Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00447
DEVELOPMENT SERVICES DATE ISSUED: 7/20/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 - 4171
PARCEL: 2S113AA-00400
SITE ADDRESS: 16240 SW 72ND AVE B -02
SUBDIVISION: OREGON BUSINESS PARK I ZONING: I -L
BLOCK: LOT : 018 JURISDICTION: TIG
Project Description: Power to new air compressor and grinder.
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: 2 W /SERVICE OR FEEDER: 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 GREENWAY ELECTRIC COMPANY
15350 SW SEQUOIA PKWY #300 -WMI 9460 SW TIGARD STE. 104
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Phone: 503 - 620 - 6020
Reg #: LIC 153421
ELE 34 -617C
FEES SUP 5025S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 7/20/2004 $160.60
[TAX] 8% State Surcharge 7/20/2004 $12.85 Rough -
Elect'I Final
Total $173.45
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: ?T-- Permit Signature: Sre� pj \e,k
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 639 -4175 by 7:OOpm for an inspection the next business day
'
` �:
a New co r uction fig
?..:Igr a t;$17( ji:', Wi O:M7' .t�r, � ;'NI
'- •:`.1
/A• .dd
• Demolition • Other.
'
n,.'gZiM4' ,:i r .nr. - }! ern
z r. ; .u: R n , �rr .. • ar . G; ;w . ; e , A
❑ Accessory building
0 Other.
"q11�1fj4C "; .i`•'j''1:...
y dwelling ® ialiudusmal
• Multi- family ❑ Mosier builder
•''!". ,1: ,iij >. t6g. . e 'a'..,• . "A :4j��
Job no.: Job site address: 16240 SW 72nd
City/State/ZIP: Tigard, Oregon 97223
Su ite/b1 apt. no.: 1 Project name: Production Tool
Cross street/directions to job site:
Subdivision: i *= c W
Tax map/pareel no.: }'
Limited ®orgy, residential
Power to new air compressor and grinder
75.00
Names `Cbav CT: Qr : e)o -_-
Address: 1 ‘,014.(1) $ e..., 12 4.5-e-.
City /State/7_1R cGSQ`rl,,A'N0._ a k..
now: (603) -031'3 I Fax: ( )
Own {p ntioe: This installation is Wag made on property that J own which is not
intended for sale, lease, rent, or exchange., according to ORS 447. 449, 670. and 701.
Owner signature: Date:
. i.. ef': :`ley:• ;i• diz.� ,: T,Cr.f i
Business name:
Contact name:
Addams:
City /State/ZIP.
Phone: ( ) [ Fax:: ( )
E -mail:
`i ' -,'; 1 ?, Y ;7: 4 ... ." Y.:' �rs'"s Q e' .. ^ , t 2s : ,.r ? - ,_ : : :t !t ? :' : :
Bum name: Greenway Electric'Company
Address: 9460 SW Tigard St., Ste. 104
City /State/7ln Tigard, Oregon 97223
Phone: (503) 620 -6020 J Fax: 1(503) 620-6124
CCB Lie.: 153421 j Electrical Lie.: 34
I Suprv. Lic.: 5025S
Suprv. Electrician signature, required: . R„,,
Print name: James V. Rooney
l parr: 7%41 . y
Authorized signature:
Print name: Mark Short
[ Date:
'
Please Clock all that apply:
DService over 225 amps, comm'1 • Ham location
• Service ova 320 amp. - sting OBvildng ovE 10,000 sq. R.
of 1- and 24amily dwellings 4 or more now residential
• System over 600 vole nominal emits in one structure
❑Braiding moor throe storks ❑Feeders, 400 amps or mom
❑Occupast lead over 99 person OMmnfsctwvd structures or j
RV park
❑Heahh -cue facility • Other
Submit 2, seta of plane with may of the above.
The above are not applimblo to temporary construction service.
?..:Igr a t;$17( ji:', Wi O:M7' .t�r, � ;'NI
'- •:`.1
aaatpena 1 err 1 hi. 1 row ..
New raddentid single- or tnulgdami y dwelling unit.
Includes attached garage.
1,000 sq. R or lss
145.15
0.00
4
P.a. add'I 500 sq.11. or portion
33.40
0.00
1
Limited ®orgy, residential
75.00
0.00
2
Limited cruelty, nen-residential
75.00
0.00
2
Each manufactured or modular
dwelling, service and/or feeder
90.90
0.00
2
Services or feeders installation, alteration, and/or relocation
200 amps or Irma
2
8030
160.60
2
201 amps to 400 amps
106.85
0.00
2
401 amps to 600 amps
I60.60
0.00
2
601 amps to 1,000 amps
240.60
0.00
2
Over 1.000 amps or voila
454.65
0.00
2
Recosaect only
66.85
0.00
2
Temporary services or feeders Into lation, alteration, and/or
relocation
200 amps or 1®
66.85
0.00
1
201 amps to 400 amps
10030
0.00
2
401 amps to 600 apps _
133.75
0.00
2
Branch eirroita - new. alteration, or aeon, Err panel
A.Fee for branch circuits with
service or feeder few. wick
branch circuit
6.65
000
- 2
B. Pee for bend, circuits
without service or feeder fee,
etch branch circuit
46.83
0.00
2
Each add'l branch circuit
6.65
0.00
2
Miscellaneous (service or feeder not included)
Pump or irrigation circle
53.40
0.00
2
Sign outline lighting
53.40
0.00
2
Signal circuit(s) or limited.
energy panel, ahJaation, or
extension Desearbe:
Page 2
0.00
2
Rade additional inspection over allowable in any of the shove
Pea inspection
62.50
0.00
Instigation per hour (1 to win)
62.50
0.00
Industrial plant per hour
73.75
0.00
subtat l
$160.60
Plan review (25 %of permit fee)
State surcharge (896 of posit fee)
$12.85 •
TOTAL PERMIT PEE
$173.45
A ` Electrical Permit A>pulication
City of Tiii Part
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax 503.598.1960
Imp Line: 503.639 4175
Inhaler www.eitigau+d.or.ue
10 39Vd
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P u c e ember We pundit in not obtained wiflulp 100
*matter • bas been accepted m complete
• Foe methotolegy ors by Tri.Coumy Building bakery Service Hoard
"'Number of inspections per permit allowed
PZt90Z9E09 eT :Zt b00Z /6t /L0
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
cy BUP
Received Date Requested 1--- - b AM PM BUP
Location l 6 a � 6 7, 4id �1't S uite MEC
Contact Person& ab2- -) Ph ( ) PLM
Contractor .hN\---/ Ph ( ) go SWR /!
BUILDING Tenant/Ow ELC a� 7 ' 8 v 9q7
Footing 7'0-61--e
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear ==
Int Sheath/Shear
Framing
Insulation /e,?D � t
Drywall Nailing �"` C•��
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fi Alarm
es ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
4, PART FAIL
Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA Approach/Sidewalk Date 7 .-69 � Inspector ( .0 Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL