Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00008 40 6 0 $.44111 �� DEVELOPMENT SERVICES DATE ISSUED: 1/12/04 '` 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 530 SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P BLOCK: LOT : 014 JURISDICTION: TIG Project Description: Demo (5) branch circuits. Job No. 539 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: 4 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: EOP LINCOLN, LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE # 100 TIGARD, OR 97281 PORTLAND, OR 9722 Phone: 892 -2500 Phone: 503 - 624 -3631 Reg #: LIC 75059 SUP 1965S FEES ELE 34 -283C Description Date Amount Required Inspections [ELPRMT] ELC Permit 1/12/04 $73.45 [TAX] 8% State Surcharge 1/12/04 $5 Elect'I Final _ Total $79.33 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 d. s. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OA' 1- - 001 -00 _ • • ough OAR 952 -01 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1- 800 -3. -2344. Iss ed By: i�]f� l Permit 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: /Pl S Call 639 -4175 by 7:00pm for an inspection the next business day , , .. .FOR OFFICE USE ONLY . ' ' '. Electrical .: ctrical Permit Application Received /-Th , Electrical Date/By: / / ' .0 (__Ait#0 Permit No.: ete„9,90 --occog City of Tigard, - , L ,_, GENE Planning Approval Date/By: Sign Permit No.: 13125 SW Hall Blvd. a - 0=. Plan Review Other Tigard, Oregon 97223 ' Rh Date/By: Permit No.: Phone: 503-639-4171 F' c 03-59 - _O 4 , 6\ 'A Rs 4 ' Post-Review Land Use rn Inteet: www.ci.tigard.or.4. 6AF TIGARD , . . 0 .. Date/By: Case No.: . Contact JILds • CE See Page 2 for 24-hour Inspection Requcsk 5 -ANOSON ."' Name/Method: - 7 e (1 Supplemental Information. BOW %au PEATAWS.MINi;:.,=.:IctiO.K8VOUS:,-iliWr'::?:-an ZiilCigt:,';APT 11] New construction VA,Demolition D Service over 225 amps- 0 Health-care facility commercial 0 Hazardous location I Addition/alteration/replacement 111 Other: . 0 Service over 320 amps-rating of 0 Building over 10,000 square feet, MeriPairialtaArafreAWROMMittalf-M - 1 & 2 family dwellings four or more residential units in El 1 & 2-Family dwelling E Commercial/Industrial 0 System over 600 volts nominal one structure 0 Building over three stories 0 Feeders, 400 amps or more El Accessory Building El Multi-Family 0 Occupant load over 99 persons 0 Manufactured structures or RV park El Master Builder El Other: 0 Egress/lighting plan 0 Other: ZAVSNETOVRKINICCWKON4artMataMPIZY Submit sets of plans with'any of the above. The above are not ap e licable to temporar construction service. Job site address: / 0 2_ I, 0 SW a 4 6 ,a( kv"WAILVOalfirW tifILORAZ,44 Suite #: S 0 Bldg./Apt.#: I Number of inspections per permit allowed Project Name: L t .., (0-€.4.-- c4.) e k.._ Description Qty Fee (ea.) Total New residential-single or multi-family per Cross street/Directions to job site: dwelling unit. Includes attached garage. Service included: 1000 sq. ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 I Limited energy, residential 75.00 2 Subdivision: Lot #: Limited energy, non residential 75.00 2 Tax map/parcel #: Each manufactured home or modular dwelling igtVeSUMG#MWOOIMITIOXIORKCOMarPg-VW*44: service and/or feeder 90.90 2 Services or feeders - installation, . . en-Perv. C alteration or relocation: 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 . 401 amps to 600 amps 160.60 . 2 i' ll f-41.070MAWEKairli la Vr:Wintarg4SC ': 601 amps to MCI amps 240.60 2 - Over 1000 amps or volts 454.65 2 Name: Reconnect only 66.85 2 Address: Temporary services or feeders - installation, alteration, or relocation: City/State/Zip: 200 amps or less 66.85 f Phone: Fax: . 201 amps to 400 amps • 100.30 2 401 to 60 amps 133.75 2 fi',.;0110,03Mtatitagalati IM ita0A Branch 0 circuits - new, alteration, or Name: extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 City/State/Zip: • B. Fee for branch circuits without purchase of // g'c service or feeder fee, first branch circuit / 46.85 - T 2 T, Phone: Fax: Each additional branch circuit li 6.65 '2_, 6 -= 2 E-mail: Misc.(Service or feeder not included): '',IIV:.;*<;SL" ,'-":'rreii'lift-WelljklerpiM.V.V.1.44:ie.,,::..44---.4z, Each pump or irrigation circle 53.40 2 i. t. ..,...' .,Zig.. .-111:"I.4 a.,,t,...:;,„t _....22,1, ..,....4W0Wit* -•;;-4.:*'!"-!':-,,,_-;-•,•!4:,!::-41 Each sign or outline lighting 53.40 2 Job No: 5 Signal circuit(s) or a limited energy panel, alteration, or extension _______Pa e 2 2 Business Name: w ., II A ,,, ,, ff i(1.,. NI( / is-C Description: Address: P Al ., - z..30 y' 1 Each additional inspection over the allowable in any of the above: City/State/Zip: 7 ' ,A, 1 9 OA_ 97 Per inspection per hour (min. 1 hour) 62.50 Phone: 4 z (1 -- z1 Fax: 6 z q - 79 - 3S ; Investigation fee: CCB Lic. #: 7 ce.) 5 Lic. #: 3 4- Z6 L. Other: X-1 Itteg, Supervising electrician ,(" Subtotal $ .7 3, 4 \— signature required: AVp A"../ - !-- 11 Plan Review (25% of Permit Fee) $ Print Name: ,04..- )--r -r-f ic. #: S c State Surcharge (8% of Permit Fee) $ 17 & 6: TOTAL PERMIT FEE $ ? 9, r 7 Authorized Notice: This permit application expires if a permit is not obtained within Signature: Date: 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. (Please print name) i: \Dsts \Permit Forms \ ElcPermitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: Audio and Stereo Systems n Burglar Alarm n Garage Door Opener Heating, Ventilation and Air Conditioning System n Vacuum Systems n Other COMMERCIAL WORK ONLY: Fee for each system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: n Audio and Stereo Systems O Boiler Controls O Clock Systems n Data Telecommunication Installation n Fire Alarm Installation • n HVAC n Instrumentation Ti Intercom and Paging Systems El Landscape Irrigation Control ❑ Medical n Nurse Calls n Outdoor Landscape Lighting O Protective Signaling • n Other Number of Systems * No licenses are required. Licenses are required for all • other installations i: \Dsts\Permit Forms\ElcPernvtAppPg2.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Chia. (503) 639 -4175 • INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested / 7 0,5 PM BUP Location I C Z C Suite C MEC Contact Person Ph ( ) PLM Contractor W < <'t`i� Ph ( ) SWR BUILDING Tenant/Owner Li/ /t/Ll z- ELC Q Footing STA - P-43J Gj�� 2oQ D© Oo p Foundation � ELC 7 ` Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Anchrs Ext Sr Sh ea t h /SSh ear NEM Ext ear 1 Int Sheath/Shear Framing Insulation Drywall F � Pj 4/7,1 Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain - Shower Pan Other: Final PASS PART FAIL MECHANICAL ' Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fi - Alarm O%e. Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAS PART FAIL - El Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA D ate l — o Inspector / 47t h Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL