Permit CITY T I G w^ VHK D ELECTRICAL PERMIT
PERMIT #: ELC2005 -00118
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DEVELOPMENT I ' S ER CES (503) 639 -4171 DATE ISSUED: 2/28/2005
_ 4 4 . 41(
PARCEL: 2S113BA -00400
SITE ADDRESS: 07632 SW DURHAM RD 125
SUBDIVISION: SW CENTER SDR1999 -00020 ZONING. I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Add sign to bldg.
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 NORTHERN ELECTRICAL CONST.
1000 SW BROADWAY 39905 SE 37TH ST.
1130 WASHOUGAL, WA 98671
PORTLAND, OR 97205
Phone: Phone: 360 335 - 8233
FEES Reg #: ELE 37 -995C
LIC 155483
Description Date Amount SUP 5020S
[ELPRMT] ELC Permit 2/28/2005 $53.40
[TAX] 8% State Surcharge 2/28/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.68
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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: _fT - Permittee Signature: ,ems
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 639 -4175 by 7:00pm for an inspection the next 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.
Feb 28 05 01:20p NEC, Inc. 360 - 835 -0989 p . l
10/21/2004 1:5:41 IAA wsvo.tvou �� �• �•�•••� ��o
Electrical Permit A ''e l s® 14)1COFFIC: t SF ON11i '
City of Tigard ® pat .0�� permuNo.: 6,....c„,20) _ ...4,76 I is>
13125 SW lia11 Hlvd.- Tigard, OR 97223 n ■05 ,- Plan Review gtlwrPctmit:
Phone: 503.639.171 Fax: 503.598.19t 4 -: p1't: r Die y
Inspection Line: 503.E39.4175 tr� F s: . 7E,. Date Ready flay: 1 u 0 See Patel for
Internet: www,ei.tiganLor,us c l� C RO 1 Notified >clbod: L / �� pP meatal lararm.ta:n
,
��� g P 4o� Pte' RE VIEW le •
ew construction ❑ Val t z/alterationlreplacement Please check all that apply:
CIService over ❑ Demolition ❑ Other. DScmcc over 320 amps, c rating l ❑Bu ldng Over 10,000 sq. ft.,
.CATEGORY' OF "O!f3N3'IYtUC'➢IUN _ � � " . `! of I- and 2- family dwellings 4 or more new residential
p 1- an 2-family dw ❑ Commercial/industrial cessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories OFeeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other ❑Occupant load over99 persons ❑Manufactured structures or
SOB SITE ; INFORMATION AND I;OCATION ":` ` : , _ ❑Egress/lightiag RV park
[]Health -care facility ❑Other:
Job no.: 5o Li Job site addresss "'� C
address: o 3a Sal) b' AdIVIa.m Rd i Submit 2 sets of plans with any of the above.
Ciry /State /ZIP: -` �, Q y � Qa `T 7 o S Jas The above ere not applicable to temporary construction service. - ,
J ) 'FEE° SCREDULL "'
Suite/bldgiapt no.: l Project name: oj is 4 � j3Q,7 /�/, oetenonen i Qa. J Per_ reel l
Cross streer/directions to job site: +"-elf New residential tingle- or multi - family dwelling unit.
(� �� Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision: I LOt no.; Ea. odd'1 500 sq. it or portion 33.40 i 1
Limited energy, residential 75.00 2
Tax map/pareei no.; Limited energy. non - residential 75.00 2
--.,
. ESCRIP..Tibr4: dF : WoTix: " . ', . , . . .. Each manufactured or modular
` - A r J dwelling, scr lee and/or feeder 1 90.90 2
n o/ G1 / �{,i -- / - D -f -e Q ,,,,,7 , I a l • , , Services or feeders installation, alteration, and/or relocation
J (/ '200 amps or less 80.30 2 •• amps 106.85 2
❑.Pi .. .•; ..', :• T ENAiYT ... 401 snips to 600 amps 16060 Z {
Name; �dF i bte CO n f l n - 601 amps to 1',000 amps 240.60 2
Oyer 1,000 amps or volts 454.65 2
Address: W 0 t S • o1 Reconnect only 66.85 Z . •
Ciry /State /ZIP: a -3 Temporary services or feeders installation. alteration, and /or
f GGl ✓'Oi f U Iet� - 9 9 ,D- r relocation •
Phone: (63) q' _� 3 1 a Fax: (S(3) 9, ,.3 f 2 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps , 100.30 2
intended for sale, leat;e, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 _ 2
Owner signature: branch circuits -I new, alteration, or extension, per panel
• 1 COI' TACT' PERSON A. Fee for branch circuits with
aPL1yICANT service or feeder fee, eaclt
6.65 2
Business name: branch circuit 1
S. Fee for branch circuits
Contact name: without service or feeder fcc, 46,85 2
each branch circuit
Address: Each add'l branch circuit I 6.65 2
City/State/ZIP: MJscellaneons (service or feeder not inclodcd)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: ( ) Sign r outline lighting ( 53.40 '3 2 •
E-mail:
WTI
circuits) or limited-
.. : COhFTRACK OR .:.:... ! • is
ener p anel , alteration, o r • 2
extension. Describe: Page 2
- Business name: Opr ` I W f r\ r v c r t„ 1 _}- . `
� _Each additianrl inapectinrt over allowable in any of the above
Address:3 l�S SL 3 - ) 44- S Per inspection ' 62.50
City/State /ZIP: �(� S4\,p1,t5 � � l� R q2 (p -] / lnvcstigation per hour (1 hr min) 62.50
_ ,yam p, Ind ustrial plant per hour 73.75
Phone: (3( S35' 23 3 Fax: ( LLB) 855 -VI ! Industrial
- ' • :.: •;sET ECTRiCAL,P .. EAWIFF FEES *. .•'' ` ,
CCB Lic.: / ( , / f0 qa 1 Electrical Lic.J Q uprv. Lie. :37_ 99s-e - Subtotal 5 � r " )
Svprv. Electrician signature, required:
Plan review (ZS °/n of permit fee) i--
2 _� X0 State surcharge (8% of permit fee) LI �e
l4 Yl d
Print name: j ` Date: J 5 _ � ,� �
—Z----'''' -. / TOTAL PERMIT FEE
AUthoriZed Signature: f T his permit application expire. if a permit It not obtained within Ian
day. east it has been accepted as complete
Print name' 5+ v c. i e T H s K ✓ I Date :c9 / l aS /ps - ree mcthodololz sot by 'rri- Caunty OuitdinE Industry Service Board
'•,Number of inapemions per permit allowed.
I:\ BudOinaSretmlatELC- rrvnitnppdoc I 2/03 440 -461STIIeo2rCOM.'WaB -
•
CITY OF TIGARb 24 -Hour
BUILDING Inspection Line: ,(503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 3 —D_. AM PM BUP
Location 3.0- u- iZc/ Suite /.P-5° MEC
Contact Person 2Cv^^ U Ph ( (v 3 D) 57? — 5 9 / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 2005 001/8'
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
—
Fire Alarm � '
Susp'd Ceiling f
Roof
Other:
Final ) PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
-
Final
PASS PART FAIL -
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTR
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA Date
Approach/Sidewalk
Other:
j� Inspector ��- — _ 7 Ext
Final DO NOT REMOVE this inspection record from th b site.
PASS PART FAIL