The URL can be used to link to this page

Permit �� • „ CITY OF TIGARD PERMIT PERMIT #: ELC2008 -00508 COMMUNITY DEVELOPMENT DATE ISSUED: 9/4/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AC-00103 SITE ADDRESS: 07216 SW DURHAM RD P200 ZONING: I -P SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG PROJECT: WELLPARTNER Project Description: Installing (7) branch circuits in server room. 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: PACIFIC REALTY ASSOCIATES MILESTONE ELECTRIC 15350 SW SEQUOIA PKWY #300 -WMI 1800 NW 169TH PL. SUITE B700 PORTLAND, OR 97224 BEAVERTON, OR 97006 Phone: Contact #: PRI 503 - 645 -5323 FAX 503 - 690 -4843 FEES Description Date Amount Reg #: ELE 34 -618C [ELPRMT] ELC Permit 9/4/2008 $86.75 LIC 153480 [TAX] 12% State Surchar 9/4/2008 $10.41 SUP 4574S Total $97.16 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: • L Permittee Signature: — , ■grjor 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. ad9 t i 4 aCc)8- Electrical Permit Application (' � le � ru u ii i t SI City o Tigard v_ Received C , Da Permitrlo.: N,....-.. �• _I 1312,5 SW Hall Blvd., Tigard, OR 9722 fl Plan Review 4 . Phone: 503.639.4171 Fax: 503.598.19 c� 1�Q0 Date/IS ; Other Pernut: F.--- `i. i G A i?. o Inspection Line: 503,639.4175 • , 7 Date Beady/By: Mal ® See Pape 2 for Internet: www.tigard- or.gov S� • 11' otiP,ed/tlathod: SupploneutalInformation TYPE OF 1 OE1 0 1VISO I'I err REVIE W 10 New eonsmtctio ddition/alteration/r G � Please check all that aPP1Y (submit acts of pla„s wlitcnts checked below): ❑ Demolition ❑ Other: D Service or feeder 400 amps or more D Building over three stories, where the available fault current ❑ Marinas and boatyards. CATEGORY Or CONSI['RtioriON exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 0 Co arcial -use sgieultu=al ❑ 1- and 2- family dwelling Iii Commercial/industrial ❑ Accessory building amps for all other installations. buildings. 0 Multi - family © Master builder © Other: U F pinup. DInstallation or 75IKVA or JOB SITE INFORMATION AND LOCATION D Emergency system. larger separately derived system. --_ - LOCATION • ❑ Addition of new motor load of ' F ' , 'R L.j 1 5 Job site address: 7a) 5u) P siX Or tor rest occupancy. Job no.: 4 � �, � ©Six or more residential units. :I Itecrcatawr;d vehicle parks. City /State; /ZIP: Z_ .,�+ • `� y � OR N :Health-can tvcilities, ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal- Suite/bidg_ /apt no.: 4 ' Project name: • 0 Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: (--0 g_l✓ L 6 e_773 E2 0,..aen i Qn. l Tree. I Total I • , New residential single- or multi - family dwelling unit Includes attached garage, Subdivision: Lot no.: 1,000 sq, ft or less 145.15 ' 4 ' Ea. add'1500 sq. ft, or portion 1'. 3 3.40 1 Tax map/parcel no- _ • Limited energy residential r DESCRIPTI0IV. OF WORK . (wi thabove sq. It) 75.00 2 t __ _ ti - \ Limited energy, multi - family 75.00 2 � .4e-r l' inn. C5Ji(1� 1 ( + f .l �t ) S t /� residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation .4` Ver ¶00 200 amps or less 8030 2 0 PROPERTY, OWNER 0 TENANT 201 amps to 400 amps 106.85. 2 ' Name: 401 amps to 600 amps - 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 V tr City /State /ZIP: Temporary svices'or feeders installation, alteration, and /or relocation • Phone: ( ) Fax: ( ) 200 amps or less • 66.85 , 1 - Owner installation: This installation is being made on property that i own which is not 201 tunes to 400 amps 10030 2 intended for sale, lease, rent, or exchange, according to .ORS 447, 4-49. 670. and 701. 401 amps to 599 amps 133.75 2 Owner signature; Date Branch eircuitg— new, alteration, or extension, per panel �— A. Fee for branch circuits with ' , , .a, APPLICANT 0 CONTACT PERSON above service or feeder fa, 6.65 2 -'- each branch ,circuit Business name: B. Fee for branch circuits without service or feeder fee, • Contact name: 46.85 b �� 2 first branch circuit Address: Each add'i branch circu .� 6.. it 6 5 2 39e ice Miscellaneous (service or feeder not included) • City /State/ZIP: Each manufactured or modular 90,90 2 ' dwelling, service and/or feeder Phone: ( ) Fax.: ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 5340 2 ^_ CONTRACTOR Sign or outline lighting 53.40 2 Business name: i' e, st oAe I , r F Signal circuit(s) or limited- t energy panel, alteration, or Address: tgap W i (o l t>^ +7 1 c1�; oaf) sonension, Describe: Paget 2 City /State/ZIP: )P.(' 4-0.A a f r q 7 00 6 Each additional inspection over allowable in any of the above �` z Per inspection 62.$0 Phone: (Sp ) ( 53c). 3 Fax: (5 ) Fig Q wi $'l 3 Investigation per hour ( hr min) 62.50 - .. CCB Lic.: Electrical Lie.: Su rv. Lic.: I plant per ho 73,75 E LECTRICAL PERMIT FEES Strprv_ Electrician signature, required: ' - - — Subtotal: . ge t Print name: Plan review (25% of permit fix): Date: (') t LLll7}s --1 d t4' 0 t5� Q' �d St a t e surc harge (12% of permit fee): t o ► ti 1 •Authorized signature : / t c TOTAL PERMIT FEE; 97�� This permit application expires if a permit 1g not olrluioed within 180 Print name: /,U tat l} , ( � l f�- _ D atc: � , 77 8 days after it has been accepted es complete * Number of inspections allowed per permit. 1, lauilding1Pe ,mits1Erf`_pn 5SP 440.4615T(11ios/rnarmroo 'd 9 °N 3! 31 l3 auo } S l!W Wd88:1 8002 8 'daS CITY OF TIGARD l BUILDING DIVISION PERMIT #: ll 13125 SW Hall Blvd., Tigard, OR 97223 DA ELC2008 TE ISSUED: 9M12008 Phone: (503) 639-4171 _.._ ay l i i t Inspection Requests (24 Hrs.): (503) 639-4175 • - INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 9/25/2008 7:00AM 18 SITE ADDRESS: 07216 SW DURHAM RD P200 CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: ,...-, m r PROJECT NAME: WELLPARTNER C'), DESCRIPTION: Installing (7) branch circuits in server room. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR MILESTONE ELECTRIC PHONE #: 503-645-5323 Inspection Request Scheduled For: Date: 9/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 075932-01 971-645-8459 Y Corrections/Comments/Instructions: 7 PASS E] PARTIAL APPROVAL El CANCEL II] NO ACCESS rt. LI CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: -2--c--7:P ___i‘gi(l________ Date: Phone #: (503) 718-