Permit CITY OF TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2008 -00086
COMMUNITY DEVELOPMENT DATE ISSUED: 2/15/2008
TIGARD
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112AD -01100
SITE ADDRESS: 06670 SW BONITA RD ZONING: I -P
SUBDIVISION: PAUL SCHATZ FURNITURE LOT : 001 JURISDICTION: TIG
PROJECT: PAUL SCHATZ
Project Description: Phase 2 Electrical for showroom.
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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 32 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:
PACIFIC REALTY ASSOCIATES ALLEN JOHNSON ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI P 0 BOX 411
PORTLAND, OR 97224 AURORA, OR 97002
Phone: Contact #: PRI 503 - 250 - 3952
FAX 503 - 639 -0639
FEES
Description Date Amount Reg #: ELE 24 -I42C
[ELPRM"I'] ELC Permit 2/15/2008 $259.65 LIC 34879
[TAX] 12% State Surchar 2/15/2008 $31.15 SUP 2602s
Total $290.80 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to • • at 503.246.6699 or 1.800.332.2344.
/4
Issued By: Av , , � _ I / f/ Permittee Signature: k '
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application , , FOR OFFICE USE ONLY
• City of Tigard RECEIVED R eceived —r / 5 / 3 Q Permit No.: �
- a Reteiv f� ' --OA,
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Rev w
Phone: 503.639.4171 Fax: 503.598-1.* 01 Other Permit:
f-C • a 1 i2OO8 DateBy:
Tl G A R D Inspection Line: 503.639.4175 f o Date Ready /By: luri� ® See Page 2 for
Internet: www.tigard Notified/Method: Notified/Method: J Supplemental Information
VOL T■l�i
TYP) (('?? V: S I O Pl check all that apply (ssubb sets of VIEW
w /items checked below):
lE New construction ❑ Addition a rafto rep`facement
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGO$Y OF CONSTRUCTION . exceeds 10,000 amps at 150 volts or ❑Floating buildings.
/ less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
1LJi_
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder p Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
_ ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: 66:70 $',) '
j4, Six or ores. Recreational (% � ( .F � ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: ��4 ae e, 4 C(`7 2L/ ❑ Health -care facilities.
❑ Hazardous locations. El Supply voltage for more than
600 volts nominal.
Suite/bldg. /apt. no.: Project name: 13C� ANzift 510a-ed.- ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: • Description i Qty. ► Fee. i 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 I
Tax map /parcel no.:
Limited energy, residential 75.00 2
DESCRIPTION ..OF WORK (with above sq. ft.)
/ Limited energy, multi - family
/� .1� Ly A' �.,7� - i. j —C#7 ,r �.,� residential (with above sq. ft.) 75.00 2
/ Services or feeders installation, alteration, and/or relocation
W t -.1.-7/ s - /.... `+; 200 amps or less 80.30 2
y .JROPERTY OWNER ❑ TENANT • ' 201 amps to 400 amps 106.85 2
Name: • raa JG�y 401 amps to 600 amps 160.60 2
1 601 amps to 1,000 amps 240.60 2
Address: 64 0 5'_' 13 r , 4, Over 1,000 amps or volts 454.65 2
City/State /ZIP: ' 2_ q a-,2-c/ Temporary services or feeders installation, alteration, and/or
V q, relocation
Phone: c ( 0 . 5 ) 4 ( t , L c % Fax: ( , ) 3 4 3 ' 6/- 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 am 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, • er panel
•
A. Fee for branch circuits with
gzi APPLICANT ' ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: f 4. La.. Peo o.ev-ry 6 B. Fee for branch circuits
J without service or feeder fee, / 46.85 y`�'(6... 2
Contact name: f ti d � .k -../zr-- first branch circuit
6.COC, ` Each add'I branch circuit 37.- 6.65 a/# s 2
v �� ��� Miscellaneous (service or feeder not included)
City/State /ZIP: / ` j ✓w' Ot 9 7. z. Each, manufactured or modular 90.90 2
Phone: Fax: dwelling, service and /or feeder
( ) ( ) Reconnect only 66.85 '
E -mail: Pump or irrigation circle 53.40 2
•
• CONTRACTOR Sign or outline lighting 53.40 2
Business name: 4. e�� �cL
Signal panel, a) e r t o n ,
. or
��' �G,Q= v energy panel, alteration, or
Address: / = o sx /l/ extension. Describe: Page 2 2
City/State /ZIP: �� ,y-,,€ d/z-e_ 9 2a , Each additional inspection over allowable in any of the above
Per inspection 62.50 •
Phone: ( ) Fax: ( °)
Investigation per hour (1 hr min) 62.50
CCB Lie.: ,3yd79 Electrical Lic.: 2- /f; _ Suprv. Lie.: o2(io S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, re
P � required: 9 � G�iyiz � Subtotal: d 2 5 � 0 5
Su
Print name: 4, llG v TO/ So,,✓ Date: Z -- Z ' 'B Plan review (25% of permit ee):
n / State surcharge (12% of perm it fee): 3) . 1 S
Authorized signature: _ TOTAL PERMIT FEE: c °g - C M
Print name: P ..,k, ( Sit f- .2-1-7- Date: 2 This permit application expires if a permit is not obtained within 180
f days after it has been n accepted as complete.
* Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp doe 05/23/06 440 -4615T(1 I /05 /COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
'RESIDENTIAL WORK -,ONLY: .___ —_..__ 7777
__
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑' Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control* •
❑ Medical
❑ N urse Calls
❑ Outdoor Landscape Lighting*
❑ P rotective Signaling
❑ O ther
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Building\Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2008•00086
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/15/2009
Phon�: (503) 639-4171
.
Inspection Requests (24 Hrs.): (503) 639-4175 ,T11W
INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 06670 SW BONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: PAUL SCHATZ
DESCRIPTION: Phase 2 Electric:al for showroom.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHNSON ELECTRIC, ALLEN PHONE #: 503-250-3952
Inspection Request Scheduled For: Date: 3/14/2008 Pour Time:
Code # Inspection Description Oonfirm-# Contact # Message
199 Electrical final 066699-01 503-866-8368
Corrections/Comments/Instructions:
Sue�QT •
kig (-1 k) WALL,
4) 1 cto•ii Og ft.\
F J A L cisa,slikt)5
v.. PASS I I PARTIAL APPROVAL ID CANCEL fl NO ACCESS
I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 6 Nkse Date: • l i tr1/4 Phone #: (503) 718- 1.4qk
1 �^
CITY .. �«_
.~~ ~ ~ ~~~ TIGARD ~. .~~
BUILDING DIVISION ' PERMIT #:
| 13125SVVHaUB�,
dT�o�.ORO7223 DATE ISSUED: 211512008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 "��1 I.
INSPECTION WORKSHEET FOR DATE: 2/20/2008 TIME: 7:00AhA PAGE: 63
SITE ADDRESS: 06670SWBON|TA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHAFZ FURNITURE LOT #: D01 TYPE OF USE:
PROJECT NAME: PAUL SCHATZ
DESCRIPTION: phnnm Electrical for showroom.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: J5QW ELECTRIC, ALLEN PHONE #: 503-250-3952
Inspection Request Scheduled For: Date: 2/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact Message
`" 120 086229'01 503-47S-2037 N
Corrections/Comments/Instructions:
.
,
| I PASS 1:1 PARTIAL APPROVAL EL fl NO ACCESS
| I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
/�� ���D_ l ~ � � ��.r�J
Inspector: `�� ' \^\lJv�� �-�� Date: ^~�' ~�^ c^'U Phone #: (603) 718'4 '
' . ��`
•- ` - - , . ` '
' �
CITY OF ��nn u m.�m� nm���mnn�* ' ��
BUILDING DIVISION ~°~~"~~~°".°~� ~�"°"~,"~~"° PERMIT -
E]C�00�O0C8�i
| �
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2M5/2008
Phone: (503) 639-4171
Inspection Requoa�(24Hmj:(5U3)630~4175 ,..41.0.1- '
INSPECTION WORKSHEET FOR DATE: 2/10/2008 TIME: 7:00AW PAGE: 62
SITE ADDRESS: 0667OSyVB0NUTARQ CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: PAUL SCHATZ
DESCRIPTION: Phase Electrical for showroom.
OWNER: PACIFIC REALTY ASS0CIATES, PHONE #:
CONTRACTOR: JOHNSON ELECTRIC, ALLEN PHONE #: 5O3-260.3952
Inspection Request Scheduled For: Date: 2N20V2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 065229-02 503-475-2037 N
-
Corrections/Comments/Instructions:
'
S \ PASS PARTIAL APPROVAL ri CANCEL fl NO ACCESS
| I FAIL 0 CALL FOR INSPECTION r] ADDITIONAL FEES ASSESSED
Inspector: 6 N o 6 '"- 1'2)3 � 2-4A