Permit kW- ELECTRICAL PERMIT
CITY OF TIGA F e PERMIT #: ELC2007 -00211
I ,. COMMUNITY DEVELOPMENT
v,%. - DATE ISSUED: 4/6/2007
m 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BD-00100
SITE ADDRESS: 09600 SW OAK ST 540 ZONING: C -P
SUBDIVISION: PLAZA WEST LOT : 005 JURISDICTION: TIG
PROJECT: ASHMEAD COLLEGE
Project Description: 4 branch circuit for receptacles.
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: 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: 3 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:
ASA PROPERTIES, INC OREGON ELECTRIC GROUP
BY PAUL DEVILLE 1010 SE 11TH AVE
PO BOX 3110 PORTLAND, OR 97214
HONOLULU, HI 96802
Phone: Contact #: FAX 503 - 535 -2763
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit 4/6/2007 $66.80 LIP 203
[ELPLCK] ELC Pln Rev 4/6/2007 $5.35 SUP 44605
Total $72.15 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: `l ,, � � Permittee Signature: et —e
\ OWN ER 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.
APR- 05 -200T 02:53PM FROM -OR E ECM. 0/9 5035352763 T-323 P.001/002 F-382
• - -- x.tectrii i reri 1. , � , ti Wt �W- ; ~�: Iii - � `th;...:1 �"'r,- J6.; - -:wi `�. �h � t.. f�a'.¢.Y - .'F,'��3 -�?4: a .rte
City of d Ti an 1. 4 - ` Received
Tigard Date/By , / Permit NO.: • ` —00.241
13125 SW Hall Blvd, Tigard., OR 97223 J 1 001 Phut Review
Phone: 503.639.4171 Fax: 503,598L a a L 4."r i Date /By:
Other Permit:
t _, , �i�
inspection Line: 503.639.4175 onto Ready /BY Ju^Ax H See Page 2 for
Internet: www.ci.tigard.or.us Q l � t. • • ° { I Notilied!Method: Supplemental Inform kin
L •: t M '� PLAN REVIEW
11:1 Ncw construction t Iii AI . ttion /alteration /replacement Please check all that apply:
❑ Demolition ❑ Otht r ❑ery
Sice over 225 amps, control 0 Hazardous location
['Service over 320 amps — rating ['Bulldog over 10,000 sq. ft,
CATEGORY OF CONSTRUCTION of l - and 2- family dwellings 4 or more new residential
❑ 1 - and 2- family dwelling ® Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder El Other: ['Building over three stories ID Feeders, 400 amps or more
❑Occupant load overt 99 persona ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ; ❑Egress/lighting plan RV park
Job no.: 9634S Job site address: 9600 SW OAK ❑Health - care facility DOther
Submit 2 sets of plans with any of the above.
City/State/ZIP: TIGARD, OR 97223 The above are not applicable to temporary construction service.
FEE' SCHEDULE
Suite/bldg./apt no.: 40 Project name: ASHMEAD COLLEGE Daeriptf® I Qty. ( rte. J tat,. I ••
Cross strect/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 1
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy
nergy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
INSTALL RECEPTACLES dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 8030 2
❑ PROPERTY OWNER I ® TENANT 201 amps to 400 amps 106,85 2
401 amps to 600 amps 160.60 _ 2
Name: ASHMEAD COLLEGE 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: ( ) I F ax; ( ) relocation
200 amps or less 66.85 _ 1
Owner installation: This installation is bcing made on property that 1 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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
- service or feeder fee each
6.65 2
Business name: branch circuit
B. Fee for branch circuits ��
Contact name: tvithout service or feeder fcc, 1 r
85 °' 86 2
Address: each blanch circuit
. Each add'I branch circuit -3 6.65 I 9'.1. 2
Ci ty/ State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) J Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited • . --
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Oregon Electric Group
Address: 1010 SE 11th Ave Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Portland, OR 97214 . Investigation per hour(1 hr min) 62.50
Phone; (503) 234 -9900 Fax: (503) 535 -2763 • • Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES'
CCB Lic.: 203 I Electrical Lic.: - S v '. Lic.: 4460S
Subtotal (p ( $a
Suprv. Electrician signature, required: . ..:,....„/ r / Plan review (25% of permit fce)
Print name: / /,. r / •a e. "I I 07 Slate surcharge (8% of permit fco) 5, 3 5
�� �Ii TOTAL PERMIT FEE
,� — T.7"r7-1/x.11/ ,,Q, I n1
Authorized signature: This permit apptleadon =plea If a permit is not nbtuined within 180
r, days after It has been accepted as complete
Print name: a �� J � /05/07 • Fce �ttcthndolody see by Tri County Building Industry Service Booed
•• Number of inspections per permit allowed.
I:IBalldia¢1 Pcrtut,\ELc.r.ib pp,dos 1403 44046151'(10/02 /COM/WEB
• CITY OF TIGARD - -
BUILDING DIVISION PERMIT #: ELC2007 -00211
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6(2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/1/2007 TIME: 7:OOAM PAGE: 31
SITE ADDRESS: 09600 SW OAK ST 540 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: ASHMEAD COLLEGE
DESCRIPTION: 4 branch circuit for receptacles.
OWNER: ASA PROPERTIES, INC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503.2349900
Inspection Request Scheduled For: Date: 51//2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 047418 -01 503 - 8492594 Y
Corrections /Comments /Instructions:
P (\) -
•
11 a�a
►� PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 d n
Inspector: � � `� Date: �'� �d Phone #: (503) 718- 2l i
•
CITY OF TIGARD
wLDING DIV PERMIT #: ELC2007- 00211. '
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 4/6/200/
Phone: (503) 639 -4171 4 'N'toottit
Inspection Requests' (24 Hrs.): (503) 6394175 _
INSPECTION WORKSHEET FOR DATE: 4/26/2007 TIME: 7:00AM PAGE: 48
SITE ADDRESS: : 09600 SW OAK ST 540 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: ASHMEAD COLLEGE
DESCRIPTION: 4 branch circuit for receptacles.
OWNER: AS A PROPERTIES, INC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503- 234-9900
Inspection Request Scheduled For: Date:, 4/26/2007 Pour Time:
Code # ' Inspection Description Confirm # Contact # Message
199 Electrical final 047182 -02 503. 849.2594 N
Corrections /Comments / Instructions:
t .
�a O Ni S N) `� 6i J IA)b - �
,F
•
r ,
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
XFAIL
911
CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ". NO L.. Date: Lti d Phone #: (503) 718 - 1-i Ya
I