Permit ll
CITY OF TIGARD ELECTRICAL PERMIT
II
" PERMIT #: ELC2007 00227
COMMUNITY DEVELOPMENT DATE ISSUED: 4/11/2007
i TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S126BC -01500
SITE ADDRESS: 09000 SW WASHINGTON SQUARE RD HOTEL ZONING: C -G
SUBDIVISION: EMBASSY CENTER LOT : JURISDICTION: TIG
PROJECT: EMBASSY SUITES
Project Description: 100amp feeder to roof top equipment.
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: 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:
PORTLAND HOTEL ASSOCIATES MONTI ELECTRIC INC
BY R E T S PO BOX 30478
100 SPEAR ST STE 1440 PORTLAND, OR 97294
SAN FRANCISCO, CA 94105
Phone: Contact #: PRI 503 491 - 4909
FAX 503 - 665 -7200
FEES
Description Date Amount Reg #: ELE 26 -1018C
[ELPRMT] ELC Permit 4/11/2007 $80.30 LIC 135326
[TAX] 8% State Surcharge 4/11/2007 $6.42 SUP 459IS
Total $86.72 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 : . I 32.2344.
Issued By: 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.
am lit
Electrical Permit Applica cElVE® FOR OFFICE LSE O\l.V
City of Tigard Received / d , ten- cyi7R
lq O 13125 SW Hall Blvd., Tigard, OR 9 (� 1 2007 Plan R �� 07 �rJ ��(,�'/ w�C
• ` Plan evte ether Permit
Phone: 503.639.4171 Fax: 503.59 Date/B
T I G n R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By loos El See Page 2 for
Internet: www.tigard -or.gov BUII-Ma DAS1"N Notified/Method Supplemental Information
TYPE OF WORK �+��� PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition EXOther:koo� �° p ; p t y V t p where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION Q 1 exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agncultural
❑ 1- and 2- family dwelling it 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 derived system
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
100HP or more. occupancy
Job no.: Job site address: 9 app u , "4 Q� � 1 ❑ Six or more residential units 0 Recreational vehicle parks
' " ❑ Health-care facilities. ❑ Supply voltage for more than
City/State /ZIP: T �ezd 1 91Z2.3 ['Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 1 Project name: CAtnyt w , ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: SN _ . .\s11 Description I Qty. I Fee. Total I •
W IA ,„A residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I 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
DESCRIPTION OF WORK (with above sq. ft) 75.00 2
Limited energy, multi- family 75.00 2
1 00 t i ..)p Gt A-o -k..„,„\,-%,„ ) p residential (with above sq. ft.) _
1 Services or feeders installation, alteration, and/or relocation
200 amps or less 1 80.30 tip 3 3. 2
❑ PROPERTY OWNER ❑ 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: ( ) I Fax: ( ) 200 amps or less 66.85 I
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,
each branch circuit 6.65 2
Business name: -\--' e %L 'Tut_ B. Fee for branch circuits
without service or feeder fee,
Contact name: 56 Vy ,. first branch circuit 46.85 2
Address: R Each add'l branch circuit 6.65 2
. '5041 v Miscellaneous (service or feeder not included)
City/State/ZIP: " o , c .1 Qh 1 i C)R 'Ti Z Each manufactured or modular 90.90 2
c v dwelling, service and /or feeder
Phone: ( $ow 91 k -Li coG Fax: : ( (o(DS 1200 Reconnect only 66.85 2
E -mail: rpp fac@ YVb Elelc ∎tl C. , uO Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: yVV,y`-t-i EAt,GkIti L , v` energy panel, alteration, or
Address: cp. 17X{ S extension. Describe: Page 2 2
C ity/State/ZIP:p o y.' Q , \ • �•-� _ R'17,t 4 Each additional inspection over allowable in any of the above
Per inspection 62.50
�S03 �
Phone: (4011 ` �1 _ � I Fax: ( ) �p -. '1200 Investigation per hour (I hr min) 62.50
CCB Lic.: 135 3ZG. I Electrical Lic.: ti tol g(,• 1 Suprv. Lic.: tiS9 g Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: �FNerN.tr- Subtotal: $O 4i
Print name: h m t I Date: 4 1 to\ 0--) Plan review (25% of permit fee):
State surcharge (8% of permit fee) V 43. .....Z3(1-.,
Authorized signature: ^` TOTAL PERMIT FEE: R (0
Print name: h Date: 41 101 01 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
i•\ Building \ Permits \ELC- PermitApp.doc 0583/06 it V ) 200,". 0010 440- 46t5T111/05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00227
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11 /"1007
Phone: (503) 639 -4171 IL
Inspection Requests (24 Hrs.): (503) 639 -4175 . ':0 -_..
INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 50
SITE ADDRESS: 09000 SW WASHINGTON SQUARE RD HOTEL CLASS OF WORK:
SUBDIVISION: EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: EMBASSY SUITES
DESCRIPTION: 100amp feeder to roof top equipment.
OWNER: PORTLAND HOTEL ASSOCIATES, PHONE #:
CONTRACTOR: MONTI ELECTRIC INC PHONE #: 503-491 -4909
Inspection Request Scheduled For: Date: 7/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 052697 -01 503- 572 -5666 Y
Corrections /Comments /Instructions: ■1 1L'E-
re%r tve7 /p4/14-r/
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1\)06(- Date: 1 J Phone #: (503) 718- l
t i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00227
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 ... R:
- INSPECTION WORKSHEET FOR DATE: 9/512 TIME: 7:00AM PAGE: 17
SITE ADDRESS:'. 09000 SW WASHINGTON SQUARE RD HOTEL CLASS OF WORK:
' SUBDIVISION: EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: EMBASSY SUITES
it DESCRIPTION: 100amp feeder to roof top equipment.
' OWNER: PORTLAND HOTEL ASSOCIATES. PHONE #:
CONTRACTOR: MONTI ELECTRIC INC PHONE #: 503 -491 -4909
a
Inspection Request Scheduled For: Date: 9/5/2007 Pour Time:
Code # Inspection Description Confi - • Contact # Message
i . 199 Electrical final 055162 -01 503-536-5999 \ Y
Corrections /Comments /Instructions: b .
V mi \i-'1.c`1 6 Voti., Vwik %etAD`. N w$
V
Gov % 23 t9 6 i .
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�L •
Inspector: �' ry � uv lx 9( � 7— Date: � Phone #: (503) 718 - �