Permit CITYOFTIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
-` 14 DEVELOPMENT SERVICES PERMIT #: ELR2002 -00055
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/2/02
SITE ADDRESS: 14160 SW 72ND AVE 150 PARCEL: 2S112AA -00900
SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H
BLOCK: LOT: JURISDICTION: TIG
Project Description: Office and warehouse data /telecommunications - Job No.0 -22 -61
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
RREEF PROPERTIES CAPITOL DATA & COMMUNICATIONS
720 SW WASHINGTON SUITE 710 12810 NE AIRPORT WAY
PORTLAND, OR 97205 PORTLAND, OR 97230 -1029
Phone: 503 - 295 -5555 Phone: 503 - 255 -9488
Reg #: LIC 142457
ELE 26- 1054CLE
SUP 3132S
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 4/2/02 $75.00 2720020000 Wall Cover
Elea! Final
5PCT CTR 4/2/02 $6.00 2720020000
Total $81.00
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by � � Q��2_ Permittee Signature
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 7:00 P.M. for an inspection needed the next business day
OFFICE USE ONLY
Electrical Permit Application Date received: ' -6j 'ermit no.: '7 . ei,, X05
Proj ect/a r . I. no.: Ex • ire date:
Pi City of Tigard 1- I i Date issued: � Receirt no.:
CITY OF TIGARD Address: 13125 SW HAL [ 7A1, WA
• ': L, O 223 Case file no.: Payment tyre:
Phone: (503) 639 -4171 Fax (503) 598 -1960
Land use approval: MAR 2 8 20
❑ I & 2 family dewlling or accessory mama rla ❑ Multi- family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
JOB SITE INFORMATION
Job address: I U(po e5u.J 1, ND City: TIGARD _Bldg. No.: Suite no.: Tax map /tax lot/account no.:
Lot: (Block: N/A (Subdivision:
Project name: UPS !Description and location of work on premises: OFFICE/ WHSE
_ Estimated date of completion/inspection: _ _ _ 4/8/02 _ ___ _ _ _
CONTRACTOR APPLICATION FEE SCHEDULE
Job no: C -•A a- -` 1 Fee Max.
Business Name: CAPITOL DATA /COMMUNICATIONS Description Qty. (ea.) Total no. insp
Address: 12810 NE Airport Way New residential - single or multi - family per
City: Portland State: OR ZIP: 97230 -1029 dwelling unit. Includes attached garage.
Phone: 503- 255 -9488 'Fax: 255 -9488 (E-mail: darrell at7,cepdx.com Service included:
CCB no.: 142457 'Elec. bus. lic.no: 26- 1054CLE 1000 sq, ft, or less $ 145.15 4
City /metro lic.no.: 6380 Each additional 500 sq. ft. or portion thereof $ 33.40
3/25/02 Limited energy residential _ $ 75.00 2
Signature of sup ising ec . an (r uired) Date Limited energy, non - residential $ 45.00 2
Sup. elect. name (print): Richard Martin License no.: 2865 - Each manufactured home or modular dwelling
PROPERTY OWNER Service and/or feeder $ 90.90 2
Name (print): Services or feeders - installation,
Mailing address: alteration or relocation:
City: I State: 'ZIP: 200 amps or less $ 80.30 2
Phone: Fax: 1E 201 amps to 400 amps $ 106.85 2
Owner installation: The installation is being made on property I 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 $ 740.60 2
ORS 447, 455, 479, 670, 701. Over 1000 amps or volts $ 454.65 2
Owner's signature: Date: Reconnect only $ 66.85 1
ENGINEER Temporary services or feeders -
Name: installation, alterations, or relocation:
Address: 200 amps or less $ 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
PLAN REVIEW (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 $ 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: $ 46.85 2
❑ Occupant load over 99 persons ❑ Manufactures structures or RV Park Each additional branch circuit: $ 6.65
❑ Egress/lighting 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
__ _ __ _ _ _- __ -Signa .eircuit(s).or_a limited energy Cr nel. _ - -
V -
alteration, or extension' VIC. G 4 1 _ $ 75.00 75.00 2
"Description: no-nor
Each additional inspectionover th allowable in any of the above:
Per inspection I I $ 62.50 I I
Investigation fee
Other
❑ Visa ❑ MasterCard Permit fee $ 75.00
Credit card number: / / Notice: this permit application Plan review ( ) $
Expires expires if a permit is not obtained State Surcharge( 8% ) $ 6.00
Name of cardholder as shown on credit card
$ withing 180 days after it has been TOTAL $ 81.00
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
/ / BUP
Received Date Requested `7" '' AM PM BUP
Location / T 0 6 0 7o. 42.cr 91-0 Suite /Sd d MEC
Contact Person Ph ( ) ' 5 5 9 Vgo PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR �0 00 6c, 5
Crawl Drain
Slab - Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear P,c
Framing
Insulation Lo v\1 VOI.At §
Drywall Nailing
Firewall
Fire Sprinkler /f '
Fire Alarm I 1/ .
Roof
Susp'd Ceiling / , lit Othe / �/
Other: `,// �
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough
Water
Se rvice \
Service
Sanitary Sewer ii-)1( s
Rain Drains � � '� `\
Catch Basin / Manhole I`YA , k\.\\O ' 1 Y ' 0 ` f
Storm Drain 1
Shower Pan
Other: ,-
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
'Rout 1
1 _Slab
ow to a'
Fire • arm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
7 PART FAIL
SITE ❑ Please call for reinspection RE: i ❑ Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date — G Z- Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the ob site.
PASS PART FAIL