Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00502
COMMUNITY DEVELOPMENT
DATE ISSUED: 7/20/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 115BA -02600
SITE ADDRESS: 16230 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG
PROJECT: TIGARD TOWN SQ. RETAIL EXPANSI
Project Description: Temporary service for jobsite. Job No. 321277
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:
SN DEVELOPMENT ROSENDIN ELECTRIC INC
1121 SW SALMON ST 1300 NE 48TH #1200
PORTLAND, OR 97214 HILLSBORO, OR 97124
Phone: 503 - 242 -2900 Contact #: PRI 503 - 615 -8189
FAX 503 - 615 -0689
FEES
Description Date Amount Reg #: ELE 37 - 392C
[ELPRMT] ELC Permit 7/20/2007 $66.85 LIC 103939
[TAX] 8% State Surcharge 7/20/2007 $5.35 SUP 3991S
Total $72.20 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 ar- : - : • h in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copi - - • ese rules or direct questions to OUNC at
503.246.6.: • or 1.800.
Issued • y: � i L _ / / Permittee Sign • � ' „ ( /
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:
ONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: � - ,jr'
ar/ii 4 DATE:
7
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.
07419/2007 15:56 5036 , 0689 ROSENDIN ELECTRIC PAGE 02/02
. Electrical Permit Applit4rjel cri /go-
D:leiy //
, 7 . '' City of Tigard
14 w _ .4 13r25 SW Hall Blvd., Tigard,OR 972U .. . _
II oi Permit No.:
Plan Review
Phone; 5O3.63947 Fax: 503.598.x4i 1 9 2007 _ Datcay; Other Pennii:
T I G A RD
lnspeCtiOn Line: 503,639.4175 Dam Rcady/By: - jr FIITcc Pogo 2 for
Internet: www.tigard-or.gov CIT ( )1 _, • i . _;., 0 r- 7 k suppl Information
:..............?.....,:i1:-..:..:ik:.:.•.*:.::::.:.;:..;.14:. - 1,4 .'' , •, t 1 ;2 1 ; :: ;::■; . i : ? .. .I.A:461& :WFAie,..._1 Jiaatartil,i.k.44012%1AgfAM,:...:.•••••:.::•3
0 ew construction 0 Additiontalte c Plense cheek all that apply (submit - 2 sets of plans chkcd
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other:
where the available fault current a Marinas nnd boatyards.
.t.'i::M:411.:P.`R.:!1:g:411;01n0;..'3,1......;:atIgfig,AP,P.IftWIROD:gal.BiigiaNin0 exceeds 10,000 amps 111 150 volts or 0 Flailing buildings.
less to ground, or exceede 11,000 0 Commercial-use cgricultuml
I- and 2-family dwelling
0 0 ommercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi 0 Master builder • 0 Other: ['Fire pump. El Installation of 75 KVA or
!.. 0 amergency system. IMP' SCOMOTCly derived system,
" • . • • :: ' l'..' ;•.::,:.••••••::•'...:' ItitiltitittObteattlittlIAMINATRON,,,CcOMMAN'kl 0 "A", "0", "1
...--..--4-..---__...._-.... 0 Addition of new motor lend of .....-
Job no.: 3g Job site address: / 6430 ____ 6 kete/ or MOTC. .
0 Six ur more residential units, 0 Raereniionsl vehicle parks.
City/State/ZIP; 774A) , &A.._ 9r72-4 Y 014colth-enrc royalties. OSupply volingc for more than
0 Hazardous locations. 600 volts nominal,
Suite/bldg./apt. no.: Project name: ilea94,6 X..-rAL4 %hate St.rvi. f!"/"..,,,.,?°°., amps or more.
- •
Cross street/directions to job site: 4 livol
New residential single- or multi:ramilydw unit.
includes attached garage.
Subdivision:
I Lot no.: 1,000 sq. ft. or Ices 145.15 L i
- Ea. addl 500 sq. ft. or portion 33.40
Tax map/parcel no.:
imited enenv, residential
75.00 2
. ' ' "::•'•:';:. ' : .. ' ..'. ":.' .:•';',:ntge.gitliriONF:004..,iniit'::::!:';'1TAii..:;%1:';Al:;9:1•y;:115•Ct L (with shove aq, ft,)
Limited energy, multi-family
75.00 2
___/ / 73 AP- ' ga f.A;;Xtg. - residential (with above sq. 11.)
-- Services or feeders installation and/or relocation
200 amps or less 80.30 2
-7---.-::!•;1'.:.1n;,',;.00)Nlig0,Xii17 Ok 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160,60 2
601 amps to 1,000 amps 240.60 2
Address:
Over 1.000 amps or volts 454,65 , 2
Cit/State/ZIP Temporary services or feed inatsurim), and/or
y:
relocation
Phone: ( ) I Fax: ( ) 200 amps or less
- 1 66.85 hi/ flic I
Owner installation: This installation is being madc on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rcnt, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits- new, alteration, or extension. , r nancl
, , .
Owner signature; . • Date:
A. Fce for branch circuits with
.• . :. •-: ; :: .4: "•;• • ••••i: ! ;'•: ;. • ' !' 0 above service or feeder fee,
6,65 2
-.............„....---•• ..- • •'''''''' f • •''' "• ''''''.;1 "-•;: '"" • 4 ''''' • '''' - - '''""' ' • ' ''''''''"'" '"'''' ''''':-. each branch circuit
Business name; ros4terd ller.,414,.e B. Fee for branch circuits
wilhow service or feeder fee,
Contact name; "yrm ktestO,
first branch circuit 46.85 2
Addre /3 A -------- j e eis A_I7(---4ii-----.h‘- ilirt" Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: ths.isA Hz_ .9/ Each Manufactured or modular '
90.90 2
dwelling, service and/or feeder
Phonc: (6 03 6'5/n Fax: : (525) 011
Reconnect only 66,85 2
E-mail: - 6 1 4.49/12..riailiSe44.0408.. C.40# Pump or irrigation circle 53.40 2
. ''.--- - . .•."'"',' e lighting
.. „ ; . ..;.:::•7, •:: :: •: . •,, : .,, T.:; .•... : ::: ii , ;: -.: k;sp.tim i At ' AV.TOR4i . ...60:gil.i.:In'; Sign or outlin
. ' ,1 2.11 1 ;q.:.D . :4; , r , signal circuit(s) or iimitc6. 53 2
.40
Business name: ="14.6"" Its /firi,jeANT- energy panel, alteration, or
Address: extension. Descrate: Page 2 2
City/State/ZIP: Each additional inspection over allowable in an of the above
Per inspdction 62.50
Phone; ( ) Fax: ( ) 77/6- Investigation per hour (l hr min) 62.50
CCB lie.: /DS9$ 9 1 Electrical Lie.: 57- (/', Suprv, Lie.: S99iS Industrial plant per hour 73.75
- k min'"' i ; I I : V . ! ' AMP Y AIIMMEWM: 1 : .0 1 4 . .1 : : ' .i; • : "
Suprv. Electrician signature, required: i 0 el".411116.- "
/ ' -
Subtotal: I 647.05
ssoc...-'. -... - ....-...o.■aosio6. •
Print namc;_ Plan revieverrnit fcc):
girrt - „ . Date: 7
LA04,, T
Mi /9 v
State surcharge (8% of permit fee): 5;
______ ____
Authorized signatutiM1110 IPLPAIIINIF
TOTAL PERMIT F5E; 12., 2-0
- -
Print name: ---s/asiaik Z.,4%.4,4‘e71--J!!. Dater7L,107 This permit application expires if o permit Is not obtained within 180
days after it has been accepted ns complete.
" Number of inspections allowed per permit.
I. \ RI iildlnecrrn i tskELC-Porm ilApp.dac 05/23th5 440-461 ST (1116$1COMAVER
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00502
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7120/2007
Phone: (503) 639 - 4171° k
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIGARD TOWN SQ. RETAIL EXPANSI
DESCRIPTION: Temporary service for jobsite. Job No. 321277
OWNER: SN DEVELOPMENT. PHONE #: 503-242 -2900
CONTRACTOR: ROSENDIN ELECTRIC INC PHONE #: 503.615 -B189
Inspection Request Scheduled For: Date: 7/24/2007 Pour Time:
Code # Inspection Description C • • ' Contact # Message
110 Temporary electrical service 052579-01 503 -849 -0823 Y
Corrections /Comments /Instructions:
11 �
Q RAINIo w,: • (7.) ` oNts X105
I
� N 5� kLL VO - ,4�a -� Zb04
C
G- A)
I g N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t ese Date: • In � Phone #: (503) 718- 1,4111Q)