Permit C I 1 I .O R TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00570
COMMUNITY DEVELOPMENT DATE ISSUED: 10/7/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 11380 -00500
SITE ADDRESS: 08174 SW DURHAM RD ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: NEW CASCADIA TRADITIONAL
Project Description: (1) branch circuit for oven.
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:
DURHAM II LLC GREENWIRE ELECTRIC LLC
8100 SW DURHAM RD PO BOX 14121
TIGARD, OR 97244 PORTLAND, OR 97293
Phone: Contact #: PRI 503 - 729 -2476
FAX 503 - 502 -8616
FEES
Description Date Amount Reg #: ELE C306
[ELPRMT] ELC Permit 10/7/2008 $46.85 LIC 177299
[TAX] 12% State Surchar 10/7/2008 $5.62 SUP 5281S
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 rules are set forth in
OAR 952 - 001 -0010 th� •AR 952 - 001 -0100. You ma obtain-cope of these rules or direct questions to OUNC at 503 246 6699 or 1 800. 2344.
Issued By �� 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.
Electrical Permit Application
FOR OFFICE USE ONLY
• , City of Tigard �
Received /� 7 c7 , 7 7 Permit No /�. 46 570
u 13125 SW Hall Blvd , Tigard, OR 9 a® Date/By Plan Review „24.03----C.,0
Phone. 503 639 4171 Fax 50,- r °0 1 ,,. 4 Date/By
Permit Other Pent
*%
T I G A R D Ins Line 503 639 4175 q 1 Date Keady /By Suns �� ® See Page 2 for
Internet www tigard- or.gov sC \ O ®eko t i fied /Method ,L 6 Supplemental Information
y • TY OF - WORK :0 0� 71 ,0 \ g PLAN REVIEW
New constructionA.ddrtion /alterat i +� V 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 CON - , . ` , exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwellinommercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ installation of 75 KVA or
;w t ; JOB . STTE'INFORMATION A ND' LOCATION . _ ' - ❑Emergency system larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E ", "L -2 ", "l -3 ",
Job no.: Job site address: (�� �7 (� Q(� 1001W or more occupancy
� � ��� `� v 'L l '^ i ►WSJ ❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: _ ► _I , . cj 9 2:2_4-A- ❑ Health -care facilities ❑ Supply voltage for more than
� 1LJ ❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: Project name: Service or feeder 600 amps or more
�� �� Q � /� FEE SCHEDULE
Cross street/directions to job site: (..Di--"F �.
O VD Description . '' I Qty. I Fee. I Total I *
_'\ $'4S1 c Y New residential single- or multi- family dwelling unit.
\, YE-,.1ES Includes attached garage.
Subdivision: Lot no.: 1,000 sq ft or less 145.15 4
Tax map /parcel no.: Ea add•1 500 sq ft or portion 33 40 1
Limited energy, residential 75.00 2
„ m - , DESCRIPTION 'OF WORK - (with above sq ft )
1 � -' Uv j Limited energy, multifamily 75 00 2
1 residential (with above sq ft )
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
' . ' PROPER TY g OWNER• ° ' ,. �, ,� TENANT _ 201 amps to 400 amps 106 85 2
• Name: - a - V 3i A -'S \7 � r,,�1 , t 401 amps to 600 amps 160 60 2
1 v l (J "� 601 amps to 1,000 amps 240 60 2
Address: c31 l _W ( Qf- Rs, Over 1,000 amps or volts 454 65 2
City /State /Zll CD O '' C ZZ_� Temporary services or feeders installation, alteration, and/or
� C relocation
Phone: ( 5l) b - ( 3 9z_ I 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
APPLICA - . CONTACT, PER „ • • ' ` a service or feeder fee, 6 65 2
� each branch circuit
Business name: �2 �JM 1 fe._ L L'��1G t---C_ B Fee for branch circuits
Contact name: �'��_ without service or feeder fee, first branch circuit 46 85 L /A 65 2
Address: PO , C o• 1 `--11 1 Z ( Each add'l branch circuit 6 65 2
Miscellaneous (service or feeder not included) _
City/State /ZIP: N i( C1 �q Each manufactured or modular
I\ 9090 2
dwelling, service and /or feeder
Phone: (,,5) 2_0\ Z -7G Fax: : ( ) Reconnect only 66 85 2
E -mail: Pump or irrigation circle 53 40 2
-
• , .- ' CONTRACTOR" .,- ' . , , - Sign or outline lighting 53 40 2
�--"C l� �.1 n 1 �' LL Signal panel, or limited- o
Business name: or
`�--� �� --E. � � C- � energy panel, alteration, or
Address: Pj:2) _ Q O 1 L I I Zl extension Describe Page 2 2
City /State /ZIP: c C ) F___Cl 7 Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone: t v� ) / Zor-'Z 9-7 G Fax: (g,7 ) 97/ " c(0/ (0 Investigation per hour (I hr mm) 62 50
CCB Lie.: in (722 6 Electrical Lie. C O c, Suprv. Lie.: sa j 1 S industrial plant per hour 73 75
'' ELECTRICAL PERMIT.`FEES' ,'
Suprv. Electrician signature, required: — �ti Subtotal L 1(0 5"
Plan review (25% of permit fee).
(
Print name: ___PcJC7E'„ L- C . 31 i () Date: �1 (jam
/ t 7 St ate surcharge (12% of permit fee) S ,L
Authorized signature—z t �--.— TOTAL PERMIT FEE
This permit application expires if a permit is not obtai —I 8B
Print nametAad —, l.�UC N 1 �j Date: (") (. - 7 ZC5e$ days after it has been accepted as complete.
J k
Number of inspections allowed per permit
I \Budding \Permits\ELC- PermitApp doe 05/23/06 440- 4615T(11 /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
'aRESIDENTIAL WORKONLY -
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
n Audio and Stereo Systems*
n Burglar Alarm
n Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
n Other:
rCOMMERCIAI, WORK ONLY:." � ,
Fee for each commercial $75.00
system
(SEE OAR 918 309 - 0000)
Check Type of Work Involved:
n Audio and Stereo Systems
n Boiler Controls
n Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
n Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
n Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Budding \Permits \ELC- PermiApp doc 03/23/06
CITY OF TIGARD
� —�' —
��nm n n��m mm�mm��nu��
BUILDING DIVISION ^
. ^°U K PERMIT | �~="�=""~~� � ~ " ~~ � ��2DO�O�7D
| 13125SVVHu||B|vd Tigard, OR DATE . ` ' � 10/7/2008
Phone: (5U8)639'4171
Inspection Requests (24 Hrs.): (503) 639-4175
"J�w�� ^ ���
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
' � 10/14/2008 � 7:00AM � 26 •
SITE ADDRESS : � `^^~~~' WORK:
ON174E��DURMAM RD
SUBDIVISION: LOT #: TYPE OF USE
PROJECT NAME:
NEW CASCAC4ATR ADM 0N AL
DESCRIPTION: M\ branch rinCtiitfw/oven.
OWNER: PHONE #:
� DURHAM ULLC.
CONTRACTOR:
GREENWIRE ELECTR>CLLC PHONE #: � 503-729-2475
Inspection Request Scheduled Fur' Date: � PourTime�
' � 1W14/2008
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 078649-01 5037292476 Y
Corrections/Comments/Instructions:
'
' SS n PARTIAL APPROVAL 0 CANCEL . Lii NO ACCESS
I FAIL | I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
|nepmotoc �c
Date: j0 ~�- Phone #: (603) 718-
-" v ~~ �7� ~ ^r ' ' �� |/