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Permit CITY OF TIGARD • ELECTRICAL PERMIT 111 ° • PERMIT #: ELC2007 -00584 COMMUNITY DEVELOPMENT DATE ISSUED: 8/21/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AA - 03000 SITE ADDRESS: 08740 SW SCOFFINS ST ZONING: CBD SUBDIVISION: TIGARD HIGHWAY TRACTS LOT : 024 JURISDICTION: TIG PROJECT: HARRIS - MCMONAGLE HEADQUARTERS Project Description: Temporary power. 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: SIGNALJPANEL: 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: HARRIS - MCMONAGLE, SCOFFINS PROP.LLC ELECTRICAL INNOVATIONS 12555 SW HALL BLVD 22300 S LEWELLEN RD TIGARD, OR 97223 BEAVERCREEK, OR 97004 -8733 Phone: Contact #: PRI 503 - 358 - 6989 FAX 503 - 632 -6564 - FEES Description Date Amount Reg #: ELE 26 -699C [ELPRMT] ELC Permit 8/21/2007 $66.85 LIC 66412 [TAX] 8% State Surcharge 8/21/2007 $5.35 SUP 3621S Total $72.20 • 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 set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: je[tGQ � �� ; j Permittee Signature: ko e--- 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. • � . , c,,,t`t . z ` a d ` c� � co �i� ElectricaYPermit lication PP i rcP ePY , .. �_ 3 -- ‘:l., - ..... 2 7 ' I' AV, Suite 350, MS 12, Hillsboro, OR 97124, P .jeef-# oRrco'' Phone: 503 846 - 3470, Fax: 503 846 - 3993, Permit # �J tab Inspection Requests: 503 -846 -3699, www.co.washington.or.us _ TYPE OF WORK PLAN REVIEW ❑ New construction ❑ Addition/alteration/replacement ❑ Other: Please check all that apply: ❑ Service or feeder 400 amps ❑ Hazardous locations CATEGORY OF CONSTRUCTION or more where the available Service or feeder 600 amps or more fault current exceeds ❑ Building over three stories ❑ 1 and 2 family dwelling ❑ CommerciaUindustrial ❑ Accessory building 10,000 amps at 150 volts or Di Marinas and boatyards Multi less to ground, or exceeds ❑ y ❑ Master builder ❑ Other: 14,000 amps for all other ❑ Floating buildings JOB SITE INFORMATION AND LOCATION installations. ❑ Commercial -use agricultural buildings Job no.: Job address: 27 LJ v ��11 w 5 C ©�� , s ❑ Fire pump ❑ Installation of 75 KVA or larger ��, $ ❑ Emer system separately derived system ` ❑ Addition of new motor City/State/ZIP: / � 5 o / �� load of I OOHP or more ❑ ..� „..E „.q - 2 „.13 „occupancy ( ❑ Recreational vehicle parks Suite/bldg. /apt. no.: Project name: ❑ Six or more residential units ❑ Health - care facilities ❑ Supply voltage for more than Cross street/directions to job site: 600 volts nominal FEE SCHEDULE Description I Qty. Fee I Total * Subdivision: Lot no.: Residential single or multi - family dwelling unit. Includes attached garage. Tax map /parcel no.: 1,000 sq. ft. or less 150.00 4 DESCRIPTION OF WORK Ea. add'I 500 sq. ft. or portion 42.00 Limited energy, residential 60.00 2 p (with above sq. ft.) Limited energy, multi - family 66.00 2 residential (with above sq. ft.) ROPERTY OWNER ❑ TENANT Services or feeders installation, alteration, and/or relocation 4111-14 ' Je. i /o f `K L 200 amps or less 90.00 2 , Name: l �( 201 amps to 400 amps 120.00 2 J Address: /556 . ��¢u 3 401 amps to 600 amps 180.00 2 City /State /ZIP: (” �� 601 amps to 1,000 amps 270.00 2 V Over 1,000 amps or volts 504.00 2 • Phone: ( ) Fax: ( ) Temporary services or feeders installation, alteration, and /or relocation Owner installation: This installation is being made on residential or farm property owned by me or a member of 200 amps or less / 78.00 2 0 ••• my immediate family. This property is not intended for sale, exchange or rent. (ORS 479.540(1) and 479.560(1). 201 amps to 400 amps ` 108.00 2 , Owner signature: Date: 401 amps to 599 amps 150.00 2 M ❑ APPLICANT ❑ CONTACT PERSON Branch circuits — new, alteration, or extension, per panel \13 A. Fee for branch circuits with Business name: above service or feeder fee, 8.50 each branch circuit 2 Contact name: B. Fee for branch circuits ) Address: without service or feeder 60.00 fee, first branch circuit 2 I II City/State /ZIP: Each add'I branch circuit 8.50 Miscellaneous (service or feeder not included) Phone: ( ) Fax: ( ) Each manufactured or modular dwelling, service, and/or feeder 102.00 2 E - mail: Reconnect only 78.00 1 CONTRACTOR Pump or irrigation circle 60.00 2 Business name:Et fCc. 1 i %p u4 -F -f c , S ikt c, Sign or outline lighting 60.00 2 Signal Address: 27,3 00 S L_e ( cAel f ( energy panel, a) or alteration, or or �) extension. Describe: 60.00 City/State /ZIP: eeu v��ei��k) D �7QQ �y 2 Phone: 6,03) j . 6 y Fax: (503 )(� / 72_ s d el Each additional inspection over allowable in any of the above Per inspection 90.00 E -mail: CCB lie. no.: 6z Z I S/4 Investigation fee (See compliance) Electrical lie. no.:21,.. 699,c_ City or metro tic.: . 2 ,324 Other: Supervising electriciallr/ � ELECTRICAL PERMIT FEES signature, required: . -- Subtotal �� e vv. / t7 yV �� Dater- - i /q D � Plan review ( 25% of permit fee) Print nam ✓ Authorized State surcharge (8% of permit fee) signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained „`, Print name: Date: within 180 days after it has been accepted as complete 701, * Number of inspections allowed per permit. Revision 06/26/06 CITY OF TIGARD BUILDING DIVISION r PERMIT #: ELC2007 -00584 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2007 Phone: (503) 639 -4171 11 Inspection Requests (24 Hrs.): (503) 639 -4175 �'� I .. INSPECTION WORKSHEET FOR DATE: 8/22/2007 TIME: 7:01AM PAGE: 48 SITE ADDRESS: 08740 SW SCOFFINS ST CLASS OF WORK: SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 024 TYPE OF USE: PROJECT NAME: HARRIS - MCMONAGLE HEADQUARTERS DESCRIPTION: Temporary power. OWNER: HARRIS - MCMONAGLE, SCOFFINS PROP.LLC, PHONE #: CONTRACTOR: ELECTRICAL INNOVATIONS PHONE #: 503 - 358 -6989 Inspection Request Scheduled For: Date: 8/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 110 Temporary electrical service 054430-01 503-358-6989 N Corrections/Comments/Instructions: )//1) PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r N r Date: 1I Phone #: (503) 718 -1