Permit -� t CITY OF TIGARD ELECTRICAL PERMIT
• - PERMIT #: ELC2005 -00979
s �h i4 DEVELOPMENT SERVICES DATE ISSUED: 12/28/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S113BA - 00400
SITE ADDRESS: 07632 SW DURHAM RD 125 ZONING: I -P
SUBDIVISION: SW CENTER SDR1999 -00020 LOT : JURISDICTION: TIG
Project Description: Canopy and island wiring.
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: 1 W /SERVICE OR FEEDER: 3 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
OPUS REAL ESTATE OREGON IV LLC HILLSBORO ELECTRIC
1000 SW BROADWAY 21185 NW EVERGREEN PKWY #110
1130 HILLSBORO, OR 97124
PORTLAND, OR 97205
Phone: Contact #: PRI 503 - 439 - 9666
FAX 503 - 601 -3680
FEES
Description Date Amount Reg #: ELE 34 - 4399C
[ELPRMT] ELC Permit 12/28/200` $100.25 LIC 134481
[TAX] 8% State Surcharge 12/28/200` $8.02 SUP 4941S
Total $108.27 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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 ques ions to OUNC at
503 - 246 -6699 or 1 -8 332 -2
Issued By: ad ., Permittee Signature: Q' a ' a.a4-1 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:
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.
Dec 27 05 08:14p Hillsboro Electric 503 -601 -3680 p.1
.-r- ,
A lectrical Permit Ap l IV F OFFICE -41J O NIN t .) r 9 1,
City of Tigard 9:14) /C � � 79 9
g ard D �� OS Permit vo. /
13125 SW Hall Blvd_ Tigard, OR 97223 nrr () 5 �,, 1(105
Plan Review
Phone: 503.639.4171 FUN: 503.598.1960UEU C t f•u r ,. I Dale/BV" Other Petmit:
Inspection Line: 503 639.4175 J � , 1 •tl*„ Date Ready /By. / Ell Sec Page?. for
Internet: tvtvw.ci.tigard.or.us CITY OF TIGARD Notified/Method: I Supplemental Information
•'Qj Og VOrnatl .. PLAN REVIEW
❑ New construction 114 Addition/alteration/replacement Please check all that apply:
❑Service over 225 amps, comm - I ❑Hazardous location
❑ Demolition ❑ Other: ❑Service over 320 amps- rating ❑ Buildng over 10.000 sq. ft..
CATEGO ' OF CONSTRUCTION of 1 and 2 family dwellings 4 or more new residential
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Buildin over three stories ❑Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other:
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park
am / ❑Wealth -care facility [Other:
Job no.: / L Job site address: _. . � i I / he' Submit 2 sets of plans with any of the above.
City/State/ZIP: City/State/ZIP: /qa „, a- . 9.-- • ,, The above are not applicable to temporary construction service.
Suite/ bldg. /a t. no.: / Project name: FEE" SCHEDULE
p �`i r�afi� �tr�� >i 7� i'!L eriptl�n 1 Qty. I Fee. I Total I ••
Cross street/directions to job site: ✓ Ncw• residential singles or multi - family dwelling unit_
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK .: Each manufactured or modular
r dwelling. service and/or feeder 90.90 2
C t{vlC y Qv �— s /! I �`, `'• �t t
F Services or feeders installation, alteration, and /or relocation
I J
200 amps or leas / 80.30 fo, ,3a 2
201 amps to 400 am 106 85
❑ PROPERTY OWNER f 0 TENANT ..: - P Ps 2
401 amps to 600 amps 160.60 2
Name: 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 services or feeders installation, alteration, and /or
Pitons: ( .) F es;: ( ) relocation 00 amps
200 a or less 66.85 . 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 ' 2
intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670, and 701. J
401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension. per panel
' ❑ APPLICANT !:. ' CONTACT PERSON • A. Fee for branch circuits with
service or feeder fee, each 6.65 /9 f� 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: ari/hnu( service or feeder fee, 46.85 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax:: ( ) - -
Sign or outline lighting 53.40
E - mail: Signal circuit(s) or limited-
, • CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Hillsboro Electric L _ L. C.
Address: Each additional inspection over allowable in any of the above
21185 NW Evergreen PKWY Ste #110
Per inspection 62.50
City /State/Z1P: Hillsboro, OR . 97124 Investigation per hour hr min) 62.50
Phone: (5 0 3) 439-9666 Fay. (503 )6 0 1 - 3 6 8 0 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES*
CCB Lic.:1 3 4 4 81 Electrical Lic.:3 4- 4 9 9 C I Suprv. Lie.: 4941 S Subtotal fele) ,
Suprv. Electrician signature, required: jot" `ljA /G. Plan review (25 %ofpennit fee) ..� Print name: Joey Vitacco G Date: fa ,77 -(_u State surcharge (8 % of pennit fee) L 1
/ TOTAL PERMIT FEE /A y .,..v...7
Authorized signature: This permit application expires if a permit is not obtained within 180
_ days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building industry Service Board
•• Number of inspections per permit allowed.
i \ Building \Pcrmits1ELC- rerm.tApp tim 12/0: 440.46 1ST( I0al2iCOM /IVEB
CITY OF EL-C
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:-.
Phone: (503) 639- 4171uyP�iialN��l�
Inspection Requests (24 Hrs.): (503) 639 -4175 �J ° 4 __..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: ''' /,� CLASS OF WORK:
SUBDIVISION: 3 D l LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For Date: — z--/-- 0 Pour Tim:
Code # Inspection Description Confirm # ontact Message
Corrections /Comments /Instructions:
) "igsz N t e.g (k c z-u 1e. s o.,v e lisso
\__A6C1.- ' P°O , Ma -Bad c
1 i (
•
I. 44
I I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
j■ FAIL IA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v CJ(3 Date: •-t Phone #: (503) 718- AI%
CITY OFTIGARD . _ , ELC__
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7
Phone: (503) 639 -4171 7p��ii�I
Inspection Requests (24 Hrs.): (503) 639 -4175 °`
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: --7 l 3 o w j zt _ vn CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3-I -0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6.
Corrections /Comments /Instructions: —L%
I PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL / U CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G • - (YoV Date: 3 11 Phone #: (503) 718 - A •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FLC2006-00979
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12I28t2005
Phone: (503) 639-4171 400141 l it\
,,s,g- ,
Inspection Requests (24 Hrs.): (503) 639-4175 112.
INSPECTION WORKSHEET FOR DATE: 2J&200$ TIME: 7:02AM PAGE: 36
SITE ADDRESS: 07632 SW DURHAM RD 126 CLASS OF WORK:
SUBDIVISION: SW C SDR1999-00020 LOT #: TYPE OF USE:
PROJECT NAME: COLUMBIA COMMUNITY BANK
DESCRIPTION: canopy and island wiring.
:._.
OWNER: OPUS REAL ESTATE OREGON IV LLC , PHONE #:
CONTRACTOR: HILLSBORO ELECTRIC - - - ■ . . . . _ . . . _ _ _ . . . . . . . , . . , . . . . ..,.._,'< ,
PHONE #: 603-439-9666
Inspection Request Scheduled For: Date: 2/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 02€316.01 503.439 Y
Corrections /Comments/ Instructions:
fir*ASS 0 PARTIAL APPROVAL 11 CANCEL 0 NO ACCESS
I I FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G.-- NO ( I.- ---"--- Date: 26 - s a r 6 Phone #: (503) 718- 24410
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2005 -009; 9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2t3/2005
Phone: (503) 639 -4171 A
kt
Inspection Requests (24 Hrs.): (503) 639 -417 R'
INSPECTION WO'KSHEET FOR DATE: 4/17/2006 TIME: 7 :05AM PAGE: 96
SITE ADDRESS: 076` : SW DURHAM RD 125 CLASS OF WORK:
SUBDIVISION: SW CE" 'ER SDR1999.00020 LOT #: TYPE OF USE:
PROJECT NAME: COLUMBI • COMMUNITY BANK
DESCRIPTION: Canopy and is nd wiring.
,
OWNER: OPUS REAL ESTA OREGON IV LLC, PHONE #:
CONTRACTOR: HILLSBORO ELECT C , PHONE #: 503
Inspection Request Scheduled For: Date: 4111/2006 Pour Time:
Co ' # Inspection Description • onfirm # Contact # Message
199 F loctsiu;al final
02113-01 97 i 21 87 1 V
-- c orrections /Comments /Instructions: '
•
•
G
•
•
PASS ' ❑ PARTIAL APPROVAL ❑ CANCEL • , ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: v ' • yV o S e t Date: ' 17 o b Phone #: (503) 718 - 2,46
i
CITY OF TIGARD • .�
BUILDING DIVISION PERMIT #:200s-06977
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 y i(11
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / l0 3 7- Dc,c.Li4471 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: — — d Pour Time: ' 41wl
Code # Inspection Description Confirm # Contact # Message
-
Corrections /Comments /Instructions: / - � - 0 7 / 0(i
CIO
ok Li f4 >
‘4&‘ _ Et _ 1.6A/1._ i4 •
L� W \I 0 ca y • '-
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: C"la. N6e L Date: 417 610 Phone #: (503) 718- 14%.