Permit 5/8 /os , Ants ►A4___.
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 - 00100
COMMUNITY DEVELOPMENT DATE ISSUED: 2/25/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113BA - 00200
SITE ADDRESS: 07800 SW DURHAM RD 400 ZONING: I -P
SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT : JURISDICTION: TIG
PROJECT: PORTLAND CATERING CO
Project Description: Electrical TI - (17) 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 FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 17 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:
DAVID METZGER NORMANDIN ELECTRIC INC
PO BOX 400 51086 NW CLAPSHAW HILL RD
SHERWOOD, OR 97140 FOREST GROVE, OR 97116
Phone: 503 - 625 - 7045 Contact #: PRI 357 - 5380
FEES
Description Date Amount Reg #: ELE 34 -256C
[ELPRMT] ELC Permit 2/25/2008 $153.25 LIC 69008
[TAX] 12% State Surchar 2/25/2008 $18.39 SUP 3558S
Total $171.64 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: j p. £ A � � Permittee Signat er--k
OWNER INSTALLATION ONLY I
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.
1
Electrical Permit Application F OROFFICE USE ONLY
City of Tigard Date/By
'Q�1L Permit No ��"G .��/ /D/�
III
1 3125 SW Hall Blvd., Ti ard, OR 97223 5 Ou�n [ v
g Plan Review
Phone: 503 639 4171 Fax 503 598 1960 Date/By. Other Permit
TLGARD
Inspection Line 503 639 4175 Date Ready /By fur 0 See Page 2 for
Internet www tigard - gov Notified/Method Supplemental Information
TYPE OF WORK - PLAN REVIEW
El 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 Cl Accessory building amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately del ived system
❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 -
Job no.: Job site address: �`y c� f > .6 ' 4 - 100HP or more occupancy.
7Q , c 2 5 /.) ; r &' -' 1"' tie, ✓ ❑ Six or more residential units ❑ Recreational vehicle parks
'� • ❑ Health -care facilities C1 Supply voltage for more than
City/State/ZIP: i `� + '_ / ��-.�` ❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: project name: __ 0 Service or feeder 600 amps or more
S� �—� ' FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I
New residential single- or multi- family dwelling unit.
`../f s j ,'0� Includes attached garage.
Subdivision: ` Lot no.:
1,000 sq ft or less 145.15 4
Ea add'l 500 sq ft or portion 33 40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq ft ) 75.00 2
Limited energy, multi - family
residential (with above sq ft) 75 00 2
r Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2
Name:M t � 401 amps to 600 amps 160 60 2
M 9 �` �/ � �f 5 601 amps to 1,000 amps 240 60 2
Address: �, /,/ 0 r I'GL/ 6 al b� -e Over 1,000 amps or volts 454.65 2
7 7 / Temporary services or feeders installation, alteration, and /or
City /State /ZIP: (7 77
relocation
Phone: (LDS Z Z 0 G Fax: 1 (Gc , ,.....
. v // 200 amps or less 66 85 1
Owner installation: This installation is being made on property that I own 7 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
, ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6 65 2
each branch circuit
Business name: 1.0e itl a feel 63' G9/0S o? B Fee for branch circuits
7 without service or feeder fee,
Contact name: first branch circuit I 46.85 $g' 2
Address: Each add'l branch circuit i (,0 6 65 /66 4( 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90 90 2
Phone: ( ) Fax: : ( ) Reconnect only 66 85 2
E -mail: Pump or irrigation circle 53 40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: q 1 L ,, A i y = i t c . I f , ' - energy p alteration, or
Address: S / V s, ° ,� / ! x 't l/
e i1-, q j OS , ,2) extension Describe Page 2 2
City/State /ZIP: r �,, -, 6„,, J , ` (7 ,Z ej 71 /G Each additional inspection over allowable in any of the above
Phone: ,.L 3 Fax: (Su > ) 3 . 7 - t y 7 8' Per inspection 62 50
(S ) 3 S 7 - "'3 �� Investigation per hour (I hr mm) 62 50
CCB Lic.: 6 (76;6, s AlciTlectrical Lic.: 3 y,23-6 C Suprv. Lic.: 3 S S b?j industrial plant per hour 73 75
• / ELECTRICAL PERMIT FEES •
,
Suprv. Electrician signature, required: .` /.� % - _. _a., Subtotal /65. x25"
�^ , I -" Plan review (25% of permit fee) -
Printname :` S r r ,V..�. -M.tA ) .. Date _/ x _ o8 0
J State surcharge (12 /n of permit fee) /V. 59
Authorized signature: TOTAL PERMIT FEE. /7/ . 6 L{
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit
1 \Budding\Permits\ELC- PermitApp doc 05/23/06 440- 4615T(I 1 /05 /COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
' RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
n Audio and Stereo Systems*
❑ Burglar Alarm
Fl Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
n Vacuum Systems*
PI Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n B • oiler Controls
❑ Clock Systems
n D • ata Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
n M edical
❑ Nurse Calls
n Outdoor Landscape Lighting*
❑ Protective Signaling
n Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Bu lding\Permos \BLC- PermtApp doc 03/23/06
. . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200800100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: N25/2000
Phone: (503) 639-4171 / eti&
0
Inspection Requests (24 Hrs.): (503) 639-4175 A: I L.
INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7:01AM PAGE: 16
•
SITE ADDRESS: 07800 SW DURHAM RD 400 CLASS OF WORK:
SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: PORTLAND CATERING CO
DESCRIPTION: Electrical TI - (17) branch circuits.
OWNER: METZGER, DAVID PHONE #: 503-625-7045
CONTRACTOR: NORMANDIN ELECTRIC INC PHONE #: 357-5380
Inspection Request Scheduled For: Date: 6/1312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 071366-02 503-804-0507
Corrections/Comments/Instructions:
H
N
\\\
\\\,
n \ C\
\
\
V Y
4 PASS pi PARTIAL APPROVAL El CANCEL n NO ACCESS
n FAIL fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 1\ 013 Date: 6113 ot Phone #: (503) 718- 1.0447
. . . -
CITY OF TIGARD
BUILDING DIVISION A •4 -; W"- •
PERMIT #: ELC2008-00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2
Phone: (503) 639-4171 iiegoviiiiii#
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/22/20(38 TIME: 6:59AM PAGE: 14
SITE ADDRESS: 071300 SW DURHAM RD 09 CLASS OF WORK:
SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: PORTLAND CATERING CO
DESCRIPTION: Electrical ii - (17) branch circuits.
OWNER: IvIETZGER, DAVID PHONE #: 503-625-7045
CONTRACTOR: NORMANDIN ELECTRIC INC PHONE #: 357-5380
Inspection Request Scheduled For: e_ate: 5122/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
/
NN N
199 Electrical final 070273-01 503-804-0507 y
Corrections/Comments/Instructions:
/ — I NO
C5 Cr* F- c-A R-E-T. __I c fAtk_ . ;1\) RIN1 IA KMIY\
t Cvg 6 -- r t.A.) 04 fy\G .4) 1 0 b
..)
6!■,fo MVO Ica-k-- 6 —&---L-oy 10
1 I PASS El PARTIAL APPROVAL El CANCEL NO ACCESS
PkFAIL
ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: C., ----- N 1 661-6 .- Date: 611.72.16-% Phone #: (503) 718-
,_ .,
_ ..
CITY OF TIGARD
BUILDING DIVISION ., _,. ,
PERMIT #: ELC2008-00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/25/2008
Phone: (503) 639-4171 iWOod f i t\
Inspection Requests (24 Hrs.): (503) 639-4175 Abi-• F'1.12..
INSPECTION WORKSHEET FOR DATE: 518/2008 TIME: 7:01AM PAGE: 39
SITE ADDRESS: 07800 SW DURHAM RD 400 CLASS OF WORK:
SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: PORTLAND CATERING CO
DESCRIPTION: Electrical TI - (17) branch circuits.
OWNER: METZGER, DAVID PHONE #: 503-625-7045
CONTRACTOR: NORMANDIN ELECTRIC INC PHONE #: 357-5380
Inspection Request Scheduled For: Date: 5/8/2008 Pour Time:
Code # Inspection Description , 5on1irm--# Contact # Message
199 Electrical final 069569-01 503-357-5368 y
Corrections/Comments/Instructions:
1-4e$ S
t4N0,11,411 b-a\ii LFs 10
e) k i ikuvwx\ tibt NC • cz\i bs v 1 cAskil*-5 ..
,
Cs w IT 1
..........._
— -
pi PARTIAL APPROVAL El CANCEL n NO ACCESS
t FAIL ALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: ..1A aSQS t e" Date: GI I( (31 Phone #: (503) 718-. 2-44110
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2125/2000
Phone: (503) 639-4171 eallgivit ■k
Inspection Requests (24 Hrs.): (503) 639-4175 I
INSPECTION WORKSHEET FOR DATE: 317/2008 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 07800 SW DURHAM RD 400 CLASS OF WORK:
SUBDIVISION: -- )611c1221:44001*##P01 2 **Bemer-W4e: LOT #: TYPE OF USE:
PROJECT NAME: METZGER
DESCRIPTION: Electrical TI - (17) branch circuits.
OWNER: METZGER DAVID PHONE #: 603-625.7045
CONTRACTOR: NORIvIANDIN ELECTRIC INC PHONE #: 357-5380
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 066266-01 503.357-5380
Corrections/ Comments! Instructions:
+- ce
/
os.cr p
Q e ( 0 c( 4-e) c t ci if
El PASS _PARTIAL APPROVAL El CANCEL fl NO ACCESS
I FAIL r7 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
0
Inspector:
Date: 3 - - c1 Phone #: (503) 718- •
. , .