Permit CITY TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00582
DEVELOPMENT SERVICES DATE ISSUED: 9/18/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 120
ZONING: I -P
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
•
Project Description: Adding (10) 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):
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: 9 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:
AMB PROPERTY L P WEST SIDE ELECTRIC CO INC
BY TRAMELL CROW NW INC 1834 SE 8TH AVE
8930 SW GEMINI DR PORTLAND, OR 97214
BEAVERTON, OR 97008
Phone: Phone: 231 -1548
Reg #: LIC 13306
SUP 2663S
FEES ELE 26 -135c
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 9/18/03 $106.70
[TAX] 8% State Tax 9/18/03 $8.54 Rough -
Elect'I Final
Total $115.24
This Permit is issueject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will eione 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 mo 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 thra gh OAR 95 00 S e S You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 or
1 -8 0- 332 -2344.
Iss ed By: L M / / Permit Signature: i // i !s/�ll� /
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: .1 i �!:� /o DATE:
LICENSE NO: *0 3
Call 639 -4175 by 7:00pm for an inspection the next business day
Aug I r Qom+; ] 03 01: FIE ( Pte 503 G35 09 17 p.
1.
FOR OFFICE USE ONLY
Electrical. Pe� Ap_p xcation peeved 9., ✓ -0 R Electrical AiC26 O G
SAP 15 2003 Date/11 : Permit No.: _ - . .. OZ—
Plannin Approval
Sign
City Of Tigard DatcfR : Permit No.. ._
13125 SW Ilall B lvd - CITY OF TIGARD Plan ftrereew Other
1'igazd, OrcLon 97 Datell : Permit Nn.
(W V �1 1•os ltcrle�Y Londiuse
Phone: 503-639-417 Tax: 5Q- S q- 1 8 '3 G L
rY /,s,1. T)atr/11Y:� -- case No: __
Internet: ww�v_ci.li rc].or.us -1 es Contact iris : See Page 2 for
24 -how Inspection Request; 503.639 - 417,5 Nan3CIMcth<d' _ Supplemental t oformation.
- -- TYPE OF WORK PLAN RE VIEW Please check all that amply) 1 •
❑ New eenStrUction 0 Demolition Ci Service over n amps- Health-care lacihty
Commercial Q JJAzaninns tncatinn
riAdditio <n /atteration/replacement iJ Other: ❑ Service over 320 ampc•ratinf of El Building over 10,000 seuarc feet.
G
CATEORY OF CONSTRUCTION 1 4 2 famity ttwcllings tburor more residential unity in
_ L] I & 2- Family dwelling { ommereiaVlndustil:tl ❑ System Over 600 volt.' nominal one structure
❑ Budding river !time s1Ane. 9 Feeders, 400 imps or more
Acccsi ory Bui ldin Mult Farllliy ❑ Occupant load over 99 persons ❑ M3Ou(actnied structures or RV park
0 Master Builder 0 Other: _ - -_ CI tilrestnighting plan 0 Other:
JO13 SITE INFORMATION and LOCATION Submit _sets of pens with an7 of ilk shove-
- The above are not applicable to t constr,ct.on terv.ee-
address: ) U S
Job site r .7 � S t ✓ �c > c« F ' - -. FFE= SCRY DU_Y.1F - - -. -- -...._.— ._..
Suite #: r " p . #_ Rid ./A t : - - - -- Number of inspections per permit allowed
project Name: k,--)t., r V t v^e �nakerielian _ Oty Fee (ca.) Tout 1
� _.f N ratiderti
calnintk W mullafrn
Attry per
CrOSS street/Directions to job site: dwolin}; unit. lnclades attached curare.
ticrVice t ehIOed:
1000 sq ft. r. lecs 145.15 ....4
Cacti additional 500.•`3 _fi. nrptmon thereof 33 40 I
.. _.._ -- • - -_ - -_. • -_.• -
.. Lmntcd energy, residential _ 75 _ 2
Subdivision:
— Lot if- I .,tn kVAencrl�, fl tttilCm
4iat 7S.b0 S
•I'ax map/parCei I1`•: — — tack manufactured home or modular dwc — ._.. --
__ DESCIt. in:IOi Oe WORK c wise sndttr feeder 90.90 7
./ 7 — • Services or feeders • installation_
1_ t r..... �Y' 4 .. _ . , alteration Or telOtat.Oa:
200 ampor la+ — _ ito. :10 _
__ • • - 201 amps to 401 amts
41.11 amps IO 60 t -- 1601;0 . -- 2
U PROPFYty OWNER - 1 0 7 ENAN7 .. 6111 amps tO 1000 amps . ,_ 24040 2
Oyer 1000 amps Or volts 454.65 2
Name: . _• _ Recoteneet only - 60.$5 z ,
Address: _'temporary servieev or feeders - i IWIAIIption,
— - - - ° - Alteration, or rdbeatiOn:
CI t /State/Zi : 700 amps or Ices 66.1i5 1
Phone: Fax: i 201 amps 10400 amps 100.30 2
401 m 600 amps 133 -75 2
APPLICANT - ___CLCONMCT PERSON Wanes e,re its - now, Alteration, .r
Name: extension per panel: •
q - -" A. lee for branch circuits with purchast of
Address: L 3�t St _ a lv1P_ • - -_ service or fecrla fee, each branch clown 6.65 2
City /State/Zip: N O ,i L. 2 [ - H. tee f o r otrvun: withow pw4:liase of t
y ( el („ ! . Fervtee Of _ ftaler tM, firct Txanch circuit I 4&1% tic V / 2
Phone: 2:4 �Lr L. { T6 i Fax: 7 j - -O h 7 7 Each additional laanc uncoil _ q b.Gti i • 7 i 2,
E-mail:
��11, ,4,4,... S tt t r � t iLG CC ,w1 misc. or fee der RIOT irlolnded); 1
CONIV ACTOR . , Each m�'
faith Po� i cirdc - _ 53.40_ -.. 7
• r�� � °. - Hacch Sign or outline ne lipiz t ltting Si,40 a .
Job No: • I Yv 7 �- - Ggnal circuit(%) Ora limited energy panel.
_ _ alteration • or eatem
no„ _ Pa ge 2 ,., 2
Business Name: �. — o scriptin.: —
Address: ---- _
-- - — - Earl: additional ins •shun over rho allowable in any of the kboret
Cit /5tate 1•ar eon per hour (min. 1 hour) - 62.50
Phone: Fax: i nv i i emiption tee: -,
is C _...... Other:
CCB Lie. ft: I Lic -11: 'z6 Electrical Permit Fees" _ •
Supervising clectricia • Subtotal S 1 0G. , 7 o
St atuire re aired: -, -1.4.4.4, ems- -- ,- ---.,. Plan Review (25 % of I'crmit Feel S
• Print Name: e"... y, c. #' ' --t � 3 Slate Surcharge (R% of Permit Pcr) - --
- - -- _ _ •rOTAIL PERNfrir FEP $ t t : - 2- Li -
Authorized Notice! This permit apprication expires if a permit is not obtained within
Signature: .._.... .. ___. _ __ Date: ISO days after it.hai been accepted as complete.
.Ece mctbodology set by Tr:- County Building Indastry Service Soarti.
- (Please print nine)
i:1t)sts\I'ermit Torrns 01A23
C
3 / s
a•d LL90- 9EL(EOS) • of - moaj3 apTS •sap eG2:LO ED GI daS