Permit CITY TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 - 00963
=; DEVELOPMENT I Tigard, B T o R SERVICES 92 503- 639 -4171 3 DATE ISSUED: 12/16/2005
13125 g PARCEL: 1 S135BC - 00700
SITE ADDRESS: 10831 SW CASCADE AVE ZONING: I -
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: 2 branch circuits for HVAC units.
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: 1 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
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 - 255 - 9488
FAX 503- 257 -7121
FEES
Description Date Amount Reg #: LIC 048748
[ELPRMT] ELC Permit 12/16/200` $53.50 SUP 3132S
[TAX] 8% State Surcharge 12/16/200' $4.28 ELE 26 -496C
Total $57.78 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 1-400-3 2 -2344.
Issued By: 4 �. Permittee Signature:
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.
'.r
FOR OFFICE USE ONLY .
- Electrical Permit Application .,„„, • - ' Rece'ved
i PeflItnO % _,3_
', Date /1i J 0
City of Tigard ,`� ^ .�` Plan ' evi:
^ fi Other Permit:
13125 SW HALL BLVD., TIGARD, OR 97223 italkAll Date /By:
Phone: (503) 639 -4171 Fax (503) 598 -1960 5 209rry OF TIGARD Date Ready /By: II SeePage2 for
Inspection Line: 503- 639 -4175 DEC l• Notified/Method:� Supplemental Information
Internet: www.ci.tigard.or.us 5'm VIr l / , ,_
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t ' :l :a N... .` '' ::.s ' , tTaY=P,L .C5.rtW RK Y a.'. v :. _ : ?a i v ,. �. r �. ..� > "1, xs a! TOV[Egz:ik is - . 'S' at d
Li New construction H AidKtib rat ��epla n i Please check all that apply:
El Demolition ❑ Other: �� °
❑ Service over 225 amps, comm'l 111 Hazardous location
, °, ;,:;:` ; ,, 1 `0MOkearNS'Il CTION,.,," ,,e; A,,,,, g f , " ❑ Service over 320 amps - rating ❑ Building over 10,000 sq.ft.
❑ 1- and 2- family dwelling U Commercial/industrial L I Accessory building of 1- and 2- family dwellings 4 or more new residential
❑ Multi - family . ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units in one structure
i` ` ra ,,,,;; ` ,v ' JOB. SITE °INFOR,MaKIbN ANDyOCATIOj; . . „ ,. i ❑ Building over three stories ❑ Feeders, 400 amps or more
Job no.: 251863 Job site address: 10831 SW CASCADE AVE
El Occupant load over 99 persons Ill Manufactured structures or
❑ Egress /lighting plan RV park
City /State /ZIP: TIGARD, OR. 97223 ❑ Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
no.. Project above are not applicable to temporary construction service.
Butte %'hl;is.. a n.
k � Protect name: COMCAST HVAC � �, .,
: :a _ ` ` *:s= ''.'t Ni;: i ' ',c,FEB Ot:15ULEa. ; ;f :P sr„ .::
Cross Street /Directions to job site: Description I Qty. I Fee. I Total I
New residential - single or multi - family dwelling unit.
Subdivision: Lot no.: Includes attached garage.
1000 sq. ft. or less $ 145.15 4
Tax map /parcel no.: Ea. Add'l 500 sq. ft or portion $ 33.40 1
t ri ^' ° 3$ . ; a ,`;" ° DESCR'IPTIQN(OF 4VOIK 4 , 1 _ , ' ' .':' , ' - '4 , 4: ' Limited energy residential $ 75.00 2
DISCONNECT AND RECONNECT HVAC UNITS Limited energy, non - residential $ 75.00 2
Each manufactured home or modular
€.; 'r tIV,, PR0,p,Ro yO :., rJ ; i
� ,�; , � �. _ _ _ s -,- _.,� ,- , � . � dwelling, Service and/or feeder $ 90.90 2
Name: Service or feeders installation, alteration, and /or relocation
COMCAST 200 amps or less $ 80.30 2
Address: 10831 SW CASCADE AVE 201 amps to 400 amps $ 106.85 2
401 amps to 600 amps $ 160:60 2
City /State /ZIP: TIGARD, OR. 97223 601 amps to 1000 amps $ 240.60 2
Over 1000 amps or volts $ 454.65 2
Phone: Fax: Reconnect only $ 66.85 2
Temporary services or feeders installation, alteration, and /or
Owner installation: This installation is being made on property that I own which is not relocation
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less $ 66.85 1
Owner signature: Date: 201 amps to 400 amps $ 100.30 2
401 amps to 600 amps $ 133.75 2
,' ; U',^ APPLICANT,i ,I;`;`,s, .,,,, U?.` CONTACT PERSON ee„ Branch circuits - new, alteration, or extension, per panel
Business Name: A. Fee for branch circuits with
service or feeder fee, each
Contact name: branch circuit $ 6.65 2
B. Fee for branch circuits
Address: • with ')ut service or feeder oe,
each branch circuit 1 $ 46.85 46.85 2
Each additional branch circuit: 1 $ 6.65 6.65 2
City /State /ZIP:
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 circuits(s) or limited -
< rmttZIP 7 SCONTRACT.QR , f`I , : r ..' : :e < .° , tk sa ',=4r2.0 . energy panel, alteration, or
Business Name: CAPITOL ELECTRIC CO., INC. extension. Describe: Page 2 2
Contact name: JIM EDDINGTON 255 -9488 Each additional inspection over allowable in any of the above
Per inspection $ 62.50
Address: 11401 NE MARX ST. Investigation per hour (1 hr min) $ 62.50
Industrial plant per hour $ 73.75
f`,'.. t3$ J 3 '' IELE,CTRICAI PERMIT FES* Subtotal yk1' 53.50
City /State /ZIP: PORTLAND, OR 97220-1041 I °' "'` °` E ��
Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Plan review (25% of permit fee)
State surcharge ( 8% of permit fee) 4.28
CCB Lie.: 48748 IElectrigal.Lic.: 26 -496C ISuprv. Liie.: -5 TOTAL PERMIT FEE 57.78
Suprv. Electrician signature, required: 1 / IV"V I Y /, This permit application expires if a permit is not obtained within 180
u,�/1 days after it has been accepted as complete
Print Name: DARRELL MCNEEL Date: 12/12/05 * Fee methodology set by Tri- County Building Industry Service Board
Authorized signature: l/ �p * *Number of inspections per permit allowed.
Print Name: DARR NEEL `/`/v —�
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2006.00963
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17/16/2005
Phone: (503) 639 -4171 iwd1 00
Inspection Requests (24 Hrs.): (503) 639 -4175 -..
INSPECTION WORKSHEET FOR DATE: f19/2006 TIME: 7:05A PAGE: 87
SITE ADDRESS: 10831 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CO1vMOAST
DESCRIPTION:
2 branch circuits for FiVAC units.
OWNER: AMR PROPERTY L P, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.255.948B
Inspection Request Scheduled For: Date: 9/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 036688 -01 971 -227 -4267 Y
Correct+ans7fomments/ nstructions: 11 2 f Q�
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
H FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N 6 l Date: 9 1 017- Phone #: (503) 718- 2M4 -
__
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00963
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/19/2005 TIME: 7 :0 1 AM PAGE: 22
SITE ADDRESS: 10831 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CONICAST
DESCRIPTION: 2 branch circuits for HVAC units.
OWNER: AIVIB PROPERTY L P, PHONE #:
. CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-265-0480
Inspection Request Scheduled For: Date: 12/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 023698-01 971-508-3388
Corrections/Comments/Instructions:
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N W:ST I it4 - IMP EC..1 10 REQ,Aft 2.x
The-eleetr-ical-kstaliation defects noted
on this report shall be corrected and
an inspection request mariA within 20
calendar days per OAR 918-271-0030
El PASS 7 PARTIAL APPROVAL LII CANCEL NO ACCESS
N ifcF 4 AIL
. jkALL FOR INSPECTION LII ADDITIONAL FEES ASSESSED
Inspector: 6Ne, Date: 1 Vi OS #: (503) 718-2A
, •