Permit t 2
CITY OF TIGARD • - ELECTRICAL PERMIT
liN
C OMMUNITY DEVELOPMENT Permit #: ELC2010 00039
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued:' 01/22/2010
TIGARD Parcel: 2S102AA03903
Jurisdiction: Tigard
Site address: 8863 SW COMMERCIAL ST
Subdivision: Lot: 0
Project: Spec. Space
Project Description: Install (1) 200 amp panel, and (4) branch circuits. Fees paid under ELC2010- 00018.
Owner: FEES
NW URBAN DEVELOPMENT INC Quantity Description Date Amount
PO BOX 230307
TIGARD, OR 97281
PHONE:
Contractor:
CONDUIT ELECTRIC
19461 SW 89TH AVE
TUALATIN, OR 97062
PHONE: 503 - 692 -1428
FAX: 503- 692 -3652
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $0.00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through DAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: \ 0 k_ .9 ( {,i � Perin ittee- Signature:
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' UL AS Q Ave, Date:
LICENSE NO. L)� '{11
Call 503.639.4175. by 7:00 a.m. for an inspection that business day.
This permit card shall be kept 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 OF TIGARD ELECTRICAL PERMIT
y
'�. ,. , COMMUNITY DEVELOPMENT Permit #: ELC2010 00039
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/22/2010
T G ARI3, Parcel: 2S102AA03903
Jurisdiction: Tigard
Site address: 8863 SW COMMERCIAL ST
Subdivision: Lot: 0
Project: Spec Space
Project Description: Install (1) 200 amp panel, and (4) branch circuits. Fees paid under ELC2010- 00018. 1/26/10
ADDED limited enery to permit.
•
Owner: FEES
NW URBAN DEVELOPMENT INC Quantity Description Date Amount
PO BOX 230307
TIGARD, OR 97281 1 ea Plan Review Electricial 01/26/2010 $25.18
PHONE: 1 ea Signal circuit or Limited 01/26/2010 $67.84
Energy Panel
1 ea 12% State Surcharge 01/26/2010 $8.14
Electrical
Contractor:
CONDUIT ELECTRIC
19461 SW 89TH.AVE
TUALATIN, OR 97062
PHONE: 503-692-1428
FAX: 503 - 692 -3652 •
•
Type of. Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $101.16
. Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the 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 a copy of the rules or direct questions to OUNC by calling 503:246.6699 or 1.800.332.2344.
Issued By: k a Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property l own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' = , 1 _ = `4 ' . 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.
CLpit(i.indt-
,,
C TY OF °TIGARD ELECTRICAL PERMIT
I ll '' 0 COMMUNITY DEVELOPMENT Permit #: ELC2010 00039
- 1 GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4,171 Date Issued: 01/22/2010
� l
Parcel: 2S102AA03903
Jurisdiction: Tigard •
Site address: 8863 SW COMMERCIAL ST
Subdivision: Lot: 0
Project: Spec Space
Project Description: Install (1) 200 amp panel, and (4) branch circuits. Fees paid under ELC2010- 00018, 1/26/10
ADDED limited enery to permit.
Owner: FEES
NW URBAN DEVELOPMENT INC Quantity Description Date Amount
PO BOX 230307
TIGARD, OR 97281 1 ea Plan Review:Electricial 01/26/2010 $25.18
PHONE: 1 ea Signal circuit or Limited 01/26/2010 $67.84
Energy Panel
1 ea 12% State Surcharge - 01/26/2010 $8.14
Electrical
Contractor:
CONDUIT ELECTRIC
19461 SW89TH AVE
TUALATIN, OR 97062
PHONE: 503 - 692 -1428
FAX: 503- 692 -3652
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $101.16
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to `follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR
952 - 001 -0010 through AR 952 -001- 0100. You may obtain a copy of. the rules or direct questions to OUNC by calling'503.246.6699 or 1.800.332.2344.
Issued By: a a rq •c Permittee Signature:
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' r , n .4, 0p Date:
LICENSE NO.
Dan 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.
n
:2 -201'0 1 r FROM- T -328 P.002/002 F -530
1 .17/• KR
19,36- ; AT,G, 1-2/0 AL - TX
G _0 /240V
800A ERM `CAN 1 A X -D
S 4- 200AM' METERS 2 -3 "SP' E 0'
/' 8861
cr 40, r \ ° ` V � ' 0 2544 , `1 � P P GA NSTALL 3" POLE CONDUIT UNIT
�' p� - 996 -45 � ti� WITH 12" BRACKETS & WEATHERHEA
.5' 04;,001
®
S� sT * -� 1 -1 42•. A.
00501 iVAs� F10Y '� -�,�.' 3_3,
1996 -30 P L02544 1 PGE
O 18/ �, 19
PL02544 C
r' \ C 2
01818 !� v�,s 97,, POLE 4 02544
004E0/ `
PL02544 'P
I C 75 44
B 10 3584
. 9 GUS' OM i. I 64.3K'
APO 4 GU510MEK5s 25KW
C
►. 'CONNECTED' DIVERSITY ESTIM
L OAD TYPE KW FACTOR DAM
M �
LIGHTING 13.2 0.9 II..
I . RECEPTACLES _
WATER HEATING 12 0.2 2
ELECTRIC HEAT 0.75
REFRIGERATION / AC 10.5 0.75 7 . 1
MOTORS
MISC 1 10 0.3
f 7 � F > .� TOTAL CON LOAD 34.7
¢ �-
eU N�
TOTAL_ EST. DEMAND ANl�
it
ti
F1c 610
cl C,i1 / 1/.>.. /
• • B SITE ,Q > CALL BEFORE YOU 9IGe OREGON LAW REQUIRES YOU TO REQUEST UTILI'
LOCATION 46 HOURS PRIOR TO EXCAVATION, FOR LOCATES CALL THE GREG®
THOMAS GUIDE Cr UTILITY NOTIFICATION CENTER AT SO3 -20-6699 OR I- 600 - 332 -2344.
655 °F4
i 'S:1 a CONTACT SERVICE COORDINATOR FOR TRENCH AND CONDUIT INSPECTION PRIG(
YS z TO ®ACKFILL,PGE WILL NOT INSTALL WIRE UNTIL TRENCH IS 100% SACKFILLEI
N SERVICE COORDINATOR
C ®0 L V�C {� {T _ 503�-73f -5450
JAN -22 -2010 *2:26PM' FROM- 1-328 P.001/002 F -530
1 tl _ L _ 7 0 1 v` , r . r ..-v . .. .- •
(UNLESS OTHERWISE SPECIFIED)
PGE FACILITIES IN GREEN ARE TO BE REMOVED Cia )c7
- _ �- - - = INSTALL 1 -0 350 AL -TX SECONDARY IN I OF 3 °3" PVC
CONDUITS, PROVIDED & INSTALLED BY CUSTOMER
CONSTRUCTION NOTES. SFR -R!
1. CUSTOMER TO PROVIDE ALL TRENCHING AND BACKFILUNG. TRENCH TO BE
36 INCHES DEEP AND 24 INCHES WIDE, MEASURED FROM FINAL GRADE.
2. CONDUIT (IF NECESSARY) WILL BE GRAY, SCHEDULE 40, ELECTRICAL GRADE.
PVC CONDUIT WITH NYLON PULL STRINGS (MIN. 500 LBS. TEST).
PGE TO DETERMINE THE SIZE AND NUMBER OF CONDUITS REQUIRED.
MAINTAIN 12 VERTICAL INCHES AND 24 HORIZONTAL INCHES CLEARANCE BETWEEN
GAS AND OTHER UTILITIES. ALL ELBOWS TO BE 36 INCH (MIN) RADIUS.
ALL BENDS MUST BE FACTORY MADE. CONDUIT RUNS LONGER THAN 50 FEET
OR WITH MORE THAN 270 DEGREES OF BENDS MUST USE RIGID STEEL ELBOWS. _
OR PGE APPROVED FIBERGLASS AND MUST BE APPROVED BY PGE PRIOR TO
INSTALLATION BY CUSTOMER.
3: CUSTOMER RESPONSIBLE FOR ROAD CROSSINGS. USE ONLY GRAY, SCHEDULE 40.
ELECTRICAL GRADE, PVC CONDUIT WITH NYLON PULL STRINGS (MIN. 500 LBS. TEST).
4. SINGLE PRIMARY INSTALLATIONS - CONDUIT TO EXTEND A MINIMUM OF 10' FROM
TRANSFORMER PAD.
1p' 5. ALL PGE TRANSFORMERS TO BE INSTALLED 8 FEET (MIN) FROM ANY COMBUSTIBLE
W R CHECKLIST BUILDING AND 4 FEET (MIN) FROM ANY FIRE HYDRANT, PGE TRANSFORMERS MUST
BE WITHIN 5 FEET OF A DRIVEABLE AREA. ALWAYS MAINTAIN 10 FEET CLEARANCE
ITEM NO YES IN FRONT OF ALL TRANSFORMERS.
HOLEDIGGER X 6. CUSTOMER TRENCH AND ELBOW CONFIGURATIONS MUST BE INSPECTED BY PGE PRIOR
BOOM X TO BACKFILLING. PLEASE CALL 503 - 736 -5450 TWO DAYS PRIOR TO INSPECTION.
BACKHOE X 7. DESIGN 15 BASED ON STANDARD UNDERGROUND EQUIPMENT. NON-STANDARD UNDGERGROUND
EQUIPMENT MAY BE AN OPTION AT AN ADDITIONAL COST TO THE CUSTOMER.
PGE TRENCH X
LOCATES X T AS-8' , LT VE R TfON This document accurately
STAKING X represents FIELD construction.
FLAGGING X & �E5C VR O TR®NS CORREC 'E e.
TREETRIM X (Foremen : _Ante:
LANDSCAPE X SDC
Engineer: Dow
EASEMENT X
PERMITS X _ l esiener: Date:
CUTSHEET X www.PortlandGenerol.com www.PortlandGenerol.biz www.EarthAdvantage.com
J OB NO. DATE SECTIONS) SCALE
TRANSMISSION X
SHUTDOWN 526270 01/31/2008 C21 -02A 1 ° 260'
CUSTOMER °, CIRCUIT SIZE
SHUTDOWN X . TIGARD - 13336 I Ix__ IT_
•
,
CONTACT -__ i , TITLE ,. roji RICHARD LUNDSTROM
" .. f LOCATION
DATE 8861 SW COMMERCIAL ST, TIGARD; WASH CO
TIME WILSONVILLE DESCRIPTION SHEET
000R HANGER X LINE CREW CENTER INSTALL UG SVC
DESIGN BY . PHONE (503) DRAWN BY I OF 1
UG CIR. VER, X 9480 SW 80ECKMAN RD MILO STARR 570 -4411 K.RUTHERFORD
WILSONVILLE, OR 97070
® PORTLAND GENERAL ELECTRIC CO. ° ALL RIGHTS RESERVED
i �m ma 4 ^!r "� . -- "fit ;e - z:: rr v v gp.d � 4 ' yea , v d ic -A . l I( y' `
Electrical PermitApplication J.r ',-`,'-", ;der_`a {,, .; a OK,OFFICE �U SE� O N,ov,,, I` "� 1 " � '
• , ri_" t t a t 1g' etved n _ a..._ 1 s alz. .. xi mM1t.
P. d' _ C ➢'. O r Tigard Permit No .
Date /B; ��Q�� • �� _
B.I w 1 I 5 S Hall Blvd.. Tigard, OR 97223 q •� Plan Revieti
f• R . Phone:' 503: 639.4171 Fax 503.598 1960 CO1ODate /B): I Other Permit:
T GA' Ins ection Line: 503.639.41 7� Ready/By. ® See Page 2 -for
P Date Rms.
k Ar + Vie: Internet: ww.tigard- or.gov CITY OF TIGA I onfled /Method: l Supplementallnformation
TYPE .OF WOIt Iz$ U ILDING DIVISION
e ,PLAN REVIEW _
11 New construction Addition/alteration/replacement check all that apply (submii 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 14.00(1 ❑ Commercial. use acricultural
❑ 1 -, and .2-family dwelling gcomn,ercialiindustrial ❑ Accessory building amps for all other installations. buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation 0175 KVA or
AO)g SII k, INFORMATION AND LOCA'T'ION
' ❑ Emergency system larger sepaotcl5 derived sostcIn
❑ Addition of new motor load of ❑
' Job no: Job site address: 3 t wr �' y IooliP or more. occupancy
Six or more residential units.
7 - � C ` L}• ❑ Recreational vehicle parks.
Clh'iSlatc /ZIP: A e 4�- fl-ioi c re---- r j 7- L'� 3 ❑ Health -care facilities. ❑ Supplv .oltaec for more than
�/ — — — ❑ Hazardous locations 600 soles nominal
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross streeudirections to job site: 1 tian
nrrer
---771 p 1 Qrv. I Pee. I Total I •
New residential single- or multi - family dwelling unit
j Includes attached garage.
Subdivision: Lot no ' — 1,000 sq. fi. or less I 168.54 4
Ea. add'I 500 sq. fi. or ponion 33,92 I 1
Tax map, parcel no.: [_invited energy, residential
DESCRIPTION OF WORK — I (with above sq. fi.) 67.84
-'
i Limited energy, multi - family
s C / 4 SORE f l"'
5 --t" � — residential (with above sq. 7.) I
67.84 — — Services or feeders installation, alteration, and/or relocations C 2
I 9a'r\ �` CpL l .� 5 I 200 amps or less 4 I 100.70 I 4/0
rg
PROPERTY OWNER ❑ TENANT ANT 20 ] amps to 400 amps 133.56 ! I
2
ame: • 401 amps to 600 amps 200.34 ' '?
— — -- - - - - - -- — -- — — 601 amps to 1,000 amps 301.04 I _
Address: _ Over 1,000 amps of volts 552.26 7 7 2
• Cit ^Slate'ZIP: I Temporan services or feeders installation, alteration. and /or
relocation
Phone: ( ) l I Fax: ( ) 200 ampsor less - 59.36 1 1
Owner installation: This installation is being made 011 property that that 1 own which is not 201 amps to 400 amps i 25.0E I I 2
intended for sale, lease, rem, or exchange. according to ORS 447. 449, 670, and 701. 401 amps to 599 amps I 168.54 I 2
Owner signature: Date: Branch circuits — nevi, alteration, or of tension. per panel
— -- A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON • above service or feeder fee,
7.42 2
each branch circuit I
Business name B. Fee for branch circuits
t, irhour servic or feeder fee.
Contact name: first branch circuit j I 56.18 2
Address _ Each add'I branch circuit' 2,5 7 "42 f 'e S '`.--
-- — — Miscellaneous (service or feeder not included)
City /State. /Z1P: Each,manufactured or modular
— — — dwelling, yen -ice and %ot feeder 67.84 i 2 l
Phone: ( ) Fax:: ( ) i --
Reconnect only 67.84 2
E-mail. Pump or irrigation circle 67.84 1 2
CONTRACTOR Sign or outline lighting j 67.84 I 2
Business Warne — I Signal clrcuit(s) 01 limited- 1 _
Conduit Electric energy panel, alteration, 01
Address: 1 9461 SW 89th Ave j I extension. Describe: Paget
I
Cit■t /Stag /ZIP: E ad ditional inspection over allowable in any of the above I
Tualatin, OR "9706 ,
f — I — ----- Per inspection I 66 I I j
� Phone: 692-1428 428 I Fax: (503)692-3652 692 -3652 — I
I nvestigation p e r hour (1 I tr min) 66.25 1
I
CCB Lic..
109669 . — 1 El ectr i ca l Li c.: 26-905C Supr, .Lie,.: 4501 S industrial plant per hour 78. t g
ELECTRICAL PERMIT FEES
Electrician signature. required: Subtotal: I 3
Suprv. Electr
_ _ = J
Print name: I Date: i 7 /� _ Plan review (25 %of permit fee):
Parker State surcharge (12 %ofpennit fee):
Authorized signature: W_F ' � -,� i i I TOTAL PERMIT FEE. 1
' /
t
This permit application spires if a permit is net obtained within 180
Print (lame: `Date: / / , L .5 days aftrr it has been eccepted as complrte.
— — — -- umber of inspections allowed per permit
1 33t,ilduti'.P1 Pc ,, ,pr dnr 1(1(' 4 40- 4r:l5!.t 1I 05'C(1',1 :1;13