Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
a # CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT PERMIT : ELC2007-oo55s DATE ISSUED: 8/16/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S115BA -02600 SITE ADDRESS: 16230 SW PACIFIC HWY ZONING: C - SUBDIVISION: TIGARD TOWNE SQUARE LOT : JURISDICTION: TIG PROJECT: TIGARD TOWN SQ. RETAIL EXPANSI Project Description: Elec and low voltage. 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: 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: 5 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: 1 > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: X CLASS AREA/SPEC OCC: Owner: Contractor: SN DEVELOPMENT ROSENDIN ELECTRIC INC 1121 SW SALMON ST 1300 NE 48TH #1200 • PORTLAND, OR 97214 HILLSBORO, OR 97124 Phone: 503 - 242 -2900 Contact #: PRI 503- 615 -8189 FAX 503 - 615 -0689 FEES Description Date Amount Reg #: ELE 37 -392C • [ELPRMT] ELC Permit 8/16/2007 $643.20 LIC 103939 [ELPLCK] ELC Pln Rev 8/16/2007 $160.80 SUP 3991S [TAX] 8% State Surcharge 8/16/2007 $51.46 REQUIRED ITEMS AND REPORTS Total $855.46 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 18' • - . • ENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 - -0010 through • • ' • = 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 50 .246.6699 or 1.800.332.2344. i Iss ed By: Ali) 1 ! • Permittee Signature: or 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: D ATE: G LICENSE NO: f ;?995 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. /('Z3v Thdirjt., , -- - Electrical Permit Application i FOR OFFICE USE ONLY City of Tigard V �VE1 Date/B t Q 0 13/ iS _ // - �/ ' 111 . ° 13125 SW Hall Blvd., Tigard, OR 972231 M Revie Phone: 503.639.4171 Fax: 503.598.1960 o (<, `� n0 lDateB : Other Permit: T I G A R D Inspection Line: 503.639.4175 p�� to Ready/By.; See Page 2 for Internet: www.tigard- or.gov OG • -1� l tified/Metho.. t(/ Q"'� a �. ® Supplemental Information TYPE OF WORK GI 1 10 11G, OW It VIYI ,(�Q .. PLAN REVIEW slew construction ❑ Addition /alteration / r� C ement P �ee c ck all that apply (submit 2 sets of plans w /items checked below): Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling [eommercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no. 1277 Job site address:16Z g C t " 7 Six o r or occupancy. ❑ ��o ❑Six or more re a re residential units. Recreational vehicle parks. City/State /ZIP: 7 4 ' D 072 97� Zy ❑ Health -care facilities. . ❑ Supply voltage for more than / ❑ Hazardous locations. 600 volts nominal. i Suite /bldg. /apt. no.: Project name d N� /_' ,g ❑ Service or feeder 600 amps or more. , 4 ,- FEE SCHEDULE Cross street/directions to job site: ditli , � i t t 2t,, ) Description - I Qty. I Fee. 1 Total 1 • 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 I Tax map /parcel no.: ' Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 ` ' Limited energy, multi - family 75.00 2 New , . S Ze_.-- OtiL 7 ' residential (with above sq. ft.) / Services or feeders installation, alteration, and /or relocation 200 amps or less / 80.30 hr3, 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160 2 601 amps to 1,000 amps 240.60 2 'ress: Over 1,000 amps or volts / 454.65 y9f • 2 City /State /ZIP: 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 I ❑CONTACT PERSON above service or feeder fee, 6.65 AZS 2 �o �nV rGI � !N Fee branch b branch circuit Business name: B. Fee for branch circuits Contact name: Ate+ without service or feeder fee, 46.85 2 r ./� e2J' first branch circuit , Address: /J o �o- AVF a�P Each add'1 branch circu 6.65 2 Misce (service or feeder not included City/State /ZIP: h4 4G 5, 47 . 0 ,Qv 04. 97 Each manufactured or modular 90.90 2 / dwelling, service ardor feeder Phone: 03) 616=81 Fax: : ( 6iT-04 G ? Reconnect only 66.85 2 E -mail: -6/8 [g /,5e4 Jr ',/L. eo AA- Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 V Signal circuit(s) or limited - Business name: �/� // i • energy panel, alteration, or Address: extension. Describe: / Page 2 7, 2 City/State/ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (I hr min) 62.50 CCB Lic.: go0 i, / Electrical 'c.: vo up fp ' gfr /s' Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES '•iprv. Electrician signature, required: Subtotal: kJ/3, AO . , lnt name:s4fMtJL 4,j Date: • • • . /0 Plan review (25% of permit fee): MO K 1 State surcharge (8% of permit fee): 5/. 46 Authorized signature: AM" " TOTAL PERMIT FEE: d - This permit application expires if a permit is not obtained within 180 Print name:�frV �=,t� I Date: days after it has been accepted as complete. • Number of inspections allowed per permit. 1: 1Building \Permits\ELC•PermitApp.doc 05/23/06 440 -46tST(11 /OS /COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00659 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2007 Phone: (503) 639 -4171 At i Inspection Requests (24 Hrs.): (503) 639 -4175 'f .. INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7 :01AM PAGE: 98 SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE ,LOT #: TYPE OF USE: PROJECT NAME: TIGARD TOWN SO. RETAIL EXPANSI DESCRIPTION: Elec and low voltage.. OWNER: SN DEVELOPMENT, PHONE #: 503 -242 -2900 CONTRACTOR: ROSENDIN ELECTRIC INC PHONE #: 503. 6Th -81E39 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: Code # Inspection Description onfirm Contact # Message 199 Electrical final 059466 -01 \, 503-793-3502 N Corrections /Comments /Instructions: „, �0")11 1 F va.s AlAc Let LA c iu s RAC 5 . Rt( tr r, • la k 1 Ir. t it . _ Will • _kik t. C11• ! , '1_. • ® ( klovi©zt J- 04. -bN U co cf 13 Paii0 v F-r A Roil. P4 410. ON.) vim RSD t� Panel- • � ' ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS X FAIL ,\CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G ---- ' N 6 Date: 141111 Q" Phone #: (503) 718- lti-Fi CITY OF TIGARQ BUILDING DIVISION PERMIT #: ELC2007 -00659 13125 SW Hall Blvd., Tigard, OR 97223 461 DATE ISSUED: 8/16/20O7 Phone: (503) 639 -4171 d . tm''t Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/12/2007 TIME: 7 :01AM PAGE: 63 SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: TIGARD TOWN SQ. RETAIL EXPANSI DESCRIPTION: Elec and low voltage. OWNER: SN DEVELOPMENT, PHONE #: 503-242-2900 CONTRACTOR: ROSENDIN ELECTRIC INC PHONE #: 503.615 -8189 Inspection Request Scheduled For: Date: 10/12/2007 Pour Time: Code # Inspection Description Con Contact # Message 1. I 057481- 503-793-3502 N Corrections /Comments /Instruction . P Alar A L. WALL ce, h ? E RAhl. 4 RA se( �ac�6 L 6 . 4 111126 ► PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' 1 Q L Date: $ (qco Phone #: (503) 718- .A4L___ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00559 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B/16/2007 Phone: (503) 639 -4171 ` fa�_��, Inspection Requests (24 Hrs.): (503) 639 -4175 5J :_.. INSPECTION WORKSHEET FOR DATE: 11/19/2007 TIME: 7 :01AM PAGE: 21 SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: TIGARD TOWN SQ. RETAIL EXPANSI DESCRIPTION: Dec and low voltage. OWNER: SN DEVELOPMENT, PHONE #: 503-242-2900 CONTRACTOR: ROSENDIN ELECTRIC INC PHONE #: 503G15 -8189 Inspection Request Scheduled For: Date: 11/1912007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 059907 -01 503 - 793-3502 N Corrections /Comments /Ins ructions: V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r N W Date: of � CY) Phone #: (503) 718- „LOX_