Permit CITY OF TIGARD ELECTRICAL PERMIT
OF PERMIT #: ELC2006 -00483
y.' � I ,� DEVELOPMENT SERVICES DATE ISSUED: 8/28/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113BA-00200
SITE ADDRESS: 07800 SW DURHAM RD 200 ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: (3) branch circuits for T.I.
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: lst W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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:
METZGER, DAVID G /DIANNE S NORMANDIN ELECTRIC INC
PO BOX 400 51086 NW CLAPSHAW HILL RD
SHERWOOD, OR 97140 FOREST GROVE, OR 97116
Phone: Contact #: PRI 357 -5380
FEES
Description Date Amount Reg #: ELE 34 -256C
[TAX] 8% State Surcharge 8/28/2006 $4.81 LIC 69008
[ELPRMT] ELC Permit 8/28/2006 $60.15 SUP 3558S
Total $64.96 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: /) s:_j_r_.?" Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, o 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 Application
``foHO
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Cl of Tigard Rec eived Permit G / ..
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� , „, `J g Date /By No 6 (J _ Q U if' I I 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
®,/ • Phone: 503.639.4171 Fax: 503.598.1960 Date /By Other Permit
Inspection Line: 503.639.4175 Date Ready/By tens See Page 2 for
T;IGA I r.,'
Internet: www.tigard -or gov N otified/Method Supplemental Information •
) TYP E TYPE OF WORK PLAN REVIEW
❑ New construction 4Addition /alteration /replacement Please check all that apply (submit Z 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 otherinstallahons. buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 - 2 ", "I - 3 ",
�j r,� // 1001 -IP or more occupancy.
Job no.: Job site address: �
v dG� . Lc..) 1 /t1i ^fit rlwc �r� ❑ Six or more residential units ❑ Recreational vehicle parks
City/State/ZIP: �� l� f� ❑ Health -care facilities ❑ Supply voltage for more than
r $ Yl+ J ❑ Hazardous locations. 600 volts nominal.
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Suite/bldg. /apt. no.: Project name: 0 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'l 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.)
Limited energy, multi- family 75.00 2
residential (with above sq. ft.)
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: 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
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: B. Fee for branch circuits
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Contact name: without service or feeder fee, t 46 85 7`o F1'� 2
first branch circuit
Address: Each add'I branch circuit a 6 65 /3-20 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
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1 , Signal circuit(s) or limited -
Business name: ! vt5 ri.z pq rt d 4 wJ Oce_1`i .- energy panel, alteration, or
Address: -tosiv N �. G t. 0 /4,542. . // � 5) extension Describe: Paget 2
City /State/ZIP: tr + 9 Each additional inspection over allowable in any of the above
(�rPS !O/ ct ,+, l 71 t 6 Per inspection 62.50
Phone (5•B3 ) 3 5 . - .3g J Fax: (c2t 3 ) 35-2-v826 Investigation per hour (I hr mm) 62.50
CCB Lia6906 Er Electrical Lic.: 3z/ .. C Suprv. Lic.: 3s^0 S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: - Subtotal
�� Plan review (25% of permit fee).
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Print name: t A e , f d, Al Date: . , U 4
State surcharge (8% of permit fee)
Authorized signature: TOTAL PERMIT FEE: !S 4 1 i 9 6
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
I\ Budding \Permits\ELC PennitApp doe 05/23/06 440- 4615T(1 l /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:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
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system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
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❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Buddmg\Perrmts\ELC- Perm0App doc 03/23/06
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CITY ������N��������
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BUILDING ��U��U��U��0� � -
DIVISION PERMIT #: aC2Om.00483
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/28/7006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 "411+
INSPECTION WORKSHEET FOR DATE: 9/27/2006 TIME: 7:07AM PAGE: 2
SITE ADDRESS: 07800 SW DURHAM RD 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TUV AMERICA
DESCRIPTION: (3) branch c:ircuits for TI.
OWNER: N1tTZ8ER. DAVID GUI ANNE 3. PHONE #:
CONTRACTOR: NORMANDIN ELECTRIC INC PHONE #: 357-6380
Inspection Request Scheduled For: Date: 9/27y2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 837261'01 5038040507 N
Corrections/Comments/Instructions:
Yi PASS �� RART|ALAPPR�VAL �� �ANCEL | | NO AC{}E�S �� �� I . ,
El FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
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Inspector: ��-* �-~�«m ^~�� Date: K (1- Phone #: (5O3)718'2.-4A
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2006 -00483
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2006
Phone: (503) 639 -4171 rau
Inspection Requests (24 Hrs.): (503) 639 -4175 ' I-
INSPECTION WORKSHEET FOR DATE: 9/1/2006 TIME: 7 :01AM PAGE: 54
SITE ADDRESS: 07600 SW DURHAM RD 200 CLASS OF WORK:
SUBDIVISION: — LOT #: TYPE OF USE:
PROJECT NAME: TUV AMERICA
DESCRIPTION: (3) branch circuits for Ti.
OWNER: MFTZ,GER, DAVID C /DIANNE 5, PHONE #:
CONTRACTOR: NORMANDIN ELECTRIC INC PHONE #: 357 -5380
Inspection Request Scheduled For: Date: 9/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cove) 035928 -01 503 - 357 -5380 Y
Corrections /Comments/ Insstrtructions:
n PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: 61\1 NOB UG Date: , 1 I 66 Phone #: (503) 718- goo
. . . .