Permit o CITY OF TIGARD a ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PER ELC2008 -00399
DATE ISSUED: MIT#: 7/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DD -01100
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: HOLIDAY INN EXPRESS
Project Description: Installing (4) branch circuits.
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: 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: 3 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:
BHGAH TIGARD, LLC INFINITY ELECTRIC LLC
PO BOX 1670 23322 NE RAWSON RD
WILSONVILLE, OR 97070 BRUSH PRAIRIE, WA 98606
Phone: 503 - 783 -5222 Contact #: PRI 503 - 2092 -0533
FAX 360 - 256 -8516
FEES
Description Date Amount Reg #: ELE 37 -669C
[ELPRMT] ELC Permit 7/16/2008 $66.80 LIC 153274
[TAX] 12% State Surchar 7/16/2008 $8.02 SUP 2687S
Total $74.82 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•
::: rr__ i / s - l:/ ).---
Permittee Signature: .. ....C2..-c- `� /�
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.
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FROM : INFINITY ELECTRIC FAX `•0. '• 1 360 256 8516 Jul . 15 2008 02: 47PM P1/2
• • -- Electrical Permit Application e . , E r()R c)I l I( 1. l .l: c►\1.\
City of T' and Received
JUL 15 2008 DateB .. 7 , �-- Permit No • - ere.) . y i
.111 �' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
ww CJ �^ 1
• Phone 503.639.4171 Pax: 503.598 1960 a Dn DatDate/By. � Perm _ t i C e' 0031 i
Ce''
Inspection Lane: 503.639.4175 MY OFTIG1i L Date RcadyBy, inns 1 ® See Page 2 for
I
i it,;,un N isK, Nonfind/ ,ttsrre4 w.tigard�r,gov B1 D1N D p dethod: �e„ Sappkmentat Information
5t `•� '> .� • inn- I s.. 1i ,° I -• \. 4,
��•.:`-- :- :' %••'�� +.�., . + .'�Y)R :,'� �:. '. % ", „�,,.: •... ry.fsa ",i ✓ * fw�r, °i • . .�`�, , P�;,gT); ". ''.. ��,,;:�: �� rt ;C•, -,•< . " . .
0 New construction '` ® Addition/alteration/replaccmcnt Please cheek all that apply (submit / sets of pla s w /items checked below)
❑ same or feeder 400 amps or more ❑ Reading over three stories,
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
less to
1,-.::-'0 ';`; ''' E 1`rEGi O '; - ; .:s; •;' ' " i. 'f j , +a y', exceeds 10,000 maps at 150 volts or ❑ Floating buildings.
:, : ' ' ": ' ' '.; ' .. '•''' ground, or exceeds 14,000
2 dwelling C ❑ Accessory building s`O d ed 14000 ❑ bo dings l.uae agricultural y g � ry >� amps for all other installation:. bindings
❑ Multi - family ❑ Master builder ❑ Other. ❑ Fue pump. ❑ Installation of 75 KVA or
^
�.. �r/,� •.Y ^.'::r [ ' . „...4 r a � ' ti ❑ Emc or%> em la7Rer tely dcnved System.
" "" ; k;�.:JOB`:SiTel 'ORM V'U)CA ION G >gip' : , :V4f „ 1 •Vt;i1.:;P4 ❑ ❑
['Addition "A", '1171 - 2 ", "1.3
lob no.: Job site address �3 30 w Upper Boones Ferry Rd
13 S Six ar more ca
Six o or r more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: ❑ Healthcare facilities. 0 Supply voltage for more than
Q Hazardous locations 600 volts nominal.
Suite/bldg./apt. no.: Project name: Holiday Inn Express ❑ Service or feeder 600 amps
�8( or more
f : i"(1i.7..: v_ , �'3 a :
,s?•' ';:�JF'EE.• DU1.E :% .`'r . - t'1, LS
' ,
Cross street/directions to job site: ' boinhotten I Qty.1 Re. I ToiJ r -
Ncw residential single- or multi - family dwelling unit.
includes attached garage.
Subdivision: rl Lot no.: 1,000 sq. R or less 145.15 4
Ea. add'I 500 sq. R or portion 33.40 1
Tax map /parcel no.: Limited energy. residential
-, -..,' ,`;li +.. r' "`w ' P*14000:0OI4?'O "WORK•:.. ''',.:'.;',::1'';::: .....'r.s'y ^ }ii ?Z (with abOvexq.it) 75.00 2
Add circuits limited energy, multi- family 75.00 2
residential (with above sq. R)
Services or feeders installation, alteration, and/or relocation _
200 amps or tens 80.30 2
M 4 ' `�-❑:,.P.Rbl R ^QWNER+'`4 . ''':-; - ' . - " '''fl hill i ..:; ' t ' �•, 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 salc, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, Ecr panel
Owner signature: A. Fee for branch circuits with
(, �, , �--� Date:
p�/j�
igi es u',.RucAl X . ; ,7i� "'•: v�1 ` : = }, ' :; ; l c.l: t` .CONTA . ,: p4, ,o < '° above Se!ViCC or feeder fee. 6.65
each branch circuit
Business name: B. Pee for branch circuits `(V
Contact name: without service or feeder fee, I 46.85 2
first b ranch c inadt
Address: Each add'l branch circuit 3 6.65 I 19.95 2
Miscellaneous (service or feeder not included) _
City/State/ZIP: Each manufactured or modular 90.90 2
dwelling. service and/or feeder
Phone: ( ) f Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
'• ? "-r.. " ,.'I ,, ' <;¢ °r;':;',M1.;COHl1t4C>E'OR',, ..l;': ;iil,< . Sign or outline lighting 53.40 2
Business name: Infinity Electri9cal Coast. LLC energy �� an a e alteratio or
F�
Address: 23322 N.E. Rawson Rd. extension. Describe: Pagc 2 2
City/State/ZIP: Brush Prairie, Wa. 98606 Each additional inspection over allowable in ao of the above _
Per inspection 62.50
Phone: (503-) 209-0533 I Fax: (360-) 256-8516 Investigation per hour (1 heroin) 62.50
CCB Lie.: 153274 W0 1 Electrical Lie.: 37-66 . C Suprv. Lie.: 2687-S k' / Industrial plant per hour 73.75
/_4-r w ; c' ' CTRI -IasPERMrr.V.E A�:','•!iti,`•' " ^F
7 /i ,'�k�y� •. hw`,.A'i:�;�V:R.Hw4t1L FS'�M1ai�.1<',il�.� "t'.Y� a
Suprv. Electrician signature, required: ` ( ' L �r Subtotal: ( -�
Print name: lack Brown Date: 7/15/08 Plan review (25% of permit fee):
State surcharge (12% of permit fcc): 8.23 T.04.,
U4.,
Authorized signature: TOTAL PERMIT FEE: , 76.83 '7y 7 .2
This permit apportion tion expires if a permit is not obtained within ISO '
Print name: Date: drys after it ties been accepted as complete.
•
CITY OF TIGARD ,
Lt :9 !VISION PERMIT #: EA...Q.0013•00311
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ° f° ol l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: IS • � 4 TIME: PAGE:
SITE ADDRESS: J51M5V) i15 C Y,.4i1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: U. Ili; (El Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corec /Comme structions:
'DM*. bC •"\-) • 0%
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V—Ak uC+ Date: .':;% +Yb Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200B -00399
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/16/20013
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 15700 SW UPPER F300NES FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOLIDAY INN EXPRESS
DESCRIPTION: Installing (4) branch circuits.
OWNER: BHGAH TIGARD, LLC, PHONE #: 503- 783 -5222
CONTRACTOR: INFINITY ELECTRIC LLG PHONE #: 503 - 2092.0:133
Inspection Request Scheduled For: Date: 7/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 072807 -01 503. 209 -0533 N Y
1GI c‘ C+Not L
Corrections /Comments /Instructions:
\\\\,\:\\
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `�' �(� Date: 1 ! Phone #: (503) 718 - 'A