Permit ' CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
: ` COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00158
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/20/2007
PARCEL: 2S 112AD - 01100
SITE ADDRESS: 06600 SW BONITA RD ZONING: I - P
SUBDIVISION: PAUL SCHATZ FURNITURE LOT: 001 JURISDICTION: TIG
PROJECT: PAUL SCHATZ FURNITURE MAJ. MOD
Project Description: Low voltage for HVAC.
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:
PACA PROPERTIES LLC HVAC INC
6600 SW BONITA RD 5188 SE INTERNATIONAL WAY
TIGARD, OR 97223 MILWAUKIE, OR 97222
Phone: Contact #: PRI 503 462 - 4822
FEES Reg #: ELE 26- 571CLE
L1C 50897
Description Date Amount
[ELPRMT] ELR Permit 6/20/2007 $75.00
[TAX] 8% State Surcha 6/20/2007 $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 suestions to OUNC at ! .246.6699 or 1.800.332.2344. //
Issued =•. /Jj / PermitteeSignature: 1� ,., ( Uv\
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 Appl a�tiQ i\ R/ 1�(>ltoWFIc-I: t si (Ni.,-
C3 ' O'f'kClgSr(1 Received J 1 • Permit No.: fi J ?a 7 ,a5-8 13125 SW Hall Blvd., Tigard, OR 97223 M (IJ Review
Phone: 503.639.4171 Fax: 503.598.1960 F .� GAR ` .y i - - ° Date/B . Other Pemut:
� i ! ` -.
� � I l i t uns' H See Page 2 for
• Inspection Line: 503.639.4175 BUILDING €�I1 � Date Ready/By.
Internet: www.ci.tigard.or.us Notified/Method: /6 Supplemental Information
.: -CrE1 r r - - F 4:� c 3- a � iG �I ;NF -.,,.-...-. .::....,wr.....'�¢C;;.ii*'.,Y" - - i'�'
^= .r :-Rx: ; 's? r 3 1. : :. 5 ,a PLAN '=
�'� � ,NT1'PlE`OF)W ItIC ��--''�. ,„ ' ,� +' � " "`
r.�: - : ;'N':rq!3•�'k� :. �". :tiS,�t're'3 :..7.•(<... �'G�`r ';�.. ' :�� - �5i` °,� .'`. :»�:^3k�'�' ?R -» ._._...�. .� ..,,_+t* = �� ..v
❑ New construction pa Additio teradon/ placement . Please check all that apply:
❑Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition ❑ Other:
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
�' : ? . "r „ _� lLA NSTRUCI'1ON 'F•`` 7 =_ i ol- and2 fil
-am dwellings 4ormorenewresidents
s >'. _3:'- = ,:a•*. >. .tc. t °�Yk :- �'?f ^�: fit'g, :�k�,i,"r;. f Y 8s residential
❑ 1- and 2- family dwelling - ommerciaVn
iustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑ Other: ❑Building over three stories 0 Feeders, 400 amps or more
DOccupant load over 99 persons 0 Manufactured structures or
4tM_ . : ", • •,;JOB,SITE:INFORMATION ANl)_ LOCATION. �- K' = 4�4�;�;* 0Egress/lightingp1an RV park
❑Health -care facility ❑Other:
Job no.: 37X7 Job site address: (� L} �, �t�RU� Submit 2 sets of plans with any of the above. -
City/ State/ZIP: ■ L�ay A 0 r eA C-Y„ The above are not applicable to temporary construction service.
Suite/bldg,./apt. no.: I ? roject na> : � �C�•� } *' ' "a`tg 4:: .`• FEE!!, SCHEDULE g� �' . r '
Z__ Description I Qty. l Fee. I Tad
Cross street/directions to job site: 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 1
Tax map /parcel no.: Limited energy, residential 75.00 2
•: k . . s t%�W- . !DFSCRIPTION'OF :WORK( f ° u;'R :ra4� az
Limited energy, non - residential 75.00 2
. = ::.ca;'�: ;: �� ` {z:..- u.:.. r��= �'2:;. . six :,...�;�. :`x.�� . °k :. : >'- :f"•t.�,.°` :�� }� Each manufactured or modular 4 dwelling, service and/or feeder 90.90 2
(ITU') Ur) N
`t _- Q__, (k.)Uvv"__C' +L ILL L tliki3St Services or feeders installation, alteration, and/or relocation
-O._ lti Le n-Lo- \l'k-- 200 amps or less 80.30 2
' "ROPERTY Ito " = ` " ` T �� ` 201 amps to 400 amps 106.85 2
OWNS T I. =TENAkf:S, tt
,. :: r P
' >S sc, . �•'r, , sax ".3Tt�` _ 401 amps to 600 amps 160.60 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
"'t J ' 2 `'� r; '"+''� • fd 1: --y `" , COIVTA - '` { " k Fee for branch circuits with
' t: `?��= rt �r,r•_ , - . / _ APPLICANT;.yt ° m . ;, -; r_��.'' ■ :>.,. ,�1!•;
.: -• . • .. _ �. • . �. =a , - , ,. = ' ...i : > r ` " �; . �GT = - PERSON s .
service or feeder fee, each 665 2
Business name: �� � � J branch circuit . ,
B. Fee for branch circuits
Contact name: ('-� Lo ��� without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
G g.;',WA * " ` ? ±' CUNTRACTOR?e sa tWil • ig i' "> .�,., , energy panel, alteration, or cc '
Business name: extension. Describe: f Page 2 i5 2
f� I-U �4� - __.....ill c --
Address: S1 g S .....L04\_ :: Each additional inspection over allowable in any of the above
Per inspection 62.50
City/ State/ZIP: of Investigation per hour (1 hr min) 62.50
Phone: ( ) 4 (pD.� .)- .)- g � F' ax: ( J 11 . - l S Industrial plant per hour 73.75 -
r ":' ". ELECTRICALYP.ERMIt1FEFSI
CCB Lic.: 5ogg7 Electrical Lic.a(,_57/ elk Suprv. Lic.: (Orig.-4 Subtotal j, efo
Suprv. Electrician signature, required: rs 2/ �l Plan review (25% of permit fee) —
State surcharge (8% of permit fee) (p ' OV
4 Eo �
Print name: s ee�.2- Date: 51'2_10
—
Authorized signature: TOTAL PERMIT FEE r CO / T his permit application expires if a permit is not obtained days after it has been accepted as complete within 180
with
�. 2J ;<.D b t . .
Print name: Ske_ ,043 0-rl Date: S 1 2) 67 ' Fee methodology set by Tri- County Building Industry Service Board
°• Number of inspections per permit allowed.
i:\ Building \Pennits\ELLC.PermkApp.doc 12/03 44046I5T(10r02/COMAVED
. •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007-00168
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6120.
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,RAW -71a
INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 06601) SW BONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: PAUL SCHATI FURNITURE MAJ. MOD
DESCRIPTION: Low voltage for HVAC.
OWNER: PACA PROPERTIES LW, PHONE #:
I)
CONTRACTOR: HVAC INC o
PHONE #: 503-4624822
k) mrYZ or S
Inspection Request Scheduled For: Date: 11/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 060479-02 603799-8626 y
Corrections/Comments/Instructions:
C,- • L ii7 9 ,
t k h 6 R A • N . 5 1 c - T A A 5 - . 1 1 ( d N c A T I O E 0 1 SINI-L
Z3 (LW16 If.)1
qlt
PASS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
IL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G Date: 1111,10 Phone #: (503) 718-