Permit . CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2002 -00407
1 DEVELOPMENT SERVICES DATE ISSUED: 8/23/02
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S136AD -05800
SITE ADDRESS: 11465 SW PACIFIC HWY
SUBDIVISION: ZONING:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Canopy lighting.
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: 3 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:
EQUILON ENTERPRISES LLC BOYLES ELECTRIC, INC.
PO BOX 4453 P.O. BOX 1227
HOUSTON, TX 77221 BORING, OR 97009
Phone: Phone: 503 - 668 -7440
Reg #: LIC 137002
ELE 3-465C
SUP 3404 -S
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 8/23/02 $66.80 2720020000( Elect'I Final
5PCT CTR 8/23/02 $5.34 2720020000(
Total $72.14
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. You may obtain copies of these rules or direct questions to
Permit Signature: .0A7 �P��i 6,-51-7-70 Issued 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• DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
A" - Electrical Permit Application t tI I ,, I , 1
`� Date received:, Z 3 D 2 Permit no.: Ez.4 ZOO2-6oz/o
� � '1, City of 1 igard y �1 Projecdappl. no.: Expire date:
City of Tigard Address: 13125 SW Hate B1v Tigard, OR 9722 Date issued: B
Phone: (503) 639 -4171 Y Receipt no.:
Fax: (503) 598-1960 r% J L ei '' L. . / Case 61e no.: Payment type:
Land use approval: , :., ` _ _d
-• ='n / zoo z - DOSg3
1 1 1'1 111 1'1:12 111 1
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
❑ New construction CI Addition/alteration/replacement ❑ Other. O Partial
.Itm . tit I l 1 \ 1O12 \I 1 I It)\
Job address: j ( S(,J . t vimingi Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: Subdivision:
Project name: Description and location of work on premises: dila�. �� M
Estimated date of completion/inspection: . — — • r O
Job no: C)' ^ _ 0
Business name: ` - 5i C!;r'a° Total IR
Address: 0 . U . Newresidenatal- dogleormnld- Wafyper 11 II
�`. dwellhigmdt Includes attaehedgarage.
Stater L ZIP: • 00 ServIcehiclodah
Phone: , ogi / ' E -mail: 1000 . It or less 4
?)
CCB_o.: I 00 a Elec. bus. lic. no: 1MR= Each additional 500.. ft or porno° thereof __
ErfiZ Limited energy, residential ME NM 2 _ 2
. lie. no.: S5 &Aro .2..J Limited :, . non- residential _ _ _ 2
g liviri-.--__...4 Each manufactured home or modular
of . ' : e . y (- • ui ed) Date pail," Service and/or feeder dwelling ■ ■ 2
E ar. name (Prim ' aVih £ g O rElliE=EII Services or feeders— installation,
*heron ...000reebeatloo: 111111
1'1201'1:1211 011 \1,12 200 00 or less 2
Name (print): 201 to 400 , .: MEN 2
401 to 600 :
Mailing address: MEM 2
City: State: ZIP: 601 to 1000 amps ___ 2 Over MOO ` or volts ___ 2
Phone: Fax: E -mail: Reconnect call
Owner installation: The installation is being made on property I own Temporary n,alte icesor orrelo - ..
which is not intended for sale, lease, rent, or exchange according to IastaOndoo,akeratl °°,orrelocatlorc
ORS 447, 455, 479, 670, 701. 200 or less 2
201 to 400 ___ 2
Owner's SI ?.,8ture:
Date: 401 to 600 am- ___ 2
1 \ (.1 \ 1.1 12 Branch dreults - new, alteration,
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: State: ZIP: B. Fee for branch circuits without purchase mk
Phone: Fax: E -mail: of service or feeder fee, fast branch circuit BE 2
Each additional branch circuit 'MIMI PM
1 1\ in % 1 111 I I'Icasc (luccl. -:111 T :i ) ] ybc . (Service or feeder not hxluded): ■■■
O Service over 22s amps•o�°>ercial O Healthcare facriy Each y or irrb .; . circle 2
0 Service over 320 amps - rating of 1&2 0 Hazardous location Each sign or outline li,.,;„ : ___ 2
m]y dwenig' 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units m one sanctum alteration, or extension* ■ ■ 2
O Budding over throe stories O Feeders, 400 amps or more 13- .. lion:
O Occupant load over 99 persons 0 Manufactured structures or RV padr Each additional Inspection over the allowable in any of the above: -- - - -
O Egress/lighting plan 0 Other.
Submit
seta of
plans with any of the above. lanai : : ; on lee
The above are not applicable to temporary construction service. Other
Not all jutiadierim s accept credit card,, please call jurisdiction for more information. Notice: This permit application Permit fee $ ( to .DSO
0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card member: / / within 180 days after it has been State surcharge (8 %) $ x.34
Name of cardholder as shown an credit card
Expires TOTAL as complete. TOTAL $ �a 1y
Cardholder signature Amami
440-4613 (b/00/cob!)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: - •
Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
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. R or leas $145.15 4 ❑ Audio and Stereo Systems'
Each additional 500 sq. R. or
portion thereof $33.40 1 Burglar Alarm
Limited Energy $75.00 ❑
Each Manned Home or Modular •
Dwelling Service or Feeder $90.90 2 ❑ Garage Door Opener'
Services or Feeders Condition' System'
Installation, alteration, or relocation El H eatin 9� Ventilation and Air m9 Ys
200 amps or less $80.30 2
201 amps to 400 amps $106.85 2 ❑ Vacuum Systems'
401 amps to 600 amps $160.60 2
601 amps to 1000 amps $240.60 2 ' ❑ Other •
Over 1000 amps or volts $454.85 • 2
Reconnect only _ . •86.85 2 -
Temporary Services or Feeders - TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, a teration, or relocation Fee for each system.._...._..._ ._ $75.00
200 amps or less $88.85 2 (SEE OAR 918- 260 -280)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
•
Over 600 amps to 1000 volts, -• - - - •
• see mob" above. ❑ Audio and Stereo Systems
Branch Circuits
New, alteration or extension per panel ❑ Boiler Controls
. a) The fee for branch circuits -
with purchase of service or ❑ Clock Systems
feeder fee. _
Each branch circuit $8.65 2 ❑ Data Telecommunication Installation
b) The fee for branch circuits
without purchase of service
or feeder lee. ❑ Fire Alarm Installation
First branch circuit $46.85
Each additional branch circuit - $6.65 ❑ HVAC '
Miscellaneous Instrumentation
(Service or feeder not induded) ❑
Each pump or irrigation cirde $53.40 ,
Each sign or outline lighting $53.40 ❑ Intercom end Paging Systems
Signal circuits) or a limited energy
panel, alteration or extension $75.00 ❑ Landscape Irrigation Control'
Minor Labels (10) $125.00 .
Each additional Inspection over 0 Medical
the allowable in any of the above r=
Per inspection $62.50 ❑ Nurse Cads
Per hour $82.50
In Plant $73.75 ❑ Outdoor Landscape Lighting'. _ .
Fees:
❑ Protective Signaling
Enter total of above fees $ ❑ 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.
Fees:
Total Balance Due $
• Enter total of fees $
❑ Trust Account 8% State Surcharge $
All New Commercial Buildings require 2 sets of plans. All Ba lance Due $
i Nists\forms\elc- fees.doc 02/05/02
•
CITY OP TIARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Li e: (503) 639 -4171 MST
BUP.
Received Date Requested AM r�'�i�2, PM BUP
Location 1 / "i Suite • MEC •
Contact Person h ( ) _ • - ` PLM
Contractor i(S C Ph ( ) • c a - V� SWR �1
BUILDING Tenant/Owner ELC Td 7
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall Q\hss
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
Fir= Alarm
PART FAIL
Li Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SIT Please -II for reins • -ction RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 _ Inspect Ext
Other:
Final DO NOT REMOVE this Inspection record Worn the j b site.
PASS PART FAIL