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Permit .,., CITY OF TI GA R D ELECTRICAL PERMIT I II PERMIT #: ELC2008 00474 . COMMUNITY DEVELOPMENT DATE ISSUED: 8/15/2008 .TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 135BC -R -O -W SITE ADDRESS: SW NO ADDRESS ZONING: SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: COMMUTER RAIL Project Description: Installation of (1) service and (1) branch circuit. Pole mounted service located in railroad right -of -way north of SW. North Dakota. 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: SIGNAUPANEL: 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 $97.38 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of.OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By _....1, , / Permittee Signature: 4 0 Pa I i OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 3 • S. roir OFr•1< r; i'SFL ONLY - . Electrical Permit ATplication � Q City of Tigard I CP% c Date/By S v. ennitNO. r . ; =:r: • ®, 131 Flail Blvd., Tigard, O ? ' \. J riel Plan Itaview ether Permit: Phone: 501639.4171 Fax: 503.598.196RA 1 ® DRtei y: r'I ii J\ R t Inspection Line: 503.639 4175 ` `(y�� . ate Ready/By hi r: seepage 2 for Supplemental Information Internet: tnvtv.tigard- or. gov � ° , '1 t i Y", i ' �t1� � lltry n+.ral ?' �J , I } 1;f° i } E �,, �, , „, Tp,,,e, , i, u l', i y C 7 I "7 93. ' 1 :}, 1 1!1 11.” 1 1 Kl'. � rlf rF � � 1 I�a r, � ,,. i �,,. r '�. , d � 1� h I1., i �ti•$��: ^'jl'a4 ,'� i l Ei t {, .., Nt i M N' .k v � , h �.il ". � , x ^i L ,,1 ., +u, !. w , L ' . 1f, i l d' II �, h or � ; .r :i 1 tir ` `i ., "" � tj lm 0 New construction I Please check all Ihit apply (submit 3 sots of plans w/iteres checked below): Additionia ,&' acetnen C1 service or feeder 400 amps or more © Building over three stories. ❑ Demolition ❑ Other! where the available fault current 0 Marinas and boatyards. � sa . rr � FG zp -r u" �. `i,i Vii° a Ipi I,i exceeds 10,000 amps at 150 volts or ❑ Floating buildings. • . , 1 ; R r' [ i,?it A qq t f r y X1,1 }F y V y i p s ' ' 1 °" f� l • `' '' 1 t l' ' "" less to ground, or exceeds 14,000 0 Commercial -sae agricultural ® 1- and 2- family dwelling C } Commercial /industrial ❑ Accessory building amps for all other installations. buildings. El Multi fimlil ID Master builder 1=1 Other: ID Fire pump. ❑ Iastailatton of 751(VA or i �` } ,1 it F � � a � .r Niiim}1, , �� r atw v, ° vta r r'tx 3 rocs- x , .l�s r Srr i r uyt N ?,I ❑ Emergency system larger separately derived system. �) � r ;is!'� ' ' r 1 st ^ '� t ie L O i . A, ` r1� I]l x lH fl ,1 n is o " °. ' ❑ Addition of new motor load of ❑ "A", "E", „ „ 1.3" , sRr iiii 1J .. ,Z;' aa.,.:if,,el '.1, ,x 4 rul>»tib 'tr it rt l, 100t4P or more. occupancy. Job no.-.3 3938 Job site address: 10150 SW N Dakota El Six or more residential units. 0 Recreational vehicle parks. ❑ Health -oare fkilitics. ❑ Supply voltage for more than City/State/ZIP: Tigard, OR 97223 CI Ha2ardous locations. 600 volts nominal. Project narne s or feeder 600 amps or more Suite/bldg. /apt. no.; Pro j WA Ct C C ommutex Rail (��i,'� l(���m,,� m N�r�.i,a t 3 .:.. - T• 1 . Fti I!�riM.�C4��^t? ;dumK.. ° ra C+nr^��t ,>T/�a ati � . Cross street /directions to job site: naeription ^. - . New residential single- or multi- family dwelling unit. Includes attached garage. - — Lot no.: 1,000 sq. ft. or less 145.15 ' 4 Subdivision: Ea. add'l 500 sq. ft. or portion _ 33.40 1 Tax snap /paroel no.: Limited energy, residential 79.00 2 q Y � ;wade ;:� , x,n• i rl'r � }�� ' ' F r>" ( +v I" � ' ,.... i 1 ( with above sq. ft. N. i rw F R EL " f� h A a dit"a t n I : I t ai . 4'ul (�N 111 iY + , i lr O ?ir!' ,-l� i ,'. ) _ • Limited energy, multi- llunily 75.00 2 (1) 1 00a ( 1 ) ckt residential (with above 9. a.) Services or feeders Installatiun and/or relocation 200 amps or less 1 80.30 p n 1 e 2 r , , r trrarr«�rr rn , f""r cs It o141"'' st t <" 't "' 1 f 1 400 amps 106,85 _ 2 I' ,',e11. l dill' ii 1laigi ) II lf," ° lf,' ' I � >xi.l ` ,a 201 amps to 4Ol amps to bOQ amps 160,60 2 Name; 615-a. /�S'et:- p as L. r - y •, St/ t Z c 601 amps to too amps 240.60 2 Address: /»j p f �e jJr v l to 1e c n atf0 Over 1,000 amps or volts 454.65 2 City/State/ZIP: L l ! Temporary services or feeders installation, alteration, and /or / (t0 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 extension, per panel Owner signature: Date: A. Fee for branch circuits with tail �'� tl G H' .., . I 9jy . w • . tilyyyc� 118ara it . Zt._a < 1 " iii ri,rrr 1q :. °- i ' F �1 S,i i ll " 41 et ii>� �:rial, 'NJ .. lid , h,r , above service or feeder fee, 1 6 6 . 6 5 2 each branch circuit .65 Business name: B. Fee for branch circuits - without service or feder fee, Contact name: first branch circuit 46.85 2 Address: µ �� Each add'! branch circuit T 6,65 — 2 — Miscellaneous (service or feeder not included) City /State /ZIP; Each manufactured or modular 90.40 2 Phone: dwelling, service and/or feeder _ ( ) LFax; : ( ) Reconnect only 66.85 2 E -mail: pump or irrigation circle 53.40 — __ 2 a 1 +1A a .i�,,;. , s >,a ,• n u .eii " av KU, i,' r 1 d Iu t ,'rcc.if f 'i �akl fRfli n lard e.l�al�� ;'y r„ 9.,. ..: ,,i, ` F . 'r Il;ii)&IE{E'' Sign or outline lighting ...... 53,40 2 Signal circuit(s) or limited - f3usiraessnamc: Tice Electric Company _ energy panel, alteration, or Page 2 2 Address: 5405 N Lagoon Avenue extension Describe: P s Each additional City/State/ZIP: Portland, Oregon 97217 Per inspection 62,50 Phone: (503) 233-8801 Fax: (5 4 3) 872-8290 Investigation per hour (1 hr min) 62.90 T— - CCB Lic,; 166 Electrical Lic.: 26-126C Suprv. Lic.: 2 5 8 6 S Industrial platlt per hour — 73y.75 SUprv. Electrician signature, required: .,. —• a:i':;; ;'. :� ,: ;:l:i �ii((i 'n . 42 1MI 'd,� 'l ni , 17$ r UJiCCi: --- -__ .w..�..,_ Subtotal: 8 6 _ 9 9 Print name: Date: _ Plan review {25% of perntit f e _ _ John J. Maloney 8/15/08 _._____..- - State surcharge (12% of permit fee): 1 0 . 44 U• - 13 Authorized signature) / — 7tom ,% _ _. --; r 7sY TOTAI. PERMIT FEE: J 97,39 5 7.3Y Print name: ( Date: i 1 Permit Perlt application if on expires a permit iy not nhtniaed within i$0 J I days after it has been accepted :1s complete. ' Number of irlspectwns allowed per permit. r:Gguildinu1 Perm ltME.r.r, v,.,,,lr Am, a„r, 0 5n;/nA 4 4u- 4615T( /O5/COMAVEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008-00474 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/15/2008 Phone: (503) 639-4171 „AI Inspection Requests (24 Hrs.): (503) 639-4175 I INSPECTION WORKSHEET FOR DATE: 8/2812008 TIME: 7:00AM PAGE: 31 SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMMUTER RAIL DESCRIPTION: Installation of (1) service and (1) branch circuit. Pole mounted service located in railroad right-of-way north of SW. North Dakota. OWNER: GENESEE & WYOMING RAILROAD SVC INC, PHONE #: CONTRACTOR: TICE ELECTRIC PHONE #: CO3 Inspection Request Scheduled For: Date: 8/2812008 Pour Time: Code # Inspection Description Confirm Contact # Message 199 Electrical final 074780-01 503-31-7328 Corrections/Comments/Instructions: N IA PASS 0 PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: QM NNa Li Date: 1' N Phone #: (503) 718- VAIL CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2008.00474 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 811612008 Phone: (503) 639- 4171� Inspection Requests (24 Hrs.): (503) 639 -4175 , W 1. INSPECTION WORKSHEET FOR DATE: 8/27/2008 TIME: 7:00AM PAGE: 30 SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMMUTER RAIL DESCRIPTION: Installation of (1) service and (1) branch circuit. Pole mounted service located in railroad right-of-way north of SW. North Dalaata. OWNER: GENESEE & WYOMING RAILROAD SVC INC, PHONE #: CONTRACTOR: TICE ELECTRIC PHONE #: 503 - 233 - 8801 Inspection Request Scheduled For: Date: 8127/2008 Pour Time: Code # Inspection Description Confer Contact # Message 115 Electrical service 74695.01 503.341 -7328 N Corrections /Comments /Instructions: Aa'c 7,1 4 (A) (1) MO 034 255 . (PO c )3) oi>4D s oz ENTIAN>ck can v �� '. 6V . NcSv r '. n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS , 1< \ 1 4. FAIL Z 4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N Date: l'1.1 • 0 Phone #: (503) 718 -