Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00438
x
� �� A ' D EVELOPMENT SERVICES DATE ISSUED: 7/18/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 - 4171 PARCEL: 2S113AD-01900
SITE ADDRESS: 16600 SW 72ND AVE B -10
SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I -L
BLOCK: LOT : 009 JURISDICTION: TIG
Project Description: (2) circuits located in the machine shop, (1) circuit located in the lunch room
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: 2 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 CONST /GROUP
15350 SW SEQUOIA PKWY #300 -WMI 1010 SE 11TH AVE
PORTLAND, OR 97224 PORTLAND, OR 97214
Phone: Phone: 503 - 234 -9900
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 7/18/03 $60.15
[TAX] 8% State Tax 7/18/03 $4.81 Elect'I Service
Elect'I Final
Total $64.96
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: Permit Signature:. _Ai / & , / __,iJ4
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 639 -4175 by 7:OOpm for an inspection the next business day
r
JUL -18 -1113 lt-12AM FROM - Oregon Electric Estimating 503231358T T -645 P.001 /001 F -605
4
[Electrical Permit Application
., 'r;``OFF;ICEUSE'ON t F Tei
City of Tigard Date received: 7 - 1 ' o Permit no.:'! ,,, • 3;
; A ; 13125 SW Hall Blvd Pro ecyappl. no.: Expire date:
' tr ' 'l ja Phone: (503) 639.4171, FAX; (503) 598.1960 Date issued: By: 1Receipt no.:
Internet address: www.ci.tigard.or.us Case file no.: Payment type: -
24 -Hour Ins. - ction Re • uest 503 - 639 -4175
• 1 &2 family dwelling or accessory G Commercialfndustrlal • Multi - family ❑ Tenant Improvement
0 New construction 2 addition/alteration/replacement O Other, ❑ Partial
'jF r 17!IfA r. r . 'f.a .+ iz JOB SITE INFORMATION P r? ; � f l7 :. ;MI'V y ki- ' +Sir+ 'r'u9 rt i ' '," P' ," `.q { , '?
Job Address: 16600 SW 72nd Ave Bid!. No.: Suite no.: Tax ma• • =x lot/account no.:
Lot: Block: Subdivision -
Project Name! Flight Dynamics Description and of worts on premises: two circuits in machine shop and one In lunch
Estimated Date of completion/inspection: _ r oom
� hours? Yes C7 NO ❑ + Project Contact Steve .. ber 503) 849,2630 Phone
Will o cal
•Y U 4f n : C • . %, within u APPLICATION r•? , .€ ltriri r , '-! or,k4 ! ?' " 'ti ` 7 7 lifFEE ?SCHEDULEse • Fi ilii.rr *-1-f ; „ A,.V!"4 ,
ax no.
Job No.: 75889 Description Qty Fee (ea.) Toral imp
ew real • en to -tang a or
multi- family per dwelling unit
Business name: Oregon Electric Group Includes attached garage,
Service Included:
Address: 1010 SE 11th Ave. 1000 sy. R or less $ 145.00 $ - 4
Ci : Portland State: OR ZI : 97214 Ea ACM Sg0 SF or Portion $ 33.40 $ -
Phone: 503 234 -9900 Fax: (S03 234 -1001 E -mail: Limited Energy, 1 5 2 Famy $ 75.00 • $ - 2
CCB no.: 203 Elec. bus. tic. no.: 26-95C _ united Enerov. Multi-Family $ 75.00 $ - 2
Cityme . -- li o.: Each manufactured homo Or
I
// modular dwolling. Service
s� •M on'n• - •.; .v! ,LdI !1• - _ ' 7118I2003 andlor feeder. S _ 90.90 $ - 2
Service or Feeders -
• �,” License no: 4460S • Installation, Alteration or
v's 7 r .''''-^:47.`.4'7:?;.' i- J '. , - • gyul ''? 4 '� ' Relocation:
i,',
,,_,, -f, N - PROPERfY. ;, ' "1 P yk it s 200a ,.sarleae $ 80.30 $ • z
Name •flat • 20lamps•400amps $ 106.55 $ - 2
Mailing Address: 4013mps- e00amps $ 1(50.60 5 - 2
C State: Zi•: 801arnps- 1000amps $ 240,60 $ - 2
Phone: Fax: E-mail Over 1000A or volts __ $ 454.65 $ _ - 2
Owner Insfa/latlon: The installation is being made on property I own which is Rocenrlertonry $ 66.65 $ 1 or
not Intended for sale, lease, rent, or exchange according to ORS 4 47, 455,
Temporary ors • I serv ices
9 9 Feeders • lnstallalfon,
479. 670, 701. Alteration or Relocation:
Owner's Si! nature; Dale 200 am• or less 6 as.8s $ - 2
s , .� �• • r7' * ap- ''•r#r+ 6 " . r s ra.c
t .', �t � : ENGINEER a ox; + ,i^ , .... �, ` k 201amps- 400ampa $ 100.30 $ - 2 _.
Name: Ovcr lamps - =lamps $ 133.75 $ - 2
Branch Circuits - New,
Alteration or Extension Per
Address: Panel: A. Foo Tor branch
City: State: Zip: circuits with purchase of service
or feeder foo• (loch branch
Phone: Fax: E -mail: omit $ E -65 $ - 2
I, ;`r_.,v,.ys _ ' ''.1V 1 : - .)::;:'\ ,-- . 4 r• > v , ' , r : B. Fos for branch circuits MOW.
+ ? k t ,. ¢ , ,z. _ ,� r `+ • 1 ; - * - ", + ti' r� : , : -,_:,',1,, Purchase of Service or Feeder.
„ - ` !`"r , _. PLAN. REVIEW . ' �i ;S
let Branch Ck 1 S 4633 $ 46.85 2
❑ Service over 225 amps -coma ❑ Health -care facility Each additional bench circuit - 2 $ 5.65 $ 13.30
❑ Service over 320 amps -rating of 0 Hazardous location M - (service or
foodor not included)
1&2 family dwellings ❑ Building over 10,000 square feet four or Each pump or irrigation circin $ 53.40 $ 2
❑ System over 600 volts nominal more residential units in One structure Each Sign or Out9ne Lighting , $ 53.40
❑ Building over three stories 0 Feeders, 400 amps or more signal Cireuit(s) or tinted Energy
Panel Alteration or Extarmion•
o Occupant load over se persons O Manufactured structures or RV park $ 75.00 $ - 7
❑ Egress/lighting plan ❑ Other: -•--- •Dccripuon:
Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service. Each AdW0ona/inspoation over
Nat an jurisdictions accept melt card:, please eau Jung, for moraine,. fie gHowabfo in any of the
p Notice: This pony* appUeaUOn Above- Per inspection -
® VISA MASTERCARD expires ifa permit is not $ 62.50 $
Card No 4246-0400- 0977 -7063 Q4109 obtained within too days anes/r Inva g don fee:
.. - F White Wires has been accoptod complete. lather
4 A.L<i Permit Fee $60.15
+, _ % ���� $64. Plan review 25 °.6 $0 -00
Signature of cardholder Amount State Surcharge 8% $4-81 9
Total $64
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location ( / � (ADO .114 Suite e'� L MEC
Contact Person � .( � Ph ( )g<6 7 "" 3� PLM
Contractor I Ph (_ ) SWR
BUILDING Tenant/Owner ?, � 14 A.t 1)Lp 116-14,1 o L �'
S 3 "a
Footing
1
Foundation Access: y C
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: (/ _ SIT
Post & Beam ` G �
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing C
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final •
- PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
F - Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspect . Ext
Other:
Final DO NOT REMOVE this inspection record rom the Jo site.
PASS PART FAIL