Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
•, V
COMMUNITY DEVELOPMENT
PERMIT #: ELR2007 -00280
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/9/2007
PARCEL: 2S 101 AB -02100
SITE ADDRESS: 07157 SW BEVELAND RD 100 ZONING: MUE
SUBDIVISION: BEVELAND LOT: 003 JURISDICTION: TIG
PROJECT: BOMORITO
Project Description: Low voltage for HVAC. Job No. 9213
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
UNITED PACIFIC FOREST PRODUCTS PROTEMP ASSOCIATES INC
7157 SW BEVELAND ST STE 200 9788 SE 17TH AVE.
TIGARD, OR 97223 PORTLAND, OR 97222
Phone: Contact #: PRI 503- 233 -6911
FAX 503 - 238 -9767
FEES Reg #: ELE 26- 1063CRE
LIC 38868
Description Date Amount
[ELPRMT] ELR Permit 7/9/2007 $75.00
[TAX] 8% State Surcha 7/9/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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 •uestions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: � Permittee Signatures
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.
- Metrical Permit Application FOR OFFICE USE ONLY
a^
City of Tigard Received
Date/B : ®d) 7 M Permit No.: E coy -DD g 0[J
- e 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
1111
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready /By: ruris: El See Page 2 for
Internet: www.tigard- or.gov Notified/method: "1 / ? Supplemental Information
. ° . TYPE OF WORK ' • • ' PLAN • REVIEW '
❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 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.
CATEGORY OF CONSTRUCTION' ' . exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75 KVA or
JOB SITE 'INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: 9213 Job site address: 7157 SW BEVELAND IOOHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: TIGARD OREGON 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: BOMARITO ❑ Service or feeder 600 amps or more.
FEE. SCHEDULE' , :"-
Cross street/directions to job site: Description ' I Qty. I Fee. I Total I *
New residential single- or multi - family dwelling unit.
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
` DESCRIPTION OF WORK , (with above sq. ft.)
THERMOSTATS & WIRING Limited energy, multi- family
residential (with above sq. ft.) _ 75.00 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
',❑ ,PROPERTY OWNER :' ' " . ' ' ' „' - U TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
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
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
' ' ' , ,.® APPLICANT , • : . ' • .. . -' ® CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: PROTEMP ASSOCIATES B. Fee for branch circuits
Contact name: BRUCE BUTNER without service or feeder fee, 46.85 2
first branch circuit
Address: 9788 SE 17 AVE Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: PORTLAND OREGON Each manufactured or modular 90.90 2
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Rec nect t only service and /or feeder
Recn 66.85 2
E -mail: Pump or irrigation circle 53.40 2
GONT,RACTOR • , Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: SAME AS ABOVE energy panel, alteration, or
Address: extension. Describe: l Page 2 2
THERMOSTATS &WIRING
City/State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( )
Investigation per hour (1 hr min) 62.50
CCB Lie.: 38868 Electrical Lie.: 261063CR Suprv. Lie.: 2613LEB Industrial plant per hour 73.75
ELECTRICAL : PERMIT FEES • . '"
Suprv. Electrician signature, required: ------) Subtotal:
Print name: MONTY SCHROEDER Date: 6/18/07 Plan review (25% of permit fee):
State surcharge (8% of permit fee): ( .
Authorized signature: ` TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: BRUCE BUTNER Date: 6/18/07 days after it has been accepted as complete.
* Number of inspections allowed per permit.
UBuildm g\Permas\ELC- PermitApp.doe 05/23/06 440- 46I5T(I I /05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00280
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/9/2007
Phone: (503) 639 -4171 li l ' (
Inspection Requests (24 Hrs.): (503) 639 -4175 ''' I..
INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7 :01AM PAGE: 59
SITE ADDRESS: 07157 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: BOMORITO
DESCRIPTION: Low voltage for I-IVAC. Job No..9213
OWNER: UNITED PACIFIC FOREST PRODUCTS, PHONE #:
CONTRACTOR: PROTEMP ASSOCIATES INC PHONE #: 503~233 -6911
Inspection Request Scheduled For: Date: 7/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 052215 -04 503 - 519-6199 Y
Corrections /Comments/ Instructions:
In PASS I 1 PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION I ] ADDITIONAL FEES ASSESSED
Inspector : Date: hi Phone #: (503) 718
4