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Permit CITY OF TIGARD ELECTRICAL PERMIT t ° V K PERMIT #: ELC2008 -00678 COMMUNITY DEVELOPMENT DATE ISSUED: 12/18/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 BB -01400 SITE ADDRESS: 12100 SW GARDEN PL BLDG 4 ZONING: C -G SUBDIVISION: PARK 217 LOT : 002 JURISDICTION: TIG PROJECT: IKON Project Description: TI 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: 5 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 REESE + SONS ELECTRIC 4380 SW MACADAM AVE STE 100 16310 SE RHONE PORTLAND, OR 97201 PORTLAND, OR 97236 Phone: Contact #: PRI 503 - 969 -2191 FAX 503 - 760 -8903 FEES Description Date Amount Reg #: ELE 49883 [ELPRMT] ELC Permit 12/18/2001 $80.10 LIC 26 -506C [TAX] 12% State Surchar 12/18/2007 $9.61 SUP 1691S Total $89.71 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 th- • e ! • - . ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OA. •52- 001 -0010 thr•..h OAR = 001 -0100 You may obtain copies of these rules or direct questions to OU at 503.246 6699 or 1.800 332.2344 Iss By: / /00i / Signature: • I / �e�dC 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: a- t ee__ ff 44, DATE: / 2 — /10 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. ?' Ei Permit Application FOR OFFICE U SE ONLY :„ Received ` - City of Tigard Date /By Permit No 9 , 0 4 E 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review Phone. 503.639 4171 Fax 503.598 1960 Date/By Other Permit d C S 7g T G A R D Inspection Line' 503 639.4175 Date Ready/By orris ® See Page 2 for Internet. www.tigard -or gov Notified/Method Supplemental Information ' ' _ TYPE 'OF WORK: _ ' , -PLAN REVIEW,- ..- Please check all that apply (submit 2 sets of plans w /items checked below) ❑ New construction ` tAddition /alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards ' `'"' ' `' .` - exceeds 10,000 amps at 150 volts or ❑ Floating buildings ' � � � CAT OF CONSTRUCTION - '' . E_ � ' " .� � �° � , -,p �: %� less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling %Commercial /industrial ❑ Accessory building amps for all other installations buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or . ❑ Emergency system larger separately derived system JOB'SIITE' INFORMATION AND; LOCATION.' r - r > , " ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "i -3 ", Job no.: Job site address: 100HP or more occupancy �� /� J/ ��/✓l/ ��CC ❑ Six or more residential units ❑ Recreational vehicle parks City/State /ZIP: ❑ H -car facilities ❑ Supply voltage for more than ----- /' ❑Hazardous locations 600 volts nominal � .t ❑ Service or feeder 600 amps or more / Suite/bldg. /apt. no.: Project name: / V FEE' SCHEDULE' .. IA _ . . Cross street/directions to job site: Description I Qtr. I Fee. I Toni I New residential single- or multi- family dwelling unit. NLA ! 1 Includes attached garage. Subdivision: Lot no.: 1,000 sq ft. or less 145 15 4 Ea. add'l 500 sq. ft. or portion 33 40 1 Tax map /parcel no.: Limited energy, residential ; DESCRIPTION OFD WORK` ' F _ - (with above sq ft) 75 00 2 Limited energy, multi-family 75 00 2 residential (with above sq ft ) Services or feeders installation, alteration, and/or relocation 200 amps or less 80 30 2 a , PROPERTY OW ' .` - ' '' `❑ :TENANT;, 201 amps to 400 amps 106 85 2 Name: 401 amps to 600 amps 160 60 2 601 amps to 1,000 amps 240 60 2 Address: Over 1,000 amps or volts 454 65 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 599 amps 133 75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A Fee for branch circuits with ''a' °.,, t''',, r° _ ❑ ; CONTACT PERSON. . ❑ APPI ICANT .g above service or feeder fee, 6 65 2 each branch circuit Business name: B Fee for branch circuits without service or feeder fee, ` 46 85 4 Contact name: first branch circuit 2 Address: Each add'l branch circuit 5 6 65 5 2 • 24 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and /or feeder 90 90 2 Phone: ( ) Fax: : ( ) Reconnect only 66 85 2 E -mail: Pump or irrigation circle 53.40 2 ' ; 1,., ,� ::'.- _ .'.'- _, v- x 'CONTRACTOR ,' • - ,'_. ' -, ,,- 1.",,, " s i . . Sign or outline lighting 53 40 2 Business name: 'eeSe 4 v �Z Signal panel, or limited- alteration, or G ✓ / j � G energy panel, alteration, or Address: /6,3 /Q s i © Aced extension Describe Page 2 2 City /State /ZIP: A.)61 y 0 q 7 3.6 Each additional inspection over allowable in any of the above _ / Per inspection 62 50 Phone: ([/ D3) 96 2, 2/ Fax: ( ) 7& _ (g' 73 investigation per hour (1 hr min) 62 50 CCB Lic.: Electrical Lic.: , y —j(. Suprv. Lic.: /6 W-5 industrial plant per hour 73 75 ' ELECTRICAL' PERMIT;FEES' - :... ' Suprv. Electrician signature, required: / , 40 72 ,v, Subtotal (1' I 0 � � � r 42_4-. Plan review (25% of permit fee)' m / — Print name , x/ e 5 �t eL25 Date: State surcharge (12% of permit fee) q . ti I Authorized signature: TOTAL PERMIT FEE a c .11 This permit application expires if a permit is not obtaih d within 180 Print name: Date: days after it has been accepted as complete. ' Number of inspections allowed per permit 1 \Bwlding\Permits\ELC- PermiApp doc 05/23/06 440 - 46151'(11 /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: 1, RESIDENTIAL ESIDENTIAL =WORK Fee for all residential systems combined $75.00 Check Type of Work Involved: n Audio and Stereo Systems* ❑ Burglar Alarm n Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* TI Vacuum Systems* ❑ Other: COMMERCIAL:WORK ONLI',c' _ _ Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n C • lock Systems n Data Telecommunication Installation n Fire Alarm Installation ❑ H VAC ❑ Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* n P rotective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I lBuddmg\Permts\ELC- PermitApp doc 03/23/06 _- _---- - __-� ' . • — - _____ _—' . CITY OF TIGARD ���� ��m m m ��n� o mn�om=xmn�� ��� ��U��� DIVISION PERMIT ~~��nn~~°"x�~~ ��.°.~~..~.. : ELC2008'00678 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1812008 Phone: (503) 839'4171 Inspection Requests �4Hmj: (503) 639-4175 a��W+ f'1.— INSPECTION WORKSHEET FOR DATE: 1/i5/2O09 TIME: 7:02AK4 PAGE: 1 SITE ADDRESS: 12100 SW GARDEN PL BLDG 4 CLASS OF WORK: SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE: PROJECT NAME: ||{0N DESCRIPTION: TI OWNER: SPIEKER PROPERTIES LP, PHONE #: CONTRACTOR: NEESF + SONS ELECTRIC PHONE #: 6U3-98&2191 Inspection Request Scheduled For: Date: 1/ja/2009 Pour Time: Code # Inspection O on Confifm # Contact # Message ' 199 Electiicalli al 079768'0 603-809-2191 N ~` Corrections/Comments/Instructions: N N \ 'N\ \\:.\\\3 rqio) PASS El PARTIAL APPROVAL 0 CANCEL LII NO ACCESS ^ L El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: g-- (se I I /--) 1-114 CITY OF TIGARD ' ��m m n w.�m� m un�m��nm�� ' BUILDING ��U��U��U���� PERNi|T# ~.��.~.~�.n�~" ~�.°"~~.~~.~ : EL��2OOG-00678 131258VVHnUB�d.. Tigard, OR07223 D ATE|GGUED: 12110/2008 „„ " Phone: (503) 639-4171 Inspection Requests ���Hm.): ( 639'4175 ^���' "�-- INSPECTION WORKSHEET FOR DATE: 1/12y2009 TIME: 7:OU/kh4 PAGE: 8 SITE ADDRESS: 1210OSyy GARDEN pLALDG4 CLASS OF WORK: SUBDIVISION: PARK 217 LOT #: UO2 TYPE OF USE: PROJECT NAME: IKON DESCRIPTION: � T| OWNER: SP(EKER PROPERTIES LP, PHONE #: CONTRACTOR: REESE + SONS FLEC[R|C PHONE #: 503'969.2191 Inspection Request Scheduled For: [)ate: 1/120009 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover _.----- 079598-01 503-989-2191 N Corrections/Conn — nstructions: 74'S . ri PARTIAL APPROVAL n CANCEL ri NO ACCESS | | FAIL I I CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED / �� / Nm � � / � (0 Inspector: '■^�wN� Date: � — / �` — (^^ ? Phone #: /503\ 718- - ` ' CITY TIGARD � � � . v., ��m n mw�mawunm�� � �^ BUILDING DIVISION PERMIT Allik, A ~~~°"~~~=""°~= ~°"°"~~"~~"° � : ELc2Oa��OOa78 13125SVV Hall B)vd.. Tigard, ORS7228 DATE ISSUED: 12y18/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 AA * �L. INSPECTION WORKSHEET FOR DATE: 12/1912008 TIME: /:00A/1 PAGE: 4 . SITE ADDRESS: 121OQSW GARDEN pL BLDG 4 CLASS OF WORK: SUBDIVISION: PARK -)17 LOT #: 002 TYPE OF USE: PROJECT NAME: |&0N DESCRIPTION: TI OWNER: SPIEKER PROPERTIES LP, PHONE #: CONTRACTOR: REESE + SONS ELECTRIC PHONE #: 503 Inspection Request Scheduled For: . Date: 12/19/20O0 Pour Time: Code # Inspection Description Confirm # Contact # Message 126 Wall cover 079163-01 603'969-2191 N Corrections/Comments/Instructions: 0 ./O 0 k4 l- /') / p(` /~ • 6u / a-, , e- i° ��f�� / -� -/�� ( o L�/l (���-- �S � � ' U ~ U r 6/' 4 c47 0°2-t a 1C/sr it 14-we (i.e I I PASS iiii,PARTIAL APPROVAL 111 CANCEL ri NO ACCESS FAIL -- CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED ] �� -��� '� Inspector: � Date: / �~° Phone #: (503) 718-