Permit •
a CITY OF TIGAG \® ELECTRICAL PERMIT
Ph
r
PERMIT #: ELC2007 -00023
ri ° 0 COMMUNITY DEVELOPMENT
...0-4,-..--.41 DATE ISSUED: 1/10/2007
r ?.�GA 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AD -01900
SITE ADDRESS: 16600 SW 72ND AVE B10 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT : 009 JURISDICTION: TIG
Project Description: ROCKWELL COLLINS 1 Branch circuit.
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: 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:
PACIFIC REALTY ASSOCIATES OREGON ELECTRIC GROUP
15350 SW SEQUOIA PKWY #300 -WMI 1010 SE 11TH AVE
PORTLAND, OR 97224 PORTLAND, OR 97214
Phone: Contact #: FAX 503 - 535 -2763
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit 1/10/2007 $46.85 L[C 203
[TAX] 8% State Surcharge 1/10/2007 $3.75 SUP 44605
Total $50.60 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.
R JAA*09 -2007 04:12PM FROM -OR ELECTRIC SVC 5035352763 T -775 P.001 /002 F -251
,, ..-- - Ll £V 4A A. v• AAAA..tea - - -�- " — - 1, Q - -- _ IVED City of Tigard Received Datc/B : / / / D • • s Permit N . .7 -apt 3
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598,1960. ,; /h, " ° �y', i ' \.. Date/By: Other Permit
Inspection Line: 503.639.4175 . j A 0 20014A47 .-• � I pate AcadyiRy: miiB H See Page 2 for
Internet: www,ci,tigui- lor.us Notified/Method: Supplemental Info
't211 1( Of_finAPkn _ °fit �'ViSI �- PLAN REVIEW
❑ New construction 0 Addition/alteration/replacement Plan check all that apply:
❑Service over 225 amps, comm'1 ❑Hazardous location
❑ Demo lition ❑ Other: _ ❑Service over 320 amps — raring ❑ Buildng over 10,000 :
' • • CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new reside!
❑ 1- and 2 - family dwelling ® Commercial/industrial 71 Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or
El Multi- family 0 Master builder Q Other= ❑Occupant load over 99 parsons ❑Manufactured stnutu
'JOB SITE INFORMATION AND' LOCATION ' : "'•• ••. ' D Egress/lighting plan RV park
Job no.: 95328 Job site address: 16600 SW 72 AVE ubmit
S tFt -care facility ❑Other.
Submit 2 sets of plans with any of the above,
City /State /ZLP: TIGARD, OR 97224 The above arc not applicable TO temporary construction Servir
Suite /bldg. /apt. no.: Project name: ROCKWELL COLLINS • FEE* SCHEDULE
pderipdon [ Qty. Fee. I Toil
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage_
— 1,000 sq. ft. or less 145.15
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33,40
Limited energy, residential 75.00
TO map /parcel no.: -
_ _ Limited energy, non - residential 75.00
. . : .. DESCRIPTION .OF' WORK : • .: •: • • ' • !' Each manufactured or modular •
WIRE IN TWO NEW OFFICES dwelling, service and/or feeder 90.90
Services or feeders installation, alteration, and/or relocati
200 amps or less 80.30
201 as to 400 amps 106.85
El PROPERTY OWNER. TENANT. • :' 401 amps to 600 amps 160.60
Name: ROCKWELL COLLINS 601 amps to 1,000 amps _____ 240.60
Address: 16600 SW 72" AVE Over 1,000 amps or volts 454.65
Reconnect only 66.85
Ciry/State/ZIP: TIGARD, OR 97224 Temporary services or feeders installation, alteration, ant
Phone: ( ) Fax: ( ) relocation _
200 amps or less 66.85
Owner installation: This installation is being madc on property that I own which is not 201 amps to 400 amps 100.30
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps I33.75 —
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
O APPLICANT • .: . ❑ CONTACT PERSON . • • • . A. Fee for branch circuits with
service or feeder fcc, each 6.65
Business name: branch circuit
B. Fcc for branch circui
Contact name: circuit. , Contact
witho service or feeder fee. � q 6.85 &i
Address: each branc circuit
_ Each add'l brunch circuit 6.65
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax :: ( ) Pump or irrigation circle 53.40
Sign or outline lighting 53.40
E -mail: Signal circuit(s) or limited-
CONTRACTOR : . . ... • •. :' . .. • , , . :... .
.
en el, alteration, or
extension. Describe: Page 2
Business name: Oregon Electric Group
Address: 1010 SE Ilth Ave Each additional inspection over allowable in any of the at
Pcr inspection _ 62.50
City/State/ZIP: Portland, OR 97214 . "" Investigation per hour (1 hr rain) 62.50
Phone: (503) 234-9900 j Fax: (503) 535 -2763 • Industrial plant per hour 73.75
. ELECTRICAL PERMIT ,FEES* .
CCB Lie.: 203 I Electrical L' .: - uprv. Lie.: 4460S Subtotal q (p 1
• Suprv. Electrician signature, required. i' '., - .. Plan review (25% of permit fcc)
t r • State surcharge (8% of permit fee) 3 1 F
Print name: 1 /j 1/ 8 J ' / i Date /07 D
�=—t -7 TOTAL PERMIT FEE Authorized signature: ` _�i fi / This permit application expires if n permit is not obtained within
days after it bas been accepted as complete
Print name: Er - r • , � �, Date: 01/09/07 • Fec methodology set by Tri•County Budding Industry Service Boa
_ •• Number of inspection, per permit allowed_
i:\ Duilding \Permha\ELC- Pohaitapp.doc 12/03 440- 4(jST(l0 /02/CDM/WEa
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2007
Phone: (503) 639 -4171 ;�. iI l l t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/11/2007 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 16600 SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: ROCKWELL COLLINS
DESCRIPTION: ROCKWELL COLLINS 1 Branch circuit.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503 -234- 9900
Inspection Request Scheduled For: Date: 4/11/2007 Pour Time:
Code # Inspection Description C.onfir# Contact # Message
199 Electrical final 046333 -0 503-849 -2610 N
Corrections /Comments / Instructions:
•
N >i PASS ❑- PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IV (W.) Date: 1 -kI ill n Phone #: (503) 718- Vi L130
CITY OF TIGARD
BUILDING DIVISION ' 1 PERMIT #: Et.C2007 -00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/0/2007
Phone: (503) 639 -4171 � �:�h���it
Inspection Requests (24 Hrs.): (503) 639 -4175 =.
INSPECTION WORKSHEET FOR DATE: 402007 TIME: 7:O4AM PAGE: 10
SITE ADDRESS: 16600 SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: ROCKWELL COLLINS
DESCRIPTION: ROCKWELL COLLINS 1 Branch circuit.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503 - 24.9900
Inspection Request Scheduled For: Date: 4/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 046115 -01 503.849 -2610 N
Corrections /Comments /Instruction L
.)' CO 01 5 do
n PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL KCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C"--' N "v ` Date: M k 4) Phone #: (503) 718- 1400
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: ELC2007 -00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2007
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 .� ±�i-, "'I_I-
INSPECTION WORKSHEET FOR DATE: 1/17/2007 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 16600 SW 72ND AVE 1310 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: ROCKWELL COLLINS
DESCRIPTION: ROCKWELL COLLINS 1 Branch circuit.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503-234-9900
Inspection Request Scheduled For: Date: . 1/1712007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 042211 -01 503 -849 -2610 Y
12f7 RO ∎ f - 1'4
Corrections /Comments /Instructions:
(°° -06
; n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
. 1 1 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &'te„ N' L.-- Date: 111110-k/ Phone #: (503) 718 - -444