Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2006 -00669
COMMUNITY DEVELOPMENT DATE ISSUED: 11/21/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DC - 00100
SITE ADDRESS: 15675 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT : 002 JURISDICTION: TIG
Project Description: NIKE GOLF. Relocate 200A 480V panel, 75 KVA transf & 200A 120/208V panel.
Job #261922.
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: 1 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:
PACIFIC REALTY ASSOCIATES CAPITOL ELECTRIC CO INC
15350 SW SEQUOIA PKWY #300 11401 NE MARX ST
TIGARD, OR 97224 PORTLAND, OR 97220 -1041
Phone: 503 - 624 - 6300 Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 11/21/200( $187.15 LIC 48748
[TAX] 8% State Surcharge 11/21/200( $14.97 SUP 31325
Total $202.12 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:
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:
Cali 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.
1.2. / 21 / 2006 11 : 27 5032577121 CAPITOL ELECTRIC PAGE 02
.:• .,
..
FOR OFFICE USE ONLY
Electrical Permit Application Reteive4 , _ _
City of Tigard
RECENEAt DaWBY1/00 A
..... Pcnnit nu &-( 1 .44a)K - 40
Plaii Review __,..rr
13125 SW HALL BLVD., MARI), OR 97223 1 L '154 ij"
N 0 V 2 21' 4..41
_ A -- Dat :/By: 4 7C...:ir-- Other Permit:
—
Phone: (503) 639-417 Fax (503) 598-1960
CITY OF TIGARD Dal t Ready/By: Juria;..--e LI IW Pap 2 tat
Inspection Linc: 503-639-4175 CITY OF . 1 . ;GAI1lD Notified/Method: / J Supplemmal Information
into www.ei.tiffi•orms 'ilniniclpivisioN
,0,„..: ;iiii mik...! .. :7:,: i ..,.;: jc z z. to:t ,,,-„,, ,,..,.,, . , , , 1,, ,:.,.; j itiMipiiilliAlioilmiiililz4,.,;!;miggiligilinntiorgaig*IFyiliiiitillipipi.m4:,:inti:ii!i:q1:.:.;,"'!;
• New construction El Addition/alteration/replacement Ple 'se check Blithe! apply:
0 Demolition 0 Other: 0 Service over 225 amps, come 0 Hazardous location
)1* 0 Service over 320 amps - rating 0 Building over 10,000 sq.ft.
LI 1- and 2 dwelling Ld Commercial/industrial Li Accessory building of 1 - and 2 dwellinga 4 or more new residential
El Multi-fary 0 Muter Sunder 0 Other 0 System over 600 volts nominal units in one structure
' :; ,11 "ii1;; : ; , ..i , ...i::•.:::: • ;;', , i;diDi n 1 'lit5 . 6315v ali t : 6 WOMOKAgqtadeft 5 iC.....s.:.. : ! .'L ...ni!"''''''' 0 Building over three stories 0 Feeders. 400 amps or more
Job no.: 261922 1 : 1:1 site address; 15675 SW 72ND 0 Occupant load over 99 persons 0 Manufactured structures or
. 11
0 Egress/lighting plan RV park
0 Health-care facility 0 Other
City/Stale/ZIP; TIGARD. OR. , -
Sub nit 2 sets cif plans with any of the above.
The above are not aplicable to temporary construction service.
Suite/bldg./apt. 110.: !project no NIKE GOLF
'.1.%.11.:.,!;''':,'1111:.;`1:!:1:!!.1!JTINiliiii.iii;XMAIllillaAn.1.Stifkikkliellli"tri:iiifilliRil-',;:7:.. .'!.......'...l'is.'..,;:.'..'
Cross Street/Directions to job site:
Doc iptlon 1 Qtr. 1 Ro. Mist I ••
Ne • • residential - single or multi-family dwelling unit
loci des attached garage.
Subdivision;
Lot no.:
I
— 1001 sq. ft. or less $ 145.15 4 .
Tax map/parecl no.;
Ea. dd'i 500 sq. ft or portion .„ 3 33.40 I
NIti,7474V.IINNIIIIIr"7.1;;;:l...:.&;11111101; ..• ........;:l . Lim ted encr4 residential 3 75.00 2
RELOCATE A 200A 480V PANEL, 75KVA TRANSF AND 200A 120/208V PANEL Lim lcd energy, non-residential I 7500 2
Eac manufactured homc or modular
i'i.,:: !!Ii_Ji;■: . ' ' ' 7 :"!'''' . ..V . ":'il""TENANT.: . : . ::;t:S::ii;lij. ii Fi!'"' ''. dwc ', ing„ Service and/or feeder $ 90.90 2
N Sc 'cc or feeders installation. Alteration, and/Or relocation
ame:
Pacific Realty Associates 200 mps or leas 1 $ 80.30 80.30 2
201 .111ES to 400 amps 1 S 106.35 106.135 2
Address: 15350 SW Sequoia Prkwy
40 l , mos to 600 map 5 100.60 2
601 , m . • to 1000 amps $ 240.60 2
City/Stale/DPI Tigard, Or. 97224
Over 1000 amps or volts $ Mos 2
Recn meet only $ 66.85 2
Phone; Fax;
Tem porary services or (ceders Installation, alteration, and/or
Owner instillation: This installation is being made on property that [ own which is not rel. • tion
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 ,, ps or less , _ $ 66,85 1
Owncr signature; Date; __ 201 :, ps to 400 amps
3 100.30 2
...
401 ps to 600 amps $ 133.75 2
It :4,i114Sit!ii:Ii;siiiiIiiiiiiiihiiiiin.;;;,;,illii„iii,iiJU, cs3NTAMIPPRAIK1N
i;;;,i1------,--.......... :,.,,..1 Bran .II circuits - new, alteration, or extension per and
A. F .e for branch circuits with
Business Name:
S ice or feeder fee, each
. nch circuit 3 6.65 2
Contact name:
B. F !e for branch circuits
lhout scrvice or feeder fee.
Address;
o , - b branch circuit $ 46.85 2
Each , dditional branch circuit: $ 6.65 2
City/State/ZIP:
Mist •Ilaneoes (service or feeder not Included)
Pump or irrigation circle 5 53.40 1 2
Phone; Fax:
Sim • r outline lighting $ 53.40 I 2
E-mail;
Signa eircuits(a) or limited-
1i ', •#;iiIhi.085.70g1A4•Ii::::; ,...:,:,'.;:'.:: ..:. cnc :4 panel. alteration. or
Business NEI.MCI CAPITOL ELECTRIC CO., INC. eaten - 'on. Describe: Page 2 2
name: JIM EDDINGTON Each - Wane! inspection over allowable ii of the above
Contact
Per ins >ection $ 62.50
Addres9; 11401 NE MARX ST. Envesti•,. don par hour (I. lw min) 3 62.50
Indust al plant per hour $ 73.75
1 77 11 1101ifilitiila . '.!". 3 4 1 nOliEidiEw 1 I. H IRER.WililiEEMIP I11111i1Pli
City/State/ZIP; PORTLAND, OR 97220-1041
Subtotal 187-15
-------
Phone: 503 FM: 503-257-7121 Plan review (25% of permit fee)
State surcharge ( 8% of permit fee) 14.97 -
CCB Lie.; 48748 'Electrical Lk.: 26-496C f5ttprv. 14c.: 3132 . TOTAL PERMIT FEE 202.12
-
Tlits permit epplication mores ff n permit It nett obruinee within Ian
Suprv. Electrician signature, required:
A-Pe 4 f.
dort1 alter II luul ham tweepteti es ennirkte
Print Namc: DARRELL MCNEE Date: 11/20/06 r - Fat :ifindelogy act b Tri-Cotmty Building Industry &Tyke Board
Authorized signature:
0 **Nimi , 7 Of Mspettirrei per permit allnwed.
Print Name; DAR - • C ■ - - -
—
CITY OF TIGARD - -
BUILDING DIVISION PERMIT #:ELCZCA6.00669
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 .4:14, = f i l h ,
Inspection Requests (24 Hrs.): (503) 639 -4175 —....16.- °_:.. •
INSPECTION WORKSHEET FOR DATE: 1 Z„' 6I 0 6 TIME: PAGE:
SITE ADDRESS: 15 05 S W i 2 A d' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: st 4t KS G oLF
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: CAP 1'TO L E: C.7 RI C. PHONE #:
Inspection Request Scheduled For: Date: t2 (0( t, Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments / Instructions:
W-
0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C-T-'A 2- N (• L. Date: 12 1 ‘1 04 Phone #: (503) 718- z-t'lb