Permit UPI CITY OF TIGARD ELECTRICAL PERMIT
" PERMIT #: ELC2006 -00712
COMMUNITY DEVELOPMENT DATE ISSUED: 12/15/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AA-03800
SITE ADDRESS: 08875 SW OAK ST ZONING: R - 4.5
SUBDIVISION: OAK STREET CONDOMINIUMS LOT : JURISDICTION: TIG
Project Description: 3 temporary power. .
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 3 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: 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:
WESTLAND INDUSTRIES LLC ROSS ELECTRIC INC
12670 SW 68TH AVE, SUITE 400 2870 SE 75TH AVE #203
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: 503 - 639 -3104 Contact #: PRI 503 - 642 -2800
FAX 503 - 642 -5815
FEES
Description Date Amount Reg #: ELE 34 -436C
[TAX] 8% State Surcharge 12/15/200( $16.04 LIC 157891
[ELPRMT] ELC Permit 12/15/2001 $200.55 SUP 42325
Total $216.59 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: /1N , —...........
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.
•
12/15/2006 11:17 5036425815 ROSS ELECTRIC INC PAGE 02/02
' - Electrical Permit 'f l:q : !i111 I V I!' I I FOIL OFFICE USE OiN1.V
City of Tigard Received PetmitN
13125 SW`Hal1 Blvd., Tigard, OR 97223 DEC 1 5 2006 L � + J, `"'7/
(r �
Phone: 503.639.4171 Fax: 503.598.196 �" : ,,, I Pl an Review
� D Other Permit;
Inspection Line: 503.639.41 75 c Vl I 3 v t -�!.i '`'_-.. Date ReadReady/Br mi.: B See Page 2 for
Internet 1 1
www. cl.tigard.or.us � • V Notftied Method: Supplemental information
. ':[t X:S,:�t�:srfS'n; X ^ .e�� °I +V � .,��-• 3 ., -'' 1��j' V I C CL t n ° i�! �' r a. '. ,, � f } �a�i�i�r.".� �•L °�,. , Y' r ��.i.. �:1^.^.;fF; ^.'�.l. n;;l! : • r'
l '4 �1 i: { f.. 1 4, �' - N?st i Vi i ' si7 S ,, ��.0 - y I?F �' d " p.g li :�.� : r i;gCnin .i; �
' ti I 1 I ,1 1 k , ' t,1 Lar:il 1 1 •� a a tl y'.4L � � �... tt { Q
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Please check all that �
El New construction ❑ Addition /alteration /replacement apply:
❑Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition • A Other: Ei'" 1p pp n
$ ,
' s^ [s3 nr• ••a,: , a • ^ r r:;1i ^ -; :;,F i'r • ° r: r: a Service Over 320 amps - rating ❑Builds over 10,000 q.
7 2,t r �w' '-1 ` c. JJ i�1 I � .. S 'l ' n •ii« t 7t ^rn� .rp' , &..s - .ru 0 S f
f {�M1 ; T t( Zi 1 i_ ':l Wf• ag y !t�lw li l' I ri. a l l : r t} i j� :'` . 1 . 1 .1: ,i�
�,lu:i�x -I. ��;• },,,�' iu:�rx�a� ! - a,�,.., r�! �:;r � � ',� �� } ?� ��,1!{,�! �1 „ �I o 1-and 2- family dw ellings
.�� •k -' . .r �tnrlx � a•r1 J�� �k'iil:a�nG3�'re:lu;"eGI1:u� '' .t..{ . ;;.;�„• ,d„ - 4 or more new residential
❑ 1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi- family El Master builder 1:1 Other: ❑Building over three stories 0Feeders, 400 amps or mot
.L'�8 -� �l S, ^' ,..R: )(�`i!Ti &Q1^:L "!1.�AL•"�''F; -r. t
n�. .. r:.rfi Ir�'�"'', i �' r ❑Occupant load over 99 persons ❑Manufactured structures c
y n t,11 ^d 1: !t CY } t Q 141 - � L d. icAt:; �i.�!, � � • .c,,., W[S ° L� 1 , z tf ,
• 5 zliteHft ??-:3i! iTzrov iigi:i fft SIF' �l f.4.?i'eih rsn:,�. ?t C vdC S 1 - A !1w, , ,- L v� ,f ; ❑Eg plan RV park
Job no.: Job site address: 2 g 7 S• Su) Da K ST ❑health care facility ❑Other
Submit 2 sets of plans with any of the above.
City/State /ZIP: 113 c j The above are not applioablc to temporary construction service.
Suite/bldg. /apt J I Project name LAIC � _ L �' }
no.:
ow let ObM.ES P� „,l1, F big .N { � !1 ;j Cp ++) £ 1 :' gi, '-' l:., a4,Z.f
r�
I/ern Wy. 1 Fee. rand I "
Cross street/directions to job site: New residential single- or multi family dwelling unit.
Indudes attached garage.
1,000 sq. ft. or less 145.15 z
Subdivision: J Lot no.: Ea. add'1500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00
Tax map /parcel no.: Limited e
:7 1 ?ilk 'i 414` � � I114 dui sue 4_ r..,ur G �.�v r n na Q n p� .+t , •y T �r' C r , , y •
en rgy, non - residential 75.00 2
l ,Fi„ i..'u ; a.'„ .k ' h=am ' N.111.,'4 : :l_d+� 6�� p = dW +1 T'1 1 . , it 4 ' ' i ig.V
. �.� �., , a.a Vii,. ti �*,, i J�rt�l�y:' c�., yi +��`�+1,1.'�.�",,,,'�`�'i;nl�i t- �L s;,i�.t Each manufactured or modular
3 TE� 'Po W (air dwelling, service and/or feeder , 90.90 2
Services or feeders tustallation, alteration, aud/or relocation
200 amps or less 80.30 2
"46 1,, ,. , l?�3 nre 73.7 ." : ,1-N,: ' . i t 7 ai u t k wwn _ , ;R; ,,+
•v n , , 1 G � , , '�`� l;� l rr;+� , ry ,i' '�1; ;iy�! !I 20I amps to 400 amps 106.85 2
a:.1� .0 �s� -�Sr,, ,,_,t. i.. _. Ih : . n.. fr,n1 �isss?r. Batt:: ro �i i fibii'dl f .: i.. f_r ^1d!(dii T. _mil It 401 amps to 600 amps 160.60 2
Name; 601 amps to 1,000 amps 240.60 2
Address: - Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 ' 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or less 3 ; 66.85 Boo I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: - Date: Branch crc
•- i; avY>1 � h i
� ;�•� �;�, ,r� -, y ,•,�, . oils new, alteration, or extension. per panel
4%`t i ! {• .l 4 .4a`. a, -1 it. 7 I . 14 w - ,,, ; •^ n t i[
. I - �1) ... � � ' i!';7�d �9 '�i. � 1 _ _r_ ll '�4= - �Ij� ' �,a,
7,-.5a.. •,: ?•6.,7il�:icu�( 'S. ii�f .._._�_ �: �` „ �,;.+:tr li� a,i�_ � � ' �. ; o� A,.I:ee for branch circuits with
service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: T without service or feeder fire,
Address:
branch circuit 46,85 2
Each add'I branch circuit 6.65 _ 2
City/State /ZIP: _ 11Ziscellaneons (service or feeder not Included)
Phone: ( ) Fax: : ( ) Pump of irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or li»itited-
. T ''�r �`:�" tv • q. : _. ! "SS_°�t +S )'!) is C II': ' 4 i" 2 i� • .ii 1 � `6R ,!, i, a` �6fiisi2- r "y^I�c ;!`:: }. •
..-..,'. i�� .'.+.:.�,..I.irll�ki:i11C'�::_ •- : ;•. =:F._.- ,,n.J, �. 1.:,:G,•kuW.:. ter:'',. �e' �- 5_. r_; rh:! I! Ii�9fi, L{ l{ i1' �3'- J1.f;J�,3r;�i::4i� ".iliR.*f entT Panel' alteration, or
Business name: Ross e La
. , g,� • c
extension. Describe: Page 2 2
Address: e 2 g 7o 5 c ?,1? e_ #2e53 Each additional Inspection over allowable in any of the above
Perinspection 62.50
City /State/ZIP: 4-11) 1 S [oOT O t O I -- 7 ra investigation per hour (1 Iv mitt) 62.50
Phone: 0b3 ) i i y 2 Z' 00 Fax: (5 ex q a 5 LS- Industrial plant per hour 73.75
i H�� i;{: '11' ¢ '� . Il ., l tp. ry �� : :��:,r 1 -. n � n_..,, F T : �!pcP:�'1'- 9iiTCP�f»
13 I.ic.: I Electrical Lic.: c // •. u'r .o21:.2 :,.,• gi. l a(�, `J�,:�1 ? 'z r3; i_�i7.i '; ' �' , ':-fl
CC
15-78 q e : 3 -934, c, S uprv. Lie.: I/ 5 Subtotal ,Qt30 r
ss
�
Suprv. Electrician signature, required: ........53. /c (� � am" r" `" Plan review (25% of permit fee)
Print name: State surchar (8% of permit fee
sty k.>z.� �d �s Date: fee) J (o .s q
TOTAL PERMIT FEE � a i�
Authorized signature: This permit apulia:Uon expires If a permit is not obtained within ISO
days after it has been accepted as complete
Print name: Date: • Fee methodology sat by Tri- County Building Industry Service Board
i:18�ulain •• Number of inspections per permit allowed.
g�Permits1ELC- PermitApp.doe 12/03 440-46I5T(1 0/02/COM/WEB
CITY OF TIGAR.D •
BUILDING DIVISION PERMIT #: ELC2006 -00712
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/15/2006
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 _' V.
INSPECTION WORKSHEET FOR DATE: 2/1/2007 TIME: 7:01AM PAGE: 70
SITE ADDRESS: 08875 SW OAK ST CLASS OF WORK:
SUBDIVISION: OAK STREET CONDOMINIUMS LOT #: TYPE OF USE:
PROJECT NAME: OAK STREET CONDOMINIUMS
DESCRIPTION: 3 temporary power.
OWNER: WESTLAND INDUSTRIES LLC, PHONE #: 503
CONTRACTOR: ROSS ELECTRIC INC PHONE #: 503 - 6412800
Inspection Request Scheduled For: Date: 2/ 1 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Temporary electrical service 042833-01 503- 642 -2800 N
Correcti /Comments /Instructions:
G too a �
►1 �.s A_ n) 7 /
1
VE( .V 1
,
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I " % Date: 2,41 - 7 Phone #: (503) 718 -1-
,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00712
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •12/15/7006
Phone: (503) 639 -4171 �'
Inspection Requests (24 Hrs.): (503) 639 -4175 I �.,
INSPECTION WORKSHEET FOR DATE: 12 /ltV2000 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 08875 SW OAK ST CLASS OF WORK:
SUBDIVISION: OAK STREET CONDOMINIUMS LOT #: TYPE OF USE:
PROJECT NAME: OAK STRtt I CONDOMINIUMS
DESCRIPTION: 3 temporary power.
OWNER: WESTLAND INDUSTRIES LLC. PHONE #: 5 639 -3104
CONTRACTOR: ROSS ELECTRIC INC PHONE #: 503-642 -2800
Inspection Request Scheduled For: Date: 12/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Temporary electrical service 041270 -01 503- 642 -2600 N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL !7�ANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 . Date: /Z./19-6 Phone #: (503) 718-