Permit CITY OF TIGARD ELECTRICAL PERMIT
.1 PERMIT #: ELC2007 -00654
COMMUNITY DEVELOPMENT DATE ISSUED: 9/19/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102AD -02200
SITE ADDRESS: 08900 SW BURNHAM ST ZONING: CBD
SUBDIVISION: BURNHAM TRACTS LOT : 006 JURISDICTION: TIG
PROJECT: SPRI
Project Description: Add 200amp service and 2 circuits.
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: 2 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:
BURNHAM BUSINESS + STORAGE LLC • ADK ELECTRIC, INC.
9500 SW BARBUR BLVD STE 300 PO BOX 2676
PORTLAND, OR 97219 • BATTLE GROUND, WA 98604
Phone: Contact #: PRI 360 - 546 -5155
FAX 360- 576 -6975
FEES
Description Date Amount Reg #: ELE 37 -934C
FELPRMTI ELC Permit 9/19/2007 $93.60 LIC 148882
[TAX] 8% State Surcharge 9/19/2007 $7.49 SUP 4853S
Total $101.09 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 OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: � Q � Permittee Signature: O / ( G layda'V
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.
Spp 49 67 10:29a 360- 576 -6975 p.1
Electrical Permit Application RECE.VET Fors OFFICE LSE ONUS ,
Received
City of Tigard s E P Dat�By: S
Permit N
0 7 136 9E ?�Q47145
:4 • • 13125 SW Hall Blvd., Tigard, OR 97223 ll 9 2007 plan Revi w
e other Permit
Phone: 5016394171 Fax: 503.598.19 Date/By:
T I G A R D Inspeetim Line: 503.639.4175 an( OF AGAR® Date Ready/B tutus: y: / See Page 2 for
Inter net: www.tigard- or.gov BUIL O D Notified/Method; Supplemental Information
TYPE OF WORK L8 t17 �! PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w: items checked below):
0 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 ] 50 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other 'Installations. buildings.
❑ Multi- family ❑ Master builder 0 Other. ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system_ larger separately derived sysie
JOB SITE LNFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E , "1 -2 ", "1 -3 ",
Job no.: 8344 I Job site address: 8900 SW Burnham 100HP or more occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: Tigard, OR 97223 ❑ Health facilities. ❑ Supply voltage for more than
t] Hazardous locations. 600 volts nominal
Suite/bldg. /apt. no.: Project name: B vita pJ,( ,o-f- ❑ Service or feeder 600 amps or more.
- FEE SCHEDULE
Cross street/directions to job site: From Main St Tigard head Eon SW Burnham Description I en• I F R. i TOint 1
New residential single- or multi - family dwelling unit.
to site- site is cell site Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15
Ea. add'/ 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy. residential
75.00
DESCRIPTION OF WORK (with above sq. O.)
Limited energy, multi- family 7500
Add 200 Amp Feeder & 2 Circuits to a cell site residential (with above sq. tt.) .
• Services or feeders installation, alteration, and/or relocation
200 amps or less I 80.30 80.30 .
❑ PROPERTY OWNER Cl TENANT 20 amps to 400 amps 106.85 .
401 amps to 600 amps 160.60
Name:
601 amps to 1,000 amps 240,60 .
Address: Over 1,000 amps or volts 454.65
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
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75
Branch circuits— new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 2 6.65 13.30
each branch circuit
Business name: ADK Electric, Inc B. Fee for branch circuits
Contact name: Alan without service or feeder fee, 46.85 .
first branch circuit
Address: PO Box 2676 Each add'l branch circuit 6.65
Miscellaneous (service or feeder not included)
City /Stale/ZIP: Battle Ground, WA 98604 Each manufactured or modular 90.90
dwelling, service and/or feeder
Phone: (360) 546 -5155 Fax: : (360) 576-6975 Reconnect only 66.85
E -mail: adkelectricinc@hotmail.com Pump or irrigation circle 53.40 .
CONTRACTOR Sign or outline lighting 53.40
Signal circuit(s) limited-
Business name: ADK Electric, Inc
energy panel, alteration. or
extension. Describe: Page 2
Address: PO Box 2676
City / State/ZIP: Battle Ground, WA 98604 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (360) 546 -5155 ([I " j 0C1 Fax: (360) 576 -6975 Investigation per hour (1 hr min) 62.50 -
CCB Lic.: 148882 lectrical Lie.: 37 -934C Su Dry. Lic.: 4853S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Co 9• / ; , • Subtotal: 93.60
Print name: Alan D. Kangas o4 09/19/2007 Plan review (25% of permit fee):
State surcharge (8% of permit fee): 7.49
Authorized signature: cop, TOTAL PERMIT FEE: 101.09
Date: 09/19/2007 This permit application expires if a permit is not obtained within 180
Print name: Alan D. Kong days after it has been accepted as complete.
° Number of inspections allowed per permit.
]: tBuidine ■Pcrmad.EL.GPermliAoixdoc 0503106 440.4415Tt t trosICOM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007..00654
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2007
Phone: (503) 639 -4171 ZN "�iI
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10131/2007 TIME: 7 :00AM PAGE: 79
SITE ADDRESS: 06900 SW BURNHAM ST CLASS OF WORK:
SUBDIVISION: BURNHAM TRACTS LOT #: pm TYPE OF USE:
PROJECT NAME: SPRINT
DESCRIPTION: Add 200arnp swim and 2 circuits.
OWNER: BURNHAM BUSINESS + STORAGE LLC, PHONE #:
CONTRACTOR: AIN. ELECTRIC, INC. PHONE #: 350.540 -5155
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description onfirm #, Contact # Message
199 Eloctiical final 058706 -01 360 - 635-1701 Y
i
Corrections /Comments /Instructions: R1' - , : .
\ \
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,4 )
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: m N Date: 1 /I 0 Phone #: (503) 718- 1-1146