Permit - - , CIT OF TIGARD ELECTRICAL PERMIT • Y PERMIT #: ELC2008 - 00454
COMMUNITY DEVELOPMENT DATE ISSUED: 8/7/2008
'TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102C B -03101
SITE ADDRESS: 12950 SW PACIFIC HWY 225 ZONING: C -G
SUBDIVISION: HUDSON PLAZA LOT : 021 JURISDICTION: TIG
PROJECT: MARLAND HENDERSON CONSTRUCTION
Project Description: Reconnecting roof top units and service receptacles.
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: - 4 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:
MARILYN HENDERSON BEAR ELECTRIC
JENSEN HUDSON TRUSTEE P.O. BOX 389
11795 SW KATHERINE ST DONALD, OR 97020
TIGARD, OR 97224
Phone: Contact #: PR1 503 678 - 1355
FAX 503 - 678 -1108
FEES
Description Date Amount Reg #: ELE 24 -107C
[ELPRMT] ELC Permit 8/7/2008 $73.45 LIC 20919
[TAX] 12% State Surchar 8/7/2008 $8.81 SUP 4902S
Total $82.26 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. Y. - ay obtat = •'es of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: /`� Permittee Signature:
■_0.--
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sate, 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.
08/06/2008 WED 9:19 FAX 5036781108 Bear Electric, Inc. 2001/002
- ( 2 1 0 l q i(10
Electrical Permit Application \ \A - ) 1 S) FOR OFFICE USE ONLY
�
City of Tigard �.j Ruei "`d $v 1j 5�
O DaterBy: a • _
II u 13125 SW Hall Blvd., Tigard, OR � O Plan Review Permit No.:
Phone: 503.639.4171 Fax: 503.59. 60 _ 6 DatelBy_ Other Permit:
12 `J
T 1 GA}2D Inspection Line: 503.639 \� - to Ready: By: 1 fid See Page 2 for
w
Internet n
www.ligard-or.gov TYP$ OF VS'•!� p." ,) .6\ sfsed Mc hod Informas s
. O . 1 ..... _ _ ,Uti:; jry, i- ementat
❑ New construction l,Additton /alteration 1� ltent Please check all that apply (submit 2 sets of plans w!items checked below).
4 ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: V where the available fault current ❑ Marinas and boatyards.
•Z G J.ty 3ICN.:T ION, - exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
i • • ',- - . - . -.' - ' less to ground. or exceeds 14.000 ❑ Commercial -use agricultural
❑ I - and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: pump.
system ❑
larger separately 75 KVA
log t INFOI+;MAI1 N AND LOCATION . •
Fire or
❑ Etne d system,
.:.. ._,- :. .:.....:._..v.,.�.. - :. ,. ..... : .. .... ❑ Additwnof new motor load of ❑ "A" "E' "I 2 .. 1 3
Job no.: Job site address: Q` . ` (� too or more. occupancy.
�� - t V W C \ \C' �L. , ❑ Six er mor residential units. ❑ Recreational vehicle parks.
, .,t (� ❑ iliti. ❑ Supply voltage for more than
City / State/ZIP: �' \ ��v e.. 1� ;� ['Hazardous ea -care fac es
h -car locations. 600 volts nominal.
• Suite/bldg. /apt. no.: Project name: ❑ Service or fader 600 amps or more.
Cross street/directions to job site: ir4 I / Description 1 4rv. [ FK• I 'row f
New residential single or multi - family dwelling unit.
C e.� CA ))/ Includes attached garage.
Subdivision: a 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
75.00 2
above s
i g ' { ti 4r a s (with q. ft.)
t .� <, 't : -,u _3 , .9 . 4,,. . .a _r Limited energy, multi- family
°
�� residential (with above sq. ft.) 75.00 2
` Services or feeders installation,alteration, and/or relocation
t� • r b. • \C• j1 L . ' _ 200 amps or less 80.30 2
' ' .❑ PROPERTY OWNER ( '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
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 1 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, . er panel
Owner signature: Date: A. Fee for branch circuits with
1 J 1A '.p 1aii'3 . " t Oitti SOlt( ab service or feeder fee
..,..._,..: ...., ` d 1 R 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, , 4685 j Q5 2
first branch circuit . w w
Address: Each add'I branch circuit 6.65 2 2 ( . b a
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
_ .. .CONTR?I�TO,R, <: ;... [ ' ,. ' ` %,'i;.: Sign or outline lighting
53A0 2
• _.. r oullin
Business name: E\ 2V , C ) `�n Signal circuit(s) or limited-
energy panel, alteration, or
Address: ' n , ' < �� � � (A.--\ extension. Describe: Page 2 2
City /State/ZIP: ! -6 ( { i 0 2l �t1 J Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503 • 6 1 e } F. -t„��
7r (g� I
� � � Fax: { �.� �" ♦ Investigation per hour (1 hr min) 62.50
CCB Lic.: '2 q 5 Electrical Lic.: —101 Suprv. Lic.: 5 1 -.0 Industrial plant per hour 73,75 • • •• E7:EC`i'R IGA( PERMIT_ FEES. - .. � ? , C
Subtotal: t
Suprv. Electrician signature, required: !/ TJ' Jd J - ' L
f•/"Y�. V w
Print name:
r l n Plan review (25% of permit fee):
to—o% p
f✓ y r °✓t a S S - - -. - °- Dune: — State surcharge (12% of permit fee): `� T O g i
Authorized signature: TOTAL PERMIT FEE: C ' r ^
-� This permit application oxpires if a permit is not obtained ,,thin 180 g %
a
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
1. tlelldiny I'.Yntin St.( erm,Ayp.dnc (b 2 t oc 4.0.401 ■ ft 1101 (0M tl'EB
CITY OF TIGARD ELECTRICAL PERMIT
7 4
PERMIT #; ELC2008 -00454
° _ . COMMUNITY DEVELOPMENT DATE ISSUED: 8/7/2008
T I G A ii D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 10X8 -03101
SITE ADDRESS: 12950 SW PACIFIC HWY 225 ZONING: C -G
SUBDIVISION: HUDSON PLAZA LOT : 021 JURISDICTION: TIG
PROJECT: MARLAND HENDERSON CONSTRUCTION
Project Description: Reconnecting roof top units and service receptacles. .
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/ SVCI 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: 4 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:
MARILYN HENDERSON BEAR ELECTRIC
JENSEN HUDSON TRUSTEE P.O. BOX 389
11795 SW KATHERINE ST DONALD, OR 97020
TIGARD,•OR 97224
Phone: Contact #: PRI 503 - 678 -1355
FAX 503 - 678 -1108
FEES
• Description Date Amount Reg #: ELE 24 - 107C
[ELPRMT] ELC Permit 8/7/2008 $73.45 LIC 20919
[TAX] 12% State Surchar 8/7/2008 $8.81 SUP 49025
Total $82.26 - 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. Y• - ayatstai = • es of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: / --_ Permittee Signature: 7 SO^ --
4111Mow
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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: gtc2x)r--G0151 REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date J By ✓ Code I Inspection Description I PASS Date I By
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 k 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 X 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
910 Sprinkler rough -in PLM - Plumbing Permit
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 Sprinkler final 322 Shower pan
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