Permit A CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00676
- 1 ( Ih . DEVELOP
OP MEN T SERVICES C (50 639-4171
DATE ISSUED: 10/25/2004
13125 SW Hall PARCEL: 2S113BA - 00400
SITE ADDRESS: 07632 SW DURHAM RD 125
SUBDIVISION: SW CENTER SDR1999 -00020 ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: (12) Branch circuits, Fire alarm install.
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: 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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 11 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
Reg #: ELE 37 -995C
LIC 155483
FEES SUP 5020S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 10/25/200' $195.00
[TAX] 8% State Surcharge 10/25/200' $15.60 Low Voltage Inspection
Rough -in
Total $210.60 Elect'l Final
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: _ , tI Permit Signature: r 7(..,
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
0,ct 2 1 04 02:38p Randy . 3 6 0 - 3 3 5 - 8 2 33 p . 1
, . . . . . . . . . . .
'. ,,, .Electrical Permit Application=
. .. . .
.. • ..: ." •. • ." .. - : . Rnt:orrtcF.:VSE . 0NI.1' .. . .
city of Tigard
In t,UC 0 V P io.: E DA • •gece,vvdi,_ iv . .
Dote/Byt I if - c7-_ - errni N i e- i .., c4.g a y-ad 6 - 76
13'25 SW Boll Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 5015 9S.1960" , -'
UU 2 1. 200 II OPlet*: Other Perrnir
Inapcction Linc: 503.639.4175 ...., .1...... .. Dote Ready/By: ).^,, , , ...... 121 See P2ge2 (or .
Internet: www (ITV r TIO Pfl
.ci.ligard,or,us Notitle/MeeM I) kr od: - Supplemental intormaium
.A
. .. :: . . . • ' '.. :!.: .:': :::- • . riiixrxi=9.givvxmictic.qnu : .. , -...--, • . • - ... . :. : • :. . : .• : : •!: ...pboi: REv1.1..i ::. . :.• • ..• : ... .
0 New construction - Aerdlie7ta ‘ i;raintlireisiC - aris'ertt Please cheek all that apply:
MSeroiCe over 225 amps, corrtrn'l 0Hazardous location
ID Demolition Other:
Uvice over 320 amps - rating 0.13uildng over 10,000 sq. ft.,
:.... ...,.': , ;i !.' .. - '.- : ' i E .'.. • tii - :e167.0**u.'crioiv•-• • : ;:','-,!-*".• " . - ' Ser
of I- and 2-family dwellings 4 or more new residential
0 1- and 2-farnily dwcllm ID Accessory building pSystcm over 600 volts nominal units in one structure
OBuilding over three stories P Feeders, 400 amps or more
[11 Multi- family . 0 Master builder El Other:
00ccupain load over 99 persons OManufactured structures or
000 SITE uvFoft.mATioN "A Nitl' :1..;OCATION : ,...,i .: :-: ' '* j : • . ' . . . DEgiess/lighting plan RV park
Job no.: LID - 7 - Job site address: -74,32 510 p ikr _b a.na 2, : OHealth-care facility 0Other:
Submit 2 sets of pluns with any orthe above.
City/State/ZIP: - 13 ._.d ca_. c f 7 a-D3 The above are not applicable to temporary coma service.
1
• ! ','. SCREDUW...: ' ' : ' ',. • 1: .
Suite/bldg./apt. n( 2 Project name: Co\ Ltryl c orywiLtni .4 1 2, pn ii ', .' • - • ,
rl, Descrtp , FEE • ..
aati Tram I -
Cross strcet/directions to job site: New residential single- or multl-famlly dwelling Wilt.
• Includes attached g ara g e.
CA.11'1 11 .:CI 4 kiL) 1 -2-1.\ d
1,000 sq. ft or Ics$ ,
145.15 4
Subdivision: LOt no.- Ea. add' I 500 sq. ft_ or portion i 33.40 1 /
Limited energy, residential 75.00 2
Tax map/parcel no.:
Limited energy. non-residential 75.00 2
:.: : • ' .' :... '..:; : ;...... ::.:1::''' DESCRiPTION'•::OF:•4 ' ' . ' . .,. :. .. "-••::, ",:.:-' :' '..' '' : '' Each manufactured or modular
el service and/or feeder 90.90 I 2
e.An, + c1,,,, 1 A - TrovearYttien .4- servicea or feeders Installation, alteration, and/or relocatin
200 umps or less 80.30 2
ilEIZT'.:OWPJER ' • : ..:.: .. ' .' :. '-'''.! ' '' • ':' TEN'Ailt ::: : .. . ..-• • • ' . 201 amps to 400 amps 106.85 2 '
.. .
•
401 arnps to 600 amps 160.60 2
Name: D VIA S N DV-.J.k Li je e,-4- .
L. C , 601 amps to 1,000 amps 240.60 2
Address: i up., - t,0 ', .
-, 3D Over 1,000 amps or volts 454,65 1 2
Reconnect only 66.85 i 2 •
•
City/State/ZIP: pl3r---\ 012 • • - 1 o 05 Temporary services or feeders installation. alteration, and/or •
relocation .
Phone: (51:5)) O ft - a94,5 I Fax: ( 5- 0 . ) 914 ,- 8 (4 ,/.1
200 nmpa or lesa 66.35 1
owner installation: This instafintion is being made on property that I own which is not 201 amps co 400 stops 100.30 2
-
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: Date: Branch circuits - new, alteration, or extension, per panel
'' "
:" f ' 0 A.PfliCA1Nr • :• .. :. • 1 • • . .' ptRSOI;'; .' :. . A, Fee for branch circuits with 1
service or feeder fee, each
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name:
without service or feeder fcc, /
4685 Ci . 85 - 2 _
each branch circuit
Address:
Each add] branch circuit L I 6.65 7 3. 15 - 2 -
Ciry/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation eirele 53.40 1 2
Phone: ( ) Fax: : ( ) . _
Sign or outline lighting 53.40 1 2
E-mail:
Signal circuit(s) or liMilede
. : : ; • ; :.....: ...'' • •'''•:' ...: ;'"!!,..... : CONTRAe.TOR: - ': i'. ..• ' ... '' ' • • • . •. . energy panel. alteration, or
extension, Describe: 1 Page 2 7 . 11 , 2 2
Business nam NI 0 rIkto, E-t-tcAff c 4,1 CDrOvac-491 M-)c I .. _
Address: S S L s# /
Each inspection additional inspection over allowable in s ay of the above
DI CID5 3-14-4-, •
' Per
City/State/ZIP: \ok)::(2■-\-: k.,1/4.) 9e col I Jrniestigation per hour (1 hr min) 62.50
/ .
t
73.75 .
t
Phone: (g(60)...3&5 -B233 Fax: ((.co) 535-82.33 Industrial plant per hour
').-'1 ' - -; • -\::':::•ELECTR1CAL,FERMIT YVES" .. ...:.'::'
CCB Lir.: IL 1 ( 9 Electrical Lic.: 31- C Suprv. Lie.: 5
Subtotal 195. CD -
Suprv. Electrician signature, re quired: /4... Plan review (25% of permit fee) ----
State surcharge (8% of permit fee) /5. IPC)
Print mane,: " 7T Date: k.e/ Date: /0 -3 1,91 ____.,__
TOTAL PERMIT FEE ! 2/O. 60 -
..
Authorized signature: 1 1 e This permit application expires if a permit In not atirainett within i on -
days atter ft hut been aceepttgl az cnrnpitte
Print name: sl-,;, -r k Date: /0 /a. I) Oil rc Jrictuscry $arrice Ehuerct •
.C....
ahnItlint7Crthht 12103 440 ST( I 0/071COMPAISB • .
/ .e.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line:. (50,3) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested ° � /� - �' AM PM BUP
/ -
Location 3 Z C-v� �iryr Suite la,S' MEC
Contact Person i Ph ( ) PLM
Contractor ! ' • 1-P Ph (, 7.2 - L/3 // SWR
BUILDING Tenant/Owner ELC ( 7 4 --490 70
Footing
ELC
Foundation \ /
Ftg Drain Access: ELR V C' �i 1'�
Crawl Drain
Slab Inspection Notes: SIT q'f °v ) - (Y,
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing I
Insulation \ \\55\ UV 0 1W 1- 1\i
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough - Service KI,V G C3 �
Water Service
Sanitary Sewer
Rain Drains -
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL. .
Post & Beam
Rough-1n
Gas Line
Smoke Dampers
Final A :��� �'o��
PASS PART FAIL
ELECTRICAL jA \ - O'b
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
mar Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
1 PART FAIL
SI Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line P
ADA
Approach /Sidewalk Date Inspecto / ems" Ext
Other:
Final D • NOT REMOVE this inspection record from the Jo site
PASS PART FAIL