted as complete.
1 �BuildinglPeamits '.ELGPermitApp.doc 05/23R6 • Nan her of inspections allowed per permit
44046 15T(l 1/05 /rbMIWER