Permit CITY OF TIGARD ELECTRICAL PERMIT
TIGARD #: ELC2003 -00731
,�. 1 DEVELOPMENT SERVICES DATE ISSUED: 12/18/03
r ' - 13125 SW Hall Blvd., Tigard. OR 97223 (5031 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: (1) branch circuit to add switching to area lighting. Job No. 77700
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 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 12/18/03 $46.85
[TAX] 8% State Surcharge 12/18/03 $3.75 Rough -
Elect'I Final
Total $50.60
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 :1 •. s. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in •. - ' 952 - 001 -0: 0 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1 -80.- 332 -2344.
Is . ued By: � a Permit Signature: ,
l�J
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: 4/40
CaII 639 -4175 by 7:OOpm for an inspection the next business day
DEC -18 -03 10:46AM FROM - Oregon Electric Estimating 5032313587 T -676 P.001 /002 F -539
J l f
n-------------1*-;'-`"- s+. licationt ON - � Y
Electt< �c. w. � 1, 1 . °ri1 � l� "6 ' . 1 4' 0 FFI ' CE US E.L 0 : " ; r " :
1 A City of t Date received: /„ /7 05 Permit no.: __ ,- 073/
13125 SW Hall : Project/appl. no.: = date:
;
* l F'` J.f• i Date issued: 1 By: Receipt no.:
Phone: (503) 6 -4 � 98.1
Internet addres : - - * Case file no,. `a ment •e.
24 -Hour Ins •'- -4:" l ' , 175
• 182 family dwelling or aces so t 1 E a • erclalfindustrial • Multi famliy ❑ Tenant improvement
Cl wow construction = V �` ® 2 addulon/alteratlon/replacement ❑ Other - ❑ Partial
c,�?y y� -.<vn- v' �Yr � � (. : l '5 - i `JOB'SITE'INFORAfi.4T10N .` ''. stg ?1 '+ -.� F :. -.?'.'''"7'...' _` {--� r 1'.i it �, ` ', ' i�4�c ' k.7Y�k '''
7p fi49���•:¢�Y��A• ��q'eM,a. ;� n..� ,,. _t `4S4,t N _.° 9 ,.a � � . - --
Job Address: 16600 SW 72nd - ve Bldg, No.: ! - 11) . Tax map /tax lot/account no.:
Lot: Block', Subdivision
Pro ect Name: Fli : ht • namics Descrl • tion and location of work on • remises: add switching to area lighting
Estimated Date of corn •letion /l s • ection:
Will au call for ins coon with) 24 hour$? Yes . • No ❑ Protect Contact Steve H • be , 503) 536 2631 Phone
al4 , . `ocoNTI3AGI + r"'-•7 , • r' - : 1 , . .' ?:' , . r , . 4, !7-,-.4:- . 7. " FEEEiSCFIEDU LE -t . n tiNrt' , gl,n;, citeR
Job No -: 77700 u description Qty - Fee (ea.) Total imp
Now realftentIal- singre or
multi - family per dwelling
Business name: Or l on Electric Grou • unit. Includes attached
garage. Service Included:
Address: 1010 SE 1 th Ave, loon SQ. It. or less 5 145.15 5 - 4
City: Portland State: OR Zip: 97214 So 500 SF or Portion $ 33.40 $ - 1
r
Phone: 503 234 -9900 Fax: "' • ) 234-1001 E -mail: Limned Eric b . 1 & 2 Family $ 76.00 $ - 2
CCB no.: 203 c. •us. lie. no.: 26-95C tdmecd Energy, MUItI -Famfl ■n $ 75.00 1 2
C' 14yr• li No : 1995 Each manufactured home or
modular dwelling. Service andlor foodcr. S 90.90 2
■ - 12/18/2003 N J,,.•,,�� Ili te. 12!18
a Service or Feeders •
Installation, Aheration or
5u Elect, N e • riot :Mark • en 1, L icense no 44608 � . _ , ; Relocation:
fl ,' R .t :- t( 1:, • '; it s Y T
, 1 �:r -1 1
r " > ,,'4 -" ;PROPERTY T O ' r ' i - .2o0 aril. sorleea I $ 80.30 I z
Name •nnt : i 20lam•3- 4ocamps 11 $ 106.65 1 $ - 2
Mailing Address: 401ampa- 600amps $ 160,60 $ - 2
City State 4Zip: 601amps • mumps - $ 240 $ - z
Phone: Fax: [ 1E-mail
■ over 1000A or Veils $ 454.65 5 2
Reconnod Only $ s • t
Owner Installation: The install is being made on property I own which I Temporary services or
not intended for sale, lease, r t, or exchange according to ORS 447, 455, Feeders - Irt, nation.
479, 670, 701. Alteration or Relocation:
Owners s! nature Date 200 am • er less $ 66.85 5 • 2 • F- ;,;;;;:ii r i r ' EN G INE.R , F ? _; ° i' ,' :" : 201ampe- 400am• M■ $ 100,30. $ z
Name: Over407an1sB 600amos $ 133.75 $ 2
Branch Circuits • New,
Alteration or Extension Per
Address: Panel: A. Fee far Mandl
City:
Statd: Zp: - circuits with purchase or service
or feedor fee, each branch
Phone: Fax: 1 E -mail: circuit 5 6.65 $ - 2
V 71 e 1 l' l , ' 8. Foe for branch drwi
} 7 .t "` i , ,t ,t..1:''-',',"4:i-';',,r 4 1 : W /Out Purchase of SeMce or
0 r �i t,rl �,- s I c , ' , Feeder. tat Branco CI 5 48.85 $ 46.85
,i, k .1 _ . PLAN REVIEW
4'
0 Service over 225 amps -co m ❑ Health -care facility Each additional branch circuit $ 6,66 $ -
❑ Service over 320 amps -ratio of 0 Hazardous location MICCellancous k o er
foodar not Included (eerv
18,2 family dwellings 1 ❑ !Building over 10,000 square fact four or Each pump or irri ion circle $ 53.40 $ 2
❑ System over 600 volts norltinai more residential units in one structure Each Sin or Outline Lighting 5 53.40 $ 2
❑ Building over three stories) ❑ Feeders. 400 amps or more signal cu(witts) or Limited Energy
Panel Alteration or Extension"
O occupant load over 99 per- n ❑ Manufactured structurcs or RV park S 75.00 $ _
❑ Egress /lighting plan ❑ Omen. - "Description: - . -
Submit 2 s of plans with any of the above.
The above are not ap licabie to temporary construction service. Each Additional Inapectlon over
the Allowable In any of No
Notice: mis permit oppUcatlon Above. Pcr inspection -
I expires If a permit is not $ 62.50 $
obtained within 180 days after It lnveaUgatlon fcc: _ ,
has been accepted as IOVror
complete. Permit Fee $46.85
Plan review 25% $0;00
trt
State Surcharge 8% $3$3.75 .
Total $50 -60
B
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received / Date Requested 4/".0).( AM PM BUP
!
Location e X066 7eR /7d _J Suite MEC
Contact Person Ph ( ) TSB( —2 430 PLM
Contractor Ph ( ) E SWR
BUILDING Tenan caner ` rri .C4 - ELC D v 7.3 (
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
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
Fire 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 l OAR
Lt
Approach/Sidewalk Date "V Inspector V Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL