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Permit c ie CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00084 COMMUNITY DEVELOPMENT DATE ISSUED: 2/14/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AD -R -O -W SITE ADDRESS: SW NO ADDRESS ZONING: SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: COMMUTER RAIL STATION Project Description: (2) branch circuits for street lighting at the intersection of Main St and rail crossing. Job No. 9100 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 /FOR >= 225 AMPS: CLASS AREA /SPEC OCC: Owner: Contractor: TRIMET TEAM ELECTRIC CO 710 NE HOLIDAY ST 9400 SE CLACKAMAS RD PORTLAND, OR 97232 CLACKAMAS, OR 97015 Phone: 503 - 962 -2169 Contact #: PRI 503 - 557 -7180 FAX 503 - 557 -8201 FEES Description Date Amount Reg #: ELE 3 - 225C [ELPRMTI ELC Permit 2/14/2008 $53.50 LIC 173043 (TAXI 12% State 2/14/2008 $6.42 SUP 4416S 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 fo than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rule are set fo h in ' " 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain cop hese rules or direct questions to OUNC at 503.246.6 99 or 1.800.3 • Issued B _ • _A Ai# .« I , _ P e rmi ttee Sign ture: � 1rz�l�j0. 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: r — ' r---, 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. FEB. 14.2008 9:41AM TEAM ELECTRIC NO.659 P. 2'2 Electrical Permit Application 1 olt t)1 t It t I , t u,.1 City of Tigard Received Permi[lio.: ■ 13125 SW Hall Blvd., Tigard, OR 97223 Dnte/B : ArQ 8 e,CC, 00 8 OOD Plan t'teview d Phone: 503.639.417] Fax 503.598.1960 Date/B : Other Permit I , , \ I : 1 , Inspection Line: 503.639.4175 Dote Rendy/By, M. @I See PM 2 for inttrnel': www,tigard -or.gov Notified/Ivlethod: Supplemental Information 'iVIII OF WOlU PLAN 13EVHIW O New construction 0 Additl0n/alteration/replacement Pieoso check all that apply (submit j sets antrum w/itema checked below): © Demolition 0 Other: ❑ Service or feeder 900 maps or more ❑ Building over three stories. . - - - I -I where the amiable fault ourrept ❑ Marinas and boatyanQs. CATE(ORI OF C'QNSMCrION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1 - and 2- family dwelling ' Ea Commercial /industrial ❑ Accessory building amps for ground, other exceeds ons, ❑Commercial- assagricuhurai ry � amps for all other inatallationa. buildings. ❑Multi family 0 Master builder Q Other: ID Fire pump- LI Installation of75KVAor JOE E INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. a Addition of new mown load Of 0 "A" "S" 1.2" "1.3" Job no.: 9100 I Job site address: 1 ,A0 looter or more, occupancy. ❑ Six or more residential units. 0 Recreational vehicle parks, City / State /ZIP: TIGARD, OR 97223 /4151) S5 1 Healrh facilities. ❑ Supply voltage for more than O Hazardous locations, 600 volts nominal. Suite/bldg. /apt. no,: Project flamer WA. COUNTY COMMUTER ❑ Service or feeder 600 sums or more. PEE SCHI/DV Cross street/directions to job site: IIMIIIIECTEMIMMMMINI • MAIN STREET & ELECTRIC STREET New residential single- or multi - family dwelling unit. Includes attached garage, Subdivision: Lot no.: 1,000 sq. ft. or loss • _ 145.15 4 Ea_ add'! 500 sq. ft. or portion IMI 33.40 Tax map /pareoI no.: Q� Limited energy, residential DESCRIPTION OF WORK with above s , ft. 75.00 CI 1y Limited energy, multi - family 75.00 -© ,.. l , lilt s — residential with above • • ' . ft. Services or feeders Inatailadon, alteration, and /or relocation 200 amps or less 11111 80.30 — izi PROPERTY OWNER - j] R'1NAl t4' 201 amps to 400 amps _ 106.85 © Name: TRI MET 401 amps to 600 amps _ 160.60 — — -- - 601 amps to 1,000 amps =I 240.60 ✓hires_: Over 1,000 amps or volts _ 454.65 _ City /State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less = 66.85 —El Owner installation: This installation is being made on property that I own which is not 201 am.s to 400 amps 100.30 Eil intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps = 133.75 —© Owner signature: Date Branch circuits new alters , , , a' : I n, l er • and A. Fee for branch circuits with ❑ AP PLICAN1' 1 - - q CONTACT PERSON above service or feeder fee, ,- - - ' each branch circuit 6.65 Business name: TRAM ELECTRIC B, Fee for branch circuits Contact name: witho service or feeder fee © 46.85 46,85 II that branch circuit Address: Each add'l branch circuit 0 6.65 6.65 Ei )1•tiecellancous service or feeder not included CityfState/ZI17: Each manufactured or modular - -- dwcllin _ service and /or feeder ■ 90.90 �� Phone: ( ) - I Pax: : ( ) Reconnect only = 66.85 — E - mail: Pump or irrigation circle = 53.40 • MI "coNintkeToR, , Sign or outline lighting 53.40 © Business name: TEAM ELECTRIC Signal circuir(s) or limited energy panel, alteration, or Address: 9400 SE CLACKAMAS RD extension. Describe: Page 2 City /State/Z,1: CLACKAMAS, OR 97015 Each additional ins , tion over allowable in an of the above Per inspection ME 62.50 -- Phone: (503) 557 -7180 Fax: (503) 557 -8201 investigation er hour (t hr min) MIN 62.50 CCB Lie.: 173043 Electrical Lie.: 3 - 225C Suprv. Lie.: 4416 -S Industrial plant par hour _ 73.75 —IM ELECTRICAL PERMIT PEES °fiats. Electrician signature, required: �K� ,¢. / -e.�/(�- m Subtotal: 53.50 IIIMIME ''� 1 Sat name; MICHAEL. TRUSHEIM 1 Date: 02/14/08 Plan review (25% of permit fee): State surcharge (8% of permit fee): IIIIMIMIU Authorized Signature:2 �//' ./ /e •i '—"� TOTAL PERMIT FEE: WPM IMN Print name: 1vIJCFIAE7.. TR f Date: 02/14/08 This neralr aunties don expires do permit is not obtained within 1 2' days after It hrs been accepted as complete, 4 • • Number of inapecrioas allowed per permit- 1:I building \Purmite131,GPermitApp.doc 09/23/06 44046t9T(t1/OS /CCM/WEa CITY OF TIGARD . . BUILDING DIVISION PERMIT #: ELC200B-00084 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1412008 Phone: (503) 639-4171 _ 1 11"1111IitjlIfi Inspection Requests (24 Hrs.): (503) 639-4175 ,.. 11., INSPECTION WORKSHEET FOR DATE: 815/2008 TIME: 7:00AM PAGE: 34 SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMMUTER RAIL STATION DESCRIPTION: (2) branch circuits for street lighting at the intersection of Main St and rail crossing. Job No. 9100 OWNER: - rRIMET, PHONE #: 503-962-2169 CONTRACTOR: TEAM ELECTRIC CO PHONE #: 503_557_7180 Inspection Request Scheduled For: Date: 8/612008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final _7:908-01 503-680-3892 N Corrections/Comments/Instructions: " PASS fl PARTIAL APPROVAL 1 CANCEL fl NO ACCESS FAIL ID CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: CY- , N b 6LE Date: 4 6' 6 —' 1) Phone #: (503) 718- 144kr• t