Permit ` - v CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00507
COMMUNITY DEVELOPMENT DATE ISSUED: 7/24/2007
TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 CA -00200
SITE ADDRESS: 07920 SW HUNZIKER RD ZONING: I -L
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: TRUGREEN LANDSCAPE
Project Description: Refeed 200 amp panel in conference room.
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: 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:
COE MANUFACTURING CO, THE WILLAMETTE ELECTRIC INC
P 0 BOX 520 PO BOX 230547
PAINESVILLE, OH 44077 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 624 - 3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 7/24/2007 $80.30 LIC 75059
[TAX] 8% State Surcharge 7/24/2007 $6.43 SUP 42265
Total $86.73 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: w ,„„a Permittee Signature: 3 D 40/)// (LI /gym
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.
JUL 23 2007 10: 55AM WILLAMETTE ELECTRIC INC. 5555555555 p.2
. .
11-4' ' 1 i i A il
lPpii( '
"!■ P. , 1 ., ' Mid! t..' . '. 1.., \,:c 1 1 .-:', i 't %!; 4;*:;;44;.:■ ..1;. t V' ' -r;-0
krivi'ri:,1:lliP.-- ' _,IY.-vigli -145
..i. ' . `.:.,.,:,.. ....-.',;Arrr-;:.:,i.'l:1•,,..-4„:-,.,...,,,,..:-
F r.....,,,,,,, : .__„.„:„...,,
. . .
:!,,,,-,,, 7 24 6- 5u 1 1,,,,,,,!,,,
.
:.,,:,,,;1,;:i,,: 1 :.„:; E,, -.).; ..-4, ,,, ,,••• . . • ,,;,... - .
h. „„,,,„
,,„,,..
,. ..,,,,,,.., , 1 i I a, :,03. 'M 1 .
i 14'..1": Otii.:t Pctrini
. 411 , 1 ,.,..„,,,.
s,,t:,..,,,„, i I,„.., -,o,,,:,,, ,, 1 -,._, JUL 2 3 LOU / i ,-- ..A-45... r DAte 1.2.catly(ly: 1.1 is ,... 0-- __...,-- Ili See i`i 2 It'ir
'0) ./,,,, 1.0 cicl: wv CI L' °' w - NoidiediMetli.iti: . Supplemental I n loll
naon
JiII
.._-_
06 - : - .. : ----- --.'. ---- ' IPIAW1MITIEW '
•
II New consti , ' i attititilaiterationfreplacement Meuse el tc,.:1( all that apply:
I
L --- , - , L j -, ress/ : , ,,
DServic:c over 320 amps . rating DP,ui icing ovci 10,000 sq. 11.-
CAI IffGOEIV :- • 7--- of 1- and 2-family dwellings 4 or more nev.i residential
0 1- and 2-family dtvolling El Commercial/industrial El Accessory building DSystem c 600 yolk nominal units in one gni:el
0Building over Wee. stories D ute lieeelers, 400 amps or more
[] Multi 0 Master builder D Other:
DOecupant load over 99 peisons El m anufacturA structures or
40-vo.t.00. ,.. .&-. '.,!--:: -..' •:.' 0 Egressfighting plan RV park
Job no.: 6e6 Job site address: 20 S1 kt.J13 A1LJAksEll, DI1ealth facility
Submit 2 sets of plans with any of th ab - - ---
C ty/State/Z IP: -- 176,244,
--) i ta2 97213 The above are not applicable to temporary construction service.
fit,ii
S uite/bldg./apt. no.: Project name: -Ti coraus j , v,z , ..5, , ,,,ig,• - ,:. , ,, - .....::1,ii..:;;it.W,:i.;5V,,- -- -,---' . '-'''''''''' '1 1
Description I Qty. Fee. 1 Total 1 ''
Cross street/directions to job site: k i New 4 residential single- or multi-family dwelling unit.
ric.),42.■,x)i k. Lest t., P4-4- vr, Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: LI / A.. Lot no.:4 Ea. addl 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non-residential 75.00 2
• - ' -."- l ' - ': li::" --R`g.eiiiitititiiiiitplyffattlig:V.:Silrit ..-,- -
dwelling, service and/or feeder 90.90 2
21t9 e rika.lti2.. 1,-.1 Cestat=tiues S. Services or feeders installation, alteration, andJor relocation
• Qr.-4, an 200 amps or less 1 80.30 bca 0.- 2
---
:,...'‘....
i tEliMa%41qt-k:li::. 2 ° 1 amPs to 400 an-Ps 106.8.5 2
* - ...t.,ii-:42...l'.2 .Tia 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 arrqrs 246.60 2
ddress, Over 1,000 ainps or volts 454.65 2
.A_
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders Installation, alteration, and/or
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
intended for sale, lease, rent, or exchange, according to ORS 447,449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
: .:..,paelvt.! ar-,..-L:.::`-ii;4'grpre.Mfgrii.77.-,11-2-; A. Fee for branch cimuits with
.'. -.:, _, .2 ! tE.',.7=4 . *. .f_iti. •^...,..-i,EiFet service or feeder fee, each 6.65 2
Business name: branch circuit
H. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit .
Address: Each addll branch circuit 6.65 2
City/State/Z1P: Miscellaneous (service or feeder not Included)
Pump or irrigation circle 53.40 2 ...
Phone: ( ) i Fax: : ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
. '''' r ' '7: '''' '''' '''''''' ' ''''''''''1. ''i L' ' . ' ''''f '''''.*;'i% q4M401)10.5,;4111Cet:P19411',..■ igILVO.K.O. energy panel, alteration, or
extension. Descnbe: Page 2 2
Business name: L, j. 1! a „,,,, et.-f- t 6. / e g tr,..... r.. , -
Each additional Inspection over allowable in any of the above
--
Address: p 0 e 0/ 2.4 43' S V ) Per inspeztion 62.50
.
City/State/Z1P: T . 9 L I,' .1 0 re' 7 2 ? Investigation per hour (1 in rain) 62.50
Fax (31,.; ) ,t(..Z. Y - ?. ? 3" e Industrial plant per bout 73.75
Phone: (5ca ) ,fe•° . t
V-.777ifir:::
CCB Lie.: -7.52.,„07 Electrical Lic.:3 d- Suprv. Lic.: ii ...5 Subtotal eg .,
-
rev
Suprv. Electrician signature, requiredk._:•77...-...... ,...„....„,,,,,,..,.... ---- •- . ----- - - Plan iew (25% ot perrnit fee)
. el3
Slate s
rcharge (8% of permit fee)
Print na
riinc: 00eA / i i - 7 1 ,.....,r--- e /
Date: 723 / 7 ____
TO/TAL PERMIT FEE 3(„, ------- 1
Authorixed siglialurc: mix permit a nplientina expires if a pernut is out ow:lined witia a . i.ri-To r-
.___.____._.__.._ ------------ ------ -- days after ir tuts been accepted as complete
Print name; - - - --- TDate: , Fcc. mafodology set by 'hi-County Building, Industry Sri vice Board
----- ---- ''', Number of inspectious per perrnil allowed.
1 \ Itititling\ l'el .16 \ES C l'o olliApi. de. 1 2/.1] 440 10/02/CDM/WliB