Permit g(aslos �.�, s "-r -'
'>. ; ���" ® TIGARD
ELECTRICAL PERMIT
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° T PERMIT #: ELC2008 -00366
COMMUNITY DEVELOPMENT DATE ISSUED: 6/24/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 BD -00105
SITE ADDRESS: 12805 SW 77TH PL ZONING: I -L
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: ARTISTIC AUTO BODY
Project Description: Installing (1) branch circuit. 8/25/08, ADDING (2) ADDITIONAL 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: 0 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 3 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:
B R + G CO LLC ROBERTS ELECTRIC INC
PO BOX 23009 5759 SW 48TH AVE
TIGARD, OR 97223 PORTLAND, OR 97221
Phone: Contact #: FAX 503 - 244 - 0560
PRI 503 - 244 -7754
FEES
Description Date Amount Reg #: ELE 34 -23C
IELPRMT] ELC Permit 6/24/2008 $46.85 LIC 9388
[TAX] 12% State Surchar 6/24/2008 $5.62 SUP 3886S
[ELPRMT] ELC Permit 8/25/2008 $13.30
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $67.37
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: j _ _ /%1� `,! _ Permittee Signature: �,� � �4 ;�
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.
CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00366
COMMUNITY DEVELOPMENT DATE ISSUED: 6/24/2008
T.i GAIDx 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 BD -00105
SITE ADDRESS: 12805 SW 77TH PL ZONING: I -L
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: ARTISTIC AUTO BODY
Project Description: Installing (1) branch circuit.
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: 0 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:
B R + G CO LLC ROBERTS ELECTRIC INC
PO BOX 23009 5759 SW 48TH AVE
TIGARD, OR 97223 PORTLAND, OR 97221
Phone: Contact #: FAX 503 - 244 -0560
PRI 503- 244 -7754
FEES
Description Date Amount Reg #: ELE 34 -23C
[ELPRMT] ELC Permit 6/24/2008 $46.85 LIC 9388
[TAX] 12% State Surchar 6/24/2008 $5.62 SUP 3886S
Total $52.47 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- jou may •btain copies of these rules or direct questions to OUNC at 503.246.669•` or 1.800.332.2344.
/ l
Issued By %`. = � Permittee Signature: ��,� ,�iI���` )1\
40 - +
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 ➢ ` , ` '' e " -..,-,,,,1-.. . F OR oFF cE�us ON - `- -� e _ ' '
`� R
City of Tigard �� eceived
DateB : ,Air, 0 p-
, Permit No.. A r
to 13125 SW Hall Blvd., Tigard, OR 9722 "`YYY Q P lan Review /
Phone: 503.639.4171 Fax: 503.598.19 1 DateB
Other Permit:
F ' ' ''' t Inspection Line: 503.639.4175 Ready /By: P g
T I G A R D �, `�\ ,Gate Re ad /B 1 See Pa e 2 for
sn9 Internet: www.tigard or.gov v � � P i • led/Method: Supplemental Information
. ' . TYPE OF. WORK.:.. v �V, PLAN REVIEW .
❑ New construction Addition /alteration/rep� 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 ❑ Other: where the available fault current ❑ Marinas and boatyards.
'"'a d 0 000 t 150 or Floating g b
CATEGORY' OF CONSTRUCTION exceeds 1 amps a volts o a t uildings.
` less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ICA 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 ", "1 - 2" "1 - 3"
Job no.: Job site address: lZ OS Sv 111 Pi . 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks
City/State /ZIP: �j �`(� .�Z� ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: n f Y n I'gcfri'r ❑ Service or feeder 600 amps or more.
1. � • FEE SCHEDULE -
Cross street/directions to job site: 'lily) 4 n }l rri, r �j ki � Description I Qty. 1 Fee. 1 Total 1 •
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'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
Qni it g 1\�t r c; f CV a j residential (with above sq. ft.)
JJ J Services or feeders installation, alteration, and/or relocation
�,/ 200 amps or Tess 80.30 2
- ❑. PROPERTY OWNER p� TENANT. 201 amps to 400 amps 106.85 2
Name: / 1 401 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
APPLICANT: ❑ CONTACT .PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: flt-1 ;s c A U i, c, i V\ B. Fee for branch circuits
without service or feeder fee, 46.85 �/ 2
Contact name: 1 O 1 r y r,7 S N.)) first branch circuit t (�.
Address: — I Sgc SvJ ¥fli■ \eke CT, Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: TibcArot effk on Z23 Each manufactured or modular
/ / I dwelling, service and/or feeder 90.90 2
Phone: (S03) s - 47 Fax:: (SD3) 62 - 2il 5 Reconnect only 66.85 2
E -mail: Te.Trl
@(l TTI S T1 ( — 0,J 1ol>oci • t0 ,Y1 Pump or irrigation circle 53.40 2
- CONTRACTOR Sign or outline lighting 53.40 2
Business name: Robs E I2L n- Signal panel, or limited -
�C energy panel, alteration, or
Address: 55i 5 5 (/-) q a— extension. Describe: Page 2 2
City/State /ZIP: P ,r, cue, Gt 7 ZZ ( Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( 5o3) 21-14 Z 1 S9 Fax: ( 503 ) 7-4 '4 - OS (o O Investigation per hour (1 hr min) 62.50
CCB Lic.: { 3 E3 & Electrical Lic.: Suprv. Lic.: 3`aBG, s Industrial plant per hour 73.75
ELECTRICAL - PERMIT. FEES, . .
Suprv. Electrician signature, required: 1 � Subtotal: gy6
Print name: �, 'p e ,, r '1- E , M�Q,, i p , Date: G • 18 • Qs Plan review (25 % of permit fee):
State surcharge (12% of permit fee): Co ,�
Authorized signature: TOTAL PERMIT FEE: _ 1- - 7
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Permits\ELC - PermitApp.doc 05/23/06 440- 46I5T(tt /05 /COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information - -
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems •
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I :\ Building \Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: FLC2008-00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/24/2008
Phone: (503) 639-4171 ;sZ),1'
Inspection Requests (24 Hrs.): (503) 639-4175 •,:d
INSPECTION WORKSHEET FOR DATE: '12/17/2008 TIME: 7:00AM PAGE:
SITE ADDRESS: 12805 SW 77TH PL CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ARTISTIC AUTO BODY
DESCRIPTION: Installing (1) branch circuit. 8/26/08, ADDING (2) ADDITIONAL BRANCH CIRCUITS.
OWNER: B R + G CO LLC, PHONE #: to • elitna
CONTRACTOR: ROBERTS ELECTRIC INC PHONE #: 503-244-77E4
Inspection Request Scheduled For: Date:. 1 2J17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Eleciiic:al final 079086.01 503519-7847
Corrections/Comments/ Instructions:
\\.
•
pAss.) Ei PARTIAL APPROVAL 111 CANCEL E] NO ACCESS
•
FAIL E CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G--. Date: k1:11 Phone #: (503) 718-1
CITY OF TIGAR_D_ .
BUILDING DI :
iELG700Ci -0036 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE PERMIT ISSUED#: 6/24/200 I
Phone: (503) 639 -4171 n� 1
Inspection .Requests (24 Hrs.): (503) 639 -4175 s' E 'f �:.
INSPECTION WORKSHEET FOR DATE: -1130!7008 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 12805 SW 77TH PL CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ARTISTIC AUTO BODY
DESCRIPTION: Installing (1) branch circuit.
OWNER: B R + G CO LLC, PHONE #:
CONTRACTOR: ROBERTS ELECTRIC INC PHONE #: 503,24477m
Inspection Request Scheduled For: Date 7/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073417 -01 503- 518.7841 N
Corrections /Comments /Instructions: A�
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(5 \--0% (6 t:-.4.. ALL. 1 ' B cz E—AG. i N P NN>;L. L To d.A1 D i
6Q,c./11 6\I v M 6 . Ara. Ha$•li
cit. i1/411- wi cli M 6 AloWP b1N 1, pN ,
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1
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
:A FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G3'" "®v Date: 1 • 36 .0 0 Phone #: (503) 718 - M LA>
CITY OF TIGAR®
BUILDING DIVISION ' PERMIT #: EL.C2008- 00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/24/2003
Phone: (503) 639 -4171 .44,:14111‘
Inspection Requests (24 Hrs.): (503) 639 -4175 s
INSPECTION WORKSHEET FOR DATE: 7/14/2008 TIME: 7:OOAM PAGE: 24
SITE ADDRESS: 12805 SW 77TH PL CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ARTISTIC AUTO BODY
DESCRIPTION: Installing (1) branch circuit.
OWNER: B R a• G CO LLC, PHONE #:
CONTRACTOR: ROBERTS ELECTRIC INC PHONE #: 503 -244 -7754
Inspection Request Scheduled For: Date: 7/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 EIec rough -in 072575-01 503-519 -7847 N
Corrections /Comments /Instructions:
14151€ 1 . t \-41 o
r
❑ PASS PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G (1\%6 L. Date: C l bi Phone #: (503) 718- 44