Permit 1
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2009
COMMUNITY DEVELOPMENT DATE ISSUED: 1/12/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S101 CB 00500
SITE ADDRESS: 12670 SW HALL BLVD BLDG 3 ZONING: I - L
SUBDIVISION: TIGARD CENTRAL INDUST. PARK LOT : JURISDICTION: TIG
PROJECT: VERSATILE HANGERS
Project Description: (2) branch circuits. Job No. W/O 16299
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: 1 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:
GAZELEY, H WILLIAM IES COMMERCIAL INC
PO BOX 230414 13970 SW 72ND AVE
TIGARD, OR 97281 PORTLAND, OR 97223
Phone: Contact #: PRI 503 - 648 -1900
FAX 503 - 670 -9572
FEES
Description Date Amount Reg #: ELE C448
[ELPRMT] ELC Permit 1/12/2009 $53.50 LIC 182452
[TAX] 12% State 1/12/2009 $6.42 SUP 3348S
Total $59.92 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 f han 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rul are set forth 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 1.800.3 .2344
Issue By: 6LANuaii Permittee Signat , , .l1
_ r
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.
,
V'
- a1112/2009 09:19 5036709572 NEW TECH ELECTRIC PAGE 01/02
,,
Electrical Permit Application
FOR OFFICE 1SE ON
Ik klE
I ' . ' - ' . .. „..
.. , I..I.N • " , : '4 L.,'' .. • '
Received
City of Tigard r ,,, 137 , / ta .0.7- . • I C Permit No,: &C,/ Ili . " 13125 SW I-tan Blvd., Tigard, OR 97 3 " lvsn Dn/By:
Plan Review
, ° ., ' Phone; 503.6394171 FftX: 503.598. 960 , Other Permit:
ic
y aA Inspection Line! 503.639.4 )0 1 175 7 , RI See PFIr,re 7 for
' ',. Internet www.tigard-or.gov e.rki it 'caN al l e d/M 3dY :h Y o : d: I f Sullolcmenenttnfrirrnntinn
Intlingggi '.10,',; igIERMitYgin#00M,009§4028:4:gg;10(
,
D New construction ,Dir Additio nAalterati . : ii I , 'i1. Tt.W nt Pion cticck al' that apply (submit 2 sets of w/itcms checked elow):
0 5ervien or feedor 400 amps or more 0 Building over throe stories.
0 Demoliti ,
on 0 Other: where tho available atilt current 0 Marinas and boatyards.
MiplApage,ppea . cXeCecla 10,000 amps at 150 , mlizi or 0 Floating buildinga.
0 1- and 2-family dwelling 214 Commercial/industrial 0 Accessory building Antos for all other installations. building5,
D Multi-family El Master builder ID Otb or: CIFirc pump. 0 installation is,f 75 KVA. or
M
dikfif4i6r■P'kSiiVE'O'fo)■LYRi'
1,, EJ Emergency system. Weer separately derived system.
, 'i ' il; ' , .'; .1 i.. ' .7. ' , ■ ,,,, , ,,,' ( . '1 . .' 4 1&S I' t '' 4■i' 4'1 V, 0 Addition of new motor load of 0
i am or more
Job no.:1A Nata Job site address: ' 4,70 _3 AkAll. 0 L ,id , 0 s i
or more residential units. occupancy.
Recreational vehicle parks.
City/State/ZTP: ‘.F: , a . lib 1.0 0 }1,„1,1,_ca,-. rtic,. 1:1 0 Supply voltage for morn than
0 Hazardous locations. 600 volts nominal.
Suit./apt. no.: 1Z Irolcir_tan_ ±iejAhA „... 4, , ID _C Scrvico or feeder 600 amps or more.
- L.L. I ., ■ir qp." Ji V " '' 'I giliefra I,* NR1 liVIOP Y; " I'' 'L61
. ' !`'.? 1 ii;;; ,O:r 1,ig i: WA i.F,i.....V1!1,...7 Y;r:;'::. .,, .',■';: q.
Cross street/directions to job sitc: rtmeriptinn I v. Fee MEM •
New residential single- or multi-family dwelling unit.
Includes attached garage.
...
Subdivision: Lot no.: 1.000 sq. ft. or less 1 145.15 4
Ea. add 500 sq. ft. or portion 33,40 1
Tax map/parcel no,:
Limited energy. residential
75 00 2
14rRidij.iilqgg,'•il;Z tilljailaMing0 (with above ' 1 ' 1 ' 11)
Limited energy, multi-family
1 ' • n ,, ,
75.00
- 2
• 4., I • al LC At, 1111 residential (with above sq. ft.)
— .
. • Services or feeders installation, alteration, and/or relocation
II fo. re ':: • - ?iii', it ' , 4 V..: ' . 200 amps or less 80.30 2
.P giiiii N, (! 201 amps to 400 amps 106.85 2
Name: \Lc1, CA-1 \A o.11 r5 4' c4 cy cig,L_11-0.- - 401 to 600 amps
- -- 601 amps amps to 1,000 amps 160.60
240.60 - 2
2
Address: \ 2 ( 0 s, \N , R 5I„, A , \‘'.Q , 14 :-- 3
Over 1,000 amps or volts 454.65 2
<
Ciry/State/ZTP A . .1-6 21,_ Temporary services or feeders installation, alteration, and/or
: r , , 4 ji„,_,,- -) relocation
. . _
Phone: ( 6 ,- Ls( 9 Fax: c vy 37,5 - c ; 33 _200 amps or loss 66,85 . 1
Owner installation: This installation is being made on property thM 201 amps to 400 amps 10030 2 I own which is not — - --
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, kerpanel
Owner signature: Date: , , A. Fee for branch circuits with
Vriii9VIMMI:aitjaSIA(gApi:M1*,1;i4iPP 14 VtiikadiVilifigOiN I ky]qP above service or feeder fee,
6.65 2
each branch circuit —
Business name: . • B. Fee for branch circuits -
without service r feeder fee I
Contact nainc:
first branch circuit 46.85 41( 2
Address: Each add'I branch circuit 1 6.65
. — Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
90.90 t
dwelling. service and/or feeder
Phone: ( ) Fax: : ( )
, Reconnect only 66,85 2
E-mail: Pump or irrigation circle 53.40 2
_ . .
i tRIWVVAMON : 44411.04:1Wg-1087taer.,Otagiagnaigii44,11:An'Yon.i sign or outline lighting 53A0 2
Signal circuit(s) or limited-
ELisii22snam." /2 .. ) er-- / energy panel, alteration, or
Addross:
i 3 - 1,0 5 L-3 Ao-e— extension, Describe: Page 2 2
City/State/ZIP: - PO f-.--te,4Aj OA c,\--1.)-3 F;nch additional inspection over allowable in any of the above
1 . .
Per inspection 52, 50 I
Phone!. 43 ) 1,,, q ?._ 0(00 Fax' ( 3 ) LP 'IS
Investigation per hour (1 hr min) 62.50
.
----
ES 12 ... 5 - 0 ,) , Electrical Lie.: ' L.(4. .uprv. Lie.; 3 4 ; Industrial plant per hour 73.75
51/0 '1:+:;!;P:i.)'!'Ni:P.N,i1N•E1(,',t,61,14C.A;V:fPWITRI:tE,S'Id75797:7&X$
,411" tr ,/ 419111r7 /
Suprv. Electrician signature, required: el
aredIllra—mdlivarar, Subtotal: ‘ 5
Plan review (25% of permit fcc); :
Print name: kf c.
--41 Date: / AF -
State ' ‘..ireliarge (I2% of permit fee):
- J
Authorized signature: . TOTAL PERMIT PM 5 / ,, 2
This permit a ppnes Hon expires if a permit is not obtained within 150
Print name. Date:
dnyi after if hap been accepted as complete.
— • Number of inspections allowed per permit.
fAulldIng\l'erMit1151.C-PermitApp.doc 03/23(0a 440.4615T(11/05/COWVIM
CIT . F TIGARD
BU, iUCi
�� DIVISION
�.
13125 '-gVJ Hall Blvd., Tigard, OR 97223 DATE ISSUED: ) f 14� }4�avt
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639- 4175'�,� s. - 1
PERMIT #: 01x9- Gfif)13
L:.I
INSPECTION WORKSHEET FOR DATE: �� 0/2009 TIME: t1O jj PAGE: 24
SITE ADDRESS: 1 2670 SW HALL. BLVD BLDG i CLASS OF WORK:
SUBDIVISION: TIGARD CENTRAL INDUS C. PARK LOT #: TYPE OF USE:
PROJECT NAME: VERSATILE HANGERS
DESCRIPTION: (2) branch circuits. Job No. W /C.) 16299
--- - - - - -- .OWNER: GA.ZELEY, H VJILL.IAM, PHONE #:
CONTRACTOR: IE a COMMERCIAL INC PHONE #: S03-64B -1990
Inspection Request Scheduled For: Date: 1/20/2009 Pour Time:
Code # Inspection Description ... ( ' -• . Contact # Message
N.
199 Electrical final N. ( 079832 01 503-969-986U Y
Corrections /Comments /Instructions: ' 22.j
L-.-Cr ItC 33 5 C ND lei
u1._
P A Ml ��N
\ J (\,,
l i\ „,
! APASS ❑ PARTIAL APPROVAL _
❑ CANCEL NO ACCESS
- / n CALL FOR INSPECTION - ❑ ADDITIONAL FEES ASSESSED
Inspector: lT NOG Date: l'LO Phone #: (503) 718- M
I
CITY F TIGARD
SIJI...�� DIVISION PERMIT #: ELC20nr3 0UI01 s
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2 009
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/162009 TIME: 7.01AIvf PAGE: 13
SITE ADDRESS: 12670 SW HALL BLVD BLL)C 3 CLASS OF WORK:
SUBDIVISION: TIGARD CENTRAL INDUST. PARK LOT #: TYPE OF USE:
PROJECT NAME: VERSATILE HANGERS
DESCRIPTION: (2) branch circuits. Job No. W /c) 16299
OWNER: GAZELEY, H WILL.IAiMi, PHONE #:
CONTRACTOR: IF.'B COMMERCIAL INC PHONE #: 603..m.1900
Inspection Request Scheduled For: Date: 1/16 ,0009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 079786.01 503-969-9414 N
Corrections /Comments/ Instructions:
l� �c��vipE P &AL_. C1 b i�
` 4(L
Shaw % t .t{ c-1i0 4(5 i.`��SJ : A(r . `-( .�
z� P(to•nz< Pcfkityva . PokNQL.,
The electrical installation defects noted
on this report shall be. corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
-` -- ❑ PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS
7S FAIL =i L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: + i&B Date: 1 - 4 �� Phone #: (503) 718 - 1-144k,