Permit II CITY OF TIGARD
COMMUNITY DEVELOPMENT ELECTRICAL PERMIT
PERMIT #: ELC2007 -00105
D ATE ISSUED: 2/20/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AA-01800
SITE ADDRESS: 10170 SW NIMBUS AVE H7 ZONING: I - P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : 002 JURISDICTION: TIG
PROJECT: CHILDREN OF THE SEA
Project Description: (6) dedicated circuits, (1) 80 amp sub panel.
Job #1227.
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: 6 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:
ROBINSON, CONSTANCE A + FOX ELECTRIC COMPANY
ROBINSON, LYNN + BELL, KAY ET 1525 SE POWELL
BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97242
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 - 563 - 7215
FAX 503 - 233 -8002
FEES
Description Date Amount Reg #: ELE C23
[ELPRMT] ELC Permit 2/20/2007 $120.20 LIC 163254
[TAX] 8% State Surcharge 2/20/2007 $9.62 SUP 4389S
Total $129.82 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: 0_ 4e. Permittee Signature: a 1
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.
02/19/2007 14:55 5032338002 FOX ELECTRIC PAGE 03/04
Electrical permit ApPlicati 1 ' ` "' 01 1 1 ( I I I ` • 1
of Tigard / i Received •: ��_ O i •emitNo: I e d Q
City o g F E� � ' ,_ r . �� 1 - --
. • 131,25 SW Hall Blvd., Tigard, OR 97223 ,. (Jr c • - i Plan Review she Permit: 503.639,4171 Pax 503.598. 1`,i ,,1�(.i A ate/B • rune ® Sec Page 2(or
i I !. n Inspection Line: 503.639.4175 BUILDIN Supplemented barorwatiaa
Internet: www.tigard.or'.gov
' (�, V .. "{ �••,rr�..•f�.r .; fi ek h! $ �'�,�,i, .•:'r'` 2. ;..i,.., . o 1 r-'t� g
y .S'� r i. : ,:ij�.'�a `,�r,P�?: 'i'�`•P � J� �n:��' '')h 'tC = " c..;:�rF � �ti?tic•. '�'y�"tV :9 �1, 5Be. 1 , 112M'Rx S, ul-.:. � ..n.,;��.rd.!n•.�:. L.�2rS:C,G.(U1
�� � '� % "« F. •:' wc�`r. . �,.,. r
•' �,7: ' !''r ' �. 5::` :• : . .. s
CI New construction Addition/alteration/replacement lteration/replaoeAddition/alteration/replacement Please check all that apply:
▪ over 225 amps, comm'l ❑Haaatdous location
❑ Demolition ❑ Other ❑Service over 320 amps - riding ❑ Buildng over 10,000 sq. 8,
: , e , ,; of 1- and 2- family dwellings 4 or more new residential
■ and 2- family dwelling tr, 41 lercialfindustrial Ei Accessary building ❑ System over 600 volts nominal units in one structure
❑ Building over three stories ❑Feeders, 400 amps or more
■ - family , \ " ' ` [3 • ❑Occupant load ovw 99 persons ❑Manufactured structures or
� • •° - •'. x,, . Y • }y ." - � . ;'''• ti plan RV park
•, 4,.. i .• • •• , , ..r - a . ..1.. 3 }, ;;'„� r ❑E e$3/li rA
f � t ';,F ✓3 K.Pi ' , +r," ., r`x • 1 .,} ' ; �: ; C 0 ;'�;, „r •: ,. . • ` + :? : ;1-4 ,... �?; 3 n., ...� � gh B l
P � Oth �,
ti ' ❑Health-care facility :
Job no.: / .1 2:7 1 Job site address: / of 7c. s: -, Ilf /rvt&rf_; Submit 2. sets of plans with any of the above.
City /State/ZIP: J u-4# 4 7 '22,3 The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: -"7 , Csa_:d� _vya.r„
Project tome:
� Q,,. Fm Torte
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision: I I,ot no.• Ea add'1500 s4 ft or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: . ,. Limited energy, non - residential 75.00 •2
� . _ .. , ,• a 1 b; : i ' i ,,:::. . J�. a' . •:,: Bach manuf d acture o r modular '
tir.�.;�� ,`4::�.,._ ,L;�?�!� # :�, �1, � �:��.•.ti r r r••; 7•.
! d and feed 90 .90 2
2 i i o ' Ser or feeders installation, /or er alteration, and/or re don _
1 200 amps or less / 80.30 .30 2
v, :. 4. , :'e'L•$'l ri:Yi;i ,: ; 4 ; :': i ::� 6:• " 201 amps to 400 amps 106.85 2
oo 8?,����r`{� �. ir,'� fl'
't, --.. ' ir. ... ,. •>,' • .' , : i 401 a mps to 4 00 a 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 66.85 _ 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or '
relocation Phone: ( ) I 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, 67U, and 701. 401 amps to 600 amps 133.75 2
Owner signature• Date: Branch circuits - new, alteration, or extension, per panel
v ... , .. `. �' {,s A. Fee for branch circuits with
r � c�44?r S " �tM1,�� v � k • K .,,�., 4''•'�: ?.:�:5 %
:: +• a v . �,'.�•'. +l�.. r
t f^ r. r , .?,;. ,:;. . :•: � y , fe eder fee, each
r,.� n�,. •..�.. . service 6.65 p 4 2
Business name: branch circuit .3 /n/0
B. Fee for branch circuits '
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'/ branch circuit 6.65 2
Ci /Statc/ZIP: Mlscelmneoua (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax : : ( ) Sign or outline lighting 53.40 2
E -mail: ' Signal circuit(s) or limited -
t , "mil.' ": ; •. ' 4 ` ' , r r ' ' :, . : ....s,., .... . . ' c en ergy panel, alteration, or
j'�-i u :J�, �:': „S" \; � ,.�;•p. +�, ;F {' .s F ��.:. �p� "":' , :fr �7. >•y'• ..
",.: '': "t _...�., ?, �', a.,. 2
,r� c•.. ., c� r. � r r !',. ;., v extension. Describe: Page 2
Business name: F)[ 0 r✓
i f Each additional Inspection over allowable to any of the above
Addr /5 5 t_ p,,...,/,_ p inspection 62.50
City /State/ZIP: R, ,,, c5•._. ci 7 ZO Z Investigation per hour (1 he min) 62.50
Industrial • lent per hour 73.75
Pb one (503 ) 2 3c 3 Fax: (5d ) Z3 2 g on Z s° Y ::V . 4 : ., I ME- ,. x : 2. °N� 5
CCs Lic.: /(p 3 5 t f I Electrical Lic.: G I Suprv): V, '9S Subtotal: / .2 o ,_2 O
Suprv. Electrician signature, requirgd: e Plan review (25% of permit fix): -
i � 1 State surcharge (8% of permit fee)) q'. 4
Print Dame: f � Al 1 Date: a ��� �0 '� TOTAL PERMIT FEE ��g
Authorized signature: - ` � T hin per001it application expires it' "CAC* 16 ad obtaIncd wie61a 180
days after it ban been accepted as complete
Print Ham • Date: ��� a. Number of iaapecaoas Per pecou t ll owed. Industry Service Hoard
I:\Buildlag\Patmlin ttt.C.PumitApp.doc 03/23/06 440.4515T(11/05/COM/W68
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Ef_G2007 -00105
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20!2007
Phone: (503) 639 -4171 ..
Inspection Requests (24 Hrs.): (503) 639 -4175 . &!J" 1I..
INSPECTION WORKSHEET FOR DATE: 316/2007 TIME: 7 : 00AM PAGE: 59
SITE ADDRESS: •10170 SW NIMBUS AVE H7 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: CHILDREN OF THE SEA
DESCRIPTION: (6) dedicated circuits, (1) 80 amp sub panel.
Job #1227.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: FOX ELECTRIC COMPANY ��rpi\O PHONE #: 503 - 563 - 7215
Inspection Request Scheduled For: Date: 3/6/20Q7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 044372 -01 971-563-7215 Y
Corrections /Comments /Instructions: �/ l �
-L Ct�
(1=1\ S f
�I
. �,
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Nb4 l l r Date: 3 1 01 Phone #: (503) 718- 2A4_____
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