Permit , A CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00452
�•��� DEVELOPMENT SERVICES DATE ISSUED: 8/15/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S113BA -00400
SITE ADDRESS: 07632 SW DURHAM RD 300 ZONING: I -P
SUBDIVISION: SW CENTER SDR1999 - 00020 LOT : JURISDICTION: TIG
Project Description: 2 br. circuits HVAC and server outlets.
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: 1 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: Contact #: PRI 503 255 - 9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 8/15/2006 $53.50 LIC 48748
[TAX] 8% State Surcharge 8/15/2006 $4.28 SUP 31325
Total $57.78 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:� " Permittee Signat a/�
U
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.
„ ,-. 4' - -.
Electrical Permit Application _ • ”. " FOR OFFICE USE olvw'
n
• ( r • . r. Received
do r < y, 1 Permit no ', 00
fd 1 Date /B I (/ ��
City of Tigard �' . Plan Revi w
. Other Permit
13125 SW HALL BLVD., TIGARD, OR 97223 0 Date /By.
Phone • (503) 639 -4171 Fax (503) 598 -1960 AUG , C i g6TIGARD Date Ready/By. II SeePage2 for
Inspection Line: 503- 639 -4175 h1U l7 Notified/Method. Supplemental Information
Internet• www ci tigaid.or us
' & -: a.. ° <`7TYPE -;OP alt1:41',NI Ir A� M ;'T; M lP.r.AN' viEwr V I RVT
Li New construction U Addition / ern oil/t�2 TTR,T01 Please check all that apply
❑ Demolition ❑ Other f I ❑ Service over 225 amps, comm'l ❑ Hazardous location
r;;;' °,., y � 49 = a,�;,° GATEGOR:Y,OF CONS FRUC IO ' t' , „a!,,E , ` .., ,, 1 , i` ❑ Service over 320 amps - rating ❑ Building over 10,000 sq.ft
U I- and 2- family dwelling U Commercial/Industrial U Accessory building of 1- and 2- family dwellings 4 or more new residential
❑ Multi- family ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units in one structure
1 , . ' ` ” `" JOB IS TE INFORMAT,10 ADD LOCATRN , /, ' " '` ❑ Building over three stories ❑ Feeders, 400 am
. •.� - ��,. i �. , _ ' ter. N� ? � ._ 9 amps or more
p
Job no.. 261335 Job site address 7632 SW Durham ` Rd
El
load over 99 persons ❑ Manufactured structures or
❑ Egress /lighting plan RV park
City /State /ZiP: Tigard, OR ❑ Health -care facility ❑ Other.
Submit 2 sets of plans with any of the above.
Sulu-bldg. "apt no.. 300 Project name United Behavioral The above are not applicable to temporary construction service.
i + ; `'� ; •k' '1` ° :,:'��,..• ..`4 , i . ittr,SCHEL2ULE.` :. ' -2 �' 'T, r:I•��° * '
Cross Street /Dnections to job site. [Description Qt Fee. r Total "
New residential - single or multi - family dwelling unit.
Subdivision. Lot no. Includes attached garage.
1000 sq. ft. or less $ 145 15 4
Tax map /parcel no : Ea. Add'l 500 sq ft or portion $ 33.40 1
";•,,, , , r _, ` <,DESCRIPTIONIOP WORIG a t, a,t V "(,*s `// ... : „ Limited energy residential $ 75 00 2
New HVAC RTU connection and Server outlet Limited energy, non - residential $ 75 00 2
Each manufactured home or modular
.. , U _ PROPERTY, ®W1ER'ir ;, `1,1, i „ :•''J`”' 7 UrTENANT „'T; ' ' ' °,,, , dwelling, Service and/or feeder $ 9090 2
Name Service or feeders installation, alteration, and /or relocation
Trammel Crow 200 amps or less $ 80 30 2
Address 4949 Meadows Rd, suite 150 201 amps to 400 amps $ 106 85 2
401 amps to 600 amps $ 160.60 2
City/State/ZIP Lake Oswego 601 amps to 1000 amps $ 240 60 2
Over 1000 amps or volts $ 454 65 2
Phone Fax Reconnect only $ 66 85 2
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 I $ 66.85 1
Owner signature. Date 201 amps to 400 amps $ 100.30 2
401 amps to 600 amps . $ t33 75 2
- ' L ',APPLICANT ,7 •. I , ,' • s ❑ , CONTACT , • ;g Branch circuits - new, alteration, or extension, per panel
A Fee for branch circuits with
Business Name.
service of feeder fee, each
Contact name branch circuit $ 6 65 2
B. Fee for branch circuits
Address without service or feeder fee,
each branch circuit 1 $ 46 85 46.85 2
City /State /ZIP. Each additional branch circuit. 1 $ 6 65 6.65 2
Miscellaneous (service or feeder not included)
' Phone Fax. Pump or irrigation circle $ 53.40 2
Sign or outline lighting $ 53 40 2
E -mail Signal circuits(s) or limited-
« r ".' ' ft :,,,'' W. -.'HPSW T CONTRACTOR LI5'`i ,S' ,. . 7 :`;fir . „, ;:q#1. energy panel, alteiation, or
Business Name. CAPITOL ELECTRIC CO., INC. extension Describe. Page 2 2
Contact name. Each additional inspection over allowable in any of the above
Per inspection I I $ 62 50
Address 11401 NE MARX ST. investigation per hour (1 hr mui) I $ 62 50
Industrial plant per hour I I $ 73 75
7'.4-1r,
City/State/ZIP. PORTLAND, OR 97220-1041
11 r.'ELECTRKA PERMITEtEES ' , ‘74
Subtotal 53.50
Phone: 503- 255 -9488 Fax. 503- 257 -7121 Plan review (25% of permit fee)
State surcharge ( 8% of permit fee) 4.28
CCB Lic . 48748 IElectncal Lie. 26 -496C jSupry Lie 3132 -S TOTAL PERMIT FEE 57.78
This permit application expires if a permit is not obtained within 180
Suprv. Electrician signature, required
/ �. days after it has been accepted as complete
Print Name. DARRELL MCNEEL �� at / 10/06 ' * Fee methodology set by Tri- County Building Industry Service Board
Authorized signature' * *Number of inspections per permit allowed
Print Name: DARRELL MCNEEL /Ar /100
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2006-00452
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1512006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/18/2006 TIME: 7:03AM PAGE: 64
SITE ADDRESS: 07632 SW DURHAM RD 300 CLASS OF WORK:
SUBDIVISION: SW CENTER 50R1999 LOT #: TYPE OF USE:
PROJECT NAME: UNITED BEHAVIORAL
DESCRIPTION: 2 br. circuits HVAC and server outlets.
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-265-9488
Inspection Request Scheduled For: Date: 8/113/2006 Pour Time:
'Code # Inspection : -scription Confirm # Contact # Message
199 Electrical final 036219.01 503-616-9488
Corre - - e •• •• • - ructions:
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RJ5.6. um / PNL Z,R3 19 2-1.
PM 2 12 33
PASS I PARTIAL APPROVAL I I CANCEL pi NO ACCESS
FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: t't LE; Date: 1: ' Qolt, Phone #: (503) 718- 1-1144