Permit .
. il ''- '
4 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
°'. COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00001
TIGARD DATE ISSUED: 1/2/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AB-00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD ZONING: I -L
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION': TIG
PROJECT: FANNO CREEK PLACE
Project Description: Low voltage for irrigation controller.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: X
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
OPUS NORTHWEST LLC TEUFEL NURSERY INC
1500 SW FIRST AVE. STE. 1100 100 SW MILLER RD
PORTLAND, OR 97201 PORTLAND, OR 97225
Phone: 503- 916 -8963 Contact #: PRI 503-646-1111
FAX 503- 641 -5356
FEES Reg #: LIC 41669
Description Date Amount
[ELPRMT] ELR Permit 1/2/2008 $75.00
[TAX] 8% State Surchar€ 1/2/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 se ort ' OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246. 99 or 1.8 33 29194
/
Issued y : Permittee Sign ture: - " _1' ,'
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.
•
RECEIVED
Electrical Permit Application FOR OFFICE USE ()NIA' '
DEC 2. ' Received
City of Tigard 20 1 -
ICU Received M R8 07 Permit No.: £�e. ae° : (JrZ 1
• 13125 SW Hall Blvd., Tigard, OR 972 !�1 V- TIGN Plan Review &
1 g , Phone: 503.639.4171 Fax. 503.598. D Mp� MVIS`10� Date/B : OtherPem,lt
Inspection I9
ction Line: 503.639.4175 4J1��[V� L. Date Ready/Ely: Juris ® See Page 2 for
TIGARD
Internet: www.tigard- or.gov Notitied/Metlrod ((j Supplemental information
s�' r�p:�_+s �,. it , t r`r k I/tr gyp;, v I., 1 i ,i �:1�,4
? l i ii ^t i if >l�lp il�, ,' i a t' ,i.t 1 °" l t,; / -' ' Ih'
� ;�� �� � x.. �a. �t�.> ��:. �; 4+ ��f�G�. ��s :,:,�i!t:l��:��i.tii�:`..;.�i �. �:� . •l� n�.,r w1�- "'����.� }i lip' °"�
Please check all that apply (submit 2 sets of plans wftems checked below).
pia New construction ❑ Addition /alteration /replaeetrtent ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
IIse •. �1 °'1vl� a; ,2;: p I 1114 I af+Ia' I' ' [���y,{.�, �.},',', �'•' """'� ( fi' i. exceeds amps at 150 volts El Floating buildings.
�In'iif�iX,'ib� "A Nf'�t 17 uli .n NI'�'�I•i7v I _ " rTy u �'"" 4 • y,` ' ®3VF " + ' . 11f17 t �7i0ilrfl.�`,•N nl�}i gip ❑ agricultural
il. a� .. al 1! a'!^I „•_.�, k. a.w _.n•a11 t' S I � ds 10,000 or
L� ?! leas ground, a ps F
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building s nips for at other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
r t� y rt , ❑ Emergency system. larger separately derived system
!K, Uv' �- . ayfiilr,-; Yl a� ` P t: �i tliyf; �H�, �� rip 1S�t rr ` �, r�t9+ �- y�," �: � �iM. �!{ � �, r�r , •p�,I.,,,.w,� d4 r�, �, dipit+iM,..tm$ ii;y Ij:� 1t, ❑ Addttwn af new motor load o[ ❑ ,. A „ ,. ., 2 .. ., 1 _ 3 .
. '' �., i'! ll� N. Y : 1 , ^ IOO or more. occupancy.
� J � LJp! - �� � or no • Job site address: Q37 r � ❑ Six or nw residential units. ❑ Recreational vehicle parks
T r_.
City /State /ZIP: ./ oe ellavi ❑ Health-care facilities. ❑ Supply voltage for snore than
g ❑ Hazardous locations. 600 volts nominal.
uelp 0 crv.e. . P/4C�2 I �Ur�
Suite/bldg. /apt. no.: I Project name: 0 or feeder 600 amps or norp
� a.r c�11rv.:!�'J6iF• „>µ r�O� Std ,aul.`!�t:.- �
Cross street/directions to job site: rT S /� to Ex/ t' acts Description 1 I Fee. I Total I •
New residential single- or multi - family dwelling unit.
P 449/4 �' O S U ne1 Ed e Includes attached garage.
Subdivision: ��"t L t no.: 1,000 sq. ft. or less 145 15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
� I'r� h: t :i ' ;i• ats'i1l . r'Ib i i - l I�„n.., I ttIO ,.,I�r,.,�p !31 I
"•i il1�1'�l,1-'� "� l J` t a' (with above sq. (1.)
.�F
utijiRiFa_.5i '� i il=:i4'r;;t.. ;:��:.; " �.,. _ � ti! iIN„ I•.;,:f` Ti<,vi;.,.,airiir•.o.iFi.tsr�• •,Fra"f , hg
�` j't Co t Limited energy, multi- family 75.00 2
LjP/�'ICIQi•/t/A residential (with above sq. ft)
I Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
�� I s or.:" la�• 1 amps 106.85 2
; 1- 11s t1 OP,a 19 li.., • 41.1,,0,, 4 X 14 • , .1 ' a . Ili1 : g 400
•"I_ �'0_Y. _�-'i7 .. ,. ii+, r s .dktl_ � a, 4 i m!Jdc _t� tl:i 201 amps :0
401 amps to 600 amps 160.60 2
Name: Opag WO 601 amps to 1,000 amps 240.60 2
Address. ) S00 sc. r a t I j � �(� Over 1,000 amps or volts 454.65 2
y rt Temporary services or feeders Installation, alteration, and/or
Ctt /Stat /ZIP: ° i17zo
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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: Dale A. Fee for branch circuits with
6- ,''; t l n • .„ 1 I ' 'i i f) t► a e i L p , , •'
. 1 4iii' above service or feeder fee, 6 65 2
/lf, I I V , t each branch circuit ,_ Business name: f(.wce f B. Fee for branch circuits
J
without service or feeder fee, 46.85 2
Contact name: j br c ti�CV )( first branch circuit
Address: /Q Sri 1 ( k aed Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Po r t'fand, d2 1722S- Each manufactured or modular
90.90 2
1 dwelling, service and/or feeder
Phone: (s-03) 44.6 I Fax: : (Sb3 4,c4 I - 5-6 Reconnect only 66.85 2
E -mail: t') �x's>ga+rt .. � Pump or irrigation circle 53.40 2
'r, 4E• ±ttC k :.�1 � i>�i9 t �� s ,i� i. ' . Sign or outline lighting 53.40 2
T � uj'ey , C-
Signal panel, cil,(a) rmit
Business name: energy anal, alteeratt or ion, or
extension. Describe: Page 2 2
Address: 100 S W Jilql lice,
City /State /ZIP: Aim > . . a ct7 ZZS-" Each additional Inspection over allowable in any of the above
L /C4Y10. 1 Per inspection 62.$0
Phone: ( ) 6,46-I (I I Fax: (s-rs) 6 ! -c3S Investigation per hour (1 hr min) 62.50
CCB Lic.: 1.4 JW Electrical Lie.: Cf ,33 Suprv. Lic.: Industrial plant per hour 73.75
( � I :1T # 1 JHl t `! .I i •4 jam: I \
' vA"• s.. F �dt± i;.,4E'�►;,"';ri�...;:��.`t - -�, i'_ �'',��ft•:�''��'11'�Y�r.S
Suprv. Electrician signature, required: Subtotal. Z5 -(X)
Plan review (25% of permit fee):
Print name: (( `� Date: g (8% fee): Q, oo�
j State surchar G�Afif/V" a l0 of mit fce _ Authorized signature: M TOTAL PERMIT FEE r ,00
/-
l / This permit application expires If a permit is not obtained within Igo
Print name: q Ah Miele' iele Date: 1 Z /z. 5/ /o
ff • Number of inspections allowed per pemtit.
1. \Bwlding\PesmiulELG PermiIApp .doe 05/23/06 440.4615T( I I /OS/COM/WEB
2 ' al Xd3 13C213SE11 dH Wel T 2 : E L002 82 pea
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008-00001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/712008
Phone: (503) 639 -4171 1 114 t
Inspection Requests (24 Hrs.): (503) 639 -4175 s' ' L
INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7:00AM PAGE: 63
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: F:ANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: I'ANNO CREEK PLACE
DESCRIPTION: Low voltage for irrigation controller.
' OWNER: OPUS NORTHWEST LLC, PHONE #: 503816
CONTRACTOR: TF_UFEL. NURSERY INC PHONE #: 503 I
Ins ction Request Scheduled For: Date: 117/2008 Pour Time:
Co # Inspection Description Confirm # Contact # Message
135 503-577-9883
AL
LOW voltage 062606-01 N
Corrections /Comments /Instructions:
\ n
v / V
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 3 N Vp Date: 1 '1 '� ' Phone #: (503) 718- 1%