Permit CITY.OF TIGARD ELECTRICAL PERMIT
° PERMIT #: CAL 7-00267
° COMMUNITY DEVELOPMENT DATE ISSUED: 4/25/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 401 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT : 002 JURISDICTION: TIG
PROJECT: HEALTH NET
Project Description: Job No 3519 fire alarm, 10 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: 1
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: 9 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 PHOENIX ELECTRIC
4650 SW MACADAM AVE STE 220 PO BOX 14037
PORTLAND, OR 97201 PORTLAND, OR 97293
Phone: Contact #: PRI 503 - 231 - 8006
FAX 503 - 266 -8394
FEES
Description Date Amount Reg #: ELE C89
[ELPRMT] ELC Permit 4/25/2007 $181.70 LIC 162753
[TAX] 8% State Surcharge 4/25/2007 $14.54 SUP 5154S
Total $196.24 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: / j 1 L0 t ' ,,
OWNER INSTALLATION ONLY
f
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.
Apr 23 07 04: 56p Terry Koch 503-266-8394 p . 1
i -to*
■ 1 .
r
lectrical Permit Applicr t n. t.. ' t , FOR OFFICE USE ONLY
City of Tigard `' 1 ' '' Rmeived
41, t,.. • p Perna No.: Ek.„2"047 ., 0 t )26, 7
III t. _.
t, j . are3 0
" 13125 SW Hall Blvd, Tigard, OR 97223 Plan Review 1
; I . Phone: 503.639.4171 Fax: 503.598.190R 2 3 2(101 Date/By:
Date/Ety
TIGARD : Other Permit: /ti 1 i ooig 3
Inspection Line: 503.639.4175 Date Ready/By: Juin: lill See Page 2 for
Internet: www.tigard-or.gov 0 Notified/Method: _ Supplemental Information
' . ,*':::',?.!.:.: i... : '.: : ::.. : .::::•.'::::.:! ..'.' '::: :.,
New construction i ..; 1 "aottl . f.01; . 4 ' ::.„.... w -.:::::::.:„,.: :i .. ....:: .. ... .. .. • ..... :.: ,::„:„.::::::„.::.:...„.: . ....
'' - • ' • • ' '' .- • ' • - .* . • • • . • • :•• • ' • ' • . • ''''' • • . 1 " Please check all that apply (submit 2 sets of plans w/itcms checked below):
E] Additi %Writ t
0 Service or feeder 400 amps or room 0 Building over three stories.
0 Demolition 0 Other. " where tbe available fault current 0 Marinas and boatyards.
'..7.'::::. :,*:' ::::::':. ::.*:..:::::i.::::.tierkratiltitiog.; CoSTSIRKICIOS :::.:: ..; '..: .:....! .: ..,:.;]...::.: ,*::::,::.::.: :1.: .: ' c,,,, 14.000 0 commercial arocu
01- and 2-family dwelling Commercial/industrial ID Accessory building amps for all other Mstallations. buildings.
0 Multi-family 0 Master builder 0 Other: El Fire ptmip. in Instal/anon of 75 KVA or
larger separately derived system.
:' H . ' :: !:Joii::'§ittliM i siiiiMAii 4 : 5 itlii: . :000 .1 0k -1: :'. :1::: i , P:: : ::::: ::'::::::: :•... 0 Addition of new motor load of 0 - A", 'I -2 n -3^,
Job no.: 3 Job site address: /3,p. sW ZetSiZ-K-4,4i 0 lOOHP or more.
Six or more residential units. 0 occupancy
Recreational vehicle park City/State/ZIP: 774,9 o'' q73 ._; . ififf 0 I 0 Health-earc facilities.
0 Hazardous locations. El Supply voltage for more than
600 volts nominal.
Suite/bldg./apt no.: CI Service cc feeder 600 amps or ntore.
I Project name /J/ 44.07i,vEr 7-7: .7„. ''' ' -......,,,.....,.... ...,...:.: .. ... .. . . ..... .....: ........- ........„...,... •
Cross street/directions to job site: &mama, I Qty. 3 Foe. 1 Total i •
New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.:
Ea. add, 500 sq. ft_ or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
ti*-i$4**I:.O.S ':'....... : :':- :' ' ... . :-:•:•:: • :...: .:...,....... .. - '' .. - .... .. . ... ( .
Limited ed energy, =hi-family 75.00 2
/AA5 VALAJ Ar4.P rivi-Z 9‘- dc-472E__zvzie44.& residential (with above sq. ft..)
1-10 b2.0 5 „ . ... . .. . . .. . ..... . ..... -......
P 200 mps or less 80.30 2
Services or feeders Installationolteration, and/or relocation •
a
0 r.. bigiiti.. . :;:l:.::':',:::':;i1:::::::'::::-: ,: ...,....::,..:::::...:.::!::,.:::':::' 201 amps W 400 arnps 106.85 2
.:.-... . . ; , , ........ . .. -.::.....:...,....: ::.:• ,..... :- . ......
401 amps 10 600 am -
ps 160.60 2
Name:
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Temporary services or feeders Installation, alteration, and/or
City/State/ZIP: relocation
Phone: ( ) 1 Fax ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, rent, or exchanse, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch drcults - new, alteration_, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
. : . • ....., eiiiiiket .: iiiiigow .l ' . :: - :: .:: : - :::::-,;...: above service or feeder fee, 6.65 2
:.:' : 1:1.4,iiie.iii*::K.:]::minv::::::04:::::.:::::::,:-..,„:.:1,:: a ::: :„,...... ..,.?:, „. „ :.:.:,-::: ,,, ,, branch c i m a t
Business name: B. Fee for branch circuits
without service or feeder fee, 1
i 46.85 16. ic
Contact name: first branch circuit 2
Each add'I breath circuit 9 6.65 _ 61,115 2
Address: Miscellaneous (service or feeder not Included) _
City/State/ZIP: Each manufactured or modular 90.90 2
dwelling. service and/or feeder ,
Phone: ( ) Fax: : ( ) _ Reconnect only 66.85 2
E-mail: _ Pump or irrigation circle 53.40 2
5340 2 Signal cironit(s) or Iiznited-
Business name: ya J Et ie„.7 - 4. i e ..... mergy panel, alteration, or
extension. Describe: / Page 2 1• 2
Address: eo . .3,,,, 140 .
City/State/ZIP: ? 4,,e-r,(4-,tf7J 0 R__ 9 7,753 Each additional inspection over allowable In any of the above
Per inspection 62.50
Phone: (93 ) vire - 9 9.3c) I Fax: (6O3) oleo to - g3 Investigation per hour (1 hr min) 62.50
Industrilant per hour 73.75
CCB Lic.: f4, 753 Electrical Lic.: a g I sum. L' . 574,9S al p :,i.
...„,...,..,..; :,. ... . - eAc-.11,t EkvAi
roftv:: ,
. :-:::•:.....,:;:;,.:.:::,-:::.::,,..
.. , ,.... .... . .. .. .
Suprv. Electrician signature, required:r-‘et4, Subtotal: /a l 70
Plan mview (25% of pcmit fee):
Print name: --/- , ,,;',..d 1 Date: -7(. 5_ 7
State surcharge (80A of permit fee): pet, ,g-fi
Authorized signature: r 1 2 4.4.44 iii.....-." TOTAL PERMIT FEE: lei 6. al
This it application expires if a permit is not obtained within 180
Print name: ii,¢4 /6 V I Date: 1 e days after it has been accepted as complete.
CITY OF TIGARD -.
BUILDING DIVISION PERMIT #: ELC2007 -00267
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/25/2007
Phone: (503) 639 -4171 4 }' 1'
Inspection Requests (24 Hrs.): (503) 639 -4175 ' P 'I I..
INSPECTION WORKSHEET FOR DATE: 6/11/2007 TIME: 7:OOAM PAGE: 47
SITE ADDRESS: 13221 SW 66TH PKWY 401 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: HEALTH NET
DESCRIPTION: Job No 3519 fire alarm, 10 branch circuits
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: PHOENIX ELECTRIC -- 4 N) PHONE #: 503 - 231.8006
Inspection Request Scheduled For: Date: 6/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049935 -01 503 - 307 -2652 Y
Corrections/Comments/Instructions:
1APASS ❑ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G" 6 V Date: GI I L 0'1 Phone #: (503) 718- 041;)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00267
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2007
Phone: (503) 639 -4171 " , ' I
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 13221 SW 68TH PKWY 401 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: HEALTH NET
DESCRIPTION: Job No 3519 fire alarm, 10 branch circuits
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: PHOENIX ELECTRIC PHONE #: 503. 231 -8006
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 049656 -01 503 -307 -2652 Y
' a . , 44-41/494.1/4. iz_000, I\ - 1` ),
Corrections /Co ments /Instructions:
llt ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
G .--) " ' "v1U� -�; Date: 4 'Cf) Phone #: (503) 718-v -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00267
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2007
Phone: (503) 639- 4171 ;,
Inspection Requests (24 Hrs.): (503) 639 -4175 ar° ' _ _..
INSPECTION WORKSHEET FOR DATE: 5/2/2007 TIME: 7:01AM PAGE: 94
SITE ADDRESS: 13221 SW 68TH PKWY 401 -- CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: HEALTH NET
DESCRIPTION: Job No 3519 fire alarm, 10 branch circuits
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: PHOENIX ELECTRIC _ ��N - PHONE #: 503 -231 -8006
Inspection Request Scheduled For: Date: 6/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 047439 -01 503 - 307 -2652 '. Y
Corrections /Comments /Instructions:
X eAss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
0 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `T " • No6 L Date: 6 d1 Phone #: (503) 718- 14#0
CITY OF TIGARD • : 7:J•••
BUILDING DIVISION PERMIT #: ELC2007- 00267
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2007
Phone: (503) 639 -4171 >Illl
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' R-
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:OOAM PAGE: 33
SITE ADDRESS: 13221 SW 68TH PKWY 401 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: HEALTH NET
DESCRIPTION: Job No 3519 fire alarm, 10 branch circuits
OWNER: TIGARD TRIANGLE 1 LLC, PHONE #:
CONTRACTOR: PHOENIX ELECTRIC -a�- 0 N PHONE #: 503. 231-8006
Inspection Request Scheduled For: Date: 4/27/2007 Pour Time:
Code # Inspection Description Confirm - #\ Contact # Message
125 Wall cover 047274 -01 503-307-2652
• Y
Corrections /Comments/ Instructions:
FAINftst itZAetnn AL.60 At et.) �'I,kif rap.% � L
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V Uv `-`-' Date: 14 c 11 01 Phone #: (503) 718 - Z 4S") •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00267
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2007
Phone: (503) 639- 4171Voit '
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 4/26/2007 TIME: 7:O0AM PAGE: 3E,
SITE ADDRESS: 13221 SW 68TH PKWY 401 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: HEALTH NET
DESCRIPTION: Job No 3519 fire alarm, 10 branch circuits
OWNER: TIGARD TRIANGLE I LLC PHONE #:
CONTRACTOR: PHOENIX ELECTRIC \� \I RO � PHONE #: 503-231-8006
�
I
—
Inspection Request Scheduled For: Date: 4/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 047193-01 503 - 307 -2652 Y
Corrections /Comments /Instructions:
■ /Vi) J A1(
Np A cuss
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS j ,X
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 • 1 (3 Date: 4 Lb q Phone #: (503) 718 -1