Permit •
CITY OF T I GA R® ELECTRICAL PERMIT
PERMIT #: ELC2005 -00300
4 DEVELOPMENT SERVICES DATE ISSUED: 5/4/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135BC -00200
SITE ADDRESS: ieeOO SW CASCADE AVE ZONING: C -G
SUBDIVISION: / 5b LOT: JURISDICTION: TIG
Project Description: Temp power & new generator.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: 1
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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
VERIZON NORTHWEST E C COMPANY
1800 41ST STREET PO BOX 10286
EVERETT, WA 98206 PORTLAND, OR 97296
Phone: 425 -261 -5408 Phone: 503 - 220 -5377
FEES Reg #: ELE 26 -45C
Description Date Amount LIC 49737
SUP 4040S
[ELPRMT] ELC Permit 5/4/2005 $141.85
[TAX] 8% State Surcharge 5/4/2005 $11.35 REQUIRED ITEMS AND REPORTS
Total $153.20
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: -1 Permittee Signature: 5 ,1tc).
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.
(� 05/03/2005 :32 5032205347 PAGE 02
01
l - /...../ . 1 . 3 'tilt s E'vED
City of Tigard
1 . )l 01. h'lc:l;:1,si': t:).1:1. _ . , .
Rcec
13125 SW Hall Blvd., Ti ly: r--- a
P
Tigard, 97223 `p 3 2UU5 Dau1By -� �- u"'itNo.:� -C�ZD®
Phone: 503.639.4171 Fax: 5 03.598.1960 MAY 3 Piaa • --
Other 1 Q 6 Inspection Line: 503.639.4175 t .� �! I 1�to� OtherP
Internet; www.ci,ttgard.or.us CITY OF TIGA - - 1 iJ ' - N otifie By. eznout.
7 r + S t tsr o f n r a n ' ti • �i ethod J li h ' z for
r Su emeatal 1 ormation
f . l _. lr,ia(,t :.e.a,,.rar,, (R4,x, a . n S nr
❑ New cot]St1LC t ... .. , rr.. _.. .. :: •.. , l.;' +. a ,r "';, ': i.+ 1, m, rfi r•;r
ddition/alteration/replacernent h p ease c eck al that apply.; "" x `, _ 8 11 : i °, i "`
❑ Demolition ❑ Other: Se
1 !'rf:� «.:; : '�,:,rr�•:,:�':ra _....... O rviee over 225 amps, omm't
:•.:' _ �^ ��,: cr �••+:: �. �:: �:. , ., , :,....... +,,,':•.•.; ,.;�..•..:,•. >...,,. :;::..r -• roe
��t4S '� } „ cv ., , tilt). it ..:'i.%n• : ";,'..,:..'.''.:;; °1 •l rt 1 ... .. �f:�;:j. ;;< ,
' " " ", Servic over 3
.. wr.':` n ^xi +Mr.A1s;N:::r'.•.',1,r ``•� :.,�, ,;.,. : ......;:; , 204
dl:- .,....g;; . •. . >... ...:.:::...:..a ::.-:,.::•;:.:.:::',:::•. , .. ...:,'.:1;.:.......... ... - rating
....... ..:....,. ,. .. f t I3uildngoner l
Of -and 2 - family dwellings 4 or
0,000 sq, ft.
Co . 0 ' :• ss ry ig more ew rc
❑ 1 • and 2- family dwelling mlrnereiaUindustli� Accessory building ❑System over 600 volts nominal units in one structure
Mulct ami
- fly Er )? xt' r �+a: e ° "„ ..,,.,....;:::,: s or
,..,;, r,' y . •,,,.,, ......:. .: ..... :.. '.::::..., amps more
Master
�r�t ,.,,..££ ,,;,, .,,,�;.,.:;.,. ".,.�, ,.. „ . .,..I.....,,.,. , ;,:.c <;� _ Occu tload� three
�``41$t?' �1 � ;:e � II stone
/,.,.., t , +il�(r.,.ta'/,.,. ,........ „�::...,.;, ,. .:...., .. ,.,) ,:.: ,, 1 ..,:', if: • •`.• "�' 'i: � Other. ❑ P� o r 99 persons OFeeders,
.,:` , 400
r,, a., r_.,., ,.,..,:;.,.....r.:a,,n.. ?w, +.. , ,,..,., . , ,.. ;,;',.t'::•, :;,,.,,,,,;,�,': _•t'; A an 1ctured actors or
Job no.: `1 1 �� �- lob site address. _ �.,. �:...:.,;. v.-;:;:;:a.:: 6:;;.; ,•::c,::'::; OEl�ss/light9n plan RV park
;,-.4 A °Health-cam facility ❑Other:
City/State/ZIP: a Submit 2 sets of plans with any of the above.
1. 5 '"" A o & /11 tS7S-tO The above a not applicable
Suite/bldg./apt, re t a
Sotto . p t, no.' - ,. toe temporary construction service.
• Project name: \.; .. • �e> a1,.`;;, i t, �: �.[; .., :...:,,,,.. � ,,u5.y,,,, t ( ,�
f 2 ( O J S: °,7 „• ., :, ..vt ) dt ) tr�'t....,.4 S r ,,,....1 r rt.,,. ?`taidit {�kt4lilitl�rilT . `.
-
Cross street/directions'to job site: °.iatpnan Qty. Feu. ,
New residential single- or multi-family iot�t
g family dwelling unit.
Includes attached garage,
1,000 sq. it or less 145.15 Inn 4
Subdivision; - I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40
-
1
Tax map/ no.: Limited
","1 _. 1... wz:� °, .r.�:, " ^',.v ...�y.i f w:•::.,:;.,,,,,.., w.`+ „J { :,;,b ; c,cvn.,.1,,•r w ,a i ^sx'n , >.-. ,' �,,.. .. .. ... Limited ,residential 75.00 2
i R �i�tl f "i ti31}j IZ! �SrJ, §} ??c( (+ ( e 1?n1 i . r f "� is s) , {r ' { �"s1 r ut ,1 1 ter, y, energy, non- residential 75.00 2
t>(.,,,, cl,or' u;r.{+4 fit, M.,`.G..,. "$ .c,.;t' c N Y t� . ')atY�'"'GS.I' d "a,.,, Each manufactured or modular
dwelling, service and/or feeder t,...v 4 „■ ,l,14‘ ti $ 90.90 2
•
`a t cea or feeders Installation, nd/
M r ., : 1. , A ` n.• to-- e. L. Q � ' 80.3p 2
� , � , ,;, :,.Yt. i',ia. rte q' „`.
r
ee i
0
n alteration,
I; .. :.. .q /,1:.; i.a1a,;11.,.,•'.�, .: k ,.H,�:.,n.,�,o•,w >�1.Gi%s;° rex':.'
.�CJr��d�/ 2008 amps le
rn or 96
,:,',..• .c' ... 1 ,.;;.. ', ,....,.:,,!:,w: a �.•'.,,.;,.,:;, , ,.,...:., ........... �':�:,,,::;. ":�'� 201 a p 4 6 t 1kb.r .t fE rf.!'S..w.:S"'.:,'r.'„?,�a;£ . nr' !ryt.,..;. N:., r.,.�u, ./,? �F:.:!:..,!; ,.v {.x.r.�a ":d".,?iSna:0 ; '. M , ",:FA:;'.n.: w.r.2.., mp to 0000 a ds l06
Name:
601 amps to 1,000 amps 240.60 401 amps to 00 a mps 160.60
2
•
/Address;: Over 1,000 amps or volts 454.65 � ii
City/State/ZIP! Reconnect only 66.85 U
Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
200 amps or less Q 66.85 NOM11 1
Owner installation: This installations is being made on property that I own which is not 201 amps to 400 amps _ 100.30 MINN
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 600 amps 133.75 2
Owner signature:
l p Date Branch circuits new, alteration, or extension, per panel
t ? r I ry Y1 I lfi1)ti)w tt7 a 11 f i, it i ?, <ti } +! r St{ I r �ll";r :q,.'M t!, , , c , y1 7 `,ry /tryt""S;-ti (f If A. Fee for branch circu with
'rr aP .i`it-0 �tl. ii,}ui t)i,l!f'4{E ', bl . f.nf 4; aN•I: icm .: ti' 11 ,fir A 30 .'.. Ira each
+n al.,. l,..rtn rMSV:t., 1 ..:dTh „k,,,� ,51,.1,.Af,� 1 S „ tan -., sin 1 a. ,.,., Y', tl,...4..,,' �ti"n ...,� .SrI1� �.,,.4,. i,; service or feeder fee, each
Business name:
circuit 6.65 2
• Ii. - Fee for branch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit 46.85 2
Each add'' branch circuit 6.65 2
City / State/ZIP; Miscellaneous (service or feeder not included)
Phone: Pump or irrigation circle 53.40 2
( ) Fax: ( ) Sign or outline lighting 53.40 2
E-mail; Signal circuit(s) or limited-
..,, I .S:. � ... .'n.. (1 ,. �1'-`:( „Y; Y • .. �'^.' "' �:`�.,: +� '1.,, h�:,',a
• I;,'lih. !.> +... .i,ar I,t,.1 +1',v- +s' ?;;lT °'3,, ,.'£.. zr'r %f energy panel, ra'
:, i.1'r �:rn;;: 1 ) : ; i:G'z. a :1..U_... ?, r ,alts alteration, or s
;f. 1t} ,> yy .. .a.- ..1:....1 <'.. ^?4 " ";; BYP
+ ,.,��:..,t',.11.; 1... .'.L..,AE. t .d1, Ill . .1,1 ,'..
extension. Describe: ` Page 2 ., ` 2
Business [tame: 'E C C O i rk--1
Address: a e U y U� C Each additional inspection over allowable in any of the above
' ce l Per inspection 62.50
City /State/ZIP: p 1 -i 0 ..., ^1 L -) investi per hour () iv min) 62.50
Phone: (c U }) aab 51-11 I Fax (Su 3 )Qo 1-Z N}�p E [ ndus fl t ] na ( i plant per hour { 73,7
l ryy�yyy
!}�'EiY �)111F�Y, /+t /l i'. �,t M�f+Y / f ] 1 ],.,�711t Pl'ay'a[ ' ^r5�{[IIlIf1111t/ i a i 1(J( " '.
CCB Lic.: 40131 I Electrical Lic.;],(, -1,-\S'C I Suprv. L .: 32ee C Subtotal 1 L\∎ .( 5
Suprv. Electrician signature, required: ip- y� Plan review (25% of permit fee)
�' � � State surcharge (8% of permit fee) 11
Print Warne: , � / Date: 0 S
TOTAL PI"RMIT FEE ‘ S / 'D.0
Authorized signature: This permit eppiieation expires it a permit Is apt obtained within I SO
days after It has been accepted as complete
Print name: Date: - Fee methodology set by Tr; County Building Industry Service 13o2rd
" NVmber of inspections per permit allowed.
■ a' dIding\Penniu \E.LC.Femutnpo.doc 1243 4ap- �6iST(10/OS/COhtM�B
CITY OF TIGARD - .
BUILDING DIVISION PERMIT #: ELC200S -00300
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4 /2005
Phone: (503) 639 -4171 ' �UI!!��r�llf iii.*
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR
DATE: 6/7 /2005 TIME: 7:17AM PAGE: 78
• �O 2.5
SITE ADDRESS: —AM-6V CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: VERIZON FACILITY ADDITION
DESCRIPTION: Temp power & new generator. 5.19 -05 Add feeder.
OWNER: VERIZON NORTHWEST. PHONE #: 425 -261 -5408
CONTRACTOR: E C COMPANY PHONE #: 503-220-5377
Inspection Request Scheduled For: Date: 6/7/2005 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 008573 -01 503-920-4471 . Y
. 0 rr�ections /Comments /Instructions: 1 .
C
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 / Inspector: � ,. �� Date: Phone #: (503) 718- .fiF
r , .
CITY OF TIGARD '.
BUILDING DIVISION. PERMIT #: ELC200 &00300
i 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/4/2015
Phone: (503) 639 -4171 "� .� �
Inspection Requests (24 Hrs.): (503) 639 -4175 J.. __..
INSPECTION WORKSHEET FOR DATE: 5/6/2005 TIME: 7 :10AM PAGE: 69
SITE ADDRESS: 10000 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: VERIZON FACILITY ADDITION
DESCRIPTION: Temp power & new generator.
OWNER: VERIZON NORTHWEST, PHONE #: 425261 -5408
CONTRACTOR: E C COMPANY PHONE #: 603- 220.6377
Inspection Request Scheduled For: Date: 5/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Temporary electrical service 006262 -01 503 -939 -1565 Y
Corrections /Comments/ Instructions:
W \ r l ) 1 S noone fl , a Yv e Z-4). S z1 j i 5
q �1- CAI
1.- fo
'k RA k c ) i17
lb PASS PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
V FAIL ///��� CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED '
Inspector: M/ 77:,--- Date -- C " Phone #: (503) 718-