Loading...
Permit � CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00143 w -,• c. � lit /. DEVELOPMENT SERVICES DATE ISSUED: 3/23/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 BB -01500 SITE ADDRESS: 12256 SW GARDEN PL BLD.1 ZONING: C -G SUBDIVISION: CROW PARK 217 BLOCK: LOT : 003 JURISDICTION: TIG Project Description: Job No. 6962 Tenant Improvement 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: 1 W /SERVICE OR FEEDER: 03 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: SPIEKER PROPERTIES LP NEW TECH ELECTRIC 4380 SW MACADAM AVE STE 100 20811 NW CORNELL ROAD PORTLAND, OR 97201 HILLSBORO, OR 97124 Phone: Phone: 503 - 648 -1900 Reg #: LIC 41868 SUP 2113s FEES ELE 26 -418c Description Date Amount • Required Inspections [ELPRMT] ELC Permit 3/23/04 $146.80 [TAX] 8% State Surcharge 3/23/04 $11.74 Elect'I Service Rough -in Total $158.54 Elect'I Final This Permit is issued subject to the regulations contained in the Tigard Muniapal Code, State of OR. Speaalty 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: Permit Signature: / A //Ldo / - / 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 03/2/04 MON 15:05 FAX 503 648 3131 NEW TECH ELEC U 001 eC# �C, Per FOR UF�'FIC ; USE ONLY �� Received Electrical 2 DatcR�: i2)7- Permit No pp %Z60 -- 0") / y✓ City of Tigard Planning Approval Sign MAR Plan R Y' PermitNo.: 13125 SW Hall Blvd. LOO4 Plan [tcview Other Tigard, Oregon 97223 CITY OF TI Date/By: PermitNo.:t3bj0'p9, eV 1 7 , - ,0 00 ? y phone: 503 - 639 -4171 FaROAD 0 4 i• RD Pos t- Rcvicw Land Uric S I • ' : ' I`� Dat /By: Case NO-: Internet: www.ci.tigard -or.us 1 041 u�l i Contact Juris.: EDI See Page 2 for - 24 -hour Inspection Request: 503- 639 -4175 - , Name/Method: Supplemental Information. I 9 P n L1 , ' n , , 44„ .-i �:i • d r rP IP, 0 , ,., , n el4 I Pl ° , Fyn ��,, :�Yl',�17'�IIr :' i,� u;li;; �d iti'n` 'I�' ���'�- , �`i,� :�� }! ��fl� °l ' 1: , .'i�l�, "'�?� ('I' 1�Fs`t1i' Yea�'e ic'h�� a 1'• �a�i.� � i�• �', "ir -, ; ' ,.,Iv�. .i .,, ,'lf , ��'�1�YE1;0 „ ,� d,�ia , , , ��cs,� , �o� ,.0 , a n „��,l,Hl�, I ���• ,t[��Sia(I',_ 1%�r,� X :� aR1�J�1'� New cons ruction ❑ Demolition ❑ Service over 225 amps- LI Health -cam facility commercial 0 Hazardous location Addition/alteration/r - .lacement Other: ❑ Service over 320 amps - rating of ❑ Building aver 10,000 square feet, lil4llx' x ,i,,,iic r' K O jol 00 , RUCI I C "' i...4 1 & 2 family dwellings four or more residential units in • 1 & 2- Family dwelling [1 COmmercial/IIlduStrial ❑System over 600 volts nominal one structure [] Building over three stories ❑ Feeders, 400 amps or more • Accesso Buildin: • Multi -Famil ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park • Master Builder • Other: ❑ Egress/lighting plan ❑ Other: Vp; �� 'p a'r ; - �' - '11 re , U! a, 1 rQTI 1 0 ;`, l — Submit of plans with the above. - ll�J` The above are not a Iicable to tem ora construction service. Job site address: A�1_ Zl� — I Z2S L '4.1 GpAe-o64 t - ;A,,'', 'gal ;ii i,` !'3 'i ii; � "' "' figni' ,., INLY., I';� kg; ; '1,' C_ •: Suite #: J Bldg. /Apt. #: Number of inspections per permit allowed Project Name: O6F1t-s ivocek. _ Description Qty Fee (ea.) Total New residential - single or multi- family per Cross street/Directions to job site: dwelling wilt. Includes attached garage. Service included: 1000 sq. ft- or less 145.15 4 Each additional 500 sq- R or portion thereof 33.40 1 Limited energy, residential _ 75.00 2 Subdivision: Lot #: _ L imited energy, non residential _ 75.00 _ 2 Tax ma I /. arcel #: Each manufactured home or modular dwelling , r s C R l0 JI I:4 I' l f� t1 ► d �� D ' � 4'i',' i' I 1 ;;:iq : l� iirry ‘„ a7; service and/or feeder 9090 2 W.Ir' .I. " 1 'i, , Services or feeders - Installation, _ alteration or relocation: n SO _200 amps or less I 80.30 GU. — 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps _ - 160.60 2 ,;� i r-• r � , pp p 1� � -� "^' I � � " - ' 601 mils 1000 am s 240.60 2 1Irr1 :!' AUl�i, f�;a? �i' � 0 ,1 �,, VIIMIE l lli����.:ts r a..PJ 1i 1 . ,911 } 7 �; °s p Over 1000 amps or volts 454.65 2 Name: pct OF-Flee. Reconnect only 66 -85 _ 2 ' Address: ark2 'L2 1 ev 1 - I 5 , t to C_au,. „" l _, Temporary services or feeders- installation, alteration, or relocation: City /State/Zip: 't) 5 aa-d i ©T . 7' '- 200 amps or less 66.85 I Phone: 5 - 6S - 5 b-- OS 4- Fax: 201 amps to 400 amps 100.30 2 ,e, •, IVI 1f1E': 1 7 ,:, i ��" ? , , u' g �Ui ibl AiA 0'. 1 �; 1 bl : i 19 401 n h circuits amps 133,75 2 �� � ic �,t 1 � -9�1. . 'I � S?e'�,l' ' � r � ..� ,. ' ���-iyl'i� Z r anch circuits - new ' alteration, or Name: extension per panel: - — - A. Fee for branch circuits with purchase of , i i ID Address:. _ service or feeder fee, each branch circuit / O 6,65 2 City/State/Zip; - B. Fee for branch circuits without purchase of service or fader fee, first branch circuit 46,115 2 Phone: Fax: Each additional branch circuit 6.65 2 E -mail: r Misc,(Serviee or feeder not included): Mil PP.1`iiiill� , ri73aa1 .'� �'p , ! DI_S.G!' . gr 0 ,41��� y � p '��'' iii P h a, or irrigation circle - 5 -� 2 o iU: !nu 1'..e 151sJIJPltlri'-'I+ s ign or out (i p ' ht in� 3,40 Job No: • t r ct 1t Z _ Signal circuit(s) or a limited energy panel, alteration, or extension _ Page 2 2 Business Name: New -1-f, 0 - :iyEt11-lt- Desorption: Address: 20.41 Mid (ouveAt. IZD - - City/State/Zip: j�i{�d�0 ( a� f I IZ�I Each additional inspection over the allowable In any of the above: ty p : )l Per inspection per hour (min. 1 hour) 62.50 Phone: So 3 1,e, icl p0 / Fax: So3 (9.-1R- -S1'31 Investigation fee: CCB Lie. #: $L. Lic #: 41$ Other: Ii a a1 In I � I s ` '� t �;R�I���, 'L�l�i �5�'���_I_�'i�) �' `i' "�:�.1.19�i�1{�`�7'"'i,ial�'� � "p,' �li �� :b ia�d��l.,l�'�,rl. >i' Supervising eieuult lat Subtotal $ P1(. ZO signature required: t jC � �( (M/-`- Plan Review (25°/e of Permit Fee) , $ Print Narne: 'Ph' 1 1.14i.. Lic. #: e l S `f t i S _ _ State Surcharge (8% of Permit Fee) $ _ j/ - 74 TOTAL PERMIT FEE $ / S 8 • 5 _ Authorized Notice: This permit application expires if a permit is not - - -yucu .., Signature: _ Date: 180 days after it-has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board, (Please print name) i:\Dsts\Petmit Forms\EIePcrtrntApp,doc 01/03 �2u /4c,ov..rr— ,<_____. ,CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 63= - 75 INSPECTION DIVISION Business Line: (503) 6 9 ' ' 71 MST BUP Received l Date Requested d c AM PM BUP Location 1 ° � ii PL-- Suite MEC ntact Perso Ph ( ) G X ay S PLM Contractor Ph ( ) ggk9 — 1 4-8( SWR BUILDING Tenant/Owner ELC Od - v0 / Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation A-PeRio vm f 7 AI , 1. Drywall Nailing l �� Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In 1✓ Water Service Sanitary Sewer r ` Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P ASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm - CID PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S - El Please call for reinspection RE: D Unable to inspect - no access Fire Supply Line / / // ADA tp 2,j - D �� Ins ector INM A Y Ext Approach /Sidewalk Date p Other: • Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL