Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00364
COMMUNITY DEVELOPMENT
DATE ISSUED: 5/29/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 460 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT : 002 JURISDICTION: TIG
PROJECT: AUCTIONPAY
Project Description: (2) branch circuits for mini -split system.
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: 1 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:
TIGARD TRIANGLE I LLC PARKIN ELECTRIC INC
4650 SW MACADAM AVE STE 220 14001 FIR STREET
PORTLAND, OR 97201 OREGON CITY, OR 97045
Phone: Contact #: PRI 503 657 - 4958
FAX 503 - 557 -1059
FEES
Description Date Amount Reg #: ELE 34 - 4C
[ELPRMT] ELC Permit 5/29/2007 $53.50 LIC 35151
[TAX] 8% State Surcharge 5/29/2007 $4.28 SUP 4241S
Total $57.78 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: , � /1 Permittee Signature: 5_0_ A-Qt 1\ ca c5y)
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.
05/29/2007 TUE 10:55 FAX 0002/002
Elhct Permit A • tion FOR. OFFICE USE ONLY
''''' City of Tigard F , ' - ' - Received Permit No.:
i n r Datc Z 1 •ib ^ I
13125 SW Hall Blvd., Tigard ;OR - 97th = ' Plan Review
E Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Date/By:
TI GA RD inspection Line: 503.639.4175 mAy 2 1007 Date Ready/By: lurk: El See Page 2 for
Internet: www.tigard- or.gov v Notified/Method: Supplemental Information
• .. ARK F ,,O
�• O i 11K . i
� PLAN :REVIEW
❑ New construction d ticrl a�tetation(regla _ Please check all that apply (submit 2 sets of plans w /items chucked below):
❑ Demolition ❑`O
- . • :, s :Ai I f , '. ❑ Service or feeder 400 amps or more ❑ Building over three stories.
t 1C1: 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 KVn or
JOB SITE .INFORMATION AND' LOCATION ' ❑ Emergency system. larger separately derived system.
❑ Addition anew motor load of ❑ "A" "L" ° h -2" "I -3'•
Job no.: Job site address: 13221 S.W. 68 Parkway IOOHP OT 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.: JO Project name: L pot m
❑ Service or feeder 600 amps or ore.
UC` I on ,...`.. FEE SCHEDULE
Cross street /directions to job site:
Description 1 Qty. 1 Fee. 1 Toot 1 •
New residential single- or multi family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. 11. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
.',DESCRIPTION :OF `WORK . (with above sq. ft.) 75.00 2
2 Ckts for Mini -Split System Limited energy, multi-family 75.00 2
residential (with above sq. (1.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Naine: Auction Pay 401 amps to 600 amps 160.60 2
68th 601 amps to 1,000 amps 240.60 2
Address: 13221 S.W. 68 Parkway Over 1,000 amps or volts 454.65 2
City /State /ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and /or-
relocation
Phone: (503)597 - 0590 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 599 amps 133.75 _ 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
, 0 APPLICANT ` :: ` : : : : : : ` . 0' CONTACT: PERSON .: above service or feeder fee,
each branch Circuit 6.65 2
Business name: 13. Fee for branch circuits
Contact name: withou service or feeder fee, 1 46.85 46.85 2
first branch circuit
Address: Each add'l branch circuit 1 6.65 _ 6.65 2
Miscellaneous (service or feeder not included)
City /State /7_1P: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
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 -
Parkin Electric, Inc. 14001 Fir Street energy panel, alteration, or
Oregon City, OR 97045 Ph: 503- 657 -4958 Fax: 503 -557 -1059 extension. Describe: Page2 2
- Contractors License #: 34 -4C Exp. 07 -01 -08
Supervisor: 4241 -S Exp. 07 -01 -07 Each additional inspection over allowable in any of the above
Contractors Board Reg #: 35151 Exp. 10 -12 -08 Per inspection 62.50
Metro # 2416 Exp. 11 -01 -07 Investigation per hour (1 hr min) 62.50
Owner: Industrial plant per hour 73.75 _
.ELECTRICAL PERMIT .FEES
._. .._...- _.w.. Subtotal: 53.50
Print name: I Date: Plan review (25% of permit fee):
Authorized signature: State surcharge (8% of permit fee): 4.28
TOTAL PERMIT FEE: 57.78.'
Print name: p(/, pigvw AiO4,e d/,./ Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
is\B uilding \Pcrmitr\ELC.rcrmitApp.doc 12/03 440.4615T( l0 /02/C1 /tvaa
.` - CITY OF +T IGARD r1 / f,
,2 Ur ic
BUILDING DIVISION PERMIT #: LL( . 2.007-003C.41
13125 SW Hall Blvd., Tigard, OR 97223 Z 7 DATE ISSUED: Y20/2007
Phone: (503) 639 -4171 R y� �'�
Inspection Requests (24 Hrs.): (503) 639 - 4175 ' � fit
to
INSPECTION WORKSHEET FOR DATE: 6/14/2007 TIME: 7:00AM PAGE: 4?
SITE ADDRESS: 13221 SW 68TH PKWY 460 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: AUCTIONPAY
DESCRIPTION: (2) bi anrh circuits for mini split .ystem.
OWNER: l TRIANGLE 1 LLC, PHONE #:
CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 'iO3- 657 -495i: '
Inspection Request Scheduled For: Date: 6/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message '
109 E-:iE c:trir..:ol final 050091 -01 50::s-657.4969 N
Corrections /Comments /Instructions:
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is 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
// J
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Inspector: I ' t - l , Date: (o // y/( 7 Phone #: (503) 718