Permit CITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2008 -00677
COMMUNITY DEVELOPMENT
DATE ISSUED: 12/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102AA - 00600
SITE ADDRESS: 11940 SW PACIFIC HWY A ZONING: CBD
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT : 012 JURISDICTION: TIG
PROJECT: PACIFIC PLAZA
Project Description: (2) branch circuits for HVAC.
RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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:
ALPROP CO ABC ELECTRIC
6149 SW SHATTUCK RD 135 NE 9TH AVE
PORTLAND, OR 97221 PORTLAND, OR 97232
Phone: Contact #: PRI 503 - 233 -7551
FAX 503 - 233 -7552
FEES
Description Date Amount Reg #: ELE 161501
[ELPRMT] ELC Permit 12/16/2001 $53.50 LIC 26 -1226C
[TAX] 12% State Surchar 12/16/2001 $6.42 SUP 5096S
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 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.
V 4111110 Issued By: j�� • ��... 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'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.
t'" j e. CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT ELC2008 oos77
DATE ISSUED: 12/16/2008
TIGAK 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102AA - 00600
SITE ADDRESS: 11940 SW PACIFIC HWY A ZONING: CBD
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT : 012 JURISDICTION: TI
. PROJECT: PACIFIC PLAZA .
Project Description: (2) branch circuits for HVAC. •
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: • SIGNALJPANEL:
MANF HM/ SVCI 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:
ALPROP CO ABC ELECTRIC
6149 SW SHATTUCK RD 135 NE 9TH AVE
PORTLAND, OR 97221 PORTLAND, OR 97232
Phone: Contact #: PRI 503 - 233 - 7551
FAX 503 - 233 -7552
FEES
Description Date Amount Reg #: ELE 161501 .
[ELPRMT] ELC Permit 12/16/2007 $53.50 LIC 26 -1226C
[TAX] 12% State Surchar 12/16/2007 $6.42 SUP 5096S
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 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: i / ,� ����i -- - Permittee Signature: _< G e j,7 - �1
'. '� OWNER INSTALLATION ONLY
The installation is being made on property 1 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.
•
Il . EC -16 -2008 11:53A FROM: O TO:81P5035981960 P.1
Electrical Permit Application <� . 1'ult uh 1' l( I, ur: ()NIA
City of Tigard ,�' �� t . �;�. 7
• 13125 SW Hall Blvd., Tigard, OR ! L :r Other Permit:
�7 . Review � ' 4 w
Phone: 503.639.4171 Fax: 503.59.960 � � � pate/B ;
T I c. A It I) Inspection Line: 503.639.4175 0 ^� Data R eady /By. % See Page 2 for
Internet www.tigard-or.gov ` r �� ' Notified/Method: Supplementallaformadon
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❑ New construction Addition/alteration/rep a ant Please check all that apply (submit1 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.
I �••• ; RIM i " e r �; ^ vol or Floating buildings.
r °;' --, `iQ; .`f• c O9�'fJ I i o d :i :0,74,, Ali exceeds 10,000 amps at 150 to B
J ,ri E . ! K . IE'[G],fi �4 °� .. ,min ,'. >: . • • i. i !9etlh•. . s @ : '-
- lase to ground, or exceeds 14,000 ❑ Commercial-use agricultural
❑ 1- and 2- family dwelling 13,Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ y Master der ❑ Other. F.m nc s tern sys em.
Muth - family �� er� � F
❑ Installation
c _. , ,.. : H . n `,.,. ... � .. M I . , . -: ,.•-_ , ..:r.r, {;� � y Ys aepara vea
u or
❑ rely de (
x� tr .•� . 'i e : :,': :D Y o l . a 4
�a .� . , _ p � x , , 4 ! .. '� f - � . '•�!>,. ` � o - �lU �.. ' • � ; _ 5 ; . ; , { } , • ❑ Addition of new motor loot of ❑ "A" "{E", "1.2' "1 -3" - I OOHP or more. occupancy. Job no.: f ,. i ,� Job site address: .• • / ❑ Six or more residential unite. ❑Recreational vehicle parks.
City/State/ZIP: f ❑ Health -care facilities. ❑ Supply voltage for more than
■ ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name:
❑ Service o r f e eder 600 amps or mots
" - , _ ; . t e r r; t �- { z; } •
Cross street directions to J o. site: Description qty. Pea Total •
New residential single - or multi - family dwelling unit.
1� • 'y • ` 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
r;, I,-,rt y; y-�� +�•., �;:� t ti'!E' i �•� 3 '^ ., 'i p - 4 •
K."t."' •-6.#Z: (with above s IL
:5ur ..: � 1 'rgrAti.b' iN4++ 6 .W. ` S s'a,�, yuJ r vZ. j+�" r.: t., ( 9• )
Limited energy, multi- family 75.00 2
Alr •: . . / . 1 ! residential (with above sq. R.)
/ / Services or feeders Installadon,,alteratlon, ant or or relocation _
s� 200 amps or less 80.
r.�- r •- (',•p•- 1 °R' i ''' 't
f S!+ 1 1 i `'k'1','' 201 amps to 401) amps 106. 2
/J / 401 amps to 600 amps 160.6 2
. 601 amps to I ,000 amps 240.60 2
Address: 1 Over 1,000 amps or volts 454 2
Temporary services or feeders Installation, alteration, and/or
City/State/ZIP: relocation .
Phone: ( ) 5 - f // ax: (
F ) 200 amps or Irss 66.85 I 1
201 amps to 400 amps 100.30 2
Owner Installation: This installation is being made on property that I own which is not 401 amps to 599 amps 133.75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits- new, alteraton, or ex tension, r panel
Owner signature: Date: A. Fee for branch circuits with
I �. ;, • �- - ”- t - a 1" . 3 t iz. o ' � j r o =' is J a N �' { ,. , =3 above service or feeder fee,
V 6.65 2
c Cg42 F ZU'i � r 1 : _ f 4 S U 4 1 --jk. '° each branch circuit
Business name: / it B. Fee for branch circuits
- without service or feeder fee, ' 46.85 G, g� 2
Contact name: i i , , • ,, �L first branch circuit
Each add'I branch circuit / 6.65 ( 0 g 2
Address: I' I . Miscellaneous (service or feeder not Included)
City/State/ZiP gurir0E-Tiiinmiterjr1111111EMNI. Each manufactured or modular 90.90 2
_ dwelling, service and/or feeder
Phone: ( i .9 . I r i _ Reconnect only 66.85 2
Pump or irrigation circle 53.40 2
E 53.40 2
(} �•, � >I: � / � ,, {, .i �+ 4 , t7I rr ; r. Sign or outline light
1..--.14: � .,1 r .,L ` .1,. .: :.> l(i1 4 - -,- ( > . ?.' }. 4_, -c _.1 '.t 1.t.: 9: ; } c....d- .} i ,,. �.� .
Signal circuit(s)or limited-
I�'� / energy panel, alteration, or
• extension Descnbe Page 2 2
Address: 1.I . ...La. -
^� / 1 Each additional Inspection over allowable In an of the above
J
City/State/ZIP: / / • r Per inspection 62.50
Phone:�� r �/ _ investigation per hour (I hr min) 62.50
IIEEEMr L..rLO' � Industrial plant p h 73.75
Suprv. Lic , -�( rs
p - at r�a•.r`� .. � a r `'i "� t'(s� s �
Subtotal: . )
Suprv. Electrician signature, required: `� �� e
Plan review (25% of permit fee):
Date: /„ State surcharge (12% of permit fee): [a .
.4111b _ TOTAL PERMIT FEE: _5
) , i A
Authorized signature: � f
This permit application expires if a permit ( n ot obtained with n in
'' Date: days after It has been accepted as comp
L• . J a ' ■ • Number of inspections allowed per permit.
,..,.. :,.,...,{o�.>,kan PermhAOO.doc 05/23/06 440 - 45157(1 /05 /COM/WE13
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: Fjc)x j 77 REQUIRED ON GREEN INSPECTION CARD.
Code I Inspection Description I PASS Date I By ./ Code 1 Inspection Description I PASS Date By 1
BUP - Building Permit ELC - Electrical Permit
405 • Excavation 105 Underground /slab cover
410 Fill .110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150. Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors _ 199 Electrical final
240 Exterior sheathing
•
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up . MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
. 205 Footing 399 Plumbing final
•
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
1: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07