Permit * CITY •
�� TIGARD _ ELECTRICAL PERMIT
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PERMIT #: ELC2007 -00270
COMMUNITY DEVELOPMENT DATE ISSUED: 4/25/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 F
PARCEL: 2S112DD -01400 '
SITE ADDRESS: 15686 SW SEQUOIA PKWY \\ ZONING: I -P
SUBDIVISION: MARRIOT LOT : JURISDICTION: TIG
PROJECT: MARRIOT COURTYARD
Project Description: 100amp sub panel. 1
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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 HMI SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 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:
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 4/25/2007 $80.30 LIC 6924
[TAX] 8% State Surcharge 4/25/2007 $6.42 SUP 4044S
Total $86,72 . 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: Permittee Signature: � � A k'k. _y
OWNER INSTALLATION ONLY IF
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.
40 . ■ A'44 %d P ' .Z7 gLG 2 Co — 041 6 Gs- 'E/2-.S.u6/ -e 7 b e_.
Electrical Permit AD o , . tia . FOR OFFICL liSl.. ONLY
1 eautt aZ i V ' City of Tigard Received P No
Date/11 : a I / _ ,_I I ,,04, _ 0
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 APR 2 5 20 ` 1 'N Date/B : Other Permit:
Inspection Line: 503.639.4175 _ ._:L- �'I 1
CITY Date Ready/By: la See Page 2 for
Internet: www.ci.tigard.or.us / � 1� 11lTHKU Notified/Method: Supplemental Information
y771121 .9 flf PLAN REVIEW
apply:
❑New construction Adcition/alteration/replacement nt Please check all that pp Y:
❑ Demolition ❑Other: ['Service over 225 amps, comm'l ['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 0 Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
El Multi- family ❑Master builder ❑ Other: ['Building over three stories [Weeders, 400 amps or more
❑Occupant load over 99 persons [Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: 7 C/ // I Job site address: /s e c s- w 3 p uo� � ['Health-care facility ['Other:
Submit 2 sets of plans with any of the above.
City/ State/ZIP: The above are not applicable to temporary construction service.
FEE *. SCHEDULE ,
Suite/bldg. /apt. no.: I Project name: 4 C7y4 S, 0 4, 4 12,21 :07 -- Description Qty. Fee' Tohl 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'l 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
A � A r/ O�/� -/�e� /� e 11 AEI— DESCRIPTION OF WORK Each manufactured or modular
/I dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less / 80.30 COI 0 2
NI 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
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone:( ) I 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
Business name:
service C circuit
B. feeder fee, h 6.65 2
Contact name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'] branch circuit 6.65 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 -mail: Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: TPr/s! e^'1 £!L ELEC % ear e I ik) C.,
Address: 3 , O s sW Y ,c?"-- s'� Zc 2 Each additional Inspection over allowable In any of the above
/n� Per inspection 62.50
City/State/ZIP: 1"cy--/L 7_,4 -t) 4 Q /Q . cf 7 2 2 / Investigation per hour (I hr min) 62.50
Phone: (SQ3) Z. y ( - 573 O / I Fax: (SD3) 2 (/q' — e0 3 7 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES':
CCB Lic.: / 992 Li I Electrical Lic.: 2(0 / 4` / 4 S Lic.: 4' /tf 5 Subtotal co 30
Suprv. Electrician signature, required /' w.._ _ Plan review (25% of permit fee)
b �
Print name: „55-s7 4 2 r ..../ftee Ai e I ate: l * 4,7 State surcharge (8% of permit fee) G
TOTAL PERMIT FEE t/p
Authorized signature: /• / � , / / /jam b • This permit application expires If a permit not obtained within 180
ri
.. .i..i W 1.
Print nam : r / , t_, Date: [i_ _ L days after It has been accepted as complete
� • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
i:\Build ngTemtilakELC- PermuApp. • • 12/03 440-461ST( 10/02/COM/V/1113
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00270
13125 SW Hall Blvd.; Tigard, OR 97223 DATE ISSUED: 4/25/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/26/2007 TIME: 7:00AM PAGE: 57
SITE ADDRESS: 15686 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: MARRIOT LOT #: TYPE OF USE:
PROJECT NAME: MARRIOT COURTYARD
DESCRIPTION: 100arp sub panel.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 503246 -5381
Inspection Request Scheduled For: _ Date: 4/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 047172 -01 503-246 -5381 Y
Corrections /Comments /Instructions:
34 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G NA41, Date: L k 2b () Phone #: (503) 718 -l-'I 117