Permit r'• ci n ÷ Co r re c, Work- . S e nJ / 6 //9 % 7
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PRMIT#: E2
DATE I SSUED : 9/21
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136DA -00100
SITE ADDRESS: 11308 SW 68TH PKWY 2ND FL ZONING: MUE
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: TIGARD BUSINESS CENTER
Project Description: Add (2) panel boards. 10/19/07 ADD per. Gary Noble, change from (2) temp service feeders to (2) permanent
service feededrs.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 0 PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
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: 4 PER INSPECTION:
201 - 400 amp: ( 2 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:
BENENSON 68TH PARKWAY BROADWAY ELECTRIC - COCHRAN INC
KEY LLC, THE 626 SE MAIN
BY FIRST AMERICAN TAX VALUATIO PORTLAND, OR 97214
WORCESTER, MA 01615
Phone: Contact #: PRI 503 - 234 -6564
FAX 503 - 238 -2098
FEES
Description Date Amount Reg #: ELE 37 -546C
[ELPRMTI ELC Permit 9/21/2007 $133.70 LIC 72942
[TAXI 8% State Surcharge 9/21/2007 $26.60 SUP 34475
Refund - [ELPRMT] ELC F 9/21/2007 - $133.70
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $259.52
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 Permittee Signature: \ S_V „ )2 . , tx-iljorn
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.
FROM∎COCHRAN — BROADWAY (THU)OCT 18 2007 16: 16 /ST. 16: 16 /No. 7600000361 P 1
8 - u - .0- -Cac07 - O065?'
- Electrical Permit Applicatio e FOR OFFICE USE ONLY
w r
City of Tigard i "35..� Received Date/B : /D EINEM PernritNo.: E —V4
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 OCT 1 8 l0 1 . I ' � Date/8 other Permit:
Inspection Line: 503.639.4175 ,i. '� I Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF T' D Notified/Method: liMa Supplemental Information
5 'it i pT � }9 .-: .c. , •1 t } J 6f i'r: -7,,, J ,:i4 .4 ei .l 5 , t'ee- t ry. •. 4 .'' N ; f ^. ..
. "r;_ xt. ,_: .,^t ;' ..... .. .. F .. 'b c 't. , *..� ll ta3; M. w�iE-: : x,. , . . -1 :` :...'itivw;.. ^b. i +m * : " ' :
❑ New construction i1 Addition/alteration /replacement Please check all that apply:
['Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other:
1 �� ; n � f y ti r k r,� F e « ❑Service over 320 amps - rating ❑Bulldog over 10,000 sq. ft.,
4 •! = ,, "� j , p y t 1�vl -f•_ t �¢� . - , t .: , of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling tommercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stones ['Feeders, 400 amps or more
❑ Mult1 fanuly ❑ Master builder ❑ Other
_ ❑ Occupant t oa d over 99 persons ❑ Manufactured structures or
?,e 4,114:4:-t.12"4i-"`-7=-; '' f 1 •may ' .l, a . �D i , i K 7 , �! . lfi t t`, i,
' , ❑Egress/lighting plan RV park
Job no.: ��'125 Job site address: \`�jOB S\JJP Z"� (r ❑Iiealttl� are facility ❑Other:
Submit 2 sets of plans with any of the above.
City / State/ZIP: c Q Dv- The above are not applicable to temporary temporary construction service.
'
Suite/bldg. /apt. no.: I Project name: (i ���c5
, t Description Qty. Pee. Total ..
Cross street/directions to job site: J New residential single- or multi- family dwelling unit.
includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea• add'1500 sq. il. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no
_
i `:7 'r ,l ti F\ % y - : t ,� o f , q 4 , ., I Y r� t , � • p !. . i ,, - "-4'''''''''' 'S Limited energy, non - residential 75.00 2
N� ..'�'.i:'.. ...,,...:+c.i.:_.s,.., —.3 r_+._.. � -:. ...v _.... gu./±. _.l ,..s_. l i 1 �.:.;._J. . : < s. . .:itT.' Each manufactured Or modular
dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or reloca 'o •,
200 amps or less _ A- 80.3 /�j
r r p 3R w c L3 • -w a , 4 P � r "� iii o 400 amps _ 106.85 2 , t %l 2
L ,u,, _.,3 T� t. l 1 t'3 r Z r r' a U :c e. K d : r 201 amps t
: :rya �� t `� � 401 amps to 600 amps 160.60
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
Phone: ( ) I Fax: ( ) relocation 200 amps or less 66.8(1129
made on property that I own which is not amps a
Owner installation: This installation is being p. peri 201 amps to 400 s 100.3
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
Ja - Fy :7r . I mo , 1 r:: j •-• ,i' , t � ,.� ; "" ' i = � ti; i a . i ft L 7i,j_( A. Fee for branch circuits with
z.. 's _ i_. _ r _.� .... . , _a -r._,._ _. _. . ri-4: uat ... , r_.:11.. service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
46.85 2
each branch circuit
Address: Each add'1 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 2
E -mail: Signal circuit(s) or limited-
i 4+ . u� -, T -; i . „ /' r:z c 'ti ,g
'E• l� :,-Zi s a �s jµla r I, energy panel, alteration, or
r9`lP;3°4 -� 4�__:y.3 .r y.:_ z.:>i?. f'µ� :.�•a� at Y.
extension. Describe: Page 2 2
Business name: ,-e.0a.a. s` E e
`e- � ,. ∎e_
1 Each additional inspection over allowable in any of the above
Address: ( ' 2. (. L M c..:\ ..r. Per inspection 62.50
City / State/ZIP: ?e , \-- Q ( 39-- \ 7 2 L Q Investigation per hour (1 hr min) 62.50
Phone: (56 3) 2- 3 —(5"C I Fax: (Sd3) 2.3s -2 � l O Industrialtper hour a - 73.75 5r f
'''7 .- c r_, 9 u'� 1 : ' : f i r .r .:: .
CCB Lic.: 7 2ck42_ Electrical Lic.: 3/-5 ( Suprv. Lic.: 344-1- 5 Subtotal -.�% _ Ir.
s
Suprv. Electrician signature, required: Plan review (25% of permit fee) , `—
Print name: ` \� Date: State surcharge (8% of permit fee) el-11..0
-----
`ll ke'sr�O TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not ob ned t 150
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri -County Building Industry rvice Board
•• Number of inspections per perm 60
'+ it allowed. e 4 )
• \Buii i no arrnit lELC- Pcrmi,Ano.doc 12/03 440•461Sr(10/02/COM/WEB V 70 ``` (0, ` 40
I •
A OF TIGARD
BUILDING DIVISION PERMIT #: FLC2.007 -00€58
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2007
Phone: (503) 639 -4171 R'
Inspection Requests (24 Hrs.): (503) 639 -4175 °'I
INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7 PAGE: 13
SITE ADDRESS: 11308 SW 68TH PM' 2ND FL CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD BUSINESS CENTER
DESCRIPTION: Add (2) panel boards.
OWNER: BENENSON 68TH PARKWAY, PHONE #:
CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC PHONE #: 503-234-6564
Inspection Request Scheduled For: Date: 10/18/2007 Pour Time:
Code # Inspection Description Confir • Contact # Message
199 Electrical final 057874 -01 503- 730 -7012 Y
Corrections /Comments /Instructions: I
1 ?
d Moo 41 (Z.mp`� i c.Al ik �Q �n�Dtct. Fl436Z 7e 61 RA) c -
4 .
AI Ndr F- 7.
ei n611 d" * G- 6-02 228
"Pf•\ FeCDE16 i Vft gi_ l'wvocukab
s,v r C - s
❑ PASS IAPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I1 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C —' OUJ'.^ Date: 1 01 111°1 Phone #: (503) 718 -T'
•
'"'rIYY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00658
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/211200!
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/8/20013 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 11308 SW 68TH PKWY 2N[) FL CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PROVIDENCE HEALTH H SYSTEMS
DESCRIPTION: Add (2) panel boards. 10119/07 ADD per. Gary Noble, change from (2) temp service feeders to (2)
permanent service feededrs.
OWNER: E3ENENSON 68TH PARKWAY, PHONE #:
CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC J PHONE #: 503 - 234 - 6564
Y �1Lt
Inspection Request Scheduled For: Date: 4/8/2008 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 068037 -01 \ 503730.7012 Y
Corrections /Comments/ Instructions:
(
IAPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . N VGur Date: i {'I'1 Phone #: (503) 718 - I' F