Permit CITY OF TIGARD ELECTRICAL PERMIT
Iiiii ).„ � ° PERMIT #: ELC2007 -00053
COMMUNITY DEVELOPMENT DATE ISSUED: 1/23/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AA-02100
SITE ADDRESS: 10340 SW NIMBUS AVE NC ZONING: I -
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: Cochran Inc - TI
•
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: 1 • ,.� CLASS AREA/SPEC OCC
Owner: Contractor: 'J�i , - '' D ' . cL
ROBINSON, CONSTANCE A +
ROBINSON, LYNN + BELL, KAY ET 2Q 60K G 7V.
BY INSIGNIA COMMERCIAL GROUP D 75-- BEAVERTON, OR 97008 0 2
Phone: Contact #:
5?3 - g57_ I/73
FEES Q.L C i 1
Description Date Amount Reg # :
S yp 3 3(8 5
[ELPRMT] ELC Permit 1/23/2007 $66.80 /
[TAX] 8% State Surcharge 1/23/2007 $5.34 L l '- �/e.) / p we
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.
Issu By: k i ■, i Permittee Signature: 4-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.
. Electrical Permit Application FUIt OFFICE IJSI:: ONLY
City of Ti and V /i Received II ;,-, D 1 Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review t/44,007,...000 S3
• Phone: 503.639.4171 Fax: 503.598.1960 JAN 2 3 20 '''I'''''' I _ � 1 Da�Y Other P rmit:
Inspection Line: 503.639.4175 °' Date Rea .1 " . ® See Page 2 for
Internet: www.ci.tigard.or.us -
CITY fir i letARU Notified/Method: I el. Supplemental Information
TYPNIEIVOADIVI SIM PLAN REVIEW
❑ New construction La Addition/alteration/replacement Please check all that apply:
❑Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition 0 Other:
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
❑ 1 and 2 family dwelling [Commercial/industrial ❑ Accessory building OSystem 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 SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site address: 30 5W N bus ❑Health -care facility ❑per:
• Submit 2 sets of plans with any of the above.
City /State/ZIP: p v t I a k d `/ q )Z Z3 The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg. /apt. no.: N Project name: Ceed4 ra 7,4v Description I Qty. Fee' Total ( ..
Cross street/directions to job site: . , )4p) Is, I w ,e s New residential single- or multi- family dwelling unit.
(( I vvvv��� Includes attached garage.
t t4 4 V� — Nf t i ( 43 1 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
NI PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 1201)4.5494 /� Colo S /AA-16e_ ter) KP.T vc 67 ne 41 601 amps to 1,000 amps 240.60 2
Address: / n Z a c 51,0 M 1 , 4 „, u I l e L- 3 Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Ow -)a fr, et Ole 7723 Temporary services or feeders installation, alteration, and/or
(SD3 5 9 ' 'ITEM ,3) 5 - q ? _ - relocation
Phone: 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, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
2 APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
• service or feeder fee, each 6.65 2 i. ‘ Business name: 1.01 I ),( 1 branch circuit
B. Fee for branch circuits
Contact name: Ke u 1 kr� without service or feeder fee, I 46.85 g J
2
Address: PO �0 X G 7 9 - / 7V 7 4 � / 67 each branch circuit 9
I / Each add'I branch circuit 3 6.65 QJ 2
City /State/ZIP: � ,4V U 11JK pie__ q 7)73 - 06 Miscellaneous (service or feeder not included)
• Phone: (6 ) (57 / 1 7D Fax: : (503)2A -/ S 3z_--- Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
' /( ' (../ extension. Describe: Page 2 2
Business name: 144
. Address: PA 1,12(/ Each additional inspection over allowable in any of the above
PP Per inspection 62.50
City/State/ZIP: ( )j cis-7- gtq.Q80,,.e. N �� / g7o7� -oI 7 Si Investigation per hour (1 hr min) 62.50 _
Phone: J % I i -y 1 v Fax: 2// Industrial p lant p er hour 73
03 ) �r
CCB Lic.: loll ') , Electrical Lic.: J — / Suprv. Lic.:3 $4 i5 ELECTRICAL PERMIT Subtotal ES* (�_
C 1 . So
7 . Suprv. Electrician signature, required: , 4 . Plan review (25% of permit fee)
State surcharge (8% of permit fee) S ,3
Print name: pi il/�U 6) II
)52� Date: l Z2....-07 TOTAL PERMIT FEE 7a , /g
Authorized signature: �� �� �N .r.,�, This permit application expires if a permit is not obtained within 180
� j �� �'[ days after it has been accepted as complete
Print name: / VI IC.4 Am, �� Date: JJ ZZ — O� • Fee methodology set by Tri-County Building Industry Service Board
Number of inspections per permit allowed.
• i:\ BuildingTermits \ELC- PamitApp.doc 12/03 440- 4615TO0/02/COM/WEB
Electrical Permit Application - City of Tigard r ,
Page 2 - Supplemental Information .
LIMITED ENERGY PERMIT FEES:
f RESIDENTIAL WORK ONLY:
•
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
El Audio and Stereo Systems*
El Burglar Alarm
El Garage Door Opener*
El Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial system. $75.00
(SEE OAR 918 - 260 -260) •
Check Type of Work Involved:
El Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ .HVAC
El Instrumentation
❑ Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
El Nurse Calls
El Outdoor Landscape Lighting*
El Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
i:\ Building \Pennio'ELC- PermitApp.doc 04/03
CITY OF TIGARD - - ,
BUILDING DIVISION . ' PERMIT #: FLC2007- 000Q
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2007
Phone: (503) 639 -4171 ` d �(
Inspection Requests (24 Hrs.): (503) 639 -4175 F _:..
INSPECTION WORKSHEET FOR DATE: 1/30/2007 TIME: 7:03AM PAGE: 23
SITE ADDRESS: 10340 SW NIMBUS AVE NC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: COCHRAN INC
DESCRIPTION: Cochran Inc - TI
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 �0 Electrical rough-in 042682-02 503. 380.8229 Y
Corrections /Comments/ Instructions:
t 5- m1lo ..p -1 ^�
43 No (Zeopp& NI3-43,J le-0 iNeov cv.? poi,.
(M ((- 2�v�ca8l � elq, 4 i 1 � 4 L
,�
�06V1Y. ICV (tot ki 1
i\t16% % rmii ea,z 63,) 4z. ,
V 1 _ ..
❑ PASS X PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � I v te Date: 1 ('o fY1 Phone #: (503) 718- l}iif 6
CITY OF TIGARD -
BUILDING DIVISION .. PERMIT #: ELC2007 -00053
•
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2007
Phone: (503) 639 - 4171.µ i' � I �
Inspection Requests (24 Hrs.): (503) 639 -4175 F__-.
INSPECTION WORKSHEET FOR DATE: 2/20/2007 TIME: 7 :09AM PAGE: 33
SITE ADDRESS: 10340 SW NIMBUS AVE NC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: COCHRAN INC
DESCRIPTION: Cochran Inc - TI
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503-957-1173
Inspection Request Scheduled For: Date: 2!7.0/2007 Pour Time:
Code # Inspection Description infirm # Contact # Message
130 Ceiling cover 043586-0/ 503-957 -1173 Y
Corrections /Comments /Instructions: , s YAW
/`{�PASS ❑ PARTIAL APPROVAL ❑ CANCEL 11] NO ACCESS
❑
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G—.. ` ' Date: • 2n Phone #: (503) 718- iblitfl'5'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FLC2007 -00053
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2007
Phone: (503) 639 -4171 .111111
Inspection Requests (24 Hrs.): (503) 639 - 4175' ° 'I �..
INSPECTION WORKSHEET FOR DATE: 212//2007 TIME: 7 :00AM PAGE: 35
SITE ADDRESS: 10340 SW NIMBUS AVE NC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: COCHRAN INC
DESCRIPTION: Cochran Inc - TI
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503 - 957 - 1173
Inspection Request Scheduled For: Date: 7!2112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electric:al final 043549 -01 503-380-8229 Y
Corrections /Comments /Instructions: I0) A4(
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G r V OB Date: I' 2- t " O7 Phone #: (503) 718- 2titi`b
,,