Permit C I Y® I GA R D ELECTRICAL PERMIT
11 COMMUNITY DEVELOPMENT PERMIT #: ELC2008
DATE ISSUED: 3/18/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S126CA
SITE ADDRESS: 09225 SW HALL BLVD ZONING:
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: LAROG JEWELERS
Project Description: TI. Installing (30) branch circuits and (1) low voltage data system. 4/15/08, ADDING (1) FEEDER.
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: 0
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1
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: 30 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 0 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 0 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:
BARRY MENASHE EASTWIND ELECTRIC
621 SW ALDER, STE 605 33964 SE FRANCIS
PORTLAND, OR 97205 GRESHAM, OR 97080
Phone: Contact #: PRI 503 -313 -0076
FAX 503 - 663 -9226
FEES
Description Date Amount Reg #: ELE 26 -119C
[ELPRMT] ELC Permit 3/18/2008 $314.70 LIC 134259
[TAX] 12% State 3/18/2008 $37.76 SUP 45325
[ELPRMT] ELC Permit 4/15/2008 $40.10
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $397.38
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 . h in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246. 99 or 1.800. 2. -• • • . '
Issued y: 1 ;/ � Permittee Signature: �p
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: �7( DATE:
LICENSE NO:
C
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
A
,, R e ceived
, City of Tigard Date/By: 3 / 1 U V p Permit No.: C f - CXJI
1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 1 Ctt �!//
P .. � � Date/By: erm � ED Other Pit '6h ' /w 1 —
t�U�
T I G A RD Inspection Line: 503.639.41 Date Ready /By: Juris ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental information
E OF ZO08:..
A PLAN' REVIEW , ° <,. ❑ construction Please check all that apply (submit 2 sets of plans w /items checked below):
dition t I
6pri e ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other L Jrp �S where the available fault current ❑ Marinas and boatyards.
' CATEGORY'CIV�Wl11 �1V I , exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agncultural
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
' JOB S ITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
. ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ",
Jobj‘eaa �p f ^ 100HP or more. occupancy.
> c Job site address: 9S SW N L, (�1� Q ❑ Six or more residential units ❑Recreational vehicle parks.
City /State /ZIP: Tr p rct / OR 9 7 ❑ Health -care facilities. ❑ Supply voltage for more than
J ❑Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: / - 3 ❑ Service or feeder 600 amps or more.
�-�[ FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total 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'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited ener
sid
DESCRIPTION OF WORK . (with above gy sq. , reft.) ent i al 75.00 2
�/�- . Limited energy, multi- family --�- / /0.'w .Vainer residential (with above sq. ft.) 75.00 2
L Services or feeders installation, alteration, and/or relocation
Y,ST
C 200 amps or less 80.30 2
` • ❑ PROPERTY OWNER . . ❑ TENANT ' 201 amps to 400 amps 106.85 2
Name:
60... / /eA/6?,s'/ (� 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: C 5 t , , / � - S j j (� Over 1,000 amps or volts 454.65 2
City /State /ZIP: "007�� K/1 CJi -7/v 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 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
.. ❑ APPLICANT , T ❑ CONTACT PERSON, above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits C
,
Contact name: without service or feeder fee, / 46.85 N C 2
first branch circuit /
Address: Each add'I branch circuit 21 6.65 iq n 2
Miscellaneous (service or feeder not included)
City /State /ZiP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
•
CONTRACTOR' Sign or outline lighting 53.40 2
�� X.4 energ pane
Signal circuit(s) limited-
Business name: /-7/51$7-0.//..V. energy panel, alteration, or
-2,3 9� V s� rQ•4. / s
Address: extension. Describe: Page 2 ?S,r'� 2
City/State /ZIP:6 e 6754 0,. K1 z, A g7U Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: 5p . 3/3 9) �3 ®'O 7 ,(s / Fax ` 6 3 92 2_4 Investigation per hour (1 hr min) 62.50
�` ��
CCB Lie. / Electrical Li c.94// Sur Industrial plant per hour 73.75
i .ELECTRICAL PERMIT FEES
Suprv. lectric an s gnature, rel ' a . it t Subtotal:
Print name: , — 7 7 'h C Dat —,, - Q Plan review (25% of permit fee):
cam`' ✓ S tate surcharge (12% of permit fee): 3 '7 ., 7'2
Authorized signature: TOTAL PERMIT FEE: 3e--c) I f( �l n
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
. * Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(I1/05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK - ONLY . _
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
n Burglar Alarm
❑ Garage Door Opener*
n Heating, Ventilation and Air Conditioning System*
n Vacuum Systems*
n Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
-)6_, Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
n Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
n Nurse Calls .
❑ Outdoor Landscape Lighting*
❑ Protective Signaling . . '. , • . .
n Other -
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building \Permts\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008.00154
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/18/2008
Phone: (503) 639 -4171 iN'gM ii�g "�
Inspection Requests (24 Hrs.): (503) 639- 4175���
INSPECTION WORKSHEET FOR DATE: 5/7/2008 TIME: '7 :00Aivi PAGE: 17
SITE ADDRESS: 09225 SW HALL. BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAROG JEWELERS
DESCRIPTION: TI. Installing (30) branch circuits and (1) low voltage data system. 4/15/08, ADDING (1) FEEDER.
OWNER: MEN ASHE, BARRY PHONE #:
CONTRACTOR: EASTWIND ELECTRIC PHONE #: 503- 313 -0076
Inspection Request Scheduled For: Date: 5/7/2008 Pour Time:
Code # Inspection Description 0 # Contact # Message
199 Electrical final Q69515.01 503-680 N
Corrections /Comments /Instructions: C l gf
x.16)11 • 26 I I g c? i 519 ic)
l
Ro cic cielAN Ge :
Il k
y „ ,, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
l FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C ' 14 ik Date: 1 61 Phone #: (503) 718 - p t f (0-
CITY OF TIGARD
BUILDING DIVISION . , .. A '
PERMIT #: ELC2008-00154
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3118/2008
Phone: (503) 639-4171 :Atilt
Inspection Requests (24 Hrs.): (503) 639-4175 ..—_,e0P --...
INSPECTION WORKSHEET FOR DATE: 5/6/2008 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 09225 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAROG JEWELERS
DESCRIPTION: TI. Installing (30) branch circuits and (1)10w voltage data system. 4/15 ADDING (1) FEEDER.
OWNER: MENASHE, BARRY PHONE #:
CONTRACTOR: EASTWI ND ELECTRIC PHONE #: 503-313-0076
Inspection Request Scheduled For: Date: 516/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 069436-02 503-680-8800 N
irlr.0.07.6 .
Corrections/Comments/Instructions:
te• cj
4) ) FLEU6L351. cfokb5 i g t s.11, iv Eto,1is
\w 6 6.C. 6k.td\;73 coi.41..)--a ok6 ,
. 1 ) s W L . \ . k N c t l , ( ; . E u s s - D u w t s c s ( p w - I f v ‘ s t t -
( 3 - 6 ‘-k Qib t 1 1 ( _IA 1
El PASS fl PARTIAL APPROVAL 0 CANCEL El NO ACCESS
FAIL \ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 6 (Niles L.E'
_ Date: 6--i A Phone #: (503) 718- 1)44b
' ,... . .
CITY �����7N��������
��mo m ��" nm�m��nm�� .
BUILDING DUNG DUVUSUON ' PERMIT #: ELC2000-00164
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 311B/2008
Phone: (503) 639-4171 PMA
Inspection Requests (24 Hrs.): (503) 639-4175 m��N- 11.
INSPECTION WORKSHEET FOR DATE: 5/6/2008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 09225 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAROG JEWELERS
DESCRIPTION: Ti. Installing (30) branch circuits and (1) voltage data system. 4/15/08./QDC>|NB(1)FEEDER.
OWNER: MENASHE, BARRY PHONE #:
CONTRACTOR: EASIVNN0ELECTR|C PHONE #: 603'313-0076
Inspection Request Scheduled For: Date: 96/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 069436-01 503'500-8800 N
.
Corrections/Comments/Instructions:
el •
PA
A 0 PARTIAL APPROVA El CANCEL | NO ACCESS
41%,, D
| AIL | I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
�� � ����� - wt ���
Inspector: «��-' N`w����K^�� Da��� 0� U��v�t Phone #: (603) 718- u�n~��
' CITY OF TIGARD
. 6 ,
BUILDING DIVISION , PERMIT #: ELC2003-00154
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/18/2008
Phone: (503) 639-4171 ,. /itglit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 411712008 TIME: 7:02AM PAGE: 19
SITE ADDRESS: 09225 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: I..AROG JEWELERS
DESCRIPTION: TI. installing (30) branch circuits and (1) low voltage data system. 4116103, ADDING (1) FEEDER.
OWNER: MENASHE, BARRY PHONE #:
CONTRACTOR: EASIVVIND ELECTRIC . PHONE #: 603
Inspection Request Scheduled For: Date: 4/1712008 Pour Time:
il
Code # Inspection Description Confrm...# Contact # Message f ,;.4 ' 1
.,, .
130 Ceiling cover 069543 01 503-600-8800 Y .
Corrections/Comments/Instructions:
G
41S 1 (L.INN't Niq SiaAN b . 11L1) c.A)NPQ apa_
' " 1
W,____0 . 36\D
(z, QM.YtDts K 0 , 6 614,0) '10 oca) Nis 4) 0 Bets •
'M. 3&.
a 06 . Paw ill NISD Ps- ANAAL Pa.. Lew ‘\1()Nel:
, , 1
( ootql sly. AO N()
S'ET-V1 S i•rta u1/4);
I I PASS El PARTIAL APPROVAL E CANCEL 7 NO ACCESS
,*FAIL CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED
Inspector: G" W0e) (-1 Date: Lqi Ot . Phone #: (503) 718-300 .
• .. _ „. ... ,. .
. , • - :r
' CITY OF TIGARD
BUILDING DIVISION ,
. „
A ,
PERMIT #: ELC200B-00154
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3F 113/200)
Phone: (503) 639-4171
tiitilti .
Inspection Requests (24 Hrs.): (503) 639-4175 it
INSPECTION WORKSHEET FOR DATE: 4/2/20013 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 09225 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAROG JEWELERS
DESCRIPTION: 11. Installing (30) branch circuits and (1) low voltage data ystem.
OWNER: ivIENASI BARRY PHONE #:
CONTRACTOR: EASTWIND ELECTRIC PHONE #: 0$
Inspection Request Scheduled For: Date: 4/2/2008 Pour Time:
Code # Inspection Description . Go nfir4 Contact # Message
067702-01 503-313-0076 N Y
Corrections/Comments/Instructions:
lo 9. V249 PM
-- Pe c tiyAi i iz .
% tPASS El PARTIAL APPROVAL 0 CANCEL El NO ACCESS
0 FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: ..-- ' N 6 (-- Date: Li- . 2.= as Phone #: (503) 718-
- -,k ., • .
• —
CITY OF TIGARD •
BUILDING DIVISION
PERMIT #: ELC2008•00154
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1812008
Phone: (503) 639-4171 „„gol
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/2112008 TIME: 7:01AM PAGE: 41
SITE ADDRESS: 09225 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAROG JEWELERS
DESCRIPTION: TI. Installing (30) branch circuits and (1) low voltage data stem.
OWNER: MENASHE, BARRY PHONE #:
CONTRACTOR: E.F.AS1 WI ND ELECTRIC R1 PHONE #: 5013-0076
Inspection Request Scheduled For: Date: 3/21/2008 Pour Time:
Code # Inspection Description -- • Contact # Message
105 UndergroundIslab cover 067096-01 503-313-0076 Y
Corrections /Comments/ Instructions:
1 t 1269
- ri P\ ATr t.s36k )1(ilsk
oNg *q' mOL
For&,
V (ACTA;f- Pt\ 0E- L
Cr)S
P PARTIAL APPROVAL fl CANCEL NO ACCESS
FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: L Date: 3-/-t Phone #: (503) 718- 1441'