Permit CITY OF- TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00755
°' COMMUNITY DEVELOPMENT
DATE ISSUED: 11/8/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BD-00100
SITE ADDRESS: 09600 SW OAK ST 340 ZONING: C -P
SUBDIVISION: PLAZA WEST LOT : 005 JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: 4 branch circuits.
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: SIGNAUPANEL:
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: CLASS AREA/SPEC OCC:
Owner: Contractor:
ASA PROPERTIES, INC OREGON ELECTRIC GROUP
BY PAUL DEVILLE 1010 SE 11TH AVE
PO BOX 3110 PORTLAND, OR 97214
HONOLULU, HI 96802 •
Phone: Contact #: FAX 503 - 535 -2763
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit 11/8/2007 $66.80 LIC 203
[TAX] 8% State Surcharge 11/8/2007 $5.34 SUP 4460S
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 throu h 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.
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.
-- . NU-07-2007 05:02PM FROM -OR ELECTRIC SVC 5035352763 T -366 P.001 /001 F -533
:' lecrrica1 rermu wuuvau :uu f .� �/ ,(
City of Tigard '� J o). IIID Q -7 68 PemitNo.:`� � -- QO�j• J
13125 SW Hull Blvd., Tigard, OR 97223 \ \ VV / Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ` �" ,� �ij'�^ ousts- oi Permit:
Inspection Line: 503.639.4175 .4,4- 1, Date Ready/By: Jane . .„,.. See Page z for
Internet: www.ci.tigard.or us NotifEl/Metho& I Supplemental Information
TYPE' OF WORK PLAN REVIEW
El New construction ® Addition/alteration/replacement Please check all that apply:
❑ Service over 225 amps, corran'l ❑Hazardous location
❑Demolition 0 Other 0 Service over 320 amps - rating ❑Buildng over 10,000 sq. ft.,
CATEGORY. OF CONSTRUCTION i of I. 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 •
❑ Multi - family ID Mager builder ❑Odder ❑ Building over three stories ❑Fenders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑ Egres/Iighting plan RV park
Job no.: 98556 I Job site address: 9600 SW Oak St 011 ea lth f ac ility ['Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service_
FEE* SCHEDULE
Suite/bldg./apt no.: 5 I Project name: '' tee Thild ..
Cross street/directions TO job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision: Lo no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.:
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
Small TI - Lights, plugs & switches dwelling service and/or feeder 90.90 y 2 -
Services or feeders Installation, alteration, and/or rdoeation
200 amps or lass 80.30 2
❑ PROPERTY OWNER r 121 'TENANT 7 • 201 amps to 400 amps 106.85 2
401 amps to 600 amp 160.60 2
Name: Plaza West 601 amps to 1,000 amps 240.60 2
Address: 9600 SW Oaks St Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /Statc/ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and/or
Phone: (503)209 -7494 1 Fa ( ) 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
® APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with -
service or feeder fee, each 6.65 2
Business name: Oregon Electric Construction brunch circuit
B. Fee for bnmch circuits
Contact name: Mike Redman without service or feeder fee,
each branch circuit 1 46.85 1.1(o. 65 2
Address: 1010 SE 11' St Each add'l branch circuit 2 6.65 )q , q 2
City/State/ZIP: Portland, OR 97214 Miscellaneous (service or feeder not included)
—
Phone: (503) 849 -2597 Fax: : (503) 535 -2763 • Sign S or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: dIspatc6(toregon- electrie.com Signal cirvuit(s) or limited-
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 . 2
Business name: Oregon Electric Group _
Address: 1010 SE 11th Ave Each additional inspection over allowable in any of the above
n.. Per inspection 62.50
City/State/ZIP: Portland, OR 97214 I / tV investigation per hour (1 hr min) 62.50
Phone: (503) 234 -9900 I Fax: (503) 535-2763 • LQ Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
- CCB Lie.: 203 Electrical Li • 6 - 95C Suprv. ' . . • IS Subtotal 40 °(3:.›
Suprv. Electrician signature, required: OFII PwAW ` Plan review (25% of permit fee) •
Print enure: r Date: 1-/! yr, r V . State surcharge (8% of permit fee) 6„ �,/
i � 11� �L .� �i - CO•rAL PERMIT FEE "-'791 ° L 1
Authorized signature: j mr f
nature: This permit npplleadatr expires If a permit is nor obtained within 180
P days after ii has been ace opted as complete
Print name • 1 t - T �� / • F ee met set by Tri-County Building Industry Service Board
y A -
"" •• Number of inspections per permit allowed.
KlbuldmaTamib\6LC- PermirApp.Me trios 410- 4615T(10,Q2/COM'w6B
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: ELC2007- 00755
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007
Phone: (503) 639 -4171 LP
Inspection Requests (24 Hrs.): (503) 639 -4175 .. 1 L
INSPECTION WORKSHEET FOR DATE: 12/13/ ?00 TIME: 7 :00AM PAGE: 28
SITE ADDRESS: 09600 Shy OAK ST 340 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: 4 branch circuits.
OWNER: ASA PROPERTIES, INC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503-234 -9900
Inspection Request Scheduled For: Date: 12/13/2007 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 061452 -02 503 -849 -2597 N
Corrections/Comments/Instructions:
,_\
c. }
.)..../ /
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Gm 14 Date: 11-1 O") Phone #: (503) 718 - i'"1 1k30
, , . .
CITY OF TIGARD
BUILDING DIVISION #: ELC2007.00755
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007
Phone: (503) 639 -4171 � ' �
Inspection Requests (24 Hrs.): (503) 639 -4175 1.L.
INSPECTION WORKSHEET FOR DATE: 12113/2007 TIME: 7 :00AM PAGE: 29
SITE ADDRESS: 09600 SW OAK ST 340 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: 4 brunch circuits.
OWNER: ASA PROPERTIES, INC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503 - 234 -9900
Inspection Request Scheduled For: Date: 12/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 051452 -01 503 -849 -2597 N
Corrections /Comments /Instructions:
•
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C, N% 1 Date: Eve 3 '01 Phone #: (503) 718- VILA
CITY OF TIGARD.
BUILDING DIVISION ` PERMIT #: ELC2007 -00765
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007
Phone: (503) 639 -4171 'I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/612007 TIME: 7 :06AM PAGE: 11
SITE ADDRESS: 09600 SW OAK ST 340 CLASS OF WORK: .
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: 4 branch circuits.
OWNER: ASA PROPERTIES, INC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503134 -9900
Inspection Request Scheduled For: Date: 12l6/2A07 Pour Time:
Code # Inspection Description e firm _# Contact # Message
199 Eloctiical final '.
0609 -t ` 503-849-2597 N
Corrections /Comments /Instructions:
CALF V e[L i Li N'0 ctmvilt_ . J r— N L ,
PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G" NI IC1n Le-
Date: 114 4101 Phone #: (503) 718 - VA •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00755
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007
Phone: (503) 639 -4171r
Inspection Requests (24 Hrs.): (503) 639 -4175 °1 �..
INSPECTION WORKSHEET FOR DATE: 11113/2007 TIME: 7 :01AM PAGE: 39
SITE ADDRESS: 09500 SW OAK ST 340 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: 4 branch circuits.
OWNER: ASA PROPERTIES, INC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503.234 - 9900
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description C- onfi[m # Contact # Message
125 !Nall cover { 059533 -01 503 849-2597 Y
Corrections/Comments/Instructions:
1141
K
Prn
(kpcp_fathL VT6/1,
Witt. cj Y &
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (S 6 1.6 Date: %I I 161 Phone #: (503) 7181_4%