Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00729
DEVELOPMENT SERVICES DATE ISSUED: 11/15/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135BC -00600
SITE ADDRESS: 10775 SW CASCADE AVE
ZONING: I -P
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Office addition, (9) 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: 8 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 CAPITOL ELECTRIC CO INC
BY TRAMELL CROW NW INC 11401 NE MARX ST
8930 SW GEMINI DR PORTLAND, OR 97220 -1041
B EAVE RTON , OR 97008
Phone: Phone: 255 - 9488
Reg #: LIC 048748
SUP 3132S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 11/15/200' $100.05
[TAX] 8% State Surcharge 11/15/200 $8.00 Rough -
Elect'l Final
Total $108.05
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: Permit Signature: - . �v `.,'(_,t
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 7:00pm for an inspection the next business day
11/05/2004 13:15 5032577121 CAPITOL ELECTRIC PAGE 01
t FOR OFFICE USE ONLY
Electrical. Permit Application Rccctvcd _ , rL� n 9/�/� _ �/ J
Data /0y. � d V rr rmit no. :6L /SQ 9 62.2p
City of Tigard hliln Review (/�/
1 3125 SW HALL BLVD., TIGARD, OR 97223 A Other Permit:
Dale /By;
Phone: (503) 639 -4171 Fax (503) 598.1960 CITY OF TIGARD Date Ready /By: . See rose 2 Ihr
Inspection Line: 503 - 639 -4175 Notiticd /Method: 4upplemenml,nrnnnnGnn
Ilttcrnct: www.ci.tiga.rd.or.us o
TYPE OF WORK PLAN REVIEW
Li New construction K Addition /alteration /replacement Please check all that apply:
❑ Demolition L Other: ❑ Service over 225 amps, comm'I ❑ Hazardous location
CATEGORY OF CONSTRUCTION ❑ Service over 320 amps - rating ❑ Building over 10.000 sq,ft.
Li and 24ltmily dwelling ❑ Commercial/industrial LI Accessory building of 1- and 2- family dwellings 4 or more new residential
❑ Multi- family ❑ Mader Builder LI Otltcr ❑ System over 600 volts nominal units in one structure
JOB SITE INFORMATION AND LOCATION Li Building over three stories ❑Feeders, 4D0 amps or more
Job no.: 24 101, site address; 10775 SW CASCADE IJ Occupant load over 99 persons El Manufactured structures or
❑ Egress/lighting plan RV park
City /Stare /ZIP: TIGARD, ORE. 97223 I.:1 Health-care facility ❑ Other:
Submit 2 sets of plans with any of the above.
Suit:c /I ?Ida, /apt., no,: Project name: ST. OF OREGON The above are not applicable to temporary construction service.
FEE SCHEDULE
Cross Strcet/Directions to job site: CASCADE AVE TO 10775 ADDRESS Ocaerlpllan J Qty. I Una. I Told 1 n
New residential - single or multi - family dwelling unit.
Subdivision: Lot no.:
Includes attached garage.
1000 sq, ft. or less $ 145.19 4
Tax map /parcel no.: / 5/ .3,g e _ QOlo0 0 Ea. Add9 500 sq. ft or portion S 33.50 1
DESCRIPTION OF WORM _ Limited energy residential _ S 75,00 2
pH 1 C I ii PP al a •J Limited energy, non - residential
75.00 2
Each manufactured home or modular
LI PROPERTY OWNER J LI TENANT dwelling Service and /or feeder S 90.90 2
Name: Service or feeders installation, alteration, and /or relocation _
200 :Imps or loss $ 8030 2
Address: 201 amps t0 400 amps 8 106,85 2
401 amps to 600 amps s 160.60 2
City /State /ZIP: 60 amps t0 1000 amps $ 240.60 z
Over 1(100 amps or volts $ 454,65 2
Phone; Fax: Reconnect only 5 66.85 2
Temporary cervices or feeders installation, alteration, and /or
Owner insi:nllntion: This installation is being made on property that 1 own which is not relocation
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less S 66.85 I
Owner signature: Dare: 201. amps to 400 amps S 10030 2
401. amps to 600 amps _ 3 133.75 2
Li APPLICANT I LI CONTACT PERSON Branch circuits - new. alteration, or cxtcnslon,yer panel
Business Name: A. Fee for branch circuits with
scrvicc or feeder fec, each
Contact rams: branch circuit S 6.65 2
13, Fee for branch circuits
Address: without service or feeder fee,
each branch circuit 1 $ 4.6.85 46.95 2
City/StatcJ7.1P: Each additional branch circuit: 8 S 6 53.20 2
Miscellaneous (service or feeder not Included
Phone: fax: Pump or irrigation circle ' $ 53,40 2
Sign or outline lighting $ 53,40 2
E -mail: Signal circui(s) or limited-
CONTRACTOR energy panel, alteration, or
Business Name: CAPITOL ELECTRIC CO., INC. extension. Describe: Page 2 2
Contact name: STEVE LAHUE Each additional Inspection over allowable In any of the abate
Pcr inspection $ 152.50
Address: 11401 NE MARX ST. Investigation per hour (I hr min) $ 62.50
Industrial plant per hour 5 73.75 _
City /State /ZIP: PORTLAND, OR 97220.1041 ELECTRICAL PERMIT FEES*
Subtotal 100.05
Phone: 503 - 255 -9488 Pax: 503-257-7121 Plan review (25% Ofpcnnit fee)
State surcharge( 8% ofpermit 8.00
CCT3 Lie.: 49748 (Electrical Lie,: 26-496C ISuprv, Lic„ 31.32 - TOTAL. PERMIT FEE 108.05
Suety. Electrician signature, required: �,� f/ , r , )
Tills permit application expire,' Ir pertain Is ens nbinn,pd wllr�ln Ig11
- ---��� [/6/f �/f/(A/ dap after It ban been ncecpted am complete
Print Name: DARRELLMCNEEL. Date: 11 /I5/t • • Fee methodology act by Tri - County Building Industry Service
Authorized signature: L ' 1!/4 J n 7 " NumberoIinspeclloneperpermitsilowed.
d/IItJCI �+ ,
Print Nammc: DARRELL MCNEEL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line:, (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received /07o-I Date J este _ - AM PM BUP
Location /0 77 S 3 %i i - suite MEC
Contact Person A -Ph ( ) 72 pLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain ��
Slab Inspection Notes: SIT
Post & Beam _M.
Ext Shear ea Anchors
�.��
Ext Sheath/Shear
Int Sheath/Shear 111111.p1r/
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: .0
Final
P ASS 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
PART FAIL
4LECTRIOXL
Service
Rough -In
UG /Slab
Low Voltage
Fire larm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
y PART FAIL
❑ Please call for reinspection RE: Unable to inspect — no access
Fire ADASupply Line � v APP V6
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL