Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00052
DEVELOPMENT SERVICES DATE ISSUED: 1/25/2006
° �'I I 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: (1) branch circuit in room 131. Job #89891.
m fin -
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 HMI 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: 1 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 #: LIC 203
[ELPRMT] ELC Permit 1/25/2006 $46.85 SUP 44605
[TAX] 8% State Surcharge 1/25/2006 $3.75 ELE 26 -95C
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 at 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: .2 ,P . c
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.
JAN -25 -2006 09:21AM FROM -OR ELECTRIC SERVICE 5035352763 T -041 P.001/002 F -082
L' 1cs- Lil<.al A �.R auks a aY'Rua -as uvaa
1
^" Reecived
'�_itjt Of Tigard + Da 1By: / ,2) - Q to �i e�i„ Permit No.:C I...40y jQO5:
125 SW Hall Blvd, Ti - ijr ' � - Plan Review
Phone: 503. 639.4171 F ,. �iE "•'.. r 0 .3:I'' ^ l a t h y . —_ Other Permit:
Inspection Line: 503,639.417 • ,, '. ?' I Date Ready/BY: 0 See Pogo 2 fir
Internet: www.ci.tigard,or.us 5 2006 ;, Notified/Method 7.l Sapplom0atal
l WE OF WORK FLAN REVIEW
❑ New construction ►:1 ;1) flit. : I i.at Please ch all that apply.
�I , 1 1 -; f ❑ Service over 225 amps, comb'] ['Hazardous location
❑ Demolition ` t . � ��
"- ❑Service over 320 amps - rating ❑ Buildng over 10,01/0 sq. ft.,
^:' Yoe -c '1 F CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling 22 Commercial/industrial 0 Accessory building In System over 600 volt' nominal units in one structure
['Building over three stories ❑Feeders, 400 amps or more
Q Multi- family ❑ Master builder ❑ Other: ❑ Manufaaturcd structures or
❑Occttpam lend over 99 persona
JOB SITE INFORMATION AND LOCATION ❑Egrcas/tighting plan RV park
Job no.: 89891 I Job site address: 16600 SW 72ND DI-lean-care facility Li Other.
Submit 2 sets of plans with any of the above,
City /State/ZIP: TIGARD The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: 97224 1 Prajectname: ROCKWELL COLLINS FEE'. SCHEDULE ( --
Pesertption - "Qty. Ref_ Total
Cross street/directions to job site: BETWEEN SW UPPER Boons FERRY ROAD New residential single- ur multi -family dwelling unit-
Includca attached garage.
AND SW BRIDGEPORT ROAD ON SW 72 1,000 sq. n. or loss 145.15 4
`
Subdivision: Lot no.: Ea. add'] 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 - -. 2
- Tax ma/arc
d no Limited energy, non - residential 75.0U 2
DESCRIPTION OF WORK Each manufactured or modular
ADD 220V. CIRCUIT IN ROOM 131. dwellinkservico and/or ti else 90.90 2
,
Services or feeders installation, alteration. and/or relocation
200 ;naps or less 80.30 2
® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: ROCKWELL COLLINS 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 aervlces or feeders installation, alteration, and/or
Phone: (503)684 - 4384 I Fax: ( ) 2000 0
relocation
_
amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 10030 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 panrl
❑ APPLICANT ❑ 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 mene: without service or feeder fee,
branch circuit ! 46.85 (f (, -D's- 2
Address: Each add'I branch circuit 6.65 i 2
City /State/DP: Miscellaneous (service or feeder nut Included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( ) 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 addidonn allowable _ l inspection over aow able 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 I Fax: (503) 535 - 2163 Indu plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 203 Electrical Lic.: 26 -95C Sup . Lic.: 4460S Subtotal ' (f , $s
Suprv. Electrician signature, required: .. j — Plan review (25% of permit fee)
l ate: 01/2 State surcharge (8% of permit fee) _ ��
Print name: M Rl� E r C b TOTAL t PERMIT FEE _ , 6 Q
Authorized signature: . A, 1 1 This perrnrt applkariod. exp i if n permit u not obluinud within 180
- days after It has been accepted AS COmptete
Print name: Pf e- ti e 'I p t: 01/25/06 • Fee methodology set by Tri- County Building Indu »try service Board
law r Number of inspections Per permit allowed.
\/i S t\
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006.0O06
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 1/ ±=,#;/00 i
Phone: (503) 639 -4171 `
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: "}912006; TIME: IM4AM PAGE: ( €3
SITE ADDRESS: 16600 SW 72ND A E 'i 0 CLASS OF WORK:
SUBDIVISION: OREGON BU INES°:: a/U K I LOT #: 009 TYPE OF USE:
PROJECT NAME: ROCKWELL COLLINS
DESCRIPTION: (1) branch circuit in room .r 31. Job /11398! :11. 1/27106, adding (1) branch circuit lor coffeein:.k ire
lunchroom.
OWNER: PACIFIC REALTY A SOCIAi =`a, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #:
Inspection Request Scheduled For: t:: 219/200; Pour Time:
Code # 1 • - _ .• • 1 -scription • . it Contact # Message
199 • f lc =.c:iric:al fin l 026521 - 503
Correcti. • _ ' •mments /Instructions: 351— L`Cfl
•
PASS Li PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GQ LT Date: 14 ( Phone #: (503) 718- TAO '
CITY OF TIGARD -- •
_
BUILDING DIVISION PERMIT #: a12,2006 -f Jt7 >J7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /2f:/200;;
Phone: (503) 639-4171 1l
Inspection Requests (24 Hrs.): (503) 639 -4175.
INSPECTION WORKSHEET FOR DATE: 2/6/2006 TIME: 7:0:. MI6' PAGE:
SITE ADDRESS: 1t36 ;00 SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: i)RlT(C)N BUSINESS PARK! LOT #: 009 TYPE OF USE:
PROJECT NAME: ROCKWELL CXOL.LINS
DESCRIPTION: (1) branch circuit in room 131. Job (40891. 1/27/06, adding (1) branch circuit for c offer. f. :o
lunchroom.
OWNER: PACIFIC READY ASSOCIATES, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: :A33-23/1-10::30
.00
Inspection Request Scheduled For: Date: 2/6/20116 Pour Time:
Code # Inspection Description Confirm # Contact # Message
-199 Electrical final 026200-01 fiO3 -t; , 19.24333 t`
Corrections /Comments /Instructions: • N
PO 6 k G)6 : o M. i s 6 v`P
•
n PASS PARTIAL APPROVAL CANCEL 4 NO ACCESS
n FAIL ; 5I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: fI tl 65 Date: 2+ �� Phone #: (503) 718- AU