Permit • � CITY OF TIGARD , 0 S P' ELECTRICAL PERMIT
PERMIT #: ELC2006 -00557
�ii DEVELOPMENT SERVICES DATE ISSUED: 9/29/2006
A ° --- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 DA - 00900
SITE ADDRESS: 07110 SW FIR LP 150 ZONING: C -P
SUBDIVISION: 72ND BUSINESS CTR -VARNS PARK LOT : 8 - JURISDICTION: TIG
Project Description: 4 branch circuits. Bell Financial
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: 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:
WESTON HOLDING CO LLC MCCOY ELECTRIC CO INC
2154 NE BROADWAY PO BOX 42428
PORTLAND, OR 97232 PORTLAND, OR 97242
Phone: Contact #: PRI 503 - 234 - 7521
FAX 503- 234 -9473
FEES
Description Date Amount Reg #: ELE 26 -82C
[ELPRMT] ELC Permit 9/29/2006 $66.80 LIC 8277
[TAX] 8% State Surcharge 9/29/2006 $5.34 SUP 21755
Total $72.14 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
1344. Permittee Signature: O (P /j�,e
OWNER INSTALLATION ONLY "" 1) JJ''��
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.
•
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Electrical Permit Application VON OFFICE USE ONI ,y
.
• von, ., , I i 1
City of Tigard ; ..1_ ( ' 1 --- '' ' . • Reocived0 4
- . ■ ' ;.., : \ ' . Date1B . 7,-IvilisrioncomirLm
13125 SW Hall Blvd, Tigard, OR 97223 . Plan Ravi - Other Permit:
Phone: 503.639.4171 Pam 503.598.1960 '—'
Inspection Line: 503.639.4175 ... -,. , Dacia
SEP 2 ! i .
, 8 200:44: 'AL Date Ready/By: 51 See Page 2 tor
Internet www.citigaritatus Notified/Method Sopplerneaud Information
' . • r ' . . .' ..... •-:: .. • s .. TITS v1oRK:: .. , .."7,::: .. ...'.:,::::;!::::. : -.: . :- PLAI:catursv• '.•.--.. • . • ... '.*--.1.‘... -
O New construction picA4441,441crtain7reilicement Please check all that apply:
ElService over 225 amps, coming ['Hazardous location
0 Demolition 0 Other: OSavice over 320 amps —rating 013tuldng over 10,000 sq. ft.,
# '' • • , • . :. ' . ' '.: ...... ....Y..; ....
CATEGORY OF CONSTRUCTION • :... • ,...• 7,......•',..:::.. of 1- and 2-thmily dwellings 4 or more new residential
O I - and 2 dwelling XCornmercial/industrial 0 Accessory building 13 system over 600 volts nominal units in one structure
I:Mending over duce stories OFeeders, 400 amps or more
0 Multi 0 Master builder 0 Other: DOccupant load ova 99 persons DManufactured structures or
• -• • . '..' .. ' -. IPA SITE ININnotanoir Am LocAmiti..: ,•:'• • ::•,•: • .: • • ['Egress/lighting plan 1W park
Job no.:A 7S CiS I Job site Submit 2 plans w
address: 1 1 1 0 S. ti j )...:1„. L0014 Ofiealth-oire facility Daher
sets of with any of the above.
City/State/71P: )73% , , e 1 I &re. ci 7 3 il The above are not applicable to temporary constniction service.
''':-;•;.:6;!.','; '':. FEEct:scsiwuri,„ ...... ,:.:... • • - . , . .
altr .1dg/opt no . M • d■ I Project name: &fit i se
F "..
._i Decriptioo i 42 % a I Tow I —
CrOSS street/dire .... .t' • •i. site: I A 361 ci rf /4-Ajc, At__ New resldendal single- or mold-family dwelling unit.
•
1 )7— Includes attached garage. _
/V
1.000 sq. ft. or Ices 145.15 4
. i
Subdivision: 1 Lot no.. Ea. add'l 500 sq. it or portion 33.40 1
Limited energy. residential 75.00 2
Tax map/parcel no.:
. Limited energy. non-residential 75.00 2
DESCRIPTION OF WORK Each nianuctured or djilar
•
h o 6 44 - LA.) ahr-Px __ dwelling, service and/or tbeder 90.90 • 2
Services or feeders instillation, alteration, and/or relocation
200 sups ar less 8030 2
2
±:,.....: '-:'i..:::1V(7".••••;',17:-...{:::':::::.1:11TEI4A/gin'4:,:tit''.';;•;:!;.•/;•.!'; 201 an"1() ----4°° maps 10615
. 2
• • 401 antes to 600 a
• Name: e1.0... 1(44144.444c" pmps
601 amps to 1,000 amps • 160.60
240.60
2
Address: c to 39 - 4 = 9,Q TV Over 1,000 amps or wilts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders in alteration, end/ or
•
• Phone: ( ) • Fax: ( ) relocation
•
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 to 400 amps • 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447.449. 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
..,.:•:::,•,•:::,..:.., . :. ::...:.; tt. Appitistr •,....•;:j ri eoNtiO.;:posoi,g:•,,s0;,:: 2, A. Fee for branch circuits with
or feeder fee, each
Business name: branch circuit 6.65 2
•
B. Pee for branch circuits
Contact name: wilhad service or feeder fec,
— 1 _ if
46.85 G - 2
Address: JIKo IN" each branch circuit
Each acld'l branch circuit 6.65
City • Miscellaneous (serdee or feeder not included) •
•
Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
. - . • • • ' , .-- : ' '. :. r Y ...*:. r" •..', CONTRACTOR : : • ... • .%>.; .:"..... .0. ; . • ... .;. •,.......,.. !..; energy Panel . alteration, or • extension. Describe: • Page 2 2
Business name: AACC, _E t Ere irk.'..rz
Address: " e-40 f 4 ,A- cy tIn Each additional inspection over allowable in any of the above
Per inspection. 62.50
Ci 5
ty/State/ZIP: I / ( Investigation per hour (1 hr min) 62.50
Phalle: , ...a ) 1. 3Y- 7Stj Fax: 0 a a cf lei xi Industrial plant per hour 73.75
, '.:: .. • ...• • . ELECTRICAL PERMIT PEES* .
CCB Lic.: ce ?,, 77 1 Electrical I: • X — dr? ti Suprv. Lim:24 Subtotal e
Suprv. Electician signature, required: k Plan review (25% of permit the)
State surcharge (8% of permit fee
Print name: Z i t it Dare: q .,.. I ,.,•■•
I f
'10 TOTAL PERMIT FEE •72 ap■b■••
Authorized signature: This permit application expires It. permit Is not obtained *akin 180
days after it has been accepted as complete
Print name: I Date: • • Fee methodology set by T$-Ceamty Building Industry Service Board
• Number of inspections per permit allowed.
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