Permit CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC2006
s '�I I DATE ISSUED: 9/20/2006
T-- - ° ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
• PARCEL: 2S1 13AD - 01900
SITE ADDRESS: 16600 SW 72ND AVE B10 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT : 009 JURISDICTION: TIG
Project Description: Rockwood Collins: power to (2) tank heaters & stock room. Job # 93898/93897.
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/ SVCI 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:
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 9/20/2006 $66.80 LIC 203
[TAX] 8% State Surcharge 9/20/2006 $5.34 SUP 44605
Total $72.14 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: / C�� Permittee Signature: _S-e cep, P
OWNER INSTALLATION ONLY yy y
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.
SEP -2i -2006 09:08AM FROM -OR ELECTRIC SVC 5035352763 T -965 P.001 /002 F -727
• E iectrical Permit Application 4 \U -• .
City of Tigard -- 9 �zo 6 w: e petmetNo. &C0ZoQ6 00V.9
13125 SW Hall Blvd„ Tigard, OR 97223 Plat Review
Phone: 503.639.4171 Fax: 503,598.1960 �3re e/Br. Other Permit:
p n � 2 006 , 4' , Dal
Inspection Lino: 503.639.4175 S .I ,c,., ;� -71j Date Ready/By: r j_ ® See Page 2 for
Internet www.ci.tigard onus . . . Notified/Method: ) Supplemental information
�, h C �41 7lS��
TYIiE' WORK-c r E-;? =" - PLAN REVIEW
7
of N • ` Please check all that apply:
El Ncw construction ig ACllldon/alteration /replacement
['Service over 225 amps. comm'1 ❑ Hazardous location
)] Demolition ❑Other. ❑ Service over 320 amps -tilting ❑Buildng over 10,000 SQ. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2.6tnily dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one snutxeae
❑ Building over three stories ['Feeders, 400 amps or more
❑ Multi family ❑ Master builder ❑ Other: ❑ Occupant load over 99 persons ❑Manufacturcd structures or
• .YOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: 93898/1 58,111 Job site address: 16600 SW 72" AVE ❑Hcdth -care facility ❑Other
Submit 2 sets of plans with any of the above.
City /State/Z]P: TIGARD, OR The above arc not applicable to temporary construction service.
" S
Suite/bldg. /apt: no.: -6 ' 0 I Project name: ROCKWELL COLLINS _ n es somata* IE Qty, somata* Fm I TWO J ..
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage. _
1,000 sq. fl. or less 145.15 4
Subdivision: l Lot no.: Ea. add'l 500 sq_ A or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: _Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder 90.90 2
INSTALL POWER TO TWO TANK HEATERS Services or feeders installation, alteration, and/or relocation
INSTALL ELECTRICAL IN STOCK ROOM FOR CUBICLES 200 amps or leas 8030 2
201 amps to 400 turps _ I06.85 2
❑ PROPERTY OWNER 13 TENANT 401 amps to 600 amps 160.60 2
Name: ROCKWELL COLLINS/FLIGHT DYNAMICS 601 amps to 1,000 amps 2x0.60 , 2 _
Address: 16600 SW 72 AVE Ova 1,000 amps or volts 454.65 2 -
Reconnect only 66.85 2
City/State/ZIP: TIGARD, OR Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) 1 Fax:( ) 200 amps or Ies- 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to400 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 paw
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
— service or feeds fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 Liiri IS 2
each branch circuit
-
Address: Each add'l branch circuit a 6.65 1°1.95 _ 2
City /State'Z1P: - Mlstellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax:: ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Paget 2
Business name: Oregon Electric Group -
Each additional inspection over allowable In any of the above -
Address: 1010 SE 11th Ave Per inspection 62.50 •
City /State/ZIP: Portland, OR 97214 - Investigation per hour (1 hr min) 62.50 _
Industrial plant pef hour 73.75
Phone: (503) 234-9900 Fax: (503) 535-2763 ELECTRICAL PERMrr FEES"
CCB Lic.: 203 I Electrical Lie f 1 , A S . Lic.: 44605 Subtotal lob . tS0
-, riff T y • /, 7;7 Plan review (25% of permit fee)
Suprv. Electrician sigtature, required
State surcharge (8% of permit fee) 5. q
M O ar 1 ' 1 1 h E. . _ 09/ e l
Print name: `' . TOTAL PERMiT PEE 1 oZ .t :•
Authorized siglaturt. . • This permit application ecpires Ka permit is not obtained witbla 150
'/ Jaya after It has been accepted as complete
Print name: l \ Y ^ + 01( 1 J. 1 tit Date: 09 • Fee methodology set by Tri -Cotmty Building Industry Service Board
•• Number of inspections per pC1mit allowed.
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