Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
4 °I CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY PERMIT #: ELC2007 -00633 OMMUNITY DEVELOPMENT DATE ISSUED: 9/17/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110AA -00700 SEE ADDRESS: 14030 SW PACIFIC HWY ZONING: C -G SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: 76 STATION Project Description: Install (2) new tank monitors. Job No. 012766 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: 1 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: KHAN OIL LLC BOYLES ELECTRIC, INC. 2919 BEACON HILL DR P.O. BOX 1227 WEST LINN, OR 97068 BORING, OR 97009 Phone: Contact #: PRI 503 - 668 -7440 FAX 503 - 668 -7615 FEES Description Date Amount Reg #: ELE 3 -465C [ELPRMT] ELC Permit 9/11/2007 $121.85 LIC 137002 [ELPLCK] ELC Pln Rev 9/11/2007 $30.46 SUP 34045 [TAX] 8% State Surcharge 9/11/2007 $9.75 REQUIRED ITEMS AND REPORTS Total $162.06 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 . more - -n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those r -s are set forth OA" .52- 001 -0010 through OAR 952 -001 -0100. You may obtain copj�e-ef these rules or direct questions to OUNC at 503.24; .6699 or 1.800. .2.2 ` C Issue. :y: L . Permittee Signaturj ,J,!�l/ ' i .. 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: i 9 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. * 10:45 FAX 5035981960 CITY OF TIGARD Q001 Electrical Permit Aanlicati ,\ - 11 S Cit y of Tigard 9 /0 07 , Permit No.: E!- 0,; -DD 3.3 13125 SW Hall Blvd., Tigard, OR 9722.3 ; V 1 Plan Review C : 5 03. 6 39.4171 Fax: 503.598.19b ©' ,V i �� Dg y; OMhc.I►amie -1-1,-, :1 It' D Inspection Line: 503.639.4175 `i �p� O r I I G O N oar Ready/Byr ruA 0 Set Page 2 for • . .. Internet: www.tigard-or.gov iv0� ` ` , r j . - . • . \S� NotiBod/Met o /& Supplemental Information • . • TYPE OF V ti".,- ..: V .`PLplil R EVIEWS , . . . ::..> ::.:... .; .; .... •, � Please check all that . . :... .. .. :: :. • . .� ❑ New construction ,�►ddition/alteration/ eplacenlent apply (submit g seta af plmu w /acme checked below); O Other Service or feeder 400 amps or more ❑ Bolding over three stories. ❑ Demolition ❑ where the available fault docent ❑ M rims and boatyards. . : : ... ,T: .: ,. ; :: CATEGORY' OF CONSIRUCTfON, r . .. .•.; :: `;: • .: exceeds 10.000 amps at 150 volts or a Floating buildings. 1 - and 2- family dwelling gimps for % Commercial/industrial ❑ Accessory building leas to sr all of or her inceeds 14. nntal s. ❑ buildings. l - use egagricultural agricultural all ot ihtions b�dia ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. 0 installation of 15 KVA or .: .:.. . .. .... _ system. lei tely derived system. JOB: SI'IE:'INFORMATION AND.; L _..'. OCATION... ..: mergoncy ger ecpara . /� ❑ Aadioan of new mot.ir bad of p ° A " •` ° 1 -2 " " t.3 ^ , Job no. :Q �4 1 Job site address: 1 1O3O S w O4'C t (- t a A`•1 too}ip or Moro. occupancy. 0 / _ ❑ Six or more reaidertia. units. Rearadocal vehicle parka. City /State/ZIP Ay 9 ❑Heatih -care facilities. ❑ Supply voltage for more than ❑ .Hazardous locations. 600 volts nominal. Suite /bldglapt no.: Project name: • 0 Service or feeder 600 amps or more. /�,, ,1 FEE'SCELDULE: Cross street/directions to job site: pi Ld 0 tti1 n j Qtr. 1 Tea i ?did 1 • New residential single- or multi- family dwelling snit . Lu lndes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.1 4 Ea. add'! 500 sq. R. or portion 33.40 1 Tax map/parcel no.: Limited al enter residential �• mid 75.00 2 :••;'DESCItIP'!<7tON .OB WORK..::. : .;• . : ......' ` • • , Nth above sq. ti) - f Limited energy, multi - family. 75.00 2 ____ - 11/4/ 0445 Le t� c L eA.A0 e S residential (will above sq. 8:) Services or feeders installation, alteration, and/c- relocat icon • 200 or less 1 amps 80.30 2 PRO,E rY :.::.::, : D TE'JANT `' . .;- 201 amps to 400 amps 106.85 2 Name: Cd x1()Ca k 1 Li. , s , 0 ( 1. 1-1-C- 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 391 q �, 0_0,0 14 I LL Q . Over 1,000 amps or volts 454.65 - 2 City /State /ZIP: LosST Li 1 ,) tii (DR 9706g Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 t Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2 intcndcd 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 estenslon:.per panel Owner signature: _ Date: • ,:.: � : .. 0 A PPLIC ANT' :: I . : . .. .' : : •. '❑: COe`iTAGT 0*SON , . A. above service or f der fee, . , ....: .... 6.65 2 each branch circuit Business name: B. Fee for branch circuits without stxvia or f eeder f ee, Contact name. first branch circuit / 46.85 T60 2 Address: Each addi branch cira;it 6.65 . 2 Maedlaneous (service or feeder not included) Ciry /State/21P: Each manufacaued or modular I dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85: 2 E - mail: Pump or irrigation circle 5140 2 53.40 2 Business name: Z / r Signal circuit(s) or limited - 1 IJ ��S t� r l C J 0C energy panel, alteration, or Address: O A 7 I a g1 extension. bete ibe: / Page 2 73 City/State/ZIP: g Q J• tJ O N Each additional inspection over allowable in any of the above Per Phone: (S ) � 0 e ��0 tb 9 FaX ( ) -r 9 6 I f 1° on 62 50 Investigation per hour (1 hr min) 62 :50 • - CCB Lie.: i 3.7 00 . Electrical Lic.: ii ac Suprv. Lie.: 'Z C/ (� 5 ( Industrial plant per hour 7175 tc / '• ELECTRICAL :PERMIT•;PEES • Suprv. Electrician signature, required: t , , I' Subtotal: - 7 f ') Print Han le: ( - C M L I ID:. , . 9 ) -67 Plan review (25 a f permit fee} ' 0.V‘ J 1 ^ State surcharge (8'/0 of permit fee): s ue^, rr Authorized signature; _ TOTAL PERMIT FEE: 1 6 � R Print name: Date T� applintion expires if a permit Laren obtained w 180 days after it his been accepted as complete. L•lar IrnaC•Pe nmApp.dx 0523/06 440441 t ID • Number of inspections allowed per permit. ar 1105/COM/w t CITY OF TIGARD BUILDING DIVISION . PERMIT #: ELC2007 -00633 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2(007 Phone: (503) 639 -4171 4 - ,�f, i Inspection Requests (24 Hrs.): (503) 639 -4175 4J!. INSPECTION WORKSHEET FOR DATE: 9/27/2007 TIME: 7 :0OAM PAGE: 49 SITE ADDRESS: 14030 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 76 STATION DESCRIPTION: Install (2) new tank monitors.. Job No. 012.766 OWNER: KHAN OIL LLC, PHONE #: CONTRACTOR: BOYLES ELECTRIC, INC. PHONE #: 503.668 -7440 Inspection Request Scheduled For: Date: 9/27/2007 Pour Time: Code # Inspection Description COarm- #� Contact # Message \ 105 , l)lround/slab cover 055459.01 \503 - 668 -7440 N Corrections /Comments /Instructions: ® vNOD .10040 Np (2AS� 1\V - Patt4iN woa -kk, 0 0-EfkoNcC i c4( fIzotl b 3 6 6ire NI, W Ib`(A_ ---- -----„, „,_______ c y i , PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` NI wzi Date: 4 111401 Phone #: (503) 718- 2i{lk CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00633 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/26/2007 TIME: 7:01AM PAGE: 4 SITE ADDRESS: 14030 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 76 STATION DESCRIPTION: Install (2) new tank monitor:. Job No. OI276€ OWNER: KHAN OIL LLC, PHONE #: CONTRACTOR: E3OYLES ELECTRIC, INC. PHONE #: 603 -666 -7410 Inspection Request Scheduled For: Date: 9/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 Underground/slab cover 066396 -01 503-668-7440 Y Corrections /Comments /Instructions: N o1 (ZED • n PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED N n / I Inspector: V ' 1 ��7 L Date: 9J 1 401 Phone #: (503) 71814