Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00747
DEVELOPMENT SERVICES DATE ISSUED: 10/5/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 AB -01606
SITE ADDRESS: 07357 SW BEVELAND RD 200 ZONING: MUE
SUBDIVISION: CLARKE BUILDING . LOT : 017 JURISDICTION: TIG
Project Description: 30 branch circuits.
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 FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 29 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:
TOM CLARKE JARMER ELECTRIC INC
7357 SW BEVELAND STE. 100 5105 SW45TH AVE
•
TIGARD, OR .97223 PORTLAND, OR 97221
Phone: 503 - 793 - 2621 Phone: -24675 -5381
FEES Reg #: LTC 6924
SUP 4044S
Description Date Amount ELE 26 - 144C
[ELPRMT] ELC Permit 10/5/2005 $239.70
[TAX] 8% State Surcharge 10/5/2005 $19.18 REQUIRED ITEMS AND REPORTS
Total $258.88
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 qus to OUNC at
503 - 246 -6699 or 1 -8 3 4
Issued By: Z9 Permittee Signat -. ,01,1lip
OWNER INSTALLATION ONLIO
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.
Electrical Permit Applic.iji ;� Received rOit orHlch_usE oNw_,__
eived ,1 ! �,
City of Tigard ec eiv rj � j * , Permit No.: h� � ,�� .—(719 7 i,
13125 SW Hall Blvd., Tigard, OR 97223 OCT 0 t
1 f (
Phone: 503.639.4171 Fax: 503.598.1960 �s / Plan Review
i ,�� B Date : Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information
RUILDIN
. - TYPE OF WORK , . " 'n =PLAN;<REYIEW_ f + *�t x
New construction Addition / alteration /replacement Please check all that apply:
['Service over 225 amps, comm'i ['Hazardous location
ED Demolition ❑Other:
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
- CATEGORY OF CONSTRUCTION - of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling gi Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi- family 0 Master builder 0 Other:
['Occupant load over 99 persons ['Manufactured structures or
`.:JOB SITE INFORMATION AND' LOCATION ,_' ; ['Egress/lighting plan RV park
/l '' I / M ❑Health -care facility ❑Other:
Job no.: �v Job site address: 3� SW � [fit 1 td 5 �I�b/ Submit 2 sets of plans with any of the above.
City /State /ZIP: ! , il ,r d The above are not applicable to temporary construction service.
/ , I d , �;1. : 'SCHEDULE n r;�igiv ;> ^
Project 1 i) iv /m ess (2 L t' r . . a. Total ..
no.: ro�ect n ame: ` �'`�� � "��
Suite/bldg. /apt. no '
Description I Qty. I Fee. t I T I
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
Limited energy, residential 75.00 2
4.; ''' ° Limited energy, non - residential 75.00 2
., ;`=, . • :
, -'' ::'',' '•DESCRIPTION OF WORK_ _., - . - _ Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
r `_ :., : : ❑TrPROPERTY +:;OWNERf'i': ' . `.. TENANT ;,;r 2 01 amps to 400 amps 106.85 2
. Nam , .... ?. , .. 401 amps to 600 amps 160.60 2
Name:
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
>;0 _ 4.'' ® }AP PLICANT• ,- A. Fee for branch circuits with
' ..,.-..., _..,....,. -... • . ".. . . ® CONTACTPERSON _>
Business name: service or feeder fee, each
branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, / 46.85 / tv fr 2
Address: each branch circuit
Each add'l branch circuit ::,1G3i 6.65 i'd,E— 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 -
°' * `"`:':.' :;: _'` ='` CONTRACTOR energy panel, alteration, or
a ,. • '..: - extension. Describe: Page 2 2
Business name: .TPr2 ,«-' £2 ELECT T dpi L t Tk.)t`,r
Address: Si d s 6 co '',s , Sr 0 Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: / 7 ) 4 0 2 ' 7 2 2 / Investigation per hour (1 hr min) 62.50
Phone: 3) 2 l/ ( -- ( 5 - 3 4 / Fax: (s0 3) 2 U q - e 3 7 Industrial plant per ho •
LECTRICAI;PERMY`Il4, ES"• �h�' ^r
CCB Lic.: (p ( 12_ L/ Electrical Lic.: Z( / 4S/C� S up> Lic.: qo ziy5 ,23 ?, : 40 {..
Subtotal
Suprv. Electrician signature, required: ..•'t/ �.�._„_� Plan review (25% of permit fee)
Print name: 3-5-zi 4 /2 � �/9-� F te: 1
State surcharge (8% of permit fee)
TOTAL PERMIT FEE � 50 , O g
Authorized signature:�i� /� This permit application expires if a permit is not obtained within 180
j , days after it has been accepted as complete
Print name: f � m �� • �� �� Date: q_ �(.1 -U f • Fee methodology set by Tri- County Bu Industry Serv Board
" °• Number of inspections per permit allowed.
i:\ Building\Permits \ELC- PcrmitApp.d c 12/03 440- 4615T(10 /07JCOM/WEB
, ,....- ,....
CITY OF TIGARD ...
1 BUILDING DIVISION
AA! PERMIT #: ELC2006.00747
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 afaf2006
Phone: (503) 639-4171 jed
Inspection Requests (24 Hrs.): (503) 639-4175 Aag■ 'IL
INSPECTION WORKSHEET FOR DATE: 1/17/2006 TIME: 7 PAGE: 41
SITE ADDRESS: 07367 ..)• BEVFLAND RD 200 CLASS OF WORK:
SUBDIVISION: CLARKE B ILDING LOT #: 017 TYPE OF USE:
. PROJECT NAME: BFVELAND "t, ' _LLNESS CENTER
DESCRIPTION: 30 branch circ Is.
OWNER: CLARKE, TOM PHONE #: 503,793_262i
CONTRACTOR: AMER ELFCT MC INC PHONE #: 246-6381
Inspection Request Scheduled For: Date: 1/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical fine/ 025061-01 603-246.53B1 N
Corrections /Comments/ Instructions:
t■ Q5 1. .._ '. . a -. 1,__,J.1 \ ) . A, v
_
t)
k f c _10\(-1 7 w,‹,- - tp 514 1, -CE)
c --- 07 , 1/4.) v_< ti•A I A - \ t.u. k y-w wi -- k ,4
........_____.
PASS .17 0 CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 4" Date: If I i 0 '‘ Phone #: (503) 718- I.141it
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2O05 -00717
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ;0/5/2005
Phone: (503) 639- 4171�������
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7 :01AM PAGE: 49
SITE ADDRESS: 07357 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE:
PROJECT NAME: BEVELAND WELLNESS CENTER
DESCRIPTION: 30 franca circuits.
OWNER: CLARKE, TOM PHONE #: 503-793-2621
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 245.5301
Inspection Request Scheduled For: Date: 1/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 024755 -01 • 503-246.5381 N
Corrections /Comments /Instructions:
I ct,11 v I tam & G( o c € e
Pitx)knIZIg Vz4W Rea.vb2.176) Lisykri (\13
0,,,4rAITZ41. VAY /VC-,
3616 cc � `''Ci 04)
❑ PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL 1A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C) �a--- Date: 1"'� " Phone #: (503) 718- 2.46
CITY-OF TIGARD
_ A BUILDING DIVISION PERMIT #: ELC2005.00747
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2005
Phone: (503) 639 -4171 1 /4u%�t @�i�t,�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 60
SITE ADDRESS: 07357 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE:
PROJECT NAME BEVELAND WELLNESS CENTER
DESCRIPTION: 31) branch circuits.
OWNER: CLARKE, TOM PHONE #: 503 - 793 - 2621
CONTRACTOR: JARMYMER ELECTRIC INC PHONE #: 246-5381
Inspection Request Scheduled For: Date: 10/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
116 Electrical service 019599 -01 503 2.16-5381 N
Corrections /Comments/ Instructions:
KI3 ∎4 b*' +(n�fi F4lt._ 2z0 s .v ► � tt._
s v r - T -'- o (,"r -v►A`f
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: V L6 Date: �0 Phone #: (503) 718 - 2-1s'
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005. 00747
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2005
Phone: (503) 639 -4171
tl� -•I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 57
SITE ADDRESS: 07357 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE:
PROJECT NAME: BEVELAND WELLNESS CENTER
DESCRIPTION: 30 branch circuits.
OWNER: CLARKE, TOM PHONE #: 503- 793 -2621
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 246-5381
Inspection Request Scheduled For: Date: 10/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 .lectrical rough -in 01070E -01 503-246-5381 N
Corrections = -• - s -
N 6 6 'e(k,V \ Cr A`� ` P I S T I Yww .
-PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL •, CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 10 / il6'Phone #: (503) 718- Z146 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC 00 -00747
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2005
Phone: (503) 639 -4171 ''4@ i I ,I
Inspection Requests (24 Hrs.): (503) 639 -4175 „JAI �' �..
INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 35
SITE ADDRESS: 07357 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE:
PROJECT NAME: BEVELAND WELLNESS CENTER
DESCRIPTION: 30 branch circuits.
OWNER: CLARKE. TOM PHONE #: 503- 793 -2621
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 246.5381
Inspection Request Scheduled For: Date: 10/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 018613 -01 503 - 246.5381 Y
Corrections /Comments /Instructions:
to 0 N Ain
-?ok,a„)i f:3 P . w
To R s CAL c.tv �`��
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Al FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� Date: 10 Phone #: (503) 718- / •
CITY. OF TIGARD
BUILDING DIVISION PERMIT #: ELC200S -00747
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2005
• Phone: (503) 639 -4171 lit
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 53
SITE ADDRESS: 07367 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE:
PROJECT NAME: BEVELAND WELLNESS CENTER
DESCRIPTION: 30 branch circuits.
OWNER: CLARKE, TOM PHONE #: 603- 733.2621
CONTRACTOR: JAMMER ELECTRIC INC PHONE #: 246 -5381
Inspection Request Scheduled For: Date: 10/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 018411-01 503.246.6381 N
L-() rV ESL`s n O 1851 -
Corrections/Comments/Instructions:
i ons /Comments /Instructions:
of 211 @ ��
lit o 12` 1 2 I Gv . 10 Go K . PL. A6 Va vi Ux
�,► pJ
0 t®E -
AfpCt ZTVVEI■iT
Roivq00 G
n PASS I 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
.FAIL ►_4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: p i ,� �� Date: VI I 4 6 V
it*
Phone #: (503) 718 - b*
�