Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00749
DEVELOPMENT SERVICES DATE ISSUED: 10/5/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S110DC -02300
SITE ADDRESS: 11545 SW DURHAM RD B -6 ZONING: C -G
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT : JURISDICTION: TIG
Project Description: Change out HVAC unit.
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:
HARSCH INVESTMENTS HUGHES ELECTRICAL CONTRACTORS
1121 SW SALMON ST 9640 SW SUNSHINE CT STE 600
PORTLAND, OR 97205 BEAVERTON, OR 97005 -4689
Phone: Phone: 503 - 626 -3344
FEES Reg #: L[C 49850
Description Date Amount SUP 2347S
ELE 34 -281C
[ELPRMT] ELC Permit 10/5/2005 $46.85
[TAX] 8% State Surcharge 10/5/2005 $3.75 REQUIRED ITEMS AND REPORTS
Total $50.60
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: 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 Appl• E l V ` '- ;
FOR OFFICE USE ONLY ..,
k City of Tigard
• 7 g e y ID $ Pe rmit No.:6 � x (U . I , J
13125 SW Hall Blvd., Tigard, OR 97223 A Plan D a t e /B Review ✓
OCT
Phone: 503.639.4171 Fax: 503.598.1960 `t 20i'�°r / +° h �■ Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: mrj H See Page 2 for
C ITY OF Supplemental Information
Internet: www.ci.tigard.or.us Notified/Method: tT Su
PP
::�:� .:qtr;... :av <^�� ..� t " ":, ��Yeq�,a �-,`"�:"" -,�'. 'li: �,��•: .�o ..�is�: ? ' s,a�,:
�.,; �;:.,� � rAiv.:iviw , �:;., a . .
❑ New construction ❑Addition /alteration /replacement
Please check all that apply: -
❑ Demolition E_1 Other: ['Service over 225 amps, comm'I ['Hazardous location
m akF �# , , ,, w � ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
�,h.� -.. ,., w tal
',- ;; iTiZ' CONSTRITCTION ., :, ; 6E ,
-_� �CAT�EGOBY'tUE�: �'Y� •
=s::�'��• - �- z.:. c�:t ,,.,,,,, • „E.<..,..._�.: =t.. .... - ,:Evas T•r,. ., �:.,: �>' ? "rr:: of 1 -and 2- family dwellings 4 or more new resident
El 1 - 2- family dwelling Egi Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
Building over three stories ['Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ❑Manufactured structures or
e , i' „: •, , cty „•: �,x -„ _:fit fit, .. 4' RV park
- "5 •' ,JOB < SITEi
: =INFoR ATIQN AND i OCATION v W x =? ❑ Egress/lighting plan P
;. ❑Health-care facility ❑Other:
Job no.:5 \ b� -15 Job site address: 1155 S W ("1 VC I.OLVYN K J r e. La D Submit 2 sets of plans with any of the above.
Ci State /ZIP: r The above are not applicable to temporary construction service.
` 1� r : F *7 `SC_. IifijaE �: °W ,, , .,r: ,i
dg. /apt. no.: (0 B Project name: lte.Orrn1?.1ev W1 \ VY c'oe�C ues ,� ?'$;- ...;,. ' : .. I I- . \w::- °::'' . ` ;- ..
otion Qty. Fee. Total
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'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: _ Limited energy, non - residential 75.00 2
;�����- 1 ,� 'D ESCRIPTl'ON..OF''�'1'QRK ° " , Each manufactured or modular
;
. CA CO'r k-0/ AG for Un k \ 13-5 S erv ic es service and/or feeder , and 2
V Services or fe installation, alteration, and /or relocation
200 amps or less 80.30 2
• r� n, ,,;, :,;• :•, Wit.;. - F ,;.;a...:. r.:;r = r � _ 201 amps to 400 amps 106,85 2
x. _ ERTY 'OWNER' "; :: A. hi : ` TA
ENNT:
"d� P;ROP,
,� . , „ ,... - a ..- <.� :� ...,.....' ;�..�� ;.x>�,�`��� , �;.- - :,�,, , . .
,. . . , "_, � 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
: a; _ ,r,Al ; .^'o ° ; r : ;• 3 A. Fee for branch circuits with
w: . CONTACT''PERSON : > -...
. ,A �� .- `.x,,;,r�.v�W;�:..�,,, ..�,�x����.,,,
x �ew,,.._ -s,.. _ ....__ .; .�.. �i; - service or feeder fee, each
Business name: • branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address: Each add'l branch circuit 6.65 I 2
City/State /ZIP: I Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
• Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
tlRACTOR °�� -` := f'�;i; °,� ,.•;�: , -��. energy panel, alteration, o
extension. Describe: Page 2 2
Business name: Hughes Electrical Contractors
Each additional inspection over allowable in any of the above
Address: 9640 SW Sunshine Ct, ; Suite 600
Per inspection 62.50
City/State /ZIP: Beaverton, OR 97005 Investigation per hour (1 hr min) 62.50
503 6 26 - 3344 503)626-3377 Industrial plant per hour 73.75
Phone: ( ) Fax ( ;,: ••I k�,tr, r ..._-, *ate:' ::
,� ELECT '�'"
<i ;�µ �,,_ �RICr1I�„PER�1%I ^'•�;��,,,.. -
Ili
CCB Lic.:49850 Electrical Lic.: 34-281C Sup .Lic.: 40 5S Subtotal 1.1.0 .
Suprv. Electrician signature, required: A�� Plan review (25% of permit fee) AgiOr Lam" //
State surcharge (8% of permit fee) 3 -75
Print name: Greg L. Woolfe Date: /6 3 65 T OTAL PERMIT FEE
. 50• to d
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri -County Building Industry Service Board
” Number of inspections per permit allowed.
i.\ Building \Permits\ELC- PermitApp.doc 12/03 440 .4615T(10 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200E.00749
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2006
Phone: (503) 639 -4171 14'12 Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1111/2006 TIME: 7 :01AM PAGE: 42
SITE ADDRESS: 11546 SW DURHAM RD B•6 CLASS OF WORK:
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: DR WILCOX
DESCRIPTION: Change out HVAC unit.
OWNER: HARSCH INVESTMENTS, PHONE #:
CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS PHONE #: 503-626-3344
Inspection Request Scheduled For: Date: 1/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 024759-02 503.888 -0214 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�g
"�
Inspector: � Date: L ' Phone #: (503) 718- -41