Permit a ..,i . CITY OF TIGARD ELECTRICAL PERMIT
fit �� PERMIT #: ELC2007 -00425
.'°�; COMMUNITY DEVELOPMENT DATE ISSUED: 6/20/2007
`I; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BC-00700
SITE ADDRESS: 10831 SW CASCADE AVE ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: COMCAST
Project Description: (5) branch circuits to connect rooftop mechanical units.
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: 4 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:
AMB PROPERTY L P BROADWAY ELECTRIC - COCHRAN INC
BY TRAMELL CROW NW INC 626 SE MAIN
8930 SW GEMINI DR PORTLAND, OR 97214
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 - 234 - 6564
FAX 503 - 238 -2098
-
FEES
Description Date Amount Reg #: ELE 37 -546C
[ELPRMT] ELC Permit 6 /20/2007 $73.45 LIC 72942
[TAX] 8% State Surcharge 6/20/2007 $5.88 SUP 3447S
Total $79.33 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.
1
Issued B / /// Permittee Signature: /Jpp /;c_ic I ci_
400 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.
06/20/2007 11:09 COCHRAN BROADWAY 4 5035981960 N0.433 DO5
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' ,.. „ _ f� �g: I k'r K i '• slk R ,hrei r rlrt J�IS d7 :l 1 i 5ur t 2.'''''',1"' c ,�_: 1" W a N1 `N"�F. - p�
klectrical Permit A 11 It 1 .. a `l
19, � , '�''r �1 1 � , 4 .11P: , ' rorc cfthtc r , u s��w t - '';..,.�. ";' I ;171', u ;
City of Tigard 25
O rl Received ZA Permit No.: pp�� L Q! R Lu eh rral •1 '
13125 SW Hall Blvd., Tigard, OR 97223 �� 1`I Plan Review
Phone: 503,639.4171 Fax: 503,598.1960 itK `,� i r Other Permit:
1 cction Lime: 503.639.4175 (/ c h e e ,, Date tteady/By. Soc Peg! 8 for
nsp i' i
fnternet: www.ci ngard.or.ue Cif Notified/Method: Ft • Supplomontal Inforamdon
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�l1 �'.LJ�.I.! :i!_l�'SCJ`te:ILy',�� „i�,. } ie �7S•1._Jli driti9l t '!.r.., re : :
[l New constn . etiolt C - ddition/alteralion/replacement Please check all that apply:
❑Service over 225 amps, comml El Hazardous location
❑Demolition E3 Other;
[( t . ' I r *7 ❑Service over 320 amps - rating ❑ Buildng over 10.000 sq, ft.,
X 1 1” J7i44 if F ii'il " IUtI{ n 1 J, l x - L o1 7� !) ^ { � ill °6t} l {, 10 !'I .�I ,
..-‘ '' .�v,�.!Il ii' .- :iiitltUlti. :..i•Y. _.I. , - .41 , h ?:-,,_ I
rua '� .ta
'( j iii. .Li..... .9f " , . I -r, ofl- and ?familydweilings 4ormorenewresidentia!
❑ 1 - and 2 dwelling Et ommercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stories ❑Peeders, 400 amps or more
D Multi -family ❑Master builder ❑ Other;
[Occupant load over 99 persons ❑Manufactured structures or
r �yp 1•t11!1'�'1 1 :v I l l p I .:-. ,T " 1 1 1 -C, '` t i 04. 1 R B - i 2 'I , 7d d"1!Ir I�''h i l , i RV par
iu{ LI A !,:'...yIL 7`9 , /s F - _ JI 4.:,,.4 1 .I.'I.... . ' iic., A ❑ Egrass / l i ght i ng p l an P
Job no.: 14 e ` Job site address: I • ❑Health -care facility ❑Other:
?.p3 (� g3� SIt i:_LL , e • Submit 2 sets of plans with any of the above.
City /State/ZIP: "I t j' b' The above are not applicable to temporary construction service.
'4 !1 : Iii` 1 { r' . ( � 81 ' `YfA;Yi'i. 0i. ia4 >1"
Suite/bldg. /apt no.: Project name:
Damnation , Qty. J pea 1 Tolal 1 .•
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage. _
-, _ 1,000 sq. ft. or leas 145,15 4
Subdivision: Lot no.: Ea. add'l 500 aq. ft. or portion 33.40 1
Limited energy, residential 75,00 2
Tax map/parcel no Limited energy, non - residential 75.00 2
pl/Mi Y h,rl lai 5 .1 1 IG Y1111 II: 1 4111,1' t1 �.•;1n 4> 1 ( ;01 , :i ` k15 4 '...4. 1 ,, 1 (P , 1 '7 , I ] —
L...112.'..._ — ..L,L
.: 9! l i. 1 1 1$ . 4 1 1 !. , '';(.J . L.. .'12.1. n^i'Rltlll .4.Y, W..f ,1 .L K.' A` ■ I ` " I lly� i —. _L. L J Ea
:. h manufactured or modular
• I dwelling, service and/or feeder 90.90 , 2
ti i ..� _ L 1 gG,• 1� iA_LA� a .. ' 1 • Service. or feeders installation, alteration, and/or relocation
r ��,, O,�tt p 200 amps or less 80.30 2
1
it, !ii` '.` I:iL14 4 1 . t, i t r lri h Ylt Ir l�i'e��r'P 1 i 1 { s d.1 ' t , if : 11 . / 2 fl� 'Z f`;n0 1y fi nti' La- _201 amps to 400 amps 106.85 2
P l ' rr �1" - -� 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
Clry /State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation _
Phone: ( ) Fax: ( ) 200 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 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 600 amps _ 133.75 . 2
r
OwViler signature: y iL Date: Branch circuits - new, alteration, or extension, per pane
1 1 t ' ' 1 I \rri I l i- ggii1 r I 9i, 71 ` { I r i I1 , 9 i1 rid• 41 r 1 1 1'� / t k:' , I r1 -�j F 1 .1 ?..� ti t 1 0 , � , ! 11 A. Fee for branch circuits with
— ...1..: �, ,, , .. 1� � L, . t•:.n..7 „:l l l l .l 1t�i ;,� 0 ,11 1,.. 1 r '.± . 1 1- n 1 ^3,,11-. :1 ,,, . Y 1 ' j,
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits •
Contact name: VV1.� b I without service or feeder fee, / 46.85 2
Address: t Each each branch circuit add'1 branch circuit 1 I
City /State/ZIP; Miscellaneous (service or feeder hat 6.65 1 .6t 2
included) ,
Pump or irrigation circle 53.40 2
Fax: :
Phone: (503) 2...,b414,(0(.1- ( ) Sign or outline lighting 53.40 2
E -mail; Signal circuits) or limited -
{Q ir I dtlfr�P�l =(' 1I Il;1r�f ti ll T∎ U !-L � I ``� 1 idy'1,S.1.d� 1 I'g' 1 Ir. 1 ;� t�P��►'J� j �4 �1� rl�If1 !,I L 77 II energy panel, alteration, or
�14ulirluL'ff ,.. �� il1r��. II#, 1. ..... I�I+ ...:. �ti....R1iI.,l.,a1Lr:�tlR. ,l, 1 - ,: 1- n:t1fL74.'E @1..�(iit (fl'C'W�Y'/�T!., it Paget 2
- extension. Describe:
Business name: ' e 0. w a.♦ \,e r Ni ■.c,-
Each additional inspecdon over allowable in any of the above
Address: (. 2 ( 5 „...\ 04 Per inspection 62
City /Statc/ZIP: y r 1:)9._ / Z\ investigation per hour (t hr min) 62.50
Phone: (6'e3) Fax: (5 L3S - 'V Industrial plant per hour 73.75
(�� r��� r�•Il' , �I1. 1� 1 1 /II U I '. "1 11 . .. 1 ”
� ,, •, i id o l, 3i �+'rt ° ° i�i�,lh.s L�r3 .�L •�s . .�,1 ��1.� °r' , '
IMESIZEIMI Electrical Lic.: 3 -5 ( Suprv. Lic,: 3 t•{4 h' Subtotal 7... 4 5
Suprv. Electrician signature, required: ,l 1 _ Plan review (25 °h of permit fee) `
Print name: V emsv��\(.\. p Date: ( kbIO(T State surcharge (8% of permit fee) 678y
TOTAL PERMIT FEE 2 9, 33
Authorized signature: Tills p ermit appllcadon expires if o permit le not obtained within 150
days after It has boon accepted rd template
Print name: Date: • Fee methodology set by Tri- County Building industry Service (loud
• • Number of iospsetiona per permit allowed.
L• tA„ i144 ..tP,•ndr°trU,f.- PmnItAnn.doc 11109 440- d615T(10/09/CAMfW 5