The URL can be used to link to this page

Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: 00610 DEVELOPMENT SERVICES DATE ISSUED: 9/24//2 04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 25101 DA -00102 SITE ADDRESS: 13221 SW 68TH PKWY 400 SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: MUE BLOCK: LOT : 002 JURISDICTION: TIG Project Description: TI (21) branch circuits, (1) feeder, (1) limited energy fire alarm 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: SIGNALJPANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): 1 SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 20 PER INSPECTION: 201 - 400 amp: 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: TIGARD TRIANGLE I LLC GREENWAY ELECTRIC COMPANY 4650 SW MACADAM AVE STE 220 9460 SW TIGARD STE. 104 PORTLAND, OR 97201 TIGARD, OR 97223 Phone: Phone: 503 - 620 -6020 Reg #: LIC 153421 ELE 34 -617C FEES SUP 5025S Description Date Amount Required Inspections [ELPRMT] ELC Permit 9/24/2004 $288.30 [TAX] 8% State Surcharge 9/24/2004 $23.06 Low Voltage Inspection Rough -in Total $311.36 Elect'I Final 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 ir� t. OUNC at (503) 246 -6699 or 1 -800- 332 -2344. Issued By: 7:72 Permit 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 639 -4175 by 7:OOpm for an inspection the next business day Electkal Permit Application rolz orrlcr: usl: oNi.v City of Tigard Received Permit No.: vcLZ (�" - a0 6 13125 SW Hail Blvd., Ti OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 1 ""` 4 1,110' A ` DateB : Other Permit: • Inspection Line: 503.639.4175 . _,I C L • Da ReadyBy: Duns: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ® Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1 -and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: 1032-25 Job site address: 13221 SW 68th Parkway, Ste. 400 ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City/State /ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: Agilent Tech. TI @ Triangle III FEE SCHEDULE Description I Qty. I Fee. I Total I *• Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 0.00 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 0.00 1 Tax map /parcel no.: Limited energy, residential 75.00 0.00 2 Limited energy, non - residential 75.00 0.00 2 DESCRIPTION OF WORK Each manufactured or modular Tenant Improvement dwelling, service and/or feeder 90.90 0.00 - 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 1 80.30 80.30 2 ® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 0.00 2 401 amps to 600 amps 160.60 0.00 2 Name: Cadence Design Systems 601 amps to 1,000 amps 240.60 0.00 2 Address: 13221 SW 68th Parkway, Suite 200 Over 1,000 amps or volts 454.65 0.00 2 Reconnect only 66.85 0.00 2 City/State /ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and/or Phone: 503-968-5400 Fax: relocation 200 amps or less 66.85 0.00 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 0.00 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 0.00 _ 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT 1 ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each Business name: branch circuit 20 6.65 133.00 2 B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 0.00 2 Address: Each add'l branch circuit 6.65 0.00 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 0.00 2 Sign or outline lighting 53.40 0.00 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or Business name: Greenway Electric Company extension. Describe: 1 Page 2 75.00 2 Address: 9460 SW Tigard St., Ste. 104 Each additional inspection over allowable In any of the above Per inspection 62.50 0.00 City/State/ZIP: Tigard, Oregon 97223 Investigation per hour (1 hr min) 62.50 0.00 Phone: (503) 620 -6020 1 Fax: 1(503) 620 -6124 Industrial plant per hour 73.75 0.00 ELECTRICAL PERMIT FEES* CCB Lic.: 153421 Electrical Lic.: 34 - 617C Suprv. Lic.: 5025S Subtotal $288.30 Suprv. Electrician signature, required: ' Plan review (25% of permit fee) State surcharge (8% of permit fee) $23.06 Print name: James V. Roo ey / I Dat . 09/23/2004 TOTAL PERMIT FEE $311.36 Authorized signature: . S This permit application expires if a permit Is not obtained within 180 days after It has been accepted as complete Print name: Mark Short Date: 09/23/2004 • Fee methodology set by Tri-County Building Industry Service Board •• Number of inspections per permit allowed. i:\ Building \PennitsaELC- PennitApp.doc 12/03 440.4615T( I0/02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation © Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations isH3uildingTennits \ELC•PennitApp.doc 04/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line : - (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested /d — 2 42 AM � BUP Location / 3 a ° (2 �- Suite `7° v MEC Contact Person f �-"KJ Ph ( ) go -06/3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC ° 7 -e D, /U Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - Post & Beam - Anchrs Ext Sr Sh ea t h / ear WPM Ext eah/h Int Sheath/Shear Mgr Framing Insulation Drywall Nailing Firewall Pik50 rAtierL-- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof C,7 Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer - - Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm di rO PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA ..Z 0 Aflot beteraky Approach/Sidewalk Date -- Inspector 4 Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL