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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00731 COMMUNITY DEVELOPMENT D ATE ISSUED: 12/22/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 101 AA- 09100C SITE ADDRESS: 12447 SW 69TH AVE ZONING: MUE SUBDIVISION: TIGARD CORPORATE CENTER LOT : OOC JURISDICTION: TIG Project Description: Bldg C. Install (1) 200 amp panel. Job #410606- 12774. 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: 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 CORPORATE CENTER BROADWAY ELECTRIC - COCHRAN INC 12447 SW 69TH 626 SE MAIN TIGARD, OR 97223 PORTLAND, OR 97214 Phone: Contact #: PRI 503 - 234 - 6564 FAX 503 - 238 -2098 FEES Description Date Amount Reg #: ELE 37 - 546C [ELPRMT] ELC Permit 12/22/200( $80.30 LIC 72942 [TAX] 8% State Surcharge 12/22/200( $6.25 SUP 34475 Total $86.55 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: 4 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 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. Electrical Permit Appr ati &l �;�� LV '� pt § ' - v� Evdie /. as g - _ I � 131Sw all lvdTigard, OR 97223_ 67). v es Other Permit. Pho ne: 503.639.4171 Fax: 503 98.1' 60 ,. ��'' Date/B ■ y,. r` I Date Re ady / By: 0 See Page 2 for Inspection Line: 503.639.4175 Supplemental Information Internet: www.ci.tigard.or.us Notified/Method: �t pP 7e 1f . p a , 1 i .V Y'G !, n �as,� :;.,, . a 1 -.;;; ai;p. at e , p µ , } 1 1 . ,. R / � i :' ? 1© ct a lr . ' 7, , Ia t ' f f! apply: `'� � . . � ��''ry r wi y' � •�¢�i.r: p .�P ��P��..9 a�t<. - W .. ",t'�x .. �L I h jd# r� . ^�11F ✓'s�a.�ciC�3:l.i_�.cJZ TUL1� ,�,i?. = • • "" Please check all that ❑ New construction ❑ Addition/alteration/replacement ❑Service over 225 amps, cornm'I ❑Hazardous location ❑ Demolition ❑ Other ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., 4 ii f4`•�7 /1.0. .0 ' }t�ir i Q`.fnf,, , p ' ; ,...; of 1- and 2- family dwellings 4 or more new residential x+ ... : - 'I> <,`.t:._ A iJ.,r .4 a :. ,. s:. - ..n• .. arr..c - .a„ c -. .. a. ['System over 600 volts nominal units in one structure ❑ 1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building ❑Building over three stories ❑Feeders, 400 amps or more ❑ Multi family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or y t s n h t C � 9 +' r R, -i f 6; RV park ;,. .. ;�' rt .. t , � � :,, s r i . , , . .: ❑E / lighring plan p � . r . z x , ,. ,� :, . � f ,�. z yr. ,, ... ,,,1- , >a.t �a ..... ❑Other: /� £� 7 SW C y ❑Health -care facility Job no. a T; Job site address: / r` Submit 2 sets of plans with any of the above. City / State/ZIP: 7 ( % i1 !J- Ole. The above are not applicable to temporary construction service. ' d - ta:2'.` v ,/C-'s. 4 5 ,cy,-;,'" iii i''° ar Suite/bldg. /apt. no.: Project name: 45j..„6 C , / / Description 1 Qty• I ` Bee.. I Total 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: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no Limited energy, non - residential 75.00 • 2 v A t{ .t ," "- 1` .Op 6* at,,p ` r };. :'.`" -. ` ,.. Each manufactured or modular ..,. a.., n. '.....•,... , ` dwelling, service and/or feeder 90.90 2 /4 .5 7 ----1. --' ( C f A- c iv, . Services or feeders installation, alteration, and/or relocation 200 amps or less 1 80.30 9 > y O 2 ';',;'-'1z•-) w , d „" E . . s -• r 0 , r i. 201 amps to 400 amps 106.85 2 -. .: oa , _. ' � . 9, ,. r 4 ` ��," • 'c, .. , . a, 1,:i - 'T r ,•r. ' , 401 amps to 600 amps 160.60 2 Name: c . c c , c )-- 601 amps to 1,000 amps 240.60 2 l M ® e 0 Over 1,000 amps or volts 454.65 2 Address: ._ Reconnect only 66.85 2 City /State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less I 66.85 1 Owner installation: This installation is being trade on property that I own which is not 201 amps to 400 arnps 100.30 f 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449; 670, and 701. 401 amps to 600 amps 133.75 2 Owner si I+. ature: Date: Branch circuits - new, alteration, or extension, per panel 7„.-''' o rr *� r .,' } " a r •t` p r '';' � rA r{ E ' ... . . w . f each 6.65 2 A Fee for branch circuits with ,,.W_..ta ar � F. ; .ev.. _ ,x �.:;• .r,t9 �s,� , r,. �,�..,_• serv or f ee d er ee e Business name: branch circuit , _ ,{ B. Fee for branch circuits Contact name: /' / //� �j '(.'7.2) A- / /-- .f / without service or feeder fee, 46.85 2 each branch circuit . Address: Each add'l branch circuit 6.65 2 City/State/ZIP: . Miscellaneous ity/ State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (5 ) if 0 7 5 al., ) Fax: : ( ) • Sign or outline lighting t 53.40 2 E-mail: Signal circuit(s) or limited - u „ s , i r . r .t'A i Et' - rS "; • energy panel, alteration, or • it ,. .aar't , r't.: t4P `(:.. " < :4 .;; p,..M.1a>.4 `�'i�Y .. . "' _k x F, r 6-: * k s : 8,m�t! •. extension. Describe: Page 2 2 Business name: s ,c-o - - a w a.` C• �c. c .1" ..c... Each additional Inspection over allowable in any of the above Address: (. 2_ (o '' (1.-__- rM aW-.. Per inspection 62.50 City/State/ZIP: 'c,f -"c a , t ,,,, () \ 7 21.4 Investigation per hour (1 hr min) 62.50 ) Z s - $ Industrial plant per hour 73.75 Phone: Fax: ( 63 2.o =: W-.410 plan hour t tic ,°' r •'_ 7' . CCB Lic.: 7 2ck42_ I Electrical Lic.: 31-5 l I Su prv. Lic.: 3 Subtotal g. • Suprv. Electrician signature, required: Plan review (25% of permit fee) �� State surcharge (8 % of permit fee) lam_ Print name: \G C�h� 0 Date: 11.) 9 - G 1 TOTAL PERMIT FEE gG r� • Authorized signature: , This permit application expires It a permit is not obtained within 180 days after It has been accepted as complete . . ..... I nate: • Fee methodology set by Tri-County Building industry Service Board CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006 -00731 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/22/2006 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 34 SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK: SUBDIVISION: TIGARD CORPORATE CENTER LOT #: OOC TYPE OF USE: PROJECT NAME: TIGARD CORPORATE CENTER DESCRIPTION: Bldg C. Install (1) 200 amp panel. Job #410606- 12774. OWNER: TIGARD CORPORATE CENTER, PHONE #: CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC PHONE #: 503 - 234 -6564 Inspection Request Scheduled For: Date: 3/27 /2007 Pour Time: Code # Inspection Description orifirm # Contact # Message 199 Electrical final 045479 -Q1 503-522-7381 N Corrections /Comments /Ins uctions: • f/I2 P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr ` 666 Date: 3 • V7 Phone #: (503) 718- 2`14 b