Permit ji,„ :7, -CITY OF T ELECTRICAL PERMIT
PERMIT #: ELC2002 -00116
��� DEVELOPMENT SERVICES DATE ISSUED: 3/27/02
13125 SW Hall Blvd., Tigard, OR 97223 (503)639 -4171 PARCEL: 2S112AA -00900
SITE ADDRESS: 14160 SW 72ND AVE 150
SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical tenant improvement, (2) 200 amp or less service or feeders and (41) branch circuits. Job No.
22 -123.
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: 2 W /SERVICE OR FEEDER: 41 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:
RREEF PROPERTIES CAPITOL ELECTRIC CO INC
720 SW WASHINGTON SUITE 710 12810 NE AIRPORT WAY
PORTLAND, OR 97205 UNIT 1
PORTLAND, OR 97230
Phone: 503 - 295 -5555 Phone: 255 -9488
Reg #: LIC 048748
SUP 3132S
ELE 26 -496C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 3/27/02 $433.25 2720020000( Rough -in
Elect'I Final
5PCT CTR 3/27/02 $34.66 2720020000(
Total $467.91
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 dired questions to
4f(jk Permit Signature: \ ��4 Issued By:
OWNER INSTALLATION ONLY
The installation is being made on property 1 own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: Dl 0 13iAUlh r✓ DATE:
LICENSE NO: 31c:?
Cali 639 -4175 by 7:OOpm for an inspection the next business day
Electrical Permit Application / OFFICE USE ONLY
P P Date received: L/A3 Permit no.: ettpa -ao / 4/
Project/appl. no.: Expire date:
� ! City of Tigard Date issued: By: Receipt no.:
CITY OF TIGARD Address: 13125 SW HALL BLVD, TIGARD, OR 97223 Case file no.: Payment type:
Phone: (503) 639 -4171 Fax (503) R 598 -ry I
Land use approval: U �\1
IYI'F: OF I'P:RNII "I'
❑ 1 & 2 family dewlling or accessory ❑ Commercial /industrial ❑ Multi- family ❑ Tenant improvement O
O New construction ❑ Addition/alteration /replacement ❑ Other: ❑ Partial
J0B SITE INFORMATION
Job address: 14160 SW 72nd Ave City: Tigard Bldg. No.: Suite no.:lS Tax map /tax lot/account no.:
Lot: Block: N/A Subdivision:
Project name: UPS Logistics Description and location of work on premises: Remodel at east side of building
Estimated date of completion /inspection: .
CONTRACTOR APPLICATION FEE SCHEDULE
Job no: 22 -123 Fee Max.
Business Name: Capitol Electric Co., Inc. Description Qty. (ea.) Total no. insp
Address: 12810 NE Airport Way New residential - single or multi - family per t
City: Portland State: OR ZIP: 97230 -1029 dwelling unit. Includes attached garage. N
Phone: 503 - 255 - 9488 IFax: 255 - 9488 IE - mail: darrell @cepdx.com Service included: '
CCB no.: 48748 'Elec. b lic.no: 26 -496C 1000 sq, ft, or less $ 145.15 4
Ci /metro lic.no.: N/A Each additional 500 sq. ft. or portion thereof $ 33.40
/ / ' ,/^ . I 3/18/02 Limited energy residential $ 75.00 2
Signature of supervising elect clan (re.ired) r Date Limited energy, non - residential $ 45.00 2
Sup. elect. name (print): Darrell McNeal License no.: 3132 -S Each manufactured home or modular dwelling r
PROPERTY OWNER Service and/or feeder $ 90.90 2 C�
Name (print): Services or feeders - installation,
Mailing address: alteration or relocation: '`
City: l State: IZIP: 200 amps or less 2 $ 80.30 160.60 2
Phone: Fax: IE -mail: 201 amps to 400 amps $ 106.85 2 I '
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 $ 240.60 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 1 &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 41 $ 6.65 272.65 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 $ 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' $ 75.00 2
*Description:
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 $ 433.25
Credit card number: / / Notice: this permit application Plan review ( ) $
Expires expires if a permit is not obtained State Surcharge 8% ) $ 34.66
Name of cardholder as shown on credit card withing 180 days after it has been
s TOTAL $ 467.91
Amount complete.
as accepted lete.
Cardholder signature p p
CITY OF TIGARD_ 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location 1 L i( v Suite I3 MEC
Contact Person Ph ( ) 5 7 ? 3 7e), PLM
Contractor Ph ( ) J ` ) SWR
BUILDING Tenant/Owner L ELC r9 Z) C 60/47
Footing yG � � i
Foundation . f y � "1 / ELC
cce
Ftg Drain A �' l�V C� � ELR
Crawl Drain wv
vV 1�•,
Slab Inspection Notes: ' SIT ■
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation W-\ � 1 j P),aC
Drywall Nailing - , N
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 ' L +! o • , — 9 • • .5;5 _
PASS PART FAIL
ELECTRICAL 41. • by -y\,L
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
aigiMf■ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
RT FAIL
SITE E Please call or r inspection RE: El Unable to inspect - no access
Fire Supply Line ,
ADA Date �� _ 02 Inspect Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from he Job site.
PASS PART FAIL