Permit A - CRY O F T I GAR D ELECTRICAL PERMIT
PERMIT #: ELC2003 -00171
"if'471 DE SERVICES DATE ISSUED: 3/26/03
I ! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 2S 112AA -00900
SITE ADDRESS: 14140 SW 72ND AVE 100
SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of (8) branch circuits (injection molding).
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 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 7 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:
SPIEKER PROPERTIES LP CAPITOL ELECTRIC CO INC
4380 SW MACADAM AVE STE 100 11401 NE MARX ST
PORTLAND, OR 97201 PORTLAND, OR 97220 -1041
Phone: Phone: 255 - 9488 .
Reg #: LIC 048748
SUP 3132S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 3/26/03 $93.40 EON? [TAX] 8% State Tax 3/26/03 $7,47 Rough - �®
Elect'I Final
Total $100.87
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: ?i!_ 1!. Permit Signature: 6711 f�/�/' G/ e*-77
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: ll /9 C'9 270,./ 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
Els Permit Application OFFICE USE ONLY
'tC PP ���,� �® Date received:3�7►J� Permit no.: . r, -f10
�� H�
I� Project/appl. no.: Expire date:
,� , City of Tigard Date issued: B s d Receipt no.:
CITY OF TIGARD Ad 13125 SW HALL BLVD, TIG ' � A72232003 Case file no.: Payment type:
Phone: (503) 639 -4171 Fax (503) 598 -1' c0'
Land use approval: QITY OF TIGARD
SING DIVISION
TYPE OF PERMIT
❑ 1 & 2 family dewlling or accessory 51 Commercial /industrial ❑ Multi- family ❑ Tenant improvement
o New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
J013 SITE INFORMATION
Job address: 14140 SW 72ND AVE. City: TIGARD Bldg. No.: Suite no.j /n Tax map /tax lot/account no.:
Lot: IBiock: N/A [Subdivision:
-- - Project name - POLY-CAST- CIRCUITS -- 'Description and location of work -on Premises: INJECTION MOLDING— - - - — -
Estimated date of completion/inspection:
Job no: 23 -455 Fee Max.
Business Name: Capitol Electric Co., Inc. Description Qty. (ea.) Total no. insp
Address: 11401 NE Marx New residential - single or multi - family per
City: Portland State: OR ZIP: 97220 -1041 dwelling unit. Includes attached garage.
Phone: 503 - 255 -9488 (Fax: 257 -7121 IE -mail: Jarrell c@cepdx.com Service included:
CCB no.: 48748 !Elec. bus. lic.no: 26 -496C 1000 sq, ft, or less $ 145.15 4
Citylm - tro lic.no.: N/A Each additional 500 sq. ft. or portion thereof $ 33.40
/ 3/21/03 Limited energy residential $ 75.00 2
Signature: . supervising electrician (required) Date Limited energy, non - residential S 45.00 2
Sup. elect. name (print): Darrell McNeal License no.: 3132 Each manufactured home or modular dwelling
PROPERTY OWNER Service and/or feeder S 90.90 2
Name (print): Services or feeders - installation,
Mailing address: alteration or relocation:
City: I State: (ZIP: 200 amps or less S 80.30 2
Phone: Fax: IE -mail: 201 amps to 400 amps S 106.85 2
Owner installation: The installation is being made on property 1 own 401 amps to 600 amps $ 160.60 2
which is not intended for sale, lease, rent, or exchange according to 601 amps to 1000 amps $ 240.60 2
ORS 447, 455, 479, 670, 701. Over 1000 amps or volts S 454.65 2
Owner's signature: Date: Reconnect only S 66.85 I
ENGINEER Temporary services or feeders -
Name: installation, alterations, or relocation:
Address: 200 amps or less S 66.85 2
City: State: ZIP: 201 amps to 400 amps $ 100.30 2
Phone: Fax: E -mail: 401 amps to 600 amps $ 133.75 2
('LAN RF :VIEW (Please check all that apply) Branch circuits - new, alteration,
❑ Service over 225 amps-commercial ❑ Health -care facility or extension per panel:
❑ Service over 320 amps- rating of I &2 ❑ Hazardous location A. Fee for branch circuits with purchase of
family dwellings ❑ Building over 10,000 square ft. four or service or feeder fee, each branch circuit S 6.65 2
❑ System over 600 volts nominal more residential units in one structure B. Fee for branch circuits without purchase
❑ Building over three stories ❑ Feeders, 400 amps or more of service or feeder fee, first branch circuit: 1 $ 46.85 46.85 2
❑ Occupant load over 99 persons ❑ Manufactures structures or RV Park Each additional branch circuit: 7 $ 6.65 46.55
❑ Egress/ighting plan ❑ Other: — Misc. (Service or feeder not included):
Submit sets of plans with any of the above. Each pump or irrigation circle S 53.40 2
The above are not applicable to temporary construction service. Each sign or outline lighting $ 53.40 2
Signal circuit(s) or a limited energy panel,
alteration, or extension* _ S 75.00 _ 2
*Description:
Each additional inspectionover th allowable in any of the above:
Per inspection I 1 $ 62.50 I I
Investigation fee
Other
❑ Visa ❑ MasterCard Permit fee $ 93.40
Credit card number: / / Noti M ' I' , Plan review ( ) $
Expires expires if a pe (� orkagidil State Surcharge 8% ) $ 7.47
Name of cardholder as shown on credit card within 180 days after it has been
$ 9 y TOTAL $ 100.87
Cardholder signature Amount accepted as complete.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
3 BUP
Received Date Red nested - AM PM BUP
Location / ti H t ` € MC Suite / 6 MEC
Contact Person at' � Ph ( ) � -�OZ S� PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 3 — 66
Footing
Foundation ELC
Access:
Ftg Drain 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
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
Fire Alarm
�� - El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
4Iggio • RT FAIL
Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA -
Approach/Sidewalk Date 5 '�` � Inspe y _ / _ -- l do. • 1
Other:
Final DO NOT REMOVE this Inspection re d from th J ob site.
PASS PART FAIL