Permit -CITY CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2009 -00040
° COMMUNITY DEVELOPMENT DATE ISSUED: 1/28/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AB -00600
SITE ADDRESS: 16125 SW 72ND AVE BLDG B ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: ANS
Project Description: (16) branch circuits.
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):
SERVICEIFEEDER 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: 15 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 IES COMMERCIAL INC
15350 SW SEQUOIA PKWY #300 -WMI 13970 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97223
Phone: Contact #: PRI 503 - 648 - 1900
FAX 503 - 670 -9572
FEES
Description Date Amount Reg #: ELE C448
[ELPRMT] ELC Permit 1/28/2009 $146.60 LIC 182452
[TAX] 12% State Surchar 1/28/2009 $17.59 SUP 33485
Total $164.19 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: ` ,...V,..42\_ o ll U ��> Permittee Signature: Q �p `' cr-t.1 OV
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.
il lig 1/28/2009 10:05 5036709572 NEW TECH ELECTRIC PAGE 01/02
Electrical Permit Application r()12 OFFIC:r USE ONLY ,
City of Tigard OCEIVED Received t permit No.
01 ♦ eIC ?C 13125 SW l Blvd., Tigard, OR w
C Phone: 503.639,4171 Fax: 503.598.1960 Data/13 Other Permit; . (CZr4 41 • /'
Inspection ,ine: 503.639.4175 JAN 2'8 2009 Datc RcodyBy: Anis: El So Flier 2 for
T I i;A D Internet: www.tigard- or.gov Notified/Method; 1 (r Supplemental Information
� T ,.,' hr- i �rll -' 3�' A "; - ^r„ ?w:'144•' •; - F, , r+ i'L , ,Krl t: 'r� u i''� +l l�''• di 1 b: �i �+�'� ^
r r �i sill fir. 'a d {I; toL 3•. e - •, 7:��he." eik v"� .:L�. '��y 1 . ' . R::: 9 :.J 14.wi-'«6•."� .:a�!rN:rnAi'JE?91?L - �
,;4V�� .�:�.�i a. �i,,. �1; u��r���i: s�! ��.i�. �:��.t�.�._: �n ' � '� �1. `r_. .. x i..;:..�ht�t �.'.
❑ New construction L' Addition i t !AP, I - 1 ili Ai • ' Please check all that apply (submit 2 acts of plans w /items checked below);
❑ $crake or Iberia. 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and bontyerda.
. ^ 1;, �1" .r • -- ' ".: • , at + '• " exceeds 10,000 amps at 150 volts or Pleating buildinxs,
x�r+ulK�'Ill `kn�it ocr ���.� a - W.._ ,D �4(: "�, : '�
lea,` to ground, or exceeds 14,000 ❑ Commercial-use agricultural
❑ 1 - and 2- family dwelling 11 Commercial /industrial 0 Accessory building amps for all other inetnllatinns. b„ildingt.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump, ❑ rnatnlletion of75 KVA or
r e�t r •1.• w.l � T • •mr� .) y •, yw - t � tta 1i d r� i ,' ^¢: iw ❑ Emergency system. larger separately derived system.
�tn J ?'!M i �?I�,'1 I � ` = 1'r ' ye. %�?k�ik g,41 ' i p , f -1 p4,1+S :A ,i a..it•`;I, r'i31a s 171 Addition of new meter load o f ❑ „ "V " " - 3 " ,
� Q t 001.1P or more, occnpimey.
Job no. ` 9'9' Job site address /////, Std"/a�ldktre�Gg 4�
�,rx / SJ ! i� ❑ Six or more residential iinita, ❑ Recreational vehicle parks.
❑ Health -care facilities. 0 Supply voltage for more 111311 City/State/7.iP: �/•a Z. ❑ Hazardous Iodations. 600 volts nominal.
t no.:
Project name :Ke • � � - ■ Servica or tbcdcr 600 amps or mom,
Suitclbldg. /ap 1 CWItr1A� _ L.:, ' !_ !s >a 1 51.. .' « it ' " . q : , ` r-;
Cross street/directions to job site: f,.-yd 4. Description '' /1/ T •
.. New residential single- or multi - family dwelling nnit.
Includes attached garage.
Subdivision:A - ; sS 1 Lot nc> ja As. 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq, ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
g , w •x:�4;t,',"1 � t i •� ry .ti a�', „ , :1* 5, y �l , i u i (with above s R.)
I' 1!::" 7 ('!!if'� °m'!::ti:io$w�.l.�evnJ.i • mrr� •lL:t�;�i'r".�W:'r.13:�r>1�9iL� r'tl«`�9P.:,s
Limited energy, multi-family 75.00
%�f� , r"• ,4• .24 Q9V 4 Ls s.Tb i. - ,,,,r r • . 3 residential with above aq, R)
r • .D ,Services or feeders installation and/nr relocation
/- •NGt.✓ Yob✓^ yo A-, s it la- ctrrr, b ;s - • 200 amps or tcss 80.30 2
3 . .2 .r a ! 4 - '• ' ''4 +"z ; :.. _ 4: k..L ? �r�ii ! .. } J .,1-4,.
- i, , , .• f, r . c 201 amps to 400 amps 106.85 2
401.. amps to 600 amps 160.60 2
Name:
601 amps to 1.000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State /ZIP: relocation services or feeders installaton, alteration, and /or
Phone: ( ) } Fax: ( ) 200 amps or Icss 100 66.85 . 30 1
Owner installation: This installation is being made on property that 1 own which 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 circuits- new, alteration, or extension, per panel
Owner signature: . . Date: A Fee for branch circuits with
lid :al ir ' " ?° ;,tLn)(1-- �l.Xif. °. 4.:r100 . ` 1 * : -.•' A 7 Lk a Agt l i, sr la, e b � ., , .:' E1 . 5. above ch bra ch circuit feeder fee, 6.65 2
branch
Business name: B. Fee for branch circuits
wlrheuf service or feeder fee, / 46.85 yd• 2
Contact name: first branch circuit
Address: Bach add'l branch circuit / 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular ` 90.90 2
dwelling, service and /or feeder _
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 ! 2
t -mail: Pump or irrigation circle 53.40 2
h,4n141�. 1ifg, h`x1.k YR i I!i1�¢ +' li ilsrat umat.K ,lsje :i' 1�4 �'il� 2.. ".N, Isl ` , o tl, Si or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: 5 (0m /7'2e/re•.C// energy panel, alteration, or
extension, Describe: Page 2 2
Address: '7-'747 kt•.e_
City /Statc/ZIP: '"Q of .. -..s. Erich additional Inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) ) /
Cso 6 - t`�t> Fax: ( 13) 10 - tnvcsti per hour (t hr min) 62.50
CCB Lic.; C Electrical Lic.; a yri Suprv. Lic.' 33 S Industrial plant per hour 73.75
+_ :?fitMMxdf P-W. i- _ 5 21At:4'e "4*'•'
Suprv. Electrician signature, required: , ' ' q Subtotal; / 0, 4.
��� D : /�a/ Plan charge (22% of permit fee):
Print name: $ta surcharge (12 °/a of permit fee); / 7
Authorized signature: TOTAL PERMIT PEE; /b y jq
This permit application expires if n permit Is not dhtnined wifhin 1 an
Print name, Date: days after it has been accept mr n. complete.
+ Number of incpeotions allowed per permit.
t;\ sullding \P°rnii1S16r,C-PermitApp.dac 05/13/0e 440.4615T(nms /cOM/wan
i
CITY OF TIGARD
BUILDING DIVISION �
PERMIT #: ELC2009 00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 112i312009
Phone: (503) 639 -4171 ' '1'iIi.
Inspection Requests (24 Hrs.): (503) 639 -4175 .J ":_..
INSPECTION WORKSHEET FOR DATE: 2/5/2009 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 16125 SW 72ND AVE BLDG B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: (16) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: IES COMMERCIAL INC ` PAUL- PHONE #: 503 -648 -1900
Inspection Request Scheduled For: Date: 2/5/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 080307..01 503 -969 -9421 Y
. I
Corrections /Comments /Instructions: i 2 \ P _
❑ PASS ❑ PARTIAL APPROVAL ACANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \.T ` 1 vv6 Date: 2--5 Phone #: (503) 718- 1•INt
I