Permit • CITY OF TIGARD ELECTRICAL PERMIT
• ' COMMUNITY DEVELOPMENT PERMIT #: ELC2008-00137
DATE ISSUED: 3/10/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102A B -01900
SITE ADDRESS: 09452 SW TIGARD ST ZONING: I -P
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT : 055 JURISDICTION: TIG
PROJECT: JC CARPET CLEANING
Project Description: Installing (4) branch circuits.
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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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:
ALLRED LIMITED PARTNERSHIP TIMBERLINE ELECTRICAL CONTRACTORS
5820 SW CHESTNUT PO BOX 918
BEAVERTON, OR 97005 LAKE OSWEGO, OR 97034
Phone: Contact #: PRI 503 - 459 - 4089
FAX 503- 254 -4227
FEES
Description Date Amount Reg #: ELE 26 -1211C
[ELPRMT] ELC Permit 3/10/2008 $66.80 LIC 160037
[TAX] 12% State Surchar 3/10/2008 $8.02 SUP 4518S
Total $74.82 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: Permittee Signature: 5--e-P /1
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.
P i.
I
Electrical Permit Application '`' ` ' GD City of Tigard v G >No,; r-+.� ^�
:4 13125 SW Hall Blvd., ` l (J f eu -�(r �L - c /� /
Phone: 503.639.4171 Fax: 0 . 98.1960 rl Plan
1 Odra Permit:
I ,, ,, ,,; 1) Inspeetion line: 503.639.4175 A Ag �QQ� Date Ready/By. Jut* 65 See Page 2 for
Internet www.tigard- or.gov �V� , � AQ0 Notifted/Method: Supplemental Informatics IkTI t4
T t t ' - :�T�11'S" � i ; ; e ? :1 . �i. .. �..� .:r:' z r:C; n .
is ��
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❑ New construction ® Addition/. l : , 1 +?.', ,, , t !lease all that apply (submit g secs of plans w/iitems checked below):
' 0 Service or fader 400 amps or more 0 Building over three stories.
❑ Demolition ❑Other
whine the available fault ouamt 0 Marines and boatyards.
' 5 '"•%; ''-',•"' -5 c 5 =eaCw.oRvoir corisraucnow - - _ - exceeds 10,000 amps at 150 volts or 0 Floating b midi gs.
kms to grand, or exceeds 14,000 0 Commercial -use agricultural
❑ 1 - and 2- farnily dwelling ® Commercial/mdwstrial ❑ Accessory building amps for all other installations. bmidmgs.
❑ Multi-family ❑ Master builder ❑ Other: D Fire per. 0 Installation of 75 KVA or
5. " 54 : `. ,;c;' . 5 w. h :, ,' 0 P n Y system• be8cr separauly derived system.
IN ]A'fll,` -' . i- :AND-'U)CA -,-- -; ,;'' ; -• 0 Addition of new motor load of ' 0 "A", "5",'1- 2 ", "1 -3 ",
cupan
Job no.: Job site address: 9452 SW Tigard St laol3Pormore. °C cy.
0 six or more resicl al Units. 0 Recreational .chid; parka.
City/State/ZIP: Tigard , Or 97223 ❑ ❑ fly voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldgJapt. no.: I Project name: JC Carpet cleaning D Seovice or feeder 600 amps or pore.
.�
Cross street/directions to job site: ... : . , >; , o t s
n •
m ,. ,.. l 0•7. � , ., -. 1 ,' dotal .1,
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 • 4
/9 g `Q Al 6 - O i UDo Ea edd'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: v� v O� 7
Limited energy, residential
Srv-,- ' ! " te r. _i,.; ,, , : 75.00 2
1 1Y bF'?Wbl `s ' : `•' -` : . ' (with above coq. ft )
4 new branch circuits
Limited energy, multi-family 75.00 2
residential (with above sq. ft.)
Services or feeders installation alteration, and/or relocation
r_ :; =' *" �� '`a'.'. �� ' � ;�;�;,� � 200 amps or less 80.30 2
.,� w:.:. ` s; 1!E1tty . ': °a , . p p
, . n 1 . �] : f F1siAKI ' ` : °: : ` ; r _ 201 am to 400 am 106.85 2
Name: / I[ �D P A- 2T0f.24M-r P 401 amps to 600 amps 160.60 2
Address: 601 amps to 1,000 amps 240.60 2
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 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 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
i `;+ .. , . ;.Q': ' • [ : :• .: -,;; I_. , • ;Q - CO. NTAC TERSON..,;; ,; ` , above seavice or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: withou service or feeder fee, 1 46.85 46.85 2
first branch circuit
Address: Each add'I branch circuit 3 6.65 19.95 2
Miscellaneousiservice or feeder not included)
City /State/ZIP: Each manufactured or modular 90.90 2
Phone: ( ) FUR:: ( ) dwelling, service and/or feeder
Reconnect only 66.85 2
•
E -mail:
Pump or irrigation circle 53.40 2
' - :.'.' : . :. :'-‘.. :- ''' , : .: .. : - ,.... ., ^ C07s01.RA', . ; '_ -. ■ - Sign or outline lighting 53.40 2
Business name: Timberline Electrical Contractors Inc. Signal circuit(s) or limited - •
energy panel, alteration, or
Address: PO Box 918 extension. Describe: Page 2 2
•
City /State/ZIP: Lake Oswego, Or 97034 Each additional inspection over allowable In an of the above
Per inspection 62.50
Phone: (503) 459-4089 I Fax: (503) 254 -4227 investigation per hour (1 hr ®) 62.50
CCB Lie.: 160037 I Electrical 'c.: 1112C Suprv. Lie.: 4957S Industrial plant per hour 73.75
. 6. ,,,. :,
Electsignature, required:
Subtotal. 6 ..e.6,:,,,
145-11-5 -E L " � � � fo, " - r.Fl
Suprv. Electrician signature, 6.80
Print name: Patrick J. Aichele Date: 3.7.2008 Plan review (25% of permit fee):
State surcharge (12% of permit fee): �,'t1L k, (,)--
Authorized signature: TOTAL PERMIT FEE: 79 , Zs)
This
Print naive: Date: permit application spires if a permit is not obtained within 180
days after It has been accepted is complete.
Z00 /T00 XVd 8E :T0 800Z /L0 /C0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 -00 137
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3'10/200:3
Phone: (503) 639- 4171.��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/24/2008 TIME: 7:01AM PAGE: 51
SITE ADDRESS: 09452 SW TIGARD ST CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 055 TYPE OF USE:
PROJECT NAME: JC CARPET CLEANING
DESCRIPTION: Installing (4) branch circuits.
OWNER: ALLRED LIMITED PARTNERSHIP, PHONE #:
CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503.459.4089
Inspection Request Scheduled For: Date: 4/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 068773 -01 503.849.9453 N
Correction /Co mments /Instruc ons:
f
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 ' `r've L.6
Date: 4 c (II Phone #: (503) 718- vigor