Permit CITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2008 -00016
COMMUNITY DEVELOPMENT DATE ISSUED: 1/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 114AA - 00200
SITE ADDRESS: 16285 SW 85TH AVE 405 ZONING: I -P
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT : JURISDICTION: TIG
PROJECT: DURHAM HALL SPEC SPACE
Project Description: Reconnect.
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: 0 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
BIRKEMEIER, BRENT T /JANET D TRS WILLAMETTE ELECTRIC INC
BY THE BIRKEMEIER FAMILY TRUST PO BOX 230547
10573 SW NAEVE ST TIGARD, OR 97281
TIGARD, OR 97224
Phone: Contact #: PRI 503 - 624 -3631
FAX 503- 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 1/9/2008 $66.85 LIC 75059
[TAX] 12% State Surchar 1/9/2008 $8.02 SUP 4226S
Total $74.87 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: Permittee Signature:. (I.
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.
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GEIVELJ
Electrical Permit Application i w t U 1; 1 1 ,I 0\11
City of Tigard "� it 2008 R Permit
13125 SW Hall B� o 223 °� D �� �Ca - dODl6
p flan R
1 4
• P 503.639.41X" 0 :3 .19 (JAl \1J, r Date/By: P
[, Inspection L - ' * 3 4 ING DT'VISl IOV V Date Ready/By: mss: la See Page 2 for
Internet: www. Notified/Method: Supplemental Information
h „,, t `'3`'i+ -. "' h�f ,. '3 £ 4 P i. _ t SI` CII� ' .., r waw , 3
❑ New construction ® Addition/alteration/replacement two check idl that a PP I Y (submit a sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Braiding over three stories.
❑ Demolition
❑ Other: where the available fault current ❑ Marinas and boatyards.
s " `' gt exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
x,.. _ z , : , .
El 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building w ground, err ons. ❑ commercial use agricalnnal
ry g aim far all other moos. bwldmgs.
❑ Multi family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
. ` ❑ Fmertson o system• "A", separately derived system.
❑ Addition of new motor load of ❑ °A °, "E", "l -2 ", "1.3'>
Job no.: [Job site address: 1606 SW 85th 100HPacmore. occupancy.
.A ❑ Sac or more residential gaits. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard OR 97281 / Z ❑ Halt?raxre facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldgJapt. no.: 405 Project name: Durham Hall ❑ Service or feeder 600 amps or more.
Cross street/directions to it
b o site: T
.1 » I Qty. I Fee. j Total
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'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no
Limited energy, residential 75.00 2
- ? ....<, .. . e" ? ... ; 1. _ a l i .F (with above eq. IL)
Reconnect heater Limited energy, mufti-family 75.00 2
residential (with above sq. It.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
t
r, 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 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
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
0 t t i Ni A p above service or feeder fee, 6.65 2
each branch circuit
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 2
Phone: ( ) I Fax : : ( ) dwelling, service and/or feeder
Reconnect only 6 6.85 2
E -mail: Pump or irrigation circle 53.40 2
CONT IA 1t1l . Sign or outline lighting 53.40 2
Business name: Willamette HVAC Signal circuit(s) or limited -
energy panel, alteration, or
Address: PO Box 23334 extension. Describe: Page 2 2
City/State/ZIP: Tigard OR 97281 Each additional inspection over allowable in an of the above
Phone: (503) 628.6841 I Fax: (503) 848.2597 Per s 62.50
Investigation per hour (1 hr mm) 62.50
CCB Lie.: 56951 I Electrical Lie.: 4025L / S . Lie.: Industrial plant per hour 73.75
/ .. .i . ..
Suprv. Electrician signature, required: Subtotal: Print name: Mike Sicard I Date: 1/8/08 Plan review (25 °/a of permit fee): tip
State surcharge (12% of permit fee):
Authorized signature: �; � TOTAL PERMIT FEE: ^
' � f" This it application expires if a permit is not obtained within 180
Print name: Date: t days a
ys after it has been accepted as compkte�rv,/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: �C 0 16
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/912008
Phone: (503) 639 -4171
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Inspection Requests (24 Hrs.): (503) 639 -4175 ....&W"
INSPECTION WORKSHEET FOR DATE: itior.2()08 TIME: 7 :00AM PAGE: 83
SITE ADDRESS: 16285 SW 85TH AVE 405 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: DURHAM HALL SPEC SPACE
DESCRIPTION: Reconnect.
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: WWLLAME I 1E ELECTRIC INC PHONE #: 503624 -3631
Inspection Request Scheduled For: Date: 1/10/2008 Pour Time:
Code # Inspection Description Co. • - • Contact # Message
109 Electrical fin.. /4. 2: B®01 971 -998 -2908 Y
Corrections/ - • mments /Instructions:
1 cAli-ta-- (6 \ q 41
-
..PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 ' N 66 LEP Date: I-16'01) Phone #: (503) 718- VILA'
CITY OF TIGARD
I BUILDING DIVISION PERMIT #: ME:t 2OOB 00012
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/9/7008
Phone: (503) 639 -4171 /
m%al ,p /
Inspection Requests (24 Hrs.): (503) 639 -4175 1 `I ..
INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7:00AM PAGE: 80
SITE ADDRESS: 16285 SW 85TH AVE 405 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: DURHAM HALL SPEC SPACE
DESCRIPTION: Replace unit heater with same size and capacity. $1875.00
OWNER: BIRKEMEIFR, BRENT T /,IANET D TRS, PHONE #:
CONTRACTOR: IM LLAMEI FE HVAC SERVICE PHONE #: 503-628-6841
i
Inspection Request Scheduled For: Date: 1/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message j�
699 Mechanical final 062890 01 971 - 998 -2908 V 4! `U
Corrections /Comments /Instructions:
V X - /PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL VA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ AMP /b
Inspector: — Date: I ® b Phone #: (503) 718- Z
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