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Permit
-r1 CITY OF TIGARD ELECTRICAL PERMIT 'z... , COMMUNITY DEVELOPMENT Permit #: ELC2011 -00315 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/08/2011 Parcel: SEG694 Jurisdiction: TIGARD Site address: Project: 2008 Rural & Urban Corridor Subdivision: Lot: Project Description: VMS installation, (1) service, (6) branch circuits & (2) low voltage for data. Area of work is on south side of Pacific Hwy, just east of the Hwy 217 NB off -ramp. Mile post 8.52 Contractor: TOMCO ELECTRIC INC Owner: OREGON DEPARTMENT OF TRANSPORTATION PO BOX 6388 PORTLAND, OR BEND, OR 97708 -6388 PHONE: 541 - 389 -5424 PHONE: FAX: 541 - 317 -0494 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 06/08/2011 $100.70 Specifics: amps or less 6 crt Branch Circuits w /Purchase 06/08/2011 $44.52 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea Signal circuit or Limited 06/08/2011 $75.00 Energy Panel Type of Const: 1 ea 12% State Surcharge - 06/08/2011 $26.43 Occupancy Grp: Electrical Total $246.65 Required Items and Reports (Conditions) This permit i ' Sued • •'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done i accordance with �•prov -• • -•s. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. AT ENTION: Oregon la requires •u to follow the rules adopted by the Oregon Utility Notifica ••• Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-laj 0090. • may •btain a copy of the rules or direct questions to OUNC • • 232.1987 or 1.800.3 , .2344. / c r � ' / Issued _�_11 _ Permittee Signa _�. / , , T l� en l 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' k' ,' ,� .�� Date: ia.. %r 1 LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. 06 / 0 7 / 201 1 TUE 11:08 FAX 1 541 317 0494 Tomco Electric, Inc. 2005/007 i C . .. r , Electrical Permit Application REc, 0 v F F, .,. FOR OFFICE, 1.ISE ONLY ] 3125 SW ,,.......-- City of Tigard 4 Hall Blvd., Tigard, OR 97223 JUN 7 2011 Er " Phone: 503.718.2439 Fax: 503.598.1960 Received / 7 licA,...)1 Date/By: (4, Plan Review Date/13y: Permit No.: /..er,a5--a--e/05/ 3 Other Permit: 4175 639 ection Line: 503.639 Jan' fa See Page 2 for p..ate Ready/13y: TIGARD Ins CITY OF TIGARD D Internet: wvvw.tigard-or.gov Notified/Method: Supplemental Information uLromr., niviqlor : ::•,- .:.-,-'''.:.: iii/ii4IF ''''',*':-•.- ''' . • • -.' ... - " ' '.'•-•':'-:'::. .• . • .:.- 7:. :.. ' .' '''' ' •••' ' ' New construction 0 Add ition/alteration/replacement Please check all that apply (submit 2 sets of plans oditeins checked below): • El 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition LI Other: where the available fault eunent 0 Marinas and boatyards. , •-• : ',... - -- .., .. • - , ' .....::: ... '• -.. ...- - - •,-:, . , • - • ' exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14,000 El Commercial agricultural 0 1 - and 2-family dwelling El Commercial/industrial E Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump, 0 installation or 75 KVA or larger separately derived system. i1IpVSygigN,F9jipwlepil8N:p., ..‘,. ,,.,,: :.-:.:,-:':,...::: 0 Addition of new motor load of Job no.: 6540 Job site address: OR99W @ MPS.52 100HP or more. occupancy. 12I Six or more residential units. 0 Recreational vehicle parks. ... City/State/ZIP: Tigard "OR 97223 . • 0 Health-care facilities, 0 Supply voltage for more than 1:Hazardous locations. 600 volts nominal. Suite/bldg/apt, no.: Project name: 2008 Rural & Urban Corr 0 Service or feeclei 600 amps or more. l:: .- '. '• • .• • Cross street/directions to job site: D (6 g- E' 66 D.crip5i9„ I Qty. I rec. 1 Total I ^ New residential single- or multi-family dwelling unit. A 774-c it 6 b fl it p .- ,57-7 ..e. 4> Includes attached garage. Subdivision: 51 & ? ci Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. addi 500 sq. ft. or portion 33.92 1 Tax map/parcel no.: Limited energy, residential .... • . - : . , . . .• - . - .. .• • - . • . . 75.00 2 : -. : .: .• ..: '' :'....* ' _:"' ....LfDEScRIPTION :OF.:1YORX`" • . , - - . . '. (with above sq. ft.) . ... . . • ----- Limited energy, multi-family 75.00 • VMS Installation residential (with above sq. it) '° Services or feeders installation, alteration, and/or relocation 200 amps or less 1 100.70 100.70 2 PROPERTY OWNER !;::‘;a::7:-:.- .: ,,.,,: ::...:::::-.'"1.-::.,y.:k, 201 amps to 400 amps 133.56 2 401 amps, to 600 amps 200,34 2 Name: Oregon Department of Transportation 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State/ZIP . Temporary services or feeders installation, alteration, and/or : relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 I 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 25.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits- new, alteration, or extension, per panel Owner signature: Date: A. Eee for branch circuits with •:,: ::..:,; (.;:::,..,.,'_-:.,,,:.Y,,.:,-,EtitorNik6f...jotij,st:N...,:.,:.,-:,..:,:., above service or feeder fee, 6 7.42 44.52 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact narne: branch circuit , Each add'I branch circuit 7,42 2 Address: Miscellaneous (service or feeder not included) Each manufactured or modular City/State/ZIP: 67.84 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67,84 2 E-mail: Sign or outline lighting 67.84 2 : - .- ' . - ', - . -- ... r .: - ,.'.': Signal circuit(s) or limited-energy 1 75.00 Business name: Toil Electric, Inc panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: PO Box 6388 Additional inspection (1 hr min) 66.25/ hr City/State/ZIP: Bend, OR 97708 Investigation (1 hr min) 66,25/ hr Industrial plant (1 hr min) 78.18/ ht. Phone: (541) 389 Fax: (541) 3 1 7-0494 Inspections for which no fee is 90.00/ lir specifically listed (1/2 hr min) : CCB Lic.:33S7 Cie/ Electrical Lic.: W ill — Ci(C Suprv. Lic.: 32/4S , ..'..:•, ..'.-,: s.' FEES '.' .:••' :. :::--. ' • i is a q,26. 2 Suprv. Electrician : ^ IQ required: c..... At 4.....7 Subtotal. A ""3 Plan review (25% of permit fee): ------ Print name: / 40 til 1 at V 6/4 /6 I Date: 6 .... _ q State surcharge (12% of permit fee): atg 4V • `1.3 Authorized signature: / .. / , 2 . . , TOTAL PERMIT FEE: , tilte, • (6 .5 i .. This permit application expires if a permit is not obtained within 180 Print name: Iltik , . i . : trZ. days after it has been accepted as complete. . .. g( - 7 -- f . t /- Number of inspections allowed per permit. 1:\BuildingIl 07/01110 440 ''I I 1/05/COM/WEB 06/07/2011 TUE 11:09 FAX 1 541 317 0494 Tomco Electric, Inc. 2006/007 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: Li Audio and Stereo Systems* I ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* n Vacuum Systems* Other: GQ IJV[EROI L W 0 RK- IDNLY: Fee for each commercial $75.00 system (SEE OAR 918 - 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems Boiler Controls I — n Clock Systems • Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation lJ Intercom and Paging Systems Landscape Irrigation Control* n Medical ❑ Nurse Calls _ Outdoor Landscape Lighting* ❑ Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1: 113uilding \Permits\ELC- PermitApp.doc 07701/10 . � . ,117o� 1 -Jim gm v v N. s z, f. :` • Illialla x w - 4 ' x t ,, , , , ._,...,... . i . ., . . , .,,,,,w-, -.... ,..,,,,,:tzttlt.t1,_„,,,,.•,,L.. .. .., . .1 11:1,., i .8. ', ,.'.. x Feet ,, 0 250 t - Bidding Plans • o VMS INSTALLATION PLAN o NEAR OR 217 r OR 99W PACIFIC HIGHWAY WEST. M.P. 8.52 - o i Q - N 4. a0 0 40 FM i . . r l 0 - . 0 © � .1w/0/controller cabinet on EoH face o! support In Ern Q cm 0. ° Y� o y L Q I _Q nwo, ter u Yi.__- - -_ r■ o • m — — — — ® — OR -99W Pacific Hwy. Wes+ bre U I H U 6 . _ i v — . �� ' t y u w u VI A. W ti ---.. o a E ` -i= -.- _ ` .6 0 l© 7 » E \ \ L 9 \ \ � o Q l , o \ ® . 4Ci ita z o OREGON DHTARTMENT OF TRANSPORTAT ION N Cr � DAVID EVANS AND ASSOCIATES INC. , .I cc ..PcE Pot. =395.3 <AV ?fiaCe --re Aa-tbH :,po Nepon :h 911W . 5p1.5:-77.71,5s, ct ;Sw G S NgP / 9 2010 RURAL A URBAN CORRIDOR ITS SEC. Pre fn 0 ec rj E 0 VARIOUS HIGHWAYS ll �� VARIOUS COUNTIES • .--I �c' OREGO N o NOTE: `? K RRU x Ins /elrpgague an cabinet wife fallowing legend - 'SERVICE DISCONNECT C� � \ s\� . c " o , f '� • g IS LOCATED ON THE SE CORNER OE 05.217 OFF- RAI/P, SERVICE IS 'eN 14.c " oe. , W COMBINED WITH THE SIGNAL- OISTA/C'E APPROX. FT-' _ VMS INSTALLATION EXPIRES Ia.jpj /Ii I ■ • PLAN -w ,o. 1Y5 -994 ■ O P:\ O\ 000T00000672 W400ELO \TT\00N \Sheets\ 14920as. Dl l 10/14/2010 2:43:58 PU cobe 4- s L C 8 W E N r . 0 • 0 •