Permit C ITY OF TIGARD . , f, ELECTRICAL PERMIT
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PERMIT #: ELC2006-00661
COMMUNITY DEVELOPMENT DATE ISSUED: 11/15/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S115AB-01800
SITE ADDRESS: 11354 SW DURHAM RD WASH. MUTUAL BANK ZONING: C -G
SUBDIVISION: TIGARD TOWNE SQUARE LOT : JURISDICTION: TIG
Project Description: Installation of (3) branch circuits for HVAC system.
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: 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:
BIT HOLDINGS LTD PARTNERSHIP BREMER CORP
BY FORUM PROPERTIES INC PO BOX 220406
FIVE CENTERPOINTE DR STE 290 MILWAUKIE, OR 97269
LAKE OSWEGO, OR 97035
Phone: Contact #: PRI 503 - 785 - 1191
FAX 503 - 794 - 5656
FEES
Description Date Amount Reg #: ELE C158
[ELPRMT] ELC Permit 11/15/2001 $60.15 LIC 133124
[TAX] 8% State Surcharge 11/151200( $4.81 SUP 5155S
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
_____a_
503.246. 'J or 1 .8 OE.33 . _
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Issue By: k , ei,{ "L2 Permittee Signature: / , / ,-,,,,,,...}-- L ,
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: / � °-- . • " 4 � �� — DATE:
LICENSE NO: �--' /55
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.
111 1M 15 2006 1 2 : 0 7 TNT MECHANICAL INSULATION 5036501191 p . 2
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Electrical Permit Application-
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:
City of Tigard NO V i 5 2006 R ec a Datelave d : iiiirol, a . Permit No.: ,... : ,06,0, -
It II m 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
. Plaon 503.639A171 Fax 933.5913:11,960 . Datein : Oda Permit:
i , „ 1 , 0 laSpeCtioll lan= 503.639.4175 E3UILDIN, .('_i41370 inSION Date Ready/By: ME la See Page 2for
Bllemet www.ligard LI Ul Notified/Method: Suppkinenital Information
W1g .1 = 2 4V / S' f- PkaliVelaitg*****115*, '“--2 a 45 ,AANT I AAIIT 414 0
-t--.... . •.. - , .....--A , 41t , :;..., ,, ;' , 7± , -,■■■ '4';' <, /, , , ,-, ... - , i1. , ;.•..V-...,' . :e - , 1Z.T:,,,,';,',
0 New construction El Additionialteradon/replacement Please cheek all that apply (submit Z s alpines edilems checked below):
0 Service or feeder 400 angel or more 0 Building OW: three stories.
0 Demolition 0 Otlier: wbere the available fault current 0 Marinas and boatyards.
" ''"'''''''"'`'i;;I:aa exceeds 10,000 amps= 150 volts or 0 Floatiag buildings.
a „ , ,ata a.':,.;,...,.,-...`,,,,Mill,Wal!aalaa,-alia;a4a'aaaaaf.a:M!Alle; }GU to ground, or exceeds 1.4,000 0 Commercial agricultural
0 1 and 2 dwelling El Commercial/industrial 0 Accessory building It/IVS for all other installations. buadings.
0 Multi-family 0 Master builder 0 Other: 1:1 Fire pump. 0 batailation of 75 KVA or
trf:A*
Ci.24: . , , ,r,:r...,=..vs..:*.,,,, , ,, , , ,, ..7:.:, 9..„.ji., .,,,.,,,.. ....,:r.ir:-(:!4,;,: 0 Addition of Dew tumor load of
lOOHP or more. °crap:nay.
Job no.: I Job site address: 11354 SW Durham Rd
El six or MOM residential units. 0 Recreatinnal vehicle parlcs_
City/State/ZIP: Tigard, OR 97224 Ci Health-care facilities. Cl Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: Washington Mutual Cl Service or feeder 600 ceps uur more.
4.104 r ; t 4-6?,Tig_gitRan : M.4
Cross street/directions to job site: Description t ota. L - Fee. I ' Total I
New residential single or multi-family dwUing unit.
Includes attached garage..
.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 1 4
.. Ea. add'! 500 sq. ft. or portion 33.40 I
Tax map/parcel no.: Limited energy, residential
f ,,
iTatt:p..1,;:aai:; (with above aq. ft.) 75.00 1 2
Limited enaray, multi-family
CirmA.ts for new ISIVAC system residential (with above sq. ft.) 75.00 2
Services or feeders hastatilation, alteration, anrlior relomnion
,•,_, , , , ,, ,,,,,,. „. ,_ 200 amps °class 80.30 2
:::rMalkil,fa*lit 201 amps *0400 am 106.85 2
401 amps to (100 amps 160.60 I 2
Mune:
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 snaps or volts 454.65 I 2
City/Suite/ZIP: Temporary services or feeders hatil'Allatitm, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 t
Owner installation: 'Thia installation is being made on property that I own which in not 201 amps to 400 snips 100,30 2
intended for sate, lease, rent, or eachange, oecorliag to ORS 447, 449, 670, and 701. 401 5111 10 599 amps 133.75 I 2
Branch tircuits - new, alteration., or eisteresitsir ra
C./wrier signalure: -rade: ..
- A. Fez for branch circuits with
Nv,A:Z4c t*tomp#..p.:Amlig . :•:1.4Arliotiet.400 . 304§04i: , :::ig:. , , , x14.p. , , al),,ve service eir 6.65 I
feaMer fea,
2
eaa:li 1praitcli cis cuit
Business name: R. Fee Fir t cniN
withotet service or feeder fee, 1 I 46.85
Loniact ria me: 46_85
first branch circuit 1 I
A detre.cs: Each acid' I blanch cinmit 2f 6.65 I 13.30 2
_
Misccilaneons (service or feeder not included)
CityiStatellIP: Each manufacture:el or modular I 90.90 I I 2
------ --------------.- --- . - -- --------- -- ---------- dvaalling, trervice andlur feeder
Phone.: ( ) Fax: : i )
- Reconnect only 60.85 I I 2 .
E-mail: Pu rop or irrigation circle 53.40 2
1;11., Sign ur thfiline li ng 53.40 2
Signal cirreiiiffi.) it reiteattl
Business name: Bremer F-1:ertrie- 002.1°-
energy pane!, alteratian, or
----
.:Jdziaaa: 30 }l-' Z211406 extension. Deacribe: Page 2 2
City/Stater/SP: frliiwaukie, OR 97269 Each arldittintal Ci1012 over allowable in any of the above
' - -- Per inspection 62.50 I
Tamara (,5t-r. 7135-11'31 F37.: C 794-S6-5f- \ \ a Investigatiou per hour (I lar min) 62.50
Ca3 Lica 133124 21 / 1091 Electrical Lic.: C158 ...AA Vil Suprv. Lie.: 5155s lb\ 1 Industrial plant per hour 73.75
. . -; k - 4401.?datiltertitiCailT414 1 14:1%Wrt$1;:.141 - .100.Vill
Supra. Electric i.:1/1 nii.:.:.' iter.:, ft.14.4 ViCi.:4.1: Subtotal: 60.15
1
Print name Charles McCarty
) I Date! 11/14/06 ..)
ta.5
Plait review % of permit fee):
State surcharge (8% of pennit tee): 4.81 1
14.
Authorized signature: TOTAL PERMIT FEE: 64.96 !
_i
This permit application expires if a permit is not obtained within 150
Print name: Charle.s laicCarty I Date: 11/14/06 aner it b..afi heen. au:cep:it:1 as eistipkte.
. N i antler of impectie re; Ril I PAW il pr r permit.
t.,.6. :15 1 to ifil5T(11105.".2CJII/WED
CITY OF TIGARD
, BUILDING DIVISION PERMIT #: ELC2006 -00661
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2006
Phone: (503) 639 -4171 n � p �
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Inspection Requests (24 Hrs.): (503) 639 -4175 1.1.
INSPECTION WORKSHEET FOR DATE: 1 21 1/2006 TIME: 6:58AM PAGE: 34
SITE ADDRESS: 11354 SW DURHAM RD WASH. MUTUAL BANK CLASS OF WORK:
SUBDIVISION: TIGARD TOWNIE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASH. MUTUAL BANK
DESCRIPTION: Installation of (3) branch circuits for HVAC system.
OWNER: BIT HOLDINGS LTD P RTNERSHIP, PHONE #:
CONTRACTOR: BREMER CORP (-r j) PHONE #: 503 - 785.1191
Inspection Request Scheduled For: Date: 12/1/2006 Pour Time:
Co. - : Inspection Description Confirm # Contact # Message
199 Electrical final 040543 -01 971-570-3802 Y
Correc io - • - • _ - - ons:
CP\ \-L -- ? (,\ Oa-
-,.. cl
-...-
PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , \ y= ' Date: 12 A ''Q Phone #: (503) 718- 2 .