Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00250
' COMMUNITY DEVELOPMENT DATE ISSUED: 5/2/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BD-00100
SITE ADDRESS: 09600 SW OAK ST 280 ZONING: C -
SUBDIVISION: PLAZA WEST LOT : 005 JURISDICTION: TIG
PROJECT: TIGARD FAMILY COUNSELING
Project Description: 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: 1 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:
PLAZA WEST LLC OREGON ELECTRIC CONSTRUCTION INC
C/O NORRIS BEGGS & SIMPSON 1010 SE 11TH AVE
121 SW MORRISON STE 200 PORTLAND, OR 97214
PORTLAND, OR 97209
Phone: 503 - 223 -7181 Contact #: PRI 503 - 234 - 9900
FAX 503 - 234 -1001
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit 5/2/2008 $53.50 LIP 203
[TAX] 12% State Surchar 5/2/2008 $6.42 SUP 4818S
Total $59.92 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 ay obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: / 1i� ,- Permittee Signature: p/ l®fW P /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.
IAAY -01 -08 09:34 FROM-OREGON ELECTRCA4NV c 5032349900 T-200 P.001/002 F-639
r,
le CifiCill r CI: 1111 L / IJ AR P Al, In 'V
t.4FL.' Received
City of Tigard Datc/BY: 5 /' (As
eview 07• Pt Nc atieitf"—I.X)e3
III ' 13125 SW Hall Blvd.. Tigard, OR 972V\ N\( () A. n73 Plan R
Phone: 503.639.4171 Fax: 503.598.19E0 Dare/By Other Permit: 6 ,,p, aui r _ a .„ 3 7
TIGARD
,
Inspection Line: 503.639.4175 0 t Date Ready/8y: Juris: Fa See Page 2 for
Oh - 4
Internet; www.rigard-or.gov WI ..• ,...; ',.. ,;--. r,, Notified/Method: Supplemental Information
.. ''.' ,........:: T1'
P New construction El Addition/alteration/replacement plea:* check all that apply (submit 2 see; of plans w/iteins checked below);
1:1Serviee or feeder 400 amps or more 0 I:Wading over three stories.
1:1 Demolition 0 Other where the available fault eurfC111 0 Marines and boatyards.
• .1:11'..1....r.7'..,10....j:s..1'...:::44:-AtlitittikOrF(S17:0*****16114ietie;:geqripii",,::,,-;::...us61,:lf..7:: exceeds 10,000 amps at 150 volts or El Floating buildings.
less to ground, or exceeds 14.000 0 COOMIereial-USe agricultural
ID 1- and 2-family dwelling gl Commercial/industrial 0 Accessory building amps for all other lasollations. buildinlo.
El Multi-family 1=1 Master builder Ei Other. 0 flee pump. 0 i liga n ot i o n of 75 KVA or
larger separately derived syslestl.
Al.:00.,0:W 417PAI:F4' 13 Addition of new motor Ioad of 0 "A". "E'. - 1-2". - 1-3".
Job no.: 70448 Job sire address: 9600 SW OAK ST 1001'UP or more. occupancy.
1:1 Six or more rt-sidemial units. ID Recreational vehicle parks,
City/Stare/ZIP: TIGARD, OR 0 Health-care faciiiries, 0 Supply voltage for more than
0 Hannious locatiorm 600 v0115 nominaL
Suite/bldgJapt. no.: BO Projcct name: latgLlniVES°7-- ID Service or feeder 600 amps or more.
• '7V .!,' :.
Cross street/directions to job site: -- " .- /rdibtb ON/z..)/ / Set.m..1.Y.ii;tion ' 1 Qty. I Fce. I Total •
— New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft_ or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33,40 1
Tax map/parcel no.: Limited energy. residential 75.00 2
•:.:'::;'.';:4-:,17.::FfPr::;ii!ri:Ci:-.7k401.3.***400.-40- *IWV' (with above ,). it)
Limited energy, multi-farnily
INSTALL OUTLETS AND SWITCHES FOR SMALL T.I. residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
P1:1,•=t401 201 amps to 400 amps 1 06.85 2
Name: NOyyt51 ct- Sitd1 p5 0 iin 401 amps to 600 amps 160.60 2
60i amps to1.000 amps 240.60 2
Address: val 5w M)
64-rISOn Si 4P_OO Over 1,000 amps or volts 454.65 2
City/State/ZIP: y 44 e A . Ll zA I o P.,_ al 1 DO 14 Temporary services or feeders installation, alteration, aad/ r
relocation
Phone: (503 ) z23- 1 i si 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 599 amps j 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date:
A. Pee for branch circuits with
1 above service or feeder fee. 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
wiritoza service or feeder fee, 1 46.85
Contact name: 46.85 2
fust branch circuit
Address: Each add'l branch circuit 1 6.65 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufacnired or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( )
Reconnect only 66.85 2
E Pump or inigation circle 53.40 . 2
.,.. ::: ,; '.' ' ■ .;... ^!.:.';'''?'1 v . v : ... t"TOO.:: .4:;. Sign or outline lighting 5340 2
Business name: OREGON ELECTRIC CONSTRUCTION. INC Signal circuit(s) or limited.
energy panel, alteration, or
Address: 1010 SE 11 AVE extension. Descnbc: Page 2 2
City/Statc/ZIP: PORTLAND, OR 97214 Each additional inspection over allowable in anyof the above
Per inspection 62.50
Phone: (503) 234-9900 Fax: (503) 234-1001 Investigation per hour (I hr min) 62.50
CCB Lie.: 203 Electrical Lic.: 26-95C Suprv. Lie.: 4549S industrial plant per hour 73.75 .
''.•••P,: ,4,:. V. ?. ..17,.'..•: I
Suprv. Electrician signature, required; si:la'r\ Subtotal; 7ecilig Sb
Print name: RICHARD MCELLIOTT Dam: 05/01/08 Plan review (25% of permit fee):
State surcharge ( I 2% of permit fee): )3(4S.L. G'
Authorized signature: c ah e la 21, ..s.k. ,b.' VC\ r '''Z -S•3:n) - ' TOTAL PERMIT FEE; ._ 5/ A
Print name: RICHARD MCELLIMT Date: 05/01/08 This permit applionion expires If a permit is not obtained within 180
—J days after it has been accepted as complete.
• Number of impections allowed per permit.
1:xnuiluintitaat.c-rh.rmaapp.a.: osr_vois 4404615
— - '.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 -00250
13125 SW Hall Blvd., Tigard, OR 97223 ! DATE ISSUED: 5.772008
Phone: (503) 639- 4171w°4pt}
Inspection Requests (24 Hrs.): (503) 639 -4175 .44 Ail.
INSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 09800 SW OAK ST 230 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: TIGARD FAMILY COUNSELING
DESCRIPTION: TI.
OWNER: PLAZA WEST LLC, PHONE #: 503 223 -7181
CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INC PHONE #: 503-234-9900
Inspection Request Scheduled For: Date: 5/28/2008 Pour Time:
Code # Inspection Description Confirm -# Contact # Message
199 Electrical final 070442 -01 503-849-2597 N
Corrections/Comments/Instructions:
NO4. ■
Nto ECZ ,4 S S V o FltyL (- GL_ QLtE\EkM'nt
N o i c . 6 � s � 0 2 ) A AM \i
\\ A /
,,,,\,,,, v
v \
PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G i\6g LC
Date: rit Phone #: (503) 718- 1.4"4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200B 00250
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2008
Phone: (503) 639 -4171 /�nmf-° ;,s��li��
Inspection Requests (24 Hrs.): (503) 639 -4175 s, . �-
INSPECTION WORKSHEET FOR DATE: 5/5 /2008 TIME: 7:01AM PAGE: 32
SITE ADDRESS: 09600 SW OAK ST 280 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: TIGARD FAMILY COUNSELING
DESCRIPTION: TI.
OWNER: PLAZA WEST LLC, PHONE #: 503 -223 -7181
CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INC PHONE #: 503- 234-9900
Inspection Request Scheduled For: Date: 5/5/2008 " Pour Time:
Code # Inspection Description Confir • Contact # essage
125 Wall cover 06934401 503 - 849 -2597 N Y
Corrections /Comments/ Instructions:
e
,\PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C � �8 Date:
GI
if 01 Phone #: (503) 718- yob