Permit ., CI TY O F TI ^ D ELECTRICAL PERMIT
CITY TIGARD PERMIT #: ELC2005 -00450
4414! �� DEVELOPMENT SERVICES DATE ISSUED: 6/24/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S10100
SITE ADDRESS: 07930 SW HUNZIKER RD ZONING: I -
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: (5) 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: 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:
COE MANUFACTURING COMPANY DRYER ELECTRIC INC
PO BOX 520 9409 NE COLFAX ST
PAINESVILLE, OH 44077 PORTLAND, OR 97220
Phone: Phone: 503 - 771 - 5667
FEES Reg #: ELE 26 -1142C
LIC 153466
Description Date Amount SUP 2876S
[ELPRMT] ELC Permit 6/24/2005 $73.45
[TAX] 8% State Surcharge 6/24/2005 $5.88 REQUIRED ITEMS AND REPORTS
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 days. ATTENTION: Oregon law requires you to follow rulesladopted by the 0 - e= - ility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of the - • or direct q estions to OUNC at
503 - 246 -6699 or 1- 800 -33 4.
Issued By: > 4 / 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.
06/24/2005 14:52 0000000000 000000000000000000 0 PAGE 01
a ec�lrlcat �eP'rn�t A FOR OFFICE USE ONLY
City of Tigard tU d r%
Received
13125 SW Hall Blvd., Tigard, OR 97223 Date/By:
No,; 6 Ge1) "--0 (45-0
Phone: 503,639.4171 Fax; 503,598.1960 �; i t,� Plan Review (J ) `'
InspoctionLinc; 503.639,4175 Al1I� 2005 �i' , '1I Dato /lay; Other Permit!
n,. r'' /f3
nY Data Read
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Internet: www,cl.t] and
g ,onus CITY OF TIGARD Notified/Method; See Pn�c2for
r•¢ Supplemental informati
.:!� e�� ++,, .�� (� /��jr
r �r� � \V���VlA 'IS ; ti �i�: " "J'!u
0 New construction ddition /alteration /replaccmenl: Please check all that apply;
❑ Demolition ❑ Other:
DScrvice over 225 amps, comm'l ❑Hazardous location
Demolition
['Service over 320 amps— — ratio Rt
, : : '' ', ".. p: f; g,'. ; _; p g ❑ lr more over residential
s
' ... ,.. ::... „..;... ` of 1 -and 2- family dwellings 4 or more new resid
1 - and 2- family dwelling E Commercial /industrial 0 Accessory building ['System over 600 volts nominal units in one structure
❑
❑ Multi family ❑ Master builder ❑Other: Building over three stories ❑Feeders, 400 amps or more
;.. Multi -f
J.. -:B s
r- -..;,;:,ti., ,;, ` D 1' PI+O... }.,,i.�— Occupant load 99 persons t]M red structures
over 9 park
or
^” [�Egress /fighting plan RV pork
�TE''I )[ tMATIOIV 4NIS :'Y. " "'' ..i:t
Job no,'Jr�/ Job site Address. I-Iea]th-
Li -I l�t� b
' 7 S� y�� + ,{� , u ❑ care facility 000er:
•
City / State /ZIP: r lL� s. e� Submit 2 sets of plans with any of the above,
�� �f�1�7D G.E_J _ The above are not applicable to temporary construction scrvicc,
• Suite /bldg, /apt. no.; Pro ect name; — :?, �,;., , I t .'•:r ., . -
1 7.!" Etbt.9CHEISU.LEr . .` 1'...
Oercrlptlen Qty. Fee, Total -•
Cross street/directions to job site: New residential single. ormulti- family dwelling unit
includes attached garage,
1,000 sq. R. or less 145,15 4
Subdivision; Lot no.: Ea. add'l 500 sq. ft, or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75,00 2
:' .: i::,,:,.', l} CSC. �iTP .FION::.Ui..`�VOTlIr..'' " " "ei' 1 �-. . f. 75.00 2
;' * : :.: ;.;;, :.:; :' :,; ='r ::. ..:.. :::... energy, non-residential 7,5.
dwell n i'tnufncturcd or modular
�,{ , service and /or feeder 90.90 2
✓" I Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
OVV N r EIt•c 7;' ":.. r..,•. , 2 amps to 4
' I: ' + ` .'. b!T)✓NAl'V.'I!,i' ,r.;.,,. p 400 amps MI I 06,85 2
Name; 401 amps to 600 amps 160.60 2
601 amp's to 1,000 amps 240,60 2
Address; — Over 1,000 amps or votes 45445 2
City /Stale /ZIP: Reconnect only 66.65 2
Temporary acrvlccs or feeders installation, alteration, and /or
Phone: ( ) l Fax: ( ) relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 66.85 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
201 amps to 400 amps 133.75 2
Owner signature: 401 amps to 600 amps 133.75 2
Date; Branch circuits— new, alteration, or extension, per panel
l :APPLICANT'",: •:. d` CONTACT:`PER50N" <:::.' : r:, . A. Fee for branch circuits with
Business name: service or feeder fee, each
branch circuit 6.65 2
•
Contact name: B. Fee for branch circuits
without service or feeder fee, I I
Address: - each branch circuit 1 46.85 iO 2
•
Each add'l branch circuit 6.65 1 _e, t) 2
City/State/ZIP:
Miscellaneous (service or feeder not included)
Phone; ( ) I Fax; ; ( ) Pump or irrigation circle 53.40
E
Sign or outline lighting 53.40 2
Signal circuit(s) or IniiLe
,
:.' ]R
CON•I'RACTO> `'
, Y panel, alteration, or
Business name; Dryer Electric dba Rose City Electric , . , extension, Describe; Page 2 2
Address; 9409 NE Colfax Street Each additional inspection over allowable in any of the abo —
City /State/ZIP: Portland, OR 97220 Per inspection 62,50
- Investigation per hour (i hr min) 62.50
Phone; (503) 2876164 Fax: (503) 282 -1060 Industrial plant per hour 73,75
CCB Lie.: 153466 _7:1..' ; . , EL1 CTRI CAL, PE1RMI'1°:`.F'ELS.t. .i 27 '.:'::,'::' ., •;:'''''
Electrical Lie.; 26 -1142C Suprv, Lie.: 2876S C am"
subtutn -- I•f. , g5
Suprv. Electrician signature, required: „�,.. — 1( J
Plan review ( of permit fee) •
Print name; •�
I BSQ I Date ���J Jo state surcharge (8% of permit fee) Z / ,
Authorized signature: f TOTAL PERMIT FEE 1
This permit appiieAtion expir if n permit Is not one toed within 180 J
Print name: days after it has been accepted as complete
Date: • Fee mcrbodnlopy ect by Tri- County Building industry scrvic Board
ermits * " Number of inapecliona per permit owed, it all -
i \auildin a \P \ELC -Per mf App.dnt IZ/03
440- 46f5T(]0 /02 /COM/WFB ,.3 yJ
_- .
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DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/24/2005
Phone: (503) 639-4171 Agh
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/29*2005 TIME: 7:05AM PAGE: 78
SITE ADDRESS: 07930 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COE MANUFACTURING CO.
DESCRIPTION: (5) branch circuits.
OWNER: COE MANUFACTURING COMPANY PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-771'5667
Inspection Request Scheduled For: Date: 11/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199`�� Electrical final 022521'01 503'704'1071 M
�
Corrections/Comments/Instructions:
•
_-`
C '
-�� PASS I | PARTIAL �� �A�CEL NC)ACCESS
���� / . / /
RAIL ri CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
� �y ~ *� �~
|nopec�/r: "~zt�� Date: x^ � Phone #: (603) 718-ci
/ /
CITY OF TIGARD .
BUILDING DIVISION :'. PERMIT #: ELC2005 00450
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/24/2005
Phone: (503) 639 -4171 na ��ypuy����p�l �� �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/27/2005 TIME: 7 :09AM PAGE: 46
SITE ADDRESS: 07930 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COE MANUFACTURING CO.
DESCRIPTION: (5) branch circuits.
OWNER: COE MANUFACTURING COMPANY, PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503.771 -5667
Inspection Request Scheduled For: Date: 6/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 0102013 -01 5n704-1071 Y
Corrections/Comments/Instructions:
Comments /Instructions:
2u o\ig 04.),
Fa 7 O
• WI It; ci (k '
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /sue-, fy �.� -� Date: 6 'az`7-7 Phone #: (503) 718-