Permit •
§„ CITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2007 -00838
COMMUNITY DEVELOPMENT DATE ISSUED: 12/13/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 113 BA -00400
SITE ADDRESS: 07632 SW DURHAM RD 130 ZONING: I -P
SUBDIVISION: SW CENTER SDR1999 - 00020 LOT : JURISDICTION: TIG
PROJECT: UNITED HEALTHCARE
Project Description: (11) branch circuits. (demo and reroute)
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: UMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT E LTG:
LIMITED ENERGY: 401 - 600 amp: SIG PANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINO ABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS 'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEE PER INSPECTION:
201 - 400 amp: 1st W/O SRVC O DR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNC • - 10 IN PLANT:
601 - 1000 amp: r. N VIEW SECTION
1000+ amp /volt: > =4 > 600 VOLT NOMINAL:
Reconnect only: SVC / ' >= 225 AMPS: CLASS AREA /SPEC OCC:
Owner: Contractor:
OPUS REAL ESTATE OREGON IV LLC CAPITOL ELECTRIC CO INC
1000 SW BROADWAY 11401 NE MARX ST
1130 PORTLAND, OR 97220 -1041
PORTLAND, OR 97205
Phone: Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
Description Date �• mount Reg #: ELE 26 -496C
[ELP' MT] ELC Permit 12/ /200' $113.35 LIC 48748
[T ] 8% State Surcharge 12/l 200' $9.07 SUP 3132S
REQUIRED ITEMS AND REPORTS
This Permit 'ssued bject to the regulation - contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be de ,- in .. cordance with appr• -d plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 d ATTENTION: Ore•,%n law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952-001-001s rough OAR 952 -'..' -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: 4% AM 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.
a � rt FOR OFFICE USE ONLY
Electrical Permit Apo t a tq;n g�,u) Received I rm �J — l u
i e3 /ii1 Permit n I%jJ / ��/S L4.a a+v CJ 3 City of Tigard DEC 1 3 2007
Date /By: 4 -W 1 q t Plan Revi Date /B y: Other Peit: 1h1ne SW 0ALL BLVD., TIGARD, 0 -722 Q � �v pp f i ....
Phone: (503) 639 -4171 Fax (503) 5 60 r GAFI® CITY OF TIGARD Date Ready /By: Juris: Li See Page 2 for
Inspection Line: 503- 639 -4175 ILDRODIVISfON Notified /Method: Supplemental Information
Internet: www.ci.tigard.or.us
TYPE OF WORK . PLAN REVIEW
u New construction LI Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories
CATEGORY OF CONSTRUCTION • where the available fault current , . ❑ Marinas and boatyards
Li 1- and 2- family dwelling U Commercial /industrial Li Accessory building exceeds 10,000 amps at 150 volts or Floating buildings
❑ Multi - family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 Commercial -use agricultural
JOB SITE INFORMATION AND LOCATION • amps for all other installations. ❑ buildings
Job no.: 280076 Job site address: 7632sw durham ❑Fire Pump CI Installation of 75 KVA or
❑ Emergency system larger separately derived system.
City /State /ZIP: TIGARD, ORE ❑ Addition of new motor load of ❑ "A ", "E ", "1 - 2 ", "1 - 3 ",
100HP or more. • ❑ occupancy
Suite/ bldg. /apt. no.: Project name: UNITED HEALTH GROUP
Cl Six or more residential units El Recreational vehicle parks.
S( { f 13U ❑ Health -care facilities ❑ Supply voltage for more than
Cross Street/Directions to job site: 76TH AND DURHAM ❑ Hazardous locations ❑ 600 volts nominal.
❑ Service or feeder 600 amps or more
Subdivision: • Lot no.: FEE SCHEDULE
' Description I Qty. I Fee. I Total
Tax map /parcel no.: New residential - single or multi- family dwelling unit.
DESCRIPTION OF WORK Includes attached garage.
MINOR DEMO, A COUPLE OF NEW ROOMS, FURNITURE FEEDS 1000 sq. ft. or less $ 145.15 4
Ea. Add'I 500 sq. ft or portion $ 33.40 I
Li PROPERTY OWNER I Li TENANT Limited energy residential
Name: (with above sq. ft.) $ 75.00 2
Limited energy, multi - family
• Address: • residential (with above sq. ft.) $ 75.00 2
Service or feeders installation, alteration, and /or relocation
City /State /ZIP: 200 amps or less . $ 80.30 2
201 amps to 400 amps $ 106.85 2
Phone: Fax
' 401 amps to 600 amps $ 160.60 2
601 amps to 1000 amps $ 240.60 2
Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts I $ 454.65 2
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature: Date: relocation
200 amps or less $ 66.85 1
Li APPLICANT I Li CONTACT PERSON 201 amps to 400 amps $ 100.30 2
Business Name: 401 amps to 600 amps $ 133.75 2
Branch circuits - new, alteration, or extension, per panel
Contact name: A. Fee for branch circuits with
service or feeder fee, each
Address: branch circuit $ 6.65 2
B. Fee for branch circuits
City /State /ZIP: without service or feeder fee,
first branch circuit 1 $ 46.85 46.85 2
Phone: Fax: Each additional branch circuit: 10 $ 6.65 66.50 2
Miscellaneous (service or feeder not included)
E -mail: Each manufactured or modular
CONTRACTOR dwelling, service and or feeder $ 90.90 2
Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 66.85 2
Pump or irrigation circle $ 53.40 2
Contact name: Sign or outline lighting $ 53.40 2
Signal circuit(s) or limited -
Address: 11401 NE MARX ST. energy panel, alterations or
extension. Describe: Page 2 2
City /State /ZIP: PORTLAND, OR 97220-1041
Each additional inspection over allowable in any of the above
Phone: 503 - 255 -9488 Fax: 503- 257 -7121 Per inspection $ 62.50
Investigation per hour (1 hr min) $ 62.50
CCB Lic.: 48748 'Electrical Lie.: 26 -496C ISuprv. Lie.: 3132-S plant per hour $ 73.75
Suprv. Electrician signature, required: \ /� p � • ELECTRICAL PERMIT FEES*
! 4 �r [l e�L ,/ Subtotal $ 113.35
Print Name: DARRELL Date: 12/12/07 Plan review (25% of permit fee)
Authorized signature: � � �/lI46 ( P. State surcharge ( 8% of permit fee) $ 9.07
(((( /! "° / TOTAL PERMIT FEE $ 122.42
Print Name: DARRELL MCNEEL This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
* Number of inspections per permit allowed.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007..00838
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2007
Phone: (503) 639 -4171
A l
Inspection Requests (24 Hrs.): (503) 639 -4175 '4 � �..
INSPECTION WORKSHEET FOR DATE: 12/31 /2007 TIME: 7 :00AM PAGE: 26
SITE ADDRESS: 07032 SW DURHAM RD 130 CLASS OF WORK:
SUBDIVISION: SIN CENTER SDR1993.00020 LOT #: TYPE OF USE:
PROJECT NAME: UNITED HEALTHCARE
DESCRIPTION: (11) branch circuits. (demo and reroute)
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503. 256 -9488
Inspection Request Scheduled For: Date: 12/31/2007 Pour Time:
Code # Inspection Description - Confirm # Contact # Message
199 Electrical final 0E2348 -01 971 -WG -3076 \ Y
•
Corrections /Comments /Instructions:
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X l
■
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ° 3 ' d� Date: rif 31 • 01 Phone #: (503) 718- 1-111.1%
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00838
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1`2/ 13/2007
Phone: (503) 639- 4171Vi '
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' Il
INSPECTION WORKSHEET FOR DATE: 12128/200 TIME: 7 PAGE: 35
SITE ADDRESS: 07631 SW DURHAM RD 130 CLASS OF WORK:
• SUBDIVISION: SW CENTER SDR1999.00020 LOT #: TYPE OF USE:
PROJECT NAME: UNITED HEALTFICARE
DESCRIPTION: (11) branch circuits. (demo and reroute)
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503- 25,5-9488
Inspection Request Scheduled For: Date: 120W2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 06227401 871 -506 -3076 N
Corrections /Comments /Instructions:
ilth ? Ro\) 1Z-6: Nwce% ...voL:E c_:\RA)1 g
- 7o 1.) h/\‘) LI 1 w 1 2e .2A4\loili\ 6 tca 1s
f-eb; 6) of cs V- .A4il I v cE .
n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL Nj CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (• M 061-E Date:12 Vt. 01 Phone #: (503) 718- 2 q1-
. . , .,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: F1�C2007.0(1030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2007
Phone: (503) 639 -4171 ° ° �
Inspection Requests (24 Hrs.): (503) 639 -4175 ... I- 11.
I
INSPECTION WORKSHEET FOR DATE: 12/27/20 TIME: 7:00AM PAGE: 27
SITE ADDRESS: ()7632 SW DURHAM RD 130 CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1999.00020 LOT #: TYPE OF USE:
PROJECT NAME: UNITED HEALTHCARE
DESCRIPTION: (11) branch circuits. (demo and reroute)
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-9408
Inspection Request Scheduled For: Date: 12/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 062194 -01 971 - 506%3076 Y
Corrections /Comments/ Instructions:
C PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: & 1 r& Date: nil 1 0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00838
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2007
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 '_' ..
INSPECTION WORKSHEET FOR DATE: 12/14/200 TIME: 7 :O1AM PAGE: 49
SITE ADDRESS: 07632 SW DURHAM RD 130 CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1999 00020 LOT #: TYPE OF USE:
PROJECT NAME: UNITED HEALTHCARE
DESCRIPTION: (11) branch circuits. (demo and reroute)
OWNER: OPUS REAL ESTATE OREGON IV L.LC, • PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503. 255 -948B
Inspection Request Scheduled For: Date: 1211412007 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
. 125 Wall cover 051579.01 971- 506.3076 N
Corrections /Comments /Instructions:
E ci i .
b NA E c S e7.-e) fZ��
XPASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c N W) L- Date: I t� e Phone #: (503) 718- l`fylo