Permit w
'� U
/ CITY OF TIGARD ELECTRICAL PERMIT
Ilq ° PERMIT #: ELC2008 -00316
° COMMUNITY DEVELOPMENT DATE ISSUED: 6/5/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 113AB -00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 150 ZONING: I -L
SUBDIVISION: FANNO CREEK PLACE LOT : JURISDICTION: TIG
PROJECT: 20/20
Project Description: TI - (26) 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 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:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 25 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:
OPUS NW TASKER ELECTRICAL CONSTRUCTION
1500 SW FIRST AVE #1100 39905 SE 37TH ST
PORTLAND, OR 97201 WASHOUGAL, OR 98671
Phone: 503 - 916 -8963 Contact #: PRI 360 - 335 -8233
FAX 360 - 839 -0989
FEES
Description Date Amount Reg #: ELE C387
[ELPRMT] ELC Permit 6/5/2008 $219.75 LIC 180382
[TAX] 12% State 6/5/2008 $26.37 SUP 50205
Total $246.12 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
suspende • _ • - • -n 180 da s. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center
Those les are set forth • O - • 52 -661 -0010 throug OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 2 • • 66 or 1 800 332;344
Issued = : • �� Permittee Signature: r / /�LZ
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: C -° 1 ,7, -- ' DATE: le/5
LICENSE NO: S
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.
N
J `
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Date/By. G/ 5
Permit No.: g 3 ,6
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
lIl Phone: 503 639 4171 Fax 503 598.1960 DateBy. Other Permit
T 1 G A It D Inspection Line. 503 639 4175 Date Ready /By Jun ® See Page 2 for
Internet. www tigard - gov Notified/Method 1G Supplemental Information
TYPE OF WORK PLAN REVIEW
( New construction ❑ Other: ❑ Othe: Please check all that apply (submit 2 sets of plans w /items checked below)
(u� ❑ Service or feeder 400 amps or more ❑ Building over three stories
Demolition where the available fault current ❑ Marinas and boatyards
CATEGORY 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 ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately denved system
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: O ) I Job site address: X60 37 Sep ei0 /OIC P z Z � ,ixorm rmore occupancy
S fix or more residential units ❑ Recreational vehicle parks.
City/State /ZIP: Ty ❑ Health -care facilities ❑ Supply voltage for more than
' ❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: /so P roject name: 2,4 , 2 /� / = � 5 .,?,, / t A ❑ Service or feeder 600 amps or more
Cross street/directions to job site: Description FEE SCHEDULE
J P I Qh'• 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'I 500 sq. ft. or portion 33 40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. R )
Limited energy, multi - family 75 00 2
residential (with above sq ft )
Services or feeders installation, alteration, and/or relocation
200 amps or less 80 30 2
,FPROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106 85 2
Name: 11 DAL 9 401 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: ( ) I 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, er 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 3/4 • 2
first branch circuit
Address: Each add'I branch circuit 25 6 65 77 IQ 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: �j s / `� energy panel, alteration, er tion, limited-
/A f 12- 141/1/ eN i p/ti Are iAli ener anel, alteration, or
Address: 3? '940—S.- S 1 3 7 44 _Si' extension Describe. Page 2 2
City/State /ZIP: Ai-A.5,44,49 Ly 4 14- ?A 6 / Each additional inspection over allowable in any of the above
�f Per inspection 62.50
Phone: ate) 3 ? Fax:
�g��C g Z 3 Z r /i �3 9
0 9 k �f Investigation per hour (I hr mm) 62.50
CCB Lic. :/� 3 f —21 . Electrical Lie.: 381 I Suprv. Lie.: 5 - 0 ?is Industrial plant per hour 73 75
•
/ /O ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: m .
Print name: f I / .. _ s Plan review (25% of permit fee). ®
,zette T � State surcharge (12% of permit fee) a4p . • 37
Authorized signature: Al L TOTAL PERMIT FEE• zfl •/9„
/ This permit application expires if a permit is not obtained within 180
Print name. ./. y ��. j�� p Date: Z, - — 0 Se days after it has been accepted as complete.
/ • Number of inspections allowed per permit
I \Buitding'Permns\ELC- PennitApp doc 05/23/06 440- 4615T(I I /05 /COM/WEB
\-
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
---- - - - - -- — -- - - -- -- -- - - -- - - -- --
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:
[ 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
I \Buddmg\Permns\ELC•PermitApp doc 03/23/06
• CITY OF TIGARD ,. ' ,.
BUILDING DIVISION PERMIT #: ELC200800316
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 6/5/a0J8
Inspection Requests (24 Hrs.): (503) 639 -4175 '!!+� ° 'I I..
INSPECTION WORKSHEET FOR DATE: 7/31/2008 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 150 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: 20/20
DESCRIPTION: TI - (26) branch circuits.
OWNER: OPUS NW, PHONE #: 503,.916 -8963
CONTRACTOR: - I ASKER ELECTRICAL CONSTRUCTION `" STAC U I I PHONE #: 360 - 335.8233
Inspection Request Scheduled For: Date: 7/31/2008 Pour Time:
Code # Inspection Description onfiun Contact # Message
199 Electrical final 073520-01 360. 335-8233 V
Corrections /Comments /Instructions: 360` I %.,s ,
�m 1 - .3`I �)A
e t-L (Z.�,�L_ � `i 4 10 � � ' 16 6 00)
7b -ca.. i A 4 tA i:T 16P . OQ,ev °Ii a • Nss.o. `km .
v.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GM t Le Date: 1 1 1 if a Phone #: (503) 718- ti44t
CITY OF TIGARD r BUILDING DIVISION 1PERMlT#: ELC200B Q03'!6
13125 SW Hall Blvd., Tigard, OR 97223 ■TE ISSUED: 615/2008
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 - 4175 ^:
INSPECTION WORKSHEET FOR DATE: 7/30/ 2008 TIME: 7:01AM PAGE: 57
SITE ADDRESS: oo CLASS OF WORK:
SUBDIVISION: 16037 SW UPPER BOONES FERRY RD N. #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
20/20
DESCRIPTION: TI - (26) branch circuits.
OWNER: OPUS NW, PHONE # : 503 - 916.8963
CONTRACTOR: TASKER ELECTRICAL CONSTRUCTION Sl E1C `/ PHONE #: 360- 335.8233
`
Inspection Request Scheduled For: Date: 7/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073421 -01 360- 335.8233 \ Y
Corrections /Comments /Instructions: ' ' '' S,gS 69 1
? €rLV uiib S 70c PAT. 314,21 A1Y
A NT - C 6 ittEL? As wwt A6ovE 614. RtZ.
U P> R, Coves m\ 12►� 113 • Aiz . LI06. 4 tic- .
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r, as fECNIOA 10 coat 60
cr_4 _,._ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
j FAIL C ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C' Ni 6 Date: 1 IN Phone #: (503) 718- Plitt)
CITY OF TIGARD SW v ,
BUILDING DIVISION PERMIT #: ELC2008•00316
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6.16/20013
Phone: (503) 639 -4171 . q lol
Inspection Requests (24 Hrs.): (503) 639 -4175 s ��� `__..
INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 150 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: 20/20
DESCRIPTION: TI - (26) branch circuits.
OWNER: OPUS NW, PHONE #: 503
CONTRACTOR: TASKER ELECTRICAL CONSTRUCTION ( AC PHONE #: 360
Inspection Request Scheduled For: Date: 7/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 072675-01 360-335-8233 - Y
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Corrections /Comments /Instructions: RPNq
9
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Vflt:1\:k1 A . try► s s.3 cM -r D ®3 N f -, L-L
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❑ PASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G NI V6 Date: 1 . • o D Phone #: (503) 718 - viii-1
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC200B -00316
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ...44. L L.
INSPECTION WORKSHEET FOR DATE: 7/14/2006 TIME: 7:00AM PAGE: 3B
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 150 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: 20/20
DESCRIPTION: TI - (26) branch circuits.
OWNER: OPUS NW, PHONE #: 503.916 -8963
CONTRACTOR: TASKER ELECTRICAL CONSTRUCTION s c4 PHONE #: 360 - 335-8233
Inspection Request Scheduled For: Date: 7/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Coiling cover . 072486-01 360- 335 -8233 Y
I�tati V iaNy oft L 3{0 sf, -,09
Corrections /Comments /Instructions: RtioN
Iv SC
ea rtc t - 4,, ° 't ec t O Ati aq AL
‘Sk■_f_IARZe EL ALL 1—ovo V ,I.Ikytt 106TH
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113 celt*Lilic V vicg t1/45,) kt, I eir4LL q •V®x � )
■••) �, 6 6 i • Aq l 1.D. 3 6A)_ \ \\
L *wcres ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
/ :A FAIL yl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr t`rM Date: 7 1 1 CI Phone #: (503) 718- VILA
CITY OF TIGARD fir , ,
1 BUILDING DIVISION PERMIT #: F_LC2008.0031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/200
Phone: (503) 639 -4171 . '
• Inspection Requests (24 Hrs.): (503) 639 -4175 - I t .. •
INSPECTION WORKSHEET FOR DATE: 7/8/2008 TIME: 7:00AM PAGE: 72
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 150 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: 20/20
DESCRIPTION: TI - (26) branch circuits.
OWNER: OPUS NW, PHONE #: 503916 -8963
CONTRACTOR. TASKER ELECTRICAL CONSTRUCTION PHONE #: 360-335-8233
Inspection Request Scheduled For: Date: 7/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 072270 -01 360-335-8233 Y
Corrections /Comments /Instructions:
9 00 , .. 1 0 e-■- _S-go/10
a U a' ,t 7 - RD cr ne
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSP CTION ❑ ADDITIONAL FEES ASSESSED
f
Inspector: ..I , Date: 7 — 05 3 – c? Phone #: (503) 718-
CITY OF TIGARD ., _ ,
BUILDING DIVISION PERMIT #: ELC200B -00316
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/51:2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 i L.
INSPECTION WORKSHEET FOR DATE: 6/19/2008 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 150 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF E:
PROJECT NAME: 20/20
DESCRIPTION: TI (26) branch circuits. J
OWNER: OPUS NW, PHONE #: 503 - 916.00963
CONTRACTOR: TACKER ELECTRICAL CONSTRUCTION PHONE #: 360 - 335 -0233
0
Inspection Request Scheduled For: Date: 6/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess g P
12( Wall cover 071590-01 360335 -8233 Y \
Corrections /Comments /Instructions: K� 34 ...Ar 4
A A... ■ • .4 tAi.-__.) )
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SS ❑ PARTIAL APPROVALCA .,EL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE - ASSESSED
Inspector: A 031_ Date: I Phone #: (503) 718 -