Permit CITY OF TIGARD ELECTRICAL PERMIT
a • COMMUNITY DEVELOPMENT Permit #: ELC2009 -00148
T I G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/03/2009
Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST
Subdivision: Lot: 0
Project: Plaza West
Project Description: Upgrade and replace existing building's fire alarm system.
Owner: FEES
PLAZA WEST LLC Quantity Description Date Amount
BY NORRIS BEGGS & SIMPSON, 121 SW
MORRISON ST STE 200 4 crt Branch Circuits 04 /03/2009 $88.80
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 04/03/2009 $8.02
Electrical
Contractor:
DYNALECTRIC
5805 SW HOOD AVE
PORTLAND, OR 97239
PHONE: 503 - 226 -6771
FAX: 503 - 226 -7818
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $74.82
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the 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 a copy o the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: C SIO CQ k J', X n 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' 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.
4- 1-.09; i : 29PM; Dyne i ectr i c servi ;503 226 7720 # 2/ 3
.... 4 " .n.
' EiQetrical Permit Applicatio FOR OFFICE USE ONLY
'
,.
City of Tigard Received
Date/By: q . I ,. oct WotS PermitNo.:E te 2coq .. 001 14 8
I' 13125 SW Hall Blvd., Tigard, OR 97223 A DR - 1 2009 Plan Review
Il i MI . Phone: 503.639.4171 Fax: 503.598.190i Date/By: Other Permit: P62 ' 000 17
Inspection Line: 503.639.4175 Date Ready/By: Mr. Se
,
TIGARD El e Page 2 for
Internet: www.tigard-or.gov cra OF TIG NolifiedMethod: 9 Supplemental Information
. . . ' ' . ' ..' ..: . " ".. ."' ...' ' ' ' ." ' ''.... "14161111 JINP:DiVISION .;.. , : .. „,.. ....... ,... ,., ... .,...,_ ..... , .. .. ..... _,.. ,.. .. •
. - • • - ,- • . ,,-,•..,-,- • -- ' " - .. - -::, ---, ,,, .•=1 ,, :. - a , . , ::'!'''' i! . ; . i:!. .. ; .. ,::! ;,:.::.,.: ... 1....,. ..: . ;: .: : :„,:t.LAN,.REviEvv,., . „ -. . • .•
. . • • •
El New construction ErAddition/alteration/replacement Please cheek all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
ID Demolition El Other: where the available fault current 0 Marinas and boatyards. •
• . - • • • • ". - .. - .. - - .- • ' . ' ..-- ••••••• • • p
CATEGORY - " - •"'" •'''''.=. , •", :','•';''".;':=:.:. ;!•;.,.'-..-:•::-.,=: am at 150 volts or 0 Floating bu
.: .• ....•-. ,,,',1::.T;:.:'•'''.;_f!j':..,. CONSIO9MON ,...,■; : ;:: ' . : .;;iii : •.:'1 :.: .:::,:::'•:,. . ' exceeds 10 000 a MP g °-.
- .... . • • • ••••: ..7.............. ,.. . . , . ,,..,.. ,...
less to ground, or exceeds 14,000 0 Commercial agricultural
0 1- and 2-family dwelling IRCornmercial/industrial 0 Accessory building amps for all other installations. buildings.
El Multi-family El Master builder El Other: 0 Fire pump. 0 Installation of 75 KVA or
larger separately
c derived system.
• . • • : .. .- -",- .• ;-'." . ':•W:-:!!'il:::i;::::1 In Addon of new motor load of 0 "A" "E" "1-2",
Job no.: Job site address: 94,093/6 , ,t
li 54.513 100HP or mom
c..f Sy9 0 Six or more residential units. occupancy.
0 Recreational vehicle parks.
City/State/ZIP: 7 4,S, '97eQ c:: ?) ID Health-care facilities.
El Hazardous locations. 0 Supply voltage for more than
600 volts nominal.
Suite/bldg./apt. no.: Project name: • 0 Service or feeder 609 amps or more.
IEE Saittlifig'.1...
Cross street/directions to job site: SO-- Docaprion 1 Qty. I Fee- I Total I *
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'! 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
.•
mited energy, residential
•••• iligko.tiiolititiii:pciwolikti Li (with above sq. ft) 75.00 2
Limited energy, multi-family
75.00 2
. ! _ ■ 411 AO „de e — . __... . Am.. residential (with above sq. ft.)
/ _ Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
•1:;-::::;0 ;1!7**131*i:CPIVM*ZMS:'..4.biNP:11;'1.f::ZriAlli F ...... 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I 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
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
•:•4:1":"xiq'tjtaNt';''"''','"M7r$oRifiiit/IViii§dsf,:.4;i1.'r;P:::4: above service or feeder fee,
665 2
each branch circuit
Business name: cD9r B. Fee for branch circuits
without service or feeder fee, /
Contact name: _ ...._el #. 4 ...) 1 46.85 2
first branch circuit
Address: Each add'l branch circuit 3 _ 6.65 /9" R5 2 I
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular i
90 2
dwelling, service and/or feeder
Phone: (543) Vii--.6/ F5 I Fax: : ( ) Reconnect only 66.85 2
;
E-mail: Pump or irrigation circle 53.40 2 i
.-. ';'. ' - -: . ':' • .::. '::::..':'., ;:.:: :.:-:‘. . ;;;T Sign or outline lighting 53A0 2 , I
Signal circuit(s) or
Business name: name: d a
/ /V,6_e_ii 4 _J energy panel, alteration, or I
Address: l c://91,4 ,e_.., extension. Describe: Page 2 2
i
City/State/ZIP: ek -fz/ 0,‹ 9 7& Each additional inspection over allowable in any of the above
• ,- ,- Per inspection 62.50 i
Phone: L0.3) c . , 7-,/ Fax: C7/ ' 7R/ Investigation per hour (1 hr min) 62.50
CCB Lic.: ,„ , 7- Electrical Lic.: •••, Suprv. Lie.: Industrial plant per hour 73.75
— , i Alli..
AIM - '- iNVF.gAri:CA4FetitiONt 4tOMIT:00..:.: .. 1 . '.. - '. .
Suprv. Electrician signature, required: IWitilliM .
Subtotal: 6,4, Re,)
Plan review (25% of permit fee):
Print name: •''•... *-- . &I Dat - . . / I 0 . _
State surcharge (12% of permit fee): ' 'E?,,,i
,
Authorized signatur •
....., : .. a ...__ A ,/ TOTAL PERMIT FEE: 72/, t /
This permit application expires if a permit Is not obtained within 180
/1-4-. i
Print name: n ee Date: -) z•;41
/M days after It has been accepted as complete.
• Number of inspections allowed per permit.
I: \ BuildIngTennIts \ELC-PermitApp.doe 05/23/06 44(1-4613T( I I/OS/COM/WEB
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