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Permit
- -, CITY OF ,TIGARD ELECTRICAL PERMIT li 1 ti PERMIT #: ELC2008 00475 . COMMUNITY DEVELOPMENT DATE ISSUED: 8/15/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135CB-R-O-W SITE ADDRESS: SW NO ADDRESS ZONING: SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: COMMUTER RAIL Project Description: Installing (1) service and (1) branch circuit. Service cabinet located in railroad right -of -way south of Tiedeman St. 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: 1 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: GENESEE & WYOMING RAILROAD SVC INC TICE ELECTRIC 1200 -C SCOTTSVILLE RD STE 200 5405 N. LAGOON AVE. ROCHESTER, NY 14624 PORTLAND, OR 97217 Phone: Contact #: FAX 503 - 872 - 8290 PRI 503 - 233 -8801 FEES Description Date Amount Reg #: ELE 26 -126C [ELPRMT] ELC Permit 8/15/2008 $86.95 LIC 166 [TAX] 12% State Surchar 8/15/2008 $10.43 SUP 2586S Total $97.38 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. Y. • _ • •. - . n-c..ies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By' . , / j�r,� Permittee Signature: /4 i 7 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. .. � Poll, OFF( t 6USE 0 \ la' Electrical Permit A�prication �` Received " ,, /� permitNo.: �, • ic City of Tigard d % Datn/B : 31�J c3k S ° 13125 SW Hall Blvd ., Tigard, OR 9'r " ` Flan Review Other Permit. Phone' 503.639.4171 Fax: 503.59:19.0 G 1 � ,ate/fs P • ?uate • endy/By: runs 111 See Page 2 for Inspection Line: 503.639.41 1' t, t i t i Internet: mvw tigard -ocgov d cthod LE Supplemental Information � �� tr . ,r . a� �atr , t p l !N "' ! } Rq, r' 1 'I t ` % (d l ' ri r t yt ii l i t i 6 ,f' l' ! iR; W I W , F i t ngtALi r F ffi ij y �. t I!° ) ,t ,� ,�w, ,�,}8 y t y� . ,,1� , t4,,t, i,, r i�,.. t. ,1�., , ! d i l' 1 r t :. f i .. .144X 1••;1. -a rl &s ,. I �• r� ,� .' �' �� . ,,, ,. _ pl ease check ail that apply (submit 1 sets of plans sir/Items checked below): New COnSlflle110n .] Addition / alteratio : �f : •- nt ❑ Service or feeder 400 amps or more ❑ fluilding over three stories. where the available fault current ❑ Marinas and boatyards. Other: Demolition ^r1g x1 r . Ctt! ` „? °�' i;'y exceeds 10,000 amps et 15o votes or ❑ Floating buuildings. �1 iit iri t r}1 i S 1lr�c t J�r "y r l j g l Ill !.., ,'l. r,. . r . ex to anti. or exceeds 0 volt ❑C oating u agriallmtsl 1- and 2- family dwelling 1 Commercial /industrial [] Accessory building amps for all other installations. ❑ bnse lion of 73 ICV A or [ Other 0 Pita pump. 0 Multi family ❑ Master builder tar r ac aratel derived system. y r i aria: y r • +? r %, ❑ Lmergea SYStcm ase P Y ! I l `"mil t "'° u: a L "i1 1 r F...t fury t I: o^ 8t E»' ! r Y , , ❑ Addition of new motor load of El "A" "E” "1 -2" "1 -3" >� ;`� a > a: s ' � d ;mxtY on. HP or more occupancy hi tic � J. biggag r `r ml16,i° I1 �`�c� , °m 100 Job no.: 3. 393 8 Job site address: 1 1400 SW Tie dema n Road p six or more residential units. ❑ Recreational vehicle parks. --- ❑ l'tealthcare facilities. ❑ Supply voltage for more than City/State /ZIP: Ti ga r d , OR ❑ Hazardous locations. 600 volts nominal. 0 Service or feeder 600 amps of mare. Suite/bldg,/apt no.; Project name :WA Cty Commmuter R Ai 1 t .. 3 ,. ; .,. (/ mo- .,:, : - .... ,o �E��. i I )1 7'�r `q.N. T a .q. 444 k. " �1�.'"11�rnr+�h'tt 4 C!' ".x�tl$ .X��)* . .i1' �'..�t� .lf Cross street/directions to job site: ntberl don � tI'�1���■� New residential single- or multi- family dwelling unit. Includes attached garage. . - Lot no.: 1,000 so. ft or less 145.15 II Subdivision: _ - ,„ _ -- Ea, add'1 "500 sq. ft. or portion 33. Tax map/parcel no.; Limited energy, residential ■ 11 t # t) m ice 5 iM e ;1 t j n s � ,.D. , ; •6'''' 0.44,71T , with above ft. ,ii,.1F1 i .�11 9 .fd, r1F 4ii , a A 1 a�,A M t it :u , ,, �f.t 4" , l Limited energy, multi-family IIII (1)1 0 0 a s v c (1) c k t residential (with above s fl. 75.00 . Services or feeders installation, alteration. and/or relocation 200 amps or less 8030 ; 4 I. 2 rwaa,rto n�l+-a71.4 . •P,i 'I C i t t +�T','�4. Or . U fi'1 i.r., } r. ua 1 � r t ' " '' ' 201 amps to 400 amps 106.85 ° �t��: d��r��' �;^' �wr '��'!r',°�'.�.nt11r{�i; ^'' 4�s � 1 ° lS�r ��, i r, x'ut r , Name: ♦ ,. 401 amps to 600 amps 160, MI . r S • • a- ` U ♦ r . __,t 1 C 601 amps to 1,000 amps Address: _ c_ _://1... _://1... . i t iL Over 1,000 amps or volts III 240.60 45 4.6 5 . II City /State/ZIP: ° i(. f Temporary services or feeders installation, alteration, and /or 1u 1#1- la �' relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I 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 599 amps 133,75 2 Branch circuits - new, alteration, or tittosinn, , er panel Owner signature: Datc: A. Fee for branch circuits with 3 3.71. °r , p "• t1 mt ... q 1''fl� u7, .t,, °.: a[ i . n ,t m i); 4,;, r iiu°:,N ° ii t'1 .. I . p � t t t a x t n ?$ . .i a te. 1 U r " I;.f ', above service or feeder fee, 1 6.65 6 . 6 2 each branch circuit Business mane: B. Fee for branch circuits Contact name: without service or feeder fcc, first branch circuit 46.85 2 Address; Each add'I branch circuit 6.65 _© Miscella (service or feeder not included City /State/ZIP: Each manufactured or modular 90.90 2 — ° °° ' - .w� — dwell , service and/or feeder Phone: ( ) k Fax:: ( ) Reconnect only 66.85 EMI 2 E-mail: d Pump or irrigation circle 53,40 2 � .t, I,rl,a Kn' ii Cynm r. ,v & i ° �. i 5!)L ,3i 'a i' F „�7wr, ° ,h,�w , i +il iit{Sa ., f .,' }! � r i 8 tl v r;• i",tai il: ° ?, f 1 . �di> �Sf�n.t i°t"P.i;;��, i+Cl. �i {i +i.�•;,ii Sign°I.outline lightiR m I I i i1 VI � �1 � 53.40 2 > #., ia� r;� � �:� rg, MOOS ' 1 .�3 iklfii.PY odllt ii -ai1� �.� g Business name: Tice Electric Company Signal circuit(s) or limited - energy panel, alteration, or Address: 5 405 N Lagoon Avenue extension. Describe: Page 2 2 City/ State /ZIP: Portland, Oregon 97217 Each additional inspection Over allowa hie in an of the above ----- Per inspection 62.50 i Phone: (5 0 3) 233-8801 Fax: (5 0 3) 872-8290 Ingaon pet hour ( i hr min 6 2.50 CCB Lie.: 166 Electrical L c„ 2 6 — 1 26 C [ u rv Industria ti lent er hou 73.75 _ S p 1_ic. 2 5865 p P 3. Supra', Electrician signature,re required: ":'' „ ,il; ",° n�TMm° n ° "" i� ° it It 'ay t l u ° . _ _ Subtotal: —g Print name: D ate: $ / 1 5 I 0 8 Plan review (2S% ,._ of permit fee): John J. Maloney State surcharge(12%of permitfee): 1 . 1 13 Authorized signaturr 7 ' 1 --7 ' 3 i 1 y . J r �, TOTAL PERMIT FEE: 97 7 L Print name: 0 / Date: This permit spplicaeon expires if a permit is not obtained within 190 • „— „.�_ ___,. , - M days after it has been accepted as complete. Number of inspections allowed per permit I.93Uild inc\Permits\ELC- PermitAnn.dac 01r73r16 445 -06 I',Tl I 1%0 /CMAVED CITY OF TIGARD, BUILDING DIVISION PERMIT #: ELC2008-00475 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/15/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 24 INSPECTION WORKSHEET FOR DATE: 8/2872008 TIME: 7:00AM PAGE: 32 SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMMUTER RAIL DESCRIPTION: Installing (1) service and (1) branch circuit. Service cabinet located in railroad right-of-way south of Tiedeman St. OWNER: GENESEE & WYOMING RAILROAD SVC INC, PHONE #: CONTRACTOR: TICE ELECTRIC PHONE #: 503-233-8801 Inspection Request Scheduled For: Date: 812812008 Pour Time: Code # Inspection Description Confirrri-# Contact # Message 199 Electrical final 0747M-01 503-341-7328 Corrections /Comments/ Instructions: , WA' PASS 0 PARTIAL APPROVAL 0 CANCEL El NO ACCESS fl FAIL 0 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: G. 1■1 Lso" Date: /-111 Phone #: (503) 718- DNA) CITY OF TIGARD. - BUILDING DIVISION r _ PERMIT #: ELC2008 -00475 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/15/2008 Phone: (503) 639 -4171 eaillviAl11 Inspection Requests (24 Hrs.): (503) 639 -4175 1.1. INSPECTION WORKSHEET FOR DATE: 6/27/2008 TIME: 7:00AM PAGE: 28 SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMMUTER RAIL DESCRIPTION: Installing (1) service and (1) branch circuit. Service cabinet located in railroad right -of -way south of Tiedeman St. OWNER: GENE SEE & WYOMING RAILROAD SVC INC, PHONE #: CONTRACTOR: TICE ELECTRIC PHONE #: 503-233-8801 1 Inspection Request Scheduled For: Date:. 8/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 074697 -01 503-341-7328 N Corrections /Comments / Instructions: (j kg. 2. . Ti '1 (B tinpokKi N • `C1 f v i Z1. WaSet V fta !+ p c cc )ai-\& -z .3 . AST. ii0 ° 4 . PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS )AIL i! CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . 1 1•1 trG 1-1q Date: 1° 2.1° Phone #: (503) 718- 1'4417