Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00725 2 , COMMUNITY DEVELOPMENT DATE ISSUED: 10/23/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S115AA-01100 SITE ADDRESS: 16185 SW 108TH AVE ZONING: R -25 SUBDIVISION: WILLOW BROOK FARM LOT : 027 JURISDICTION: TIG PROJECT: OAK TREE II . Project Description: Service for traffic signal. Corner 108 and Durham. NW corner 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: 1 W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 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: OT2 LLC NORTHSTAR ELECTRICAL CONTRACTORS 633 NW 19TH 19450 SW CIPOLE RD SUITE 107 PORTLAND, OR 97209 TUALATIN, OR 97062 Phone: Contact #: PRI 503 - 612 -0840 FAX 503 - 612 -0891 FEES Description Date Amount Reg #: ELE 34 -359C [ELPRMT] ELC Permit 10/23/200" $80.30 LIC 90454 [TAX] 8% State Surcharge 10/23/200" $6.42 SUP 661S Total $86.72 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: Permittee Signature: �,� 1 �2 7, Z‘ .6 47_____ 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. ' `figg , 1,.rw I FRO1`1 f: c ` . Oct. 23 2007 01:51PM P1 ItIelaricaI ret Lit L V, - - - - - City of Tigard "' Y 2 3 X00 le/8 1 a610 B8 Permit No -Qo 705 13125 SW Hall Blvd., Tigard, OR 972 Plan Review Other Permit: Phone: 303. 639.4171 Pax: 503.598.1960 d T : I I ue • D.Br - ]nspcction Line: 303,639.417 1 ur 1 A�J `i_ _1 .---. Juril See Page a Ow ]ntemct www.Ci.tigard.or us te r' 1 v ie na Nodtfed/ ._ q,� al tl'iratermettnn lr1 7( Rii.�fl0. ^S RM;Hr 71 ie r;.�'r i di o r"a e 1s .:h _ ° +' '�°ra - q � ' � r•Ob riY•-'j'� + 'ifi l IS M °01;." i11l " *xt9' k°d^�".: • • LI ,.era :heist: a,!liVi:ati." .1tle�Plcia:eiglif liirvh �e...t'xe . ` VII New construction ❑ Addition/alteration/replacement Please check ail that apply. (]Service over 225 amps, eomm'1 ❑Hazardous location • Demolition Q Other: QService over 320 amps -• rating [JBuildng over 10,000 sq. ft., ,+�,�,,� f1 ''uffi..;;,' "� I <;:, ri "fi t'', ° - =in'cv i a i = :f( ej'i • e ; . of I. and 2- family dwellings 4 or more new residential 'IAW ,Ut'f .t.�.. ... ,IF ..„ 41: i t . 1 111.1 ;?, jr..:.111=le&IIIW4Idu::, �e.. .. N .. .,.. . t ::.. . - ld b 0 l and 2- family dwelling nil Commercial/industrial ❑ Accessory building psystem over 600 three volts stories nominal unite in one structure 0 Multi-family M Master builder Q$uilding over three stories ❑Feeders, 400 amps or more r •z•• � l w }i.,+ IU +x w 4 1 4 f.; t. � -, r 1 a �., Occupant load over 90 persons park CvcLures or 11yy _ © 44 c L M v a il , f .1 - :Yi 9D o rf ,Ay/ tJ�1 1 1, 11 +, ir, 7,4 ❑ Egress/lighting plan RN yam! 1GGi t Y .K.e ' q4 : . SC %uP• -. g, ro . :z ,. .!r: sets of plans with any of the above. ob site address: '�� r I rLsf1 ^ Submit - � e- The above arc not applicable to temporary construction service, _ L / fD �U , �t `4 {�'��]�� I IT T f e� " �' prt °''.l i'Y:, C. . ' i " -:9;' 0 '113 t.._ rse Rilh� ±ai�i.,' M ' ii ' aa l „ f:r : . Suite/bldg. /apt. no.: Project name: Q T, / • : a • ,t . _ _� Description Qty. he. Total Cross street/directions to job site: New residential single -or multi - family dwelling unit. Ineledes attached garage. IIIMIWINIZIM,3.42f. 1,000 sq. ft. or less 145.15 _ 4 Subdivision: of no.: Ea. add'l 500 sq. R. or portion 33.40 1 Limited energy, residential 75,00_ 2 Tax map /parcel no.: e 1•�Ct � .I�� :Y w• ,r, "�:Y.. °r .P A *^ r 1 •. .. _ Limited energy, ROn 75A0 2 -- c' �1RLI ':'4' ut ira'E y'F.( y��'.��li��l'(U ;:;t ll< . ° ' .�` s . ---. , •.i�na`�.� "* ':�r3lu ?;I•''� Each manufactured or modular V G. _ r / . / dwelling, service and /or feeder 90.90 2 /�/ Services or feeders Installation, nitration, and/or e , c, Lion 200 amps or less If 80.30 f� �;1>r/Ji 2 v ;, ,'�t:t. laaxr.::T ,1 t g t r h .. : . c q l 201 8 a to 400 amps 106.115 2 tl.�N' 1 F� t (t t "�Fh?lil �' . s,�''td.e�°�••� ml7 mp, ?pup:, alt, ..;fi ,,,A a : at i •a.. ? `' h _ i 1 .tL . i, a , n b a rntr t a f ;�.__.. t.t:..� �.r' t•! 401 am >�CO_ - 600 amps 160.60 2 Name: ) r - t_LC 601 amps to 1,000 amps . 240.60 2 Address: / 3 3 �i� G / C Over 1,000 amps or volts • 454.65 2 Il/ / Reconnect only 66.85 11.11. 2 City/State/ZIP: ox 970 Temporary services or feeders Installation, alteration, and /or relocation Phone: ( ) 200 amps or loss 66.85 1 Owner installation: This installation is being made on property that t 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 600 amps _ 133.75 2 Owner signature: . Date: Branch circuits.- new, alteration, or extension, per panel , y� t r ii, TM ' �'"l I n, : !n4 �� 3. :, ” Bl $�Y �;{ ": Y 1 f. A. Fee for branch circuits with — t+ a„riDt'ia.' il l....ai m:Naertare sorer ntlaissama r �t^�. d i:, t"t . ,....1, service or feeder fee, each b,65 2 Business name: branch circuit Contact name: B Fee for branch circuits wWlout service or feeder fee, 46 85 2 • Address: each branch circuit Each add'l branch circuit 6.65 _ 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited. - •' xl i .t tri . ii `',l ;. `:a rY1 9 - a;- > ,r, * ' i �A energy panel, alteration, or Business name: extension Describe: Page 2 2 Narpl Contractors Each additional ins ection over allowable In any of the above Address: 19450 50 S SW O Cipole Rd, 8107 107 Per inspection � 62.SO Tualatin, OR 97062 0 P City/State /ZIP: (503) 612-0840 fax (503) 612-0891 i 1 investigation per hour (l lu min) 62.50 Lie #34.359C CCB #90454 Metro #1911 . Industrial plant per hour 73.75 Phone: ( ) l° _rdho 4n CCB Lie.: - '� P r " OB ' ' i,,. , 1 . ' a. .X.I Q1ii '11 • r ' ' l ? Ele ctrical Lic.: � " Sup . Lic Subtotal Suprv. Electrician signature, required: J'.4 SA1 ' Plan review (25% of permit fee) Print name' . ,. Date: _ State surcharge (8% of permit lee) �,� TOTAL PERMIT FEE rend Authorized signature: This p■vnit epl,lleatl,aa axplr4 ire permit la not obtain 5 In IRO • drys after it has been accepted as complot• • Print name: Date: • Fee methodology set by Tri- County Building industry Service Board •• Number of inspections per permit allowed. i:' Buildlne \PmnftI\PLC- PmnitApp,doc 17/03 440•461571017/COM/W CITY OF TIGARD A ,it BUILDING DIVISION PERMIT #: ELC2007.00725 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2007 Phone: (503) 639 -4171 /o�ia, Pi Inspection Requests (24 Hrs.): (503) 639 -4175 "+� `:_ INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7:02AM PAGE: 41 SITE ADDRESS: 16185 SW 108TH AVE CLASS OF WORK: l' SUBDIVISION: WLLOW BROOK FARM LOT #: 027 TYPE OF USE: PROJECT NAME: OAK TREE II DESCRIPTION: Seivice for traffic signal. Corner 108 and Durham. NW corner OWNER: 0T2 LLC, PHONE #: CONTRACTOR: NORTHSTAR ELECTRICAL CONTRACTORS PHONE #: 503 - 612 -0840 Inspection Request Scheduled For: Date: 11/1/2007 Pour Time: Code # Inspection Description Ooiifirrr -# Contact # Message �• Misc. in • :. • 058788 -01 503- 612 -0840 1' 1 1k S" MillOMMII • - •.., •_e_•::�:r „_,.....• _ - '• s: a•°, ° F; L \ E s . 2c , Is c A . p ... As ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G- IV SiS t Date: ” l' ql Phone #: (503) 718- lifiltj