Loading...
Permit [ - , , I `'� L4 /// ` ay CITY ,' TOGAR�,' E PERMIT PERMIT #: ELC2006 -00721 sift t41110 COMMUNITY DEVELOPMENT DATE ISSUED: 1/26/2007 I 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DD -00500 SITE ADDRESS: 15860 SW UPPER BOONES FERRY RD B15 ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK I LOT : JURISDICTION: TIG PROJECT: OAR DAIKIN Project Description: OAR Daikin AC install. 2/26/07, ADDING (1) ADDITIONAL BRANCH CIRCUIT. 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: 1 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: 3 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 0 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: SUBOTNICK, RUTH + ENVIRONMENTAL CONTROL CORP. SIEGEL, LOTTIE 15860 SW UPPER BOONES FERRY BY PACIFIC REALTY ASSOC LAKE OSWEGO, OR 97035 PORTLAND, OR 97224 Phone: Contact #: PRI 503 - 517 -9142 FEES Description Date Amount Reg #: ELE 3 -434C [ELPRMT] ELC Permit 1/26/2007 $155.15 LIC 64673 [TAX] 8% State Surcharge 1/26/2007 $12.41 SUP 4425S [ELPRMT] ELC Permit 2/26/2007 $6.65 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $174.74 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 tha 1; • . ays. • - TION: Oregon law requires you to follow rules adopted by the Oregon Utility • • ation Center. Those rules are set forth in OA 2- 001 -0010 through • • - • ' -00 -0100. You may obtain copies of these rules or direct questi• s to OUNC at 503.246,6699 or 1.800.332.2344. is ued By: A Permittee Signatu -. �i Wll / 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: /_' /it... e .•: 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. CITY CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00721 COMMUNITY DEVELOPMENT DATE ISSUED: 1/26/2007 LTI R rar n *4 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DD SITE ADDRESS: 15860 SW UPPER BOONES FERRY RD B15 ZONING: I - SUBDIVISION: OREGON BUSINESS PARK I LOT : JURISDICTION: TIG Project Description: OAR Daikin AC install 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: 1 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: 2 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: SUBOTNICK, RUTH + ENVIRONMENTAL CONTROL CORP. SIEGEL, LOTTIE 15860 SW UPPER BOONES FERRY BY PACIFIC REALTY ASSOC LAKE OSWEGO, OR 97035 PORTLAND, OR 97224 Phone: Contact #: PRI 503 - 517 - 9142 FEES Description Date Amount Reg #: ELE 3 -434C [ELPRMT] ELC Permit 1/26/2007 $155.15 LIC 64673 [TAX] 8% State Surcharge 1/26/2007 $12.41 SUP 4425S Total $167.56 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.••99 or 1.800.332.2344. Issued By: PermitteeSignature: : — 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. A s • S ' - El�ctrtcal Permit Appl><cat><o ' _ _ u� ? " 'r T � ` C - F ��..� �.. �s ,._, •�. l O R -'‘,:---,%-i--- I I I C L S O N � 'i �M� " , ?, Cl Of Tigard Received Permit N / ermo.: �! v� { `J g {� nn Date/B l D I a G{n L. . D/ ....__ c , f ° 13125 SW Hall Blvd., Tigard, OR 97223��F "J 2006 Plan Review . /, ; 2 � Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: , � , ,, Ins ection Line: 503.639.4175 Date Ready/By: ®See Ps e 2 for � Tppi`G'A� i / P B .1141.1 t-rirrf Internet: www.t - or.gov ,�,g y I ' � Ut I MO ' y Notified/Method: Supplemental Information TYPE al WUItIC " " Q ° . M �t et C 3 ` I\` PLAN REVIEW ❑ New construction ® Addition /alteration replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or J ❑ Emergency system. larger separately derived system. . SITE, INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A" "E" "1 -2" "I -3" Job no.: 20061143 Job site address: 15860 SW Upper Boones Ferry Rd ISOH more. occupancy. more te ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: Lake Oswego, OR 97035 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: OAR Daikin AC Install ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Carmen Dr exit @ 1 -5 Descri,tion rtEMCIMINITEIM0 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi - family 75.00 2 Install (1) Daikin VRV Heat Pump w/ 8 indoor units & controls. residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ® TENANT 201 amps to 400 amps 106.85 2 Name: Oregon Air Reps 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 15860 SW Upper Boones Ferry Rd Over 1,000 amps or volts 454.65 2 City/State /ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and /or , relocation Phone: (503)620 -4300 Fax: (503)620 -4238 200 amps or less 66.85 ( (, , ¢ . / .7.C5 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 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 2„ 6.65 1$, j 5,0 2 Business name: Environmental Control Corp. B. Fee for branch circuits Contact name: Rich McGinnis without service or feeder fee first branch circuit 46.85 2 Address: 15860 SW Upper Boones Ferry Rd Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Lake Oswego, OR 97035 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (503) 517 -9142 Fax: : (503) 517 -9188 Reconnect only 66.85 2 E -mail: richm @eccportland.com Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: Environmental Control Corp. Signal p a nel t(s) or limited - energy panel, alteration, or Address: 15860 SW Upper Boones Ferry Rd extension. Describe: ' Page 2 ,'�, -l ' t? 2 City /State /ZIP: Lake Oswego, OR 97035 Each additional inspection over allowable in any of the above Per inspection I 62.50 Phone: (503) 517 -9142 I !J(� Fax: (503) 517 -9188 Investigation per hour (1 hr min) 62.50 CCB Lic.: 64673 ,‘ V Electrical Lic.: 3 -434C I Iprv. Lic.: 4425S Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: ( / /grit i g , (/U Subtotal: _ . . - Print name: Martin McMurdo Date: 12 -15 -06 Plan review (25 %ofpermit fee): / 3 tale surcharge (8% of permit fee): ; O '. Authorized signature:' , = � - r - TOTAL PERMIT FEE: . '7,. � his permit applic n ex . ires if a permit is not . btained withi 0 Print name: � 1 c_1.,4 e " 0 " /"../N/ /Nl S Date: /2,--/5 days : fte 't ha been accepted as co 'fete. • • N tuber . • . • . . o ed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 4404615T(1 I /05 /COM/W': •' ?