Permit " `` . /0/7 O S n i �u - OD7) io � eJ/t ry a - ti C/ a k TS . (�
IT OF TIGARD �/ ELECTRICAL PERMIT
II
RMIT #: ELC2
COMMUNITY DEVELOPMENT DATE PE ISSUED: ELC2 00008 8 00560
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102AA 00600
SITE ADDRESS: 12045 SW HALL BLVD ZONING: CBD
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT : 012 JURISDICTION: TIG
PROJECT: 7.11
Project Description: Job No 14142 Install sub -panel 10/7/08, ADDING (3) BRANCH CIRCUITS.
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: 3 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:
ALPROP CO BECK ELECTRIC INC
6149 SW SHATTUCK RD 15600 SE FOR MOR CT #B
PORTLAND, OR 97221 CLACKAMAS, OR 97015
Phone: Contact #: PRI 503 - 656 -7396
FAX 503 - 656 -4397
FEES
Description Date Amount Reg #: ELE 3 -5C
[ELPRMT] ELC Permit 10/3/2008 $80.30 LIC 2629
["I'AX] 12% State 10/3/2008 $9.63 SUP 50245
[ELPRMT] ELC Permit 10/7/2008 $19.95
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $112.27
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 .800.332.2344. ^ ..------- Issuedi € 1 Permittee Signat d -
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: iii% dor"' r ' 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.
. `" ;U c 1t 07 08 10: RECEIVED p. 2
Electrical Peiknit Application , t ; FOROFFICE USE;ONLY ,4, t k
City of Tigard T 2008 Received Q 7 D� ^ permit No . `/t �`� `
`r 13125 S\ - Ha! Blvd.. Tigard, OR 97 r Date.B n mg- ^ / %/ ' n
Plan Review
Phone: 503.639.4171 Fax: 50359 " h ' TO1 OFTIGARD Dale Bv: Other Permit
TIGARD Inspection Line: 503.639 4175 BUILDING DIVISION Date Ready/By: lnris 0 See Page 2 rue
Internet: www tigard - goy Notified /Method: Supplemental Information
TYPE OF WVORK .. 'PLAN REVIEW'
❑ New construction Addition /alteration /replacement Please check all that apply (submit 2 sets of plans wntems checked below ).
❑ Service or feeder 400 amps or more ❑ Building over three stones
❑ DemolI ❑ Other: where the available fault curren) ❑ :vim inau ,mil hnat>ards.
CATEGORY. OF - CONSTRUCTION. exceeds 10,000 amps at 150 volts or ❑ Floating buildings. I
• less to ground. or exceeds ROOD ❑ Ce n,rercial -use agricultural
❑ I - and 2- family dwelling 'Commercial /industrial ❑ Accessory building amps for all other installations buildings I
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of75 KVA or
JOB: SITE INFORi4LATION AND .LOCATION o ❑ Emergency system. larger '. tleri ed system
❑Addition of new motor load of ❑ "A" "C-" "1 -2" "I -3'
Job no.: J 1 - 4 } Li I Job site address: 1-2 b Li J SvJ - a. 1vf A 100 HP more re more. occupancy'.
❑ more Six or residential units. ❑ Recreational vehicle parks.
City/State/ZIP J /'� ` /t W e " z ❑ Health -care facilities. El Supply voltage For more than
1 C Lt rC 600 volts nominal.
I V ❑ Ha>ardouslocauons.
Suite. /bldg. /apt. no.: Project name: — 1 —1 1 S----(A7-C..- ❑ Service or feeder 600 amps or more.
.. . - -FEE SCI EDUCE •
Cross street /directions to job site: Detcriptiort 1 Qtr. } Fee. I Total I •
New residential single- or nu lti- family dwelling unit.
includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea add'! 500 sq fl. or portion J 33.40 1
Tam snap /parcel no.: _
Limited energy, residential
75.00 2
DESCRIPTION OF YORK . (with above art. 0.)
/� , { , ( ///�� "�'' , "" ` /, ( Limited energy, multi- family
I �v`t� 3 ��� t v%/(l i �( a �v u D(�3 0 residential (with above sq- ti-.) 75.D0 =
1 _ Services or feeders installation, alteration, acid /or relocation
M i .ZCO — Z7ocL U IS IPIG C fd..Q _ 200 amps or less �— ^ 80.30 2
❑ PROPERTY OWNER - ' . ..❑ TENANT 201 amps to 400 amps 106.85 1 2
Name. 401 amps to 600 amps 160.6(1 2 ,
601 amps to 1,000 amps 240 60 1 2
I Address: Over 1,000 amps or volts 454.65
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 1 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
Brandy circuits — new, alteration, or extension, per panel
Owner signature: ____ Date:
A. Fee for branch circuits with
1:a APPLICANT. - . - . ' ❑ CONTACT POISON - ' • above service or feeder tee, 3 '" 2
each branch circuit 6.65 I c -CIS---
, }
Business name: B. Fec for branch circuits
Contact name: icrthorrt service or feeder fee,
_ first branch circuit 46.85 2
Address: Each adtl'I branch circuit 6 65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90 90
dwelling, service and /or feeder
' Phone: ( ) Fax: : ( ) Reconnect only 66.85 1 2
E -mail: Pump or irrigation circle 53.40 1 2
. . CONTRACTOR - •. Sign or outline lighting 53.40 2 i
Business name: GIL �`1 _��,! - y�C energy pa nel,( a or limited-
t-[' J Y l energy panel, alteration, or j
Address: i5 ( 0 00 5( t \ Cl 3 extension. Describe: Paget 2
t �
City /State /ZIP: CGL vCG -i C. vv1.G,j V ( l cj -1013 Each additional inspection over allowable in any of the above
// Per inspection 62.50
Phone: (57 j3) tDS(fi ��� Fax ( `b ' b ) (GSCG- 4,3 7 7 Investigation per hour (I Irrmin) 62 50
CCB Lic. c ).�� Electrical Lic.: 3 -5 ,..5G Suprv. Lic.: � IS Industrial plant per hour 73.75 1
i a •ELECTRICAL PERMIT FEES
Subtotal jC I
Suprv. Electrician signature required: !7} ,, C
+{^/. . �l ( Plan review (25% of permit fee)
Print name: Ci/IctV ..,0,_.. 111 � NIA l C { C. 777�w��V "} Date: 'U J!, \/
777111 V Slate surcharge (12;6 of permit fee). a _3c)
Authorized signature: y 'E FEE G( try TO TAL f ERt\41 FEE as 3
( f` _ �--• This permit application expires if a permit is not obtained within ISO
Print name: ClA Ct V• L G . 0 1 S, -I/ Date: 3() -') I O R days after it bas been accepted as complete.
���" Ill / ' Number of inspections allauned per pennd.
t '.n,tdny ,Pry,,, i,SOLC- P,s,,,rApp, des 002100 '140-- 1615T) I 1/0;;COM'WEO
CITY OF TIGARD , - A BUILDING DIVISION PERMIT #: ELC200B -00660
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2000
Phone: (503) 639 -4171 5 a tP�mii' '�I
Inspection Requests (24 Hrs.): (503) 639 -417 �'
INSPECTION WORKSHEET FOR DATE: 10/20/2008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 12015 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 012 TYPE OF USE:
PROJECT NAME: 7 -
DESCRIPTION: Job No 14142 Install sub•panel 10/7/08, ADDING (3) BRANCH CIRCUITS,
OWNER: ALPROP CO PHONE #:
CONTRACTOR: BECK ELECTRIC INC PHONE #: 503 7396
Inspection Request Scheduled For: Date: 10/20/2008 Pour Time:
Code # Inspection Description Confirm -# Contact # Message
1 Electrical f i n a l 075888 -01 503 - 666 -7396 N
Corrections /Comments /Instructions: \
__---, Q.
�
PASS) ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G QJ vQ) Date: 1ON-0 Phone #: (503) 718 -1-946
CITY OF TIGARD
BUILDING DIVISION PERMIT #: CSI 02008.00560
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/33/2008
Phone: (503) 639- 4171i�
Inspection Requests (24 Hrs.): (503) 639- 41751 1„
INSPECTION WORKSHEET FOR DATE: 10/20/2008 TIME: 7 :00AM PAGE: 31
SITE ADDRESS: 12045 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 012 TYPE OF USE:
PROJECT NAME: 7 -
DESCRIPTION: Job No 14142 Install sub-panel 10/7/08, ADDING (3) BRANCH CIRCUITS.
OWNER: ALPROP CO, PHONE #:
CONTRACTOR: BECK ELECTRIC INC _ PHONE #: 503 - 656 -7396
Inspection Request Scheduled For: Date: 10/20/2008 Pour Time:
Code # Inspection Description 7-- Confirm # Contact # Message
115 Electrical service 076887 -01 503-656-7396 N
Corrections /Comments /Instructions:
0 PASS ❑ PARTIAL APPROVAL pi CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &-\ N () 6 Date: 1 01 Phone #: (503) 718- v