Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00393
COMMUNITY DEVELOPMENT DATE ISSUED: 6/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 110 D B -01200
SITE ADDRESS: 15280 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: PP1996 - 010 LOT : 001 JURISDICTION: TIG
PROJECT: DEZFULLI USED AUTO SALES
Project Description: Install service & feeder for office and parking lot. Job No. 007772
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: 2 W /SERVICE OR FEEDER: 6 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:
DEZFULLI, SHAHIN + EBRAHIM BOYLES ELECTRIC, INC.
12587 SW 133RD P.O. BOX 1227
TIGARD, OR 97223 BORING, OR 97009
Phone: Contact #: PRI 503- 668 -7440
FAX 503 - 668 -7615
FEES
Description Date Amount Reg #: ELE 3 - 465C
[ELPRMT] ELC Permit 6/11/2007 $200.50 LIC 137002
[TAX] 8% State Surcharge 6/11/2007 $16.04 SUP 34045
Total $216.54 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 b- - - ordance with as 'roved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more . -n 180 days. A TIO . Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth n
OA 952 - 001 -0010 through • r - 952 -101 100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.234 .
1
Is ued By: ! n j l� Permittee Signature:
r f
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:
C • NTRACTOR IN TALLATION ONLY
SIGNATURE OF SUPR. ELEC' �: l a i /M .:.. W �J DATE:
LICENSE NO:
Call - s • . 9.4175 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.
Electrical Permit • r 1 lication FOR OFFICE USE ONLY
..� Y City of Tigard D ate m , it D 7 IIIMM Permit No.: eii.( , 7-09,
II a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
a Phone: 503.639.4171 Fax: 503.598.1960 Date/13 . Other P ,. t:
Inspection Line: 503. 639.4175 Date Ready/By. BM El See Page 2 for
TIGARD Internet: www.tigard Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
•
New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition . 0 Other: where the available fault current ❑ Marinas and boatyards.
- CATEGORY- OF sCONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
. - less to ground, or exceeds 14,000 ❑Commercial -use agricultural
❑ 1- and 2- family dwelling j Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system, larger separately derived system.
JOB SITE INFORMATION AND - LOCATION ❑ Addition of new motor toad of ❑ "A ", "E", "1 -2 ", "1 -3 ",
O 7772 100HP or more. occupancy.
Job no.: G Job site address: 1 $ 2 8 O S co /�nc L [f wY ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /Slate /ZIP: --� q ['Health facilities. ❑ Supply voltage for more than
/ r R Kam'
['Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
- FEE • SCHEDULE .
Cross street/directions to job site: Description I Qty. I Fee- I Total I -
New residential single- or multi-family dwelling unit
Includes attached garage. _
Subdivision: Lot no.: 1,000 sq. R or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF • WORK. - . (with above sq. It)
/` Limited energy, multi - family 75.00 2
..i . II 5E C 200A t e� '� 2 0 ` CI residential (with above sq. g.)
Services or feeders installation, alteration, and/or relocation
1 /ti2 4 L7' . 200 amps or less 2 80.30 16,04C 2
• _ . 0 PROPERT Y OWNER . I 0 TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name:
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: re mporary services or feeders installation, alteration, and/or
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
above service or feeder fee, 6 6.65 - 3q 4 Ti 2
(] APPLICANT - . I ` i I CO NTACT :PERsON each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Each add'( branch circuit 6.65 2
Address: 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
CONTRACTOR..:r Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: 60 crf•EIS/E— e l , _L---,ti e energy panel, alteration, or
extension. Describe: Page 2 2
Address: P 4 ji4 122_7
City/ State/ZIP � «� 0 * 2 � f N 04 7rj .7- Each additional inspection over allowable in any of the above
/ Per inspection 62.50
\ g\ Phone: ( ) � 8' .. 7 SL I Fax: (.503) e (m b - 3/ O Y Investigation per hour (1 hr min) 62.50
CCB Lie.: I 370oZ Electrical Lic.: 3 -46 S Suprv. Lic.: 3 itpy Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
a Suprv. Electrician signature, required: I I 0 • I I • . , • i Subtotal: 200.5o
lan review (25% of permit fee):
Print name: S�, jj1,�, Op yl Dec e I t State surcharge (8% of permit fee): 1 (a)'4
Authorized signature: TOTAL PERMIT FEE: 1(0, 5if
This permit application expires if a permit is not obtained within 180
Print name: Date: - days after it has been accepted as complete.
• Number of inspections allowed per permit.
Li euedogTermits \ELC-PermitApp.doc-4U23/a6 440-06ISr(t t /o5/COM/wEa
CITY OF TIGARD . -
BUILDING DIVISION • PERMIT #: ELC2007 -00393
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2007
Phone: (503) 639 -4171 �1
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' 'I L.
INSPECTION WORKSHEET FOR DATE: 6/13/2007 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 15280 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: PP1996 - 010 LOT #: 001 TYPE OF USE:
PROJECT NAME: DEZFULLI USED AUTO SALES
DESCRIPTION: Install service & feeder for office and parking lot. Job No. OC7772
OWNER: DEZFULLI, SHAHIN + EBRAHIM, PHONE #:
CONTRACTOR: BOYLES ELECTRIC, INC. PHONE #: 503.668.7440
Inspection Request Scheduled For: Date: 6/13/2007 Pour Time:
Code # Inspection Description 'Confirm # Contact # Message
105 Un er round/slab cover 050148.01 503 - 703.4588 Y
Corrections /Comments /Instructions:
C - 1 7\ 0 ,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `T ► Noe) LE Date: 6 1 3 Phone #: (503) 718- V1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00393
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/14/2007 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 15280 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: PP1996 -010 LOT #: 001 TYPE OF USE:
PROJECT NAME: DEZFULLI USED AUTO SALES
DESCRIPTION: Install service & feeder for office and parking lot. Job No. 007772
OWNER: DEZFULLI, SHAHIN + EBRAHIM, PHONE #: ` ` ► l J�.
CONTRACTOR: BOYLES ELECTRIC, INC. PHONE #: 503 - 66117440
Inspection Request Scheduled For: Date: 6/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 050241 - 01 503 N
Corrections /Comments /Instructions:
o I 14/ op; -
(I7' 10u ,Q t�W
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
)gfAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -./p// f ( / / / , Date: O Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION . . PERMIT #: ELC2007 -00393
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2007
Phone: (503) 639 -4171 1 � t�
■ P�
Inspection Requests (24 Hrs.): (503) 639 -4175 s _.. I I ..
INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:02AM PAGE: 39
SITE ADDRESS: 15280 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: PP1996 LOT #: 001 TYPE OF USE:
PROJECT NAME: DEZFULLI USED AUTO SALES
DESCRIPTION: Install service & feeder for office and parking lot. Job No. OC7772
OWNER: DEZFULLI, SHAHIN + EBRAHIM, PHONE #:
CONTRACTOR: BOYLES ELECTRIC, INC. PHONE #: 503-668-7440
Inspection Request Scheduled For: Date: 6/15/2007 Pour Time:
Code # Inspectio scription Confirm # Contact # Message
115 ,Electrical servic 050308 -01 503. 703-4588 N
Corrections /Comments /Instructions:
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
1--3
Date: Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Ek..C2007 -00393
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6111/2007
Phone: (503) 639 -4171 • O
Inspection Requests (24 Hrs.): (503) 639 -4175 • Olt
INSPECTION WORKSHEET FOR DATE: 6/27/2007' TIME: 7:00AM PAGE: 23
SITE ADDRESS: 15280 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: PP1996 - 010 LOT #: 001 TYPE OF USE:
PROJECT NAME: DEZFULLI USED AUTO SALES
DESCRIPTION: Install service & feeder for office and parking lot. Job No. 007772
OWNER: DEZFULLI, SHAHIN + EBRAHIM, PHONE #:
CONTRACTOR: BOYLES ELECTRIC, INC. PHONE #: 503-668-7440
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirrn # Contact # Message
105 Underground/slab cover 035-01 503-703-4588 N
Corrections /Comments /Instructions:
myeg.ci R.o0 lo `1ttf k Lialt. AND
-E w vsnA7m 561.6 cc 4 s v8 PA t4.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C,T ' N Y Date: O' Phone #: (503) 718 -"I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00393
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11 /2007
Phone: (503) 639-4171 +�° 'll
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 7/16/2007 TIME: 7:04AM PAGE: 33
SITE ADDRESS: 15280 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: PP1996 -010 LOT #: 001 TYPE OF USE:
PROJECT NAME: DEZFULLI USED AUTO SALES
DESCRIPTION: Install service & feeder for office and parking lot. Job No. 007772
OWNER: DEZFULLI, SHAHIN + EBRAHIM, PHONE #:
CONTRACTOR: BOYLES ELECTRIC, INC. PHONE #: 503 - 668
Inspection Request Scheduled For: Date: 7/16/2007 Pour Time:
Code # Inspection Description - • , ' m # Contact # Message
199 Electrical final 052039 -01 503 - 703-4588 N
Corrections /Comments /Instructions:
ckc- b" " C_ C I •J t 1 6 cra t� t`��►1 t\
$.(c 66 4 \ ,. fat. Ilt, (A)
V A 1) 6 cuAiits 1 b - ict - 16 0 y ti ,.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ObB ,L Date: Phone #: (503) 718- AL____
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00393
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2007
Phone: (503) 639 -4171 :VII
Inspection Requests (24 Hrs.): (503) 639 -4175 .'!+� ° 'II�
INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7:03AM PAGE: 22
SITE ADDRESS: 15280 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: PP1996 -010 LOT #: 001 TYPE OF USE:
PROJECT NAME: DEZFULLI USED AUTO SALES
DESCRIPTION: Install service & feeder for office and parking lot. Job No. OC7772
OWNER: DEZFULLI, SHAHIN + EBRAHIM, PHONE #:
CONTRACTOR: BOYLES ELECTRIC, INC. PHONE #: 503 - 668
Inspection Request Scheduled For: Date: 7/19/2007 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
199 Electrical final 052362 -01 503. 7034588 N
Corrections /Comments /Instructions:
I
*PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i N4:■45 LG Date: Mill 01 Phone #: (503) 718- 1 •