Permit /� ',qi
!�' CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00276
TIGARD ,, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/26/2008
PARCEL: 1 S 135BB -00800
SITE ADDRESS: 10655 SW GREENBURG RD ZONING: I -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: TIGARD MOTORCYCLES
Project Description: Low voltage for HVAC wiring.
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:
LANPHERE ENTERPRISES AMERICAN HEATING
12520 SW CANYON RD. 1339 SW GIDEON ST
BEAVERTON, OR 97005 PORTLAND, OR 97202
Phone: Contact #: PRI 503- 239 -4600
FAX 503 -239 -7038
Reg #: ELE 26- 993CRE
FEES LIC 33135
Description Date Amount SUP 2640LEB
•
[ELPRMT] ELR Permit 9/26/2008 $75.00
[TAX] 12% State Surcha 9/26/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 rc_______ e h in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.24or 1.800.3',, 4 .
Issued t e II__ i , Permittee Signature 04
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.
S';P, 26. 2008 10:45AM • 5032397038 N0. 9958 P. 1
- - Electrical Permit Application . - F J r, .ii' -
City of Tigard RECEIV a x.e , ' ..:;h s
� �
' g Date/B . 9 Qm& A PermilNo.: E ► 8 ova��,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phono: 503.639.4171 Pax: 503.598,1960 SE P 2 6 ,,,,4, ''l �, � DaWB OlterPermt:
Inspection Line: 503.639.4175 �) '1...,. Taste heady /t?y: IIM Ei See pz,ge z for
Internet: www.ci.tigalrl.or.us ,Notifredrmethod:
M � ' 1 I
5 °PDtef"eatalln
�� r'T'T"' -.•S V .a.�"�' ^s J` i q . 'S 1 , ;z . �^-r7 }r•m-
', r �. ,y , ) { 4 r ' �, . i , ! t t "";', } 71. S V'.1 M. ti i firn , L ,
n d2 a...., •. r a . !pti
t N l + e 1 - F 'I t 'I i h 8 jt - µ ti t , : M r- y <, - S' )h _ l ,;: t A •' G t .,-: - a �l y , d . � e
.. t � a„ i r�7AL . ' iti �L:.a ,..m .s _:,s. L� f .. -. .. .� . _.. ^9:c._.. ,m..k:sl�...tr t , Yili 'J. ..3 >t._c.t .h::�..s,:, .u,k c � ?�� tSri4l?3 @�
❑ New construction G Addition/alteration /replacement Please check all that apply:
Demolition ether ❑Service over 225 amps, comm'l ❑hazardous location
1, t , .,� � ❑Service over 320 amps— rating ❑ Buildng over 10,000 so, ft.,
1 _. _....i, ;,' '? ' , s h d r . i l t t t l �,IS.'1 { _ rr I P It tabi� ,l i .N.,. 41:,' _ . ...t +f ;,`tai , "i r' i; o"- and 2 family dwellings 4 or more new residential
❑ I- and 2- family dwelling G Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi - famil y 0 Master builder ❑ O ther ['Building over three stones ['Feeders, 400 amps or more
;P t7� s mm , , ^� y t, ' r r '•r ❑Occupant load over 99 persons El Manufactured structures or
f , . 9 - P, d d` k If oS "r. l.t,V l (�i),.,." • Al a Il / 'r - j 1 t i ,4s- Ir. )1 } <�t 3 ur ,a .oil QEgress/lighting plan RV park
l�_ i_ _. ,.,� � Y.t.),. "?J�, }., M,v xiS r a..i,•)L. . y:n�"4 �.. , 2..v5e„ „w . `,. . '� „wt.. dJ..� .., u.lrt.�:". li
Job no.: Job site address: / 5V.J bt'�, ❑ Health -care facility ❑Other
/ + n Submit 2 sets of plans with any of the above.
City /State/ZIP: - 7j4/c,1 o(< '17 2 3 The above arc not applicable to temporary construction service.
— Suite/bldg. /apt. no.: Project name: fl ji rd f 4otoic /r_I e. M , .. - '• : f "' ' S ',d, rt'r ' i ; r fx —
kocripWm Qty.
Cross street/directions to job site: New residential single- or multi- family dwelling unit
- --- Includes attached garage,
1,000 sq. tt.orless 145,15 4
Subdivision: I 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
1Y s..., } „1. ;lf 4V'1V Y , s ! '7 I .k.Y+ s 4' Each rsianufacturedvrmodular
D 0 / dwelling, service and /or feeder 90.90 2
Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 2
A gg v L e . %� semi 201aamps to 400a s 106.85 2
,
�• 6 ll ��ZN��t' t ai. -F ,f �I1.1 d , n t f .� j n h '� E . ' , 1Pl 7Y'1' ,� ".hl.',..y t :I p
t, ;.t , .,.. w. .11 ,.. :, r A._.�.v.,'..— .!:;,,,:.',.,:."2%.,''.. S s.i at :2:‘,:-:,z, 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 i
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) sax ( ) relocation
I t200 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: _ ,
pp Date: Branch circuits — new, alteration, or extension, per panel
;
, b ..
v y '' `r,'. ,lie ietIi %a'dp r , a t " i J r, � t ,r • a ' ta t" t..,?; '. „',0 w,I A. Fee for branch circuits with
... :. ... . 'nit. t ....t, „_. - . 1' ,, 1,. ,, ) u ,. . _ ..v3_.. - !i';Ta serv or
'1 i feeder fee, each 6.65 2
Business name: A Kr) y/' /Gey . eel /' 7 ' 2_ n c„ _ branch circuit ` ,
�j JJ B. Fec for branch circuits
Contact name:
1, J f er without service or feeder fee, 46.85 2
Address: 133 r7 , 5E - I d eon ,. t' each branch ' I bra circuit i
_ Each add' I branch circuit 6.65 2
City /State /ZIP: Q - 4 0/ X70 pZ Miscellaneous (service or feeder not Included)
Phone: so 23 c O o Fax:: (503) 23?-7038 Pump or irrigation circle _ 53.40 2
Sign or outline lighting 53.40 2
E Signal circuits) or limited-
'1', - ;; r• t t y, e] a'ttjti e f6- r it :1 ;;,i., 3,; p;� igt i' a,
l'..n_1, Y.:., :j.i.a,.;' �� ..., 9..9.,,,,1._...1. _„!.. - ..... {. t5 I r i ,/d/ :4 ,lx� k111:7. 'e.1:,% .: a„�� ! energy panel, alteration, ) or
' extension. Describe: Page 2 2
Business name: Ark ', , ce et 11 (si 4/ 1 ,77.-7 c -- _ -
Address: �� e Each additional inspection over allowable in any of the above
Per inspection 62.50
City/ State/ZIP: 16 j. / Al C/ e2/ '720 2. Investigation per hour (1 hr min) • 62.50
Phone: T()3)23 5 6v0 Fax: (Std) 03 7 - 03 63 Industrial plant per hour 73.75
CCl3 Lic_: 333 / 3 C Electrical Lic.: 2 (7 71 f.K Suprv. Lic.: Zlr /j LE Subtotal 5 , i •
Suprv. Electrician signature, requir- :. 4 Plan review (25% of permit fee) i
/ r � r '
Print name: �- v your) hate: G- O 8 State surcharg of pcnmi t fee) a ,00
TOTAL PERMIT FED �[.{ , Dv
Authorized signature: ,5 Thia permit applleadon expires if a permit is not obtained within 180
4 / days after It has been accepted as complete
Print name: t� 0 r7C 4 es - 7 c,- Date: ci tD , °j • Fcc methodology set by Tr: - County Building Industry Service Board
`• Number of inspections per permit allowed,
i;l 13l4tding \Permiu}EI-C•PterldtAPp.doe 11/01 A 40d615r(1Ol02/COM/,VEe
/
CITY OF TIGARD __ , . ��nm n ��m nn���mnm��
BUILDING DIVISION PERMIT #: ELR2008'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Reque�s(24Hmj:(5O3)839'4175 _A- '1....
INSPECTION WORKSHEET FOR DATE: 11/24/2008 TIME: 7:02Akvi .. _ . 8
SITE ADDRESS: )J 3/ GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
1 PROJECT NAME: TIGARD MOTORCYCLES
\! DESCRIPTION: Low voltage for MVAC,wiring.
'
OWNER: LANPHEREENTERPR|SES. PHONE #:
CONTRACTOR: AMERICAN HEATING PHONE #: 503
Inspection Request Scheduled For: Date: 11124/2008 . Pour Time:
.
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 07819701 W3'519-3939 N
Corrections/Comments/Instructions:
p
/ \ � '
1.
.
| I PARTIAL APPROVAL EI CANCEL I | NO ACCESS
ri FAIL ri CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
��
Inspector:
kiketal04 Oo�a� ~w Phone #: (503) 718-