Permit J
/ CITY OF TIG 4 RD ELECTRICAL PERMIT
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PERMIT #: ELC2007 -00046
COMMUNITY DEVELOPMENT DATE ISSUED: 1/22/2007
,TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 D D - 01400
SITE ADDRESS: 15686 SW SEQUOIA PKWY ZONING: I -P
SUBDIVISION: MARRIOT LOT : JURISDICTION: TIG
Project Description: Job #7753 8 branch circuits meeting room lighting and CO detectors.
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: 7 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:
PACIFIC REALTY ASSOCIATES JARMER ELECTRIC INC
500 108TH AVE NE 5105 SW 45TH AVE
P 0 BOX 3646 PORTLAND, OR 97221
BELLEVUE, WA 98009
Phone: Contact #: PRI 503 - 246 -5381
FAX 503- 244 -8037
FEES
Description Date Amount Reg #: ELE 26 -144C
[ELPRMT] ELC Permit 1/22/2007 $93.40 LIC 6924
[TAX] 8% State Surcharge 1/22/2007 $7,47 SUP 4044S
Total $100.87 REQUIRED ITEMS AND REPORTS
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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: _, ,Q 4/f. �� Permittee Signature:
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.
4. .
Electrical Permit Application F o it 01:1:1C1: USE ONLY
City of Tigard Received J �i i PermitNo.: � ,� , _ u
131 SW Hall Blvd., Tigard 5%. E I Phone: 503.63 Fax: 503.5 G,r.. y . ' i � Plan Review Date/II Other Pemrit:
I
Inspection Line: 503.639.4175 r .'�! ' Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us JAN 2 2 2001 Notified/Method: IMI Supplemental Information
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TYPE OF WO PLAN REVIEW
❑ New construction Al clinjj k cement Please check all that apply:
❑ Demolition T :to Thri M. MN' ['Service over 225 amps, corrurl'I ['Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION .. ' , of 1 - and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling $Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories [Weeders, 400 amps or more
❑ Multi family 0 Master builder ❑Other
JOB SITE INFORMATION AND LOCATION ['Occupant load over 99 persons ❑RVufactured structures or
['Egress/lighting plan park
Job no.: 77 c3 I Job site address: /3 8'(' S& $&. u 4 2-4- dat(y ❑Health -care facility [Other
Submit 2 sets of plans with any of the above.
City/ State/ZIP: 7 Ci -A.4 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: I Project name: CQt,4,7141.32 4 fiy/o(/4itArar FEE• SCHEDULE
I Qty. I Fee. I Total I ••
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
e ST— Al . o 1-'e— eo 5 e (/ l 447We fzr 5 dwelling, service and/or feeder _ 90.90 2
Services or feeders Installation, alteration, and/or relocation
I
200 amps or less 80.30 2
❑ PROPERTY OWNER . I ❑ 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: Reconnect only 66.85 2
Temporary services or feeders Installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
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 600 amps 133.75 2
Owner signature: Date: , Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee, / 46.85 y( 7 2
Address: each branch circuit
Each add'1 branch circuit 7 6.65 y 2
City/ State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E Signal circuit(s) or limited-
. CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Tt}/Z, AE2 Ec_ECisoc_ ..e Doc,,
Address: S/ O S 6 — W C/' ss �'� • Sr j 0 Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: / 7L,4- A.) 4 0 i c'7 7 2 2 I Investigation per hour (1 hr nun) 62.50
Phone: (3) 2. L to — 5 E / I Fax: (..5 2(/L(— f-v 3 7 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES' -
CCB Lic.: 1,92 ti I Electrical Lic.: 26, / VIM Suprv. Lic.: yQ 1/5/5 Subtotal 913 4a
Suprv. Electrician signature, required: /' 4—....—__.__ _ Plan review (25% of permit fee) 7
Print name: j"-ti i4 2 %� E L: /-4-0 7 State surcharge (8% of permit fee) 7
TOTAL PERMIT FEE / 00 ir /
Authorized signature: This permit application expires If a permit Is not obtained within 180
days after It has been accepted as complete
Print name: I Date: • Fee methodology set by Tri- County Building Industry Service Board
• • Number of inspections per permit allowed.
is\ Building \Perrnita\ELC- PemwApp.doc 12/03 440-4615Tp0/02/CO vWEB
CITY OF TIGARD
BUILDING DIVISION , ••
PERMIT #: ELC2007 -00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/22/2007
Phone: (503) 639 -4171
Aite �I1
Inspection Requests (24 Hrs.): (503) 639 -4175 . - __..
INSPECTION WORKSHEET FOR DATE: 4/24 /2007 TIME: 7:01AM PAGE: 39
SITE ADDRESS: 15686 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: MARRIOT LOT #: TYPE OF USE:
PROJECT NAME: COURTYARD BY MARRIOTT
DESCRIPTION: Job #7753 8 branch circuits meeting room lighting and CO detectors.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JARMER ELECTRIC INC 1.0 PHONE #: 503246-5381
Inspection Request Scheduled For: Date: 4/24/2007 Pour Time:
Code # Inspection Description Confirm -# Contact # Message
199 Electrical final r 047024 -02 •13-246.5381 Y
Corrections /Comments /Instructions: .0\ � b3 D ' )
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tg PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: 1 I N b0 Date: 14cv-f 09 Phone #: (503) 718- Sg
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