Permit CITY OF TIGARD ELECTRICAL PERMIT
III PERMIT #: ELC2007 - 00004
' COMMUNITY DEVELOPMENT DATE ISSUED: 1/3/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DC -00100
SITE ADDRESS: 15705 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT : 002 JURISDICTION: TIG
Project Description: Nike Golf Lab - Service and circuits for lab equipment. Job No. 270028
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: 15 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:
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 1/3/2007 $180.05 LIC 48748
[TAX] 8% State Surcharge 1/3/2007 $14.40 SUP 3132S
Total $194.45 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.
At 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 • -- : : •an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those r- es are set fort 'n O:: 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of hese rules or direct questions to OUNC at
503. •6.6699or1.800.33' ,
Iss ed By: `1 ./g ./ J j4 . t 1_' Permutes Signatur= �/x ,,���� y 0
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:
9 ,..- -. CONTRACTOR IN TALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: /..?" /* . " '% DATE l
D
LICENSE NO: 4A S
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.
01/03/2007 09:34 5032577121 CAPITOL ELECTRIC PAGE 02
- ' -- - - FOlt OFF ICF. t,ltif•. ONL,V
electrical Permit Application Received �e0 G t�A ,
/ � O - crmit no.: �
City of Tigard Plan Review Other Permit;
13125 SW t4AI,T: BLVD. TIGARD, OR 97223 ,4 Dete/By:
J "v OF TIGARD Date Ready/By; Juns; ■ see ?sae 2 nor
Phone: (503) 639-4171 Fax (503) 598•19C0 �- jV -'
Inspection Line; 503 -639 -4175 a Notified/Method; '' IG. snpplemcnml Th aimmion
" 3
Internet: www.ci.ttgattl.oT.us CITYur ° it - .r -r":; , • n, I r nuga!tUl, ':: "r
•,71'llnr:ngrit f t , ' a' x !.. •,i .. R ,. .,:..? ;;:raritYPli Ili' I liiil? llk ililliliiiI !!':a;R'; �iiilINIIll: II k ll !uiriliailil�:::: . 71ill1�;1 ..:
L` i�u.`y'' "It�l: "n5: ^• ^..rl....... .. �' �; ", ' G rII�Ir,:o:..h••,•. ., !1,1111
U New construction 0 Addition /alteration /replacement Please check all that apply:
❑ ❑ Other: ❑ Service over 225 amps, comm'I ❑ Hazardous location
De moli tion ,,;,„ ❑ to over 10,000 s ft.
W 0k1 ty tr p,.Ny��; h t I, 0 9 • ? rating ❑ Building q •
,a1' .���;1�:::�•:�,,.,:v!!;!'9$ III; 1, �IPiG'•:•; r �x T••' �'- �, tfS�V.`'•+ �, rnN�l� :. Accessory building of 1- and 2- family dwellings 4 or more new resident
'I:i,.,�;iali!ii!li:C; � , Service over 320 amps • ra lal
El 1 - and 2•family dwelling 1.2J Commercial/industrial L.J
❑ Multi family ❑ Master Builder ❑ Other N 9
❑ System over 600 volts nominal units in one structure
:;t
. .: • :,; li; ,:;r, lilli ; "' ";a;;,:,s,q,:. 1l ItKY r �t 11 1 11 ' 111'Ial$ ' Ilrl rr I';' .:;:;• :.. .' "' :il iII'tt I IllI I ❑ Building over three stones ❑ Feeders, 400 amps or more
1 6750 SW 72nd Ave ❑ Occupant load over 99 persons ❑ Manufactured structures or
Job no.: 270026 Job site address: ❑ Egress/lighting plan RV park
❑ Health -care facility ❑ Other
City/Stale/ZIP: Tigard, Or. Submit 2 sets of plans with any of the above.
frroicct name: Nike Golf t3a11 Coang ti ui blapt. no.: 'r • nr,•:•.i :• • iiiiilliiiRliT "; ; 301 i° 4,•;•ii. .i° .iI`i`
,.:,,
Cross Strect/Dircctions to job site; Tkaripdon Qty. Pee, Tntni n
-
_ New residential - single or multi family dwelling unit.
t includes attached garage-
Subdivision; Lot no.: 1000 sq R or less $ 145.15 - 4
Tax map/ no.: Ea. Adds 500 sq. 0 of portion $ 33,4o 1
: , " ,, ; n i . r 'l I '1.'iir' '••',' , ''':` "" IL. ;;Ii Limited ens residential 5 75 -
:1i1''`•'' "::rr:'' tit :�i.'.":;r.•I1'illli.a;'ii•t'i .u,: ^m:.:.itl] ":ril,:;r1fG'�k,lit1:1: r : 9 .11 • ".1 ° t ii energy .
Circuits for Golf Ball Lab Equipment Limited energy, non - residential 5 75.00 2
Each manufactured home or modular
HS, 11 I•' "'APR ! l Nl!r::y■ P:u;IP;ra:: - :..P.T ni,r iI Illiliiiii ;'r::7,:':' ''.::1 dwelling, Scrvice and/or feeder __ S 9 90.90 2
Service or feeders installation, alteration, and/or re l ocation
Name: 200 amps or leas 1 $ 50.30 60.30 2
201 amps to 400 amps 5 106.85 2
Address: 401 amps to 600 amps S 160.60 2
601 am to 1000 am s f 240.60 2
City/Stain/VP'. Over 1000 am ap or volts 5 454.65 2
Reconnect only $ 66.35 2
Phone: Fax; Temporary servkeei or feeders installation, alteration, and /or
Owner installation: This installation is being made on property that T own which is not relocation
intended for sale. lease. rent or exchange. according to ORS 447, 449, 670, and 701 200 amps or less $ 66.85 , 1
Owner signazurc: Date: 201 amps to 400 antes 5 100.30 2
401 amps to 600 ame 5 133.75 2
1, ;., I i t II r i 11' ' n n1 U a; f, 00.....:'; p '''G Branch circuits - ne alteration, or extension, r panel
' "'f 'i "' 1.4..w �+ .'T ;:;::!i'r•I t l " "L'li l "I ll rlli�lli!IINi'IN` I :I! ll'l I)J % !! m,r ,. t ��, • • on � �
A. Fcc for branch circuits with
Business Name: CAPITOL. ELECTRIC CO., INC. service Or feeder fix, each
branch circuit 15 5 4,65 99.75 2
Contact name, Jim Eddington B. Fee for branch circuits
without service or feeder fee, .
Address; 11401 NE MARX ST. cach branch circuit 5 46.65 _ 2
Bach additional branch circuit: l S 6.65 _ ( 2
City/State/ZIP: PORTLAND, OR 97220.1041 Misecilanmaa ( rvke or feeder not Included) !
Pump or irrigation circle I S 53.4D I 2 i
Phone: 503. 255 Fax: 503 -257 -7121 Sign or outline lighting. 5 53.40 . 2
Email: IiMai)c i Qx.cOm Signal circuits(s) or limited-
iil'i':,;;lillitlli "•''<i r r , ; up�:r :r 45I't').'1 1 1 9'i!1i!l 1811' i i11 I .1. "'' ' ?3: en panel, alteration,
I : r is ,. 'ii!!i /11i; m a ' mr mss:. � Y ; .... l,i {t I�llli 1'lliRi ai(.: ° v , .. energy or P
` 'p'i:;lllllillllill�iliiii'i„. 9 e 2 2
extension. Describe: Page
Business Name: CAPITOL ELECTRIC CO., INC.
Each additional inspection over allowable in any of the above
Contact name; Jim Eddington Pcr inspection S 62.50
-
Tnvcstigation per hour ( min) S 62.50
Address: 11401 NE MARX ST. industrial plant per hour 5 73.75
'i 11 t r : r i .,n r1: tk i M'P11 •I1;;!ni?iTiii!'I `. !
industrial
•�I��'�• Idllllllii�'t,�,
City /Statc/ZiP: PORTLAND, OR 97220.1041 Subtotal 160.05
Plan review (25% of permit fee)
Phone: 503.255 -6488 Fax: 503 - 267.7121 State surcharge ( 8% of permit fee) 14,40
CCB i.ic.: 48748 IElcctrical Lie.: 26 - 496C ISuprv. Lie.: 3132 -S TOTAL PERMIT FEE 194.45
Teti permit o00aestton expire If Deanne 0 ant obtained waste IBD
Suprv, Electrician signature, required: niter It tun been steepled al complete
����� / /./ e Fee methodology set b Tti- County Building Industry Service Board
Print Name: DARRELL MCN Dote: 01/03107 � dart niter
6y Y g
**Number of inapoetina8 per permit allowed.
Author+rcd signature: II Ae_) is/ "ems /4.‘2, Print Name: DARRELL MCNEEL / " •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00004
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2007
Phone: (503) 639 -4171 1111
Inspection Requests (24 Hrs.): (503) 639 -4175 °:
INSPECTION WORKSHEET FOR DATE: 7JB /2007 TIME: 7:03AM PAGE: 16
SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I11 LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE GOLF
DESCRIPTION: Nike Golf Lab - Service and circuits for lab equipment. Job No. 270028
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-948B
Inspection Request Scheduled For: Date: 2/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043126 -01 971 - 5003475 Y
Corrections /Comments /Instructions:
A4\
' V
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: NOg L . Date: Z -D Phone #: (503) 718 -2*
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00004
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �!♦III
INSPECTION WORKSHEET FOR DATE: 1/30!2007 TIME: 7:03AM PAGE: 18
SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE GOLF
DESCRIPTION: Nike Golf Lab - Service and circuits for lab equipment. Job No. 270028
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-9488
Inspection Request Scheduled For: Date: 1/30/2407 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 042689 -01 971 - 506.3388 Y
115
Corrections /Comments/ Instructions:
11.30 Pt_
Sr AppRtst.)) gvi 1.1 -
CALL %o& F NAL, wik m
s Noi)x- 16 cis rwp ' 1.
1
'f .) a s 1a
ti.0 in) cc— 6F- Wlivv ffev i � w•
❑ PASS ,PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CY a(Z t he Date: 010/ Phone #: (503) 718 -M%
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI..C2007 -00004
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2007
Phone: (503) 639 -4171 4'1 M4'
Inspection Requests (24 Hrs.): (503) 639 -4175 e __ ..
INSPECTION WORKSHEET FOR DATE: 1/29/2007 TIME: 7 :05AId1 PAGE: 25
SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE GOLF
DESCRIPTION: Nike Golf Lab - Service and circuits for lab equipment. Job No. 270028
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255 - 941313
Inspection Request Scheduled For: Date: 1/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
C . 1 ... 2 .: 2 Electrical rough -in o K 042636 -01 503 -442 -5480 Y
Correcti ns om tructions: _
tz6-% AO
13O c a r fur t-04114---
fl. -IX cd PSi0 25° f.. CLz ■COK 1 '1000 A 1p3
ti
11 F A A c - ri N(e,i (L" o30 A 110
2N° (BASCPci 1 o ( 49'6 p
--"Xi 1 46 In - - imiL fto(E- b yJ, 6N tiF
v U
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
6 \ v c\ V Date: t I O 1 Phone #: (503) 718- 2 ikb