Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00044
COMMUNITY DEVELOPMENT DATE ISSUED: 1/24/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112AD -01100
SITE ADDRESS: 06600 SW BONITA RD ZONING: I -P
SUBDIVISION: PAUL SCHATZ FURNITURE LOT: 001 JURISDICTION: TIG
PROJECT: PAUL SCHATZ
Project Description: 200 amp service
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: 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:
PACIFIC REALTY ASSOCIATES HILLSBORO ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI 21185 NW EVERGREEN PKWY #110
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone: Contact #: PRI 503 - 439 -9666
FAX 503 - 601 -3680
FEES
Description Date Amount Reg #: ELE 34 -499C
[ELPRMT] ELC Permit 1/24/2008 $80.30 LIC 134481
[TAX] 12% State Surchar 1/24/2008 $9.64 SUP 4941S
Total $89.94 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: .7 C �� Permittee Signature: 5e,e,
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.
01- 23 —'08 14 :27 FROM spgro Electric 5@.- 681 -368 T -155 P802/002 F -613
b.K ^v
im Ctirecae r ermit appltie • o El s: ;i ,. �. Ll: i) I. l:, i 1.., , i : t,.,1.,
City of Tigard
..,. fD an � f a L (iv 6f2, iPermit atx�g -4
13125 SW Flan Blvd., Tigard, OR 97223 ryQ Pl
' • Phone: 503.639A171 Fax: 503.598.19b4 ;� L�oO D g therPer
Inspection Line; _ v _ min
—
I t t , �\ 1. l ne; 501639.4175 Date R eadyBy: - Yuris: • • la ben Page 2 for '
Internet: www.tigard- orgov C ( 1 u �� J i op0e yctb�. Supplemental lnformation
'.
UY�,L o 1 . c_ DI r I PLAN RE'V'IEW
❑ New construction ❑ Addttt'on eminent pl ease check rill that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more CI Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEG9I1Y OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings,
1:1 I and 2 -famil dwellin L—N,/ less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
y g Commercial/industtial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family 0 Master builder ❑ Other: CI p"'e pump. C] Installation of 75 KVA or
JOB SITE . INFORMATION AN D LOCATION (_I> mergCncY sYs tarter separa
❑ Adduion of new motor load of ❑ "A", "'g ^, "I -2 " tely , " 1-3 derived system.
Job no.: ll r ir Job site occupancy.
address ®/ (] .uh t }—t ' E'J �_ Six or or more.
1 dd (i "`111 �U 1U.( 0 pY
Ci State/Llp: ' ' r residential traits, 0 vehicle parka.
ty / 6. IA II i i2,-3 ❑ Heatrh-care facilities. ❑ Supply vellasn for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt no.: r Project name: (A uU J / n /i j---,, ❑ Service or feeder 600 amps or more. _
Cross street/directions to job site: rA 7 [ Y f (A t'r� FEE SCHEDULE
Description ctv. see TOW
-"' New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or leas 1 145.15 4
Tax map/parcel no.: • Ea add'I 500 sq. R. or portion 33.40 1�
Limited energy, residential
75.00 2
_ DESCRIPTION OF WORK (with above sq. ftJ
6, r Limited energy, multi - family
*
a. • !, .. A t 0 residential (with above sq. ft.) 75.00 V 2
a lX) A I • Services or feeders installation, alteration, and/or relocation
200 amps or less
M PROPERTY OWNER 0 TENANT 201 amps to 400 amps 106.85 2
Name: G i � 401 amps to 600 amps 160.60 2
Nr.- 601 amps to 1,000 amps 240.60 • 2
Address; /5-150 /y ' - /
!�"t ""�7 _ Over 1,000 amps or volts 454.65 2
City /State/ZIP: k y ��� f Uk 9 - 7 ;--1.--( 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
Owner signature: Date: Branch circuits — new, alteration, or extension, r panel
... I
E A. Fee for branch circuits with
•
APPLICANT ❑ CONTACT PERSON above service or feeder fee.
Business name:
each branch Circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
- - Miscellaneous (service or feeder not Included)
City /Stale /ZIP: Each manufactured or modular
Phone: _ dwelling, service and/or feeder 2
( ) ._ Fax: : ( ) _ Reconnect only
E-mail: • Y 66.85 2
Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 . 2
Ausincss name: Signal circuits) or limited -
HILLSBORO ELEC2RIC, I,r,c _ energy panel, alteration, or
Address: 211 NW EVERGREEN PKWY #110 extension. Describe: Pa 2
— City/State/ZIP: H ILL SBORO OR 97124 Each additional inspection over allowable in any of the above
Phone: Per inspection 62.50
(5 0 3) 439-9666 F lit: C503 ) 6 01- 3 6 8 0 Investigation per hour p hr aria) " 62.50
CCB Lie.: 134481 Electrical l.ic.: 34-49 9 0. Suprv. Lie.: 4941 S Industrial plant per hour 73.75
Suprv" Electrician signature, required: ELECTRICAL PERMIT FEES
Subtotal: i . ` 313
Print name: JOEY VITACCO Date: 1 \ 7 ? ) ) n Plan review (25% of permit fee);
State surcharge (12 %ofpermit fee): g . t I.
Authorized signature: TOTAL PERMIT PBS: Em
Print name: Date: Ibis permit apptiutton expires u■ permit is sat obtained within I90
days after it has beta accepted as complete.
Y; � .GparmitApp.doc 0523/06 • Humber of inspections allowed p permit.
4404615T(l 1 /OS/t'70M/aygg
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008.00044
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: //2412008
Phone: (503) 639 -4171 /d��iij�li
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 21&2000 TIME: 7 :00AMMi PAGE: 43
SITE ADDRESS: 06600 SW 13ONITA RD CLASS OF WORK:
SUBDIVISION: PAUL StH'IATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: PAUL_ SCI 1ATZ
DESCRIPTION: 200 amp service
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503 439.9666
Inspection Request Scheduled For: Date: 2/6/2000 Pour Time:
Code # Inspection Description Confirm # -- Contact # Message
199 Electrical final 064567 -01 971-219-0077 N
Corrections/Comments/Instructions:
I
C P '
X PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: G- 1)v.Q) / Date: itf O Phone #: (503) 718- '1 b