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Permit
I/ iw ois ELECTRICAL PERMIT Al IR ITY OF TI GA PERMIT #: ELC2001 -00262 ^ I � > DEVELOPMENT SERVICES DATE ISSUED: 5/21/01 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DB-00300 SITE ADDRESS: 07257 SW KABLE LN 300 SUBDIVISION: SOUTHERN PACIFIC TIGARD IND. ZONING: I -L BLOCK: LOT : 005 JURISDICTION: TIG Project Description: Installation of 1 service /feeder and 40 branch circuits. 9/10/01, permit reinstated to allow for Phase II inspections. 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: 40 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: PACIFIC REALTY ASSOCIATES BRIDGETOWN ELECTRIC 15350 SW SEQUOIA PKWY #300 -WMI 22732 NW GILLIHAN ROAD PORTLAND, OR 97224 PORTLAND, OR 97231 Phone: Phone: Reg # : ,3- 621b32 SUP 4177S ELE 26 -887C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 5/21/01 $346.30 2720010000( Wall Cover Elect'I Final 5PCT CTR 5/21/01 $27.70 2720010000( HOUR CTR 9/10/01 $58.41 2720010000( (additional fees not listed here) Total $499.00 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 -0080. You may obtain copies of these rules or direct questions to Permit Signature: Issued / 744,/ / � c OWNER INSTALLATION ONL 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 CITY OF TI GARD ELECTRICAL PERMIT PERMIT #: ELC2001 -00262 .16` Hall O DEVELOPMENT Tigard, (503) 639 -4171 RVICES DATE ISSUED: 5/21/01 13125 / PARCEL: 2 S 112 D B -00300 SITE ADDRESS: 07257 SW KABLE LN 300 SUBDIVISION: SOUTHERN. PACIFIC TIGARD IND. ZONING: I -L BLOCK: LOT : 005 JURISDICTION: TIG Project Description: Installation of 1 service /feeder and 40 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: 1 W /SERVICE OR FEEDER: 40 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: PACIFIC REALTY ASSOCIATES BRIDGETOWN ELECTRIC 15350 SW SEQUOIA PKWY #300 -WMI STEENSLID + CO PORTLAND, OR 97224 2230 NE THOMPSON PORTLAND, OR 97212 Phone: Phone: 281 -9397 Reg #: LIC 103824 SUP 4177S ELE 26 -887C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 5/21/01 $346.30 2720010000( Wall Cover Elect'I Final 5PCT CTR 5/21/01 $27.70 2720010000( Total $374.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 d - . ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 •61 400 hroug • R 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 o r 1 -800- 332 -23 , Permit Signature: � ' / Issued By: Afk `� A` 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 ElectricalPerniitApplication Date received: , ot.i /p / Permit no.: ,zOe200 / -40.26 ' .41i l , City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: M Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: rW t. . TYPE OF PERMIT' 0 1 & 2 family dwelling or accessory `` Commercial/industrial 0 Multi- family ❑ Tenant improvement . 0 New construction O Addition/alteration /replacement ❑ Other. CI Partial • - . _ _ _ `_ .. "JOB SITE INFOR IATION. Job address: 7a 51 SW l lc6L2.._. 1-dip 34 ' '' d.. no.: Suite no.;,1 00 Tax map/tax lot/account no.: Lot: I Block: I Subdivision: Project name: 13 t:0� on , I Description and location of work on premises: OGI'/C.- &PRA.S ? eL 6L L Estimated date of completion/inspection: . CONTRACTOR APPLICATION'. FEE' SCHEDULE Job o: - te4A/ E Ce OA/ > Max Business s name: t jtt O W n LJ(_ Y7 4-- Description Qty. (ea.) Total no. imp Address: 2713 2 rV 1IJ a i - 11 i �'tdi r _ kpadd- Nenresde�al- se�eor tam7y per • dwelfuguuit .Includtsnttachedgarage. ' City: io141.4 hot I State: 0 e.- I ZIP: 11-2,31 Serrieeincluded: Phone: 563 -(e2-4 il )2- I Fax: `.�3 - 6 , 24.112-31E-mail: We ©WO) -Icy S+a 1-, , • 9 al- h- or less 4 CCB no.: ` 03 & 1`'t- I Elec. bus. lic. no: 2.(0 a i g 1 L ' additional soo sq. f< or portion thereof Limited energy, residential 2 City /me lie. no.: 3(p 90 Limited energy, non- residential 2 -e A C A /, 6-).-1 -0 I Each manufactured home or modular dwelling Sign re of s sing electrician (required) . Date Service and/or feeder 2 Sup. elect_ name (print): Keith th S k'eh s } t t License no: `fi 7 5 _am . hdion, v ", Senicesorfeedets instal alteration orrelocati r ;., PROPERTY .OWNER \TER . , ' - _ ',; zoo ampsorless I 16.30 D30 2 Name (print): 201 amps to 400 amps 2 401 amps to 600 amps Mailing address: 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts " 2 Phone: I Fax: I E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to . ontalla6oa,alteratron , orrelocation 20 amps or Tess 2 ORS 447, 455, 4 20 79, 670, 701. 201 1 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER - Bran circuits - alteration, . or extension per Name: A. Fee for branch circuits with purchase of /t / ,, Address: service or feeder fee, each branch circuit 1 1.1 2 City: I State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 2 Phone: Fax: E-mail: Each additional branch circuit: ,1'LriN 3 I REVIEW` (Please check - all a pply) „ Arc .(Serviceor feeder not included): O Service over 225 amps-commercial 0 Health-carefacility Each pump or irrigation circle 2 0 Service over 320 amps - rating of l &2 0 Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel. 0 System over 600 volts nominal more residential units in one structure alteration, or extension* 2 0 Building over three stones 0 Feeders, 400 amps or more •Description 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: 0 Egress/lightingplan 0 Other Per inspection , I l Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee $ _ ti! 4 Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application � O Visa 0 MasterCard expires if a permit is not obtained- Plan review (at _ %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) $ L Expires accepted as complete. TOTAL $ �r` f ' Name of cardholder as shown on credit card $ Cardholder signature Amount 440.4615 (6d00/COM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 4, Type of Work Involved: Residential - per unit 1000 sq. R or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 - 1 n Burglar Alarm Limited Energy $75.00 Each Manuf'd Home or Modular n Garage Door Opener Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating, Ventilation and Air Conditioning System* Installation, alteration, or relocation ) 200 amps or less / $80-30 1 30 2 Vacuum Systems* 201 amps to 400 amps $106.85 2 El 401 amps to 600 amps $160.60 2 Other 601 amps to 1000 amps $240.60 2 ri Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, Fee for each system $75.00 o l sn. or relocation (SEE OAR 91 &260 -260) 200 amps or less $66.85 2 ( 201 amps to 400 amps $100.30 2 Check Type of Work Involved: 401 amps to 600 amps $133.75 2 Over 600 amps to 1000 volts, see "b" above. n Audio and Stereo Systems Branch Circuits n Boiler Controls New, alteration or extension per panel a) The fee for branch circuits Systems purchase of service or feeder fee. �j'� Each branch circuit - 1 0 $6.65 t c,0 2 n Data Telecommunication Installation • b) The fee for branch circuits without purchase of service n Fire Alarm Installation or feeder fee. First branch circuit $46.85 n HVAC Each additional branch circuit $6.65 Miscellaneous n Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 n Intercom and Paging Systems Each sign or outline lighting $53.40 Signal cir cuit(s) or a limited energy n Landscape Irrigation Control panel, alteration or extension $75.00 Minor Labels (10) $125.00 ❑ Medical Each additional inspection over the allowable in any of the above n Nurse Calls Per inspection $62.50 Per hour $62.50 In Plant $73.75 n Outdoor Landscape Lighting Fees: ({ n Protective Signaling Enter total of above fees $ , 3 1 y� (0 r � n Other 8% State Surcharge $ GZ 7r 7° Number of Systems 25% Plan Review Fee * No licenses are required- Licenses are required for all other installations See Plan Revievd' section on $ front of application. Fees: Total Balance Due $ _3101) . Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ i:\dsts \forms \elc- fees.doc 10/09/00 Bridgetown Electric 22732 NW Gillihan Road IIIIIiii dull111 Portland, Oregon 97231 -1503 B T E Phone: 503 - 621 -7122 Fax: 503 - 621 -7123 CCB# 103824 E -mail: bte @worldstar.com RECEIVED Date: September 4, 2001 SEP 0 C 20 From: Keith Steenslid Subject: Permit Reinstatement for COMMUNITY DEVELOP MEN t ELC2001 -00262 To: City of Tigard Electrical Permit Department Per Hap Watkins: Enclosed is a check in the amount of $125 to reinstate the above permit to allow for a three phase inspection schedule. Phase I and Phase II are both complete. A final inspection was requested for Phase II on August 31, 2001. If you have any questions, please contact me for clarification. Thank you. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD Location 7 2 5 5 ci IC4 6/' Suite .706 MEC Contact Person Ph Co Z/ 7/Z - PLM Contractor U r L o[ / 6 P /`D t) et-4C; SWR BUILDING � � �� Tenant/Owner 7 I a op Dve , ELC a c 2 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing - Firewal I Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof i /Q / / C �, ve r Misc: vl/ l ICJ Final PASS PART FAIL 'P.LUM$ING ° d. Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MEGHANICAL_ Post & Beam Rough In Gas Line Smoke Dampers �► Final PASS PART FAIL Rough In c UG /Slab Low Voltage Fire PASS P RT FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect - no access ADA Approach /Sidewalk 7,23--z2 other Date J Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •'' " X TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested / -// AM PM BLD Location ' 2o 1 5 - 7 �t h € (AJ Suite 366 MEC Contact Person / V Ph (00 ° 7/ 2 PLM Contractor 4y, �cQU'4ccJY – Ph SWR BUILDING °,;, Tenant/Owner TYG 14 co o re 7) Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Mow Ext Sheath /Shear Int Sheath /Shear Framing AO ;,, Insulation a // _ Drywall Nailing _ i 't g Firewall Fire Sprinkler • Fire Alarm Susp'd Ceiling A Cit 1 _ , J / ° / Y p/� . '— / r441 S Lei Roof _ Misc: Final - PASS PART FAIL PLUMBING°,;. ' # } g .. Post & Beam - Under Slab Top Out ` / Water Service /`/f � / — 7/60 t 2 ✓� of Sanitary Sewer ` Rain Drains Final PASS PART FAIL ✓ MECHANICAL { _ s 43 , x _ _ Post & Beam Rough In Gas Line Smoke Dampers Final PASS ART FAIL ELECTRIC'. .. e, ......,.., Service_ Rough In UG /Slab , Low Voltage __Fir arm SS _RART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall, Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk D ate 9, Other Inspector G2 Ext Final PASS PART FAIL _ DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 24 -Htrur Inspection Line: 639 -4175 Business Line: 639 -4171 l BUP Date Requested 1 6 — 6 AM PM t BLD Location 7 c S 7 Y1 Suite , 306 MEC Contact Person i Ph 6 -/ -212- Z PLM Contractor Ph SWR ,BUILDING. ': Tenant/Owner -7 ffisc..-- ELC 0 / 6 6 a-6 Retaining Wall ELR Footing Access: FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT r , c . Post & Beam Ext Sheath/Shear Int Sheath /Shear ---------: Framing _ Insulation Drywall Nailing / / .i a PiC Firewall Fire Sprinkler - �® . _ ' s Aka& .. O� C tip • t i U . • Or ;, fa Fire Alarm rfw Susp'd Ceiling EX/ ' Sr a 9uF o/&8re 0B;a dQ'Or 4.20r L! r' Roof Misc: Pc3r 1 (� < f s J r SF - ),i 5 T n 7 an/ £ - , - i ) CG341e "r' /fib Final PASS PART FAIL PLU L MBING - ;. fir,,... ` '„ 3 as :1 rcr�. .5'CA) ; -�`i.0 4 — ,.3 bri, e c7 Under Slab /,,1,� //s// l�S l` / 0j1' Top Out /J Water Service f'� akiF f I_ {� ? L '_ .t 7) c/S CI .c/ )/ fl (. /tl ', -. C -f 1`f Sanitary Sewer V Rain Drains abi r- r h C.3 yvt j-, e� F rt .SSI y h Q - d I-7 "..)y°vl h€ v4 Final PASS PART FAIL c4 1-7�.� „7 j �� , /C p� p�p) F 1 MCHAlVICAL ' ':') / Post & Beam 1- Sail. 6 1�1 P� � t I � C' Rough In c Gas Line • e l' n 5 - 6 ; th o f tyv7 Srrc/,v Gj L' rv° it -- ---- /74- 7 c /h-S44, Smoke Dampers Final ? Fi4vtrd� FiAp. e • L7'--� J Ps s PASS PART FAIL r/ ELECTRICAL" - 7```7,', Service ® d F� ��d ' Cp �i � ins -af / &a pr //7hi4 C'OAF-M, Rough In UG /Slab 116rary e' ,Y.4r Low Voltage 4 Fire Alarm . m • . -A PART FAIL S1-E ... . ' ",,., <.. t>'- il, i!. •.. 41II i ii ilk i i) i Jr L 20 o . CD/R Backfill /Grading h j s Sanitary Sewer (`)/7i 1' s% h / EX / j ' v Vf r' cargo cico � / in 5 1 F t 1 5 - r te al tti d ° Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at i ty Ha , S H B v Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other. Date ,()c ( - .tee 5 ,.R[1'? Inspector c2eci Gr 0 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job -site.