Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00082
COMMUNITY DEVELOPMENT DATE ISSUED: 2/15/2008
T 1 G1CRD' " 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102 DB - 00500
SITE ADDRESS: 08815 SW O'MARA ST ZONING: CBD
SUBDIVISION: FANNO CREEK PARK LOT : JURISDICTION: TIG
PROJECT: SENIOR CENTER
Project Description: TI. (1) low voltage data system.
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: 1
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:
TIGARD, CITY OF E C COMPANY
13125 SW HALL PO BOX 10286
TIGARD, OR 97223 PORTLAND, OR 97296
•
Phone: Contact #: PRI 503 - 220 -5377
FAX 503 - 295 -3012
FEES
Description Date Amount Reg #: ELE 26 -45C
[ELPRMT] ELC Permit 2/15/2008 $121.85 LIC 49737
[TAX] 12% State Surchar 2/15/2008 $14.62 SUP 3924S
Total $136.47 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: ; , . Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Ink
Electrical Permit Application EC E l VE , ,,{ ,, l I l ( I \ l
:' - City of Tigard FEB 1 3 :Z008 Received PNe
13125 SW Hall Blvd., Tigard, OR 97223 ITY OF fiGADD Flare = : ®0 8' /17r emih C — 008 —�� �8
Phone: 503.639.4171 Fax: 503.595. L$ Da Review Other Permit:
i , , /,• i, i , Inspection Line: 503.639.4175 bi ILDINGDIVISION »ideReady/By: heir: >ia See Page 2. for
Internet www.tigard•or.gov Notified/Method:
Supplemental Information
•
•
stories.
p New construction Please t he d all that 2 w � ,`'
ddition /alteration/replacergetlt' ❑ Service or feeder 4�W a� or more of
Buddntg over theme ):
❑ Demolition 40 Other: , t where r h o available fault current ❑ Maroons and boatyards,
. igiiii 0lhili ide4 v exceeds 10,000 amps at 150 volts or ❑ Floating twdld,n
less to mound, or exceeds 14.000 ❑ Coinmerciel -use agricultural
❑ 1- and 2- family dwelling ommercial/wdustrial ❑ Accessory building imps for all other installations. buildings.
❑ Multi- family U Master builder ❑ El Fag Pomp. ❑ installation o[ KVA or
' '`....I.‘... • • ❑ bmergenoy system, larger separately derived system.
A ❑ Addition of aew wotor load of ❑ "A ". "E ", "1 - 2 ", "1 - 3 ,
Job no.: 'la 0 Job site address: C t SG \.S S l..) O t-, rap 0 gi o mor eresi dential units. ❑ Reeseadonal vehicle pads.
City /State /ZIP: '''\ r� a 0g- ❑ Health-care facilities. Cl Supply whine for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt no -: Project name: Sa ❑ Service or feeder 600 az room.
Cross street/directions to job site: C , `
New residential single- or maid-family dwelling mai.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.:
-- ur ,n r
D�'IO1!Ir tP` w I 1 e
? / , . &. — �) V NI A Limited energy,
rr residential (With Etive sq. a.)
Services or feeders installation and/or relocation
200 amps or less 80.30 2
•
. 201 amps to 400 mops 106.85 2
Name: 401 amps r•r amps 3 . t
. 601 anys to 1,000 amps 240.60
Address:
_ Over rte amps or volts 454.65 , 2
City / State/ZIP: Temporary !invites or feeders installation, alteration, and/or
Phone:( ) I Fax :( ) 200 amps or less 66.85 I
Owner installation: This installation is being made On property that I own which is not " "" ' '' " "" e '' '
intended f o r sale, lease, r e n t , or exchange, according t o ORS 447, 449, 670, a n d 701. . ' amps s ' amps
Branch drctilts— new altered° Owner signature: Date: '
A. Fee for branch circuits with • ' . , • °`Q-; TE . ... . • • . (3: CONTACT PEON above service or feeder fee,
Business name: 6.65 2
each branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, % 46.85 1106 2
first branch circuit
Address: Each add'1 branch circuit 6.65 1 2
Miscellaneous (service or feeder not included)
City /State/ZIP: _ Each manufired or modular '
dwellin service and/or feeder
Phone: 90 - 90 2
( ) I Fax :: ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
� 4±DR Sign or outline lighting '1 ' •• . �: � ' .. � I I ightAlg 53.40 2
Business name: Signal circuit(a) or limited -
Cew pa _ energy panel, alteration, or t>°
Address: (— 0 d t r 10 g ( extension. Describe: , Page 2 ' � 2
City /State/ZIP: 9 \ 0( 4 )-q ( Each additional inspection over allowable In any of the above
•Phone: (Su 3),D...11,- s l Fax: (Sol a S -3 01 2 Per inspection 62.50
J Investigation per hour (1 hr min) 62.50
CCB Lic.: 4 (>. if ' �d 1 Electrical Lie.:DO- �S C Suprv. Lie.: Z3 f.- Industrial plant per hour 73.75
Suprv. 40 ' I lan s1 c, required: ` • . • E �� . .
`) I 10 41,0
l � Subtotal: , - Q'S .
Print name: 1 ` jj Vv C* ilq,t,t ,, Date: 2/! -3(0,E3 Pan review (25% of permit fee):
State surcharge (12% of permit tie): VA G
Authorized signature: TOTAL P ERMIT PEE: 13 C. y"h
Print name: I Date: This permit application expires its permit is not obtained within 180
days after it bas been accepted as complete.
• Number of imspecu ss allowed per permit,
1:19uoldirm4Permitet C-Pa®tApp.doe 05/13/06 44 0 - 46 16T(11/ 5/COM wEa
I
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: El_t 00I3 00082
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2J 1512000
Phone: (503) 639 -4171 � u'NN� If(° j ,?
Inspection Requests (24 Hrs.): (503) 639 -4175 .,&.. �f L
INSPECTION WORKSHEET FOR DATE: 2119/20013 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 08015 SW O'MARA ST CLASS OF WORK:
SUBDIVISION: FANNO CREEK PARK LOT #: TYPE OF USE:
PROJECT NAME: SENIOR CENTER
DESCRIPTION: TI
OWNER: TIGARD, CITY OF, PHONE #:
CONTRACTOR: E C COMPANY PHONE #: ?:' v ,- 220 - fi377
Inspection Request Scheduled For: Date: :mw:2008 Pour Time:
Code # Inspection Description onfirm # Contact # Message
1 99 Electrical final 065168 -01 \ \ 503881 -5364 - Y
Corrections /Comments /Instructions: j
.4 I Rft (F-oz. OA`PP Kka. ION 4148 c
\\--''':\N
ctiiv
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 Q) >,G Date: \ Phone #: (503) 718- I-41k