Permit CITY OF TIGARD ELECTRICAL PERMIT
• • PERMIT #: ELC2005 -00518
DEVELOPMENT M T SERVICES 9ES 503 - 639 -4171 DATE ISSUED: 7/25/2005 13125 PARCEL: 25101 BD -00105
SITE ADDRESS: 12805 SW 77TH PL ZONING: I -L
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Electrical TI for new offices and restrooms, (5) branch circuits. Job No. 8231
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 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:
B R +G CO LLC NEWTECH ELECTRIC
PO BOX 23009 13970 SW 72ND AVE
TIGARD, OR 97223 PORTLAND, OR 97224
Phone: Phone: 503 - 648 - 1900
FEES Reg #: LIC 41868
SUP 3849S
Description Date Amount ELE 26 - 418c
[ELPRMT] ELC Permit 7/25/2005 $73.45
[TAX] 8% State Surcharge 7/25/2005 $5.88 REQUIRED ITEMS AND REPORTS
Total $79.33
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 f• • • •AR 952 -I11 -0.10 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions •to OUNC at
503 - 246 -6:•9 or 1 -800- /
Issued ; 1 ' �' .i �� � Permittee Signat e: � .� 11/ _ �J
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 •
.
40" SIGNATURE OF SUPR. ELEC'N :!_ %- �i 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.
07/22/05 FRI 14:54 FAX 503 640 0571 NEW TECH ELEC El 001
E1'ecCrical Permit Application
. City of Tigard R eE e ?" oivea FOR OFFICE USE ONLY .
13125 SW Hall Blvd., Tigard, OR 97223 0r i _ Phone: 503,639.4I71 Fa: 503.598.1960 p er .' :. O
S I "'` Date/8 • ; Other
Inspection Line: 503.639.4175 ■�� . I .Perrnit: JL Date ReadyIBy,
Internet: www.ci.tigard.or.us - No ti ?t Se Page 2 for
Supplemental nformation
: 7 i I' ,(� y'f( gtiJ n5et/vletb 1
fl i t (a Sapp r n r q R:;y
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❑ New construction ❑ Addition /alteration/replaeement Please check all that apply:
.1=1 Demon ❑ Otller ❑Service over 225 amps, comm'l ❑Hazardous location • 1 • i t ;t . nM1g tt i i JAI I 5 1 trij r r1 ❑Service over 320 amps -rating ❑ Buildng over 10,000 sq. ft.,
of 1- and 2- family dwellings 4 or more new residential
❑ 1 and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Eg
❑ Multi family ❑ Master builder ❑ Oth ❑Building over three stories Feeders, 400 amps or more
I) <+ 0 u fil ty ,. n, lr'tt 1,_I.If Jr,t if i .: 1 + ( i'I ❑O essant load over 99 persons ❑Manufactured structures or
e
i . r _.. r /lighting plan RV park
Job no.: 4 Job site address: IZiO5 SW ' T th , ,- t ❑Health-care facility ❑ Other:
City/St ite/ZIP: Submit 2 sets of plans with any of the above.
r '‘'' A s, a 2 The above are not applicable to temporary constn[ction service.
Suite/bldg. /apt. no.: Project name: "I ► . .: 11 + t „ f ft + D l1 ,,, t ; 7I ' : r • Iy� 7 e r V �
s -- 0 Ali 1 Deacnptlon —Qty.': t' �c ,. �. l ,... i t , i:1—. ' � � i._ '�a
Cross street/directions to job site: F re Total ••
New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15
Subdivision: 4
Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no Limited energy, residential
75.00 2
, ` +I,�t Ir 4 l n k 1 9 ... Limited energy, non - residential 2
t ” :� 75.00
... :_. .....__... _,....,.._ .. . _._ .:..
- Each manufactured or modular
• ' , dwelling, service and/or feeder 90.90 2
_ As ► \ . ill ...AS ' .• OA U Services or feeders installation, alteration, and/or relocation
200 amps or less
f.:; .. ill ,� < I)i 6 y tit � : i ap I! 1 t 1 r ., 00.8 • 2
.t. - �„ t! .1, ... L it lit Ilwl (,� ta i .. i 201 amps to 400 amps
., _... . . �! :.:_.. � - - - - .. I :' • ..: a p 106.85 2
Name: 401 snaps 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; Reconnect only 66.85 2
Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 66.85 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps 10030 2
401 amps to 600 amps 133.75 2
Owner signature Date
Branch circuits - new, alteration, r extension, per panel
1;...::.: �;; I J i \ > 11IfitrH;Wi t , ' , rt )I i i , ' ' ,' C�7' ? iii i'( ir'% .. i c� 5 I +. A. Fee for branch circuits with
o ext n er a
....._:.Te:......: . sit!.. ,......:; _ 1 :,i_i _L rb . t :ib. .,tL..._LI .
Business name:
" �' "" "' service or feeder fee, each
branch circuit 6.65 2
Contact name: B: Fee for branch circuits
without service or feeder fee, /
Address: each branch circuit 1 46.85 L[ �,� 2
Each add' 1 branch circuit 6.65 aut 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle .
53.40 2
3
E -mail:
�e.':i_ Sign or outline lighting
53.40 2
., Signal circuit(s) or limited -
+ IS .��. i ^,2 1c_u;ti i i�.fs�Iki'. Il a 1'��" u '�t, vm! .l� �' «� 14i {fin a �� +r7 t ° " . aP - {r l r+ 4'r ., u i .r n_.
,�,� .. I�snU..f/•,_ .1 ,' 1 ?��,.��,.,� energy Panel, alteration, or
Business name: NEW TECH ELECTRIC, INC extens Describe: Page 2
Address: [ �� o c W Each additional inspection over allowable in any of the above
City /State/ZIP: � J Per inspecti 62.50
vork ` V i 09._ • 1-224 Investigation per hour (1 hr min) 62.50
Phone: ( ) 503.648.1900 Fax:( ) 503.648.3131 Industrial plant per hour 73.75
CCB Lic.: 41868 Electrical Lic.: ,tt'.d i!. ' +1:�` +•InI it �r s . .s i t• • s w €� °� . ,
2 6 - 41 8 C S uprv. Li c.: 3 8 4 9 S �` t ��' ��r'� t ts3 1 ':�a�''� � . / S
Subtotal r 7 ` t �
Suprv. Electrician signature, required: - ( � s^'v
� Plan review (25% of permit fee)
Print name: pHIL HANSEN Date: 7.-` 2.-05 State surcharge % ofpermitfee) , g g
Authorized signature: TOTAL PERMIT FEE !7Q ?6� „ s 5'
This permit application expires if a permit is not obtained ' 1
within
Print name: days after it has been accepted as complete
Date: Fee methodology set b
SY by Tri- County Building Industry Service Board
V 'crmits�ELC•PennitApp.doc 12/03 "r* Number of inspections per permit allowed.
LAHaildtng
��j�/`,S 440- 4615T(10 /02/CONYWEB
CITY OF TIGARD
`__ BU DIVISION PERMIT #: ELC2005 -00518
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/25/2005
Phone: (503) 639 -4171 „ai � j�ll
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_L
INSPECTION WOR HEFT FOR DATE: 9/22/2005 TIME: 7 :12AM PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 12805 77TH PL
LOT #: TYPE OF USE:
PROJECT NAME: TEREX UTILI” S WEST
DESCRIPTION: Electrical TI for n offices and restroorns, (5) branch circuits. Job No. 8231
OWNER: PHONE #:
B R + G CO LLC,
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503 -648 -1900
Inspection Request Scheduled For: Date: 9/22J2005 Pour Time:
Code # - . - - •: - 1 -scription C nfirm # Contact # Message
199 Electrical final 0163 -01 503-969-9441 N
Corrections -. •mments /Instr• - not •
11 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: &t 1\INO Lt" Date: Ma5_-_ Phone #: (503) 718- 24gb x