Permit ',� t A ELECTRICAL PERMIT
t ' 717"
,� CITY OF T'�G�4R®
PERMIT #: ELC2007 -00233
COMMUNITY DEVELOPMENT DATE ISSUED: 4/12/2007
sT' IDj 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134BC-00100
SITE ADDRESS: 12100 SW SCHOLLS FERRY RD ZONING: C - G
SUBDIVISION: GREENWAY TOWN CENTER LOT : JURISDICTION: TIG
PROJECT: 7
Project Description: 5 BRANCH CIRCUITS.
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: 4 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:
SAUNDERS, WILLIAM W TRUSTEE BECK ELECTRIC INC
2155 KALAKAUA AVE STE 500 15600 SE FOR MOR CT #B
HONOLULU, HI 96815 CLACKAMAS, OR 97015
Phone: Contact #: PRI 503 - 656 -7396
FAX 503- 656 -4397
FEES
Description Date Amount Reg #: ELE 3 -5C
[ELPRMT] ELC Permit 4/12/2007 $73.45 LIC 2629
[TAX] 8% State Surcharge 4/12/2007 $5.87 SUP 50245
Total $79.32 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: , 7 _' Permittee Signature: 0'7
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.
Rpr - 1 : a 313 22p p. 2
Ewe
qj
mit Application • . • • LB
► ty of Tigard
/� � Permit No.�arO � ...0 &A
v 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
Phone: 503.639.4171 Fax; 503.598.AECEN E Dat eBy /.Z Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Ju 65 See Page 2 for
• • • Internet: www.tigard or.gov APR 1 1 2007 Notified/Method: Supplemental Information
TYPE OF •WORK ` '6V ` PLAN REVIL"W : . -..
❑ New construction R Addition/alteratio8('` l . y t Please check all that apply (submit 2 sets of plans w /items checked below).
tj ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF :CONSTRUCTION .. or exceeds I O 000 amps at ! 50 vo o Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial use agricultural
❑ 1 - and 2- family dwelling 1j Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder [7.1 Other: ❑ Fire pump. ❑ Installation of75 KVA or
y JOB SITE INFORMATION 'AND LQCA.TIQN . ' Emergency of system larger separately derived system.
.
❑ Addition of new motor load of ❑ "A" "E" "1 - "I -
Job no.: I Z I Li Job site address: 1 Z1 yVv Jt 01 Six or or more. occupancy.
❑
0 or more a residential units. Recreational vehicle parks.
City/State /ZIP: , I �C tC�- Q �� 1 L 2.3 El Health facilities. ❑ Supply voltage for more than
t 600 volts nominal.
El locations
Suite /bldg. /apt. no.: Project name: .1 —I 1 51-0/C..- ❑ Service or feeder 600 amps or more.
' E SCREDVL)g ' :,. ., .
Cross street/directions to job site: Description 1'E
ription 1 Qtv. 1 Fee. I Total 1 •
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'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
. . . .. ` .. DESCRIPTION OVIWORK . .: `.::. . _ 1 :if .. (with above sq, ti.)
Limited energy, multi - family 75.00 2
�/� e�criO C residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or Tess 80.30 2
❑ . PROPERTY, OWNLat;, F : 1] .TENAANT , 201 amps to 400 amps 106.85 2
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: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I 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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
g A. Fee for branch circuits with
El APPLICANT : above feeder II CONTACT PERSON bove service or feed fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit I 46.85 ti( j 2
Address: Each add'I branch circuit f- 6.65 .0\40-1.49C 2
Miscellaneous (service or feeder not included)
City/State /Z1P: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRA
:' , ... ::... _ ..._ CTOR - 4 ... .q, : ... : Sign or outline lighting 53.40 2
_ Signal circuit(s) or limited -
Business name:
�. E'ec ±r IL,. energy panel, alteration, or
°9 CD Se F p,(z �, 1 ej extension. Describe: Page 2 2
Address: \
City /State /ZIP: C--‘ 4 L F�4-1.VVI. Ct P-- Each additional inspection over allowable in any of the above
5 ,��' Per inspection 62.50
Phone: (51) ) k - ' Fax: (S(;) 3) (p96 ' 9 1 `` +� Investigation per hour (1 Itr min) 62.50
CCB Lic.: a L ,G1 Electrical Lic.: 3 - . Suprv. Lic.:S0 -I -s trial plant per hour 73.75
E I;ECI gIC . PERMIT.3?EES :.
C Indus
Suprv. Electrician signature, required . _ _� - Subtotal: ' 3. Li S
Plan review (25% of permit fee):
Print name: C cv -Le 5 Bet, , Date: I 1 61
State surcharge (8% of permit fee): j . ci i
Authorized signature --C . • - TOTAL PERMIT FEE: "1 • 3 2 j ill Wr
��� 1 J „` ` � !. \� , ) �l This permit application s bs if a permit is not . wit I80
�
Print name: - Date: t I ti I 0 I days s s after r it t has been accepted as complete.
t r • Number of inspections allowed per permit.
I; BuitdingJ'ermits\ELC- PermitA ?p. doe 05/23106 44046I5T(I 1/05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00233
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2007
Phone: (503) 639 -4171 I:
Inspection Requests (24 Hrs.): (503) 639 -4175 ': ''I�I
INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:OOAM PAGE: 70
SITE ADDRESS: 12100 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: 7 -11
DESCRIPTION: 5 BRANCH CIRCUITS.
OWNER: SAUNDERS, WILLIAM W TRUSTEE, PHONE #:
CONTRACTOR: BECK ELECTRIC INC PHONE #: 503 - 656.7396
Inspection Request Scheduled For: Date: 4/18/2007 Pour Time: # .
Code # Inspection Description Confirm Contact # Message
199 Electrical final 046664 -01 �„ 503-656 -7396 Y
Corrections /Comments /Instructions:
( P .\ ( Q \ ' ) 1 1:t
___ _ _ _.
•
u PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ZS' • ``� Q) Date: VA(T) Phone #: (503) 718 1