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Permit
C ITY, OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00503 ��i DEVELOPMENT SERVICES DATE ISSUED: 9/14/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134AD -06202 SITE ADDRESS: 10500 SW NIMBUS AVE T ZONING: I - P SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : JURISDICTION: TIG Project Description: Solid Rock Fellowship T.I. RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 2 MANF HMI SVC/ FOR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 4 W /SERVICE OR FEEDER: 45 PER INSPECTION: 201 - 400 amp: 2 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: X CLASS AREA/SPEC OCC: Owner: Contractor: • ROBINSON, CONSTANCE A + SHAW WEST COMPANY ROBINSON, LYNN + BELL, KAY ET PO BOX 1427 BY INSIGNIA COMMERCIAL GROUP TUALATIN, OR 97062 BEAVERTON, OR 97008 Phone: Contact #: PRI 503- 682 -3939 FAX 503- 682 -3723 FEES Description Date Amount Reg #: ELE 34 -70c [ELPRMT] ELC Permit 9/14/2006 $984.15 LIC 63142 [ELPLCK] ELC Pln Rev 9/14/2006 $246.04 SUP 2215 [TAX] 8% State Surcharge 9/14/2006 $78.73 REQUIRED ITEMS AND REPORTS Total $1,308.92 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 -5.10 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct quest'ons to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: . _ , // , � _ .�� 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 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 i i do 0 FOR OFFICE USE ONLY . . . A / City of Tigard DateReceiiv ved J 9 Permit No. 13125 SW Hall Blvd., Tigard, OR 97223 (t � a Plan Review I �� L,,,,-, Q Phone: 503.639.4171 Fax: 503.598.1960 / ' 2006 k'." °ill r 1 Date/By: Other Permit: Inspection Line: 503.639.4175 Date Ready/By: / � / /� kris: See Page 2 for � Internet: www.ci.tigard.or.us , i,_41. I '� i' ; �.�.f Notified/Method: / �� Supplemental Information • 81 'W ITTP1fr) PLAN REVIEW ti ❑ New construction ® Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑ Other: El Service over 225 amps, comm'l ['Hazardous location ❑Service over 320 amps — rating ® Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ['Building over three stories ['Feeders, 400 amps or more El Multi- family 0 Master builder 0 Other: El Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION AND LOCATION ZEgress/lighting plan RV park kdi Job no.: 0681 Job site address: 10500 SW Nimbus Ave. ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. p City/State /ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service. D Suite/bldg. /apt. no.: Bldg. T Project name: Solid Rock Fellowship FEE* SCHEDULE Description I Qty. I Fee. I Total I ** Cross street/directions to job site: Nimbus South from Scholls Ferry Rd. to end of New residential single- or multi- family dwelling unit. II Includes attached garage. business park. 1,000 sq. ti. or less ' 145.15 4 O( Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular Electrical remodel dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation • 200 amps or less 4 80.30 321.20 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 2 106.85 213.70 2 401 amps to 600 amps 160.60 2 Name: KG Investment Management - Kyle Latta 601 amps to 1,000 amps 240.60 2 Address: 10240 SW Nimbus Ave., Suite L3 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and/or Phone: (503)598 -9980 Fax: (503)598 -9982 relocation 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 0 APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 • Business name: Shaw West Co. branch circuit B. Fee for branch circuits Contact name: David L. Selby without service or feeder fee, first branch circuit 46.85 2 Address: PO Box 1427 Each add'I branch circuit 6.65 2 City/State /ZIP: Tualatin, OR 97062 Miscellaneous (service or feeder not included) Phone: (503) 682 -3939 Fax: : (503) 682 -3723 Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E-mail: +DAVt ( S W A N4 W >r31, CO M Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or Business name: Shaw West Co. Audio lon. Describe: FA and 2 Page 2 rl 10.E 2 Address: PO Box 1427 Each additional inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: Tualatin, OR 97062 Investigation per hour (I hr min) 62.50 Phone: (503) 682 -3939 Fax: (503) 682 -3723 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: 63142 Electrical Lic.: 3 70C Su . Lic.: 221S Subtotal 984.15 Suprv. Electrician signature, required: C t) q Plan review (25% of permit fee) 246.04 Print name: / Date: 091 State surcharge (8% of permit fee) 78.73 Claire Simmons TOTAL PERMIT FEE 1308.92 Authorized signature: y, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: David L. Selby Date: 09/06/06 • Fee methodology set by Tri- County Building Industry Service Board • • Number of inspections per permit allowed. i:\ Bui lding\Pennits\ELC- PennitApp.doc 17!03 440- 4615T(10 /02/COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200&00503 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2006 Phone: (503) 639 - 4171 +� Inspection Requests (24 Hrs.): (503) 639- 4175 -- INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7 :00AM PAGE: 22 SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SOLID ROCK FELLOWSHIP DESCRIPTION: Solid Rock Fellowship T.I. OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: SHAW WEST COMPANY PHONE #: 503-6132 -3939 Inspection Request Scheduled For: Date: 11/30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 040475 -01 503.519.5925 Y Corrections /Comments /Instructions: 7/---- Q1 i!:) -,) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: iil eg L.,. Date: II 3 b Phone #: (503) 718 - i CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006 -00503 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2006 Phone: (503) 639 -4171 �° Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' L. INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7:02AM PAGE: 3 SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SOLID ROCK FELLOWSHIP DESCRIPTION: Solid Rock Fellowship T.I. OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: SHAW WEST COMPANY � PHONE #: 503-662 -3939 Inspection Request Scheduled For: Date: 11/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 116 Electrical service 039753 -01 503.519 -5925 Y ci Corrections /Comments /Instructions: ? wovt©.' FL063.1 cam- , PAL 4,*?. f 116 -3 44I c Ec3L, e z Ni t:T tu PqN L Kks __.uok4.. b7dt v)kk i\n" •`C WALL Pill' u u61 6t Pr`'t v_:%(ANc 5 1■.‘ 6 - 166 viitA 4 GCy p eql • ❑ PASS , P ARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES v ASSESSED �✓ Q IJ Inspector: cp LE- Date: ) � I 1 Phone #: (503) 718 2 1 1 1‘ • l CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00503 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14 /2006 Phone: (503) 639 -4171 : a Inspection Requests (24 Hrs.): (503) 639 -4175 L. INSPECTION WORKSHEET FOR DATE: 1//812006 TIME: 7:03AM PAGE: 13 SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SOLID ROCK FELLOWSHIP DESCRIPTION: Solid Rock Fellowship T.I . OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: SHAW WEST COMPANY PHONE #: 503 - 3939 Inspection Request Scheduled For: Date: 11/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message „Iv_ ..c",2 199 Electrical final 039461 -01 503- 519 -5925 Y G , Corrections /Comments /Instructions: p ( 4 ) 4 \ G el oas ike2,0-144. cer-ext.f €1-1A.A.1. ❑ PASS .PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 04114 Date: //' - 0 '' Phone #: (503) 718- CITY OF TIGARD a62o04- OG5 03 BUILDING DIVISION • . PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 :t_zoNoti Inspection Requests (24 Hrs.): (503) 639 -4175 1 �.. INSPECTION WORKSHEET FOR DATE: t % AQ /0 (4 TIME: PAGE: SITE ADDRESS: (O 600 w � CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 3 Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections/Comments/Instructions: Cz ER. N4 c C 1 L► A i l e ■11-10 P UAL Eta._ Vol! - R► c T S I t� � P��l a D �'•� - G c-'v e C, . Czi, t @K ILL P (z% SAL, `P t. N ct ' �v�� supo?z17 ft& ALL e•- G,o61.� • ❑ PASS PARTIAL PPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • 1 08 Date: \I; • 4 4 ' 04, Phone #: (503) 718- 2 -LA CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006 00603 13125 SW Hall Blvd., Tigard, OR 97223 F DATE ISSUED: 9/14/7006 Phone: (503) 639 -4171 p�j�l Inspection Requests (24 Hrs.): (503) 639 -4175 �'.. ° _.. INSPECTION WORKSHEET FOR DATE: 10/11/2006 TIME: 7 :02AM PAGE: 46 SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SOLID ROCK FELLOWSHIP DESCRIPTION: Solid Roc :k Fellowship T.I. OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: SHAW WEST COMPANY PHONE #: 503 -682 -3939 Inspection Request Scheduled For: Date: 10111/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 0313010-01 503 -619 -5925 N Corrections /Comments /Instructions: 64) I / ilk t--L- vV P G 1A "tel A g ©J a 0-V , i'Vk , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G rkse LEA Date: 1 6111115‘ Phone #: (503) 718 - Z i 1b CITY OF TIGARD l BUILDING DIVISION PERMIT #: ELC2006•00503 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2006 Phone: (503) 639 -4171 it „� Inspection Requests (24 Hrs.): (503) 639 -4175 �' ° 'I �.. INSPECTION WORKSHEET FOR DATE: 10/6/2006 TIME: 7 :03AM PAGE: 43 SITE ADDRESS: 10600 SW NIMBUS AVE T CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SOLID ROCK FELLOWSHIP DESCRIPTION: Solid Rock Fellowship Ti. OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: SHAW WEST COMPANY PHONE #: 503 -682 -3939 Inspection Request Scheduled For: Date: 10/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 126 Wall cover 037787 -01 503- 519.5925 N Corrections /Comments/ Instructions: 4 •en . � L 1 ? , 1 11Y11 5 v « t 5 C . 1L-0 . %a-044 t S 0 $ S i erg' S `Q wsv s w Vkaita 1vze- ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' t4 Date: 0 6 0 Phone #: (503) 718 - 26 CITY OF TIGARD . . BUILDING DIVISION PERMIT #: EL.C2006- 00503 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "'LL INSPECTION WORKSHEET FOR .DATE: 9/20/2006 TIME: 7 :01AM PAGE: 6 SITE ADDRESS: 10500 SW NIMBUS AVE_ T CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SOLID ROCK FELLOWSHIP DESCRIPTION: Solid Rock Fellowship T.I. OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: SHAW WEST COMPANY PHONE #: 503 -6B2 -3939 Inspection Request Scheduled For: Date: 9/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 Underground/slab cover 036896-01 503 -519- -5925 N Corrections /Comments /Instructions: 6 1( '� o i'tQL w e QNt - 3 c PASS EI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �• t1Vte Date: 1'TO ' Phone #: (503) 718 - 2.44 •