Permit Iii �' CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00220
COMMUNITY DEVELOPMENT DATE ISSUED: 4/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S101AB 01604
SITE ADDRESS: 07307 SW BEVELAND RD 100 ZONING: MUE
SUBDIVISION: GILROY BUILDING LOT : 016 JURISDICTION: TIG
PROJECT: EYE CLINIC
Project Description: TI - (20) branch circuits. Job No. 7896
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: j W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 19 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:
BEVELAND LLC JARMER ELECTRIC INC
7307 SW BEVELAND RD 5105 SW 45TH AVE
TIGARD, OR 97223 PORTLAND, OR 97221
Phone: Contact #: PRI 503 - 246 -5381 .
FAX 503- 244 -8037
FEES
Description Date Amount Reg #: ELE 26 -144C
[ELPRMT] ELC Permit 4/10/2007 $173.20 LIC 6924
[TAX] 8% State Surcharge 4/10/2007 $13.86 SUP 4044S
Total $187.06 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 f -mar.Q than 180 •ays. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rul s are set forth i• OA" •,52- 001 -0010 through OAR 952 -001 -0100. You may obtain copies • these rules or direct questions to OUNC at
503.246. 699 or 1 .800. 42.234 , . i
Issued / ' Permittee Signature _„ i • l ✓i � (riw/ ��
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: __,-.7—'
-.% ' _ __`'i ,1 IL r - DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an i nspection 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 ti 9 0 7
i N €. Permit No.: z _e,p e ie 7- e v o zp O
97
eNeP Date/By. I
Plan Review
/ - M Phone: 503.639.4171 Fax: 503 . 13125 SW Hall Blvd., Tigard, OR ‘; Date/By: Other Permit:
TIGARD
Inspection Line: 503.639.4175
''/'‘J' Date Ready/By:
....
Is IZI See Page 2 for
i ,
,...
Internet: www.tigard-or.gov Notified/Method: IC. Supplemental Information
intiVstAttilligiir10,041:'01#0.: ,Idt Tl..., V: , ::,titt,M04361*AN!,' , IMYAKI!voke,o; , ::,
0 New construction Addition/alterat . ir‘ ' ent
Please check all that apply (submit 2 sets of plans w/items checked below):
[E] t :.
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition . 0 er% , where the available fault current 0 Marinas and boatyards.
If a O
i lW14,trerOjilgeff ■ikFiie tlii*:,:',:'.:TRNANIAN.,,K: exceeds 10,000 amps at 150 volts or 0 Floating buildings.
'' '''''."'''''''' ''''''' '''''''''"' ' '' ' ' ''''' <''' less to ground, or exceeds 14,000 0 Commercial-use agricultural
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings
0 Multi-family 0 Master builder 0 Other: El Fire pump. 0 Installation of 75 KVA or
- - .,,, 0 Emergency system. larger separately derived system.
illat 1i t 0 Addition of new motor load of 0 A I
100HP or more. occupancy.
Job no.: 7896 Job site address: 7307 SW Beveland Rd
0 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
0 Hazardous locations. 600 volts nominal.
SUiteibidgiapt. no Project name: Ey g e„1. iJi_, 0 Service or feeder 600 amps or more.
VENZAL-MACCI5000424-Mgi&:i .;::.
Cross street/directions to job site: Description . I Qty. I Fee. I Total I .
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'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential
,„ (with above sq. ft.) 75.00 2
Limited energy, multi-family
TI Eye Clinic residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
1,11111•014*Kftgo c„ 201 amps to 400 amps 106.85 2
Name: f () LA- N..Y. 1,......Le....„ 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2.
Address: 7 3 -7 1.4. --- ed f.- 4 - € C - tei `r.1 D -f1.- ' - .. Over 1,000 amps or volts 454.65 . 2
City/State/ZIP: - "pin 6e - 972-25 Temporary services or feeders installation, alteration, and/or- •
relocation
Phone: ( ) . Fax: ( ) 200 amps or less 66.85
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
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
r ":' , : Y fltttiti9t*:it#:i ; *WtMkM,'aSgitiaiti,EI.00 tiK,040 3, ,0,11:4 ,Znt a bove service or feeder fee,
6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 1 46.85
Contact name: 46.85 2
first branch circuit
Address: Each add'I branch circuit 19 6.65 126.35 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
:giUrtg:g! :: agi Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
Business name: Jarmer Electric, Inc. energy panel, alteration, or
Address: 5105 SW 45 Ave extension. Describe: Page 2 2
City/State/ZIP: Portland, OR 97221 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 246-5381 Fax: (503) 244-8037 Investigation per hour (1 hr nun) 62.50 •
CCB Lie.: .6924 S1401 Electrical Lie.: 26-144C rv. Lie.: 4044S Industrial plant per hour 73.75 • - -
Suprv. Electrician signature, required: .
/
y egle044;gat ge:(01CAL ,:P.EVIITA..ttS
Subtotal:
Plan review (25% of permit fee): 173.20 -.
Print name: Stuart M Jarmer Date: 04/04/07
State surcharge (8% of permit fee): 13.86
- -- -
Authorized signature: .-
'-
- TOTAL PERMIT FEE: 187.06
This permit application expires if a permit is not obtained within 180
Print name: Dorothy Cottingham Date: 04/04/07 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I. \Building \Permits \ELC-PermitApp doc 05/23/06 440-4615TO I/05/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10/2007
Phone: (503) 639 -4171 0,
Inspection Requests (24 Hrs.): (503) 639 -4175 ...JO- `'—..
INSPECTION WORKSHEET FOR DATE: 7/2/2007 TIME: 7:02AM PAGE: 6
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: TIGARD OPTOMETRICS
DESCRIPTION: TI - (20) branch circuits. Job No. 7896 5/14/07 ADD 200 amp or less service / feeder.
OWNER: BEVELAND LLC, PHONE #:
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 503-1%5381
Inspection Request Scheduled For: Date: 7/2/2007 Pour Time:
Code # Inspection Description ,Confir`mr# Contact # Message
199 Electrical final 061299.03 603-793-2621 N
Corrections /Comments /Instructions:
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PASS AL (l CANCEL I ] NO ACCESS
1 I FAIL CALL FOR INSPECTION LJ ADDITIONAL FEES ASSESSED
Inspector: E* p `-.1 Date: 1 1 61 Phone #: (503) 718- I.14Lit •
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CITY OF TIGARD
BUILDING DIVISION PERMIT #:EL.C.Z�07.0
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED:
Phone: (503) 639 -4171 µ +nyryu� fill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: L. 2 , q 07 TIME: PAGE:
SITE ADDRESS: Tr5O1 S w ciava"4-6t CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
•
OWNER: PHONE #:
CONTRACTORsq s1Aa. PHONE #:
Inspection Request Scheduled For: Date: 6 - 2A--0 Pour Time:
Code # Inspection Description Confirm #~ Contact # Message
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Corrections /Comments /Instructions: - . ..
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n PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' N 06 E Date: 61 25 1''d i l Phone #: (503) 718 - Z-446
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10/2007
Phone: (503) 639 -4171 umlu�ll�
Inspection Requests (24 Hrs.): (503) 639 -4175 .v.__L
INSPECTION WORKSHEET FOR DATE: 6/29/2007 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:.
PROJECT NAME: TIGARD OPTOMETRICS
DESCRIPTION: TI - (20) branch circuits. Job No. 7896 5/14/07 ADD 200 amp or less service / feeder. .
OWNER: BEVELAND LLC, PHONE #:
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 503-246-5381
Inspection Request Scheduled For: Date: 6/29 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 051169.03 503-793 -2621 N
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'FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ■ V4 Date: 6 I Phone #: (503) 718 - 2..il'ij
CITY OF TIGARD -
I BUILDING DIVISION PERMIT #: ELC2007 -00220
13125 SW Hall Blvd., Tigard, OR 97223 ■ DATE ISSUED: 4/10/2007
Phone: (503) 639 -4171 �1"t
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_' H -L
INSPECTION WORKSHEET FOR DATE: 5/11 /2007 TIME: 7:01AM PAGE: 102
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: TIGARD OPTOMETRICS
DESCRIPTION: TI - (20) branch circuits. Job No. 7896
OWNER: BEVELAND LLC, PHONE #:
CONTRACTOR: JARMER ELECTRIC INC A U CY\/ PHONE #: 503 -246 -5351
Inspection Request Scheduled For: Date: 5/11/2007 Pour Time:
Code # Inspection Description ,Confirm,# Contact # Message
125 Wall cover ( O48090. 503 -793 -2621 N. Y
.
Corrections /Comments /Instructions: \ j
LA `s
PASS ❑ PARTIAL APPROVAL I I CANCEL NO ACCESS
n FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: & • N (t)-E Date: Si II 01 Phone #: (503) 718- IATO
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41/012007
Phone: (503) 639 -4171 Ao#111 ' tl
Inspection Requests (24 Hrs.): (503) 639 -4175 4.617
INSPECTION WORKSHEET FOR DATE: 5/7/2007 TIME: 7:00AM PAGE: 54
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: TIGARD OPTOMETRICS
DESCRIPTION: TI - (20) branch circuits. Job No. 7896
OWNER: BEVELAND LLC, PHONE #:
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 503 -246 -5381
Inspection Request Scheduled For: Date: 517/2007 Pour Time:
Code # Inspection Description rim # Contact # Message
125 Wall cover 047718 -01 503-246.5381 N
Corrections /Comments/ Instructions:
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PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
A FAIL 'j CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: N %L e" Date: 51 if O' Phone #: (503) 718 VA