Permit C ITY OF TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2005 -00778
�,...,. ., DEVELOPMENT SERVICES DATE ISSUED: 10/14/2005
5111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S113BA -00400
SITE ADDRESS: 07630 SW DURHAM RD ZONING: I -
SUBDIVISION: SW CENTER SDR1999 - 00020 LOT : JURISDICTION: TIG
Project Description: (1) sign circuit - 3rd floor electric room. Job #251525.
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: 1
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: 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:
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: Phone: 503 - 255 -9488
FEES Reg #: LIC 048748
3132S
Description Date Amount SUP 26-49
ELE 26 -496C
[ELPRMT] ELC Permit 10/14/200' $53.40
[TAX] 8% State Surcharge 10/14/200` $4.27 REQUIRED ITEMS AND REPORTS
Total $57.67
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: _site... Ts \cc
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.
. ECE
E1604rical Permit Application
FOR OFFICE USE ONLY
Receive
.-/- _. -
Date/By/ Pen"" no.: &c.,z0D 7
City of Tigard OCT 1 3 1 $ 1 , Plan Review
' 1Other Permit:
13125 SW HALL BLVD., TIGARD, OR 97223 , . Date/By:
Phone: (503) 639-4171 Fax (503) 598-1960 CI TY Y ,- OF lit,
OAZRD Date Ready/By: Juris: L] See Page 2 for
a T
Inspection Line: 503-639-4175
131/111.DINT“ DT s(11 : Notitied/Method: ")(r Supplemental information
Internet: www.ci.tigard.or.us
::':::44:01.1: kii iliSlittligg-: 6 ,lnlikA141WitE*601-4iMIFIAte al
Li New construction Li] Addition/alteration/replacement Please check all that apply:
11 Demolition ' Ill Other: El Service over 225 amps, comm'l D Hazardous location
i5:-7,g!i'M-O.101 El Service over 320 amps - rating 17
,___, Building over 10,000 sq.ft.
H I- and 2-family dwelling Hi Commercial/industrial 77c7sor building of 1- and 2-family dwellings 4 or more new residential
CI Multi-family CI Master Builder CI Other CI System over 600 volts nominal units in one structure
%11 III Building over three stories El Feeders, 400 amps or more
Cl Occupant load over 99 persons CI Manufactured structures or
Job no.: 251 525 Job site address: 7632 SW Durham Rd
0 Egress/lighting plan RV park .
0 Health-care facility Cl Other:
City/State/ZIP: Tigard, Oregon 97224
Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name: LifeERA Sign Circuit
PANTSFA.T.71 4,a;a:i2EV22V:
Cross Street/Directions to job site: Description I Qty. I Fee. I Totcl I **
New residential - single or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.:
SW Center 1000 sq. ft. or less $ 145.15 . 4
Tax map/parcel no.: Ea. Add'I 500 sq. ft or portion $ 33.45 1
matt.plikra:Ar-,1'kE)EsMIRDWQTANYDRW,:eN.:' Limited energy residential $ 75.00 2
Install new sign circuit to the New LifeERA Sign 3zo 1,..1;:92._, .64 . Limited energy, non-residential $ 75.00 2
00 P-N Each manufactured home or modular
WALK: P,,ROP,ERMOWNERW..: dwelling, Service and/or feeder $ 90.90 _ . 2
Service or feeders installation, alteration, and/or relocation '-
Name:
Trammell Crow 200 amps or less $ 80.30 2
201 amps to 400 amps $ 106.85 2
Address: 4949 SW Meadows Rd Suite 175
401 amps to 600 amps $ 160.60 2
601 amps to 1000 amps $ 240.60 2
City/State/ZIP: Lake Oswego, Ore 97035
Over 1000 amps or volts $ 454.65 2
Reconnect only $ 66.85 _ 2
Phone: Fax: 503
503-644-9400 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 I i
Owner signature: Date: 201 amps to 400 amps $ 100.30 2
401 amps to 600 amps $ 133.75 2
e.441--hr OP: 01.00 :`, ' , :‘:;:.;;VI.,,1 1 a5i: cOSTAG!TiMRSOMeN Branch circuits - new alteration, or extension, per panel
A. Fee for branch circuits with
Business Name:
service or feeder fee, each
branch circuit $ 6.65 2
Contact name:
B. Fee for branch circuits
without service or feeder tee,
Address:
each branch circuit $ 46.85 2
Each additional branch circuit: $ 6.65 2
City/State/ZIP:
Miscellaneous (service or feeder not included)
Pump or irrigation circle $ 53.40 2
Phone: Fax:
Sign or outline lighting 1 $ 53.40 53.40 2
E-mail: Signal circuits(s) or limited-
energy panel, alteration, or
extension. Describe: Page 2 2
Business Name: CAPITOL ELECTRIC CO., INC.
Each additional inspection over allowable in any of the above
Contact name: Gary Steiert
Per inspection $ 62.50
Investigation per hour (I hr min) $ 62.50
Address: 11401 NE MARX ST.
Industrial plant per hour $ 73.75
Nt&X:".AtikriEgq,TRICAL PEkgI9YEES2t0.-1,1aURablitum
City/State/ZIP: PORTLAND, OR 97220-1041
Subtotal ' 53.40
Plan review (25% of permit fee;
Phone: 503-255-9488 Fax: 503-257-7121
State surcharge ( 8% of permit fee) 4.27
CCB Lic.: 48748 iElectrical 26-496C ISuprv. Lie.: 3132-S TOTAL PERMIT FEE 57.67
'rids permit application expires if a permit is not obtained within 180
Suprv. Electrician signature, required: 7/7").5..,...."0„libt/L2 Mil
* Fee methodology set by Tri-County Building Industry Service Board
tiau after it has been accepied as compieie
Print Name: DARRELL MCNEEL Date: 10/10/
Authorized
**Number of inspections per permit allowed.
signature://4
Print Name: DARRELL MCNEEL
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� ��U���U�~° �"°.=.~~�° PERMIT #: E�����7�
13125 SW Hall Blvd., Tigar . OR 97223 DATE ISSUED: 10/14/2006
Phone: (503) 639-4171
Inspec quests (24 Hrs.): (503) 639-4175
.���^�
INSPECTION WORKSHEET FOR DATE: 10V21/2005 TIME: 7:00Ak4 PAGE: 74
SITE ADDRESS: 07630 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1999-00020 LOT #: TYPE OF USE:
PROJECT NAME: LIFE ERA
DESCRIPTION: (1) sign circuit - 3rd floor electric room. Job #251525.
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-9488
Inspection Request Scheduled For: Date: 10/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message C) 199 Electrical final 018992-01 971-506-3727 Y
Corrections/Comments/Instructions:
.
y
_NI PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
n FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
_
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Inspector: Date: / �� ��� Phone #: (503) 718-
} . CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00778
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/14/2005
Phone: (503) 639 -4171 /iia N4P i ������ *
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7:09AM PAGE: 102
SITE ADDRESS: 07630 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1999 -00020 LOT #: TYPE OF USE:
PROJECT NAME: LIFE ERA
DESCRIPTION: (1) sign circuit - 3rd floor electric room. Job #26152,- (I
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC G PHONE #: 503- 255 -9488
('-rx 254 7 /24'
Inspection Request Scheduled For: Date: 10/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 018773 -01 971- 506.3727 N
Corrections /Comments /Instructions:
U t4 ec.6 le 4 jell i 4
at P c h / v
•
n PASS PARTIAL APPROVAL n CANCEL O ACCESS
. L n CALL FOR INSPECT' ❑ ADDITIONAL FEES ASSESSED "`��� k,
Inspector: Date: ei .02-4/ ...- Phone #: (503) 718-