Permit A 1? CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00564
° COMMUNITY DEVELOPMENT DATE ISSUED: 8/22/2007
T I G A R D: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112DC -00100
SITE ADDRESS: 15675 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT : 002 JURISDICTION: TIG
PROJECT: NIKE SOCKS
Project Description: Electrical TI (Nike Socks & Main Service) and fire alarm panel. Job No. 270911
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: 1
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: 28 PER INSPECTION:
201 - 400 amp: 4 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: 1 >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: X CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES CAPITOL ELECTRIC CO INC
15350 SW SEQUOIA PKWY #300 -WMI 11401 NE MARX ST
PORTLAND, OR 97224 PORTLAND, OR 97220 -1041
Phone: Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 8/22/2007 $1,303.85 LIC 48748
[ELPLCKJ ELC Pln Rev 8/22/2007 $325.96 SUP 3132S
[TAX] 8% State Surcharge 8/22/2007 $104.31
REQUIRED ITEMS AND REPORTS
Total $1,734.12
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 -00 -' e • • gh OAR 952 - 001 -0100 You ma b in copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued B • / / / /J / - Pernittee Signature:
OWNER INSTALLATION ONLY A
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.
;r ((i1 f s Pe ev...4- U- & it. 3.007 - 0 0 3 8 ei
FOR OFFICE USE ONLY
i Elealirid4 Permit Applies i 5)4 Received Q R � Date/By: O � 3 �' Permit no.: Isc.co417-a5),�6ii City of Tigard ` ' Plan Review / 13125 SW HALL BLVD., TIGARD, OR 97223 1 S 2 0) , a 1 I Date/By: Other Permit: or,
Phone: (503) 639 -4171 Fax (503) 598 -1960 Au R B Ju 11 See Page 2 for
Inspection Line: 503- 639 -4175 0 � Y OF TIGARD Date Ready Notified/Method: 0 _ / t-/.
g G Tll� 1 �� 0 � _ Supplem .. Information
Internet: www.ci.ti ard.or.us I G p1 fl ! „ OM, .
TYPE t3 .� vtEw /
U New construction L] Addition/alteration /replacement - Please check all that apply (submit 2 sets of plans w/items checked below):
❑ Demolition ❑ Other: El Service or feeder 400 amps or more ❑ Building over three stories
CATEGORY OF CONSTRUCTION where the available fault current ❑ Marinas and boatyards
L] 1- and 2- family dwelling Li Commercial/industrial L Accessory building exceeds 10,000 amps at 150 volts or Floating buildings
❑ Multi- family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 Commercial -use agricultural i
JOB SITE INFORMATION AND LOCATION amps for all other installations. ❑ buildings
Job no.: 9 A88 Job site address: 15675 SW 72nd Ave ❑Fire Pump ❑ Installation of 75 KVA or
&10 C1 ❑ Emergency system larger separately derived sys em.
City /State/ZIP: Tigard, Or. 97224 ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
100HP or more. ❑ occupancy
Suite/bldg./apt. no.: Project name: Nike Golf ❑ Six or more residential units ❑ Recreational vehicle parks.
❑ Health -care facilities ❑ Supply voltage for more than
Cross Street/Directions to job site: ❑ Hazardous locations
❑ 600 volts nominal.
❑ Service or feeder 600 amps or more
Subdivision: Lot no.: FEE SCHEDULE
Description I Qty. ' Fee. 1 Total I ."
Tax map /parcel no.: New residential - single or multi - family dwelling unit.
DESCRIPTION OF WORK Includes attached garage.
New Service and TI mkt 5 4 GAS _ 1000 sq. ft. or less $ 145.15 4
Ea. Add? 500 sq. ft or portion $ 33.40 1
L) PROPERTY OWNER I LJ TENANT Limited energy residential
Name:
(with above sq. ft.) $ 75.00 2
Limited energy, multi - family
Address:
residential (with above sq. ft.) $ 75.00 2
Service or feeders installation, alteration, and/or relocation
City /State/ZIP: 200 amps or less 2 $ 80.30 160.60 2
201 amps to 400 amps 4 '5 106.85 427.40 2
Phone: Fax: 401 amps to 600 amps $ 160.60 2
601 amps to 1000 amps $ 240.60 2
Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts 1 $ 454.65 _ 454.65 2
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature: Date: relocation
200 amps or less $ 66.85 1
11 APPLICANT J 11 CONTACT PERSON 201 amps to 400 amps $ 100.30 2
Business Name: 401 amps to 600 amps $ 133.75 2
Branch circuits - new, alteration, or extension, per panel
Contact name: A. Fee for branch circuits with
service or feeder fee, each
Address: branch circuit 28 " $ 6.65 186.20 2
B. Fee for branch circuits
City/State/ZIP: without service or feeder fee,
first branch circuit $ 46.85 2
Phone: Fax: Each additional branch circuit: _ $ 6.65 2
Miscellaneous (service or feeder not included)
E -mail: Each manufactured or modular
CONTRACTOR dwelling, service and or feeder $ 90.90 2
Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 66.85 2
Pump or irrigation circle $ 53.40 2
Contact name: Jim Eddington Sign or outline lighting $ 53.40 2
Signal circuit(s) or limited -
Address: 11401 NE MARX ST. energy panel, alterations, or
extension. Describe: Fire Alarm 1 Page 2 $ 75.00 2
City /State/ZIP: PORTLAND, OR 97220 -1041 '
Each additional inspection over allowable in any of the above
Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Per inspection $ 62.50
Investigation per hour (1 hr min) $ 62.50
CCB Lic.: 48748 (Electrical Lic.: 26 -496C ISuprv. Lic.: 3132 -S / Industrial plant per hour $ 73.75
Suprv. Electrician signature, required. / "- ELECTRICAL PERMIT FEES*
Subtotal $ 1,303.85
Print Name: DARRELL M EL Date: 08/06/07 Plan review (25% of permit fee) $ 325.96
Authorized signature: J State surcharge ( 8% of permit fee) $ 104.31
G(/J/j /f/Ij{/j / `,`ii TOTAL PERMIT FEE $ 1,734.12
Print Name: DAR MCNEEL This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
* Number of inspections per permit allowed.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00664
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 9/22/2007
Phone: (503) 639 -4171u 41
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7:OOAM PAGE: 43
SITE ADDRESS: 15675 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE SOCKS
DESCRIPTION: Electrical it (Nike Socks & Main Service) and fire alarm panel. Job No. 270311
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255 -9488
Inspection Request Scheduled For: Date: 11/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 059997 -01 971 - 506 -3388 N
Corrections /Comments /Instructions:
•
c_.Q
.i+ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ► N612:1 Date: U 11Aj O1 Phone #: (503) 718 - Vitlb
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00564
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9121/2007 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 15675 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE SOCKS
DESCRIPTION: Electrical TI (Nike Socks & Main Service) and fire alarm panel. Job No. 270911
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255 - 948B
Inspection Request Scheduled For: Date: 9/21/2007 Pour Time:
Code # Inspection Description • • • # Contact # Message
115 Electrical service 056048 -01 971- 506 -3089 Y
Corrections /Comments/ Instructions:
N% (0 I .,
t ik IN1 S a • taep rem)
0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � N V 8 L.q Date: Q! 09 Phone #: (503) 718- 7,1430