Loading...
Permit 7// � b di) & ac ( spy 10a6-11/) s CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2010-00230 s ft Date Issued: 05/11/2010 'AGM:kb 13125. SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S136CA01800 Jurisdiction: Tigard Site address: 11643 SW PACIFIC HWY A Subdivision: Lot: 0 Project: Canyon Auto Repair Project Description: (2) branch circuits for roof top unit. 7/8/10 added (2) branch circuits for spray booth. Owner: FEES MILNE REAL PROPERTIES, INC Quantity Description Date Amount 1312 SW'16TH AVE PORTLAND, OR 97201 2 crt Branch Circuits 05/11/2010 $63.60 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 05/11/2010 $7.63 Electrical Contractor: 15 da Electrical Permit 07/08/2010 $14.84 GENIE ELECTRIC CONSTRUCTION INC 2 da 12% State Surcharge - 07/08/2010 $1.78 8701 SE 156TH AVE Electrical HAPPY VALLEY, OR 97086 PHONE: 503 - 762 -9296 FAX: 503- 762 -9188 Type of Use: COM Class of Work: 'ALT Type of Const: Occupancy Grp: Total $87.85 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 wit 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 -et forth in OAR 952- 001 -0010 through 0 :" .2- 001 -0100. You may obtain a co• of the • es or direct questions to OUNCby calling 503.246.6699 or 1.800.332.2344 Issued By: Permittee Signa - 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' 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 OF TIGARD ELECTRICAL PERMIT ; COMMUNITY DEVELOPMENT Permit #: ELC2010 -00230 Date Issued: 05/11/2010 TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1 S136CA01800 Jurisdiction: Tigard Site address: 11643 SW PACIFIC HWY A Subdivision: Lot: 0 Project: Canyon Auto Repair Project Description: (2) branch circuits for roof top unit Owner: FEES MILNE REAL PROPERTIES, INC Quantity Description Date Amount 1312 SW 16TH AVE PORTLAND, OR 97201 2 crt Branch Circuits 05/11/2010 $63.60 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 05/11/2010 $7.63 Electrical Contractor: GENIE ELECTRIC CONSTRUCTION INC 8701 SE 156TH AVE HAPPY VALLEY, OR 97086 PHONE: 503 - 762 -9296 FAX: 503 - 762 -9188 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. / i Signature: by #7°P1./ 77 Issued By: Perm ttee S g OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Jul 07 10 06:45a LeRoy White 503 - 762 -9188 p.1 . i 1 JUL 0 8 2010 Elect 7CAl Perml$:.E 0Oli8z$IOnv( is l t i . '�� y � p oUILDING D v ISION � �r :'.o a :, ? r v„ dd��; a.�'1 ' �' ,rw ,rl q r'b r. 1w , �'„ „.,, , eGt ''t 5 City 0 ,13125 °SW 1' �igTigard bD K$ Pas ant lee::.(..L . ' � 9) Hall Blvd„ Tigard OR 97223 �' ®ie ' Plea CiaNavr' . Phone Fax 503.598.1960 D. OdlerPenni: plEc 9t) (O M � u � f T1 u a g i Inspection Line: 503.639.4175 muss : ES m: 0 sepPapr2tar Internet_ ' www.tigard- oa'.gnv Ncestied/MdSod: g uppleme . I ,( aWYnrorea ► tioa :..;•. 131PR` OIL WORK 1 183W ❑ New construction 0Addition/alteration/replacement hem chcdc all that appty (submit gems of plans w(srmeehcckodbelow); 0 0 dime QL1enIWhewn []'(�(li whom to evaiIab1s tank ourrem ❑ burials rind bastards. ....:' GTl&GORV OF:CONSTt�JCCT(ON . • .. escada10.00e amps at150volt ❑ ?laving buildinas. Irma to ground, or awards 14.000 ❑ Commercial -um agncnlutra( ❑ 1- end 2-family dwelling ❑'Cortmnercial/industrial 0 Accessory building arttpe roc Ail otheriniulluiam. buildings. . D'Multu- flunily ❑,Master builder ❑ Other: ❑ Fim pump. ❑ Ins Whalen of 75 KVA ea • JOR''srri. i11IFORMATIWN••AND • LOCA TIOiY system, • T� ❑ Emergeaey systers, larger separately derived /� D Ad o f new motor Ind of 1:1"k% " ° 7.2 °, " +7 " rob no.: i Job site address. /1(� 4 3 I ..�„r t r- f L soa1� oe,t�aa. accept �y. "'�� Q Sir or more enidemtisl units. 0 Remain Deal vehicle/ pane. City /State/ZIP: 0 Kealth•careheilitiea. Q Supply voltage For more than 44 .E, dens loatriant. 400 voits nominal: Suitt/bldg./apt. no.: Project name N - VI, o ' • .. ' t iL .cr feeder 800 am at mare J� -. :.. FBg? 3calta t,t _, Cross street/directions to job site: C � ` , � �5��0 a , • ( 1 n Ncw ^ asides • single or multi-Gunny dwelling unit. Inductee aft • cal gorage. Subdivision. AIEIIVAIIIPISIMII Lot no.: 1 ' or less a 168.54 Q iJ Ea. add 1500 so. ti, or portion u 33.92 r Tax map/parcel no.: Limit emu el . • .. t v 1 with above e • . residential its II •DE34'IZIP'I'1Q1V' , 75 i 4:- C�`� � �ili 6e2e cash / Limnede `mind above 75,00 �® / C��P it _ ii er ; un abbe s • . It - / Services or. feeders Installatio. alteration, and/or relocation it' c.-/ C & CS/ ` 7&.( L U Loh 200 naps or less 100.70 2 - - :❑'.PROPERTat OWNER ' : _' .. .1:3 ; t 20) ampsto400 amps 1 33:56 2 Alamo: C i, J ,,„,,_ P4 Zj t ' f /.., !3 Ce t., 1 r eN, 4d t atiipi to 600 amps 200.34 2 601,am.. to 1,000 amps. 301.04 2 Address: City/ es J , g../..t ( 5 s w ic ltd r , 34....", Oyer 1,000 amps or volts 552.26 �® P: .-r �, 11 � Z mpl t rary services, or (ceders inacalla64a, alteration, and/or Phone: ( S ! T,- _ "GD'n 1 Fax: ) 6b /_ A ern 200 amps or leas 5936 © Nil 201' ro ao0 attrp, 125.08 El Owner installation: This installation is being rn , , ide on property that 1 own which is not 403; snips to 599 amps 168,54 2 intended for sale, least:, runt, or exchange, according to ORS 447, 449, 670, and 701. Bianeh rculta- new,alieratio. oreutaisdoe, rpanei Owner signature. Date: A. Fee'facbranch circuits with Y above service or feodor fee, ® AP:ICAM ' :.Q CONtACI PERSON' racA brand circuit 7,42 2 • Business name: a A- . Y r B. Fee; far breads cireuius with": •/ sr ci e ire rfoedei x, first 56,18 2 Contact name: branelriitcttq Each add'l breach Mum it . 7,42 2 Address: Miscellaneous (service or feeder trot iaduded) • IEaeh manufactured or rrwdulas City /StateJZTP. dwelling, invite eitdlor 67:8 2 phone: ( ) Fax: • ( ) Rcconnoet only 67.84 2 (E-mail; Pump ri u a tnag circle 1111EM111111 ( Q •.- . . - M m e • Sign o li : • _ ' : Signet circuir(a) hmited:eitrEy Husinesstt0nie: �� 2- ,t C panel,altetntion;oremulsion. Paget 2 co-- c h- 1i?ach additional leepeetion over sllowibk in ilia above s Address: { 7 0' / C 4:_ ---7- (3-6-I'"'. Additional inspection (1 hr min) 66.25/ hr CityJStaYC/Z1P: e'. ( 7 Investigarion (1 or min) 1.111 66.2!!hr 111.101111 / � - • r Z / ' , - ( . 7 7 C 3 t e r m i n ) w —� Phosia :( 7) ?c' - - -G t Z - 24, ax: (Sz ›) 76 Z `�'!- r cP Inspections fru which no fee is CO3 Lie.: 5 W '3 t '/ I Electrical trio.: _`7 , 4 Suprv. Lie :: C ' 6 i l egi 1'r m ECI RI CAL PE 90.00/hr spec' Fundy f ,a S -� Stsply. Electrician signature, required! `� �'� -r Plan review (25% of permit fee): Print' name: (--e4-4- [ rt Date: 7 ? e . O Stale stuchargc (1254 of permit Ike): Authorized signs • r TOTAL PERMIT PEE: �Z Tak permit applica6 /noipires In Permit is not aryls +r 80 days After It boa Stn acaplyd es stapled print name; j - Datci 1/>.., Numb. ofrnspeC .ona allowed per permit. / / '}� i utiatemstammiutbLC.p..: ppdm / e7tewte - _ _ r / / e ' / 1 / - - - V l� May 06 10 07:10a LeRoy White 503 - 762 -9188 p.2 S: 4 � ' Ir~l t �. I lVr r Ju b �'s Electrical Permit Ap l "', ; ` .. �p " i ol i oi"F �c � i; sl��l µ i " P "" � �,y :,..,; +fi r �. rsl4.016Ei� v;, ' bol_, »en �.t,taiwo oPm , 4 ! lita " t a niiW� rum Ci t y of Tigard Received � I �VI — 7 2010 Da,e /By_ ..5- // /0 .2 E PermitNo.: • /0 —Q / „23 i1 t x 'v 13125 S\ti Hall Blvd., Tigard, OR 9 722 Plan Review other PermitM���d /0 OQ /�,' ti. . . ^"4,: Phone: 503.6394171 Fax: 503.598.1960 Datc;Bv: �e;r;'.tdil'l Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready,By. ions:. � 21 See Paget for (T,. \RD Notified/Method: t'J Supplemental Information :'Nr�tias!ra!tywat Internet: www.tigard - ongov ! i TYPE OF WORK PLAN REVIEW Please check all that apply (submit 2 sets alphas wiitems checked below): ❑New construction . 51,_Addilion /alterations replacement ❑ Service or feeder 403 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and 'aoatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps al 150 volts or ❑ floating buildings. _ less to ground, or exceeds 14,000 ❑ Com,nercial - use agricultural ❑ 1- and 2- family dwelling aeommercialsindustrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: Fire pump. ❑ installation of 75 KVA or ^ f c J /t �r� ,1 Emergency system. //� larger separately derived system. JOB SITE INFORMATION AND LOCATION I P . ; U ❑ Addition of new motor load of ❑ `A',' E'. "t•2 ", "l -3 ", i' 100HP or more. occupancy. Job no.: � L Job site address: f ,�. w, ❑ Six or mere residential units. ❑ Recreational vehicle parks. (City/State/ZIP: ❑ Health-care facilities. ❑ Supply voltage for more than f ❑ Hazardous locations. 600 volts nc mina). Suite /bldgsapt. no.: ' Project name: CAA/yeAl ,t k6-7019-0c n i 2 ID Service or feeder 600 amps or more. / FEE SCHEDULE Cross street/directions to job site: '� '.- - 1 - ,' ,. . t ,' . I) esrriprion 1 Q.v. 1 Fee. 1 Teen1 1 • _ -, New residential single -or multi - family dwelling unit. . , includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or Icss 168.54 4 ; Ea. add'I500 sq. ft. or portion 33.92 1 •fax map /parcel no.: Limited energy. residential UESCR[PTION OF WORK (with above sq. ft.) 67.84 2 Limited energy, multi- family 67.84 2 r . N , / C 6._.:. r'r✓,,:'" residential (with above sq. ft.) 1....4„.... %EGG / �� _ _ T :/ r Sersices or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/o City /State /ZIP: relocation Pltone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 40t amps to 599 amps 168.54 2 intended for sale. lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per pond Owner signature, Date: A. Fee for branch circuits trip V/ _ ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, --- 2 each branch circuit Business name: 13. Fee for branch circuits mirirorrr - .i service or tceder fee, first I ' -- e " r Contact name: branch circuit i 56.18 : ; 15--- -- - 2 Each add'I branch circuit I / 7.42 7r ya-2 Address: Ntiscellaneous (service or feeder not included) Each manufactured or modular 6? 94 2 City /State /ZIP: dwelling, service and/or feeder 11 Phone: ( ) Fax :: ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.94 2 E -mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuits) or limited - energy ' 1 panel, alteration, or extension. Page 2 _ 2 Business name: e.: , Ci L'_� , �' `' .r / ,4 c Each additional inspection over allowable [n anti of the above Address: g •7 0 / s- i -0, Additional inspection (1 hr min) 66.25/ hr Investigation (I hr min) 66.25/ hr is City /State/Z1P: - o / , Industrial plant (1 hr min) 78.181 hr - Phone: hr min) �y ` _ ' a Fax: '` ,d ' Inspections 1'or which no fee is 90.00/ hr ( ) i / c specifically listed (Y: CB Lic.: a Electrical Lic.: ' s. Su.rv. Lic.: r -Z i S ELECTRICAL PERN1IT FEES Subtotal: 4, - 7 (, Suprv. Electrician s required: ` : •� Plan review (25 %oof p&rrmit fee): =r I D a t e: � ' ' i ' r State surcharge (12 °l0 of permit fee): `? -. %� Print name: :" ( y _ • _ - _ - TOTAL PERMIT FEE: • , , ?„...„, Authorized signature: "? i This permit application expires if a permit is not obtained witttt f 80 - 1, ) L days after it has been accepted as complete. Print name: Date: ; i / ., ' Number of inspections allowed per permit r �Jn1 — 440- 4615T(11"05/C0M/WEB ' l 1:',auildingWermits',ELC- permit App doe 10101"09 ' , —. _ - 1 f Y r ) ( / — C - } G 1. 4 i ` � �� �� ( 7 i l l ` i • /✓ • Dianna Howse From: Mike White Sent: Tuesday, May 11, 2010 8:37 AM To: Dianna Howse Subject: Refund for Jim Pollack Attachments: Mike White.vcf irnmgo001 jpg Dianna, Would you please look into this one. Thanks, Mike ritlial Mike White Senior En�i:ec,ingTecn�oa` - - ~--- (.5133)6}9'417zextZ46+ 1 13125 SW Hai|B!vci T|gariCR 97223 .------------------.----------- DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws, If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1