Permit CITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2005 -00182
„ ti DEVELOPMENT SERVICES DATE ISSUED: 3/25/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT : 002 JURISDICTION: TIG
Project Description: (1) 200 amp or less service and (81) branch circuits. Work is taking place on 2nd and 3rd floors. Job No. 1051
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: 1 W /SERVICE OR FEEDER: 81 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 GEORGE + SONS ELECTRIC CORP
4650 SW MACADAM AVE STE 220 PO BOX 339
PORTLAND, OR 97201 CLACKAMAS, OR 97015
Phone: Phone: 503 - 654 - 8634
FEES Reg #: LIC 35600
ELE 3 -117C
Description Date Amount SUP 3185S
[ELPRMT] ELC Permit 3/25/2005 $618.95
[TAX] 8% State Surcharge 3/25/2005 $49.52 REQUIRED ITEMS AND REPORTS
Total $668.47
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 worts 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 se •rth in O• - 95 :,1 -►rr 1 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503-246-99 or 1- 800 -33 ' -2
Issued y: I j 4 .�_ I Permittee Signatur
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: .. 41" DATE:
LICENSE NO: OB. 6
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.
. 83/25/2005 11:23 503-653-6886 GEORGE & SONS ELECTR PAGE 02
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EliSilkallgnidiAllillitittIVEDA 14,1,.: 1 )1 I 1 ■ 1 1 - 1 , , ,. 1 \
13125 SW Hall Blvd., Tigard, OR 97273 Plea Review/
' • New construction
! i over 225 amps, comet ElHanudous location
.
[] DetnalitiOn ID °mrrvhe*~er 320 rating °
• 1- and 2-family dwelling b Commercial/industrial • Accessory building ' ElSystem over 600 volts nombuil units in one structure
1 0 Mtdd ' ! ,, 0 Master builder 1:1 Other: ' i Latuilding over three stories °Feeders, 400 amps or MI=
OMenufectured structures or
! Job no.: to 57/ i fob silo Oddroos: j1Z / S'IA/ 4 611 &_,/e_inoy 1 [Wealth-care facility 00ther:
1 City/Stree/Z1P: 7; ._ ._. ............... _ ...... . The above are nm applicable to tempsmuy construction service. .
opu• 7W
Cross street/directiotts to Job site: .; ...:
Tax ;nap/parcel no.: ! Limited energy, residential 75.00 ' 2 '
dwelling, service and/or feeder .I ! 99.?0 I _ j ... 2 '
A4P 200 strips or less
owner tneennettont This installation is being made on property diat 1 own whidt is not 201 amps to 400 amps ; foliiii : ' i i
i intended for sale, lease, rant, or exchange, accOrdIng to ORS 447, 449, 6 and 701. 401 to 600 arnps ' 133,75 1 • 2 '
-'---- : R. Feemxvra="""==° � i
I Contact name: -__- _ —_''' a=�����
• Address: _--' -_---_ ..... --.
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alteration, or
L • - -1 ! Each additional Inspection over ialowable ill any of tbe above !
i City/State/Z1P; a 0g q7015- • . Investigation per hour (i hr ono) : 62.50 ' 1
kl upry. Electrician signattue, temthed:
FAuthorired signature: days after k lito bem eacepted es ccoopitte
.- _, . — - -- 1 • ppi methodology eet by Tri-Comity Bag% Industry Service Board
Print mane: ' Date: 1 •• Number of Oispecdont per permit allowed.
E-mail:
12103 44046 I ST(10/02/COWWP
CITY OF TIGARD +_s
BUILDING DIVISION PERMIT #: ELC2005 -00182
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/25/2005
Phone: (503) 639 -4171 ./ "'01p j li� ,\
Insp Requests (24 Hrs.): (503) 639 -4175 ,__!4- `__..
INSPECTION WORKSHEET FOR DATE: 5/512005 TIME: 7:16AM PAGE: 70
SITE ADDRESS: 13221 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF US •
PROJECT NAME: HEALTH NET
DESCRIPTION: (1) 200 amp or Tess service and (81) branch circuits. Work is taking plac on 2nd and 3rd floor.. Job
No. 1051
OWNER: TIGARD TRIANGLE 1 LLC, PHONE #:
CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE #: 503- 654 -8634
Inspection Request Scheduled For: Date: 5/6/2005 Pour Time: 1 IS/
j 1 v
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 006147 -01 503 - 654 -8634 Y
Corrections /Comments /Instructions: s 1 Mt 1.
/1/ I.obL 6 di -(d )4,5p
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p d PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ye„----- Datj' ^— 1 Phone #: (503) 718 -
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