Permit A, CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00543
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DEVELOPMENT SERVICES DATE ISSUED: 8/1/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S134AA-02100
SITE ADDRESS: 10300 SW NIMBUS AVE P ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: Electrical TI, (6) branch circuits for work station cubicles.
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: 5 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, CONSTANCEA + RK ELECTRIC INC
ROBINSON, LYNN + BELL, KAY ET 24495 NW OAK DR
BY INSIGNIA COMMERCIAL GROUP HILLSBORO, OR 97124
BEAVERTON, OR 97008
Phone: Phone: 503 - 640 -1344
FEES Reg #: LIC 94275
ELE 34 -375C
Description Date Amount SUP 4724S
[ELPRMT] ELC Permit 8/1/2005 $80.10
[TAX] 8% State Surcharge 8/1/2005 $6.40 REQUIRED ITEMS AND REPORTS
Total $86.50
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 r -s or direct questions to OUNC at
503 - 246 -669 or 1 -800-
Issued By. Permittee Signatur• ,, '~
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: 7 ? 5
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.
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FROM : RK Electric,Inc. FAX N0. : 5036401344 Jul. 29 2005 07:50AM P1
. f•E'Tc': QC�M1rL). .
11ectricaJ Permit Application F' O h ` O IC;I USE '.: QQ �� .:; //jj ;....: ,: :- 2
ltewived , ,[ Foamit Nn.: � ,/ 4 4. �i vv 5 J
City Of Tigard 1I ,> y , ��v: % - -^
I312.5 SW nail Blvd.. Tiy�rd. OR 97223 G�` V
m Review other Permit'
..; i % nue�av:
I nsp c: 5n Line; ray 5Q3.s98.19r e e l , — ' '� t :�`� y i 1 y 121 See rage fur
Inspection Line: 503.639.417 ` ' II l Supplemental information .
t 3 ' Nut111ed/Mctltod: ��
Llt�vel: www.ei•tig,9rd.or.ln ,1 7 . vr::,• --Y .e. r,...:. —�;• ,.^::,. >:..:[..,,-
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0 New construction ` ® S Addition/alt"' 1� }' ❑ 225 amps, Y ❑tivsrdQus location
Service over 2 l °�
e El G si D °Service over 320 amps - rating ['Bulldog oven 10,000 sq• It,
❑ Demolition %`!:' well 4 or more new residential
- - of 1- and 2- family d ink
£tai!$ -`
in
site
atu
_ : one
�,1FL�i� units
>a'a >:" , .�°iY ... : s.: ..• ,�-_-1 (,U vA nOal rrial
n b building
system over
❑ 1- and 2 : atllily [ tlwellIDg, " ~ ® Co111maCiaUindtD - tlial '❑ Au t=ssory S ❑Building over dutce stories ['Feeders, 400 amps or more
El Multi- lamlly 0 Master builder ❑ Other: ❑Ckcupant load ovar 9 persons ❑Manuf;,cturcd structures or
.,tea'" <.r �"' - ''' """ r _ ' F cte11i, lII' plan RV 'tip r."`""b ' w °y,. "• u • . , .: - . " .::' "" .o. p Ileatth - acre facility
Job no.: Job site address: 10300 SW Nimbus Ave. Bldg P. Suite C Submit 2 seta of plans with any of due above.
The above are not applic�bic to temporary construction service.
City/State/DP: Tigard / OR / 97223 ^- °;a a✓ fiZ ; :`: s; >s :
Suitc/bltigJapt. rto.. C / P 1 Project name: O p,l�a Q'� r " n1 •,
Nov residential single. or multi - family dwelling unit.
Cross street/dircctions to job site: _ Includes attached garage.
145.15 4
1,000 s9 tL or less 1 1
Scholia Ferry Rd Ea. add'I 500 sq. it or portion 33.40
1 Lot no.: 7 5.00 ^ 2
subdivision: Limited energy, r
Tax trlap/purcel no.. , , ,^ + Limited energy, non residential 75.00 2
„ „,.' Y. " 4 : )1 1 .."..,, c ; , '..s�a. =:1 ` =* Each ma fafachaai or modular
1t31!«' . `' > >:;' .+ ''''' a [.W4 0 2
>Y;Y <Fl(Et:> 90.9
;-,:1, dwellinE, service sad/or feeder � ,._.
Extend up to 6 circuits for work station cubicals Service or tr dlnrs installation, alteration, and /or relocation
200 amps or lass 80.30 2
�"� 201 Imps to 400 amps I06.45 2
§,'� "a� a° :y•4r:` 7 160.60
i= `,';' T: >1Cf. ".e > _ "•�- ° >:.. 1. 40I ri to 600 amps .
F :eR:..�,::.,..::,. -,,, ... ., amps s 240.60 2
Name: Net Biz 601 am mil+ .
Over 1.000 amps or volts 454.65 2 ,
Address: 7175 SW Beveland, Suite 100 xceunnect on 66,85 2 _ •
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: Tigard / OR / 97223 relocation
Phone: (503)718-1106 Fax: ( -) 200 amps or less 66.85 1 __ q - :
Owner installation: This installation is being made on prolxxty that I own whic 2 0) amps to 400 amps 10030 2
i0 which is not 2 -
intended for sale. lee, rent, or euchattge, according to ORS 447, 449, 670, and 701. 401 turps to 600 amps 133 75
Date: Brandt circuits - new, alteration, or extension, per pared
Owner signature:
': [. "^:^r' ,- -" :y. w:x ��[„ .. s, ,v; % ; t .�.� f A, ):us for l+ranch circuits wrrh
. .... ;; w :t... "` a ?li : ' - service or feeder fee, each 2
y ¢: E 'K...t .. " ..:,...,i 6.63
., `�.;a: %.. ...,.......-„s:, - .. .:,::,.., f brunch circuit ,
Business tenure: NetBa . —' --•- - R. Fee for branch circuits
Contact name: Brandon Olejniczak _ without service or feeder fix. • 46.85 A,g 5 2
each brava circuit
Address: — 6.65 Z
Each add'I hrandt circuit 5 3�'
Miscellaneous oetvicc or feeder not included)
Clty/State — P or irrigation circle 53.40 2
Phone: (503) 317 -0736 or 718 -106 Fax:: ( ) Sign or outline lighting 53.40 2
Signal circuits) or limited -
$-tn3tl: „. �.—r;c /r ::4b "W ' r,::, r n a i ::: ; w&rj� ; energy panel, attention, or 2
..,,,, w::ii<w : :: % :. n S:^�.•`:'!�•• ;.Y..,,. .. . ". extension.
Describe: Page 2
Business name: RK Electric. Inc,
_ Each additional ltrspcetiof over allowable in any o the above
Address: 24495 NW Oak Dr. — Per inspection 62.50
—
City/State/ZIP: Hillsboro / OR / 97124 _ Investigation per hour 0 br mein) 62.50
Industrial plant hots 73.75
• ndustri;il n
Phone: (503) 640 - 1344 I Fax (503) 356► -0513 :4 i. y. t er ' .;„st°!s`. ' <
CCB I .ic.: 94275 ' Electrical Lic.: 34-375 C Supt v. Lic.: 4724 S ;;.. subtotal 0 0
Plan review (2S% of permit fee)
Supt v. Electrician signature, rt-yrlir�. �j -
tr stet& sauehn %
rge (8of permit fee) 6 < 4 10 . —
Print name: Z Date: 7/29/05 u y TOTAL PERMIT FEE 8 r.-0
Authorized s5 ature: . This permit application expire% if a permit k not obtained within 150
' days atter it has hccn aeeePted at Complete
K �/ 1 Date' 7129/05 ° Pet methodology set by Tri- County Building Industry Service boana
Print Haire.
�U t/1, 4, , ' t t, T Z- •b Number of inspections ver Denali allowed
CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: ELC200500543
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/1/2005
Phone: (503) 639 -4171 /oam1, �yl1l�
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!+- 11.
INSPECTION WORKSHEET FOR DATE: 8/312005 TIME: 7 :06AM PAGE: 23
SITE ADDRESS: 10300 SW NIMBUS AVE P CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: NET BIZ ADVISORS
DESCRIPTION: Electrical TI, (6) branch circuits for work station cubicles.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: RK ELECTRIC INC PHONE #: 503 -640 -1344
Inspection Request Scheduled For: Date: 6/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 012720.01 503-640 -1344 N
Corrections/Comments/Instructions:
c r vt ee ( O C(
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: If ✓ t2' Phone #: (503) 718-