Permit C ITT OF TIGARD
ELECTRICAL PERMIT
PERMIT #: ELC2008 -00533
COMMUNITY DEVELOPMENT DATE ISSUED: 9/12/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136AD -06507
SITE ADDRESS: 11460 SW PACIFIC HWY ZONING: C - G
SUBDIVISION: WAY LEE LOT : 003 JURISDICTION: TIG
PROJECT: QUALITY INN
Project Description: (3) branch circuits for code corrections.
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: 2 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:
JHCB PROPERTIES LLC WILLAMETTE ELECTRIC INC
BY BAXTER, THEODORE E + JUDY H PO BOX 230547
11460 SW PACIFIC HWY TIGARD, OR 97281
TIGARD, OR 97223
Phone: Contact #: PRI 503- 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 9/12/2008 $60.15 LIC 75059
[TAX] 12% State Surchar 9/12/2008 $7.22 SUP 42265
Total $67.37 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 throu h 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.
i
/
Issued By •
' / Permittee Signature: .. /�
� - /v
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.
1 9/11/2008 THU 14:08 FAX 5036242938 Willamette Electric
11
[a 002/002
■
Electrical Permit Applii103
eV Et) Received 0. FOR OFFICE USE ONLY
City of Tigard t
/1 or 57f Permit No.: e .:. lc
" l3 125 SW Hall Blvd., TigarP2 97223 Review
. s
IBq
• I : '. Phone: 503.639.4171 Fax: 503.598 P e rmi t:
1 1 ZU38
71 Date/By:
Date/By: Other Per
Plan .
TIGARD Inspection Line: 503.639.4175 ' ' Date Ready/By: le is: PI Sec Page 2 for
Internet: www.tigard gTIGARD Notified/Method: Supplemental information
..-.'bontast: : -
El New construction IN AdditIataftt I
i n prEcement Please check 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.
- El Demolition 12 Other: where the available fault current 0 Marinas and boatyards.
1 : •0
...: :..,':::-:: '',:;. ,:]:::.' '..-. :.
,,.. l t ro
exceeds 10;0d' or amps at15 or E Commercial-use agricultural Floating huildings
.:- : , : . .
1=1 1- and 2-family dwelling El Commercial/industrial 0 Accessory building amps fograllnolheir ed 14,000
installations, buildings.
O Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
, . . •
': " ' 0 Emergency system, larger separately derived system.
i o Addition of new motor load of 0
... . . . .. ,
/7 A e: -. 100HP or more, .1
//,. 26- Job site address: (;) S (Z) / • 4.6 ,,,,
0 Six or more residential units. occupancy.
Job no.: ' p 1 ./
0 Recreational vehicle parks.
City/State/ZIP: ; 6._ er i , e / (;) (C, 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: 42a i ;Ty _4 0 Service or feeder 600 amps or more.
:.. ;...':::-." i ' :'.:.: : '.'PEE.SCHEDULE „ ' ...• ': • ;:,'... ' .
Cross street/directions to job site: Dascripiion I 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. addl 500 sq. It or portion 33.40 1
Tax map/parcel no.: Limited energy, residential
75.00 2
:- -:'• .-: : ::::•: : „ . :.• ; :.::... , ?;:: - 4 . , :' ; :':: - .. - ::: : ::' - ' ; BESCRIPTif)N 1 .-OF;:VtitfitRIC:I. , :,Z,' , ..: . .1:.: ! :::;;7'':-: -: : :::::::.: . ;.:::.': . (with above sq. 11.)
Limitcd energy, multi-family
75.00 2
8 047 •v C.f. t'....6 Cr. ' c": t 4 " . c'' C.. 7 7.• ; e-.' ""! 2;4 residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
-..::•.-. :':•:'..EliptiOnztityOyNER .:-..:.:-';::: -:.: : 201 amps 10 400 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: ( ) 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
".;.:.1:::',-: ::
E,RSh N . ;;:; - :,: . i: . ::; . - .: ,.. , above service or feeder fee,
6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, i I. 1 1 , ..: 5 "
Contact name: 46.85 1% ,,'--. 2
first branch circuit
Address: Each add'I branch circuit p, 6.65 / 1 2
- Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
,---' .I - ' - . . - - : : ; C O N T R A C T O R ' : • : - : . - - - . , . • '-. ' `;;',.:: :,- ..:.: •, .:.; - -•:,;:. . : Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
Business name: Willamette Electric Inc energy panel, alteration, or
Address: PO Box 230547 extension. Describe: Page 2 2
City/State/ZIP: Tigard, OR 97281 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 624-3631 Fax: (503) 624-2938 Investigation per hour (I hr min) 62.50
CCB Lic.: 75059 Electrical Lic.: 34 Suprv. Lie.: 4226S Industrial plant per hour 73.75
-, - ,..-.; ',':':..:•.;• - -..‘:: " f ELECTRICAL 'PERMIT :FEES , , 's• --,./.-':;":.; '.:
Suprv. Electrician signature, required: Subtotal: (
Plan review (25% of permit fee):
Print name: David Fife Date:
/ )' ,, State surchargel,8% permit fee): 7 ,..."-
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name Date: days after it has been accepted as complete.
•
Nuisbcr of inspections allowed per permit.
I:\BuildiogPermitA0LC-PcnniuApp doe 05/2.3/06 440.461 ST(I 1/05/COM/WEB
CITY OF TIGARD . • .
BUILDING DIVISION PERMIT #: ELC2008 00x,33
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/20011
Phone: (503) 639 -4171 , .m t' 1
Inspection Requests (24 Hrs.): (503) 639 -4175 "'� �..
INSPECTION WORKSHEET FOR DATE: 9/29/2008 TIME 7 :02AM PAGE 43
SITE ADDRESS: 11460 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WAY LEE LOT #: 003 TYPE OF USE:
PROJECT NAME: OUAL1TY INN
DESCRIPTION: (3) branch circuits for code corrections.
OWNER: JHCB PROPERTIES LLC, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 9/29/2008 Pour Time:
Code # Inspection Description confirm # Contact # Message
199 Electrical final 076006 -01 503 624 -3631 i Y
Corrections/Comments/Instructions:
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use , o 6 5 •6 . CIZT 6 Si t3 - aca _ 60®,S' ( •
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4\140ti‘0.8
'wv —icgi lr 10 awN1 IN Vim-. The eI trical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
❑ PASS
❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
A FAIL ya CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
y
Inspector: S \V ■ $ e I � Date: q 251 1 Phone #: (503) 718- -Litglj
, _
CITY OF TIGARD •-
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Et X2008 gt)533
9
Phone: (503) 639 -4171 * Nell I 9/12/2008 Inspection Requests (24 Hrs.): (503) 639 -4175 _ . ' ..
INSPECTION WORKSHEET FOR DATE: 10/14/2008 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 11460 SW PACIFIC HWY CLASS OF WORK: 1
SUBDIVISION: WAY LEE 11460 #: 003 TYPE OF USE: //
PROJECT NAME:
DUALITY INN
DESCRIPTION: (3) branch circuits for code corrections.
OWNER: JHCB PROPERTIES LLC, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC: PHONE #
503_624-3631
Inspection Request Scheduled For: Date: 10/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 076661 -01 503.624 -3631 N
Corrections/Comments/Instructions:
•
j , ■ '-ASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /0 i — U Phone #: (503) 718-
CITY OF TIGARD• • -
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639-4171-- .. r.: - �i ,; ' il ; _. ,. _ . _ - .
Inspection Requests (24 Hrs.): (503) 639 -4175 • AIL
INSPECTION WORKSHEET FOR DATE: B / 2 8/08 TIME: 1 '.3Otpn1, PAGE: ,
SITE ADDRESS: `I LI Lo 5 h) PAC- . 1 L 14 .E v CLASS OF WORK: '
SUBDIVISION: / LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: "13R C.ire..C. ■J 1 _
9 5 '3 N . L c..RT' ON �e■� -I "r IC. ,4V'J -
OWNER: a L ALIT 1 N NI . PHONE #:
CONTRACTOR: PHONE #: '
Inspection Request Scheduled For:._, Date: B I 610 $ Pour Time: 1
`
Code # Inspection Description Confirm -- # Contact # Message
NUtiST !a� , 0 �
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Corrections /Comments /Instructions: � C �6S-
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v-=-k, - 31 y . Zg •
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5) CS „ ; l 3' 1 sIA ALL cow ,` 4 AKT 2-S .
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iv
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El PASS n PARTIAL APPROVAL `. ❑ CANCEL El NO ACCESS '
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ',`' - Date: 812810$ ixgione #: (503) 718- 2`4y8,