Permit ELECTRICAL PERMIT
•� CITY OF TIGARD
PERMIT #: ELC2006 -00009
z/1 . DEVELOPMENT SERVICES DATE ISSUED: 1/9/2006
' ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101BB -01400
SITE ADDRESS: 12100 SW GARDEN PL BLD4 ZONING: C -G
SUBDIVISION: PARK 217 LOT : 002 JURISDICTION: TIG
Project Description: Install (2) copier receptacles. Job #22- 00006.
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:
SPIEKER PROPERTIES LP CHRISTENSON VELAGIO, INC.
4380 SW MACADAM AVE STE 100 1631 NW THURMAN ST. STE 200
PORTLAND, OR 97201 PORTLAND, OR 97209
Phone: Contact #: PRI 503 - 419 -3600
FAX 503 - 419 -3636
FEES
Description Date Amount Reg #: LIC 64137
[ELPRMT] ELC Permit 1/9/2006 $53.50 ELE 26 -1174C
[TAX] 8% State Surcharge 1/9/2006 $4.28 SUP 19945
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: �? � p Permittee Signature: j. „t c) (" p
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.
JAN -05 -2006 THU 03:39 PM CHRISTENSON VELAGIO FAX NO 95034193695 P. 01
Electrical Permit Appl><cak Ti 0 V E D 1.0., (l1- I:i l sly ( r 1 \
City of Tigard Received PermilNo -- s" 001
13125 SW Hall Blvd., Tigard, OR 97223 p p lan Review
Phone: 503.639.4171 Fax: 503.598 -1960 ' ` 0 £UU t"^"��� 6 + , '' Other Permit
h kl 1 RatNfi
Inspection Line: 503.639.4175 �. ' � Date Re adyt y: WI Page 2 for
Internet: www,ci.tigard.or.u9 CITY OF TIGA, ,� Notifled/Methnd: Supplemental Information
R tit rrtMr- na •
:,: q 'rl Vii,- ;f:'1 a1r•:b } ,w:t cy ,'r't ±:u' •IiT :ly+if`1t� �; . i �' ,' +aa� " � "'�,ft
,. ;', „ry �5 1p n ', il' � �ilp ���,��.yyry� 4' P+ k, n;�i w i. g � s� : ^srF7i'�1 �; ' 1;
....a - ..��'�i;'f,;i'�it��:r'.1f' i>Fl Vii` �ti��, k ;�� /z„ 1'� ?C}C( �P..`•!l:' �;:;�'�k Y t ^����: ay.. t �i:' , "l � ��S"�n :tt� :,. ; :!?!�� :.".'+fit
•,,,t,.... dt;...i(r t ��.. rkL�lh-1:� `.Y,rr '�'-'. ��,dC V� J. ...v1w �+„ ,P�.:,. :1§' •'� � -,. ,:~
❑ New construction Addition /al teration/replacemcnt Please check all that apply:
IIService over 225 amps, comm'I ['Hazardous location
❑ Demolition ❑ Other: ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft..
d `t, h' : :r, fi• rt,'l.• ii `. -
t r �,c M ": y"'; "' r Ir �i'` . a' A'''.'r - an dwellings ,'t '�i4I1'�'s�;,';��(� . ��,( yr�,, �.. �iFn�,. ,.�'�,'+�,,� ° „�, ^?+'•-- - of 1 d 2 - family s 4 Of more new residential g
❑ I - and 2- family dwelling /A Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
M ulti - farm) ❑Building over three stones ❑Feeders, 400 amps or more
❑ Occupant load over 9 9 persons ❑ M
Multi-family 0 Master builder ❑ Other: anufactured structures or
{,1,,:°ii,f:,i;t + -1rc. 0 7 ii r• t'l 7k +�' � ", S ?L. I:1n ;; E ess /li htiR plan V park
�i�« �: l{
_; � �r�' sa�i�. 3':; a �; f��l' �� '!?'l�� �.�t,�'�iitr� E �� f.,,,r a: •„ ❑ ?p B g pia ❑
"" Other:
Job no.: ``���1 o site address'. .� S A� � y ❑Health care facility
• X. �� �� Jb itdd
� ` '� (�,Q}a Submit 2 sets of plans with any of the above.
City/ State/ZIP: P 4 ,, it Cc - 7 a D,-3 The above arc not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name \ ?'i'" :+ ` , " • , . " D1 ; � , -- n: % " <; ^ .. •
- lam\/ J QtS1J.}LLIL / " t v .. : cm) p4mp.lnn Qty. F._ i Total �' e;
Cr055 street/directions to job site: /` 5. •� t5 +1� New residential single - o - r ti- fairly dwelling unit. 1
i � Includes attached garage.
5D 3 ... lei ._ 3 ( I4 1,000 sq. ft- or less 145.15 4
Subdivision: 1 Lot no.: Ea. add'I 500 sq. ft or portion 33.40 1
- Limited energy, residential 75.00 2
Tax map /parcel no.; Limited energy, non - residential 75.00 2
.. (.,•7 QA,= ai:,.J , . . ^ ., . 'I PTI: N , r* i . • ...Ft
.. urn:;. . '�.:' i.% -• %.,i'
�ES Q , OlR1 �. . :. ;' :r r '• . " �- , ; � ; • ;,1' Each manufactured or modular
'--•��' r Sf dwelling. serv and/or feeder _ 90 -90 _1 2
J • lO JL a. C_t p t •Q� ir�� -�.1.Q -G) Services o r feeders Installation. alteration, and/or relocation
200 amps or less - 2
Z :' 1 r 60,- W, iri 1 . •. c ry: ; ..� Ati';"�..,_,'r 20!,•aittps to 400 amps 106.85 2
,i, : .x'. Q' �'O>�'$l'C'i.(1W{V -.A,; ': *. � '!;.' - .. },; : yr ,i i"a: ' T�t'IYAPI'I!` ; _ u A:' aif,�:
401' amps to 600 amps 160.60 2
Name: . 601 amps to 1,000 amps 240.60 '2
Address: - - � Over 1,000 amps or volts - - _ 454.65 • 2
Reconnect only 60.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
� relocation
Phone: ( ) J x: ( ) �_- 200 amps or less 66.85 1
Owner installation: This installation is bring 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 snips to 600 amps _ 133.75 _ 2
Owner signature: _ Date: _ Branch circuits - new, alteration, or extension, per panel
t r � - . ii6 •. � ';', '!a 'rr :y,=t A - Fee for branch Circuits with
o, }i� "; . '.i,'j?..I I.J'! Al�R{�R!.v �'�'f`t, xprlRu "''i °n'. . -'. ��!•rP #l. Imo.. �j
9CNICe Or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits f '
Contact name: 461g5-
r it7 without service or feeder fee. 1 46 85 �3 2
each branch circuit
Address
. . Each add'I branch circuit I 6.65 tor,fd5 2 City/State/ZIP: Miscellaneous (service or feeder not Included)
- "- Pump or irrigation circle 53.40 2
Phone ( ) Fax: : ( ) -_ - Sign or ou lighting 53.40 2
E - mail: Signal circuit(s) or limited- 75.0C
. o '1; i v.;i,m4,4 S" ; �P, `ti y�i Gvl , c r �`: :�'"�1y r
. iv.st 0, ,,.'� •ti> "�.' .
L. energy panel, alteration, or
x 7 ,.tirt,;l .s .�s�ic- „i,_;iii ��.;i,lt:`�C.7r4Oly'1`Itt� �Q1L'. .i� ,i:.�� r 'ie �^;l•-.,,.;;b�:r. ;t;�r..,u,'h� -i'm-
extension. Describe: Page 2 2
Business name: CHRISTENSON VELAGIO, INC.
Address: 1631 NW THURMAN ST 2ND FL Each additional Inspection over allowable in any of the above
Per inspection 62.50
City/ State/ZIP: PORTLAND, OR 97209 -2558 Investigation per hour ft hr min) 62.50
Phone 0 Fax (503 ) 41.9-3333 Industrial plant per hoar 73.75_
(5 3) 419-3300 a°'l4: ' � 1.ELEC "ItIOAY: ,1'E11 1TAIIEE�ySQ1y14.' iiJ ^VT ''
CCB Lic.: 64137 Electrical Lic = 174C f Suprv. Lic i 1994S subtotal '�'
r for;
Suprv. Electrician signature, required: 0 Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: ROBERT AXT Date: t
TOTAL PERMIT FEE C r 2,771:.
Authorized signature: Tun permit application expires if a permit is nol obtained within 180
days after it has been accepted as complete
Print name: Date; " Fee methodology set by Tri- County building industry service Board
- -- • Number of inspections per permit allowed.
■
i\ B,+ilding \PemitstELC•Perm � itAPP I V03 440.4615T(I010VCOM/WEB V 1S -.N.1-4.-Se--- u.s4-
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CITY ������W��������
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BUILDING DIVISION PERMIT ELC2O0600009
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 119/2000
Phone: (503) 639-4171
Inspection Roque�a(24Hru.):(5U3)G39'4176 1 .41 «IL
INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7:01AM PAGE: 79
�
SITE ADDRESS: 12100E%�{�ARQENPL0L[� CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: IKON
DESCRIPTION: copier receptacles. Job #2100006.
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: CHRISTENSON VELAGIO, INC. PHONE #: 503'419-3600
Inspection Request h d Date: 1/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Electrical final 024720`01 503'7204)447 Y
Corrections/Comments/Instructions:
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PASS ri PARTIAL APPROVAL pi CANCEL NO ACCESS
I FAIL n CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
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Inspector: �� �� o~,�3�� . ��� Date: V Phone #: (503) 2.4q6
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