Permit '` CITY OF TIGARD ELECTRICAL PERMIT
II
II PERMIT #: ELC2008-00392
COMMUNITY DEVELOPMENT DATE ISSUED: 7/10/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102AD -01203
SITE ADDRESS: 08800 SW COMMERCIAL ST ZONING: CBD
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: MAGNO - HUMPHRIES
Project Description: Wire new HVAC unit. Job No. S00965
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: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 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:
BRUCE DESCHNER 3D ELECTRICAL SERVICES INC
8800 SW COMMERCIAL ST PO BOX 173
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone: 503 - 684 -5464 Contact #: PRI 503 - 657 -9173
FAX 503 - 655 -7140
FEES
Description Date Amount Reg #: ELE 3 -460C
[ELPRMT] ELC Permit 7/10/2008 $46.85 LIC 135234
[TAX] 12% State 7/10/2008 $5.62 SUP 3793S
Total $52.47 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 rule re se rth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct.quesons to OUNC at
503.246 699 or 1.80 32. 4. l
Issue By: .. < Permittee Signat' re: . 4 i , ;; wrarr
OWNER INSTALLATION ONLY -
The installation is being made on property I • ■ n which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: r1.� �� 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.
,JUL-10-2008(THU) 06:29 3D Electric -- (FRX)5036557140 P.002/002
Electrical Permit Application ' V
...,,, 1.4, . . . , FOR OFFIllE lISI., ONLY-. - FP-. • og';,.
. , . .. - :,. ., - ,: • . -;' ; --. • .-4:;... ,..... ; , ,l'I _, i;Agittl''.:':v1.„4 , S.,
„.,, •'.(l_. '... • City of Tigard Permit NO.. Et_e Received . Neo co
e - 37,
,..,A , - el
. -- • 13125 SW Hall Blvd., Tigard, OR 9 7 7;r2t ' 4 , . Datoy Plan Review
7 be)
,... • Phone: 503.639.4171 Fax: 503.398.1960 ,,,,.. V. i, ,,, 1; Date/B :
%
Other Permit!
i ii. 1 ., Inspection Line: 503.639.4175 . NU •■,• V .`.. Ready/By: I_ __uris: -, See Page 2 for
Internet: www.tigarcl-or,gov '''* ... t. t fled/Method
l ' -7 (G. Supplemental Information
E Please check all that apply (submit I Nets of plans w/iteins checked below):
E New construction Z ;.1,. , 1:-. -- ment
0 Service or feeder 400 amps or more 0 Building over three stories,
0 Demolition El Other: where the available fault run 0 Marinas and boatyards.
-
exceeds 10,000 amps at 150 volts or EJ Floating buildings.
lees to ground, or exceeds 14,000 Er Commercial-use agricultural
12 1- and 2-family dwelling . Commercial/industrial E Accessory building amps for all other installations, buildings.
IZ Multi-family 0 Master builder E Other; El Fire pump. CI Installation of 75 KVA or
In Emergency system, larger separately derived system.,
•' .. !. ... • , .. •, JOB SITE INFORMATION AND LOCATION : ,:., .' ..; : ' . • ' '. 0 Addition of new motor load of 0 "A", "E", "1-2", "1-3",
100HP or more, occupancy.
Job no,S00 ( 5 Job site address: ti QC) 5143 C vse :,,, a $k 0 Sex or more residential units. 0 Recreational vehicle parks,
'1", _1
I 12 (bat v fZ I i 2:S 0 Health-care facilitie, ID
Supply voltage for more than
City/State/ZIP: n 7Z
0 Hazardous looations,
600 volts nominal.
Suite/bldg./apt. no.: Project name: - i" 1L140 I Ci..■ t., (ZI service or feeder 600 amps or more.
Cross street/directions to job site: Dosei4ptlen I Qty, i Ste, i Tote! 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'I 500 sti, ft. or portion 33.40 1
Tax map/parcel no.: .. Li
, Limited energy, residential
75.00 2
(with above sq. ft)
Limited energy, multi-family
1"j t Mt 1\■ tL 11VR.0.- v4;lc- residential (with above sq. ft.) 75.00 2
Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 2
. . ,
• ,'• .• • ....,VROPERTY OWNER ' • , • . , T • -121 TENANT .; ••,• . : •: : ' ' 201 amps to 400 amps 106.85 2
Name: fri Pt 0013c. - (4t- 11 P4 ails 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: S SOO CcHHt2t1,1-L 57-- Over 1,000 amps or volts 454.65 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: --ria, ,,, e .- D a (77 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. Fcc for branch circuits with
APPLICANT ". ' . ' . . . . • CI ' CONTACT PERSON.:. . . above service or feeder fee,
6.65 2
• each branch circuit
Business name: B. Fee for branch circuits
without service or fheder fee,
Contact name: 46.85 9 t.g,:25 2
Address:
, first branch pircit it
Each add'i 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 feeder
Phone: ( ) -- Fax: : ( ) Reconnect only
66.85
2
_
E-mail: Pump or irrigation circle 5140 2
. . ; ;:.. • • ••,., !... Sign or outline lighting 53.40 2
Business name: 31) Ek S t ct b 1/4.; A , Signal circuit(s) or limited-
energy panel, alteration, or
.
Address: 1)0 % 0 II. extension, Describe; Page 2. 2
„ . 1
City/State/ZIP: Orc„“) c,,,,,) ■ t / 01Z . 4: 1 - 4 . 04 6- Each additional Inspection over allowable In any of the above
- Per inspection 62.50
Phone: (561 ) 5 1. 4 - C\ Fax: ax: ) 4
(15CsS ,55 . 1 No h our
Invcstiption per P (1 hr min) 62.50
-
CCB Lie.: SZ 6 4 Ll Electrical Lie.: - Lff,,,c) Suprv. Lic,: iiisitr Industrial plant per hour 73.75
37/3 5 ; .... : • ., ELECTRICAL PERMIT FEES' 7-. :.:.: ' ..• Jr: .
Suprv. Electrician signature, required: -3....,1/4. e-i4„,
...- A ho . Subtotal: es-
Plan review (25% of permit fee):
Print name: i \ tIr
,. ....1 a Date: -
- State surcharge (8% of permit fee);
Authorized signature TOTAL PERMIT FEE; ECL.,-40
AS. k ;. I
- ...
This permit application expires If s permit is not obtained within 180
Print name: Date:
_ days after it has been accepted as complete.
* Number of inspections allowed per permit. 5.,• 47
1 ;1 1 3taldieglrittnItO \ELC-PertnitApp,det 00/23/06 440.4615T(11/05/COM/WEB
CITY OF TIGARD
BUILDING DIVISION •
PERMIT #: ELC2008-00392
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 711012008
Phone: (503) 639-4171 VII
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 712112008 TIME: 7:01AM PAGE: 49
SITE ADDRESS: 08800 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MAGNO-HUMPHRIES
DESCRIPTION: Wife new HVAC unit. Job No. 500965
OWNER: DESCHNER, BRUCE PHONE #: 603.6845464
CONTRACTOR: 3D ELECTRICAL SERVICES INC PHONE #: 503-657-9173
Inspection Request Scheduled For: Date: 7/211200E1 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 072905-01 971-606.8664 N
Corrections/Comments/Instructions:
&O '
s .)
../
„,--. •
( PAS) El PARTIAL APPROVAL n CANCEL n NO ACCESS
I l FAIL n CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
. Inspector: m N Ge Liar Date: l'S4, Ci Phone #: (503) 718- 2-0