Permit INA---.-- q 1 CITY OF. TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00188
: COMMUNITY DEVELOPMENT DATE ISSUED: 3/28/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102BD 01600
SITE ADDRESS: 09845 SW WALNUT PL ZONING: R -
SUBDIVISION: FREWINGS ORCHARD TRACT LOT: D -I JURISDICTION: TIG
PROJECT: TIGARD COMMUNITY METHODIST
Project Description: Add sub panel and circuits. Job No. 12844
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: 1 W /SERVICE OR FEEDER: 3 PER INSPECTION:
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:
TIGARD COMMUNITY METHODIST CHURCH COHO ELECTRIC INC
9845 SW WALNUT PO BOX 40
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: 503 - 443 - 4123 Contact #: PRI 503 - 582 - 9774
FAX 503 - 582 -9840
FEES
Description Date Amount Reg #: ELE 3 -575C
[ELPRMT] ELC Permit 3/28/2007 $100.25 LIC 157169
[TAX] 8% State Surcharge 3/28/2007 $8.02 SUP 1781S
Total $108.27 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 fo I•• e than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those r are set fo h - ` • • ' = -2- 001 -0010 through OAR 952 -001 -0100. You may obtain copies hese rules or direct questions to OUNC at
503.2•.: .6699 or 1.800i
Issu -. • By: - , _ Il J 4 41,k ,/ 7 Permittee Signatu e: i . 0' ,2I1/� �N._. _
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'14: fii id 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.
FROM :COHO ELECtR I C ` FAX NO. :5035829840 Mar. 27 2007 07: 57AM P2/2
Electrical Permit Alin ��� tl �®
City of Tigard FOR OFFICE USE ONLY
13125 SW Hall Blvd., Tigard, OR 97223 7] 1 Receive d Q �• �J�,.
Vq 2 L Datc/By: p � 7 d 7 y Penult CL.GOv�? Q�li
Phone: 503.639,4171 Fax 503 598.1960 n, r Plea Review
/� '.;r'
.
C `TY OFT�G y � jy U lj UrteB- y^ Other Permit:
Inspection Line: 503.639.4175
Internet: www.ci ugsrd or us 1 1 D , . 1 Date Readyray:
G Notified/Method:
brit: El See Page 2
a h��r,� ' 4 l it "'�7 , !t •� � � DIN _ 5 eea/n. I Y for -
71� 1 1.1 4 ) Lri gib %', 1F.7C�,t,, ' �i. P r'gR r %' ?;} I+ ., 16[i' , Ni � I - i � 0 ? i• :9; i i I` L { pP q* y l�� 1 � j1 % • � .4 .1 1:7(' r.1, • :frog 11+. t �� 11 1L 9 upNt . . , ' al Information
I. 1 -1:0. `IJ-..F.}..Yrl.n 1 61.,!I..iiii. -1 ' ;! 11 ..:46 R ttt4 L f '::, ,' 11,0 . '14 71 e
`: , li � 7 r; .P. -
❑ Ncw construction i! Addition /altcration/replacerncnr ,' � ' ' .
Please chock a dint
❑ Demolition —
" S +iO Demolition e t„ Q Other: ❑Service over 225 amps, comnl'1
p711 �, 1 1.f , i , { 1, ,.. p u I 1Fr, to it ❑ location
,t,t!', 0...16e a,'�ilIY:� I!,1th 'i_`ir�lUi�i ic��r�`tic•X�tt t � i ? � _4
l �?�.: y . I,I -R ['Service
of and 2 a tut amps l rating ❑ or more over residential
sq. l
Y 18 1 Comme rc i a V m d ustrial {rrl, .�. f y e llin
1 - and 2-family dwelling �_ gs 4 or more new res,llennal
❑ Multi - family ❑ Accessory building ❑ Sys[crtt over 600 volts nominal units in one ItA'UCWre
„ . tefr ,,, r r, h ', ❑ Master builder E] Other:
❑Building over three stories F
, �(�r1 y 1 t' g 5 d1i, 4 f 1 lI ! kr', P; I hII t ri i r i h l lk ' VI :LraY + ta : �Ta� '..i gte JP , ^�4 " +ti !soli %I
: :, • ,i.i;q • y. , , . ❑ ecdG's, 400 amps or more
dt,�.��. +tr . 9t7 14 u!:1.,7h rla.,t �etl.,, �t ° n1 r 1 i; d?j'ala�` : rv if tl ; � � "�119 a It�il <, I � ` S w rl ll � °� li i ` l I'''I i l' IPI �g�rater, +t 0 Occuprmt load over 99 persons ❑tvlanufactured strucnnes or
t I,,r,.,i ,; tiu ..,V ah..Yr)Lra�l(! i,l. i `I1� i l` l,: t," ,t,lfr; { ❑ Eg1ess/hglllins plan
Job no.. RV p ark �� %� J site address: �1 5 qw w�t�A ❑I�eattli• Cy er _
Ctly /StatrJZII': ✓ • S[tbrtrit 7 sets of fncili plans with any of the abo
StMe / n � f % Q Q e The above are not a licable to
Suite/bldg./apt. o.: ro Project name: 1 :,r)II 'rti :,•f pp .., . temporary „ construction service.
1 1 ,l11Li1�:7!IW1r�fillrW'ck?i, *. I �h r,rOli�'.I5 r 1 fif 4U2�UYt7f,;l l 1 7T r..... 7---'—.
Q tJ I .'iIl'f' `_, I�ti. r :� SI�'_I. I.1
Cross strect/directioru to job sire: Description Qty PO. Total .�
New residential single- or multi- fatnily dwelling unit,
Includes attached garage.
Subdivision:
1,000 aq, ft, or h 4
s 145,15 — -
I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
or modular
Tax map/parcel n o.: hatted ewer
.1 , n energy, residential -
'. " I l?�lf, X1 r 4 E7u `r ! 4 t 1i l Y 14� 3 1 , f I I 75.00 2
�;�, y,ai L(I ;f 4 1 4 1 ��C 1Fli �r' } i ' }�, l n �'le v .� l ll � ll� '�II, l il'L r l l ll t � 1 r 4 ? E I r r P1 , Limited energy, non•reaidenual 75.00 2
Im+,, iol lcin.{ I',... r- 9fv�I�. 3n�L. Ilu�111111: t . 1�7dR).* e�, 1 o � 1r, I�1 �y . Y�i�Y �.'� 17�`I,� l l i �ll l t l'1'LI v f,
'
a �� I,s.,al sr,tr�Fe' }4,.1 „iX,,! " Each manufactureli
7.
— �• a, �,` ÷ Qur dwelling, service and /or feeder 90 90
Servlcee Or feeders Installation, alteratio and/or relocation
VI r( es t : ^ I r 200 amps or less
;i;4�1 14 s ”, ,1aiyri 4 e' 'Vim tr r, ,; 1 wi itr,,F .� j r,IT : I I+I� Iitlr F ' s�,
r, f ie 11t. { , -80. �� , 1
f i':i r t i, .1":10 . ) Ihlillk a'rIfll�l�i.fillil [.MkA > ILI '1 +tt 40 1 amps to 4U0 amps MI l:�l} 1 cr,�lhil6 iji .::l!tIP'r4i', ?tn lnil.!.iSl','!�� ;r:l�� • IEL' np t06.85 2
Name: ter P� _ 4U1 amps w 6f1U strips 160.60 2
1 � , •.. 601 amps to 1,0(lU amps
D -
Address: a l =IS rP 240 60 1
S Viq` gy, Z�C.,_ Over 1,000 amps or volts all 454.65 2
City/Statc/ZIP: —� i OQ (41 aa` Reconnect only 66.85 Z
T Temporary services or feeders installation, alteration, and/or —
Phone: ( ) �� y' �-� I Fax: ( ) relocation
Owner iuetallatlon: This installation is being made on property 200 amps or less 64.85 I
Intended for sale, lease, rent, or exchange, according to
ORS S 447 449, 6 0, and 701. not 401 s to 400 amps 100.30 2
Owner signature: 402 amps to 600 amps
Date: 133.75 2
Branch CIr1
11 I }, "� It ' , 1 c4t8 -new site
t�y lrlli l i '� � 1,11{9 II S +l 1 T h f; r nr
I r tI l� 1 1 � Il U 11 1 4; i ;: 1 + I tit S i t f l {{ 44 , I ° , � new, alteration, or extension, per
ILti I .64, Ik.N IIli W. .'1 iJ I.,� 1 ;, l� Ia e ,
.Il l it . , , 1 1 f lt, rl',' +l v ! 55 , l 1
' f , .A. . t tj r l ` 'r A. Pee for branch circuits with panel
B ° r ' °''" if, " ' service or
feeder fee, each
Business name:
branch circuit 6.65 I o 2
Contact name: B. Fee for branch circuits -'
without service or feeder fee,
Address -
each branch circuit 46.85 2
City /State/ZIP: Each add'? branch circuit 6,65 2
Miscellaneous (service or feeder_ not included)
Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53 40 -
1 2 _
Panel, artim/6
E Sign or outline lighting 53.40
I�pRj }'I�.�' nP ��,� yfd�} , 1�, 11Sfit) drlYll(x ¢''r4 +, h (* n+ Signal eircuit(s)orlitttited- 2
(1t bl�k t.fis•ni.ki II 1 ,1 1 S,ftll}all,l� l. ii..,tl.d:(i�r .) 41 . tit�' rr w.t`,J1i,1(9ig t)>t� l i�rlf;V•j1,1 l l . ilri l y d lltRIril'f� ;�Y�yy1L��.1h.� Trik lri;ll,lli$1yfill,111 cnor'V n. Or
13uciness name' CQ _ r x extension Describe: Fake 2 2
I. -�, _
in any of the above
Each additional Inspection over allow
Address: �G�X --•k0 able
City/State/ZIP: t Per inspection 62.50
�+ : j�'1'v1 L
s ` ) �7 y Z in vosligation per hour (t hr min) 62.50
Phone: (Sus) �v` 4-'A--1-1‘..1 • - � — .. ' r J �r�l Fax: ( ) _ c � Industrial plant per hour 73.75
CCl3 Lie.: \51 &1 Electrical tic.: • - _ 141y,' ;dr {IQI��1'$L� iJf,�' �I i1� t��! i I�11 1 � e•l ''4:;V:'.:7
� ,15 L su Lis 5 � I � � � %.4,�r��S,,,.l.,. +,,, ; .., • -,,; •
Suprv. Electrician signature. ubtotal o��
$na ture reRllircd:��� l �•
L:�.r.�.mi, ___Plan review (25% of permit fee)
Print name: i 1 �, r Date: ...a State surcharge (8% of permit fee) t)-
TO
Autholi7ed signature: • I TOTAL PERMIT FEE f! �g _ o'll,"�
b I � This permit application expires if a perulit le not obtained within IRO
Print name: t I days after it hes been steepled as compItre
L DatC: . a -- 1 _ ;: L . • Poo methodology act by Tri- County Building Industry Service Board
I.\Buikilroaermke[E.0 -P <mvuy, doe I y09 � "• Number of inspections per pearl allowed.
440.401 ST(I WOWCOM/WEH
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00189
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/28/2007
Phone: (503) 639 -4171 �o
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/2/2007 TIME: 7:02AM PAGE: 55
SITE ADDRESS: 09845 SW WALNUT PL CLASS OF WORK:
SUBDIVISION: FREIMNGS ORCHARD TRACT LOT #: D-I TYPE OF USE:
PROJECT NAME: TIGARD COMMUNITY METHODIST
DESCRIPTION: Add sub panel and circuits. Job No. 12844
OWNER: TIGARD COMMUNITY METHODIST CHURCH, PHONE #: 503- 4434123
CONTRACTOR: COHO ELECTRIC INC _ \, \1 _ PHONE #: 503 -5132 -9774
Inspection Request Scheduled For: Date: 4/2/2007 Pour Time:
Code # Inspection Description -onfi Contact # Message
199 Electrical final 045762 -01 503- 582 -9774 Y
Corrections /Comments /Instructions:
Ri � - A114)
(A P ly LAVAL Y'kc•i26
•
N
•
%PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: am' � Date: � . 461 Phone #: (503) 718- .1} 9O