Permit , ti CITY OF TIG�'1RD
Il
COMMUNITY DEVELOPMENT ELECTRICAL PERMIT
PERMIT #: ELC2008 -00358
°
DATE ISSUED: 6/20/2008
TIGARD. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AA-01901
SrrE ADDRESS: 10225 SW HALL BLVD ZONING: C -N
SUBDIVISION: METZGER ACRE TRACTS LOT : 037 JURISDICTION: TIG
PROJECT: REDWOOD CENTER
Project Description: Remove and replace electrical box.
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: 1 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:
WAYNE GEHRIG BADGER ELECTRIC INC.
10225 SW HALL BLVD 4415 NE SANDY BLVD STE 205
TIGARD, OR 97223 PORTLAND, OR 97123
Phone: 503 - 244 -1004 Contact #: PRI 503- 288 -4756
FAX 503 - 493 -7173
FEES
Description Date Amount ' Reg #: ELE 3
[ELPRMT] ELC Permit 6/20/2008 $80.30 L1C 156581
[TAX] 12% State 6/20/2008 $9.64 SUP 3596S
Total $89.94 REQUIRED ITEMS AND REPORTS
•
This Permit is issued subject to the regulations contained in the Tigard Muniapal 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 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 r 1.800.3 2.23 , N.
Issued By: , !� %' ,� Permittee Signatur. ",< �' f/ .-
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: 1� 1 "-- 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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: C'AC g -- 00%1 REQUIRED ON GREEN INSPECTION CARD.
✓ • Code I Inspection Description PASS Date By I ✓ Code Inspection Description PASS Date B
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading › 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work •
498 Grading final 630 Fire damper
299 _ Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
• 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
•
999 S rinkler final 322 Shower pan •
P 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing • 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
•
I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07
v 1T i OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 00358
COMMUNITY DEVELOPMENT DATE ISSUED: 6/20/2008
•
TIGARD) 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AA-01901
SITE ADDRESS: 10225 SW HALL BLVD ZONING: C -
SUBDIVISION: METZGER ACRE TRACTS LOT : 037 JURISDICTION: TIG
PROJECT: REDWOOD CENTER
Project Description: Remove and replace electrical box.
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: 1 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:
WAYNE GEHRIG BADGER ELECTRIC INC.
10225 SW HALL BLVD 4415 NE SANDY BLVD STE 205
TIGARD, OR 97223 PORTLAND, OR 97123
Phone: 503 - 244 -1004 Contact #: PRI 503 - 288 -4756
FAX 503 - 493 -7173
FEES
Description Date Amount Reg #: ELE 3 -571C
[ELPRMT] ELC Permit 6/20/2008 $80.30 LIC 156581
[TAX] 12% State 6/20/2008 $9.64 SUP 35965
Total $89.94 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 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 r 1.800.3 2.2
Issued By: Permittee Signatur
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: r / 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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SW Hall Blvd., Tigard, OR 97 a• Plan Review Other wit
ill. � ' ®'l Phone: on Line: 503.63917503 598. ' • l o 2o0� �Y 0.�
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Supplemental Information
TYPE OF WOR� O ' ICA PLAN REVIEW
❑ New construction dd itiol>/alterati io o � ® Please check aU that apply (submit 2 sets of plans w /items checked below):
vv Q Service or feeder 100 amps or more 0 Building over three stories
❑ Demolition ❑Other: where the available fault current ❑ Marinas and boatyards
CATEGORY 01? CONSTRUCTION exceeds 10,000 amps at 150 volts or Q Floating buildings.
Tess to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling Commercialrndustrial ❑ Accessory building amps fora other installations. buildings.
❑ Multi - family Master builder 0 Other. o Fire pump. 0 Inudllation of 75 KVA or
0 Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION 0 Addition of now motor load of ❑ "A" "E ", ' 1 -2 "1 -S'
I n r� �.• _ ► i _ , /1 �,, Ir' 100HP ar arcs occupancy.
Job no.: I Job site address: L R ,6 i N( ❑ gins H more residential unil9. O Recreational vehicle perks.
City /State/ZlP: �� 0 Hc zardou a facilities . Q Supply voltage for more than
F Q Hazardous locations. 600 volts nominnt
Suite/bldg apt. no.: I Project name: /5 G) t e.360`1) O Service or li:edcr 690 amps or mare.
FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Fond 1 •
New residential single- or mutes- caulk dwelling unit.
',Wades attached garage. _
Subdivision: (}iii #7')/.0., eQ > I Lot no.: 1,000 sq. It. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Istfr ilkit-Alai') Limited energy, multi- fnm)ly 75.00 2
� `l' �,. residential (with s how ailaH
Services or feeders IestalbHoa alteration and/or lo ; ti
200 amps or less r 80.30 '. 1 I 1 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
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
relocation services or feeders installation, alteration, and/or
City/State/ZIP:
Phone: ( ) 1 Fax: ( ) 200 amps or less 66.85 1
Owner Installation: This installation is being made on property that l own which is not 201 maps to 400 amps _ 100.30 2
a
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch drenits— Crew, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT l ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit 1. _
Address: Each midi branch circuit 6.65 2
Miscellaneous (service or feeder not Included) '
City/State/ZIP: Each manufactured or modular 9090 2
dwelling, service and/or feeder
Phone: ( ) f Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
. CONTRACTOR Sign or outline lighting 53.40 2
� ^ �, �. , Signal circuits) or limited -
Business name: Fill �,� energy panel, alteration, or
Address: 44» extension. Describe: Page 2 2
City /State/ZIP: 1-12, t Z Each additional Inspection over allowable in an of the above
/ Pet inspection 62.50
Phone: ("Jo5) 2.8 8- 4-15140 Fax: 05 4 -1 1 Investigation per hour (1 hr min) 62.50
CCB Lie.: 15( O i [ Electrical Lic.: "S-51 1 C ` Suprv. Lic.: 59(c:s5 lndustriel plant per hour 73.
E LECTRI CAL PE RMIT FEESf�'� a Q
Suprv. Electrician signature, required: Subtotal: 1 • t�
l Date: Plan review (25%ofpermit fee): (I t „[J
Print name: '`� �Grrlvo
State surcharge (12% of permit fee): `I V/ ' - �
Authorized signature: TO'T'AL PERMIT FEE: rA
Mb permit application expires If a permit is not obta / '
Print name: I Date: days after it has heel accepted as complete.
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