Permit CITY OF TIGARD ELECTRICAL PERMIT
I
COMMUNITY DEVELOPMENT PERMIT #: ELC2007-00111
DATE ISSUED: 2/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S101AA- 09100C
SITE ADDRESS: 12447 SW 69TH AVE ZONING: MUE
SUBDIVISION: TIGARD CORPORATE CENTER LOT : OOC JURISDICTION: TIG
PROJECT: HOUSEHOLD FINANCE
Project Description: (2)services with (2) branch circuits. Low voltage.
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: 2 W /SERVICE OR FEEDER: 2 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:
HOUSEHOLD CREDIT SERVICES BROADWAY ELECTRIC - COCHRAN INC
12447 SW 69TH AVE 626 SE MAIN
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 503 - 686 - 2038 Contact #: PRI 503 - 234 -6564
FAX 503 - 238 -2098
FEES
Description Date Amount Reg #: ELE 37 -546C
[ELPRMT] ELC Permit 2/21/2007 $248.90 LIC 72942
[TAX] 8% State Surcharge 2/21/2007 $19.91 SUP 3447S
Total $268.81 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: D��2i Permittee Signature: 1 o.
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 Ap _ _ \ \ � ' U Ij 7 y' FOR OFFICE USE ONLY
City of Tigard Received Permit
13125 SW Hall Blvd., Tigard, OR 97223 FEB 21 9 , ReeB �� ...e _ /� —yarn — L �� Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 " "''"q � Date/By: Other Per
�. t � Inspection Line: 503.639.4175 - r'I i Date Ready/By: 1' ' See Page 2 for
Internet: www.ci.tigard.or.us 1 �� IL11' ' t a' 11 +/� Notified/Method: / Supplemental Information
' ' OF W�I 'PLAN REVIEW
❑ New construction I Addition/alteration /replacement Please check all that apply:
❑ Demolition Other: ['Service over 225 amps, comm'l ❑Hazardous location
['Service over 320 amps – rating ❑ Buildng over 10,000 sq. ft.,
- CATE RY OF CONSTRUCTION - ;, ^' -: .7. ..` ° of 1- and 2- family dwellings 4 or more new residential
❑ I and 2 family dwelling Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family Master builder ❑Other: ❑Building over three stories ['Feeders, 400 amps or more
DOccupant load over 99 persons ['Manufactured structures or
•
� JOB SITE IN ORMATION AND LOCATION ❑Egress/lighting plan RV park
❑Health -care facility ❑Other:
Job n b ' i s 1 Job site address:1�, call Submit 2 sets of plans with any of the above.
City /State/ZIP: I I �r t. ' .)D, The above are not applicable to temporary construction service.
Suite/apt. no.:
11 11 Lq J .' ..�P Project name: . t t J 1 �� FEE* SCH ' .. •
� �I Description I Qty. I Fee. I Total l
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
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00 2
DESCRIPTION OE WOR Each manufactured or modular
V D ` Id, � LC( } `( � r JIJ lil O (X _i -c-or f „ , , 1 k u `I ' L' „ rco dwelling, service and /or feeder 90.90 2
� Services or feeders installation, alteration, and/or reinentio
200 amps or less r --- „ 80.30 L9Q4W 2 —
0. PROPERTY OWNER . I - . ❑ TENANT. . , . 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
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
. ❑ ;APPLICANT .. ❑ CONTACT PERSON - A. Fee for branch circuits with
I service or feeder fee, each
Business name: branch circuit -- 6.65 13: 2
Contact name: �(} B Fee for branch circuits
1 ` I � ' 1 ° 4 n without service or feeder fee, 46.85 2
1' ' each branch circuit
Address:
Each add'] branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: (51)3 ) - c i t 1 Fax: : 61)3 9. - 6,101 IJ Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
.
. ' CONTRACTOR energy panel, alteration, or �
Business name: "P., XW a \ \ extension. Describe: Page 2 �1" 2
0 6- .. ' e � 4' %.. C--
Address: C, 2 c, 5 L M aV.I■ Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: "p J- \- t�.. 0 c 2-1`4 Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
Phone: (S�3) 23 . c s Cm y Fax: (9 3) l % �2 � $ P P ... • ELECTRICAL- PERMIT FEES* • .
CCB Lic.: 7 29k Electrical Lic.: 3/-5 6c, Suprv. Lic.: 3 Subtotal 2 ), L C ( O
r
Suprv. Electrician signature, required: Plan review (25% of permit fee)
l �� State surcharge (8% of permit fee) 1 .61 I
Print name: \G Date:
TOTAL PERMIT FEE ' ( f
�'^�� V....6.
X
signature: This permit application expires if a permit is not ob within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
i:\ Building \Pemtits\ELC- PertnitApp.doc 12/03 440- 4615T(10102/COM/WEB
CITY OF TIGARD * f •
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•
UILDING DIVISION PERMIT #: ELC2007-00111
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7J2112007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: 7:O1AIvi PAGE: 61
SITE ADDRESS: 124417 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: OOC TYPE OF USE:
PROJECT NAME: HOUSEHOLD FINANCE
DESCRIPTION: (2)services with (2) branch circuits. Low voltage.
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503 - 686 - 2038
CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503 - 234 -6564
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final r 044495 -01 503.407 -9800 N
Corrections /Comments /Instructions:
VA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � L'- Date: 3 ' 01 Phone #: (503) 718 - t 4
CITY OF TIGARD . . ==__.
BUILDING DIVISION PERMIT #: ELC2007-00111
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/21/2007 Phone: (503) 639 -4171 Arr p � , �l l I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/6/2007 TIME: 7.00AM PAGE: 67
SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: OOC TYPE OF USE:
PROJECT NAME: HOUSEHOLD FINANCE
DESCRIPTION: (2)services with (2) branch circuits. Low voltage.
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503 - 886-
CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC PHONE #: 503.234 -5564
Inspection Request Scheduled For: Date: 3/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 044353 -01 503.522 -7381 N
Corrections /Comments /Instructions:
XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: NUS L- Date: 3 ' ID '' CC] Phone #: (503) 718- 12-"t4
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007 -00 1 1 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21/2007
Phone: (503) 639 -4171 Ar
Inspection Requests (24 Hrs.): (503) 639 -4175 ., „ I �.,
INSPECTION WORKSHEET FOR DATE: 2/22/2007 TIME: 7:02AM PAGE: 47
SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: 00C TYPE OF USE:
PROJECT NAME: HOUSEHOLD FINANCE
DESCRIPTION: (2)services with (2) branch circuits. Low voltage.
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503 - 686.2038
CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC PHONE #: 503- 234 -6564
Inspection Request Scheduled For: Date: 2/221 ?407 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 043718 -01 503 - 234 -6561 Y
Corrections /Comments /Instructions: ( 10 - 1 -C M
�,�,. , � .. /1 1‘<a Pt. fail
Q i N t . ■ QIN_ (.0 I IQ / AI sQom
"PASS ❑ PARTIAL APPROVAL ❑ CANCEL LI NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &--' 46 l £ Date: 1 Phone #: (503) 718- U___4_____