Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 - 00028
COMMUNITY DEVELOPMENT DATE ISSUED: 1/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 113A6 - 00600
SITE ADDRESS: 16125 SW 72ND AVE BLD.B ZONING: I - L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: Add transformer and panel, power to new equipment. Job No. 40473
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: SIGNAUPANEL:
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: 11 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: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES NEW TECH ELECTRIC
15350 SW SEQUOIA PKWY #300 -WMI 13970 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone: 503 - 624 -6300 Contact #: PRI 503 - 648 -1900
FAX 503 - 670 -9572
FEES
Description Date Amount Reg #: ELE 26 -418c
[ELPRMT] ELC Permit 1/10/2007 $153.45 LIC 41868
[TAX] 8% State Surcharge 1/10/2007 $12.27 SUP 38495
Total $165.72 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 rule - e se • - in 0 • - 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copie ese rules or direct questions to OUNC at
503.246.:699 or 1.800. 344
Issued - _ ( , _ l ,. Permittee Sig =lure: _� x.:..11 , ,
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:
a NTRACTOR INST • LLATION ONLY
ANEW
SIGNATURE OF SUPR. ELECN: ,BMW °' — � T DATE: /1
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.
_
01/10/2007 14:17 503670957111 Eck E 1 vp:::.. TECH ELECTRIC PAGE 01 / 01
E1ectrie.1-Pennit Application voiz OFFICE USE ONLY
City of Tigard JAN 1 0 200' R / /0 e7 ...Xfy Permit Ne.: e te c lik, 7.-x6
n:
./7
.. 117.5 SW Hall Blvd., Tigard, OR 97223 Plan Review
• R.: ' • Phone: 503,639.4171 Fax: 503.598.19E41 y u , _ Othcr Permit
TIGARD :
lowcetiOn Line: 503,639.4175 1 IA j . Icti,:dyilay; luris:___...- id Seo Page 2 for
'
Internet: Www.tigard-or.gov
BT rer PANT; nr(rmYrire.th-J: --7, a Supplemental Information
' '. 1 RIC r i l e r , ,q l e t : . .1;i1 P • P lif ' . 1. . : ..4 ANSI
0 New construction ddition/altcration/replaccment Please chock all that apply (submit 2 sem of pines wiitcma checked below):
0 Service or fader 400 amp.s or more CI Building ovcr three stories.
0 Demolition 0 Other: whore tho available fimir current 1:1 Marinas and boatyards.
ifitgagteglit.1 ..a,. ql . ., 4.0PARMInintalgUrginAtig exceeds 10,000 amps at 150 volts or CI Floating bulldinits.
lcss to ground, or exceeds 14,000 In Commercial.use eg
El 11- and 2-family dwelling (=morel al/industrial 0 Accessory building amps for all other Irtsiallmions, buildings.
0 Multi-family 0 Master builder 0 Other. 0 Fire pump, 0 limitation of 75 KVA tv
'' ' '' ' - . ' ' ' ., ' , '' v 0- , " ' '" -''- „" 7:: ' o • " t .. ' ehi , ,4 0 Emergency sym. ste larger separately derived Rywcm
gir? :14 1 ; .. W10..1i : .. 1 4 .11.f.A 3 ?4 41 o Addition of new motor load of 0 "A", "E", "1-2". "1.1",
Job no.: Job site address: I, i .
• 10ORP or more.
0 Six or more residential Unite. 0 occupancy.
Reerenikmo vehick parks.
City/State/ZIP. % . • ) a P ak°4 0 Ticalth-eare facilities, 0 Supply voltage for more than
014rwardoos locations. 600 volts nominal.
. .
Suite/bldg./apt no.: Project name: 4 .s 0 Service or fccdcr 600 amps or mom.
alintragnitegl V.E4.., nriii
Cross street/directions to job site: U Decerfolon . - . ' , I ' ' Qi4t1 Fee. Total •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no: 1,000 sq. ft. or less 145,15 4
Ea. add'l 500 sq. ft, or portion 3140 1
Tax map/parcel no.:
Limited energy, residential
RIP'' i 's!..:1'1 i.fflteg , le . ,Rpi li,5,3.,Fs (with *nye sq. R. 75.00 2
Limited energy, multifamily
75.00 2
Mini ■ a a - , . I C.. 4:a011,...VZi,___ residential (with above sq. it) ) . .
a Servias or feeders installation, alteration, and/or relocation
LA-) -e'„,,, • tbyr,e. ,) . ..., 200 amps or less j , 8030 Bf), g° 2
I ::.:.,,'-',f .ir orplaislimmordostigl 201 amps to 400 amps 106.85 2
Name: ik .,:■-■S, r-k\cad, . 401 amps to 600 amps 160.60 2
■.4. .. 601 amps to 1,000 amps 240.60 2
Address: OSA-
1 . 5 \J■ Over 1,000 amps or volts 454.65 2
eity/State/ZIP: 7_2y Temp orary services or feeders installation, alteration, and/or
reloca
Phone: ( 613) "'".. 040/ Fax: (60) ,lp 1 . S 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own whic& is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 _ 2
Branch drcukts new, alteration, or extension, per panel
Owner signature: Date: A. Poe for branch circuits with
!` eilingigiarg0241 .:,e - 1 ,` ,,,,'. :?. ai'tilnallYi above service or fccdcr fee. i f
each bnmch circuit
Business name:
13. Fcc for branch circuits
without service or feeder rec.
Contact name: 46.85 2
first branch circuit
- ..,
Address: Each add' I branch circuit 0.65 2 1
- ■
Artacellaneows (service or feeder not Included)
City/State/ZIP: Each manufactured or modular 1. 9090
2
dwelling, service mid/or feeder . I
Phone: ( ) Pax: : ( ) Reconnect only 66.85 2
E . Pump or irrigation circle . 53.40 2
,
Atil . q7--' niSM Sign or outline lighting 5340 2
Business name: IA vLet...4
Signal circuit(s) or limited-.
energy pima alteration. Of
Address: 1 •••• Dib 114. extension. Describe: Page 2 2
City/Statera< - 0 I ' at 22
_ Each additional impaction over allowable in any of the above
7 • Per inspection 62.50
Phone: AF9 )/01 S PRI) Fax: (Vg) 169
investigation pet hour (1 hr min) 62.50 -
CCB Lic.: Wetly I I Biectrical Lie.: i 9( ) 41 I Suprv. Lie,: 354 q s Industrial plant per hour . 73.73 _
t . v .: . )' ) ,Iii..;i4;' , IBIELVBR .1: .•:f, yE.: . .;.:07 ■
0 1F:;■ . ;;; , ,it',...4
Suprv. Electrician signature. required: signature. - GAlAstelo Subtotal: )5 . r •
^N,
Plan review (25% or permit fee): "
Print name: v ,'. tk 0..),,& CAA Date: II - 10 ^C, - -
State surcharge (8% crf permit fee): /7. Z?
Authorized signature: .
TOTAL PERM rr FRB: 1 1 0
Print name: Date: Th permit applicnuon expires if n permit IP not chenille within 180
days after it tom been accepted as complete_
C/23/06 of inspections allowed per permit.
TAthilld Intl \PemthoN -TernihApfuloc
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007 -00028
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1110 12007
Phone: (503) 639- 4171 pie 1 �� I
Inspection Requests (24 Hrs.): (503) 639 -4175 �-
INSPECTION WORKSHEET FOR DATE: 3/21/2007 TIME: 7:02AM PAGE: 36
SITE ADDRESS: 16125 SW 72ND AVE_ 13LD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: Add transformer and panel, power to new equipment. Job No. 40473
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 6246300
CONTRACTOR: NEWTECH ELECTRIC PHONE #: 503 - 648 - 1900
Inspection Request Scheduled For: Date: 3/21/2007 Pour Time:
Code # Inspection Description Con it n,# Contact # Message
199 Electrical final 045164-0 503- 969 -9441 N
Corrections /Comments /Instructions:
>`;OWL x00 '047 N N>Y . ; PAOCL 1 4 P
p
( (.\
jl� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' 1`e LE
, Date: 3 "A ' O 1 Phone #: (503) 718- 2tf C�