Permit CITY OF TIGARD ELECTRICAL PERMIT
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° PERMIT #: ELC2007-00599
COMMUNITY DEVELOPMENT DATE ISSUED:
8/24/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AB -02703
SITE ADDRESS: 07450 SW BEVELAND RD 120 ZONING: MUE
SUBDIVISION: MCA OFFICE BUILDING LOT : 027 JURISDICTION: TIG
PROJECT: WESTSIDE SLEEP CENTER
Project Description: Low voltage for HVAC wiring.
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: 1
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: 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:
MCCAFFERY & ASSOCIATES ,
7450 SW BEVELAND RD. #100
TIGARD, OR 97223
Phone: NA Contact #: .
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 8/24/2007 $75.00
[TAX] 8% State Surcharge 8/24/2007 $6.00
Total $81.00 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 OUN at 503.246.6699 or 1.800 332.2344.
'
Issued By ,� f / � I �L� d L ,, Permittee Signatur i 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:
CONTRA OR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: /4 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 .. FOR OFFICE USE ONLY • • • ; . •
City of Tigard Received
. Date/B : • MO Permit No.:1/1,9417. T
13125 SW Hall Blvd., Tigard, OR 97223 ,, , Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 11'1411"'•'` Dawn : Other Permit:
Inspection Line: 503.639.4175 _LI; , '-'1 I I Date Ready/By: 14 El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: / t Supplemental Information
4yt - ,(07 - ::1,yoitk: - . ::::::-. --:: r .:-. i'':: : : ' : :;:..... :..:''' ','::',;'.'::::::-.:: '..:-".: ; ::::1:-:: ''' :..:.: ':1 :. ;
Ell New construction diPkddition/alteration/replacement Please check all that apply:
DService over 225 amps, comm'l • ['Hazardous location
0 Demolition El Other: . ... over 320 amps - rating OBuildng over 10,000 sq. R.,
.i:5::1;:::&:
CATEGORY OF CONSTRUCTION , ..;.:. ::- I' • ':::: '; ,'''.' -.. ..-.:: of I and 2-family dwellings 4 or more new residential
0 1 and 2 dwelling F2kfommercial/industrial 0 Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories DFeeders, 400 amps or more
0 Multi-family El Master builder 0 Other: ['Occupant load over 99 persons ['Manufactured structures or
:",•:,...:',.,::::-:-,':,.• :'..-,-..;:.'.: --::::: :••.: ,Kes :SITE j INFORMATION AND LOCATION ::-.: • - . -. : ::: --, ' : ' .; i : ElEgress/lig,hting plan RV park
/ ['Health-care facility ['Other:
Job no.: Job site address: 7567) ( e . - c : ---&• vela/1g Submit 2 sets of plans with any of the above.
City/State/ZIP: ---7, 6/e... 9 73 The above are not applicable to temporary construction service.
/ ::: '..:. ':_, '.' : .-': :: • : •-, r- ":-!:
Suite/bldg./apt. no.: ia Project name: 0 jpe „r,,(2 Description I Q I Fet I
Cross street/directions to job site: - New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. tt. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non-residential 75.00 2
:.:::::::::PP:::::•:!..M-.0540:;•:'•:2:':':':•::::51:',',::::-7:4000001)0$::•0*::***-::::::;',1i:it.-::-=.0::::::::',..Rgqi,"--,Li,R;,',:;i::::::SY'..::: E manu or mo
/ VA" C/ - i 01.0 VO) e -- - p ri cize.2
r , n0c dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
1zu::1 ..i. .. .„ . „,,,., : _,, g a rtistiti , inr ,,,.. ,, ... 201 amps to 400 amps 106.85 2
160.60 2
Name: rj Jeep eenk-- 601 amps to 1,000 amps 240.60 2
' • Address: 75452 9 j eve/n/7/i Over 1,000 amps or volts 454.65 2
Reconnect only • 66.85 2
City/State/ZIP: p„ A Temporary j ,-)1( 9 74 ,/43
' 7 4 '", °-'" I Fax: ( ) Temrary services or feeders installation, alteration, and/or
relocation
Phone: ( ) 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 10030 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
iaS 2::.',:: A ' Fee for branch circuits with
service or feeder fee, each
/h12 Business name: /.._) Cc /.)/0-1e 4;V , _. c - - branch circuit
B. Fee for branch circuits 6.65 2
Contact name: 4 in tiL.0; M'ant ) without service or feeder fee,
46.85 2
each branch circuit
Address: c .517,..m ( c) i J o 675 / / 7 7 , (D Each add'l branch circuit 6.65 2
City/State/ZIP: /..0/1430/1 V lb' 40/ 97070 Miscellaneous (service or feeder not included)
/
j Pump or irrigation circle 53.40 2
Phone: (5 ( . "99. Fax: : (IU kV) • 4185 Sign or outline lighting 53.40 2
E kt4.9/77/0fla &.-- aci th-ci.4-.Aciii , coxA Signal circuit(s) or limited-
- ,'''. - :V•; : .•: 2 ;-4K"...g.;:::' , .ftgN:: - . - : . *: ,. ..'.! , . i'::::::::. ::' :: ,:::::•,(/: : :: : :.:':5'. : .Y:::: :::':. z .::::...:' .: z : :: ',-::- energy panel, alteration, or
extension. pescribe: , , I Page 2 2
Business name: 1 .,.,
F le .r•-(''ici etzekrntAnr3 ti Y At_ itlermosida
Each additional inspection over allowable in any of the above
Address: a) 1.16n A1 7i)r;ve_. 4 ° 214 Per inspection 62.50
City/State/ZIP: X
- p tit Dom 0 fero Investigation per hour (1 hr min) 62.50
Industrial plant per how 73.75
Phone: (5Da)_ cyfC0 )
Fax: (62>3) 4./V . 05/0 j
CTRICAL:PERMIT FEES*1':: '. r.:: '::.:
CCB Lic.: 12860 8 Electrical Lic.: 5 Suprv. Lie.: Z../6,73
// Subtotal
Suprv. Electrician signature, required: / _ Plan review (25% of permit fee)
I, i - ''''' - Z- State surcharge (8% of permit fee)
Print name:
Date: g /22/ .
/ .
/ , TOTAL PERMIT FEE
Authorize. ignatu • %
.7 1/14 This permit application expires if a permit is not obtained within 180
-......■ - days after it has been accepted as complete
am
Print name: ..
4 I / (
1 /fi,a.) Date: 8 Z..;?, 0 7 * Fee methodology set by Tri-County Building Industry Service Board
"Number of inspections per permit allowed.
i: \ BuildingTermits\ ELC-PermitApp.doc 12/03 440-4615T(10/02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -0090
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 &W'
INSPECTION WORKSHEET FOR DATE: 11/21/2007 TIME: 7 :00AM PAGE: 62
SITE ADDRESS: 07450 SW BEVELAND RD 120 CLASS OF WORK:
SUBDIVISION: MCA OFFICE BUILDING LOT #: 027 TYPE OF USE:
PROJECT NAME: WFSTSIDE SLEEP CENTER
DESCRIPTION: Low voltage for HVAC wiring.
OWNER: MCCAFFERY & ASSOCIATES, PHONE #: NA
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 11/21/2007 Pour Time:
Code # Inspection Description C -firri -.# Contact # Message
188 Electrical final 060070-01 513 -473 -2726 N
r '
Corrections /Comments /Instructions:
C /1 )\./
TAPASS ❑ PARTIAL APPROVAL n CANCEL [ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: , 11\)(V Date: 11241(n Phone #: (503) 718 - 1
CITY OF TIGARD ..
BUILDING DIVISION PERMIT #: ELC2007.00599
13125 SW Hall Blvd., Tigard, OR 97223 d DATE ISSUED: a1?4/2007
Phone: (503) 639 -4171 N uui
Inspection Requests (24 Hrs.): (503) 639 -4175 1.L
INSPECTION WORKSHEET FOR DATE: 9/27/2007 TIME: 7 :00AM PAGE: 52
SITE ADDRESS: 07450 SW BEVELAND RD 120 CLASS OF WORK:
SUBDIVISION: MCA OFFICE BUILDING LOT #: 077 TYPE OF USE:
PROJECT NAME: WESTSIDE SLEEP CENTER
DESCRIPTION: Low voltage* for HVAC wiring.
OWNER: MCCAFFERY & ASSOCIATES, PHONE #: NA
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 9/27/2007 Pour Time:
Code # Inspection Description onfirm # Contact # Message
135 Low voltage 05615 01 503-473-2726 N
Corrections /Comments /Instructions:
•
PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: i N O ®L ' Date: 411 :11C11 Phone #: (503) 718- 111.1-b