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Permit C ITY OF TIGARD clv q ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC2006-00151 n : DATE ISSUED: 2/23/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S101 BB -01400 SITE ADDRESS: 12070 SW GARDEN PL BLD5 ZONING: C - SUBDIVISION: PARK 217 LOT : 002 JURISDICTION: TIG Project Description: 31 branch circuits. 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: 30 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: SPIEKER PROPERTIES LP WILLAMETTE ELECTRIC INC 4380 SW MACADAM AVE STE 100 PO BOX 230547 PORTLAND, OR 97201 TIGARD, OR 97281 Phone: 503 - 675 -8700 Contact #: PRI 503 - 624 -3631 FAX 503 - 624 -2938 FEES Description Date Amount Reg #: L1C 75059 [ELPRMT] ELC Permit 2/23/2006 $246.35 SUP 1965S [TAX] 8% State Surcharge 2/23/2006 $19.71 ELE 34 -283C Total $266.06 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC 503 - 246 -6699 or - 800 - 332 -2344. Issued By: . I Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • 911163 2006 5:01PM HP LFISERJET 3200 - 1 O00 'P 2 a�C$r it Permit 9111$ � ] '�IC�$1® {1 t y �� �.., OFFICR L3SE ONLY - , _. _ .....__ ..,..f, to , � }.< Receive 4 /a/ tr.� y�f�C4 ■006./ t/CO ✓ permit N� City of Tigard d *. Uate/a 13125 SW Hall Blvd., Tigard, OR 2 e Plan Revie Other Permit: Phone: 503.639.4171 Fax: 503.598 1960 C 7 `loop ' ' ' l�drfl�l tl` r DatefBy: fa l � r a i, j. •' Date Ready(By: Luria: RI See Page 2 for - ..In e t : WWW 503.639.4175 igard r. us Supplemental lnformation ' I NotifiedRvteHtod: Internet: www.ci.tigard.or . us ' i - r, T , :sn. - ¢�iv " - .�,t� ,i ; . ,t ^; a: 44-hate; s!'�,p�; a4i" ; 1`': ,. ana t r T PU ;•i>'v' § 0. ,, 1 "= sY` `i: : t �_'„ 4 i ' `. i `l Elfrv,; ' if ', :' UY 1 1" �'`' 'f • , -, , -• 1 ; : . r, n . ,. �, ,,. 'R§ N . -. - "I b`," � ' u c #, °i � . t 3 }y 4 v � . t" r`'::.a.... ..G.:. , _ - . -s:l..:: r.. x'�� �'' n " = ,,,; �+ � ,•t. � � � Please check all that apply: ❑ New construction .4 i, �r erauon/replacement ['Service over 225 amps, comm'1 ['Hazardous location ❑ Demolition ❑ Other: ❑Service over 320 amps - rating ❑Bulking over 10,000 sq. ft., • ,, „ t ntRMI' , q �` 1 �� � 3'jE1. t 1 , ' *a+ f " •'. ' ibi ' �'' `,V IAl•4= . of 1 - and 2- family dwellings 4 or more new residential ' 4 , 3 v , . 1 1! e t »wz.a°i � �� - - , :, i"' �3t. ua : :, �?..K.�34..t!!<i �... sf -- a., :.t � +.. 1• 1e.;+,r.eoL:wi ❑System over 600 volts nominal units in one structure ❑ l and 2 - family dwelling o 1erciaUindustrial ❑Accessory building 0Building over three stories ['Feeders, 400 amps or more ❑ Multi family ❑ Master builder ❑ Other ❑Occupant load over 99 persons ❑Manufactured structures or -° � a ti t}•+x it t , r l rt 1 }a is �:Z ' , i3 . n it r t ' " t. RV park l°, 'e '1'* r �n�axr, le w 't , l s t t til it 6spr,� 1� i�a) t ( "''�.� ::!W.f ❑E IeSSllightin pl t �? a ,wa ,G�,r, t , �, ^1 . - tu��.,,r, :»ft .a 1S ❑Other: QHealth -care facility Job no.: 2 j Job site address: 1 21 6,, s k) c azz,i, Submit ? sets of plans with any of the above. City /State/ZIP: The above are not applicable to temporary construction service. yL Suite/bldg. /apt. no 1 Project name: �, i II Description Qty. Fee. Total Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 61 11 C 3 , t -- Z ( 4--- 1,000 sq. ft. or less 145.15 4 Lot no Ea. add'I 500 sq. ft. or portion 33.40 1 Subdivision: Limited energy, residential 75.00 2 Tax map/parcel no.; Limited energy, non - residential 75.00 • 2 , ' "d RM k 7+ a „ IPM a "y161fMi t ti r a "s "t � a ll "a igerI 3 J �f t Each manufactured :� ,f �`i�� N' � � ,rs$) u�� � 1'§l `'� �i'� r t � � -� .... y ' or modular - ul + - �"' a " `) r ' } i � dwelling, service and /or feeder 90.90 2 I f &f..4.i5; f - iki1„y,e,,,.j _ Services or feeders installation, alteration, and/or relocation f 200 amps or less 80.30 2 N s s r ,, , 1: +• s• � •, i 2 01 am to 400 amp 106. BS 2 1 t M tt, : j r t t ec rt'I P MEMI e. It�1F Riti kr; �Gt�i ri , ., :-.i , A , x1 160.60 2 '' . ,_ , 2 ,fit ,.p, fiina 1, ...+ 401 amps to 600 amps Name: 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 Address: Reconnect only 66.85 2 City /State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) `Fax: ( ) 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, 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 r 1# a I l ,„ }ekt' ,. P „ , , 4 p 109,„ R1 e t awr , r t+ `y N 5 4 i , A. Fee for branch circuits with `.Z jL .a4 r3o.aiiu ? ` t � y ut t .a . 1 :2:1 i 3� f »� squ, - =, ,°a` 'E 9:1419riat sf 1.; service or feeder fee, each 6.65 2 Business name: branch circuit _ -- B. Fee for branch circuits r Contact name: without service or feeder fee, / l7 46.85 '� '' EC-11 -11 2 each branch circuit l Address: Each add'i branch circuit 3 u 6.65 (9 ' 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 Email Signal circuit(s) of limited - ;, , t <, t `e, z ,: ;• energy panel, alteration, or ' � r 'A i`,11> ' ' 1t al.'. '" i t ;ta. Sk: �IiY s ^ a: attr,,. + : > Paget 2 t �+ - extension. Descr Business name: �� y _ `` Each additional inspection over allowable in any of the above Address: ? C7 e.e `,. L.30 4 7 4- Per inspection 62.50 9 Investigation per hour (1 hr min) 62.50 Phone: ( City/State/ZIP: r45. fFf7..0 C .) ,�._. _/ 7 za Industrial plant per hour 73,75 ;4 ) , 2-ti - .�6.7( , Fax: (.03 ) &?-.4, " Z-' ? S,•-• a : „3. tt;X,: t ait°la"s,l °'1r .'1'.` - CCB Lie.: - 7- ve, _y' / 1 Electrical Lie.: 3 3 cl Suprv. ic.: (9 6 r Subtotal a ta, 3"; Plan review (25 % of permit fee) Suprv. Electrician signature, required: 7e' State surcharge (8% of permit fee) ki 9 r fi / Print name: Date: - 1. z --d . ,,, ' TOTAL PERMIT FEE C ale G ,11 4, Authorized signature: ' • This permit application expires if a permit is not obtained within 180 >' days after it has been accepted as complete fI jute: • Etc 11ethOdOlon set by Tri- County Building Industry Service Board Print name: I +. Number of inspections per permit allowed. :\ Building \PernualELC- PcnnitApr.dee 17103 440.4615Ttt0/02 /COM/wEB CITY OF TIGARD BUILDING DIVISION PERMIT #:424a0,6 D 0(ci 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: • Phone: (503) 639 -4171 rt p�l@I� (1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: l 7 GTP. t o-'- P 1 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: , #:C ) CONTRACTOR: I (( C . Q C PHONE #: Inspection Request Scheduled For: Date: 3 - - -° Pour Time: - - - # I _ - e _ _ Confirm # Contact # Message J Corrections /Co ments /Instructions: C OPASS PARTIAL APPROVAL ❑ CANCEL U NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Nt:%-Lk Date: 3 3 f 6 () Phone #: (503) 718 - 2.tivo. CITY OF TIGARDC BUILDING # : 2 0 0 6 , DIVISION /16)/.5-1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 441400,1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /2 6 7 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 `j 0(0 Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: • • PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:v ' Date: 3 ob Phone #: (503) 718- IdISK CITY OF TIGARD - ELC. BUILDING DIVISION PERMIT #: Z 2C -OO %s - 13125 SW Hall, Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 'u4p a li Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: ' , o 7 CLASS OF WORK: SUBDIVISION: T #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 -a _ d 6 Pour Time: Code # Inspection Descri■ Confirm # Contact # Message Corrections /Comments /Instructions: 0—ejW1 b ID E o . 3 -A - o b n PASS PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS I f FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD EL o BUILDING DIVISION • - PERMIT #: 00 /S 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 / , 1 u�j�i�ry�fjll+� Inspection Requests (24 Hrs.): (503) 639 -4175 ...'!� mamma . INSPECTION WORKSHEET FOR DATE: TIME: PAGE: e ta /dam SITE ADDRESS: / D-- O 7 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 1 DESCRIPTION: get # 1-10-1-is •g - OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: a — 2g- .4P Pour Time: Code # Inspection Description Confirm # Contact # Message fD-s 4 - 4 1-3 3/ Corrections /Comments /Instructions: • L / # 3 bX= fi 8 F Ip, LL cAsq - 6r \ N PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Q 0 `✓ E -L Dater I a Phone #: (503) 718-1-441C)