Permit CI TY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00095
,111t DEVELOPMENT SERVICES DATE ISSUED: 2/27/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135BB -00501
SITE ADDRESS: 10575 SW CASCADE AVE 120
ZONING: I -
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical TI, (7) branch circuits.
Job No. 78755
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: 6 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 • OREGON ELECTRIC CONST /GROUP
BY TRAMELL CROW NW INC 1010 SE 11TH AVE
8930 SW GEMINI DR PORTLAND, OR 97214
BEAVERTON, OR 97008
Phone: Phone: 503 - 234 - 9900
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 2/27/04 . $86.75
[TAX] 8% State Surcharge 2/27/04 $6.94 Rough -in
Elect'I Final
Total $93.69
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 tha :t :.. . ;TTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in e ' 952 - 001 -0010 t' o gh OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1-80c
ii
Is ued By: � c Permit Signature: „, , �� � jojr
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: /�ill5
Call 639 -4175 by 7:00pm for an inspection the next business day
FEB-27-04 09:42AM FROM-Oregon Electric Estimating • 5032313587 T-345 P.001 /002 F -251
- rY •9`7 / .7_,..- 3 • ' Electrical Permit, Application OFFICE USE ONLY
City of Tigard ' •ate received: �� D ' Permit no.:f,(e j0 - *OW K
,, 13125 SW Hall Blvd Projeet/appl. no.: Expire date:
,�l,�ta„ Phone: (503) 638171, FAX: ( 59 - o
2 7 2004 Date issued: By: I Receipt no:
Internet address: www.ci.tlgard - or.0 C3Se file no.: Payment type:
24 -Hour Inspection Request I, r 3i' ARO
CI 1 &2 family dwelling or accessory [ad C. ` 1 • t i; I ,Giu U Multi -family 13 Tenant Improvement
I] New constrvct(on O film a. , i_ .: f- ❑ Other. . ❑ Partial
JOB SITE INFORMATION
Job Address: 10575 SW Cascade Ave Bldg_ No.: Cascade Business Center #120 Tax map /tax lot/account no,;
Lot: Block: Subdivision
p Ject Name: Trammell Crow Description and location of work on premises: Install lighting contractor Suite 120
Estimated Date of completion/inspection:
Will ou call for ins•ection within 24 hours? Yes 0 No O Prd Contact Jeff Eisele (503) 549.2435 Phone
CONTRACTOR APPLICATION FEE SCHEDULE
'ox no.
Job No.: 78755 Descri•tion Qt fee (ea. Total i+av
'6w resr•er - ng o or
• multi4amily per (welling
Business name: Oregon Electric Group unit. Includes attached
garage. Service Included:
Address: 1010 SE 11th Ave, woo s.. a, or less $ 145.15 $ - a
City: Portland I State: OR Zip: 97214 , Ea Add 500 SF or Portion S 59.40 $ 1
Phone:1503) 234 - 990D Fax: (503? 234 - 1001 E - mail: Limited Energy 1 e. 2 pemily $ MOD $ - 2
GCB no.: 203 Elec. bus. lic. no,: 26-95C Limited Enorg , Multi- Family II 3 76.00 $ • 2
CI /0.1, tt.. - 95 Each manufactured home or
modular dwelling, Service
// . 2 /200 and /orfeedder. $ 00.90 $ - z
.s,,
Service or Feeders •
Su.. Elect. Nam + • e - - r IL' License no: 4450S Installation, Alteration or
Relocation:
PROPERTY OWNER 200•ampsor — $ 60,30 __ $ • 2
Name (print): 001ames 4o0ampa $ 106.65 $ - 2
Mailing Address: 40lampe- 600am•s 5 160.60 $
City State: ZlE _ 601ampa • 1000ampa $ 240.80 $ 2
• Phone: Fax: E - mail Over 1000A or Vona — 5 454.65 $ • 2
Reconnect Only 5 66.85 $ - r
Owner Installation: The Installation is being made on property I own which is Temporary Services or
not intended for sale, lease, rent, or exchange according to ORS 447, 455, Feeder • Instalaton,
479, 670, 701. Alteration er Relocation:
Owner's Signature: Date: 200 am !tor less $ . 66 $ - 2 -
201ampa- 400amps $ 100 -30 $ • 2
over 401amps- 600amba $ 133.75 $ - 2
Name: -rant Inn , -'6w,
Alteration or Extension Par
Address; - - -- Panel: A. Foe for branch
Ci ; State: Zi : circuits with purchase of sorvice
or feeder fee, each branch
Phone: Fax: E -mail: circuit 5 5,55 S • „ •
B. Fee for branch circuits
W /Out Purchase of Sorvico or
Feeder, 1.t Branch Cid 1 3 46.55 $ 46.85 2
❑ Service over 225 amps -comm ❑ Health -care facility Each additional branch circuit 5 $ 6.65 $ _ 39.90
❑ Service over 320 amps - rating of ❑ Hazardous location Miscellaneous • (service or
feeder net included)
1&2 family dwellings ❑ Building over 10,000 square feet four or Each pump or Irrigation circle $ 63.40_ $ _ 2
0 System over 600 wits nominal more residential units in one structure Each Sign or Outrine Lighting _, $ 03,40 - $ - 2
❑ Building over three stories ❑ FeederS, 400 amps or more - Signal Circuit(t) or Limited Energy
Penal Altoraton or Extension'
❑ Occupant load over 09 persons ❑ Manufactured structures or RV park $ y5.00 $ • 2
❑ Egress/lighting plan ❑ Other: •ae:criptien:
Submit 2 sets of plans with any of the above. - _
The above are not _applicable to temporary construction service. mach AdairfonelInspection over
the Allowable in any or We
Notice: This permit application Above Per ing -
expires it a permit is nor - $ 62.50 $
obtained within 190 days after it Investigation fee: —
has been accepted as [Omer i
eompiate. $86.75
Permit Fee
Plan review 25%
$0_00 G
State surcharge 8% Sfi_94 7
Total $93.69
I.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received 4 a ' �iv Date Reque)ed C-- AM PM BUP
` J
Location �� 75 Suite / 2 d MEC
Contact Person ; I (Sy 5) X � 2 � � LM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 4a444.1.../_ 672O �5
Footing
ELC
Foundation
Access: ?2, Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
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
r m
Fi Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blyd.
RT FAIL
SITE 0 Please call for reinspection RE: / 0 Unable to inspect — no access
Fire Supply Line /
ADA
Approach/Sidewalk Date 3 - // _ Inspecto __FM/ tL =/ / Ao Eat
Other:
Final DO NOT REMOVE this inspection record f om the Job - ite.
PASS PART FAIL