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Permit CITY OF TIGARD ELECTRICAL PERMIT r a` , TIGARD #: ELC2006 -00591 Averc Ai - DEVELOPMENT SERVICES DATE ISSUED: 10/18/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134AA SITE ADDRESS: 10110 SW NIMBUS AVEI FFS32. ZONING: I -P SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : 002 JURISDICTION: TIG Project Description: 4 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: 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: 3 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: ROBINSON, CONSTANCE A ± CAPITOL ELECTRIC CO INC ROBINSON, LYNN + BELL, KAY ET 11401 NE MARX ST BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97220 -1041 BEAVERTON, OR 97008 Phone: Contact #: PRI 503 - 255 -9488 FAX 503 - 257 -7121 FEES Description Date Amount Reg #: ELE 26 -496C [ELPRMT] ELC Permit 10/18/200 $66.80 LIC 48748 [TAX] 8% State Surcharge 10/18/200( $5.34 SUP 31325 Total $72.14 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: ,,, j& , u J Permittee Signature: xt'yl 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 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. FOR OFFICE USE ONLY ' Electrical Permit Application Received Date/By: /D/ g /o6 6 rJ Permit no.: �C d 1 n n6 ,_, � f ,• 77 �J City of Tigard Plan Review � 13125 SW HALL BLVD., TIGARD, OR 97223 a �i . Date/By: Other Permit: 001 Phone: (503) 639 -4171 Fax (503) 598 - 1960 \ _ .. CITY OF TIGARD Date Ready/By: ❑ See Page 2 for Inspection Line: 503- 639 -4175 ,, Notified/Method: _ Supplemental Information Internet: www.ci.tigard.or.us - . �„ TYPE QF WORK . ` - PLAN REVIEW ❑ New construction U Addition/alterahon /replacement Please check all that apply: ❑ Demolition ❑ Other: ❑ Service over 225 amps, comm'l ❑ Hazardous location CATEGORY OF CONSTRUCTION ❑ Service over 320 amps - rating ❑ Building over 10,000 sq.ft. U 1- and 2- family dwelling U Commercial/industrial U Accessory building of 1- and 2- family dwellings 4 or more new residential ❑ 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.: 260030 Job site address: 10110 sw Nimbus Ave B -2 ❑ Occupant load over 99 persons ❑ Manufactured structures or ❑ Egress /lighting plan RV park City/State /ZIP: Portland, Or. 97223 ❑ Health-care facility El Other: Submit 2 sets of plans with any of the above. Suite /bldg. /apt. no.: Project name: Chapman Insurance Group 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 or 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 I DESCRIPTION OF WORK Limited energy residential $ 75.00 2 Tenenat Lighting and Outlets Limited energy, non - residential $ 75.00 2 Each manufactured home or modular U PROPERTY OWNER I U TENANT dwelling, Service and/or feeder $ 90.90 2 Name: Service or feeders installation, alteration, and/or relocation 200 amps or less $ 80.30 2 Address: 201 amps to 400 amps $ 106.85 2 401 amps to 600 amps $ 160.60 2 City /State /ZIP: 601 amps to 1000 amps $ 240.60 2 Over 1000 amps or volts $ 454.65 2 Phone: Fax: Reconnect only _ $ 66.85 2 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 S 66.85 I Owner signature: Date: 201 amps to 400 amps $ 100.30 2 401 amps to 600 amps _ $ 133.75 2 U APPLICANT I U CONTACT PERSON Branch circuits - new, alteration, or extension, per panel Business Name: CAPITOL ELECTRIC CO., INC. A. Fee for branch circuits with service or feeder fee, each Contact name: Jim Eddington branch circuit $ 6.65 2 B. Fee for branch circuits Address: 11401 NE MARX ST. without service or feeder fee, each branch circuit 1 $ 46.85 46.85 2 City /State/ZIP: PORTLAND, OR 97220 -1041 Each additional branch circuit: 3 $ 6.65 19.95 2 Miscellaneous (service or feeder not included) Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 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: Jim Eddington Each additional inspection over allowable in any of the above Per inspection $ 62.50 Address: 11401 NE MARX ST. Investigation per hour (I hr min) $ 62.50 Industrial plant per hour $ 73.75 City/State /ZIP: PORTLAND, OR 97220 -1041 ELECTRICAL PERMIT FEES* Subtotal 66.80 Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Plan review (25% of permit fee) State surcharge ( 8% of permit fee) 5.34 CCB Lie.: 48748 'Electrical Lic.: 26 -496C ISuprv. Lie.: 3132 -S TOTAL PERMIT FEE_ 72.14 Suprv. Electrician signature, required: Me..- j This permit application expires If a permit Is not obtained within 180 , l days after It bus been accepted as complete Print Name: DARRELL MCNEEL Date: 10113106 • Fee methodology set by Tri-County Building Industry Service Board Authorized signature: 1/ "Number of inspections per permit allowed. Print Name: DARRELL MCNEEL OCT -13 -2006 FRI 10:01 AN FAX NO. P. 02 SCHOLLS BUSINESS CENTER 10110 SW Nimbus Avenue, Suite B -2 Portland, Oregon 97223 Office 483 SF I— _ — . 11111111011L. AdAMIlf –46. I 1311 11E e - Warehouse II 582 SF I I . I -- IV a, r • 101 � l ip m • b.___------- SUITE B - 2 Approximately 1,065 SF Nv Key Plan Site Plan Scale: 1/8 " =1' -0" NTS N Verified: 06/01/05 �I V p C � w Principal fenaid I � `'vn ^O � M OIaN • I NVESTMENT A RCM, CTURE ' IN7iRIOR! P awr�aN MANAGF.MFNT L� 7 O (1(1 �f »O,w r..e. lOG I +U r0 j ro.nr.,l. o.rww llirf fax 503.598.9982 tel 503.598.9980 www.kginvestment.com i. , ..' ' OCT-13-2006 FR I 10 : 02 AM FAX NO, P. 03 10/13/2000 09:19 FAX 5033520733 Chapman Insurance Group a 001 4 : : • , • r . • T. . ..• . . . • 1 , • : • . : . . . . 1 . • • . . . : • 1 , 1 ; • • .. . • - ;,.. • . • . • • . • • : . . ■ • • • •.• a / : . . . / . . . ; . . • .......— • . : • . • . • : • . • : . . , ' • : . 1 . ■ , ED :: • ' , . . , . _..1....---aa..- 1 ragti • ' L—.1.1111 . i 5i0 7.1 l ir 40 ( : : 1 • , , 1 _ .. . . ..,_,.....c. ,.... . . : : • , . . . ..,......., .57." ,. c „, ..• rri 1 .$ co i co • . :•:, ' 1 • . ; X f • ...__.. . - "-- ..- :;.. "-; z i ..... - • p lh , : • • ! .•_ • „,. . . . ! . .... • 1 . . .. - .• . . .• .. . . . • . - -. . . .. : . . . :• ...,,e___. --....---------••-•--.....------- 6 • (§ : . . . .- :•' , . . .• . . : CITY OF TIGARD BUILDING DIVISION . • PERMIT #: ELC200&00591 .A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006 Phone: (503) 639 -4171 7a � y 11 Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. INSPECTION WORKSHEET FOR DATE: 11/213/2006 TIME: 7 :03AM PAGE: 36 SITE ADDRESS: 10110 SW NIMBUS AVE B2 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: CHAPMAN INSURANCE GROUP DESCRIPTION: 4 branch circuits. OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-256.9488 Inspection Request Scheduled For: Date: 11/28/2006 Pour Time: • • e # Inspection -scription Confirm # Contact # Message 199 Electrical final 040308 -02 971 - 506.2873 N Cor - - _ • • •• •• - • • - ions: 1Aae G s ( L Q_ G Q- c PLC X04 - 005 x, l c L n G- �k � 'ct∎ c`a�Il., v o I �� hQTIN► . i`fi ss �P•� �� N �L� I Ns to . •t t F.; o\ u1U N . (\ .34PASS ❑ PARTIAL APPROVAL ❑ CANCEL • NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 111- D( C) Phone #: (503) 7181-9.1A r CITY OF TIGARD BUILDING DIVISION . . PERMIT #: ELC2006 -00591 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006 Phone: (503) 639 -4171 • z .� l � l r� Inspection Requests (24 Hrs.): (503) 639 -4175 -. I INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7 :03AM PAGE: 37 SITE ADDRESS: 10110 SW NIMBUS AVE B2 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: CHAPMAN INSURANCE GROUP DESCRIPTION: 4 branch circuits. OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 25 Inspection Request Scheduled For: Date: 11/28/2006 Pour Time: ode # Inspects. • - scription Confirm # Contact # Message 130 Ceiling cover 040308 -01 971 - 506.2873 N Corrections /Comments ns ructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C... V v U) / Date: VI fz.0' Phone #: (503) 718 - viyo CITY OF TIGARD A --- BUILDING DIVISION PERMIT #: ELC2006 -00591 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006 Phone: (503) 639- 4171i�l Inspection Requests (24 Hrs.): (503) 639 -4175 .*' "__.. INSPECTION WORKSHEET FOR DATE: 10/24/2006 TIME: 7:02AM PAGE: 59 SITE ADDRESS: 10110 SW NIMBUS AVE B2 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: Q02 TYPE OF USE: PROJECT NAME: CHAPMAN INSURANCE GROUP DESCRIPTION: 4 branch circuits. OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-9488 Inspection Request Scheduled For: Date: 10/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message - Electrical rough -in 038728 -01 503 -871 -2873 N ‘9X w'�-� c..0-0,,, oN L \ Corrections /Comments /Instructions: 1 PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION • ❑ ADDITIONAL FEES ASSESSED Inspector: Ge L Date: % 0 /7-'1f C O Phone #: (503) 718- t9L4