Permit CITY OF TIGARD ELECTRICAL PERMIT
....
y ° PERMIT #: ELC2007 -00052
COMMUNITY DEVELOPMENT
DATE ISSUED: 2/16/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103DD - 01201
SITE ADDRESS: 13920 SW PACIFIC HWY ZONING: C -
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT: JURISDICTION: TIG
PROJECT: GOODWILL INDUSTRIES
Project Description: Goodwill Industries - Temporary electrical service. Job No. 53281C
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: 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: 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:
GOODWILL INDUSTRIES STONER ELECTRIC
1943 SE 6TH AVE 1904 SE OCHOCO STREET
PORTLAND, OR 97221 MILWAUKIE, OR 97222
Phone: 503 - 238 -6190 Contact #: FAX 503 - 659 -2824
PRI 503 - 462 -6500
FEES
Description Date Amount Reg #: ELE 26 -122C
[ELPRMT] ELC Permit 2/16/2007 $66.85 LIC 44823
[TAX] 8% State Surcharge 2/16/2007 $5.34 SUP 3496S
[ELPRMT] Investigation 2/16/2007 $66.85
REQUIRED ITEMS AND REPORTS
Total $139.04
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 w' : - • = • accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
susp - • •ed for more than 80 days. ATTENTION: Oregon law requires you to follow rules adopted by t = • regon Utility Notification Center.
Th• -e rules are set forth in a • - ' .2 -s e1 -0010 through OAR 952 -001 -0100. You may obtain copi- .• t ese rules or direct questions to OUNC at
5' .246.6699 or 1.800.332 c • 0
'
I .sued By: �,-`��� Permittee Signa • '''' ♦ ; fij if (p(w—^---
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:
G NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: --t ��L___ 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.
01/22/2007 17:37 FAX 5036592824 STONER ELECTRIC Ij002
' Jieetrical Permit Appli " • FOR OFFICE USE ONLY
City of Tigard - c7 .A Permit No.. ith _ •d 7-0605
13125 SW Hall Blvd.. Tigard. OR 97223 , • , Pen Revica
Pitons: 503.639.4171 Fax: 503398.1960 JAN 2 2, 7 ".''ems f`� Dads °°Pew
Inspection ion 503.639.4175 J,— " � ,, Date RendyIDy El see Pa 2 for
Internet www.eitigard.or.us CITY OF TI :` - 1�totinc lMgbod: /sapptementat
PLAN REVIEW
�I: New construction 0 Addition/ali�etation/teplac nc Please check anthill apply:
['service over 225 amps, conam'I 0 Hazardous location
• Demolition ❑ Other:
❑Swice over 320 amps - rating O ont:l tg over 10,000 sq . a_,
CATEGORY OF CONSIRIICITOTI of I- and 2- family dwellings 4 or more rim resid
❑ I - and 2 family dwelling ' mdusirial ID Accessory budding ❑ System over 600 volts nominal yaks in one structure
El Multi Master builder ❑ Other ❑ la ding ova three stories ❑Feeders, 400 amps or more
❑ Occupant load ova 99 persons ❑Manu lad sins:tures or
JOB IE'II MATIO*AND:LOCA toN ❑Egeas li plan RV park
El Other
Job no.: 6 31 $ I Job sitc > rss t ? q . C S& P4 t! C ' Sobanrt y acts s of plate with any oft a above.
City/State/ZIP: / p / The above are not applicable to temporary eonsavction service.
SuitelbldgJapt no.: !T Project name: i O • I �/l'�, � � SCHEDULE' _ try era. Yee Teat ..
Cross stteeddirec ions to job site: New resided single- or multi -rangy dweIDng unit.
In des attached garage. l--
1.000 sq. R or less 145.15 4
Subdivision: I Lot no.: Fs addl loo sq. R. or portion 3140 1
Tax t:paplpatoel no.: Limed energy. residential 7100 2
Limited energy, u oo -rend ttisl 75.00 2
..... np DE57CB81TOPL dF — •
(J/ . . • Each i
mid or modular
Yti CO A / 0 li / _ l i I/ s— s r service and/or feeds 9090 2
smrioea or [eaters Installation. Abandon, Abandon, �d/or rd a vcatio .
V
tt v h Q Y
P a tt- ^ 2 0 amps or lc= .. 80.30 2
t � (Y I . zaI arm to 400 amps rotas 2
• b Iy.OWNER . •..:O TENANT • 401 imps= 600 amps 160.60 ' 2 ,
Name: i„ o b JO/
l LL / / C.e �j % - di 16 601 atopsm 1,000 amps 240.60 ' _ 2
Address: Address: v `L
/9 . o w /4A... Over 1,000 amps: or volts 454.65 2
Reconnect only 66.85 2
CitylStatdZIP; J 7'-j 7 - D/_ f 7 $' / Temp e
oratyverde=orfeedr _ nsta>a+ou. ighnirldkas and/or 1
Phonm 63 ) 438- e 9) ] FroC ( ) ,as I 66.85 W b 2
200 maps 1
Owner installation: installation is being made on property lima 1 own which iS 110t 201 ampsto400 100.30
intended for sale, lease, sent. or exchange, according to ORS 447, 449, 670, and 701. 401 .,... to 600 amps 13175 2
Owner Date $rimchea+ is – tsew, sltawtion or eatmgow per panel
lsi3', °�: ACI � Jat 8 0iN " ';'..S1 Ss A Fee faritrancheuwits with
`p � - - service or feeder fee, each
. ._ •.. CA — 6.65 2
Basins= nam= _ branch circuit
8 Pee for branch eiealils
Contact IItame: tritharr saviee or feeder fee,
e branch amt 46.85 2
,Address ch -
Fs eddl brands circuit _ 6 . 6 5 2
City/State/Z1P: M'acellaneous (service or feeder not Included)
Pump or brigades' cas{e 53.40 2
Phone: ( ) I Fax: : ( ) Sign or mnliae hag 53.40 2
E -mail Signal eQntit(s) or limited -
CONTRACTOR energy panel, alteration, or
_
extension. Describe: 75.00 2
Business name: STO LE( r i C _ - -
Each additional hapecdoa over allowable in any of the above
Address. i 90 4- .5 Q c . t e c O pa inspection 62.50 . 1
City/Statei IP: f ✓1 a t` ri/4v i< 1 e-, O R 9 72. 2 2.. Investigation per hour (1 br min) - 62.50
Phone (50.3) 46,2- Co SOO I Fax (503 ) 6 59 – 49& 8 Industrial plant Per hour 73.75
ELECTRICAL PER ffr FEES`
CCB Lic.: 44Fse3 I Electrical Lic. :2 (, - 12 2 c I Suprd'. Lic.: 34-9Cos P. #0°4- subtotal b 6. g c
Suprv. Electrician signature, requiltxl: m, ,,,e hi tit r6"717rfert U /,. 86 ...*
Print name: pq / KE g L C p N e F Date_ 0i/ A air) Slats surcharge (8 Yo of permit fee) 5. 3
TOTAL. PERMIT FEE
Authorized sipiature: This permit applieatlon expires ifs permit is net obtained within 180
days alter it has been accepted as complete
Print name: I pate: • Fee methodoloar act by lb-Cowry owldlnp Industry Sviv.ec 9"a
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007 -00052
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/2007
Phone: (503) 639 -4171 / m `:ili lt�,
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 2/20 /2007 TIME: 7 :09AM PAGE: 99
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Goodwill Industries - Temporary electrical service. Job No. 53281C
OWNER: GOODWILL INDUSTRIES, PHONE #: 503-238-6190
CONTRACTOR: STONER ELECTRIC PHONE #: 503 -462 -6500
Inspection Request Scheduled For: Date: 2120/ ?0p7 Pour Time:
Code # Inspection Description ' on • Contact # Message
10 Tempora • .lec.rical service 043534 -01 503- 804 -6572 N
`ma =�= . •
Co - tions /Comments/ •: ructions:
�‘ � � r te.
%)?
•
ji PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 �� Date: 2 / 2 ' 0 � J Phone #: (503) 718- 2 00