Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00138
M ° COMMUNITY DEVELOPMENT DATE ISSUED: 3/11/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112A D - 00500
SITE ADDRESS: 14650 SW 72ND AVE ZONING: I -
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: ROGERS MACHINERY
Project Description: Installing 70 kw. standby generator and related transfer switch and panel.
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: 6 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:
ROGERS MACHINERY CO INC OCHSNER ELECTRIC INC
14600 SW 72ND AVENUE 8724 SE YAMHILL ST
TIGARD, OR 97223 PORTLAND, OR 97216
Phone: Contact #: PRI 503 - 254 -0015
FAX 503 - 254 -8126
FEES
Description Date Amount Reg #: ELE 26 -823C
[ELPRMT] ELC Permit 3/11/2008 $495.10 LIC 88522
[TAX] 12% State Surchar 3/11/2008 $59.41 SUP 2660S
Total $554.51 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 wor ' . suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notificatio nter. T • - - • are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questio t OUN at 0 669 8 00.332.2344.
Issued By: ermittee Signature:
•
K 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 . . '': 1.(1R Inlet: l is ()NIA
City of Ti and ' - _ ` '. " Permit No.: ► _ • i .6. 13125 SW Hall lvd., Tigard Y + ° P ate/B : ®U� --'' G it,i ` / 3 n
: III Phone: 503.639.4171 Fax: 563.598.1960 't1 l - DateB : Other Permit:
Inspection Line: 503.639.4175
Ins ® � Date Ready/By: turfs: See Page 2 for
T l u A R D A
1V` 1
Internet: www.tigard-or.gov ��,, ((��CIt...- O Notified/Method: S Information
TYPE OF R9{�` IcAtzl PLAN REVIEW
❑ New construction 0.Addition/i 04Xcement Please check all that apply (submit r: sets of plans w /items checked below):
1p ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwellingommercial/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 ❑ �erion system' larger separately "1-3", system.
o
❑ Addition of new motor load of ❑ "A ", "E E"", , " "11 -2 °", , "I -3 °,
Job no.: Job site address: 19 6 Si SW ,ro Six or or more. Recreational . ! Z Ave. ❑ Six or more residential units. ❑ Recreational vehicle parks.
❑ Health-care facilities. ❑ Supply voltage for more than
City/ State/ZIP: �rpt2'� L,A N Q OR, 211 1i bZ
! ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: RD G. >; I ' t pe rJ ` ,,y C , ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Deseriptton 1 Qty. 1 Fee. 1 Tow l •
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. 11 or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
K S? ArJ O t( Limited energy, (with a b o v e q . it .) 75.00 2
- 1,3“ pfu erf t0 N OP W N �• ! f D residential (with a sq. ft ,
C , p Services or feeders installation, alteration, and/or relocation
A040 Q�,ArCt -O It'tANS'�'� JWt't� ArJ Cr.►J El-- 200 amps or less 6, 80.30 y$).SD 2
❑ PROPERTY OWNER ( ❑ TENANT 201 amps to 400 amps 106.85 2
Name: Rx ‘ M N.N. CAI . 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: ' 5 D 5k3 -72 E- • Over 1,000 amps or volts 454.65 2
City/State/ZIP: Qtoa-` �a p 1 OIL 9 7 2..L4 - 1 9 b Z 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, eer panel
Owner signature: Date: A. Fee for branch circuits with
gAPPLICANT 1 ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 'L 6.65 I3• 30 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 46 85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
� . Signal circuit(s) or limited -
Business name:
SjN bl:�C�� `� n) C energy panel, alteration, or
Address: C O 2 s t YAr A.I ILL s extension. Describe: Paget 2
City/State/ZIP: ?O(L -N t,,,, p Oa-- t 7 'LA le Each additional inspection over allowable in any of the above
1 Per inspection 62.50
Phone: (co 3) 2,S4-00 1 S Fax: ( cO 1) 2S y - g 1 24 Investigation per hour (1 hr min) 62.50
CCB Lic.: 8 8 S / ZZ Electrical Lir.. 2 o$ L3 Su . L 2 81 to $ ! 1/ /1 l dustrial plant per hour 73.75
ICS G ELECTRICAL PERMIT FEES
Suprv. Electra 1 t�r1 ,required: 0 L 2. 0 (sat Subtotal: 4 ci S.10
Print name: C.P( h „Les P . O L SNLA Date:' o I 0 I 1 20 D Plan review (25% of permit fee):
State surcharge (12% of pemtit fee): S. 'II
Authorized signature: TOTAL PERMIT FEE: S S4s S
This permit application expires if a permit is not obtained within 180
Print name: 1 Date: .. e•... ... ..__ IL A __
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008•00138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2008
Phone: (503) 639 -4171 o°'Imglills
Inspection Requests (24 Hrs.): (503) 639 -4175 4
INSPECTION WORKSHEET FOR DATE: 4/2212008 TIME: 7:OOAM PAGE: 12
SITE ADDRESS: 14650 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ROGERS MACHINERY
DESCRIPTION: Installing 70 hw. standby generator and related transfer switch and panel.
OWNER: ROGERS MACHINERY CO INC, PHONE #:
CONTRACTOR: OCHSNER ELECTRIC INC PHONE #: 503-2540015
Inspection Request Scheduled For: Date: 4/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
- • . A service 068734 -01 503-320-6979 N
x°19 cr
• rrections /Comments / Instruc :ons:
e
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I l r
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KI ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e N 68th Date: 1 4 1/ 0 Phone #: (503) 718 - .44