Permit ���� �� T ���� ® _ ELECTRICAL PERMIT
h ` , � COMMUNITY DEVELOPMENT PERMIT #: ELC2008
DATE ISSUED: 9/17/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 126DC - 04400
SITE ADDRESS: 09430 SW CORAL ST ZONING: C -
SUBDIVISION: LEHMANN ACRE TRACT LOT : 007 JURISDICTION: TIG
PROJECT: MARTIN OFFICE BUILDING
Project Description: Installing (1) service and (6) branch circuits for emergency generator.
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: 6 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:
MARTIN, ROBERT CLARE TAURUS CONTROLS
THELMA M 9999 SW AVERY
BY JO RENE M MOODHE TUALATIN, OR 97062
SHERWOOD, OR 97140
Phone: Contact #: PRI 503 - 692 -9004
FAX 503 - 692 -9273
FEES
Description Date Amount Reg #: ELE 34 -325C
[ELPRMT] ELC Permit 9/17/2008 $120.20 LIC 76781
[TAX] 12% State Surchar 9/17/2008 $14.42 SUP 3093S
Total $134.62 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: Permittee Signature:
I
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.
Electrical Permit Application _ __. _._ .:_.'_; _ _ .FOR - OFFICE -USE ONLY - - - -
•
�� Received
• r
City of Tigard 6 $ y: �D r I/ � A N Permit No.: 7_ d ._ j
e Tigard, SW Hall Blvd., Ti ard, OR , Plan R ' ; Plan Review
Phone' 503.639.4171 Fax: 50 { eA • e `��� Date /By. Other Permit:
TIGARD' Inspection Line: 503.639.4175 c� Pate Ready /By: Juris. BI See Paget for 10
-.:a, F,W
z„ Internet: www.tigard -or.gov C G� "otified /Method. Supplemen Information
mitt
.:TYPE ' RK'
O O / PLA i? r W
T
N °: RE IE
,
❑ New construction ® Addition /alterati to ent Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑Other: 90\\* 0 Service or feeder 400 amps or more ❑ Building over three stories
where the available fault current ❑ Marinas and boatyards.
'' 4 \ CA EGO0rik- CONSTR CTI ` 4''' " /.' ' ' ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
`''' " „ " "� less to round, or exceeds 14,000
b ❑Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi - family ❑ Master builder ❑ Other: 0 Fire pump ❑ Installation of75 KVA or
r , system. larger separately derived system.
..... -<.. me syst m. st em
; `i•°: 5 `;JOB, INFORYIATION LOC ATIO t
. x <: ,�> > - - �.�.,. ... .�. E ._ .. .., ,,.�, .,...., - „��,... „1:,„ �,:,� _ a .,, �? .... ,.�: 0 Addition of new motor load of ❑ `. « E >, ., «
Job no,: Job site address: 9430 sw coral st IOOHP or more occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Portland, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal
Suite /bldg. /apt. no.: Project name: Martin Office Building ❑ Service or feeder 600 amps or more.
.,. ,
r FFs 'SCH ED _)I E z
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 I
Tax map /parcel no.: Limited energy, residential
75.00 2
' DESCRIPTc1ON',;OF. WORK :'a. «_ with above sq. ft.)
Limited energy, multi- family
75.00 2
residential (with above sq. ft.)
Emergency Generator Install Services or feeders installation, alteration, and /or relocation
,: 1 .. 80.30 2
amps or less 30
— ''''AV - - -
'.. , PROPERT °Y OWNER ' ' ` "' "'U ' � ®aTENANT_,, '': 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 I
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, ter panel
Owner signature: Date: A. Fee for branch circuits with
; ii above service or feeder fee, 6 6 65 39.90 2
each branch circuit
Business name: Taurus Power and Controls Inc. B. Fee for branch circuits
Contact name: Mike Dubenko
without service or feeder fee, 46.85 2
first branch circuit
Address: 9999 SW. Avery St. Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Tualatin, OR 97062 Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: (503) 519 -6707 Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
1 ,,_ ,„ tN ° -- - r te :,,. r ,_=‘,; r_, ?'GONTRACTOR' � ° ". r °; �,44 4,1,:::: Sign or outline lighting 53.40 2
Business name: Taurus Power and Controls. Inc Signal circuit(s) or limited -
energy panel, alteration, or
Address: 9999 Sw Avery St. extension. Describe: Page 2 2
City /State /ZIP: Tualatin, OR 97062 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 692 -9004 Fax: (503) 692 -9273 Investigation per hour (1 hr mm) 62.50
CCB Lic.: 76781 Electrical Lie.: 34 -325c Suprv. Lie.: 3093s Industrial plant per hour 73.75
Suprv. Electrician signature, required: , h .
__._./ ' '; - 'ell , _ , ELE C T RIC A L : FEES „>,•':• `. `
eat, �� , Subtotal: 120.20
Print name: Bill Butterfield Date: ' -16 -08 Plan review (25% of permit fee):
LA State surcharge (12% of permit fee): 14.42
Authorized signature: t/t TOTAL PERMIT FEE: 134.62
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
t.\Building \Permits \ELC- PennitApp doc 05/23/06 440- 46!5T( II/05 /COM/WEB