Permit CITY, OF TIGARD ELECTRICAL PERMIT
DEVELOP SERVICES PERMIT #: ELC2006 00531
DATE ISSUED: 9/21/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 25101 BB -01400
SITE ADDRESS: 12100 SW GARDEN PL BLD4 ZONING: C -G
SUBDIVISION: PARK 217 LOT : 002 JURISDICTION: TIG
Project Description: Service separation. (2) 200 amp services, (35) 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: 2 W /SERVICE OR FEEDER: 35 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 CAPITOL ELECTRIC CO INC
4380 SW MACADAM AVE STE 100 11401 NE MARX ST
PORTLAND, OR 97201 PORTLAND, OR 97220 -1041
Phone: Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 9/21/2006 $393.35 LIC 48748
[TAX] 8% State Surcharge 9/21/2006 $31.47 SUP 3132S
Total $424.82 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: r" O it /7"}I Permittee Signature: � a
V
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.
6, • FOR OFFICE USE ONLY '
Electrical Permit Aliplieation Received _/�� 5
Date /By:g
_ /-06 Permit no. fA ( t✓t / g /
City of Tigard Plan Review (
13125 SW HALL BLVD., TiGARD, OR 97223 A Date /By: Other Permit.
Phone (503) 639 -4171 Fax (503) 598 -1960 CITY OF TIGARD Date Ready /By Juns Li Sec Page 2 for
Inspection Line: 503- 639 -4175 Notified /Method: ) _ Supplemental Information
Internet. www ci tigard.or.us
TYPE OF WORK PLAN REVIEW
Li New construction U Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other ❑ Service over 225 amps, comm'l ❑ Hazardous location
CATEGORY OF CONSTRUCTION Cl Service over 320 amps - rating ❑ Building over 10,000 sq ft.
H 1- and 2- family dwelling U Commercial /industrial Li Accessory building of 1- and 2- family dwellings 4 or more new residential
LI Multi- family ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units in one structure
JOB SITE INFORMATION AND LOCATION ❑ Building over three stories ❑ Feeders, 400 amps or more
Job no 261249 Job site address: 12100 SW Garden Place ❑ Occupant load over 99 persons ❑ Manufactured structures or
❑ Egress /lighting plan RV park
Crty /State /ZiP Tigard, OR ❑ Health -care facility ❑ Other.
Submit 2 sets of plans with any of the above
Suite /bldg /apt no Project name: Ikon service separation The above are not applicable to temporary construction service.
FEE SCHEDULE
Cross Street/Directions to job site Description I Qty. i Fee. I Total I "
New residential - single cr multi- family dwelling unit.
Subdivision Lot no • Includes attached garage.
1000 sq. ft or less $ 145.15 4
Tax map /parcel no . Ea Add'I 500 sq. ft or portion $ 33 40 1
DESCRIPTION OF WORK Limited energy residential $ 75.00 2
Limited energy, non- residential $ 75 00 2
Each manufactured home or modular
Li PROPERTY OWNER I LI TENANT dwelling, Service and /or feeder $ 90.90 2
Name: Service or feeders installation, alteration, and/or relocation
RREF Property Management 200 amps or less 2 $ 80.30 160.60 2
Address• 720 SW Washington Suite 630 201 amps to 400 amps $ 106 85 2
401 amps to 600 amps $ 160 60 2
City /State /ZIP Portland, Or 601 amps to 1000 amps $ 240 60 2
Over 1000 amps or volts $ 454.65 2
Phone: Fax Reconnect only $ 66 85 2
503 295 - 5555 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 $ 66 85 I
Owner signature: Date: 201 amps to 400 amps $ 100.30 2
401 amps to 600 amps $ 133 75 _ 2
Li APPLICANT - I -- Li CONTACT PERSON - Branch circuits - new, alteration, or extension, per pane!
Business Name A Fee for branch circuits with
service or feeder fee, each
Contact name branch circuit 35 S 6.65 232.75 2
B Fee for branch circuits
Address without service or feeder fee,
each branch circuit $ 46.85 2
City/State/ZIP Each additional branch circuit: $ 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 -
CONTRACTOR energy panel, alteration, 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 $ 62.50
Address: 11401 NE MARX ST. Investigation per hour (1 hr min) $ 62 50
industrial plant per hour $ 73.75
City /State /ZIP PORTLAND, OR 97220 - 1041 ELECTRICAL PERMIT PEES*
Subtotal 393.35
Phone: 503- 255 -9488 Fax 503 - 257 -7121 Plan review (25% of permit fee)
State surcharge ( 8% of permit fee) 31.47
CCB Lie.• 48748 'Electrical Lie. 26 - 496C I Supry Lie 3132 - TOTAL PERMIT FEE 424.82
This permit application expires if a permit is nut obtained nithin 180
Supry Electrician signature, required � /4444 ,,, S 6 1'�r /1 f- - VI ,p
/V't/ dais after it has been accepted as complete
Print Name. DARRELL MCNEEL Date 09/20/06 * Fee methodology set by Tn- County Building Industry Service Board
Authorized signature �f E " "Number of inspections per permit allowed
Print Name. DARRELL'M L
CITY ������U���&����
��mu m OF mu����u���
BUILDING DIVISION ELC2000'00531
18125SVV Hall Bkd.. Tigard, OR97223 - - DATE ISSUED: 9/2112006
Phone: (503) 639-4171
Inspection Requests (24 Hnaj:(6O3)G39'4175 v���- '���
INSPECTION WORKSHEET FOR DATE: 112312007 TIME: 7:02AK4 PAGE: 40
SITE ADDRESS: l210DSW GARDEN pLEIL[4 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: IKON
DESCRIPTION: Serkfioeoaponatinn. Cn2DOamp services, (35) branch circuits.
OWNER: SP!EKER PROPERTIES LP, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 509-255-9480
Inspection Request Scheduled For: Date: 1/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 E)ect/ioa{f(na| 042398'01 971'506'3064
yv.r4
Corrections/Comments/Instructions:
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rA PASS PARTIAL APPROVAL | | CANCEL NO ACCESS
I | FAIL CALL FOR INSPECTION | I ADDITIONAL FEES ASSESSED
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Inspector: ^� 0^ ���� ^�t� Date: ���/ w � Phone #: (503) 718- ���-�~^
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