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Permit CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2008 -00278 COMMUNITY DEVELOPMENT DATE ISSUED: 5/14/2008 `P1 G A R 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 112 D D -01100 SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD ZONING: C -G SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: HOLIDAY INN EXPRESS Project Description: Adding (2) additional inspections. 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: SIGNAUPANEL: 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: 2 201 - 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: BHGAH TIGARD, LLC INFINITY ELECTRICAL CONSTRUCTION LL PO BOX 1670 23322 NE RAWSON RD WILSONVILLE, OR 97070 BRUSH PRAIRIE, WA 98606 Phone: 503 - 783 -5222 Contact #: PRI 503 - 209 -0533 FAX 360- 256 -8516 • FEES Description Date Amount Reg #: ELE 37 - 669C [ELPRMT] ELC Permit 5/14/2008 $125.00 LIC 153274 [TAX] 12% State Surchar 5/14/2008 $15.00 SUP 2687S Total $140.00 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: , � / i ` I � 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. Electrical Permit Application -::, \�� t� FOR OFFICE USE ONLY l City of Tigard \r � • sateB '� 1 j - • rout No 13�' 'AL. r(x d -'� IN • • 13125 SW Hall Blvd ,Tigard, OR 97223 t•lan Review - 7 — C3 0 CI _ . Phone 503 639.4171 Fax 503 598 1960 ,, n n\( 1 `� Date/By. Other Perm fiO TI G A R D Inspection Line. 503 639 4175 \ �rqt �; e ady /By turfs IA See Page 2 for Internet. www tigard -or gov `� C �r ethod Supplemental Information TYPE OF WORK 1�1�� i��'. (� e y PLAN REVIEW ent Please check all that apply (submit 2 sets of plans w /items checked below) ❑ New construction ❑ Addition/alteration /rep ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition f lier: where the available fault current ❑ Marinas and boatyards CA EGORY 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 ❑ aster builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system. A ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", Job no.: Job site address: IOOHP or more occupancy ❑ 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: /I/0L oy _T-";(.44.., ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Description 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] 500 sq ft or portion 33 40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq (t ) 75.00 2 �/�� \ i Limited energy, multi- family 75 00 2 0 c o t ),v) J r/i/ �� J r residential (with above sq ft ) J 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 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: 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 Contact name: without service or feeder fee, 46 85 2 first branch circuit Address: Each add'I branch circuit 6 65 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 v Signal circuit(s) or limited - �T,Ft �t, /7y �F_ e_C 7 4 -- (3 . � ? r energy panel, alteration, or Address: 33 A 2 N E X,41-4c..-.3-0 extension Describe Page 2 2 G�,O. City/State /ZIP: p ' ,/ e6 Each additional inspection over allowable in any of the above aii Per inspection 2 62 50 Phone: (S153) . 51.v i gs'1Y Fax: (.� f'6 - syS /', Investigation per hour (1 hr mm) 62 50 CCB Lic.: / 5-3 2 7 Cr Electrical Lic.: , } . za.� Suprv. Lic.: ,- gT S lndustnal plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: 1 " —� Subtotal ( 1 1.-c -- , w Print name: J � (/ Dates _ / V— by Plan review (25 % of permit fee) �C K State surcharge (12% of permit fee) (s--, (1v Authorized signature: TOTAL PERMIT FEE IV 6 JJ This permit application expires If a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit 1 \Budding\Permits\ELC- PermuApp doe 05/23/06 440- 4615T(i 1/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: I RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ 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 1\ Budding\Pmnus\ELC- PermitApp.doc 03/23/06 CITY OF TIGARD- 4 11 I BUILDING DIVISION PERMIT #: ELC2008- 00278 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/141200U Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 a r� ° �.. INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HOLIDAY INN EXPRESS DESCRIPTION: Adding (2) additional inspections. OWNER: BHGAH TIGARD, LLC, PHONE #: 503-783-Q22 CONTRACTOR: INFINITY ELECTRICAL CONSTRUCTION LL PHONE #: 503- 203.0533 Inspection Request Scheduled For: Date: 5/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 Underground/slab cover 069952 01 503-209-0533 Y Corrections /Comments /Instructions: .�' t 0 {s1 n L f 1 N P e+A4N UT AertoV20 f-t , cov 40#21. 40C s I{ tip) `��\ 41 14 . wbq - ALL" i`�'► katC0AN _t•:1. ( � P $g &-F4... C - ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CY 1 it K+ Date: 61 VA Phone #: (503) 718 - YA"1To CITY OF TIGARD. BUILDING DIVISION PERMIT #: ELC2008-00278 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/14/20013 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "i INSPECTION WORKSHEET FOR DATE: 6/13/2Q08 TIME: 7:01AM PAGE: 41 SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HOLIDAY INN EXPRESS DESCRIPTION: Adding (2) additional inspections. OWNER: BHGAH TIGARD, LLC, PHONE #: 503- 783.5222 CONTRACTOR: INFINITY ELECTRICAL CONSTRUCTION LL PHONE #: 503 -209 -0533 Inspection Request Scheduled For: Dat e: 6/13/2008 Pour Time: Code # Inspection Description C / irm- Contact # Message 199 Electrical final 071332 -01 503 - 209-0533 N 116• GeRNI CZ • Corrections° //CCyom�ments{{ /IInn�structions:N161'94 R c�� /�\ N� 'r Hsid' N`L.J y tl'"� "� w ait , • �-! ®• d' �...,1 O `a a ��. S .aye G- -c �•T �- � ' s� , - Lam• - e4Nialk\ 4 I (\NE CLo .s - ❑ PASS / PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r 1 (6 Date: lJ Q Phone #: (503) 718- v4