Permit Er CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00464
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/17/2007
PARCEL: 2S 112AD -01100
SITE ADDRESS: 06650 SW BONITA RD ZONING: I -P
SUBDIVISION: PAUL SCHATZ FURNITURE LOT: 001 JURISDICTION: TIG
PROJECT: THOMASVILLE FURNITURE
Project Description: HVAC control circuits.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: •
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ARROW MECHANICAL
15350 SW SEQUOIA PKWY #300 -WMI 10330 SW TUALATIN RD
PORTLAND, OR 97224 TUALATIN, OR 97062
Phone: Contact #: PRI 503- 692 -1565
FEES Reg #: ELE 34 -47CLE
LIC 5193
Description Date Amount
[ELPRMT] ELR Permit 12/17/2007 $75.00
[TAX] 8% State Surcha 12/17/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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: k iG' i P �� � � Permittee Signature:
•
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.
.. `:,: CEI VE E Permit Application ,r FOR OFFICE USE ONLY -
City of Tigard U L 1 200 Dat i 7/0'7 4/3/3 Permit.2C7...k-dcr7- o v 4/4
° 13125 SW Hall Blvd., Tigard, OR 972231: 1I ti Plan Review
.
Phone: 503.639.4171 Fax: 503.598. 69 r OF riOARD Date/By: Other Permit:
TIGARD Inspection Line: 503.639 UILDPAIG 1 p Date Ready/By: Juris: Iii
See Page 2 for
. Internet: www.tigard - or.gov �VISIO Notifred/Method: I Supplemental Information
. =
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. --
` ' . CATEGORY OF CONSTRUCTION' -, - �-, ' _ - exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
El y dwelling ® ❑ Accessory building less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
1- and 2 -famil dwellin Commercial/ind ry g amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
b - ❑Emergency system. larger separately derived system.
JOB SITES I'N ORMATION AND •LOCATION' ,
'' ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
Job no.: 3239 Job site address: 6650 SW BONITA RD 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/ State/ZIP: TIGARD OREGON ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: THOMISVILLE FURNITURE ❑ Service or feeder 600 amps or more.
'..-- '' ` •FE ,: 4- , „ SCHEDULE ' Q,, ; s, :
Cross street/directions to job site: Des 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'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
Limited energy, residential
” I)ESCRH'TION OF 'WORK (with above sq. ft.) . 75.00 2
Limited energy, multi - family 75.00 2
HVAC CONTROL CIRCUITS (5) residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
- f''. ❑ PROPERTY • ;OWNER " • ; .,a +,' ' ®," NANT,, -- -'': 201 amps to 400 amps 106.85 2
Name: THOMISVILLE FURNITURE 401 amps to 600 amps . 160.60 2
601 amps to 1,000 amps 240.60 . 2
Address: 6650 SW BONITA RI) Over 1,000 amps or volts 454.65 2
City/State/ZIP: TIGARD OREGON 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 i 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
,e, , U ...4PLI ,T i s�+ � , ®: C ONTACT PERSONS _� a b o ve service or feeder fee, 6.65 2
each branch circuit
Business name: ARROW MECHANICAL B. Fee for branch circuits
Contact name: ART • without service or feeder fee 4685 2
. first branch circuit
Address: 10330 SW TUALATIN RD Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/ State/ZIP: TUALATIN OREGON Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: (503) 692 - 1565 Fax: : (503) 691 - 1879 Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
' : , ,,CON , , .. • _ , ,. • •' Sign or outline lighting 53A0 2
Business name: ARROW MECHANICAL Signal circuit(s) or limited -
energy panel, alteration, or
Address: 10330 SW TUALATIN RD extension. Describe: Page 2 2
City/State/ZIP: TUALATIN OREGON Each additional inspection over owable in any of the above
Phone: (503) 692 - 1565 Fax: (503) 691 - 1879 Per inspection 62.50 •
Investigation per hour (1 hr min) 62.50
CCB Lic.: 5193 Electrical Lic.: X 34 -47CLE Su Lic.: 930LEB Industrial plant per hour 73.75
Suprv. Electrician signature, required: e/ ..K� 7 , EI ECTRICAL PERSubt'2 FEES' `ir
Su
p � �lJ�'^'( LL Subtotal: `j
Print name: ROA D C. `A 5i% Date: la y O Plan review (25% of permit fee):
1 State surcharge (8% of permit fee):
Authorized signature: ! d TOTAL PERMIT FEE: 1 0
This permit application expires if a permit is not obtained within 180
Print name:0 p 7— , / da Date , .._.e f days after it has been accepted as complete.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007-0046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1211`12007
Phone: (503) 639 -4171 /�fn�N��lpipili
Inspection Requests (24 Hrs.): (503) 639 -4175 :.' W -:_..
INSPECTION WORKSHEET FOR DATE: 1/18/2008 TIME: 7: 02/4/1 PAGE: 70
SITE ADDRESS: 0(5x0 SW SONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: ow TYPE OF USE:
PROJECT NAME: THOMASVILLE FURNITURE.
DESCRIPTION: HVAC control circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503^692 -1555
Inspection Request Scheduled For: Date: 1118/2008 Pour Time:
Code # Inspection Description C66firin • Contact # . Message
199 Electrical final (O346102 503-692 -1565 N
Corrections /Comments /Instructions:
/
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6— I U" (1 Q L‘ Date: H 9 1)\- at Phone #: (503) 718-14%
CITY OF TIGARD
BUILDING DIVISION - A PERMIT #: Et_R2007..00464
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12.1 1712007
Phone: (503) 639 -4171 ti ii I It
Inspection Requests (24 Hrs.): (503) 639 -4175 :�'41 -f IL.
INSPECTION WORKSHEET FOR DATE: 12/18/2007 TIME: 7 :Q1AM PAGE: 69
SITE ADDRESS: 06650 SW BONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: THOMASVILLE. FURNITURE
DESCRIPTION: HVAC control circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503- 692 -1565
Inspection Request Scheduled For: Date: 12/18/2007 Pour Time:
Code # Inspection'Description Confirm # Contact # Message
135 Low voltage 061716.01 503-692-1665 N
Corrections /Comments /Instructions:
No cash WI ki —\( aN 4 1D oft
c
i CI 1 Lam' .
M4 s d i3 NQ(.. KrAJ 5 VA' cCal.-
n PASS X PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,
Inspector: G \ V 6e L Date: 11-'1 D' l :Y ‘ ) Phone #: (503) 718- Z.iitfb'