Permit CI TY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00738
COMMUNITY DEVELOPMENT DATE ISSUED: 12/27/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BC-00700
SITE ADDRESS: 10831 SW CASCADE AVE ZONING: I -
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: COMCAST. (5) branch circuits for 25 lockers.
Job #1655.
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: 4 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 BRIDGETOWN ELECTRIC
BY TRAMELL CROW NW INC 22732 NW GILLIHAN ROAD
8930 SW GEMINI DR PORTLAND, OR 97231
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 - 621 -7122
FAX 621 -7123
FEES
Description Date Amount Reg #: ELE 26 -887C
[ELPRMT] ELC Permit 12/27/2001 $73.45 LIC 103824
[TAX] 8% State Surcharge 12/27/2001 $5,88 SUP 4177S
Total $79.33 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: � ^�� Permittee Signature: e ? c yyn
OWNER INSTALLATION ONLY �� //
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Dec 27 2006 11:30AM Bridgetown Electric 503 -621 -7123 p.1
. 1 I) a 'L
- - '1,-; - EkctricaftPerliilit Applicf t i t El 1 : 0 1 2 01.1.1('1... 5I: ONL..
lama Recei
Ci of Ti and _ Permi No •
lit . g Date : , , 7 , - _ I 6 - ad 73
13 125 SW Hall B Tigard, OR 97.. 2 r� �oo^ Plan Review
P hon e: 503.639.4171 Fax: 503.598.1 6 b D Other Permit
T I c. ,, R. a Inspection Line: 503.639.4175 Date Ready/By: ]uris: H See Pap 2 for
Internet: www.tigard - or.gov 't . ! ' . N otified/ Method:
E to ■_ , Supplemental Information
t .. - :' ; e : r 1.10 »s .0z1P4, PRi. � 17, •- 3a.`,,,, l �'. :r: t rt ti .rs': t . ^ •€� .., ite 7 - a - {c a •
�rt p
•a ,, at " 1st 4 r , s 1 ti - ., . ' 19 ` . _)�T^ : #'P''''' ,'' - C Y . IPM ,
��'�w.�.r����. "' ��, �� a. s � � r.${l a...:s " ���s • �.�X3 # °n# ».. �. I ��. rr � .z �:.a.t;,'!;
3�EnX Sr��i. <���?. , t� � �x�: �.ii'E 3r Tis r ° "�x:X]Y « �.t,. i ��� = ,. ,. � a,
❑ New construction ® Add ' , ? i i o replacement Please check all that apply (submit 2 sets of plans w /items checked below):
['Service or feeder 400 amps or more El Building over three stories.
❑ Demolition El Other:
where the available fault current ❑ Marinas and boatyards.
,; � t r` gI r£R * � t IK r t y t 211 ,} �it . f' . a5.elf , Of -- ��x k k2 i g tier 11p- nkillMit- exceeds 10,000 amps at I so volts or ❑ Floating buildings
. lilti illa,3.., _. xa i,si -x, a � ;a S7 ua.. {t?'l au , : iitisi a t r va',3,A ?vii te4•Al �t ; � �', 0r ' ; less to und, or exceeds 14,000
1- and 2-family dwelling l3ro (3 com -ass agricultural
❑ y g ®C ommercial/industrial 0 building amps for all other installations. building
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire Pump. ❑ Installation of 75 KVA or
rsk *u {u 3 ;:''T' s` .} a 1+ 1 1 k x �' , ; Y .a - .'4 < g t '. i R 1 -.i
� � {, � � i r !1 # t r S>�� c t i -s�sls i & Emergency system. larger separately derived system.
;� °. keE li: z , z AI•4'�a sztrr.x ` » lai.izd ir_f=;,. .. 3 b 6 a " .: A i ,,us 2 10:ii lid I a
, _.. �a�z ,, . : ,. � # ❑ Addition of new motor load of ❑ "A °, "E ", "1.2 ", "1.3 ",
Job no.: 1655 Job site address: 10831 SW Cascade s DOHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parr.
City/State /ZIP: Tigard ❑ Healthcare facilities. 0 Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: I Project name: Comcast El Service or feeder 600 amps or more _
I r' t r JM`r` 5� p t�jg l T A a 4 nt � ,c'
' Description n.' ' a „5; _a, -z:'� n.�;a': i, - raAx3�.. z,.:!.a.-a,. . res"I d`u .: ,
Cross street/directions to job site: nertriptioa Qtv. Fee. .rotor •• •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parr-el no Limited energy,
X� a s Y 5 ;� t>a` a wY X f4 r R ,„ a R ��'t' i , t „, P tt „ k Y y gy 75.00 2
Tyyl S t nl zl § � s 7 i! r 1. . E s S . ��1 ,` �w: � � ?�' (with above sq. ft,) 75.
3,,. 3..., ,1 ) s:. .t,.., r r ;i; �sz5 ii11: $� .at3e ;.tr s m. w.1 _x i ;
Limited energy, multi - family
4 circuits for 25 lockers 7500 2 residential (with above sq. s.)
Services or feeders installation, alteration, and/or relocation
ir { {�a $ ,. cW t R 200 amps or less 80,30 2
;
' er { rZi 1` l r S a a l 3•d .F f i 2:7 ... r . e t : 0i l c' € t iPR. mPs
xis(sr�. _ 1.1< i� :<......t, = #,,a.,� {r�dgi$.i,. <3 :�at;a ._.....�t ar . �r, r•3� �4u_:�t.�i,s<. � a fit;: 201 a to 400 am P s 106.85 2
Name: 40] amps to 600 amps 160.60 2 I
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454,65 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or ex tension, p er panel
'it11{alt s `7 O 3� !M FI r inl .� . v w
A. Fee for branch circuits with
Ctrl„ , . k1"....+ 4, rrivIrx..�r;61411 I ; .i4 i ii :I ii :Iii. s5>N4 , :: t, ; Pi' 1 t� i above service or feeder foe, 6.65 2
Business name: each branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, I 46.85 46 2
first branch circuit
Address: Each add'i branch circuit 4 6.65 26.66 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
E -mail: Pump or irrigation circle 53.40 2
z t. 1' a.r4;:l o- g " i t #t N :I 1B. $t ,V y i' i F. - ;; : 4A -M:`, 4; 5 at'r' '$4`
Sign or outline lighting 53.40 2
�-�� l "'� - �
Y
Business name: Bridgetown Electric Signal circuit(s) or limited -
energy panel, alteration, or
Address: 22732 NW Gillihan Road extension. Describe: Page 2 2
City /State/ZIP: Portland, Oregon 97231 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 621 -7122 I Fax: (503) 621 -7123 Investigation per hour (1 hr min) 62.50
CCB Lie.: 103824 I Electrical Lic.: . -887c 1 Suprv. Lie.: 4177s Industrial plant per hour 73.75
;; 40 a4i r.P. t MI 1.. gg 1l?J Z t; Ni', "s i __
Suprv. Electrician signature, req '.
f_� -..1 - - _�-- Subtotal: 73.45
Print name: Keith Steenslid Date: 12/27/06 Plan review (25% of permit fie):
State surcharge (8% of permit fee): 5.876
Authorized signature: TOTAL PERMIT FEE: 79.33
Print name: Date: This permit application expires If a permit is not obtained within 180
days after it bas been accepted as complete.
a Number of inspections allowed per permit.
i:\ Building \Permits',ELC- PenaitApp.dee 05/23/06 440.451 5 OI/05/COM/WEB
. .
CITY OF TtGARD
A BUILDING DIVISION PERMIT #: ELC2006-00738
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '027(2006
Phone: (503) 639-4171 . ifyriap
Inspection Requests (24 Hrs.): (503) 639-4175 ...,...-10 IL.
INSPECTION WORKSHEET FOR DATE: 1/12/2007 TIME: 7:04AIVI PAGE: 35
SITE ADDRESS: 10831 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COMCAST
DESCRIPTION: COMCAST. (5) branch circuits for 25 lockers,
Job #1655.
OWNER: Alvii3 PROPERTY L P, PHONE #:
CONTRACTOR: BRIDGETOWN ELECTRIC L:i \) c A .. PHONE #: 503-621-7122
inspectiOn Request Scheduled For: Date: •/1212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042067-01 503-621-7122 Y
Corrections/Comments/Instructions:
• 1 ,, i
PASS H PARTIAL APPROVAL El CANCEL 0 NO ACCESS
I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: • N be i____ Date: I // 2-407 Phone #: (503) 718- 2• ,