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Permit ' CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: E 1/2007 00261 DATE ISSUED: 5/1/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 } PARCEL: 1S136DD-04100 SITE ADDRESS: 11850 SW 67TH AVE 100 ZONING: MUE SUBDIVISION: TIGARD TRIANGLE COMMONS LOT : 007 JURISDICTION: TIG • PROJECT: AMERICAN FAMILY INSURANCE Project Description: Electrical TI - Job No. 270610 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: 51 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: 1 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 NW PROPERTIES CAPITOL ELECTRIC CO INC 6600 SW 105TH SUITE 175 11401 NE MARX ST BEAVERTON, OR 97005 PORTLAND, OR 97220 -1041 Phone: 503 - 626 - 3500 Contact #: PRI 503 - 255 - 9488 FAX 503 - 257 -7121 FEES Description Date Amount Reg #: ELE 26 -496C [ELPRMT] ELC Permit 5/1/2007 $499.75 LIC 48748 [TAX] 8% State Surcharge 5/1/2007 $39.98 SUP 3132S Total $539.73 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 : i •ays. - E :' : Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 - 001 -0010 throu" • OAR 9‘401-0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2 44. Iss ed By: G l (7.4;d . 4 Permittee Signature: 414 ' ' L 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: -rCONTRACTOR INSTAL TION ONLY V dI IF SIGNATURE OF SUPR. ELE M FF _ !. 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. • r a . ^ ? FOR OFFICE USE O \`1 Y:- Electri 1 Eermit Application 6 i*9 ' ,& ' d / , .� R ec e ivea . ,per a9' " a ' � , Date/By: b' Permit n a 9 7 � Loi ' - y' Ytfi�i �xT/ City of Tigard Plan Revi j 13125 SW HALL BLVD. TIGARD, OR 97223 ' I Y Date /B : Other Permit: Phone: (503) 639 -4171 Fax (503) 598 -1960 CITY OF TIGARD Date Ready /: : .. , Juris: L] See Page 2 for Inspection Line: 503- 639 -4175 g �y p A No ifi• :el , t ••• /.1 /a— / Supplemental Information Internet: www.ci.tigard.or.us RT0. 1!• U I�+ glU � �(� it 'm/i � _t ,� �' ��r r l TYPE OFWO31 TTf:1'TiI p� PLAN REVIE New construction U Addition /alterati f Pleas �' check all that apply: ❑ Demolition ❑ Other: ❑ Service over 225 amps, comm'I ❑ Hazardous location CATEGORY OF CONSTRUCTION ❑ Service over 320 amps - rating ❑ Building over 10,000 sq.ft. ❑ 1- and 2- family dwelling L] Commercial /industrial L] Accessory building of 1- and 2- family dwellings 4 or more new residential ❑ Multi- family ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units in one structure • JOB SITE INFORMATION AND LOCATION ❑ Building over three stories ❑ Feeders, 400 amps or more Job no.: 270610 Job site address: 11850 SW 67th El Occupant load over 99 persons ❑ Manufactured structures or ❑ Egress /lighting plan • RV park City/State /ZIP: Tigard, Or. ❑ Health -care facility El Other: Submit 2 sets of plans with any of the above. Suitc'bldg.!apt. no.: 100 Project name: American Family The above are not applicable to temporary construction service. FEE SCHEDULE • . . , Cross Street/Directions to job site: Description I Qty. I Fee. I Total I " New residential - single or multi - family dwelling unit. Subdivision: Lot no.: Includes attached garage. 1000 sq. ft. or less $ 145.15 4 Tax map /parcel no.: Ea. Add'1500 sq. ft or portion $ 33.40 1 DESCRIPTION OF WORK Limited energy residential $ 75.00 2 New switches, outlets and lighting for Tenant improvement. Limited energy, non - residential $ 75.00 2 Each manufactured home or modular -.. U PROPERTY OWNER ' I • • U TENANT. dwelling, Service and/or feeder $ 90.90 2 Name: Service or feeders installation, alteration, and/or relocation 200 amps or less $ 80.30 2 Address: 201 amps to 400 amps $ 106.85 2 401 amps to 600 amps 1 $ 160.60 160.60 2 City /State/ZIP: 601 amps to 1000 amps $ 240.60 2 Over 1000 amps or volts $ 454.65 2 Phone: Fax: Reconnect only _ $ 66.85 2 Temporary services or feeders installation, alteration, and /or Owner installation: This installation is being made on property that 1 own which is not relocation intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less $ 66.85 1 Owner signature: Date: 201 amps to 400 amps $ 100.30 2 401 amps to 600 amps _ $ 133.75 _ 2 11 APPLICANT I U CONTACT PERSON Branch circuits - new, alteration, or extension, per panel Business Name: CAPITOL ELECTRIC CO., INC. A. Fee for branch circuits with service or feeder fee, each Contact name: John Uhl Y q �� branch circuit 51 $ 6.65 339.15 2 l � -[ B. Fee for branch circuits Address: without service or feeder fee, each branch circuit $ 46.85 2 City /State /ZIP: Each additional branch circuit: $ 6.65 2 Miscellaneous (service or feeder not included) Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Pump or irrigation circle $ 53.40 2 Sign or outline lighting $ 53.40 2 E -mail: Signal circuits(s) or limited- . , . ,. CONTRACTOR ' energy panel, alteration, or Business Name: CAPITOL ELECTRIC CO., INC. extension. Describe: Page 2 2 Contact name: John Uhl Each additional inspection over allowable in any of the above Per inspection $ 62.50 Address: 11401 NE MARX ST. Investigation per hour (1 hr min) $ 62.50 Industrial plant per hour $ 73.75 _ City /State /ZIP: PORTLAND, OR 9722 0 -1 041 ELECTRICAL PERMIT FEES* Subtotal 499.75 Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Plan review (25% of permit fee) State surcharge ( 8% of permit fee) 39.98 CCB Lic.: 48748 Electrical Lic.: 26 -496C ISuprv. Lic.: 7 .J �'/ 3 � 113322-S TOTAL PERMIT FEE /j 1 �! This permit application expires If a permit is not obtained within 180 /v�(� Suprv. Electrician signature, required [/ f a days after it has been accepted as complete Print Name: DARRELL MCNEEL Date: 04/18/07 * Fee methodology set by Tri- County Building Industry Service Board Authorized signature: * *Number of inspections per permit allowed. n� 4 A/U4 alA Print Name: DARRELL C L CITY OF TIGARD BUILDING DIVISION ,,,, PERMIT #: ELC2007 -00261 13125 SW Hall Blvd., Tigard, OR 97223. 1 DATE ISSUED: 5/1/2007 Phone: (503) 639 -4171 VIP, Inspection Requests (24 Hrs.): (503) 639 -4175 � A4' F _.. INSPECTION WORKSHEET FOR DATE: 8/28/2007 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: PROJECT NAME: AMERICAN FAMILY INSURANCE DESCRIPTION: Electrical TI - Job No. 270610 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626.3500 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255.9488 Inspection Request Scheduled For: Date: 8/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 054737 -01 971- 506 -3495 \ Y Corrections /Comments /Instructions: o A n PASS ❑ PARTIAL APPROVAL tO CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION • : ■ • - FEES ASSESSED Inspector: �' �� Date: � 2 Phone #: (503) 718- � 6 CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELC2007 -00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/24/2007 TIME: 7:OOAM PAGE: 61 SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: PROJECT NAME: AMERICAN FAMILY INSURANCE DESCRIPTION: Electrical TI - Job No. 270610 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503255. Inspection Request Scheduled For: Date: 8/24/2007 Pour Time: Code # Inspection Description e i Contact # Message 130 Ceiling cover 054586 -04 971- 506 -3495 N Corrections /Comments/ Instructions: (PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G uv ( 6 o Lt Date: 8' 2 '' b1 Phone #: (503) 718- zAii%o 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- •00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007 Phone: (503) 639 -4171 �° '�7 Inspection Requests (24 Hrs.): (503) 639 -4175 s INSPECTION WORKSHEET FOR DATE: 8/20/2007 TIME: 7:02AM PAGE: 35 SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: PROJECT NAME: AlviE-::l:.:AI' : r'.Ml1 `: IN:.31t.I 'ANCE DESCRIPTION: Electrical TI - Job No. 270610 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503.626 -3500 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255.9488 Inspection Request Scheduled For: Date: 8/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 054307 -01 971 -506 -3495 N Corrections /Comments /Instructions: 0 l9 1! e /ecoil- •,'cc e v ewe-CYf/�/' q y teg v; 44 e., c fecznc j , r r o S c. 4 X 6 o w h 4 ATFC .ifo - ? 6 ( VI)Iie� '-&€__ Ate • ole P p yo e-vvi- ---4 -o 4-60 p Q A4 y - Y -h et d — PASS ❑ PARTIAL APPROVAL El CANCEL El NO ACCESS AIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: M-4462A Dater' '— 0 - Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007 Phone: (503) 639 -4171 r! Inspection Requests (24 Hrs.): (503) 639 -4175 ' °�� INSPECTION WORKSHEET FOR DATE: 8/9/2007 TIME: 7:OOAM PAGE: 38 SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: PROJECT NAME: AMERICAN FAMILY INSURANCE DESCRIPTION: Electrical TI - Job No. 270610 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 -626 -3500 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255 -9488 Inspection Request Scheduled For: Date: 8/9/2007 Pour Time: Code # Inspection Description C i?n Contact # Message 130 Ceiling cover 053687 -01 971 - 505.3495 Y Corrections /Comments /Instructions: X G E �� : 4 i c A ` V G g* Rooms 1 I PASS ►: PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V y I\) v'v L' Date: 1/0 1 Phone #: (503) 718 -62'* b CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007 Phone: (503) 639 -4171 . gby Inspection Requests (24 Hrs.): (503) 639 -4175 s•� ° INSPECTION WORKSHEET FOR DATE: 7/19/2007 • TIME: 7:O3AM PAGE: 48 SITE ADDRESS: 11650 SW 67TH AVE 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: PROJECT NAME: AMERICAN FAMILY INSURANCE DESCRIPTION: Electrical TI - Job No. 270610 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503- 255 -9466 Inspection Request Scheduled For: Date: 7/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 052347 -01 971 -506 -3495 N Corrections /Comments / Instructions: 04.0 1.1 1),S ) e cra �.oE5WM5 _ • ❑ PASS PARTIAL APPROW ❑ CANCEL ❑ NO ACCESS ❑ FAIL - • OR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' N (6.rJ t Date: 11 q f Qj Phone #: (503) 718-1,4 4 ( 1 f CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200 -002G1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1 /2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7:00AM PAGE: 32 SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: PROJECT NAME: AMERICAN FAMILY INSURANCE DESCRIPTION: Electrical TI - Job No. 270610 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255.9488 Inspection Request Scheduled For: Date: 7/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 051955 -01 503-255-9488 Y Corrections /Comments /Instructions: L r� LAW Wit te ( v A-74 0/ ` [&RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( /� //4 Date: Phone #: (503) 718- –34k— CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELC2007 -00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007 Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639 -4175 ...Vit INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:OOAM PAGE: 64 SITE ADDRESS: 11850 SW 67TH AVE 100 • CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: PROJECT NAME: AMERICAN FAMILY INSURANCE DESCRIPTION: Electrical TI - Job No. 270610 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626.3500 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255.9488 Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 Underground/slab cover 050925 -02 971 - 506.3495 N Corrections /Comments/ Instructions: • n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • Date: .147 Phone #: (503) 718 - CITY OF TIGARD - • BUILDING DIVISION PERMIT #: ELC2007-00261 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/1/2007 Phone: (503) 639 -4171 ' �� ∎ Inspection Requests (24 Hrs.): (503) 639 -4175 ,.. '' I .. INSPECTION WORKSHEET FOR DATE: 6/ 2612007 TIME: 7:00AM PAGE: 55 SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: PROJECT NAME: AMERICAN FAMILY INSURANCE DESCRIPTION: Electrical TI - Job No. 270610 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503- 626 -3600 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-9488 Inspection Request Scheduled For: Date: 6/2612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 • Wall cover 050925-01 971- 506 -3495 Y Corrections /Comments /Instructions: , e ► Nl_-. AIM • E 14' 6M. t Ai c04 v4444 5 0 ,41- - 4.------------____ n PASS , PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector �' TO w Date: v ' 2- ' 0'1 Phone #: (503) 718- VH CITY OF TIGARD - ` BUILDING DIVISION PERMIT #: ELC2007 -00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 - ` - -- INSPECTION WORKSHEET FOR DATE: 5/9/2007 . • TIME: 7:OOAM PAGE: 47 SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: PROJECT NAME: AMERICAN FAMILY INSURANCE DESCRIPTION: Electrical TI - Job No. 270610 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626-3500 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255.9488 Inspection Request Scheduled For: Date: 5/9/2007 Pour Time: Code # I nspection Description Con if'rm Contact # Message 105 Underground/slab cover 047936-01 971 - 506 -3495 Y Corrections /Comments /Instructions: \ A i X '6 1 4 0 v41 3 gT 5 • N________ 4 4 X 10 v•4 1 6 7 EA• Vtl b(2 6 i 0 `•"}, PASS 74] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \\I ® Date: 9 7 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00261 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 511/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 Vit. INSPECTION WORKSHEET FOR DATE: 8/3012007 ' - TIME: 7 PAGE: 21 , • 11850 SW 67TH AVE 100 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE: PROJECT NAME: AMERICAN FAMILY INSURANCE DESCRIPTION: Electrical TI - Job No. 270610 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-948B Inspection Request Scheduled For: Date: 8/30/2007 Pour Time: Code # Inspection Description Confirm • Contact # Message 199 Electrical final 054893 -01 971 - 506 -3495 N Corrections /Comments/ Instructions: ' \ • 0 A , / \\*: , • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FATL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �r 14 Date: tl( 15101 Phone #: (503) 718 -' A