Permit CIT�`l OF TIGARD j ELECTRICAL PERMIT
° = PE RMIT #: ELC2008 -00211
lig
° COMMUNITY DEVELOPMENT DATE ISSUED: 4/11/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102AA - 03000
SITE ADDRESS: 08740 SW SCOFFINS ST ZONING: CBD
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT : 024 JURISDICTION: TIG
PROJECT: HARRIS - MCMONAGLE HEADQUARTERS
Project Description: (3) branch circuits for A/C units.
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: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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 4/11/2008 $60.15 LIC 66412
[TAX] 12% State Surchar 4/11/2008 $7.22 SUP 3621S
-
Total $67.37 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 applicab - -ws. 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 wo ' suspended f•
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notifica ',n ; en Thy' es are set f. • in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to 0 ;,Le:/- t d - / 0: • or 1.800. .2344.
i
At
Issued By: J ' / - - Permitter Signature /
OWNER INSTALLATIO •
The installation is being made on property I own which is not intended for sale, lease, .. 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.
F
Electrical Permit Application �. FOR OFFICE USE ONLY
City of �Tigarci D L 7/0 L Permit No. .EzzaOO? OOa/ /
13125 SW Hall Blvd., Tigard, OR 9723 a 9 Plan Revie 0
7 Phone: 503.639.4171 Fax: 503.598. t1 ` 1 A " 110 Date/By: Other Permit 'OOIo --0Qy9._g
T I G A It D Inspection Line: 503.639.4175 ' r- a .CARD Date Ready/By: Jags. ® See Page 2 for
Internet: www.tigard -or.gov G9 T1 O r T .�i.yr� � Notified/Method: 7 Supplemental Information
BOWINO " /10
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 ❑ 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 0 Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
Job no.: Job site address: 47y Jul „ s- I Six or or more residential R occupancy. Recreational - ��Bj // T ❑ Six or more residential units. ❑Recreational vehicle parks.
City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name /- /MeLS— /J�,/`9eA416Ztr ❑ Service or feeder 600 amps or more.
job site: Description FEE SCHEDULE
Cross street/directions to
J rlP I Qty. 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.)
/ r Limited energy, multi - family
3) 4 ran eX C /C u/ -' TD ." / Di ^1 /TS . residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 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
• City/State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
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
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
�" A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits /
without service or feeder fee, 46.85 6,,F5"
, ,FS 2
Contact name: first branch circuit
Address: Each add'I branch circuit 6.65 4 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: �� t, �� / �� Signal circuit(s) or limited -
�' , Lj ��� .( fl energy panel, alteration, or
Address: -. 2 ~ . S CQI..)o Co Kc Pd / extension. Describe: Page 2 2
City/State /ZIP: GQ1L ----. 6 3 4 on4r Each additional inspection over allowable in any of the above
) �i 9 si Fax: Per inspection 62.50
Phone:
G3 d � o ( ( ) Investigation per hour (I hr min) 62.50
CCB Lic.b1t(a Electrical Lic. :Zd - -q le_' —Suprv. Lic 36 Z(S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: T iter / Subtotal: 6, . /5
Print name: '
rate:
Plan review (25% of permit fee):
......./ . State surcharge (12% of permit fee): '7 , 0102
Authorize ,�� � . TOTAL PERMIT FEE: 6 -7 0 ,?
i Date: / O a This permit application expires if a permit is not obtained within 180
Print name:
� I , 1 Q �� 1 ` �l ! days after it has been accepted as complete
/' f97R /� r� /� • Number of inspections allowed per permit. /(�i��/
1A BuildingTermits \ELC- PermitApp.doc 05/23/06 ..576A• /eF AV2/zt d 4615T(11 /05 /CON/WEB
j £2.e .
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information $1
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY: 7
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
p Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: _
*No licenses are required. Licenses are required
for all other installations
I:\Building\Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
° COMMUNITY DEVELOPMENT,.- .
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
Electrical Signature Form
REC WED
IMPORTANT PERMIT NOTICE r ,
CITY OF T:G RD
ELECTRICAL INNOVATIONS BUIWINO DiV +SION
22300 S LEWELLEN RD
BEAVERCREEK, OR 97004 -8733
Permit #: ELC2008 -00211
Date Issued:
Parcel: 2S102AA -03000
Site Address: 08740 SW SCOFFINS ST
Subdivision: TIGARD HIGHWAY TRACTS
Lot: 024
Jurisdiction: TIG
Zoning: C
Project Name: HARRIS - MCMONAGLE HEADQUARTERS
Description: (3) branch circuits for A/C units.'
•
Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical
permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from
your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to:
City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681.
If you have any questions please call 503.718.2433.
•
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
• HARRIS - MCMONAGLE, SCOFFINS PROP.LI ELECTRICAL INNOVATIONS
12555 SW HALL BLVD 22300 S LEWELLEN RD
TIGARD, OR 97223 BEAVERCREEK, OR 97004 -8733
•
Phone #: Phone #: 503 - 358 - 6989
Reg #: ELE 26 -699C
LIC 66412
SUP 3621S
•
AN I . - _ - - S REQUIRED ON THIS FORM
X ' I , 1ZI
Ara A
Signature • ° upervising ' Electrician Name (pri ed) UP L C#
•
CITY OF TIGARD , , :
'
a
BUILDING DIVISION PERMIT #: ELC200E3 -00211
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2000
Phone: (503) 639 - 4171 Pin
Inspection Requests (24 Hrs.): (503) 639 -4175 .,'�� F'� L
INSPECTION WORKSHEET FOR DATE: 4/17/2008 TIME: 7:02AM PAGE: 27
SITE ADDRESS: 08740 SW SCOFFINS ST CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 024 TYPE OF USE:
PROJECT NAME: HARRIS - MCMONAGLE HEADQUARTERS
DESCRIPTION: (3) branch circuits for A/C units.
OWNER: HARRIS•MCMONAGLE, SCOFFINS PROP.LLC, PHONE #:
CONTRACTOR: ELECTRICAL INNOVATIONS PHONE #: 503-358-6989
Inspection Request Scheduled For: Date: 4/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 068529 -01 503.358 -6989 Y
Corrections /Comments /Instructions:
p'.,i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Me € Le" Date: 4 1 i fiPI Phone #: (503) 718- Vilit
CITY OF TIGARD
BUILDING DIVISION a PERMIT #: ELC2008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2000
Phone: (503) 639 -4171 .' -tv I
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I .
INSPECTION WORKSHEET FOR DATE: 4/14/2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 08740 SW SCOFFINS ST CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 024 TYPE OF USE:
PROJECT NAME: HARRIS- MCMONAGLE HEADQUARTERS
DESCRIPTION: (3) branch circuits for NC units.
OWNER: HARRIS•MCMONAGLE, SCOFFINS PROP.LLC, PHONE #:
CONTRACTOR: ELECTRICAL INNOVATIONS PHONE #: 503 -6989
Inspection Request Scheduled For: Date: 4/14/2008 Pour Time:
Code - - - - • • • ' escription ��firm # Contact # Message
199 Electrical final 068293 -01 \ \ 503-358 -6989 N
Corrections /Comments /Instructions: N •
0 Pczov K P cN 1.4469.. iN Q(i. p t-
Q o i,ar q'i, X' -• s K'( .
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918-271 -0030
1NF®Ra 6 Q) ? ikaA >i . 1 SS '• P riN.D
G-1. J
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V „ \
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•\\‘ \6i3 de Nqa k-s ---------- \ \
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-- 14 d 4 u-s Date: I ,' 14I 01 Phone #: (503) 718- 29 'I6