Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00262
, ; ,:i DEVELOPMENT SERVICES DATE ISSUED: 5/14/2004
„� I � 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 - 4171
PARCEL: 25101 DA -00101
SITE ADDRESS: 13190 SW 68TH PKWY 200
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: C -P
BLOCK: LOT : 003 JURISDICTION: TIG
Project Description: Job No. 2701 Tenant Improvement
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 WIO SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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:
SCHNITZER INVESTMENT CORP HILLSBORO ELECTRIC
PO BOX 10047 21185 NW EVERGREEN PARKWAY
PORTLAND, OR 97296 HILLSBORO, OR 97124
Phone: Phone: 503 - 439 - 9666
Reg #: ELE 34 -4399C
LIC 134481
FEES SUP 4941S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 5/14/2004 $66.80
[TAX] 8% State Surcharge 5/14/2004 $5.35 Ceiling Cover
Wall Cover
Total $72.15 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: Oegon 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: Permit Signature: „ 6--2—
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
From: HILLSBORO ELECTRIC LLC. 5036013680 05/13/2004 16:27 #808 P.002
CEIVED
Electrical Permit App b : �� �' FC >tt i►x'F7t =:f; ul. CINI.\
City of Tigard ;., 4 .,` i - Reeeived
Date/13 ' Permit Na,; _0, a . _
13125 SW Hall Blvd.. Tigard, OR 97223 : %-i J. Z Plan Review --
Phone: 503.639,4171 Fax 503398.1960 •'+'•'' :: + Other pcnnu: .
d �''
Inspection Line: 503.639.4175 CITY OF TIG'.;_�!kk- ,:21.„ I �" DoteB •DateReady/By: lurk: 01 See Page 2for '
Internet; www.et.tigard.or.us BUILDING DIVISION Notified/Method; Sapdcmeaml Information
..:.:..: ,:.:,..,. PLAN R E
.. , • ..• _:� �:. TYPE of wQRIG .:::: ; :,; .. .. ... • PLA .. - .. . . .
EvI w ...
❑ New construction Addition /alteration/replacement . Please check all that apply:
❑ Demolition ❑ Other. ❑Service over 225 amps. comm'I Hazardous location
• CATEGORY RY OF CONSTRUCTION �'.::;;+ ;;'':" ::.:.. :: ' ' :;` . ; of t l s and 2e 0
family dwellings rating a elli A 4 mnore over new residential dent'al •�
�� r
❑ 1- and 2- family dwelling PlE 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
I]Oceupant load over 99 persons ❑Manufactured structures or
: .JOB SITE 1N.FORMATEON:,AND:. LOCATION •:. :: ❑Egress/lightingplan RV pars;
Job no.: :r Job site address: Op / I ❑Health -care facility ❑Other. •
- Submit i sets of plans with any of the above.
City/State/ZIP: ► ` if � j . The above are not applicable to temporary construction service.
no.; Project ram =O C ' i FEE'<•SCH ULE : ' . .
Jr� ' "� " - - rip � Qty. I Rte : i s Total '
Suite/bldg./apt 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 4
•
Subdivision: . 1,ot no.: Ea. add'/ 500 sq. R. or •.• rtion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited ens
0: :: ,,. 'DESCRIPTION OF WORK:, :, ;;.',;,.::;.,. ;... 75.00 2
tgy, non rest en to
.. Each manufactured or modular
� dwelling. service and/or feeder _ 90.90 _ _ 2
Services or feeders Installation, alteration, and/or relocatio
200 amps or Ices 80.30 2
•
201 amps to 400 amps
Name: J.. . 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 or feeders installation, alteration, and /or
relocation
Phone: ( ) • I 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 111M 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
O e.t,q a _ Date: : Branch circuits— new, alteration, or extension, per panel
APP IC.... ...' •i•: ;: ` :;: ,..:::.:.. ❑: CO.. PE......' i;:;? .c' ..
A f °I.-branc 'ci'ts"w'i '
serv or feeder fee. each
6.65 2
Business name: -• .. branch circuit
f >•llillimplF57 1
tontttu, .. , . ,. _ , -+
- each branch circuit x•85 .4/i/ 2
Address: Each add'/ branch circuit r 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax:: ( Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
..,..., . .: :•:.,;•:•. energy panel, alteration. or
extension. Describe: Page 2 2
Business name: Hi llsboro Electric L.L.C. •
Address: Each additional inspection over allowable in any of the above
21 1 85 NW Evercrreen PKWY Ste #1 1 Q Per inspection • 62.50
City/State/ZIP: Hillsboro, OR . 97124 Investigation per hour (t hr min) 62.50
Industrial piont per hour 75
Phone: (5 0 3) 439-9666 Fax: (5 ( 3) 6 01- 3 6 8 0 7 •
�: _•::•ELECTRICAL PERM1!•1<' FEES* `_ 4::
CCB Lic. :13 4 4 Electrical Lic.:3 4— 4 9 9 C Suprv. Lie.: 4941 S Subtotal 1
Suprv. Electrician signature, required: Plan review (25% of permit fee)
— y,�/
State surcharge (8% of permit foe) ''rJ
['rincname :Joey Vitacco Date: X / 3 1- TOTAL PERMIT FEE **2 i5
Authorized signature: This permit applieatien expires Ira permit is not obtained within 180
deyy after It has been accepted as complete
Print name: • pate: • Pee methodology sot by Tri.County Building Industry Service Board
— •• Number of inspections per permit allowed.
im taiidinetenaiK■81.C•PamitApodoe 1V03 44O.461.S'rt INojcoxi,waa
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
rr ''
Received � 7 'oy Date Re nested AM PM BUP
Location 'Si` ���� �O fev Suite
Ao O MEC
Contact Person 50 - 1 1r11'l t 'eer ti 1 Ph (5b 3) 5c g- OI cA PLM
Contractor 0 YYI /1.31 ��O J i ►fit ( Ph ( ) (.05 - 153g SW R
BUILDING ant/Owner 3 i t IC 1/0 L LC - (ELC
Footing — T VA/ 7q3-W4'.3 ELC t ._
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: Re e ( � je_ 41 ,)nrs SIT
Post & Beam 1
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing u� ± �: � r % ►c� !. Vii►' 41,4'-'
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
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
�� larm
PAS PART FAIL 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S E 0 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line 1 /64/ Affiff86142—i V
ADA Date . 2 ( — o Y Inspector (u E xt
Approach/Sidewalk
Other:
Final DO NOT REMOVE thls Inspection record from the Job site.
PASS PART FAIL