Permit CITY OF TIGARD ELECTRICAL PERMIT
4411‘ PERMIT #: ELC2006 -00289
I DEVELOPMENT SERVICES DATE ISSUED: 5/22/2006
l'r 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135DA-03500
SITE ADDRESS: 11481 SW HALL BLVD 100 ZONING: C -P
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Remove & replace generator.
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: 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:
L N PROPERTIES, LLC DYNALECTRIC
12725 SW 66TH AVE 5805 SW HOOD
PORTLAND, OR 97223 PORTLAND, OR 97239
Phone: Contact #: PRI 503- 484 -0235
FAX 503 - 226 -7720
FEES
Description Date Amount Reg #: ELE 26 -59C
[ELPRMT] ELC Permit 5/22/2006 $80.30 LIC 66793
[TAX] 8% State Surcharge 5/22/2006 $6.42 SUP 4653S
Total $86.72 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: 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.
5- 22 -06; S 03AM;Dynalect se ie ;503 226 7720 # 2/ 3
El Permit A °` ` , ii FOR OFFICE USE ONLY • r . r < x , --- 1 ,
City Of TIgard Received, !
13 125 SW Hall Blvd., Tigard, OR 97223 r �OC DateB : -d � � �
Permit No.:� t I �
- i /
Phone: 503.639.4171 Pax: 503.598.1960 �� 2 , 2, U �{ -Wirt i`�d ev?ew d
I y _ Other Permit:
Inspection Line: 503.639.4175 . t'-1f I," Dat e/B Date Ready /By: Juris: 0 See Page 2 for '
Internet: www.ci.tigard.or.us w' Notified/Method:
...,. ..<• .
.,: ::::...........-::r - ,::......•,:, � Supplemental Information ..._ ,.....a,.•,. , .._...;; �.�_:..,:,I::r....a:i�i�: ",;�' :y.:::' II.. :1� to
o'
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❑ New construction ■� , In a teiation /replacement apply: .. •, a ?;~ }_ > r`;,::;t;,;
Please check all that
❑ Demolition El Other: ['Service over 225 amps, comm'l ❑ Hazardous location
��•'� -•'• "' • x ., - , , RE - , , ;,. „• ,�.;;,_ ; ;; , ; ,, -- _ Service over 320 amps - rating Buildn o ver 10,000
I`,f: - '.T'�:i CA7GORIS•t <.p;:CO.. T U. g: f �a ; `fitly _,..�.:l;t:.::,:;,,tar::;: P g g residential
sq.
ti lt.,
s:,si i:b if;::r •,.., S::axidi:•� -' - ..�...._, .. ,,..,: �_. im- r:.u;:..u. »�:x:,�.''.1.�iT.u4 vii�'�!'ri<u u�.t° •, v, x r•,C:'ri:.it �:
a•��,. s'w.,- •..t._ t�'+it,8i�;�.: u.='i r ,t .:�' of 1 - and 2 - family dwellings 4 or more new residentiai
❑ I- and 2- family dwelling U Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one struclure
❑ Multi- family 111 Master builder ❑ Other: ❑Building over three stories - ❑Feeders-400 amps or more
:,.,:.,:; ::'is;:: :;:a :: ::::',:, :�:: ;- :.., ,::: ;< .,.,,...;,.•:,;,;..,.... >,_.,_. ['Occupant load over 99 persons Manufa
_ - ,, } ,,p., ; :;f ., ,;, ������� = -r, •., _ - -• ❑ p p sons ❑ eluted structures or
.iI O ,:O 6 1 1 1 :i,, i• `•r < °:a�r;1; {yliitii, r.1 :
- .._.,_,,....._.,. :a:�,., :,a,S>ST .. ;;�`#;>" .R1VI`A: `Tl(b�?s.�;: SOGAT' ls' OIY= �,,.;:. ti.: •- �•�:�- ;.,t•�,,.,,r:_..
.:..........:......,:::::< s,:•..::.-.,.,_ ��-; t;.:.?..,, •.t...:_... }.... Egress /lighting plan RV park
Job no/z;&- ,/7/%P*Job site address: / / yg/ ... 3-312, g !CD ❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: 4 ,, O R 9 ?a 23 The above are not applicable to temporary construction service.
S uite /bld ./a C. no.: , / -` 'tik'ii'-^iij `, 'r.?:M u : , - _ _
:. ? :;_tr.;:FivE -,, SC .:Eb :•`:'' ^;,_::: ....
g P Project name: G T �`, :.......::.:::.:.:•a;r: ?� t ".�..�.. �,._, .. ._ .. . r
V � 1°..J^ Description *.
Qty. I_ Fee. I Total • I
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'I 500 sq. ft. or portion 33,40 I
Tax map /parcel no.: • Limited energy, residential 75.00 2
r : r ::::. :, i;,;::,;, a.:: :';:. ..,,., - Limited energy,
}! t• a;.' •. gy, non-residential
`�r ? ., ttsi : M .: ; ,.! ; , , .? . ,- � �?�•. ; ;, >,E. ::: 75.00
1':.`.i �� :iica... � i%i ?r.'r � r• ry . I ::6is,., .Ib..,p.. � r c � . ..t.;i ...,� s .,.�p� 2
:
:: ;y ,�4
a.: n { i a:L:'.. i;` aSt941%,.E?:kA` !A S a :•:•- s4::.a...Td i:N. : �W.OU !ior'tl'Pi5' Illdlila ^R:.i?j9. .1
-<�t - - p�SGRI�IP7l• Q �Ei•: ,' :..... :..:......'! l:;*r�;l��; =,:,:::.rr.;�,��,.t r;:..
• • • >:��t. ,,, , .}.. •� Each manufactured or modular
'e--04(:). n t Q / dwelling, service and /or feeder 90.90 2 'e--04(:). Ue Opt CJ( t G2 �� e�Ct_ .--- Services or feeders installation, alteration, and /or relocation
200 amps or less ' (" 80.30 'O.-
q:i:t'.::;'. 'ti Etii�ili? ":Yllili ^i ::iu e:l,r 3::r:Ee:�s1- n .: c:xh• "':'r': ^:c' ^ ^.lSP'
201 t 400
" '' E s r amps o amps
1
._.. a:, -.:.I: ta.:.r.,t::.,.wtti .i:.�!•:t•:t::,:ru:::r.:,}:�t't s.;.,:, �'iei:i�a'�!;;s4;;.c :::i�;' ^ ; : r':ctlz l;u:..t.I R „rs „ ,�i''�'" , .,k• :, u;....ar.14'�. 176.
... .... ., ».._m: •..,,., .._., .n 1t:, . ' �cl. ns.: �' iSS:�Rue::?!i }yh3t±a<:...ar�FN t�• b.`f ii- ..r «: �.r. ?; 85 2
�� •`Ih:.:!e.t, °l.I:cR1 'Itl 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
Phone: ( ) Fax: ( ) relocation
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.
O
401 amps to 600
wner signature: Date: a I 2
..:...:.: .: : •; : :. ...-.- ::;:.:,.;..;,'.:.:.... -... -_ circuits - or extension, per panel
❑ ..:T::,:_:5 : ,,, .......... :.
d O
GNE = A��f+i 1>P7r ; .OP1:!� i:r:;r;:cF: -'.': circuits with
alteration,
h ti
- ::::: ..., :.,_.. Ah , :a::•,:;. r : >I::: f'::; A
on o n er a
,_,[ service or feeder fee, each 6.65
l:uslnw .ame: j7 �Q /e /�. branch circuit 2
Contact name: .
B. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: �$'�^ SW / each branch circuit
' ` �' Each add'l branch circuit 6.65 2
City /State /ZIP: /� +
f� O ,. - G/7,!;e 0 2a37 Miscellaneous (service or feeder not included)
Phone: (5- ) . .- y D 2 3s- Fax: : ( ) Pump or irrigation circle 53.40 2
E -ma
Sign or outline lighting 53.40 2
:.: _,,...,, am ?•<•a:;,.; , ;: ':,.:•::•, -
• ,,,, „ ,,,.,,.,,,, Signal circuit(s) or limited
;,..,,...- :;: a.:v-:a: -:n, ; ... .........:. •vs la �::r ut'l;1:..! ., c'•...,, .; ls;r6�`:i ° ;'r. 1iii��;:i'itE GFSI _ rt,oitna
......- .... =;- ,n:,.}. , d?,:::!:: ::,•�: >,;:::::..:�::,,,.t,..E:! t�e::�::::= 110.0T' .....,':TO ,,,, .;. ",.::: -.: I',:•� -. energy panel, alteration, or
Sii•'.'•''t,t'irr. I.,? ?.l r � n�is.. v�:lilr!vr:ll:.,,:x_:tE�.'.•!� 5�7�IEiw;�'- f�iti ?:1�� tt :� ttl
Business name: 49,1,./,,e1 ieC^T� extension. Describe: Page 2 2
Address: _ t�s J^ W_ [mo / i � Each additional inspection over allowable in any of the above
/ j (JK Per inspection 62.50
City /State /ZIP: / (- d / v,e___ ?7z_17 investigation per hour (1 hr min) 62.50
Phone: 9:13 ) t /gC�/,. b Z3 s-- Fax: (5:33 ) 224.7 7 ax) Industrial plant per hour 73.75
iii i;asi 1!';' 3. ar. ?IEiI!i•L',';�'•-�':,r''„.I,•,.
9 Electrical Lic. p ''t:; = 5`i >5•' "p. IT FE
�� c�� , Su pry. Lic.: f�5� �
Subtotal .- .... ,::• %- ,:....
CCB Lie,: e 7
Suprv. Electrician signature, required: 2 /- j/ / / Plan review (25% of permit fee )
-,...1 _I �� Ai i s OF ( P
Print name: € pat.: ���e State surcharge (8% of permit fee) rd .i /
Authorized signature: it
TOTAL PERMIT FEE e, 7
�,1 A' Amigo Thts permit application expires if a permit is not obtained within 180
Print name: days after it has been accepted as complete
, / ' -Ai. G�1� Date: ` r� .. .AN * Fee methodology set by Tri- County Building Industry Service Board
*• Number of inspections per permit allowed.
Building \Permits\ELC- PermitApp.doc 12/03 440.4615T(t0/02/COM /WEE
CITY OF TIGARD
BUILDING DIVISION R PERMIT #: PLC: ?00} 08gut =t
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5 l ii0
Phone: (503) 639 -4171 w l ilhl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5123/2006 TIME: 7:03Alvi PAGE: t38
SITE ADDRESS: 11481 SIN HALL BLVD 100 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GTS SERVICES
DESCRIPTION: Remove & replace generator.
OWNER: L N PROPERTIES, LLC, PHONE #:
CONTRACTOR: DYNALECTRIC 6` ZG' PHONE #: 505-4840235
Inspection Request Scheduled For: Date: 5123/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
116 Electrical service 030385.01 603-849-708 Y
Corrections /Comments /Instructions:
j3:2
•
---
PASS ❑ PARTIAL APPROVAL CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:' G.- V" tse Le
Date: 2.,3/0ID Phone #: (503) 718- VP/4