Permit -)-/ /o V / c-c//6e-of c o Vlr _o 3 b, l/,`/ c_fru
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00606
- COMMUNITY DEVELOPMENT DATE ISSUED: 8/30/2007
TIG N, RD , 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
g 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 TI, 19,233 AIC, HVAC. Job No. 5182 1/31/08, adding (1) circuit for additional HVAC and low
voltage for fire alarm. 02/08/08 adding (3) branch circuits for exterior lights and roof outlets.
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: SIGNAUPANEL: 1
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 1 PER INSPECTION:
201 - 400 amp: 1 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT:
601 - 1000 amp: PLAWREVIEW 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 HILLSBORO ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI 21185 NW EVERGREEN PKWY #110
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone: Contact #: PRI 503 - 439 -9666
FAX 503 - 601 -3680
FEES
Description Date Amount Reg #: ELE 34 -499C
[ELPRMT] ELC Permit 8/30/2007 $187.15 LIC 134481
[ELPLCK] ELC PIn Rev 8/30/2007 $46.79 SUP 4941S
[TAX] 8% State Surcharge 8/30/2007 $14.98 REQUIRED ITEMS AND REPORTS
(additional fees not listed here)
Total $340.37
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 :,0 ,.>0(_, `� 'ermi - - - 'gnature: 43 ���, �•/
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.
. ..
'- 1E l e ctrical Permit Application FOR OFFICE USE ONLY
City of Ti oar /Bv ,V7 07 f fi ll rJ 'A
PermitNo.: (i
l�7-QQ ,/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �� p��I�j' Date /By Other Permit:
� "
Inspection Line: 503.639.4175 1 Date Ready /By. El See Page 2 for
Internet: www CI. tigard or.us Notified /Method: Supplemental Information
TYPE OF WORK . PLAN REVIEW
New construction ❑ Addition /alteration /replacement Please check all that apply
1=1 Demolition [II Other: ['Service over 225 amps. comm'I ['Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling gi Commercial /industrial ❑ Accessory building System over 600 volts nominal units in one structure
❑ Multi - fantil ❑Master builder Other: ❑Building over three stories ['Feeders, 400 amps or more
y Occupant load over 99 persons ❑Manufactured structures or
. - JOB SiTE INFORMATION AND LOCATION ' ' . • - ❑Egress /lighting plan RV park
/,�
r n ['Health-care facility [Other
,lob no.:, ) ga Job site address: Le (. 7 S i Jon t1C{ Kr Submit? sets of plans with any of the above.
City /State /ZIP: --r G r(i, (') Q The above are not applicable to temporary construction service.
Suite /bldg" /apt. no.: Project name: p... FEE* SCHEDULE_ . .`
.t Description Qty. Fee. Total
Cross street/directions to job site: S to c s F/5" e
r -r2e- New residential single -or multi - family dwelling unit.
includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.: 2
Limited energy, non - residential 75.00
- • _ - . • DESCRIPTION OF WORK : - . Each manufactured or modular
. dwelling, service and /or feeder 90.90 2 _
T h o , a (‘ X p r - s i 0 (`1 , ) 2 33 A M C. I H V Pt C. Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 06030 2 ill ❑. PROPERTY OWNER , ❑ TENANT. . 201 amps to 400 amps 106.85 �b�o 2
401 amps to 600 amps 160.60 1 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
- Reconnect only 66.85 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 600 amps • 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑APPLICANT .• : ` " ` ❑ •CONTACT PERSON . `,_' A. Fee or branch circuits w
for or feeder fee, each
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
each branch circuit
Address: Each add'I branch circuit 3, 6.65 ' j'7 19v`r
C ity /State /ZIP: Miscellaneous (service or feeder not included) D
Putnp or irrigation circle 53.40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
CONTRACTOR .. . . energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Hillsboro Electric L.L.
Address: 21185 NW Evergreen PKWY Ste # 1 1 0 Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: Hillsboro, OR. 97124 Investigation per hour (I hr mm) 62.50
Industrial plant per hour 73.75
Phone: (5 0 3) 439-9666 Fax: (5 O 3 )6 01 - 3 6 8 0 , ELECTRICAL PERMIT FEES*
CCB Lic.:1 3 4 4 81 Electrical Lic.:3 4 4 9 9 C Suprv. Lie.: 4 9 41 S Subtotal `7 t (s
Suprv. Electrician signature, required: /1)* Plan review (25% of permit fee) 4,-7
-
Print name: Date: State surcharge (8% of permit fee) I 1. 9 g
Jo Vi �� ��,�� Ce- A O - d 7
Y����� C/ TOTAL PERMIT FEE - Ai r
Authorized signature: T his p application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: ` Date: * Fee methodology set by Tn -County Building Industry Service Board
"` Number of inspections per permit allowed
i. \Building \Permits \ELC- PcnnitApp doc 12/03 440 4515T(10 /112 /COM/WEB
CITY OF TIGARD AI
BUILDING DIVISION PERMIT #:MLCZOO`�'Op
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 / m uylu fill 8 3O
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 'LA Q t ?j TIME: PAGE:
SITE ADDRESS: 1:;) O S W 18 0'11 p1 - CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PAS\,
DESCRIPTION: 7
OWNER: PHONE #:
CONTRACTOR: gl\A„sBoco PHONE #:
Inspection Request Scheduled For: Date: 2 -acs • 0 % Pour Time:
Code # Inspection Description Confirm # Contact # Message
kcAck GO
Corrections /Comments /Instructions:
1
Pa; c4 R
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►. PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: a • W) Date: ' 0 Phone #: (503) 718- 2 -44 •
CITY OF TIGARD
BUILDING DIVISION PERMIT #:1 2007 i)116C16
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0130/2007
Phone: (503) 639 -4171 /4400,1#
�
Inspection Requests (24 Hrs.): (503) 639 -4175 °:_..
INSPECTION WORKSHEET FOR DATE: 2!6/2000 TIME: 7 :00AB PAGE: 44
SITE ADDRESS: 01;671) SW BONITA RE) CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ. FURNITURE LOT #: 0(x•1 TYPE OF USE:
PROJECT NAME: PAUL SCHA'f2
DESCRIPTION: Phase 2 - Electrical T fit,__ 1 _ , , _ 1ob No. 5182 1/31/00, adding (1) circuit for additional
HVAC and low voltagol ' trr• ,_
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HILLSL3ORO ELECTRIC PHONE #: 50-439 -9656
Inspection Request Scheduled For: Date: 2/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
� J
11?�i Electrical sc�ivice oK 064566 -01 971 -219 -0077 Y
Corrections /Comments /Instructions: \_ _/ OA
`P(0,1+ &.‘ P 1 C hcbt 1 Abpi `O1a RgtActkA.
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Tctzcit c;Ta, - W icte LL. - ieLppay\ (ocJT
ski` u,' 3 CA Nf - M 12
Nal, k,4 'j.-6 (A) - Ni-PA 12
5 t cc P��`P(3.A:N 41
Il PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
X FAIL XCALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: CYTh N d Date:1. 0% Phone #: (503) 71 8 - 1 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: II_t: ?Oi70
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30//2007
Phone: (503) 639 -4171 Naa9vet
Inspection Requests (24 Hrs.): (503) 639-4175
WORKSHEET FOR DATE: 1/28/2008 TIME: 7:00AM PAGE: 41
:e
SITE ADDRESS: Oft, j0 SW [3ONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: PAUL SCHATZ
DESCRIPTION: Phase 2 - E"lectriic:al TI, 19,233 AIC, HVAC. Job No. 5182
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HIL.LSBORO ELECTRIC PHONE #: 503. 433-9666
Inspection Request Scheduled For: Date: 1f2?:. 08 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 0S4035 -01 971- 219-0077 N
Corrections/Comments/Instructions:
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. 3 A .
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(Z,syab �J
wse 60 4 1.)
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
`ICI FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N dg Date: 1- V" 0/ Phone #: (503) 718 - v