Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00439
COMMUNITY DEVELOPMENT DATE ISSUED: 7/30/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S135DD -05106
SITE ADDRESS: 11999 SW PACIFIC HWY ZONING: C - G
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: BANK OF AMERICA
Project Description: Replacing service.
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: SIGNAUPANEL:
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:
WEIREX CO INC + BROADWAY ELECTRIC - COCHRAN INC
CCC PROPERTY MANAGEMENT LLC 626 SE MAIN ST
14001 WILLAMINA CREEK RD PORTLAND, OR 97214
WILLAMINA, OR 97369
Phone: Contact #: PRI 503 - 234 - 6564
FAX 503 - 238 -2098
FEES
Description Date Amount Reg #: ELE 37 -546C
[ELPRMT] ELC Permit 7/30/2008 $80.30 LIC 72942
[TAX] 12% State Surchar 7/30/2008 $9.64 SUP 3447S
Total $89.94 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.
41 / 1 .0 i Permittee Signature:
Issued By•/ %� `�� g � 7/7"nc,0-75:4„,,
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.
]
PROM COCHRAN-BROADWAY (WED) JUL 30 2008 16 : 01 /ST . 115 : 831 /No. 7130000012S P 2
- ( • Elettrical Permit Application
City of Tigard KEIVEdr
Da
Recci 7 0 ore677" Pe it No . gLCG7rA Fr C1i 1
- ) ".-.
13125 SW Hall Blvd., Tigard, OR Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/BY: Other Permit:
1:1 Inspection Line: 503.639.4175 JUL 3 02008 Date Ready/By: lliai , I 1/1 See Page 2 for
•,.!
Internet: www.tigard-or.gov Notified/Method: I Supplemental Inforandos
=V OF IGA D .; • - . • :.:• -:- - • - . - • • •-
•,- 41 ,, '''.,.]:.::'.`,:.:- ':
OF , „.„.__- - •• T Fl• • : ,,,,,,..::.,,,.,-......• ic;. 1 ,..).; FLAN..BEviEw.:-,r :
0 New construction la Addition/AMA Please check all that apply (submit a sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
.': . .::''' / ::' i - .:: •;•:' OF CONSTRUCTION •;: :-. ' :.. .-.........:;'.::-:,.:.• ...,-- exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
,. . . °Emergency system. larger separately derived system.
. - ••:" :','-::•• - • :'!' JOB arra:INFORMATION' AND LOCA.TIOW .:; --,:.; :":•-, .. : • •
lob no.: /404, jc4,7- lob site address: / 1 9 9ci s,,, R.c_tv.,, (.4,,,,,i 100HP m more.
0 Six or more residential units. D occupancy.
Reaeational vehicle parks.
City/State/ZIP: 71 4114..9_, 0 Health-care facilities. C) Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt no.: Project name: P. w pc . _ . 0 Service or feeder 600 amps or more.
^-- i :.'''...''. -•;':.: •..i' -,' ' FEE: SCHEDULE
Cross street/directions to job site: I &WA of " ''C'4- Description Qty. I Fes. I Tote/ I •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. addl 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
.00 2
• • - ...1, :.' - .1 i - ::•:: IT' ',::'; ';-..,•:i-"..:',.ir.:::::;;;,..:--JF.r..;:4P6-4 Limited energy, residential 75
DESCRIION OF WORK (with ith above ft)
sq.
Limited energy, multi-family
Qacit.m.k• 2.0%.1 A.I...\ ? S residential (with above sq. fi.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less J 80.30 sitr,Sb 2
• • - 1 •
• ...:::'. 0: PROPER'M CritiNER' I: --?•:::. :.:. 0. 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
. Address: • Over 1,000 amps or volts 454.65 • 2
City/State/ZIP: - Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I 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
a ApPLICANt :Z;•:-:"...:-,:•;,!?•:-.1.7.'1:, CI , coriucr above service or feeder fee,
6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: 46.85 2
first branch circuit _
Address: Each addi branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
• • . -...:: : .:. • : -::. :. S.- : .-. :-•.-,:. CONTRACTOR•::.,''. :;:':- .-1'. -.•., ;• • ',.,. ' -k Sign or outline lighting 53 40 2
Signal circuit(s) or
Business name: name: 13 (2 is AAA C.,-ubtaal 4 ....
energy panel, alteration, or
Address: :Ir(4P ‘61- MAAN4 "S-c- extension. Describe: Page 2 2
City/State/ZIP: o 0,. z , ‘ 4 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( 56 2,3 Li -( At4 I Fax: (513) 2.37-24u9r Investigation per hour (t hr min) 62.50
CCB Lic.: 1 1.,, t-k I Electrical Lic.: 37 -54( d Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL • PERMIT: FEES) % - 1. ' •••:. • -.
Suprv. Electrician signature, required: ecf....-- Subtotal:
Print name: V ._ pF
/
.5etitt I Date: -3 --of Plan review (25% of permit fee):
State surcharge (12% of permit fee): 4.4,A
Authorized signature: . This permit application es htst 9
Print name: LA.A S .4 days after it has been accepted us complete. Date: "7 .-
• Number of inspections allowed per permit.
I Akluilding \ PenaiieELC-PermitApp.doc 05/23/06 440-46157(11/05/COMAYEB
I
CITY OF TIGARD 4
BUILDIN DIVISION PERMIT #: ELC2008-00439
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2008
Phone: (503) 639 -4171 � ° '� ,Il
Inspection Requests (24 Hrs.): (503) 639 -4175 ...,_._. � ''_..
INSPECTION WORKSHEET FOR DATE: 8/13/2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 11999 SW PACIFIC HWY LOT #: TYPE OF USE:
PROJECT NAME: BANK OF AMERICA
DESCRIPTION: Replacing service.
OWNER: WEIREX CO INC +, PHONE #:
CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC Ro PHONE #: 503- 234 -6564
Inspection Request Scheduled For: Date: 8/13/200/3 Pour Time:
Code # Inspection Description - Confirm # Contact # Message
199 Electrical final i 074104-01 503.522 -7357 Y
Corrections /Comments /Instructions: V pR \C���
�IOA.
C3 t64 .,1kcA a `` tb X6`1- RetZ v;10 w►t'1i
4 - KA• 2.sO
hoc cooOvii k stAil4 Llisii• v A
NaccZn \-- , IA .5 (IL 1 i sx_ NI. iv),
,‘
----..
. \
J
b PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• , IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: {v (WO : Date: 44 111 • 13 . (A Phone #: (503) 718-14146