Permit CITY O F TIGARD GARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00317
DE VELOPMENT SERVICES
�_i�� � DATE ISSUED: 6/5/2006
I e�l il .` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 112AC -03000
SITE ADDRESS: 14775 SW 74TH AVE ZONING: 1 -P
SUBDIVISION: METRO PART /MLP2002 -00008 LOT : 001 JURISDICTION: TIG
Project Description: Temp power.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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 FOR: 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:
HORNEL LLC GAW ELECTRIC INC
PO BOX 159 14865 SW 74TH AVE
AURORA, OR 97002 TIGARD, OR 97224
Phone: 503 - 651 - 1878 Contact #: PRI 503 - 603 - 0810
FAX 503 - 217 -6236
FEES
Description Date Amount Reg #: ELE 34 -586C
[ELPRMT] ELC Permit 6/5/2006 $66.85 LIC 150495
[TAX] 8% State Surcharge 6/5/2006 $5.35 SUP 4995S
Total $72,20 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 set
forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or d'rect questions to OUNC at 503 - 246 -66 r
1- 800 - 332 -2344.
Issued By: Permittee Signatu -
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.
•
i l l, EG t3 V E - '
• City of Tigard p� 2006 Date/By -) a ( �� Permit No.:6 L(r_?l7ll� a) 3 1
2�,�N
13125 SW Hall Blvd., Tigard, OR 972 Plan ReviB , �
Phone: 503.639.4171 Fax: 503.598.1960 �j a : -4 ( l 1 � Other Permit:
Date/By:
U 1k' '�
Inspection - 1J_„ Date ReadReady/By: lu ') See Page 2 for
pec Line: 503.639.4175 , rY ' ��
Internet: www.ci.tigard.or.us i„ T ��q jy�y ; Z Notified/Method: � ® Supplemental Information
B E ' r a woRK I a -, ., PLAN REVIEW
construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'1 ['Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGO V CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
12 I- and 2- family dwelling Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
r ❑Health-care facility DOther:
Job no.: I Job site address: (�f '7 C f c 74 /a/c Submit 2 sets of plans with any of the above.
City/State /ZIP: J The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg. /apt. no.: I Project name:
Description I Qty. I Fes. I Total 1 ..
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
DESCRIP'I1ON OF WORK Each manufactured or modular
dwelling, service and/or feeder 90.90 2
- 6./", /"O' CA_/e Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ 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
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 1 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 I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'{ branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: GAW Electric Inc
Each additional inspection over allowable in any of the above
Address: 14865 sw 74 ave
Per inspection 62.50
City /State/ZIP: tigard or 97224 Investigation per hour (1 hr min) 62.50
Phone: (503) 603 -0810 I Fax: (503) 217 -6236 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 150495 I Electrical Lic.: 34 -586c I Suprv. Lic.: 16808 Subtotal
Suprv. Electrician signature, required: 1 P �� e it-- Plan review (25% of permit fee)
. ,,
O. , / State surcharge (8% of permit fee) DS
Print name: f--) E t f O / ,2 / e i . - 4✓ /r Date: a/ W / „
/ TOTAL PERMIT FEE : ,� U
Authorized signature 0,4,..„--6_,_ g - A., A., ThThis permit application expires if a permit is not obtained within 180
d ays after it has been accepted as complete
Print name: Gp Date: C1-2_ `"_ ' (Vv/ //'v„ ' Fee methodology set by Tri -Comrry Building Industry Service Board
( f " Number of inspections per permit allowed.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006.00317
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2006
Phone: (503) 639-4171 ba i fl\
Inspection Requests (24 Hrs.): (503) 639-4175 $
INSPECTION WORKSHEET FOR DATE: 6/612006 TIME: 7:02Alvi PAGE: 67
SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: METRO PART/MLP2002 LOT #: 001 TYPE OF USE:
PROJECT NAME: FANNO CREEK BUS. PARK
DESCRIPTION: Temp power.
OWNER: HC)RNEL LLC, PHONE #: 603-661-1070
CONTRACTOR: G AW ELECTRIC INC PHONE #: 503.603.0810
Inspection Request Scheduled For: Date: 6/6(2006 Pour Time:
Inspection Description Confirm # Contact # Message
110 electrical service 031145-01 503672-4109
N
Corrections/Co ents/InstrJctions:
451
PASS PARTIAL APPROVAL L1 CANCEL El NO ACCESS
FAIL fl CALL FOR INSPECTION 11 ADDITIONAL FEES ASSESSED
Inspector: Date: ‘' 4 tL Phone #: (503) 718- *tc,