Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00643
COMMUNITY DEVELOPMENT DATE ISSUED: 9/14/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112AD
SITE ADDRESS: 06600 SW BONITA RD ZONING: I -
SUBDIVISION: PAUL SCHATZ FURNITURE LOT : 001 JURISDICTION: TIG
PROJECT: PAUL SCHATZ FURNITURE MAJ. MOD
Project Description: Refeed billboard.
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: 1 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:
PACA PROPERTIES LLC OREGON ELECTRIC CONSTRUCTION INC
6600 SW BONITA RD 1010 SE 11TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: Contact #: PRl 503 - 234 - 9900
FAX 503 - 535 -2763
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT1 ELC Permit 9/14/2007 $80.30 LIC 203
[TAXI 8% State Surcharge 9/14/2007 $6.42 SUP 48185
Total $86.72 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. :u may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: �� �f�l/ �� Permittee Signature: a
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.
t SEN=13 -2007 10:21AM FROM -OR ELECTRIC SVC 5035352763 T -131 P.001 /002 F -047
Electrical Permit App['Cali° I t i, _ @ Q } .
City of Tigard ' I •
�,' ,r q Permit No.: ll iy
to 13125 SW Hall Blvd, Tigard, OR 97223 plan Review
Phone: 503.639.4171 Fax: 503,598.1960 �+[p i g Datc/By. ptherPennin;
Inspection Line: 503.639.4175 JGf 1 t7 200 r pule RoadyiBy: Jur& to Sec Page 2 for
TIGARD
:
Internet: www.tigafd or.gov NedlidNMcthod -- Supplemental Information
.. � ice .t.
TYPE OF W�+ , 'trJCt)� .11 �f * PLAN REVIEW
L -
❑ New construction ® Addition/ •irt 1 .P]!!ai'3'� St '� w ; • N Please check all that apply (submit 2 sots of plans w /items checked below);
,
❑ Srneee 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.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for ail other installations. buildings.
❑ Multi- family El Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
❑ Emergency system larger separately derived system.
JOB SITE INFORMATION AND LOCATION 1 ❑ Addition of now motor load of 13"A", • "E•', "1.2 "."1 -3 ".
1 OOFUP or ,pore. occupancy.
Job no.: 98050 J Job site address: 6600 SW BONITA ROAD ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: TIGARD, OR 97224 ❑ Health -cute facilities. ❑ Supply voltage for more than
❑ Hacardous locations, 600 volts nominal.
Suite/bldg. /apt. no.: Project name: LAMAR - PAUL SCI-IATZ 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: INTERSECTION OF SW BONITA ROAD AND - Description I Sn. 1 Fro I T I
New residential single- or multi - family dwelling unit.
I -S. _ includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq, ti or portion 33,40 1
Tax map /parcel no_`. Limited energy, residential
DESCRIPTION OF WORK • (with above sq. 8.) 75.00 2
Limited energy, multi- family 75.00 2
REFIEED BILLBOARD (OUR JOB 98050). residential (whit above sq. ft.)
(OEG'S CONTACT PERSON IS SHAWN HEINIGE 503- 793 - 5706.)
Services or feeders installation, alteration, and/or relocation
200 amps or is 1 8030 80.30 2
0 PROPERTY OWNER 0 TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
l
Address: Over 1,000 amps or volts 454,65 2
City /Statc/ZLP: Temporary services or feeders installation, alterat 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 599 amps 133,75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature; Date: A. Fee for branch circuits with
0 APPLICANT I 0 CONTACT PERSON above service or feeder fee. 6 -65 2
• each branch circuit
Business name; B. Fee for branch circuits
without service or feeder fee, 46,85 2
Contact name: first bnmch circuit
Address: Each add branch circuit 6,65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeds'
Phone: ( ) j Fax: : ( ) Reconnect only 66.85 2.
E - mail: Pump or irrigation circle 53,40 2
CONTRACTOR .. Sift or outline lighting 53,40 2
Business name: OREGON ELECTRIC CONSTRUCTION INC. Signal cirtuit(s) or limited-
energy panel, alteration, or
Address: 1010 SE li AVE. extension, Describe: Paget 2
City/State/ZiP: PORTLAND, OR 97214 Each additional inspection over allowable in any of rho above
Per inspection 62.50
Phone: (503) 234 -9900 I Fax: (503) 535 - 2763 r Investigation per hour (1 hr min) 62.50
CCB Lie.: 203 Elea ''''' 26 -95C r 4815S A Industrial plant per hour 73.75
� ' � � ' ELECTRICAL PERMIT FEES
Suprv. Electrician signature, require t : F� , rififFrtirr Subtotal: - 80,30 _ __
Print name: MARK WLIN 84 . ; g /r3 /0 Plan review (25% of permit fee):
!` _ � /�� f State surcharge (8% of permit fee); 6,42
Authorized signature: ' r �l .f �r TOTAL PERMIT FEE: 86,72
Print name: MARK WEINBENDER Date: 9/13/07 ThIF permit nppl expires if o permit is not obtained within 16O
days after It has boen accepted as complete. V ( G A
• Number of inspections allowed per permit. 1 / J
h■E taildinuTemiitiAnc- Pcrmitnpa•dec 0523/06 440 - 4615W DOS /COM/ M
CITY OF TIGARD r,
BUILDING DIVISION PERMIT #: ELC2007 -00&13
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14 /2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9118/2007 TIME: 7:00AM PAGE: 53
SITE ADDRESS: 06600 SW BONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: PAUL SCHATZ FURNITURE MAJ. MOD
DESCRIPTION: Refeed billboard.
OWNER: PACA PROPERTIES LLC, PHONE #:
CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INC PHONE #: 503-234-9900
Inspection Request Scheduled For: Date: 9/18/2007 Pour Time:
Code # Inspection Description Confirm Contact # Message
105 Underground/slab cover 055835 01 503. 849.275 N
1%)\ •
Corrections /Comments /Instructions:
Qv su I•'%ONiA J j at\l
csulLcilitbo,
n PASS PA PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: G \11 0 Q� L Date: 1 (111 ton Phone #: (503) 718 - Vitit