Permit 4,,,91111 `:CITY OF F TIGARD GA ELECTRICAL PERMIT
PERMIT #: ELC2003 -00246
DEVELOPMENT SERVICES DATE ISSUED: 5/1/03
'� „ II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY Wit
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: MUE
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Installation of (12) branch circuits.
NAT
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 W/O SRVC OR FDR: 1 4, PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: Wit= -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 GREENWAY ELECTRIC COMPANY
4650 SW MACADAM AVE STE 220 15145 SW GULL DR
PORTLAND, OR 97201 BEAVERTON, OR 97007
Phone: Phone: 503 - 579 - 8054
Reg #: LIC 153421
ELE 34 -617C
FEES SUP 4210S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 5/1/03 $120.00
[TAX] 8% State Tax 5/1/03 $9.60 Rough -
Electi Final
Total $129.60
This Permit is issued subjed 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: Permit Signature: �� _ `Now.
OWNER INSTALLATION ONLY I 1 `
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
1
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it. 'r
ElectricalPermitApplication • OFF1 ` <t\
� I ` , D Date received: $ / 0,3 Permit 1106(,0 ./,
City of Ti ark v
�. '� i � b Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: EM Receipt no.:
Phone: (503) 639 -4171 ri;Ay 01 2003
Fax: (503) 598 -1960 Case file no.: Payment type:
CITY OF TIGARD
Land use approval: ' U;LDINC DIVISION
I \ VI' OF 1'I.I011'1
O I & 2 family dwelling or accessory Commercial /industrial O Multi- family O Tenant improvement
O New construction $ Addition/alteration/replacement O Other: O Partial
Job address: 132Z.„1 S G .) 6 t Bldg. no.: Suite no.:d e0 Tax map /tax lot/account no.:
Lot: I lock: I Subdivision:
Project name: licit I f 1 p) t Description and location of work on premises: ORZ. 4 Gw.p.l ,Qectij
Estimated date of completion/inspection: '. —24D,)
cO:\ I IL (I Olt : \T'I'LT(:\ IICI\ Ft :I; S( III III I.l: •
Job no: I G 3 a - Fee Max
Business name: Greenway Electric Company Desaipdon Q4• (ea.) Total no. insp
New re
Address: 15145 SW Gull Dr. l- orm -may per
dlingmdt.Incladerattachedgarage.
City: Beaverton I State: OR I ZIP: 97007 ServiceinelnderE
Phone: 503 -579 -8054 I Fax: 579 -8056 1E-mail: jim.rooney4(5)verizon 1000 sq. ft. or Iess 4
Each additional 500 sq. ft. or portion thereof
CCB no.: 153421 Elec. bus. lic. no: 3q 617C Limited energy, residential 2
Ci /metro lic n • .- Limited energy, non - residential 2
•. `_ ■ ei —30 —a3 Each manufactured home or modular dwelling
Signature of supe :,. •'cian (requi Date Service and/or feeder 2
Sup. elect name (print): 1 . Jenn s License no: 4210S Services or feeders—Installation,
al teradon or relocation:
200 amps or Tess 2
Name (print): 201 amps to 400 amps 2
Mailing address: 40i amps to boo amps 2
601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: I Fax: I E -mail: Reconnect only I
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 am. • 2
F \ I , I \ h.: VII Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I ZIP: B. Fee for branch circuits without purchase i
Phone: Fax: E - mail: of service or feeder fee first branch circuit: 1 JO t 2
It ir
Each additional branch circuit 13 -
I'I.. \:\ RI\ 1L \\ (1'1t:t:c check all Ih:tt ;ipltl'l Misc. (Service or feeder not included):
O Service over 225 amps - commercial 0 Health -care facility Each pump or irrigation circle 2
O Service over 320 amps - rating of 18c2 0 Hazardous location Each sign or outline lighting 2
family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension 2
O Building over three stories 0 Feeders, 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lighting plan 0 Other: Per inspection I I I I
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee $ 1 C O r OV
Not all jurisdictions accept credit cards, please call jurisdiction for more mfonnation. Notice: This permit application
0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: / / within 180 days after it has been State surcharge (8 %) $ D
Expires accepted as complete. TOTAL $ a S • 6 0
Name of cardholder as shown on credit card
Cardholder signature Amount * ` —� 440 -4615 (6/00 /COM)
v - -�•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION ' Business Line: (503) 639 -4171 MST
/ //__ BUP
Received Date Requested 1 '- (SL 4P AM PM BUP
Location /3D- ( t 0 k` P /CL J Suite _WW_____ MEC
Contact Person Ph a 7 -?-13'/ PLM
Contractor (r1 w E Ci7P _ Ph ( ) SWR ' /
BUILDING Tenantl8wner ELC ,� "TS d a (F4
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm ri •I _ Ai i +
Susp'd Ceiling - ,
Roof . t r
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 .4-•-
UG/Slab
Low Voltag
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
•t rW" PART FAIL
Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA Date (�/6/6 I r Ext
Approach/Sidewalk Inspector J�
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
f
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
IIP j BUP
Received Date Requested_ 6 — Li AM PM BUP - glg7, Location 13 ? I (p g' PK(4) Suite MEC
Contact Person Ph ( v ) 1 7 — 2/ 3 PLM
Contractor Girerie,y2 F cfbr Ph ( ) SWR /
BUILDING Tenant/Owner ELC 3 - °2 '7 / P
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
1 Post & Beam
Shear Anchors
Ext Sheath/Shear
1 Int Sheath/Shear
Framing
Insulation Y
Drywall Nailing _
Firewall
Fire Sprinkler
V_
Fire Alarm
Susp'd Ceiling
Roof
Other: r ry ‘4-4-f3
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 ' 3
Low olt
Low Voltage e
Fire Alarm
'--; 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
❑ Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA Approach/Sidewalk Date �� Inspector • • mss-- A—
.
/ --
C9
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL