Permit `' oo CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 00152
COMMUNITY DEVELOPMENT
D ATE ISSUED: 3/18/2008
T G A R
;.
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AB - 01201
SITE ADDRESS: 16280 SW UPPER BOONES FERRY RD BLDG E ZONING: I - L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: EARTH ADVANTAGE
Project Description: TI. Installing (3) branch circuits.
RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 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 HILLSBORO ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI 21185 NW EVERGREEN PKWY #110
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone: Contact #: PRI 503 - 439 - 9666
FAX 503 - 601 -3680
FEES
Description Date Amount Reg #: II.,F 34 -499C
[FORM]] ITC Permit 3/18/2008 $60.15 LIC 134481
'TAX] 12% State Surchar 3/18/2008 $7.22 SUP 4941S
Total $67.37 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: i — — JO. Permittee Signature: �i v7 _ ..
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.
- -- -- 03- 17 -'08 18:22 FROM- Hillsboro Electric 503 - 601 -3680 T -356 P001/002 F -430
Electrical Permit Application z --r ^t a '� i r�s, are:.. ,�. * r -v t
pp ;, F,, h r :444 1 )7 1 I(l fl �) l l\-11� �e4 p� "u }, °i"lA ; r' -.
(i 041, .9a...� W:uw.ev •'- w.a�' x..g; J;44 :i'4401,;4,1 TM.' ^^t.. r.' ; 1. `. ' . :,, o
.°k C of Tigard Received d No
13125 SW Hall Blvd., Tigard O' e O BY• , va 1�� 0 �' 00 II -
• : .. Phone: 503 - 639.4171 Fax: 50' :',0" ii ' EN ^ Plan y Other Permit: �``
i i , , • I 11 l ii tnspcction Line: 503.639.4175 • '-' Q B r P �---
1 . L I 1U 08 Date Ready/By: : J": : (B See Page 2'for
._.;:.,..,:,,.b, ::a Internet: www.tigard- or.gov MA 1 R Notified/Method. Supplemental Information
1°1 ter,
' E OF W • :4 ' . ® i . • N PLAN REVIEW
❑ New CoriStThCtiOn E Addition/alt s .. 0 ;I ts ,. Please clack all that apply (submit 2 sets of ptaaa w /items checked below);
0 Service or feeder 400 amps or more 0 Building over three stories
❑ Demolition ❑ Other .
where the available fault current 0 Marinas and boatyards
CATEG Y OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings.
El 1 - an 2 - famll dwelling CommerCtaUiridustrial less to ground, or exceeds 14,000 D Commercial-use agricultural
1 - g ❑ A ccessory bu ilding amps for all other installations. buildings.
❑ Multi - family ❑ Master builder 0 Other: 0 Fire Paw. 0 Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ EmcrgeocY system. larger separately derived system.
0 Addition of new motor load of
Job no.: U 1 3-1 Job site address: I t'Z) cl 1 j ( 124J 100111 or more. occupancy.
0
"" D Six or arm a reside ntial mitts. Recreational vehicle parks.
City/Statc/ZIP: 7 " • `' n �0 1 6y_____ . .,-),r ( ' •` tl tom+ — ❑ Health.oare facilities, ❑ Supply voltage for more than
`w ❑);huardous locations 600 volts nominal.
Suite /bldg. /apt. no.: Project / I 7 1 },1V. IVA V - J- •, ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site Deuripe= I Oa. 1 - Far I Tote 1 •
New residential single or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.I5 4
Tax map /parcel no.:
Ea add'I 500 sq. ft, or portion 33.40 t
DESCRIPTION OF WORK - Limited energy, residential
_(with abovo set. ft.) 75.00 2
TT I - Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
I 200 amps or lass 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps — 106.85 2
Name: Y 401 amps to 600 amps 160 -60 2
Address: - 601 amps to 1,000 amps 240.60 2
- Over 1,000 maps or volts 454.65 2
City /State /ZIP: Temporary services or feeders Installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps 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 .i
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension, r panel
0 APPLICANT A Fax for branch circuits with
1 0 CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits -
Contact [tame; without service or feeder the, 1 46.85 4 435 2
first branch circuit _
Address: Each add'l branch circuit �r 6.65 3 .33/-' 2
_ Mlscdlaneons (service or feeder not Included) )
City /State/ZIP: 13ach manufactured or modular 90.90 2
d� service and/or feeder
Phone: ( ) Fax: ' ( ) _ Reconnect only _66 -85 2
E -mail: _ Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business Warne: Signal circuit(s) or limited-
HILLSBORO ELECTRIC, LLC energy panel, alteration. or
2
Address' 21185 NW EVERGREEN PKWY #110 extension. Describe- Pagc2
City /State/ZIP: HZ LLSBORO , OR 97124 Each additional inspection over allowable in any of the above
-,-- Per inspection 62.50 _
Ph " :( 503 ) 439 - 9666 Fax:( 503 ) 601 - 3680 Investigation per hour( 62.50
CCB Lic.: 134481 f Electrical Lie.: 34_ 4 9 9d Suprv. Lie.: 4941S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 1
b. ��� �. Subtotal: (Pp • 9
Print name: JOEY V I TACCO ter bate: 1 ` o? Pl review (25°x6 of permit fee):
.
_ State surcharge (12% of permit foe): . Zj7/
Authorized signature: TOTAL PERMIT FEE:
Print name: Date: Ibis permit application Mina Uf a permit is not obtained within 180
- days after it bas been accepted as complete.
• Number of impactions allowed per permit,
L&Buildinglpennit 14W-PermitApp.doc 05/23/06 440- 4615T(11ro5/CO JWEB
CITY OF TIGARD .;;'
BUILDING DIVISION PERMIT #: EL :x008. 0;)'1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/18/2008
Phone: (503) 639 - 4171 o,,�I�
Inspection Requests (24 Hrs.): (503) 639 -4175 ^ '.L
INSPECTION WORKSHEET FOR DATE: 4/2212008 TIME: 7:00AM PAGE: '14
SITE ADDRESS: 16280 SW UPPER BOONES FERRY RD [BLDG E CLASS OF WORK:
SUBDIVISION: PACTRUSf BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: EARTH ADVANTAGE
DESCRIPTION: TI. Installing (3) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HIL.LSf3ORO ELECTRIC PHONE #: 50 :34399666
Inspection Request Scheduled For: Date: 4/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 EIec final 068731 -01 971- 404 -9905 ° '/
Corrections /Comments /Instructions:
\.
\ V \
(
i
'4 PASS PARTIAL APPROVAL CANCEL ❑ NO ACCESS
• _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ON °Q Date: L i Idti01) Phone #: (503) 718 -7-
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: El..C2008-00152
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 'IB /200x0
Phone: (503) 639 -4171 �r."����e
Inspection Requests (24 Hrs.): (503) 639 -4175 J.4. r
INSPECTION WORKSHEET FOR DATE: 4/21/2008 TIME: 7: 00AM PAGE: 21
SITE ADDRESS: 16280 SAN UPPER BOONES FERRY RD F3LDG E CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: EARTH ADVANTAGE
AGE
DESCRIPTION: TI. Int:tailing (3) branch circ:lultr.
OWNER: PACIFIC REALTY A FSOc IATE:S, PHONE #:
CONTRACTOR: FIILLSt30RO ELECTRIC PHONE #: 503 439 - 9666
Inspection Request Scheduled For: Date: 4/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
159 Electrical fin al 068652 -01 971-404-9905 Y
Corrections /Comments /Instructions:
P(ko. O ?Arica__ 'b■a,t AK/ 468.
The electrical installation defects noted
on this report shall be corrected and .
an inspection request made within 20
calendar days per OAR 918- 271 -0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N(1t1.s Date: .4\1A bi Phone #: (503) 718- Vflk
CITY OF TIGARD ..../. � _4;
BUILDING DIVISION PERMIT #: El_t.:2U08- 01)162
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3 /18 /2O0E;
Phone: (503) 639 -4171 Vit
Inspection Requests (24 Hrs.): (503) 639 -4175 ...,, _..
INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7:01AM PAGE: 13
SITE ADDRESS: 162.80 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK:
SUBDIVISION: PACTRU ST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: EARTH ADVANTAGE
DESCRIPTION: TI. Int:t; iling (3) blanch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503.439-9666
Inspection Request Scheduled For: Date: 4/18/2008 Pour Time:
Code # Inspection Description Confirm #- Contact # Message
130 Ceiling rover \ 068602 -01 371 -404 -9805 N
Corrections /Comments /Instructions: N
PAS ❑ 'PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: c Date: il 1%0 Phone #: (503) 718- 14%
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008- 00152
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/18/2009
Phone: (503) 639 -4171 Y i
Inspection Requests (24 Hrs.): (503) 639 -4175 s ' e11.
INSPECTION WORKSHEET FOR DATE: 3/28 /2008 TIME: 7 :01AM PAGE: 6
SITE ADDRESS: 16280 SW UPPER EiOONES FERRY RD F3LDG CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: EARTH TH AIDVANTAGE.
DESCRIPTION: 1l. Installing (3) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: I Ht.L.SBORO ELECTRIC PHONE #: x,03'139 - 9666
Inspection Request Scheduled For: Date: 3/28/2008 Pour Time:
Code # Inspection Description Confirm # \. Contact # Message
12( Wall cover 087511 -01 971 - 404.9905 \ Y
Corrections /Comments /Instructions: � /
•
PASS, ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT 0 Le Date: 3 .2 % Phone #: (503) 718- Z�
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL.C2008-•0:)1,S2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1P'2008
Phone: (503) 639 -4171 et,
Inspection Requests (24 Hrs.): (503) 639 -4175
4
. INSPECTION WORKSHEET FOR DATE: 3/27/2008 TIME: 7:03AM PAGE: 19
SITE ADDRESS: 16280 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: EARTH A()VANT'AGE
DESCRIPTION: TI. IrvAalling (3) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: EIILL SBORO ELECTRIC PHONE #: 503 -433 -9666
Inspection Request Scheduled For: Date: 3/2.7/2008 Pour Time:
Code # Inspection Description �errfirrn,# Contact # Message
• 12( Wall cover 067437 -01 971- 4049905 N
Corrections /Comments /Instructions:
a % L e uzI ES L'6 S
vAliGuE. v k i iN 1 1 '4 -. t (N) (::(4,0M €
V (�x�..• AST 300, ( D�
U
'tt\CA Gin K► 0 ?tom �, t patNIIAL EteL.
\ O% ()
❑ PASS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4
Inspector: (3.-. w OE, Lg Date: 3.2 1 - on Phone #: (503) 718- L i