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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00966 DEVELOPMENT SERVICES DATE ISSUED: 12/16/2005 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S101 DA -00102 SITE ADDRESS: 13221 SW 68TH PKWY 020 ZONING: MUE SUBDIVISION: TRIANGLE CORPORATE PARK LOT : 002 JURISDICTION: TIG Project Description: (16) branch circuits. Job #4279. 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 HMI 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: 15 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 HILLSBORO ELECTRIC 4650 SW MACADAM AVE STE 220 21185 NW EVERGREEN PKWY #110 PORTLAND, OR 97201 HILLSBORO, OR 97124 Phone: Contact #: PRI 503 - 439 - 9666 FAX 503 - 601 -3680 FEES Description Date Amount Reg #: ELE 34 - 4399C [ELPRMT] ELC Permit 12/16/200' $146.60 LIC 134481 [TAX] 8% State Surcharge 12/16/200` $11.73 SUP 4941S Total $158.33 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: r! Permittee Signature: 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. 12- 16 -'05 16:10 FROM-Hillsboro Electric 503 -601 -3680 T -995 P001/002 F -350 I Iectricat Application 1:OR OF ICL I SL ONLY C4ty of Tigard 0\1 esate/av % - a •Q '9' Permit No - :6 , o A r; . 13125 SW Hall Blvd„ Tigard, Ut, `= - .,' Received Plan Review e Phone: 503.639.4171 Fax: 1 13- •:.1960 "k •' %i, '' Date/B : OtherPalmit: . i S Inspection Line: 503.639.4175 • 7 IL pate Ready/By: Nal 0 See Page; for Internet: www.ei.tigard.or.us Notified/Method; Supplemental Information • • • .. ' 01 • •- • • . ; PLAN REVIEW . • ❑ New construction I? . djt, 'ration/replaeement . Please check all that apply: ❑ Demolition Other: ❑Service over 225 amps, comm') ❑Hazardous location ❑Service over 320 amps - rating DBuildng over 10,000 sq. ti-, CATEGORY..—OF CONSTRIUCTION • • • • • ' ' , • of t- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling omntercial /industrial ❑ Accessory building ❑System over 600 volts nominal unitS in one structure ❑ Multi- family ❑ Master builder . 0 Other: ❑Building over three stories DFeeders, 400 amps or more JOB SITE INFORMATION AND LOCATION DOccupant load over 99 persons ❑Manufactured structures or ❑Egressflighting plan RV park Job no,: i�'9 f Job site address: /g44 f 4/ 4J 2 /Q ['Health-care facility ❑Other: ` Submit "sets of plans with any of the above. City / State/ZIP: --7-;`d J e j I - 9 73 The above aro not applicable to temporary construction service. Suite/bldg. /apt. no.: t) f Project nantc /A FEE ;.s1 SCHEDULE-. `: . Ascription I Qty. ( Pew. Total Cross street/directions to job site: New residential an or multi- family dwelling unit. Includes attached garage. • 1,000 sq. Et, or less 14 4 Subdivision: f Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 I Tax map/parcel no,: Limited energy. residential 75.00 2 : ': •• :••:•:'; : DESCRIPTION OF WORK ...:a:.:..,: is.. : :. 2 Limited energy, non-residential 75 QO • � � • � ' Each manufactured or modular - --ft dwelling, service and/or feeder 90.90 _ 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80,30 2 ,.... ❑'• TEPIANr: •: '•• '.' °`. :, `. ;;.. 201 amps to 4 amps 106. 2 PROPERTY • OWNER .' ::.; . ,... ... ;•.. : ---- -- 401 amps to 600 amps 160.60 2 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 ar feeders installation, alteration, and/or Phone: ( ) I Fax: ( ) relocation 200 amps or Tess 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 600 amps • 133.75 2 Owner signature: _ - Date: Branch circuits new, alteration, or extension, per panel 0': APPLICANT': . ... 1:; `❑ CONTACT PERSON:, - A. Fee for branch circuits with • • service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits • • Contact name: without service or feeder fee, each branch circuit �' 46.83 . 70' $ 2 Address: Each add'l branch circuit i 5 6,65 491945 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) f Fax :: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- CONTRACTOR energy panel alteration, or extension, Describe: Page 2 2 Business name: Hillsboro Electric L.L.C. Address: Each additional inspection over allowable in any of the above _ 21 185 NW Evergreen PKWY Stp #110 Per inspection 62.50 City/ State/ZIP: Hillsboro, OR. 97124 Investigation per hour (Ihrmin) 62.50 Phone: (5 0 3) 4 3 9 -- 9 6 6 6 f F ":(503 )6 01- 3 6 8 0 Industrial plant per hour 73,75 : •. ELECTRICAL PERMIT FEES* ' . CCB Lic. :1 3 4 4 81 f Electrical Lic. :3 4- 499 C +Suprv. Lic.: 4941 S Subtotal Le 490 • Suprv. Electrician signature, required: ► fl Plan review (25% of permit fee) �- Print name: Joey Vitacco • Date: 1 r) I ( / p - af . State surcharge (8% of p ermit fee) 1 �3 /. TOTAL PERMIT FEE . Authorize .d signature: 1 — - This permit application expires ire permit is net obtained within 180 Print name: • f days after it has been accepted a4 complete Date: • F ee methodokrgy set by Tri.County Buildius Industry Service Board •o Number of inSpeetipnS per permit allowed. BauildinYtPermiiMELC- Pcnvi'Apy4oe 17101 44U- t61:0110m2/COM,WE8 CITY OF TIGARD C BUILDING DIVISION A PERMIT #:z - D 9f , . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 i° ;$' �'� Inspection Requests (24 Hrs.): (503) 639 -4175 : ' I I INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: I 3� D.., 1 p 1 f tA) © CLASS OF WORK: SUBDIVISION: LO #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3- 7 -O (=, Pour Time C• • - : Inspection De cription •nfirm # Contact # Message 1 13 1- • - '. . ents /Instructions: . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 02) Date: - 6 1 1 t Phone #: (503) 718 -1.-44- CITY OF TIGARD BUILDING DIVISION _ - - PERMIT #: P - c� 13125 SW Hall Blvd., Tigard, OR 97223 `` DATE ISSUED: /2/161200 Phone: (503) 639 -4171 .mar °i,„�y�tl1 Inspection Requests (24 Hrs.): (503) 639 -4175 ...,I.,_ F INSPECTION WORKSHEET FOR DATE: 2117/2006 TIME: 7:06AM PAGE: 23 SITE ADDRESS: 13721 SW 68TH PKWY 020 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HEALTH NET OF OREGON DESCRIPTION: (16) branch circuits. Job #4279. OWNER: TIGARD TRIANGLE I LLC, PHONE #: CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 130- ..439,9666 Inspection Request Scheduled For: Date: 21/7/0006 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 027110 -01 971 - 219.8701 N Corrections /Comments/ Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' vy as Date: 14 11 Phone #: (503) 718- 344.c).:___ CITY OF TIGARD BUILDING DIVISION PERMIT #: FI 02005.00966 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12. /i6/20 fb Phone: (503) 639 -4171 Aoure`p I , Inspection Requests (24 Hrs.): (503) 639 -4175 11. INSPECTION WORKSHEET FOR DATE: 2/15/2006 TIME: 7:04AM PAGE: 2.3 SITE ADDRESS: 13221 SW 68TH PKWY 020 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HEALTH NET OF OREGON DESCRIPTION: (16) branch circuits. Job #4279. OWNER: - IIGARDTRIANGLE I LLC, PHONE #: CONTRACTOR: ¢ IILLSBORO ELECTRIC PHONE #: 503 Inspection Request Scheduled For: Date: 2/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Coiling cover 026921 - 01 971 - 219 8701 N Corrections /Comments /Instruction Itt Sv T Geo I6) us- 1Li G4 0e, r i 1-o-k) 0 ENAci*t A4lt LAts• ikts0 t o 14 k ❑ PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [1] FAIL ❑CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 1) 03 L Date: 1 66 Phone #: (503) 718 - ZLig 4 CITY OF TIGARD BUILDING DIVISION .` PERMIT PERMIT #: ELC200&00966 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/ 20 )6 Phone: (503) 639 -4171 uti ji h� Inspection Requests (24 Hrs.): (503) 639 -4175 — li— INSPECTION WORKSHEET FOR DATE: 211/2006 TIME: 7:02AM PAGE: 46 SITE ADDRESS: 13221 SW 68TH PKWY 020 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HEALTH NET OF OREGON DESCRIPTION: (16) branch circuits. Job #4279. OWNER: TI( ARD TRIANGLE! LLC, PHONE #: CONTRACTOR: HILLSE3ORO ELECTRIC PHONE #: 503 Inspection Request Scheduled For: Date: 2/1/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling rover 026085 -01 971 - 219.0704 Y c z........_ V IN\ Zots 1 Oi lir % PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION - ❑ ADDITIONAL FEES ASSESSED Inspector: V V L L" Date: 4 6 6 Phone #: (503) 718 - ik CITY OF TIGARD ; __ - BUILDING DIVISION PERMIT #: ELC200 -009 66 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12./16/2005 Phone: (503) 639 -4171 Mri Inspection Requests (24 Hrs.): (503) 639 -4175 ; l INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7:01AM PAGE: 60 SITE ADDRESS: 13721 SW 68TH PKWY 020 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HEALTH NET OF OREGON DESCRIPTION: (16) branch circuits. Job #4279. OWNER: TIGARD TRIANGLE I LLC, PHONE #: CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503. 4139.9666 Inspection Request Scheduled For: Date: 1/18/2006 Pour Time: Code # Ins • ec • • I I escription Confirm # Contact # Message 125 025167 -01 971 - 219.8704 Y so 7 10 Corrections/ ..0---- -- tructions: 70 6 - : OK) EASE /14W Vic. E" S/A,)24- . ?k04 Low voLIA puvOS A1JD Ape ov L (ti ocL, II) cov u2, j N, e� c>~ % Li (.1_.. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - ' ` t v � LE Date: I` 1 Phone #: (503) 718 - 1►'1" CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2(106.00966 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2005 Phone: (503) 639-4171 4,00 00i N Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/17/0006 TIME: 7:05AMi PAGE: 45 SITE ADDRESS: 13271 SW 68TH PKWY 020 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: UO2 TYPE OF USE: PROJECT NAME: HEALTH NET OF OREGON DESCRIPTION: (16) branch circuits. Job #4271. OWNER: TIGARD TRIANGLE 1 LLC, PHONE #: CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503 - 439 - 9666 Inspection Request Scheduled For: Date: 1/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall ::over 025051 -01 503. 439 -9666 N Corrections /Comments /Instructions: V ❑ PASS ❑ PARTIAL APPROVAL CANCEL NO ACCESS ❑ FAIL ❑ C L FOR IN ,' ' T •N ❑ DDITIONAL FEES ASSESSED 11 Inspector: Date: 1 ff 0 Phone #: (503) 718- _DA___