Permit CITY O F TIGARD GA R D+ ELECTRICAL PERMIT
� V PERMIT #: ELC2008 -00075
COMMUNITY DEVELOPMENT DATE ISSUED: 2/12/2008
'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 DC -04201
SITE ADDRESS: 07190 SW FIR LP ZONING: C -P
SUBDIVISION: 72ND BUSINESS CENTER LOT : 001 JURISDICTION: TIG
PROJECT: WRIGHT BUILDING
Project Description: reconnecting heat pump
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: 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:
T/W ASSOCIATES, LLC BOB'S ACTION ELECTRIC INC
7190 SW FIR LOOP 2700 NE BURTON ROAD #A
TIGARD, OR 97223 VANCOUVER, WA 98662
Phone: I Contact #: PRI 360- 254 -7200
FAX 360- 254 -8219
FEES
Description Date Amount Reg #: ELE 37-431C
LELPRMT1 ELC Permit 2/12/2008 $46.85 LIC 53136
[TAX] 12% State Surchar 2/12/2008 $5.62 SUP 4322S
Total $52.47 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: $'
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 Applicatiek C iffs'
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City of Tigard O rsitbeiad 2 N
. • 13125 SW Hall Blvd., Tigard, OR 97223 t.. ,..,' ' 1 -I
III -- 2008 Date/By. °—
Plan Review Permit ,
i r.„ - Phone 503 639.4171 Fax 503 598 1960 --..". j .....vr „ 1 Other Permit tv1.44..2..(00S/ .00065
Date/B
-TIGARD Inspection Line. 503.639.4175 Cil Date Ready/By Juru Fil See Page 2 for
' • Internet: www tigard-or.gob ' 1 "(jif I Ik LIA R .
r Supplemental Information
r ' 4T, ' ;';. " ' ' '' go.",z;;; : it: :,;tft 331. 3 2 4VM,,VAN::YIKTY.44-44.1.-tF.At.:
New construction Addition/alteration/replacement
Please check all that apply (submit 2 sets of plans w/items checked below)
El 1=1
0 Service or feeder 400 amps or more 0 Building over three stories
p Demolition El Other: where the available fault current 0 Marinas and boatyards
5' .5t. '-:!:.: ';,":5' 'i-IliA:i . .; ',:i,,liX,;, exceeds 10,000 amps at 150 volts or 0 Floating buildings
less to ground, or exceeds 14,000 0 Commercial agricultural
El 1- and 2-family dwelling lil Commercial/industrial p Accessory building amps for all other installations buildings
El Multi-family El Master builder D Other: p Fire pump 0 Installation of 75 KVA or
' ',-,:. ',m, i ow,,,: ,, .; , El Emergency system. larger separately derived system.
tiorkogoo#16147ip,:i'06*,10,*d1,,,;';:,, 0 Addition of new motor load of
100HP or more occupancy
Job no.: 08-240 Job site address: 7190 SW Fir Loop 0 Six or more residential units 0 Recreational vehicle parks.
City /S tate /ZIP : Ti gar d, OR 97 2 23 0 Health-care facilities
0 Hazardous locations 0 Supply voltage for more than
600 volts nominal.
Suite/bldg./apt. no.: Project name: 44% `A7L ,..,,,Ao'if 0 Service or feeder 600 amps or more
itt4e4I4,kgCKHEDUL*:'- :': :
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
":intfP:,iirgay610 dswoo .:; '!° 'S (with above sq ft ) 75 00 2
Limited energy, multi-family
75 00 2
Heat Pump reconnect residential (with above sq ft )
Services or feeders installation, alteration, and/or relocation
200 amps or less 80 30 2
it,I'J :;;:;. '4* ;,. ,,, 201 amps to acro amps 106.85 2
401 amps to 600 amps 160.60 2
Name: Thomas Wright Building
601 amps to 1,000 amps 240.60 2
Address. ' 7190 SW Fir Loop Over 1,000 amps or volts 454 65 2
City/State/ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( 50 J 789-1330 Bob Wr ill ) 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
. ' 5 1 f :'':` ' ' ''' 0 'ONI*T-Pg i' above service or feeder fee,
665 2
each branch circuit
Business name: B Fee for branch circuits
without service or feeder fee, 1
Contact name: 46.85 46.85 2
first branch circuit
Address: Each add'l branch circuit 6 65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
90 90 2
dwelling, service and/or feeder
Phone: ( ) Fax: ( ) Reconnect only 66 85 2
E-mail, Pump or irrigation circle 53 40 2
I IIRSVIU r ' Alit::', 4:45 00titA00:4V.i'M- , Pit::': 7:7V1-1' ' ';',::-- Si °I- outline lighting 53.40 2
Signal circuit(s) or limited-
Business name: Bob's Electric energy panel, alteration, or
Address: 2700 NE Burton Rd., Ste. A extension Descnbe Page 2 2
City/State/ZIP: Vancouver, WA 98662 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone ( 3 6 0) 254-7200 Fax: ( 3 6 0) 254-8219 Investigation per hour (ii hr min) 62 50
CCB Lic.: 53136 Electrical Lic.: 37_ 31c Suprv. Lic.: 4322S Industnal plant per hour 73.75
Suprv. Electrician signature, required "./ i-----
V/ 1,, „," '.'''' ; ; ::'''!'kt*:c' ,t0C8V - ' PtiVIIT: . , Egt . g t - f ;',
Subtotal. 46.85
Plan review (25% of permit fee):
Print name: Kevin Broselle Date.
' 2/7/08 State surcharge (12% of pennit fee) 5.62
Authorized signature: TOTAL PERMIT FEE. 52.47
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 313toldrog3Permas \ ELC-PermaApp doe 05/23/06 440-4615 I (11/05/COM/WEB
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BUILDING DIVISION
~~~°"~~~~,,,~° ~~,",~,,~~,° PERMIT #: ELC2008-00075
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2112/2008
Phone: (503) 639-4171 •
Inspection Requests (24Hxoj:(5U3)630'4175 �S�mr ° ���
INSPECTION WORKSHEET FOR DATE: 2Q6/2008 TIME: 7:00Ax4 PAGE: 70
SITE ADDRESS: 07190 SW FIR LP CLASS OF WORK:
,- SUBDIVISION: 72ND BUSINESS CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: WR1GHTBWiLD|NG
DESCRIPTION: rwcnnneo1ing heat pump
OWNER: TAV ASSOCIATES, LLC. PHONE #:
CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 36(1254-7200
Inspection Request Scheduled For: Date: 212012008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final O666613-02 360-2647200 Y
N
Corrections/Comments/Instructions: Corrections/Comments/Instructions: "~/� ��
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im PASS PARTIAL APPROVAL CANCEL NO ACCESS
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I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
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' ������ ��^ Date: +- z~��'\�� Phone #: (503) 718- ���'x`J