Permit ,d p
• � ELECTRICAL PERMIT
IN '' CITY OF TIGARD
° PERMIT #: ELC2006 -00693
° COMMUNITY DEVELOPMENT DATE ISSUED: 12/6/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AA-01800
SITE ADDRESS: 10240 SW NIMBUS AVE L1 ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : 002 JURISDICTION: TIG
Project Description: Branch circuit to sign. Connection by others.
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: 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 + DRYER ELECTRIC INC
ROBINSON, LYNN + BELL, KAY ET PO BOX 86369
BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97286
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 - 287 -6764
• FAX 503- 282 -1060
FEES
Description Date Amount Reg #: ELE 26 -1142C
[ELPRMT] ELC Permit 12/6/2006 $46.85 LIC 153466
[TAX] 8% State Surcharge 12/6/2006 $3.75 SUP 2876S
Total - $50.60 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 503.246.6699 or 1.800.332.2344. �x
Issued By: �- � L.1_-u _ &AX t ./ Permittee Signature:
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
I
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.
lectrical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED Received !! -'y / f� i(
Date/B : lot- b 06 Se5/
'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.5 60 /latrd.df :.. .,, � , , Date/B : Other Permit:
Inspection Line: 503.639.4175 Q ` ° 2006 ■ 41: t:!/ i Date Ready /By: �, ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIrARD 2 Notified/Method: Supplemental Information
{�l� SI PO . " ' :i ._ i -' , 110E
.- :RVIEW:., - :
...:•;- _ _ - 6� Tl�[Y1717fY {t7141t'6� .- ` - _. � .. 'i,, - .. ... ... .- ,A . >.
❑ New construction Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'l ['Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY CONSTRUCTION;
" ; ` �� ,... , -,. • • .,.;:- ': �,_ of 1 -and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling 0, Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi family ❑Master builder ❑ Other: ['Building over three stories • ❑Feeders, 400 amps or more
['Occupant load over 99 persons ['Manufactured structures or
"- -" ,,,..JOB�' INFORMAT_ ION' AND LOC_ ATION: ! .; F •.,...,;. �-•'' ,:•.; ".• DE plan RV park
Job ' ~" ? 1 [ �''7 Job site address: ,±7,,_.'1 y Q ST. �r M ✓ 1 ,Q JJ
❑Health - care facility ['Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: P r The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.:
f'',„.;•:.,,.'...::;
:. FEE *- •SCHEDUE• T. "� ;.: , _. : :,;'. • "• • ",,l';', oject name:
a2 . c7 ? 2 2 �
Description I Qty. I Fee. I Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
„ A Limited energy, non- residential 75.00 2
= DESCRIPTION OF -WORK; " "" • € _., ( _ - • Each manufactured or modular
�((-1. /� /� dwelling, service and /or feeder 90.90 2
� t `-�' t Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
"`'., ❑ PROPER OWNER" : ,` ` ❑- : T ENANT . ; V; ?' 201 amps to 400 amps 106.85 2
f ` 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 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( )
200 amps or less 66.85 I
Owner installation: This installation is being made on property that 1 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 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel
'; A Fee for branch circuits with
,.` ..,: ° _ • -` ❑; "APPLICANT:' .. =, .:r . • . D � ONTACT • 'PERSON .:,:;_''= , "
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits /
without service or feeder fee, 46.85 (,(6, , 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) F es:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
.* ;:. r ••! ; panel, alteration, or
.... w ;<'� "; %�: , ".. �:., CONTRACTOR;.,'..: •� � :� "`•; "` .,_ . ,, . .. • en ergy P o 0
extension. Describe: Page 2 2
Business name: Dryer Electric dba Rose City Electric
Address: 9409 NE Colfax Street Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: Portland, OR 97220 Investigation per hour (1 hr min) 62.50 _
Phone: (503) 287 -6164 \O Fax: (503) 282 -1060 Industrial plant per hour 73.75
,,:•11t; ) - ;`;,:;,,'. ELECTRICAL ",PERMIT. FEES*-:- ";':`••;':.'" `.':
CCB Lic.: 153466 \ \\� Electrical Lic.: 26 -1142C Suprv. Lic.: 2876S Subtotal ({ ( �
. X
Suprv. Electrician signature, required: 2ei-44�— Plan review (25 %of permit fee)
Print name: ,tE ea) G � DSC7 M Date: _ 7 Li _ ob.
State surcharge (8 % of permit fee) '''S e '7
�t �i ea) r �1 TOTAL PERMIT FEE �p 6
Authorized signature: This permit application expires if a permit is not obtained within 180
C days after it has been accepted as complete
Print name: ( � Q ^ Date: I _ 4 _ Fee methodology set by Tri -County Building Industry Service Board
Number of inspections per permit allowed.
i:\ Building \Permits\ELC- PermitApp.doc 12/03 440- 4615T(10 /02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200G -00693
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/6/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2 2116/2007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 10240 SW NIMBUS AVE L1 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: SCHOLLS BUSINESS CENTER
DESCRIPTION: Branch circuit to sign. Connection by others.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-287-6764
Inspection Request Scheduled For: Date: 2/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043469-01 503-287 -6164 N
Corrections /Comments/ Instructions:
-? i roe riv A la ob• Vb(L CikANCF �� � G VIRUC TSWIZ
CA1M\ii'C rEZON` -134' 'To 2" e E.`(.QOSE r. OX 6 k
NKr. cto
. 2 30 . $ VEAL co/JQur
'e 6 �.X, dam! (L t F 41/4)\LZ1 fJ t . 6Y
kti.4 - 9 (Oasts . . Lk,
-61 P i P A C. ���� AJ'j 4iciN � N Apoz... reme 1
VA Y. k /-1 4 , is r 110.3 Q3
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
aalenaar clays per OAR 918 - 271 -0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t C)60* Date: 2 A Phone #: (503) 718- 1- 444
CITY OF TIGARD t
BUILDING DIVISION PERMIT #: ELC2006 -00693
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/612006
Phone: (503) 639-4171
46
Inspection Requests (24 Hrs.): (503) 639 -4175 ' - 'I I ..
INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 68
SITE ADDRESS: 10240 SW NIMBUS AVE L1 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: SCHOLLS BUSINESS CENTER
DESCRIPTION: Branch circuit to sign. Connection by others.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 3/26 /2007 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 045524 -01 503 -771 -5667 N
Corrections /Comments /Instructions:
•
T-y
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � - r 1 \)(1 Date: ? J J2. to Phone #: (503) 718- V 1