Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00524
COMMUNITY DEVELOPMENT DATE ISSUED: 9/10/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 104AD -04500
SITE ADDRESS: 12617 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: TVF &R FIRE STATION LOT : JURISDICTION: TIG
PROJECT: TUALATIN VALLEY FIRE AND RESCU
Project Description: Installing (1) service and (1) branch circuit for new traffic signal.
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: 1 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:
TUALATIN VALLEY FIRE & RESCUE E C COMPANY
20665 SW BLANTON ST 32758 OLD HWY 34, SE
ALOHA, OR 97007 ALBANY, OR 97321
Phone: 503 - 649 -8577 Contact #: PRI 541- 926 -4266
FAX 541- 926 -4268
FEES
Description Date Amount Reg #: ELE 22 -15C
[ELPRMT] ELC Permit 9/10/2008 $86.95 LIC 49737
[TAX] 12% State Surchar 9/10/2008 $10.43 SUP 3257S
Total $97.38 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 ma • • • •• • - :f these rules or direct questions to OUNC at 503.246 6699 or 1 800 332.2344.
Issued By: �`� � � � Permittee Signature: ce xr 1
r� 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.
Sep. 9. 2008 2:38PM No, 4623 P. 1
•
Electrical Permit Application FOR OFFICF.1.SF. 0\ 1.1
City of Tigard ate, Received , Permit No.:
M 13125 SW Ha1I Blv d., Ti :. r '1' �.` ' r ' • � �
Plan Review � � ce l
Phone: 503.639.4171 Fax: 503.598.19 9 vi Date/By: Other Permit: 6 �Pd �tJd
1 l c . • \ 1•; I:) lnspcotion Line: 503.639,4175 sty Date Ready /By: 3 mu FS See Page x for
Internet: www.tigard- or.gov Nat) Notitled/tethod: -- 13 I Supplemental Information
v Stir c 1 �v4 ?C51: r�. Y. t : ',i' t 1w . 1 .r K w• I i F' i i+h.N - • i _�-; •_.ay, r i^ ••
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......,�..._.. , .� :'_a._.,,i.,3!r �.�= s,i6.r.,.rc.- ,..,a,._a.. . ,2,...w -itr.:t _.. x_�_....s.•� :5ua.. ., «�..v:.F.(- `.�. io-.�:,:t�- ?'_'�_ ..., �.: _t_..:.i+
CO New construction ❑ Additi E,., ;711 v. acement Please check all that apply (submit 1 sets of plans w /items checked below);
❑ Service or tbeder 400 amps or mom ❑ Building over three stories.
❑ Demolition ❑ Other where the available fault current ❑ Marinas and boatyards.
i ,.r R a F 474 4, T . 1 q" X r r e ` u -�:' 1 ` ; T : c W 17, 1.. ry i "T exceeds 10.000 amps at ISO volts or ❑ floating buildings_
• r _,
. .... k w E . _
' a -.i. 5 _ s� ._ c _ •s i . �..
.: � e e x:, less to ground, or exceeds 14,000 ❑ Coatmerrial -use agricultural
❑ 1 - and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps Re all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
.-rs ,�� ; F ^ Sr 4T ., , c ,,z a an .a air -�P'R i :n, u • v. ap- y emir- ❑ Emergency System. larger separately derived system.
x'4Tif� ,{ . it + 1'! 1 �I . $ 7 1� 4 Werra, ,>r +CB8 r % S :/4 „. 3 S.
7.�S�a"rW:�ei .� � -� Addition of �w motor load of "1-2"."1-3".
........ • :may: �.. yo-. _z _�� :� _��.: a�. FsrL�urr� :lr�+.�..��r�r......._�. �. �x . ,. >s.,�rx:..S,,:._.._ ..r -: ❑ ❑ .. F �
Job no.: 64610 Job site address: 12585 Walnut Street t00F0' or m0f° occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
` City/State/ZIP: Tigard, OR 97223 ❑ llealthrcare 8cilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 yobs nominal
Suite/bldgJapt. no.: l Project name: TVFR Fire & Rescue ❑ Service or feeder 600 5 or more. }
! :, :fr 'i::: ;- ��asrs hlka4.: frwt. Y k':,' a?, :li.N..5. .f
Cross street/directions to job site: 1>cipaen Qty. Fee. Total •
- New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: J Lot no_: 1,000 sq. ft. or IeaA , .145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. R or portion 33A0 1
Limited energy, residential
fir: P�, h e
•, 7 , ,1k- �47F is sz' j..... a. . l- h�+. 1 ..... ..... G .. . i t ,� 75.x) 2
z r Y,i . s I '+'. (a5k k cr y,- r i . i x;r:,' (with abovesq.R)
_fis._�i rLu:1,_. YM��c: JA„ r.. �: i.,. ..,, .;.:;rr«.r.«rcvc,..t,. ai rt���lhi•# �._ R. v�. u- u, I' zr< rx. a :.:�F�':t.J... .,,
signal Limited energy, multi- family
75.00 2
Install service for new traffic si
l; residential (with above sq. ft)
Services or feeders Installatlo alteration, and/or relocation
200 amps or less 1 80.30 80.30 2
- 7:74 P" ,. L7" d ( v rr'r
. f s,z s . -r r 7 r- iw. ki G. _nr
..,.: xiii : ; 1-mrF -1 ,.'':. . !i f _ ' �x_c ill,"Ec A`& :M ,:z.4', 1 i: :4 : ::Ai'refP.71' 201 am M43°amps 106.85 2
Name: Tualatin Valley Fire and Rescue Station 50 401 amps t 600 amps 160 2
601 amps to 1,000 amps 240.60 2
Address: 20665 SW Blanton Street Over 1,000 amps or volts 454.65 2
City /State/ZIP: Aloha, OR 97007 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) l Fax: ( ) 200 amps or less 66.85 1
T
Owner installation: This installation is being made on property that I own which is not 201 amps to 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
" w i � ii; ` -, 3 ` gx ' `' r +' r ` I Y "`t '" � w :> . ' above service or feeder fee, 1 6.65
.,ld.,.,ir..z1r, , te, 'N ., - e2tEF.Ct�,.r ....fr c111r t.a: t.. .G:::..tit i :�, .a. - .a.1 t . f ° �� 4 .t:E:4 .,.. ,.tzr. 6
each branch circuit . 65 2
Business name: EC Company B. Fee for branch circuits
Contact name: Korl Goff without service or feeder fee, 46.85 2
first branch circuit
Address: 32758 Old Hwy 34, SE Each add'/ branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Albany, OR 97321 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: (541) 926 -4266 I Fax:: (541) 926 -4268 Rxonnectonly 66.85 2
E-mail: korig ®e-o- co.com Pimp or irrigation circle 53.40 2
1 J tit, y �'t'1 S r .i:.J- 1i: r. i "' -.'7� ^ ^z 7' ', : X5
r i,. ,, , ll i w t i y e :. a a r a K v.1 r a t' z""`�1..� hey- :,;: Sign or outline lighting 53.40 2
- - -- -y _-�..u,.fvr,.�u,..a>` t„ s44_,_, �_ �: �rk�: 4�ti: �. e....., i...,.c 1__..:.s_ ,o-,- ----` =''
Business name: EC Company
Signal circuit(s) or limited.
energy panel, alteration, or
Address: 32758 Old Hwy 34, SE extension. Describe: Page 2 2
-
City/ State/ZIP: Albany, OR 97321 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (541) 926 4266 Fax: (541) 926 4268 Investigation per hour p hr min) 62.50
CCB Lic_: 49737 Electrical Lie.: 22 -15C Suprv. Lie.: 32575 Industrial plant per hour 73.75
,.c.' -'�igl::::7 " 1 a 3 .2.?y . . i:11 .ai :f 1 .
Suprv. Electrician signature, requ - s. Subtotal! 86.95
Plan review (25% of permit fee): 0.00
Print name: William R C burst �4 Date: 9/9/08 - State surcharge (12% of permit fee): )D )I 3 A.
Authorized signature t� „�, TOTAL PERMIT FEE: 97.39 61 7. 3
This permit application expires I(a permit is not obtained within 180
Print name: Kori Date. 9/9/08
days after It ins been accepted as complete.
* Number of inspections allowed per permit
Ilitullditic\PcrmitsELC-PennitApp .doe 0513/06 440 - 61i7(I I,OS /COPMVEB
� 1
CITY OF TIGARD _ ' l
BUILDING DIVISION PERMIT #: ELC200B•00524
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8110/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 7:00Aidi PAGE: 31
SITE ADDRESS: 12617 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: TVF &R FIRE STATION. LOT #: TYPE OF USE:
PROJECT NAME: TUALATIN VALLEY FIRE AND RESCU
DESCRIPTION: Installing (1) service and (1) branch circuit for new traffic signal.
OWNER: TUALATIN VALLEY FIRE & RESCUE, PHONE #: 603..649 77
CONTRACTOR: E C COMPANY 1 PHONE #: 541 97&4266
Inspection Request Scheduled For: Date: 11/6/2O08 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrica s= e 077737 -01 541 -936 -0208 \ Y
Correct ons /Comments /Instructi • ns:
^n \
N u \
PASS ❑ PARTIAL APPROVAL ❑ CANCEL 11:1 NO ACCESS
F ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G, N (Y Le Date: .I 61 Phone #: (503) 718-
CITY O.
BUILDING D PERMIT #: T`
13125 SW Hall Blvd., Tigard, OR 972 DATE ISSUED: LI_G20QI�OC)�14
ard 23''
Phone: (503) 639 -4171 9 ill 9I1012008
Inspection Requests (24 Hrs.): (503) 639 -4175 F;_..
INSPECTION WORKSHEET FOR DATE: 9/26/2008 TIME: 7 :00AM PAGE: 37
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 12€17 S1NlNAf ST
LOT #: TYPE OF USE:
PROJECT NAME: TVF&R FIRE. STATION t
DESCRIPTION: TUALATIN VALLEY FIRE AND RESC:U
Installing (1) service and (1) branch circuit for new traffic signal.
OWNER: TUALATIN VALLEY FIRE & RESCUE, PHONE # 503_64943677
CONTRACTOR: E C COMPANY PHONE #: 541 - 926.4266
Inspection Request Scheduled For: Date: 0125/2408 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 ndorground /slab cover • 07690401 541- 936 -02.08 N
Corrections /Co ~ ` - ents/RieTructions:� ~
V TO-r s�`,�
•
cc fMici - s - s ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �: Date: Phone #: (503) 718-