Permit 1 ' CITY OF TIGARD- ELECTRICAL PERMIT
PERMIT #: ELC2001 -00650
Aw jl1 DEVEL r S o ER ICES 639 -4171 DATE ISSUED: 12/24/01
PARCEL: 2S101 BC -02202
SITE ADDRESS: 08430 SW HUNZIKER ST
SUBDIVISION: ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of (1) 100 amp subpanel and (3) branch circuits in office.
Job No. SQ 10580
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:
LEACH, DOUGLAS PHOENIX ELECTRIC CO
8430 SW HUNZIKER RD STE 200 DBA/ENCOMPASS ELECTRICAL TECH
PORTLAND, OR 97223 7379 SW TECH CENTER DRIVE
TIGARD, OR 97223
Phone: Phone: 684 -3600
Reg #: LIC 52288
SUP 3863S
ELE 34 -247C
FEES Required Inspections
Type By Date Amount Receipt Wall Cover I
PRMT CTR 12/24/01 $100.25 2720010000( Elect'I Service
Elect'I Final
5PCT CTR 12/24/01 $8.02 2720010000(
Total $108.27
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 -0080. Y.. ay o. .' - opies of these rules or direct questions to
Permit Signature: --,- Issue. By: // ' / /
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: _222 4r.:ffil r DATE:
LICENSE NO: 5/
l D.
Call 639 -4175 by 7:00pm for an inspection the next business day
Electrical Permit Application
��rr ��
Date received:/ Po a/ Permit no.: tuaa ta /_ e z 4,50
�%jtoli . City of Tigard 1ECELVED Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97723 Date issued: By: Receipt no.:
Phone: (503) 639 -4171 DEC 2, 0 2001
/� �' \ Fax: (503) 598-1960 CITY OF I ,� RD Case file no.: Payment type:
F Land use approval: ANDINO DIVISION
' TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory a Commercial/industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
JOB SITE INFORMATION - - - -
Job address: f f 430 .5u) • iWae Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: 'Subdivision: •
Project name:G¢,2/ +„v !£s77A4 Seta Roitlj Description and location of work on premises: /004,548 /id- 1.057;41.1.. I d) O1G1"- -
Estimated date of completion/inspection: /,- ° t3¢- 2-D0 /.
- CONTRACTOR APPLICATION FEE SCHEDULE
Job no: SQ /Os-i,p Fee Max
Business name i,(► p. 5 ',Eel-Ric/9-4_ Description Qty. (ea.) Total no. insp
r New residential - single or multi - family per
Address: 73 7? suW /fcet ew-r6e, Aer — dwelling unit. Includes attached garage.
City: Th,e7 I State: 02 J ZIP: 17 3 . Service included
- - Phone:-V4 3 , = 5'o — - Fax -6. 4_ DA 0 -' - E -mail: 1000 sq. ft. or less 4
Each additional 500 sq. ft. or portion thereof
CCB no.: 5',2a 0- ' Elec. bus. lic. no: 3 - a' y/ / 7C !o / -6�` Limited energy, residential • 2
City /metro lic. no.: / Limited energy, non- residential 2
✓tA4. -,X / Each manufactured home or modular dwelling -
Signature of supervising electrician (required) Date /0- /-oaf Service and/or feeder 2
Sup. elect. name (print): M ,, cz,�.t_ License no:3 y-63 c Services orfeeders - installation,
alteration or relocation:
-... _.- .,.-- ._- _,_., --- .... ---- . PROPERTY OWNER • -. • I ‘0,30 (0.30 2
200 am or less
Name (print): e, L5C L) E517,J4 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: c¢-ja ,) fiGi.44.a e/L 601 amps to 1000 amps . 2
City: 4E)--,01-AM I State: a .. I ZIP: 97) -)-3 Over 1000 amps or volts 2
Phone: 4,K- 346 IFax: 6,r4-- 09571 -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders - .._
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation:
200 amps or less 2
ORS 447, 455, 479, 670, 701.
201 1 amps to 400 amps 2 •
Owner's signature: Date: 401 to 600 amps 2
--- .-- rr. --"''' .._ _ --r-. ;; _ - .._ -.. • ...__.._._.,_.� .� Branch circuits - new, alteration, . .
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 3 (o. /9.'s— 2
City: ' State: I ZIP: B. Fee for branch circuits without purchase .
of service or feeder fee, first branch circuit: 2
Phone: Fax: E-mail: Each additional branch circuit:
•PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
❑ Service over 225 amps - commercial ❑ Health -care facility Each pump or irrigation circle 2
❑ Service over 320 amps- rating of 1&2 ❑ Hazardous location Each sign or outline lighting 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2
❑ Building over three stories . ❑ Feeders, 400 amps or more *Description:
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
Cl Egress/lighting plan ❑ Other. Per inspection I I I I "
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other . ..... ...
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
Permit fee $ /00,3
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: I / within 180 days after it has been State surcharge (8 %) .... $ f.03
. Expires accepted as complete. \ TOTAL $ j0 i• c7 '
Name of cardholder as shown on credit card
Cardholder signature Amount 440-4615 (6/00 /COM)
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Electrical Permit Fees: - °: Limited Energy Fees: "-
TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total 4, Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less $145.15 4 , n • Audio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40 1 n Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular n Garage Door Opener'
Dwelling Service or Feeder $90.90 2
Services or Feeders n Heating, Ventilation and Air Conditioning System'
Installation, alteration, or relocation p
200 amps or less ' I' $80.30 p O.3O 2 Systems*
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 2
601 amps to 1000 amps $240.60 2 Other
Over 1000 amps or volts $454.65 2
Reconnect only — _ — $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation
200 amps or less $66.85 2 Fee for each system $75.00
201 amps to 400 amps $100.30 2 (SEE OAR 918 - 260 -260)
401 amps to 600 amps $133.75 2
Over 600 amps to 1000 volts, Check Type of Work Involved:
•
see "b" above.
n Audio - and Stereo Systems .
Branch Circuits
New, alteration or extension per panel n Boiler Controls
a) The fee for branch circuits
with purchase of service or
feeder fee. • 95 2 n Clock Systems
Each branch circuit 3 $6.65
b) The fee for branch circuits n Data Telecommunication Installation
without purchase of service
or feeder fee. n Fire Alarm Installation •
First branch circuit $46.85
Each additional branch circuit $6.65 n HVAC
Miscellaneous
(Service or feeder not included) • n Instrumentation
Each pump or irrigation circle $53.40
Each sign or outline lighting $53.40 n Intercom and Paging Systems
Signal circuit(s) or a limited energy •
panel, alteration or extension $75.00
Minor Labels (10) $125.00 n Landscape Irrigation Control
Each additional inspection over n Medical
the allowable in any of the above
Per inspection $62.50
Per hour $62.50 in Nurse Calls •
In Plant $73.75
Outdoor Landscape Lighting
Fees:
Ti Protective Signaling
Enter total of above fees $ /00.,2$
t t � 'Da n Other
8% State Surcharge $
Number of Systems
25% Plan Review Fee
See "Plan Review" section on $
* No licenses are required. Licenses are required for all other installations
front of application.
•
Total Balance Due $ /fie,? -7 Fees:
Enter total of above fees $
❑ Trust Account #
8% State Surcharge $
Total Balance Due $
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i:\dsts \forms \elc- fees.doc 10/09/00
CITY OF/TIGARD 24 -Hour Co
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location F i (i Suite MEC
Contact Person Ph ( ) �� 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 2 U ( (,St
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
& Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear V
Framing
Insulation P4 0
Drywall Nailing
Firewall i �L
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
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA v �
Approach/Sidewalk Date . r Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from a job site.
PASS PART FAIL