Permit . CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00654
COMMUNITY DEVELOPMENT
DATE ISSUED: 11/14/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136CA-01601
SITE ADDRESS: 11665 SW PACIFIC HWY ZONING: C - G
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Repower (3) RTU's, install (1) 110 volt GFI, & (1) exterior light circuit. Job No. 4795
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: 1 W /SERVICE OR FEEDER: 4 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:
KEY BANK GEMCO ELECTRIC INC
1200 SW 4TH PO BOX 1624
SHERWOOD, OR 97140 -1624
Phone: 503 - 790 -7578 Contact #: PRI 503 - 925 -9998
FAX 503 - 925 -9998
FEES
Description Date Amount Reg #: ELE 34 -504C
[ELPRMT] ELC Permit 11/14/200( $106.90 LIC 61331
[TAX] 8% State Surcharge 11/14/200( $8.55 SUP 45895
•
Total $115.45 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 t forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copie .these rules or direct questions to OUNC at
503.246.6 or 1.800.' `
Issued y: 0! 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
=' 1L(�/3i /
SIGNATURE OF SUPR. ELEC'N: � J DATE: I / 6
LICENSE NO: '9"4 i
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.
FROM :GEMCO ELECTRIC INC. FAX NO. :503925999500 Nov. 14 2006 09:37AM P1
4' t 1 . •c•
Electrical Permit A_pplica ' CE " ED t'OI. OF I( 1' I'til: (1\l.\
City of Tigard 06 Rev 4/
111 .
13125 SW Hall Blvd., Tigard, OR � V 1 4 20 Dale/By; // ! d4' y/ Permit No.: �LE�DDIo GIdlnS
Plan
Phone: 503.639.4171 Fax: 503.598. r 960 IGP RD noway t p Permit:
I 1 t: n l: t.) Inspection line: g go; ul D ING �IV IS1014 Date � Ready/11y: specti Line: ^^ 0 see Nee 2 for
Internet:
Supplemental
_ TYPE OF WORK t.,,;;; : •:'. • . -.y
., . . ‘ : PLAN REVIEW • ❑ New construction Lir Addition/alteration/replacement Please check all that apply (submit 2 Sets of plans w/itema checked below
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑Other
where the available fault current ❑ Marinas and boatyards.
. CATEGORY 'OF; CONSTRUCTION s f.0 ! : : .. • :: :: exceeds 10.000 amps at ISO volts or ❑ Floating buildings.
❑ 1 -and 2-family dwelling Commercial/industrial lest to Bid, Of ekCepda 14,000 Q commas-64i.= g ❑ Accessory building �outtu�
❑ Multi-family ❑ Other OF� for all other iltetallationa. baitlinga.
Y ❑Muster builder pump. p Installation nr7s KVA or
JOB . SITE 1 IVFORMAT[ON, . A1VID. LOCATION •: ❑ Smeugency sys Ir derived ow
:`' •"`: ❑ m largo ❑"A","F'.`1.2 - 1 -r,
Job no.: 4/7 pf Job site address: / /(, ,(fS4t/ ' 6 100HPorsnore. occupancy.
❑ Six or more residential wits. ❑ Recreational vehicle parts.
City/State/ZIP: '77 "Mt) et - .97z23 • ❑ Health-care facilities. • Q Supply voltage for more than
• Suitclbldg. /apt n0.: p / _ � ------ 0 Hazardous locatiooa. 600 volts nominal.
roject name: �j1 [lumen or fade: 600 amps or more.
Cross street/directions to job site:
I Qty. 1 Fes. 7 Total 1 New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1.000 sq. ft or less -
145.15
Tax map /parcel no.: Ea. add'l 500 sq. ft or portion 33.40
Limited energy, residential '
: : •DESCRIPTION..OF`:WORK• •,' .,..... :::' (with abdve sq. R.) 75.00 .
C
! -ore 3 frcis�i fool= ! Limited energy, multi - family
�ff f ?be /'/J/4G (Je,/ t-i / f - residential with above sq. A) 75.00
/'/0,4 ,FT �/ S or feeders inetaltadon and/or relocation
aNe die-‘41 //O �/OLT 6` /. GN /L° £j4 amps less / 80. �r6>T■
R: PROPERTY 'OWNER .. 1 ❑ 1tNIg -r to 201 amps to 400 amps 106.85 85
Name: / xit.,r� /G amps ps to 600 amps 160.60 ,
Address: j ‘.3 54.1 / 601 temps to 1,000 amps 240.60 .
�e* tile dtt....4e Over 1,000 amps or volts 454.65
City /State/ZIP: 7 , 7 of 97 Z Z Temporary services or feeders Installalloo, alteration, and/o -
re
Phone: (ttrf ) ' SS/ 737, I Fax: ( ) 200 amps or less 66.85 l
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 snips 133.75 _ 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
. ❑ •APPLICANT: ::' ;:' " : " - ` ?•ti -- : -`' ' ;`i A x above service or feeder fee,
... �' C4NT.. CT ••.1PERSO.P(.'��� ;?`•�:s�•., :'.
each branch circuit y 6.65 4, 24 Co 2
Business name: B, Fos for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
Phone: ( ) I. Fax : : ( )
dwelling, service and/or feeder 90.90 2
--- _ Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
•
. • • CONTRACTOR • • - • .. :". . '. :• : :: ,.': •• Sign or outlinc lighting 53.40 2
Business name: ,,orfee �i( ere e' energy panel, er or limited- o or
�. mergY Piet, alteration, or
Address: 4J / j ,, % 24.' extension. Describe: Page 2 2
City/State/ZIP: �� e, 61 C/ 97/V0 - /� 2 V Eecb additional inapeetlon over allowable is any of the above
r �^ Per inspection 62.50
Phone: ( 5999 I" I Fax: ( ) J�/fe Investigation per hour (1 hr min) 62.50
CCD Lic.: h f3
4/751e7 1 Electrical Lic.: ?yr 7 "0 +,G I Suprv. Lie.: 4' 97$ Industrial plant per hour 73.75
'oh/07 T
. • I.ECTRICAL PERMIT' FEES
Suprv. Electrician signature, required: / //C G � 7 . ; = 1G
Subtotal: !04 V-
Print name: Date: Plan review (25% of permit fcc):
�/re-, G t .o.tii� // /e e L
State surcharge (8% of permit fee): S a "---T
Authorized signatu re :_.,,/zei j / _ TOTAL PERMIT FEE: /�, (1°-$4.
•
7 his Permit .Ppliw a 84)
don expires if • permit cot obtained within 1
Print name: I Date: ///#0 (
CITY OF TIGARD i T •
BUILDING DIVISION PERMIT #: ELC2006.00654
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2006
Phone: (503) 639 -4171 i&E, - jll�
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7 :00AM PAGE: 34
SITE ADDRESS: 11665 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: KEY BANK
DESCRIPTION: Repower (3) RTU's, install (1) 110 volt GFI, & (1) exterior light circuit. Job No. 4795
OWNER: KEY BANK, PHONE #: 503. 7947578
CONTRACTOR: OEMCO ELECTRIC INC PHONE #: 503-925 -9998
Inspection Request Scheduled For: Date: 11/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
199 Electrical final 040468 -01 503-701 -5880 Y
Corrections /Comments /Instructions:
PASS El
APPROVAL ❑ CANCEL El ACCESS
❑ FA L ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: N toe LE Date: k 3 Phone #: (503) 718- A_______
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CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC200G 00 54
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �._..
INSPECTION WORKSHEET FOR DATE: 11 /20/2006 TIME: 7 :01AM PAGE: 33
SITE ADDRESS: 11665 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: KEY BANK
DESCRIPTION: Repower (3) RTU's, install (1) 110 volt GFI, & (1) exterior light circuit. Job No. 4795
OWNER: KEY BANK, PHONE #: 503 - 790 -7578
CONTRACTOR: GEMCO ELECTRIC INC PHONE #: 503 - 925.9990
Inspection Request Scheduled For: Date: 11/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040025-01 555-555-5555 N
Corrections /Comments /Instructions:
a - PR sto.110 4 1 1 (3 Ra� r tscs) Ls-a+ ON ('AIL ALL.
s oLa 6 '0 to po - No k T' s70 PlaL
ps t - Ns 6F coNb\ i7 AL- .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
;FAIL =1, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G • N r Date: %' ' Flap_ Phone #: (503) 718 - 1.44(0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-OQ654
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2006
Phone: (503) 639 -4171 l N
I I
Inspection Requests (24 Hrs.): (503) 639 -4175 ,..�..� __..
INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7:01AM PAGE: 51
SITE ADDRESS: 11665 SW PACIFIC HWY - CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: KEY BANK
DESCRIPTION: Repower RTU's, install (1) 110 volt GFI, & (1) exterior light circuit. Job No. 4795
OWNER: KEY BANK, PHONE #: 503-790-7578
CONTRACTOR: GEMCO ELECTRIC INC PHONE #: 503 - 925-9998
Inspection Request Scheduled For: Date: 11/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039936 -01 503-701-5880 N
Corrections /Comments /Instructions:
040025 01
•
U's 0 t M
0V a612 4 Q(f -
, �
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 011 Date: It in- .0-‘:) Phone #: (503) 718-