Permit ELECTRICAL PERMIT
CITY O F T I C ,� A, PERMIT #: ELC2006 -00294
o DEVELOPMENT SERVICES DATE ISSUED: 5/24/2006
II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 DD -00200
SITE ADDRESS: 07051 SW SANDBURG ST 200 ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Feeder and 2 br. circuits.
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: SIGNAUPANEL:
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: 2 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:
PAPE' PROPERTIES INC PC ELECTRIC
91434 COBURG INDUSTRIAL WAY PO BOX 517
COBURG, OR 97440 NEWBERG, OR 97132
Phone: Contact #: FAX 503 - 538 -3965
PRI 503 - 538 -6033
FEES
Description Date Amount Reg #: ELE 36 -114C
[ELPRMT] ELC Permit 5/24/2006 $93.60 LIC 155180
[TAX] 8% State Surcharge 5/24/2006 $7.48 SUP 50125
Total $101.08 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 C-6 - . Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU - '$3- 246 -6699 or
1- 800 - 332 -2344.
Issued By: Permittee Signature: r -- •
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO: --
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a•conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application F(:)R oFFICIE: l sly: ONi
�, '' *Ay Received
� 1 i y of Tigard Permit N • !Lig._ el • 11111 ° 13125 SW Hall Blvd., Tigard, 0114700 =IiiD Plan Revie
Phone: 503.639.4171 Fax: 503.5 19 0, Date/B . Other Permit:
•
T I G A R I) Inspection Line: 503.639.4175 Date Ready/By: See Page 2 for
Internet: www.tigard - or.gov ���� Notified/Method /$ Supplemental Information
r 7 .e-' :
TYPE OF WORK PLAN REVIEW
1:3 New construction (21 Addition/alteta
tior� lla 0 Please check all that apply (submit 2 sets of plans wfitems checked below):
t� A .p
1 !I LDI NG DIVISION ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION 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 ❑ 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 load of ❑ "A ", E ", "I - ", "I -3",
Job no.: Job site address: - IOOHP or more occupancy.
' �05/ ,S J .Sava SU1 r� 2 X) ❑ Six or more residential units. ❑ Recreational vehide parks.
City/State/ZIP: �-c /� 7 (� ❑ Health -care facilities. ❑ Supply voltage for more than .
1 1 Ea _ K q 7 � ..� 7 ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt no.: 20 p Project name: PM ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: 72„q 3 53,408 Description I Qtr. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 .
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
ADh Limited energy, multi - family 75.00 2
I F Q T Z cA■cvd -s" residential (with above sq. ft.)
Services or feeders installation, alteration, and/or A re , lo � ca 'o
200 amps or less I 80.30 X5(/,3) 2 .
❑ PROPERTY OWNER I g TENANT 201 amps to 400 amps 106.85 2
Name: `� —' 401 amps to 600 amps 160.60 2
PM -� • 601 amps to 1,000 amps 240.60 2
Address: 705/ 5( S/ 181Jr6 orre- ZOO Over 1,000 amps or volts 454.65 2
City/State/ZIP: 7 Z3 Temporary services or feeders installation, alteration, and/or
-A�
T�t�a,ie 0 / q
relocation
Phone: (yam ) 68 5/ _ ? ZS' Fax: (Sb?) 6,81 — 0 7r5— 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 _
Branch circuits – new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I NrCONTACT PERSON above service or feeder fee, •2� 6.65 / ? 2
each branch circuit vv
Business name: i)t>Vl' ` B. Fee for branch circuits
Contact name: f G��
without service or feeder fee, 46.85 2
first branch circuit
Address: 7 0 - ( Sw g S V rE 7 ..... ,0 Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: -- Ti G 9 Z Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: (SAS) 6$ I --07 ZS Fax: : (, ) CAI 0 7 g S Reconnect only 66.85 2 •
E - mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
(( Signal circuit(s) or limited-
Business name:
E l e.Gv.4 L energy panel, alteration, or
Address: ' ;, ? . . & 5 7 extension. Describe: Page 2 2
City/State/ZIP: 0 82/2.G Q Q- i7 132- Each additional inspection over allowable in any of the above
�[/ Per inspection 62.50
Phone: (So ) ,� _ 6013 Fax: (5b3) 538 - l� f I Investigation per hour (I hr min) 62.50
CCB Lic.: iSS( Electrical Lic.: 36.4, y L Suprv. Lic.: 50 1 Z 5 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ... Subtotal: 93 , 4010
Print name: S,Ev a_ I c, FP Mt � Date: 5 L� /00 Plan review (25% of permit fee):
r / State surcharge (8% of permit fee): T/5/ `/
OW
Authorized signature: TOTAL PERMIT FEE: 10/ , b
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.
I :\ Building ■Pennits\ELC- PnmitApp.doc 05/23/06 440-4615T(I1 /05 /COMAVEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
El Burglar Alarm
El Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
•
•
El Vacuum Systems* •
❑ Other.
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
•
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
El Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
El Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
•
El Protective Signaling
•
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\ Building \Pcmits\ELC- PemitApp.doc 03/23/06
CITY OF TIGARD .•., .
BUILDING DIVISION PERMIT #: ELC200& 00294
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/24/2006
Phone: (503) 639 -4171 9A i ll
Inspection Requests (24 Hrs.): (503) 639 -4175 ` __..
INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: 7:03AM PAGE: 45
SITE ADDRESS: 07051 SW SANDF3URG ST 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PMT
DESCRIPTION: Feeder and 2 br. circuits.
OWNER: PAPE' PROPERTIES INC, PHONE #:
CONTRACTOR: PC ELECTRIC PHONE #: 503- f.i3OE6033
Inspection Request Scheduled For: Date: 51250006 Pour Time:
Code • _ _ - -. i •tion Confirm # Contact # Message
1ca9 [=lectrical final 030587 -03 503 - 358.8568 N
Corrections /Comments /Instructions:
•
_T1IN�5 ►�J6�f��A�rOt� 5�, 3 04. N RV's
OWL- 0 1 02) �. 5 ' °3a
0 o N o+ 4;11?„t 17- t. J 1 1 a�O RJ \J L.
`ra..5 c`6L \1/44
. \\o , i C, t ob q3 2.141.
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
-11\) calendar days per OAR 918- 271 -0030
•
•
‘'‘ 2/101 G'Pe4. N
PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N D8 • Date: S✓ " W Phone #: (503) 718- 1.-'q
r r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200G 00294
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/24/2006
Phone: (503) 639- 4171u , j � l �
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: 7:03AM PAGE: 46
SITE ADDRESS: 07051 S'!a! SANDBURG ST 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PMT
DESCRIPTION: Feeder and 2 br. circuits.
OWNER: PAPE' PROPERTIES INC, PHONE #:
CONTRACTOR: PC ELECTRIC PHONE #: 503 - 538 - 6033
Inspection Request Scheduled For: Date: 5125/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 030587 -02 503 -3513 -8568 N
Corrections /Comments/ Instructions:
S PI—fq.) tLigN MLA/ Rx ► (u
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
'\ FAIL ] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-Nat N oB Date: 1-O ` 0 i Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION r PERMIT #: ELC2006 -00284
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/24/2(306
Phone: (503) 639 -4171 �'
Inspection Requests (24 Hrs.): (503) 639 -4175 ° � ..
INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: 7:03AM PAGE: 47
SITE ADDRESS: 07051 SW SANDBURG ST 200 CLASS OF WORK:
SUBDIVISION: ■ LOT #: TYPE OF USE:
PROJECT NAME: PMT
DESCRIPTION: Feeder and 2 br. circuits:,.
OWNER: PAPE' PROPERTIES INC, PHONE #:
CONTRACTOR: PC ELECTRIC PHONE #: 503 -5313 -6033
Inspection Request Scheduled For: Date: 5/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 030587 -01 503. 358-8566 N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
K FA I L CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CYM-- 1"q Date: SI 2.5 Phone #: (503) 718 - 1_1\t V6