Permit • S �Y OF TIG V ® ELECTRICAL PERMIT
• Y 1 i V
# 2008 00457
COMMUNITY DEVELOPMENT DATE PERMIT ISSUED : 8/7/2008 ELC
T, GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AD -02400
SITE ADDRESS: 12753 SW 68TH AVE 100 ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 032 ' JURISDICTION: TIG
PROJECT: GEORGE FOX UNIVERSITY
Project Description: Installing (12) branch circuits.
' 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: 11 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:
WESTERN EVANGELICAL SEMINARY CAPITOL ELECTRIC CO INC .
PO BOX 23939 11401 NE MARX ST
PORTLAND, OR 97281 - PORTLAND, OR 97220 -1041
Phone: Contact #: PRI 503 - 255 - 9488
FAX 503 - 257 -7121
FEES
•
. Description Date Amount Reg #: ELE 26 - 496C
[ELPRMT] ELC Permit 8/7/2008 $120.00 LIC 48748
[TAX] 12% State Surchar 8/7/2008 $14.40 SUP 31325
Total $134.40 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: / /'.. / �= Permittee Signature: ---� , .ice ^ ‘
/ 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.
INSPECTOR'S SIGNATURES ARE NOTE ;
Inspections Required for: F. . 7 REQUIRED ON GREEN INSPECTION CARD.
✓ . Code I Inspection Description I PASS Date I By ✓ Code I Inspection Description I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors �/ 199 Electrical final
240 Exterior sheathing /�
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage •
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 • Hydronic piping
899 MFG- Structure final • 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
•
915 Fire alarm rough -in 305 Plumbing underslab
310 Crawl drain
920 Suppression trip test
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank .
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07
•
CITY OF TIGARD ELECTRICAL PERMIT
1,111 ° PERMIT #: ELC2008 -00457
COMMUNITY DEVELOPMENT DATE ISSUED: 8/7/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AD -02400
SITE ADDRESS: 12753 SW 68TH AVE 100 ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 032 JURISDICTION: TIG
PROJECT: GEORGE FOX UNIVERSITY
Project Description: Installing (12) branch circuits.
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/ SVCI 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: 11 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:
WESTERN EVANGELICAL SEMINARY CAPITOL ELECTRIC CO INC
PO BOX 23939 11401 NE MARX ST
PORTLAND, OR 97281 PORTLAND, OR 97220 -1041
Phone: Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMTI ELC Permit 8/7/2008 $120.00 LIC 48748
[TAXI 12% State Surchar 8/7/2008 $14.40 SUP 3132S
Total $134.40 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: , , Permittee Signature: � 7fit- fit'P`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:
CaII 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.
Electrical Permit Application Reeelved
City of Tigard N �� Date/By: 7 G dY e rmit no.: � )t - -GoY$7
• /�/ -fiC al 13125 SW 1-IaII Blvd., Tigard, OR 9 %:" '1 % , Plan Review
Q Phone: 503.639.4171 Fax: 503.59: Ili, 70 Date/By: Other Permit:
Inspection Line: 503.639.4175
T l GA R D P 20p$ Date Ready/By: Juris: See Page 2 for • Internet: www.tigard- or.gov - 6
1 Notified/Method: �� Supplemental lnfom�ation
. ::::::::::::.:•::::::::: ::::: : :::::: .......... ; . ................:::: ,. � . V : •- .: . .;: t•; t•::: :::: ••- -: -: :- :;: : :: :i• :ir ...........
:.::. �::•.;;•::-;:•::::::•::•::+•. . ::•:: :t• :::::::::::::::::::•::.::::. , . .: ::. . • - ••:. :: �.;.::•:• . .. ...::: •• . : �:. .:. ............. fi1C�Fii. 7Ct7',:- Ff. �.? 1�:: �i�: �: �: �: �i :]i:i::::::i :i:i:i:i:::i:i:.:: :£ :t ::$ >::t: <: <;�::::
New construction Addition/alteration/replace 114U1/ Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑ Other: 11 ❑ Service or feeder 400 amps or more ❑ Building over three stories
where available fault current Mar
Marinas and boatyards
ds
ri here the ova
1 and 2 family dwelling U Commerciallindustrial in Accessory building exceeds 10,000 amps at 150 volts or Floating buildings
❑ Multi family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 Commercial -use agricultural
amps they installations. ❑
buildings
s
::, Il+'t�R,i�A t���".iI.3:�t�* • £ i` E: ii< a? : cE'•E1E'•E'• # E;E'• E'•'• ±i.l��i.
s for all o
❑ Fire Pump
Job no.: 281007 I Job site address: 12753 SW 68th ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system.
City / State/ZIP: 12753 SW 68th ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3",
1001 or more. ❑ occupanc1
> z,. %v�:. ;;c.: Project name: George Fox University ❑ Six or more residential units ❑ Recreational vehicle parks.
e:::�
UD ❑ Health -care facilities ❑ Supply voltage for more than
Cross Street/Directions to job site`
� ❑ Hazardous locations El 600 volts nominal.
(e\ ❑ Service or feeder 600 amRs or more
Subdivision: V it I Lot no.: �.,:,:: w:: w:::: •::::.; ....,... :.._ .....:: ;.,;......
:.: -; i- ` ':WWWE YE E F:2` i s i#: o : ii i >: : i::t':::::: ;.! :1
1 Description I Qty. I Fee. Total **
Tax map/parcel no.: New residential - single or multi - family dwelling unit.
nc ud s • f garage.
.:W:
1 e attached [[[�t��''�r .. v[!��O \.iif.� » >.4: {:itiytii{y{� { ^::i:< ?ii'•i:�•'.�� +: I p p
Add outlets for Projector and Change lights in hall 1000 sq. ft. or less $ 145.15 4
: Ii ;.ii::F ::.::.:........
Ea. Add'1500 sq. ft or portion $ 33.40 1
L energy residential
::.; t::: I. ..�:E:::::E'•�r.�.�,�`'.•�.•.'• •.�Y. �.'::`•:::: E::'• E:::::• l<:::?:: ii:: i•': ::: >:: ?:��:: >:<::`<:>'i::t..Fi:'�. gY
Name: (with above sq. ft.) $ 75.00 2
Limited energy, multi - family
Address: residential (with above sq. ft.) $ 75.00 2
Service or feeders installation, alteration, and /or relocation
City /State /ZIP: 200 amps or less $ 80.30 2
201 amps to 400 amps $ 106.85 2
401 amps to 600 amps $ 160.60 2
Phone: Fax: 601 amps to 1000 amps $ 40.60 2
• Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 4 .65 _ 2
intended for sale, lease, rent or exchange. according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature: Date: relocation \
200 amps or less $ 66.85 1
:: ?::::::J: ?:i ::::.;•. 01 am s to 400 am s $ 100.30 2
Business Name: Capitol Electric 401 amps to 600 amps $ 133.75 2
Branch circuits - new, alteration, or extension, per panel
Contact name: Jim Eddington A Fee for branch circuits with
service or feeder fee, each
branch circuit $ 6.65 2
Address:
B. Fee for branch circuits
without service or feeder fee,
City /State /ZIP: first branch circuit 1 $ 46.85 46.85 2
Phone: 971 -506 -3388 Fax: 503- 257 -7121 Each additional branch circuit: 11 $ 6.65 73.15 2
Miscellaneous (service or feeder not included)
E -mail im1Ce r1X.COm Each manufactured or modular
and or
dwelling,
service an feeder $ 90.90 2 f
Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 66.85 2
Pump or irrigation circle $ 53.40 2
Contact name: Jim Eddington Sign or outline lighting $ 53.40 2
Signal circuit(s) or limited -
Address: 11401 NE MARX ST. energy panel, alterations, or
extension. Describe: Page 2 2
City /State/ZIP: PORTLAND, OR 97220 -1041 1 I -
Each additional inspection over allowable in any of the above
Phone: 503 - 255 -9488 Fax: 503- 257 -7121 Per inspection $ 62.50
Investigation per hour (1 hr min) $ 62.50
CCB Lic.: 48748 IElectrical Lic.: 26 -496C I Suprv. Lic.: 3132 -S A Industrial plant er hour $ 73.75
Suprv. Electrician signature, required: ��� Plitt �L ii Subtotal a l ? •::.:t•::•::; ::•:::•::•:; ::• :::.;•::.::• ::•: •:;.:.::.:•;:- :•:t•;: ;: 12 0 . 00 -::
b total 120.00
Print Name: DARRELL MCNEEL Date: 08/05/08 Plan review (25% of permit fee)
Authorized signature: State surcharge ( 12% of penult fee) $ 14.40
//1 ".140 u f l t' /{ TOTAL PERMIT FEE $ 134.40
I Print Name: DARRELL MCNEEL v This permit application expires It a permit Is not obtained within 180
days aner It has been accepted as complete.
• Number of inspections per permit allowed.