Permit ;t CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00485
° COMMUNITY DEVELOPMENT DATE ISSUED: 7/17/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 12 DC -00100
SITE ADDRESS: 15705 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT : 002 JURISDICTION: TIG
PROJECT: NIKE GOLF
Project Description: Install (5) branch circuits for lighting and power, and low voltage for fire alarm installation.
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: 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: 4 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: Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 7/17/2007 $148.45 LIC 48748
[TAX] 8% State Surcharge 7/17/2007 $11.88 SUP 3132S
Total $160.33 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. 24 Issued B �i / /// , � Permittee Signature: ,)/2 bitj� tilY1
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 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.
FOR OFFICE USE ONLY
Electrical.Permit AP lit tki.$2EIVEDA Received1 ` �t/�
Date /By: 7 f "103—,S(„N Permit no.: etc z00 60 if
City of Tigard Plan Review
f, Date/By:
Other Permit:
13125 SW HALL BLVD., TIGARD, OR 97223:. I
200 ,� a y:
Phone: (503) 639 -4171 Fax (503) 598 -1960 CITY TIGARD Date Ready /By: Juris: U See Page 2 for
Inspection Line: 503- 639 -4175 CITY OF T1GRR OF TI RD Notified/Method: C T Supplemental Information
Internet: www.ci.tigard.or.us BUll' IMa nIVISIQM
TYPE OF "WORK PLAN REVIEW
U New construction 1J Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories
CATEGORY OF CONSTRUCTION where the available fault current ❑ Marinas and boatyards
U I- and 2- family dwelling U Commercial/industrial U 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
JOB SITE INFORMATION AND LOCATION amps for all other installations. ❑ buildings
Job no.: 270912 Job site address: 15790 72nd Ave 1=1 Fire Pump III Installation of 75 KVA or
t ❑ Emergency system larger separately derived system.
City /State /ZIP: Tigard, Or. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2", "1 -3',
100HP or more. ❑ occupancy
Suite/bldg./apt. no.: Project name: Nike Socks Shell El 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 1 Qty. I Fee. I Total I
Tax map /parcel no.: New residential - single or multi - family dwelling unit.
DESCRIPTION OF WORK Includes attached garage.
Circuits for Lighting and Power 1000 sq. ft. or less $ 145.15 4
Ea. Add'I 500 sq. ft or portion $ 33.40 I
U PROPERTY OWNER I U 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 $ 80.30 2
201 amps to 400 amps $ 106.85 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 $ 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
U APPLICANT 1 U CONTACT PERSON 201 amps to 400 amps $ 100.30 2
Business Name: CAPITOL ELECTRIC CO., INC. 401 amps to 600 amps $ 133.75 2
Branch circuits - new, alteration, or extension, per panel
Contact name: Jim Eddington A. Fee_ for branch circuits with
service or feeder fee, each
Address: 11401 NE MARX ST. branch circuit $ 6.65 2
B. Fee for branch circuits
City /State /ZIP: PORTLAND, OR 97220 -1041 without service or feeder fee,
first branch circuit 1 $ 46.85 46.85 2
Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Each additional branch circuit: 4 $ 6.65 26.60 _ 2
Miscellaneous (service or feeder not included)
E -mail: jimi tcepdx,Com 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 5 53.40 2
Contact name: Jim Eddington Sign or outline lighting $ 53.40 2
Signal circuit(s) or limited- r� r2.
Address: 11401 NE MARX ST. energy panel, alterations, or
extension. Describe: 1 Page 2 75 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.: 6-496C ISuprv. Lic.: 3132 -S Industrial plant per hour _ $ 73.75 _
//4 3 /
ELECTRICAL PERMIT FEES'
Suprv. Electrician signature, required: g'�$ Subtotal $ 148.45
Flint Name: DARRE L / /`� Date: 07/1 07 Plan review (25% of permit fee)_ _
Authorized signature: `_ !- //J � / State surcharge ( 8% of permit fee) $ 11.88
y, TOTAL PERMIT FEE 1 $ 160.33
Print Name: D/{RRELL MCNEEL This permit application expires Ifa 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 #: ll _G20t17 Of3A85
13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: 7117/7007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/19/2007 TIME: 7 :01AM PAGE: 47
SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: Q02 TYPE OF USE:
PROJECT NAME: NIKE GOLF
DESCRIPTION: Install (5) branch circuits for lighting and power, and low voltage for fire alarm installation. Job NO.
270912.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.755 -9488
Inspection Request Scheduled For: Date: 10/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 057910.01 971-506-3096 N
Corrections /Comments /Instructions:
14151 / N t ev'ibD o va 11.16 6141.3..
Lhr25 •
c P\Licfutp t.PPcztA NL. FPO(); O
v IlSt 1056)0c 5 kt f\t..
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- ►A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
fl FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
19 A ��
Inspector: Cr • oleo Le Date: f O tq ( 01 Phone #: (503) 718- ] +(Q
1
CITY OF TIGARD . =~
BUILDING DIVISION PERMIT #: ELC2007 -00485
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7117/2007
Phone: (503) 639 -4171 A fl Inspection Requests (24 Hrs.): (503) 639 -4175 `:� : _..
INSPECTION WORKSHEET FOR DATE: 8/24/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE GOLF
DESCRIPTION: Install (5) branch circuits for lighting and power, and low voltage for fire alarm installation. Job NO.
270912.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.255.9480
Inspection Request Scheduled For: Date: 8/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 054597 -01 �� 71 - 506 -3096 Y
Corrections /Comments /Instructions:
ASS [11 PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
! ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: pi c Date: <f —2 -S — 0 4 Phone #: (503) 718-