Permit 1
`~ CITY O F TIGARD ELECTRICAL PERMI
COMMUNITY DEVELOPMENT PERMIT : ELC2008-00045
DATE ISSUED: 1/24/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136AD -06504
SITE ADDRESS: 11462 SW PACIFIC HWY ZONING: C - G
SUBDIVISION: AMERICAS TIRE COMPANY LOT : 003 JURISDICTION: TIG
PROJECT: DISCOUNT TIRE COMPANY
Project Description: temporary power for construction site
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
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:
HALLE PROPERTIES LLC ATLAS ELECTRICAL CONTRACTORS
20225 N SCOTTSDALE RD 4403 SE ROETHE RD
SCOTTSDALE, AZ 85225 MILWAUKIE, OR 97267 "
Phone: Contact #: FAX 503 - 659 - 4944
PRI 503 - 659 -2212
FEES
Description Date Amount Reg #: ELE 3 -2C
[ELPRMT] ELC Permit 1/24/2008 $66.85 LIC 1532
'TAM 12% State Surchar 1/24/2008 $8.02 SUP 5009S
Total $74.87 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 :A Permittee Signature: 6.7
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.
ATLAS ELECTRICAL Fax:5036594944 Jan 24 2008 9:16 P.02
Electrical Permit Application FOR OFFICE i. 'sr o \ L,'
City of Tigard. BEG EIV E' R ee',,r, f
;� � 13125 SW Hall Blvd., Tigard, OR 9 Plan Review
Phone: 503.639.4171 Fax: 503•598.1960' N 2 4 'LOU- D /B Otter Permit
'r' 1 c , n K l ' Inspection Line: 503.639.4175 .3 A Date Readymy: Jerk e � ' See Fi ge 2 Internet: w.tigard -oi.gov . f ry QF.1 turtr+4 t NodGed/Method; • . Supplemental information
�, ,,.1.,,. .,:e•.: -.. F f � �' . '•" x^,i.,n �•�xr. rr-, � !rtl � t9 ,� � ,., f a ;!.
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t ,r 4ai
IZ New construction ❑ Addition/alteration/replacement Please e , • all that apply (submit a sets of plans w /items checked below):
• ❑ Demolition ❑Other: • ❑ Service . feeder 400 amps or more ❑ Building over three stories.
'+• m '" ' .;¢FY c8 Rll l - "c Tmnalrr.3 ;:1 n^ z -rite^ :ti tr r - ^„ a available fault crerent ❑ Marinas and boatyards. •
_ ;, ., 5,5 . ir. g .97_ �� :.11.•.r_..u7g217,11 •-i ii: 1 1 1 _ .tic, U:,:-" WtiCIE
ail � i °� ,. _ IL `L�iii � �,.. .,,,,r•,,,ti , ��,`-�H,,;If�;,; � II iz ��M�. 1 � �� _ etcead 10,000 7,00 amps at 150 volts or ❑ F7oa buildings. ' • ` -.. ss� - r:a ' .,. _ n,dn;; ! ... � . r. �:� nit.. hob b
0 d welling ^ ®Comloaercia)Jmdustria] lass m , • or exceeds 14,000 ❑ C i mmereial -ose agricultural
I -and 2- family
Accessory building amps fo all other' installations- bmndiag& •
o Multi - family ❑ Master builder ❑ Other: ❑ Fire p . , .
y:!!l; 7 ! �!� tr. a'Y" I *n ;.c • a�,,nn ur} a,t�l,ytr usl!k d � : <. ❑ Installation of 75 ICVA or
a,n
.'`"_ _ „ v ; .lrr ; C • :yf l 1 ,1-l l _ ,a ' a: ( ^ i. i„ ' 4'.41. , ir .; : i + :`j :, tom^ li F t iY ?F �:`1'i r r' r • LE; L, '� tI ;51 i • ❑ Emei , • y ayst¢ta larger separately derived system-
.: '' ' • - • '' ,i-:imkite aid a:_-sJasmm:a'.i`gaat i!7. ; Ih� .1 l 'J;' 'Ill '',,,,:': ❑ Additlo of new
;� �•_� Ici._,.:r,,,, .. , n om: ' , snorer load of ❑ °p ^, "E", -1_2-, -1_3n
Job no.: 17187 Job site address: 11462 SW Pacific Hwy occupancy.
Io01iP • , mare.
/State/ZIP: ❑ Six or -n: rsaideadal units. ❑ Recreational vehicle parks.
r
ty Tigard, Oregon 97223 ❑ Heal • -:: facilities. ❑ Supply voltage for more [ban
• •
❑ liazardo = locations. 600 volts nominal.
Suite/bldg. /apt no.: I Project name: America's Tire Store V ❑ Service , feeder 600 amps or more.
a''„�,'ii,�l�I:: ;«�lij�i�_ I,,,.a:12: ; ;,1!1 ;, ral4 .t,• ._..M
street/directions to job site: • - - - �{, ' 1 '�' U 1 �' , !
Cross .. 1tl.::S .a,o1_ ^s. . :Ili a L �° -
New real' , dal single- or multi - family dwelling unit.
Includes ttacbed garage. .
Subdivision,: Lot no.: 1,000 sq. i . or less
145.15 4
Tax map/parcel no,: - Be. add'1 '00 sq. R or portion 33.40 1
�,, Y!�l�C��, M;II:IIl�s:S�: .� �• -� rl � " FF��a-'S?;':";� ir��? �-^^i•'nC11 ;U':; ,.. � :tigr, � (' •,I n _ -,��� III' Limited e r et'$'yr residential ,..._.. , . :i . �s,.�m:, "_ : 1ila ``'' r g • l `t 12 3�t �,lf !;_.1'w' fah rl Lll �,` slit .,, .1 s �!"l -� i' l (wit :. , tr £t) 75.00 2
... .`" . ".411M11•le,Srd,_n r .i. m`,.,. I.._,, it ��
Provide temporary power for construction site.. Limited orgy multi-family 75.00 2
' fesiden : 1 (with above sq. R)
Services o feeders installation, alteration, and/or relocation .
_ I , i . : ;., �� ❑❑ I�� l � ,.,„, .. • 200 snips , r less - 80.30 2
.,. 1 LI i, �:i �: 5't l :,! i• ,� �+, ' i. ,L 1,.- :Y ;,ro ' 11 . :p. M,, fI 201 s o 400 2
. , mrc+ ift�ti�Ei! tre;rDT. r!�•aba:c ;a.9!"rrt4croir_ is ���I� °rc.!! ;..:,,_., ::nil ;NJu ;.::c,w�,�i Iul�'- MP's OOPS 106.85
Name: America's Tire Store 401 amps , 600 snips 160.60 2
• 601 amps • 1,000 amps 240.60 2
Address: 11462 SW Pacific Hwy Over 1,001 amps or volts 454.65 --- 2 .
City/State/ZIP: Tigard, Oregon 97223 Tempora , services or feeders installation, alteration, and/or
Phone: relocation
( ) I Fat: ( ) 200 amps , less 1 t 66 66.85 1 1
Owner installation: This installation is being made on property that I own which is not 201 amps .. 400 amps 100.30 2 •
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps „ 599 amps 133.75 2
Owner signature: Date: ' Branch ci cutla - new alteration, or extensia , anel
mp A. Fee for , ranch circuits with
• dt - u, 1 . 6 _u q r..: �:!"= i.j::r -�.. 'rRi ;ir!�SD.'�r+
Y; :l }'y,i ;:" ;: i .l :r ti.:%n1J- yp� l.w'A it..iij -: n '�11� •""�.., .- ? ?; �r .,� n . •u . 0 6 'cc or feeder ee . ■
I,1.,I mom I fi ,cEa _ c 11G 5 ci!i t�=� •i5�a mo t' above er f ,
each . . ch circuit 6.65 2 •
Business name: Atlas Electrical Contractor's, Inc. B. Fee for ' circuits .
Contact name: Ronald .1 Ganger without ce or feeder fee,
first b :,,, ch circuit . 46.85 2
Address: 4403 SE Roethe Road Each add'l i .,, ch circuit 6.65 2
Miscellan _ , us (service orfeeder not included)
City/State/ZIP: Milwaulaie, Oregon 97267 • • Each man actured or modular -
dwelling, 'ce and/or feeder 90.90 2
Phone: (503) 659 -2212 I Fax: : (503) 659 - 4944
Reconnect , �y 66 85 2
d;, E-mail: rf• °"r "� 1 91 t! �eI tics Pump or ' gallon circle 53.40 2
: -'S' Z?::; ern,.. ���
.� :•� - =''!; `9c - , � �, Y l iU ! ': �i�t�'��i:a�.- ' „'u's iy1 = rl;j;.= a � �� - ��� :`pz Si or ou � , q0
:.. ::eel.. ,.. L • . :n;r 191 m KTt "I lllle a lm alighting 53. 2
Business name: Atlas Electrical Contractors, Inc. Signal circ it(s) or limited -
Address: 4403 SE Roethe Road ex
energy on e a ribee ttorl, or Page 2 2
City/State/ZIP: MihvauIde, Oregon 97267 Each ad , oval l , : , ectioti over allowable in any of the above
503 659 -2212 • Per inspet. t 62.50
Phone:
( ) I Fax: (503) 659 -4944 inveseigati per hour (1 hr ®) 62.50 •
CCB Lic.: 1532 I Electrical Lic.: 3 - Suprv, Lic.: 1091S Industrial p ant per hour 73.75 . `
4 =- , L14 q'i, C..,,I s '., :?,). r ! i'�cw;P: i gl "':'.!1j.' ' bdl�f'
Suprv. Electrician signature, required: / ^Ir °um : '
=�• _ !� /.: Subtotal: 66.85
Print name: Ronald J Gauger Date: 1/24/0 : / Plan review (25% of permit fee):
State surcharge (12a /o ofpetri't fee): 8,02
Authorized signature: • ;
.� - �� / i i, / _ TOTAL PERMIT FEE: 74.87
Pratt Warne: Ronald J Gauger 'r Date: •1/24/08 Thh Perms application expire* if a permit la not obtained within 180
days after it has been accepted as complete.
1\ Bwading% Permits1arrC- romiwpp,dev05/25 /06: . . . . 4404615101 Po5/COM/wEB * �of.coonsalbwedperPetrie. •
CITY OF TIGARD _ r
BUILDING DIVISION PERMIT #: F_LC2003 -00045
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/24/2008
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 -' �+�-I I
INSPECTION WORKSHEET FOR DATE: 2/1/2008 TIME: 7:02AM PAGE: 18
SITE ADDRESS: 11462 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: AMERICAS TIRE COMPANY LOT #: 003 TYPE OF USE:
PROJECT NAME: DISCOUNT TIRE COMPANY
DESCRIPTION: temporary power for construction site
OWNER: HALLE PROPERTIES LLC, • PHONE #:
CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 503. 659-7212
Inspection Request Scheduled For: Date: 2/1/2008 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 362-01 503 - 901 -9342 N
Corrections /Comments /Instructions:
. \
r \ -,\
\ \ c\\
J
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - N de L' Date: 1- -I - t? Phone #: (503) 718 - 1e` ••
CITY OF TIGARD
w
BUILDING DIVISION K , PERMIT #: ELC2008 -00c15
13125 SW Hall Blvd., Tigard, OR 97223 -• DATE ISSUED: 1/24/2008
Phone: (503) 639 -4171 �"�" J ' .x1 -' l
Inspection Requests (24 Hrs.): (503) 639 -4175 1 L..
I --
P. INSPECTION WORKSHEET FOR DATE: 1/30/2008 TIME: 7 :02AM PAGE: 23
SITE ADDRESS: 11462 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: AMERICAS TIRE COMPANY LOT #: 003 TYPE OF USE:
PROJECT NAME: DISCOUNT TIRE COMPANY
DESCRIPTION: temporary per for construction site
OWNER: HALLE PROPERTIES LLC, PHONE #:
CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 503- 659-2212
f
' Inspection Request Scheduled For: Date: 1/30/2008 Pour Time:
Code # Inspection Description c Co Contact # Message
110 Temporary electrical service 064201 -01 503 -901 -9342 Y
Corrections /Comments /Instructions: \ � ' 3 " M 11
a A (Z- I . 2 3 O.4 9 - P (Loisc u Abac Rc� v� AI hit) 3'd p4 c. b4 r ,
I
n 2 � .5 • Two 9 - 1 Ito.* 6,5 4ZCc t cu.-7D .
! U
- RNs I i cN ( 'IN vE
.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
►2I FAIL V CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r-' I V 66 Le Date: 1 ' 10 • A Phone #: (503) 718- 1.-4Lib