Permit CITY OF TIGARD. ELECTRICAL PERMIT
,
•• PERMIT #: ELC2006 -00522
�•� DEVELOPMENT SERVICES . DATE ISSUED: 9/18/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S115BA -02500
SITE ADDRESS: 16200 SW PACIFIC HWY 0 ZONING: C -G
SUBDIVISION:. TIGARD TOWNE SQUARE LOT : 001 JURISDICTION: TIG
Project Description: Bank of the West. Rewire roof top unit. Job # 610640.
1 . t .
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: 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:
SN INVESTMENT PROPERTY HUGHES ELECTRICAL CONTRACTORS
1121 SW SALMON ST #400 9640 SW SUNSHINE CT STE 600
PORTLAND, OR 97205 BEAVERTON, OR 97005 -4689
Phone: 503 - 242 -2900 Contact #: PRI 503 - 626 =3344
FAX 503 - 626 -3377
FEES
Description Date Amount Reg #: ELE 34 - 28IC
[ELPRMT] ELC Permit 9/18/2006 $46.85 LIC 49850
[TAX] 8% State Surcharge 9/18/2006 $3.75 SUP 4025S
Total $50.60 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:
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 Application p F012 OFFICE USE ONL\
City of Tigard �� L� u�% I - a ► >mitNo / ( OOH
13125 SR' Hall Blvd., Tigard, OR 97 Plea Review Other Permit
Phone: 503.639.4171 Fax 503.598.196 1 7 � JB Y
Inspection Line: 503.639.4175 Other
I 0 pace I for
E P it t 2 U u .. •' f _ Date Ready/By. ow J Supplemental a Pe information
Internet www.ci.tigard.or.us hiss T �CG1O NotiSed/Method •
�,,�`� xi�'�aa' �� 3`z��� r :w� " �' �� a t �4 " � _tA . Ly -�4} ,;.
^- + , � -, , T ...si7�� ��-� „;.� :-c.. ., ° . � �"�•r . � � `a .
q ••� Rh ? ' T` •. ' - +4�
❑ New construction ® Addition/alteration/replacement Please check all that apply.
❑Service over 225 amps, comm'l ❑Hazardous location. •
❑ Demolition ❑ Other: ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
-,. ''',. - 'Nt= -':, a. ''' %. ..a-rs f �zr.>w= :+S. = _i` . 6 t - "� g1
P7 �;• �-_ .-. ; .. , .-» of 1- and 2- family dwellings 4 or more new residential
❑System over 600 volts nominal units in one structure
El 1 - and 2- family dwelling 6r] Commercialfmdtlstrial ❑Accessory building ❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other ❑Occupant load over 99 persons DManufactured structures or
— w nor . 1 . 4” ' � - , + :•.: RV park
:a,' 17 04 .:s. ) ;�•l l ' i' l t 1,:_r ❑Egrrss/Itghtmgplan p
* :'"ii•i°° °' 1..-- - = +,su ' - c +• •...�.r :u�,:; -n.'. . - yam "^. _ .'-':'
-
❑Health -care facility ❑Other
Job no.: C10640 Job site address: 16200 SW pani fin mitaay Submit sets of plans with any of the above.
City /StaleJZIP: Tigard, CR 97224 The above are not applicable to temporary construction service. T
Suite/bldg. /apt no.: 0 I Project name: B of the y Qty. 1 Ft& I raw I ..
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft or less 145.15 4 .
I Lot no.: Ea add'I 500 sq. ft. or portion 33.40 1
Subdivision: Limited energy, residential 75.00 2
Limited
Tax map/parcel no.: �- _ ; s
�_: • , -
�. -_ , energy, non - residential 75.00 2
a •"'=. - 6 " e , L , - N,. �= ` SCiti#:- iii 9AFV -: a g °m :- � 4 - ' ;=i = ,, Each manufactured or modular
�� �, :� __ x ..�� 90.90
=� -�`� dwelling, service and/or feeder 2
1 Gi.re ecistirri Ycof-tcp unit. Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
_ -- 201 amps to 400 amps 106.85 2
6:s :� -�.. .— - • -- - � � . �.� � � : : : r`. _�.0 -.. - . °� _ 401 amps to 600 amps 160.60 2
Name: S � - S��J- �S�Y\ -�v�.� \ CO 601 amps to 1,000 amps 240.60 2
Address: 1
1 + ' \ C J W �\ s 0N 4 c../00 Over 1,000 amps or volts 454.65 2
� Reconnect only 66.85 2
City /State/ZIP: --3 \ iL - / / Q'5 Temporary services or feeders installation, alteration, and/or
v relocation
Phone: ( ) .2 C,� 9 Q 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 100.30 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
• - 7: —7 ,: r' A. for branch circuits with
6.65
>, s ..i ".Y" s 4, _ >.� d N' ... -
�;;��C1�, - � 3 :. -= �'`' " u ' �;; � �'� .... _ service or feeder fee, each 2
Business name: branch circuit
• B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
each branch circuit
Address: • Each add'l branch circuit 6.65 2
•
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) • I Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
y � j �, �,° 4 energy panel, alteration, or
s w�. c � ] rr r 7 r } }V± :. - gy m_ extension. Describe: Page 2
Business name: Hughes Electrical Contractors
Each additional inspection over allowable in any of the above
Address: 9640 SW Sunshine Ct. ,Suite 600 Per inspection 1 62.50
City/State/11P: Be,Iverton, OR 9 7005 Investigation per hour (1 hr min) 62.50
503 626 -3344 503)626-3377 Industrial plant per hour 73.75
Phone: ( ) Far ( ) 4- ?.. ., ovtM._PE 1401: ES A
CCB Lic.: 49850 Electrical Lic.: 34 -281 C Sup . Lic.: ' , s , 58 Subtotal 46.85
Suprv. Electrician signature, required: / � /
Plan review (25% of permit fee) 0.00
71 State surcharge (8% of permit fee) 3
Print name: Greg L. Wtaolfe Date: f 1150006 TOTAL PERMIT FEE 50.60
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete
Print name: I Date: • Fee methodology set by Tri.County Building Industry Service Board
Number of inspections per permit allowed.
i :SuilaiagTermn4lEte- PemntApp.
doe 12/07 440461 STO o/02/COM/WEB
•
CITY OF TIGARD 1
BUILDING DIVISION , - - PERMIT #: ELC2006 -00b22
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/18/2006
Phone: (503) 639 -4171 "g I C I
Inspection Requests (24 Hrs.): (503) 639 -4175 W F:_..
INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME 7:02AM PAGE: 63
SITE ADDRESS: 16200 SW PACIFIC HWY 0 CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: 001 TYPE OF USE:
PROJECT NAME: BANK OF THE WEST
DESCRIPTION: Bank of the West. Rewire roof top unit. Job # 610640.
OWNER: SN INVESTMENT PROPERTY, PHONE #: 503-242-2900
CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS PHONE #: 503 - 626.3344
Inspection Request Scheduled For: Date: 9/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 036916 -01 503 - 290 -4888 N
Corrections /Comments / Instructions:
..7
Z kASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `7 ' N 661-,5 Date: 9I2iI b Phone #: (503) 718- AL_