Permit i CITY OF TIGARD ELECTRICAL PERMIT
6 COMMUNITY DEVELOPMENT PERMIT #: ELC2007
DATE ISSUED: 10/24/2007
'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126BC-01500
SITE ADDRESS: 09000 SW WASHINGTON SQUARE RD HOTEL ZONING: C - G
SUBDIVISION: EMBASSY CENTER LOT : JURISDICTION: TIG
PROJECT: EMBASSY SUITES
Project Description: (2) branch circuits for commercial dryers,
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: SIGNAUPANEL:
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: 1 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 BERGELECTRIC CORP
BY R E T S 6026 NE 112TH AVE
100 SPEAR ST STE 1440 PORTLAND, OR 97220
SAN FRANCISCO, CA 94105
Phone: Contact #: PRI 503 - 255 - 1818
FAX 503 - 255 -1919
FEES
Description Date Amount Reg #: ELE 37 -682C
IELPRMTI ELC Permit 10/24/200' $53.50 LIC 1 10521
[TAX] 8% State Surcharge 10/24/200' $4.28 SUP 5121S
Total $57.78 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 1.800 332 2344
Issued By: ,ii2;L id � Permittee Signature: v i ! c �Y�-7YL
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.
,Electrical Permit ApplicatiRECEIVED FOR OFFICE USE ONLY
City of Tigard' RE :: e ! ' ivDB Permit No SW Hall Blvd., Tigard, OR 9722 9CT 2 a 2007 P
C Phone 503.639.4171 Fax: 503.59 Date/ : Other Peimit.
Inspection Line: 503.639.4175 OF TIGARD Date Ready/By ® See Page 2 for
TIGARD g g R1 .11WING DIVISION Internet: wwW.li ardor. ov Notified/Method IMI Supplemental Information
r.f; LF ;L ,, F
.. - - '.TYPE •OR;.WORIt:'- `�' �. ..: i� " ,--- -... _ • „ : __-:--;:g,' zPLAiV,REVIEW _ ,._1.; . .
❑ New construction W 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 stones
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards
. / _ exceeds 10,000 amps at 150 volts or ❑ Floating b
= , t� , -t •, _:
. ` • p buildings - ::.. �-;..• ,<;=CA1�GOf2Y- O�- ;,GONSTRUCI' ION' � .- � : _ ' ' >. :��� *e "}'-=- =� :
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling KCommercial/industrial ❑ Accessory building amps for all other installations buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
:, _ . ..$ E : : ^ . +.,. • <., _ i;,..; , ❑ Emergency system larger separately derived system
HIV CO AT[Ox:TAD bdoiiii -- ` „,; - ` �s ; r:
- " - _-. - -. -.,, , r . .- , ,..._ _ - , , , --1 : .. _ rrr. :',-', ❑ Addition of new motor load of ❑ "A" "E" "1 -2" I -3"
Job no.: 106 31 Job site address: 90W Sv / . h o ng bn ' p � Six o or more rest Recreational ��� Rd. . ❑ Six or more residential units ❑ Receational vehicle parks
City/State /ZIP: I lgQa� t o R 91 3 ❑ Health -care facilities. ❑ Supply voltage for more than
�J1 ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Evil %9 sic $ ❑ Service or feeder 600 amps or more
. t, °_
�'_EE CHEDULE :1 : "rte �. •.
:
Cross street/directions to job site: Description P I Qty. I , Fee. I Total h �� •
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'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
Limited energy, residential
'':a' " b DESCRIPTIO 1V',',O tiF '.,V- _ : _ - , : r i, -r'}''% (with above sq ft.) 75.00 2
Limited energy, multi - family
Eli} PrY1 n-j- Can net^ — T Y Z residential (with above sq ft ) 75.00 2
Services or feeders installation, alteration, and/or relocation
Cvrn mere) al d
t 200 amps or less 80 30 2
', a s ®- PYt )1&ERTi °; :: . � _ ; . .-._ .t , . W-� amps 106.85 2
� =�i
".= , E =. ;,�: y'-•- •?�=� :�'fl' `�'T�.; "''' s�_ v 201 amps to 400 am
tit. .. -_ ,.- ...,- �._ :�1�` -. ���z- P P
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: ( ) 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, per panel
Owner signature: Date: A. Fee for branch circuits with
r :��5 '' � ;.,,. {, ,fin K . � �..,�_, .,:.,;
f" �" xCO 'C1` Ek *" ab ove service or feeder fee,
_ . - ; ®?CAI, �,, : �, :I E , 4 ,= ;0 :•
- ''�--•- �-' :. -,�. , ��� >'.' �;�'�` ': 6.65 2
each branch circuit
Business name: Bergelectric Corp. B. Fee for branch circuits
p without service or feeder fee, I 46 85 A'� t 2
Contact name: /� i
�1�.� -� /�I SS first branch circuit
Address: 6026 NE 112th Ave. Each add'I branch circuit i 6 65 (p. (pg 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Portland, OR 97220 Each manufactured or modular 9090 2
dwelling, service and/or feeder
Phone: ( ) 503 - 255 -1818 Fax: : ( ) 503 - 255 -1919 Reconnect only 6685 2
E -mail: Pump or irrigation circle 53.40 2
• , }sue ` 3 ' "` "°, t =% } c ? ?-:.� ' Sign or outline lighting 53.40 2
. ~:-- 1i�:i�,t , "'�'•�L J'i : >�. �?:. _ .,iv ` r r��iiFa?^,iii�;'�4
electric Corp. energy panel, alteration, limited-
Business name: Bergelectric 4 gy panel, alteration, or
Address: extension Describe: Page 2 2
6026 NE 112th Ave..
City/State /ZIP: Portland, OR 97220 Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone: ( ) 503-25 Fax ( ) 501 Investigation per hour (I hr min) 62.50
CCB Lic.: 1 1 0 5 21 Electrical Lic.: 3 Su ic.: / 7 f 2/,5 Industrial plant per hour 73.75
. E_ L_EC'TRICrt;itit IW :'ZEES .
Suprv. Electrician signature, required: 4 71i Subtotal' 53 . 5o
Print — Se xe Date: Plan review (25% of permit fee)
N State surcharge (8% of permit fee): 4 ,
Authorized signature: i TOTAL PERMIT FEE: 5 7, 7 S
runs `� Date: 2,31D1 This permit application expires if a permit is not obtained within 180
Print name: • J e , 16 r t/ns • V I days after it been accepted as complete.
• Number of inspections allowed per permit
I \Budding\Permiu\ELC- PermitApp doe 05/23 /06 440- 4615T(11 /05 /COM/WEB
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00728
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/1007
Phone: (503) 639 -4171 14**
Inspection Requests (24 Hrs.): (503) 639 -4175 �' `'f 1..
INSPECTION WORKSHEET FOR DATE: 1/15/2008 TIME: 7:02AM PAGE: 10
SITE ADDRESS: 09000 SW WASHINGTON SQUARE RD HOTEL CLASS OF WORK:
SUBDIVISION: EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: EMBASSY SUITES
DESCRIPTION: (2) branch circuits foi commercial dryers,
OWNER: PORTLAND HOTEL ASSOCIATES, PHONE #:
CONTRACTOR: BEROELECTRIC CORP PHONE #: 503. 255 -1816
Inspection Request Scheduled For: te: 1/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 063254-01 503.849.0850 N
Corrections /Comments / Instructions:
1, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • N66 Date: I -tr. all Phone #: (503) 718 - 2- f