The URL can be used to link to this page

Permit • q - . CITY OF TIGARD ELECTRICAL PERMIT 111111 °` COMMUNITY DEVELOPMENT IT#: C DATE PERM ISSUE EL D: 1/4/2007 2007 -00010 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S136DD -03400 SITE ADDRESS: 11740 SW 68TH PKWY 250 ZONING: MUE SUBDIVISION: TIGARD TRIANGE COMMONS LOT : 008 JURISDICTION: TIG Project Description: OHCA - electrical TI. Job No. A26101 RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0.00 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: 12 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PNWP LLC CURRENT ELECTRIC 6600 SW 105TH AVE. STE.175 PO BOX 19652 BEAVERTON, OR 97005 PORTLAND, OR 97280 Phone: Contact #: PRI 503 - 245 -5997 FAX 503 - 245 -2919 FEES Description Date Amount Reg #: ELE 26-471C [ ELPRMT] ELC Permit 1/4/2007 $95.37 LIC 46994 [ELPRMT] ELC Permit 1/4/2007 $31.28 SUP 5232S [TAX] 8% State Surcharge 1/4/2007 $10.13 REQUIRED ITEMS AND REPORTS Total $136.78 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 th days. • TTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 2- 001 -0010 thro ••h O • • '5 :11 -0100. You may obtain copies of these rules or direct questions to OU Cat 503.246.66 o 0.332.2344. ' / P er mittee Si nature: Iss ed By: k_ . 0 9 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. Electrical Permit Application ' ,r �' ' i O O I I CE . ' U SE : r v - Y,• ., .. - . ;. . .. +• .. .( Received �� . , City of Tigard Date /B !, il lk Permit No.: / � (�A�Dw a 13125 SW Hall Blvd., Tigard. OR 97223 Plan Review III ` Phone: 503.639.4171 Fax: 503.598.1960 p,tteIB ; Other Permit: _T I G A k D Inspection Line: 503.639.4175 Date Ready/By: Ea See Page 2 for :rC' Internet: www.tigard - or.gov Notified /Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings. less to ground. or exceeds 14.000 ❑ Commercial-use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ " A "E "1 -_ "1-3 Job no.: A26101 Job site address: 11740 sw 68 Parkway: I00HP or more. occupancy. • ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: 250 Project name: Tigard Triangle: OHCA ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 'total 1 New residential single - or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy. residential DESCRIPTION OF WORK (with above sq. ff.) 75.00 2 Limited energy, multi- family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation Add circuits /panel for Tenent Improvement • 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State/ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 I 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 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee. 6.65 2 each branch circuit Business name: B. Fee for branch circuits �/ g s Contact name: without service or feeder fee, ' 46.85 f0 2 first branch circuit Address: Each add branch circuit / P._ •ior"` 6.65 $&4 2 Miscellaneous (service or feeder not included) 79. s City /State /ZIP: Each manufactured or modular 90.90 dwelling, service andior 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 Signal circuit(s) or limited - Business name: Current Electrical Construction Company energy panel, alteration. or Address: PO Box 19652 extension. Describe: Page 2 2 City /State /ZIP: Portland, OR 97280 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 245 -5997 Fax: (503) 245 -2919 Investigation per hour (1 Itr min) 62.50 CCB Lic.: 46994 Electrical Lic.: 26-471C FS •. lc.: 5232S . Industrial plant per hour 73.75 .ELECTRICAL PERMIT FEES � • Suprv. Electrician signature, required: 6,.‘ Subtotal: ...0 / 0 Print name: Jason Jacobucci Date: 1/3/07 Plan review (25% of permit fee): State surcharge (8% of permit fee): -/Q. /3 Authorized signatu • r TOTAL PERMIT FEE: 9,5,3T/34, This permit application expires if a permit is not obtained within 180 Print name: Kieran O'Brien Date: 1/3/07 days after it has been accepted as complete. ° Number of inspections allowed per pennit. CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: //412007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7:OOAM PAGE: 29 SITE ADDRESS: 11740 SW 58TH PKWY 250 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: OHCA DESCRIPTION: OHCA - electrical TI. Job No. A26101 OWNER: PNWP LLC, PHONE #: CONTRACTOR: CURRENT ELECTRIC PHONE #: 503. 2455997 Inspection Request Scheduled For: Date: 3/22/2007 Pour Time: Code # Inspection Description • Contact # Message 199 Electrical final 045245 -01 503-245-5997 N Corrections /Comments /Instructions: • ►�� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ : IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 Yvvi L ' Date: 5[2,-2-ion Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00010 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/4/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639- 4175.. INSPECTION WORKSHEET FOR DATE: 3/21/2007 TIME: 7:02AM PAGE: 41 SITE ADDRESS: 11740 SW 68TH PKWY 250 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: OHCA DESCRIPTION: OHCA - electrical TI. Job No. A26101 OWNER: PNWP LLC, PHONE #: CONTRACTOR: CURRENT ELECTRIC PHONE #: 503 - 245.5997 Inspection Request Scheduled For: Date: 3/21 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 045155-01 503 - 750 -7156 N Corrections /Comments /Instructions: • 1 0 4 1 I INN 8 1 ❑ PASS ❑ PARTIAL APPROVAL ! CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ DDITIONAL FEES ASSESSED Inspector: 4 1" cv Date: ?1 on Phone #: (503) 718- Z-14 CITY OF TIGARD ., BUILDING DIVISION PERMIT #: ELC2007 -00010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s_' 16 .. INSPECTION WORKSHEET FOR DATE: 3J7/2Q07 TIME: 7 :00AM PAGE: 4 SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: OHCA DESCRIPTION: OHCA - electrical TI. Job No. A26101 OWNER: PNWP LLC, PHONE #: CONTRACTOR: CURRENT ELECTRIC PHONE #: 503 - 145 - 5997 Inspection Request Scheduled For: Date: 317/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceilin cover 044473-01 503750.7156 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V N L. • Date: ' 1 " � Phone #: (503) 718- 24 % CITY OF TIGARD BUILDING DIVISION w PERMIT #: ELC2007 -00010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007 Phone: (503) 639- 4171��i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/5/2007 TIME: 7 :00AM PAGE: 16 SITE ADDRESS: 11740 SW 68TH PKWY 250 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 048 TYPE OF USE: PROJECT NAME: OHCA DESCRIPTION: COCA - electric:al TI. Job No. A26101 OWNER: PNWP LLC, PHONE #: CONTRACTOR: CURRENT ELECTRIC PHONE #: 503 - 245.5997 Inspection Request Scheduled For: Date: 1/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 041849 -01 503. 245-5997 N Corrections /Comments/ Instructions: k--14, W LLS �� eta • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V N 6 3 Date: 1 -.5' Phone #: (503) 718- 2 - L I L le