Permit r!'n . A
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CITY OF TIGARD + ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00656
COMMUNITY DEVELOPMENT DATE ISSUED: 9/20/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102BA -00501
SITE ADDRESS: 09742 SW TIGARD ST ZONING: I -P
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT : 060 JURISDICTION: TIG
PROJECT: SPEC SPACE WAREHOUSE
Project Description: 2 branch circuits to bring elec. up to code.
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: 0 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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:
ROBIN ELLIOTT T & T ELECTRIC
9740 TIGARD ST 4120 SE INTERNATIONAL WAY
SUITE A -105
MILWAUKIE, OR 97222
Phone: 503 - 913 -7621 Contact #: PRI 503 - 652 -7610
FAX 503 - 652 -7612
FEES
Description Date Amount Reg #: ELE 3 -605C
[ELPRMT] ELC Permit 9/20/2007 $53.50 LIC 161187
[TAX] 8% State Surcharge 9/20/2007 $4.28 SUP 5176S
Total $57.78 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: idA Zed 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.
Sep '119 2007 15:42 HP LASERJET FAX 503 652 7612 p. 1
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Ll e tr Permit Application FOIR OFFICE USE ONLY
City of Tigard Received
0 -- )4 71 S -. .a L,•' q ' /
AN
13125 S Hall Blvd„ Tigard, OR 97223 pl, . • ;i
Permit: Permit: r m Other Pe:
Phone 503.639.4171 Fax: 503.593.1960 , r j'i'' +''I° Date/By Inspection Line, 503.639.4175 :_!!_fi► '- � 1 I '
,!: o t ' El See Page 2 far
Internet: www.ci tigard.or.us .y, tifi�at I tun ) Supplemental Information
s: B, .1i 11:1117
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❑ New construction 111 • ddition /alteration /replacement Please check all that apply:
❑Demolition El Other: comm'l over 225 amps, c 1 ❑ Hazardous location
z , _ ,+ : ❑Service over 320 amps - rating ❑ Buildng over 10,000 si
- --`` iiti\f,le:4 .._ ^4"- - 4 i ;F - , �; 1• �.y. •1:40 =a2 ; - t ilia= {:r,r."v;r; :,k ,,:; of i- and 2-family dwellings or more new resident
' "�':• `i ti�,a %i 1'rv*: `(�54.ts a'w:7�:. r.;.r�s.•. ..1 - '��. ,',`„�$�,9 "I ..:,,.a. " _�, •:: 1 .ee °.f: Y dlli 4 e
❑ 1 - and 2- family dwelling ,r. Commercial /industrial ❑ Accessory building ❑system over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 401) amps or r
❑ Multi family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ID Manufactured structur:
r r„ q -,
,:�... ..�-•'. 't;a :;. - �'�� �IY3i�',6: :C- - - ❑E ss/li htin
:_- ._i:riw��.Ai�,;€! }�u:._ ,�,•. = _ � "`..r.K � :.� � : %F�'�:'�_ y� .5= r.� �;,:` !� B g Plan RV park
/ ID Health-care facility ❑Otovr
Job no.: Job site address: 7 i G Tq(
Submit 2 sets of plans with any of the above.
City /State /ZIP. The above are not applicable to temporary service
� / 6 7a 3 .— ;.sir._ I ft ,- r- {,,r.. _ to 1 ry cons P> :, ..
Suite /bldg. /apt. no.. Project name:
_ Description 1 Qty. Fee. i Told
Cross street /directions to job site: Q•7 / f New residential single - or multi - family dwelling unit.
Includes attached garage.
1,000 sq_ ft. or less 145.15
Subdivision, Lot no.: Ea. add'l 500 sq. ft. or portion 33.40
Tax map /parcel no.: Limited energy, residential 75.00
,i Limited energy, non - residential 75 00
rr . • ; # —:; . _ - - a•`;.,:'r< r'z::. :;AAL L Ri _ . -:+_ el,• - Each manufactured or modular
r 1 . " . dwelling, service and /or feeder 90.90
1, r 1 . o fl C( -
t Cut Services or feeders installation, alteration, and /or relocatic
200 amps or less 80.30
; w + 4, ,; � ? �L;. `g � , h• " +r _ 201 amps to 400 amps 106.85
tip' ;�:i �,pi��^,y i t� � � i �5:: �: r, PsPit 'i��r�i• >r;..c :i L '
401 am to 600 am 160.60
c. Name: _ J fv El) 1 0 u - D ,J , \ 601 amps to 1,000 amps 240.60
Address: R - 7 q O -M Si-- Over 1,000 amps or volts 154.65
Reconnect only 66.85
City / State/ZIP: `� s &r t O '
C a 3 q Temporary services or feeders installation, alteration, and,
L relocation
Phone: (5.3 )C113- ' V a Fax ( ) 200 amps or less 66.85
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps _ 133.75
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with '" ="� i`_'
iw t�J: :''J:iz'aW�li +�;A:'1x.�"!�' _ " � } ; . "� _.A :.'
m "i•,. u..... .. .,.. 3 *; service or feeder fee, each
Business name: branch circuit 6 65
B. Fee for branch circuits
Contact name: without service or feeder fee, //''
first branch circuit I 46'85 Ll6t��7
Address: Each add'I branch circuit I, 6.65 b 65
t
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or imgation circle 53 40
Phone: ( ) Fax: ; ( ) Sign or outline lighting 53.40
E -mail: Signal circuit(s) or limited -
ig,F, y�i.l :S 4 .v i 4 ' _ •7 �� �i. �i`�,.; '.4 _ .1 �: i• .aY
fait \itt ,r ' i1 l3lf' :V, • js: =:v - -' .' �, ':` " "" i , z ',;; r;.:::.. ;; energy panel, alteration, or
,i ��.�r x -::'. „• .......:.. :.� 1; . - ' f: : � ,t�l��,i'� 1'..' , i.x'•,'''' •i.' : t a'•.i:..:.... ; F � _
extension. Describe: Page 2
Business name: T & T Electrical, LLC
Address: 4120 SE International Way, Suite A -105 Each additional Inspection over allowable in any of the abc
Per inspection 62.50
City /State /ZIP: Milwaukie- OR 97222 Investigation per hour (1 hr min) 62.50
Phone: (503) 652 - 7610 Fax: (5031652 -7612 Industrial plant per hour 73.75 1
CCB Lic : 161187 Electrical Lic.: 3 -605C Suprv. Lic.: 5176S Subtotal 5 , SC
Suprv. Electrician signature, required:7 ��' Plan review (25% of permit fee) / l Q d State surcharge (S% of permit fix) Li t a g
Print name: Date: GI / + TOTAL PERMIT FEE c'7, 7
Authorized signature: 7 , �--- This permit application expires if a permit is not obtained within li
days after it has been accepted as complete
Print name: Date: ' Fee methodolo6y set by Tn- County Building Industry Service Board
'• Number of inspections per permit allowed.
, \ Building Wear as \ELC- PermiApp 12/03 440 4615T(
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL C2007- 00656
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9120/2007
Phone: (503) 639- 4171rl�l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1011/2067 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 09742 SW TIGARD ST CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 060 TYPE OF USE:
PROJECT NAME: SPEC SPACE WAREHOUSE
DESCRIPTION: 2 branch circuits to bring elec. up to code.
OWNER: ELLIOTT, ROBIN PHONE #: 503913.762'1
CONTRACTOR: T & T ELECTRIC PHONE #: 603-652-7610
Inspection Request Scheduled For: Date: 10/1/2007 Pour Time:
Code # Inspection Description • /K056657-01 onfirm-# Contact # Message
199 Electrical final 503-380-5421 N
orrection /Comments/ nstr uctions:
Ca
it /
r V
PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N Date: 4 Phone #: (503) 718- Zlb
•