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Permit
CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2007 -00557 COMMUNITY DEVELOPMENT DATE ISSUED: 8/8/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 350 ZONING: C -P SUBDIVISION: PLAZA WEST LOT : 005 JURISDICTION: TIG PROJECT: SLEEP WELL PARTNERS Project Description: 10 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: 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: 9 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 8/8/2007 $106.70 LIP 203 [TAX] 8% State Surcharge 8/8/2007 $8.54 SUP 4818S Total $115.24 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. Issued By: Permittee Signature: ��Q4, eaktizeig. jgatie__ OWNER INSTALLATION ONLY A171 "!�� 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. JUL -26 -2007 03:06PM FROM -OR ELECTRIC SVC 5035352763 T -934 P.001 /002 F -619 '� ILieglricai reruue r�NNucrtLiuu �� tug . City of Ti �V 1' : arkYLM I i PermitNo.•0 , —dpeSS7 13125 SW Hall Blvd., Tigard, OR 972 � '; ' plan • w Phone: 503.639,4171 Fax: 503.598.1960 JU 2 7 200 r 41 •''• Datc/By. Other Permit: Inspection Line: 503.639.4175 1 1 peo Roa<Iy/gy. Jura: la See Page 2 for Internet: www.ci.tigard.or.4s CA - / , Norilled/Method Supplemrntnl Information Ttnib1Ci Co1WifiSION PLAN REVIEW ❑ New construction ® Addition /alteration /replacement Please check all that apply: ❑ Demolition 171 Other in Service over225 amps, comet ❑Hazardous location ❑ Sevice over 320 amps - rating ❑Bui)dng over 10,000 sq. fl, CATEGORY OF CONSTRUCTION of 1 -and 2- family dwellings 4 or more new residential ❑ 1 and 2 family dwelling ® Commercial/industrial ❑ Accessory building ['System ova' 600 volts nominal units in one structure ❑ Building over three stories ❑ Feeders, 400 amps or more © Multi- family 0 Master builder ❑Other ❑Occupant load over 99 persons ❑ Manufactured structures or JOE SITE INFORMATION AND LOCATION ❑Egrtss/lightiagplan RV park Job no.: 97525 I lob site address: 9600 SW OAK ST ❑He:iltltt -care facility ❑Othe': 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. Stlite/bldg /apt no -:36jp I Project name: FEE* SCHEDULE G pay . I Qty. ! no. E Total E .. Cross street/directions to job site: SL R \AGU _ New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. R or less 145.15 4 Subdivision: I Lot n0.: Ea. add') 500 sq. R 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 OFFICE TENANT IMPROVEMENT dwellingg, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER I ❑ TENANT '; 201 amps to 400 amps 106.85 2 - 401 amps CO 600 amps 160.60 2 Name: 601 antpsto 1,000 amps 240.60 2 Address: Over I,000 amps or volts 454.65 2 - Reconnect only 66.85 2 City/ State/ZIP: Temporary services or feeders installation, alteration, and/or Phone: ( ) I Fax: ( ) relocation 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amp to 400 amps , ' 10030 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: branch circuit B. Fee for branch circuits Contact name: Lamy t wilirout service or feeder fee. ► 46.85 $5 2 Address: each branch circuit _ Each add'I branch circuit 9 1 6.65 547 ,$5 2 City /State/ZIP: Miscellaneous (service or feeder not Included) Phone: ( ) I Fax: ; ( ) Pump or irrigation circle 53.40 2 Signor outline lighting 53.40 2 E - mail: Signal circuit(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 .. _ Per inspection 62.50 City/State/ZIP: Portland, OR 97214 Investigation per hour (1 hr min) 62.50 Phone: (503) 234 -9900 I Fax: (503) 535 - 2763 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES • CCB Liu.: 203 Elec ii t i•.: 26-951 � . .c - 48185 . Subtotal 10 LP .1 O Suprv. Electrician signature, requi EW/�/ r Plan review (25% of permit fee) � JJ State surcharge (8% of permit fee) Y . S if Print name: 1 1G VlL W 1 to bt Q eAt Date: 07/26/07 TOTAL PERMIT FEE t l 5 , Q Li Authorized si z. attire: This permit application ecpires If a permit is not obtained within 180 Bays after It has been accepted nit complete Print . • gy1 I or, mc ff f r r rArL : 07/26/07 • Fee methodology set byTri- County Building Industry Service Bo Number-of inspections per permit allowed. allowed. I;Wu11° n iogwm'. .eL m'. , C -pa.. t2/03 440.4615T(10/02/COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: EL..C2007 -00557 13125 SW Hall Blvd., Tigard, OR 97223 4 DATE ISSUED: 802007 Phone: (503) 639 -4171 -IL Inspection Requests (24 Hrs.): (503) 639 -4175 ' 6 .. INSPECTION WORKSHEET FOR DATE: 9/2W2007 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 09600 SW OAK ST 360 CLASS OF WORK: SUBDIVISION: PLAZA WEST LOT #: Q05 TYPE OF USE: PROJECT NAME: SLEEP WELL PARTNERS DESCRIPTION: 10 branch circuits. OWNER: ASA PROPERTIES, INC, PHONE #: CONTRACTOR: OREGON ELECTRIC GROUP Y"A\L� k,C,pM PN PHONE #: 503.234-99110 Inspection Request Scheduled For: Date: 9t 28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 056581 -01 503 849 -2597 Y Corrections /Comments /Instructions: \ r \ '\'' \ \ \ '. \ k ,;;A K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: MSES - Date: Ili/ 0l Phone #: (503) 718- Ztitilb CITY OF TIGARD BUILDING DIVISION PERMIT #: EI.0 2007 0f1557 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: a'w2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: 9/26/2007 TIME: 7 :01AM PAGE: 134 SITE ADDRESS: 09600 SW OAK ST 350 CLASS OF WORK: SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE: PROJECT NAME: SLEEP WELL PARTNERS DESCRIPTION: 10 branch circuits. OWNER: ASA PROPERTIES, INC, PHONE #: CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503234 -9900 Inspection Request Scheduled For: Date: 9/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 05632.2 -01 503. 969-3412 Y Corrections /Comments /Instructions: Ji 1 c-o NZ. c t(L. R.%)1.) `6 0 s 41 ors. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS U FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v I (146 Date: C tilAIC! Phone #: (503) 718- 1-4 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00657 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8!2007 Phone: (503) 639 -4171 �a Inspection Requests (24 Hrs.): (503) 639 - 4175 , INSPECTION WORKSHEET FOR DATE: 9/14/2007 TIME: 7 :00AM PAGE: 11 SITE ADDRESS: 09600 SW OAK ST 350 CLASS OF WORK: SUBDIVISION: PLAZA WEST LOT #: 006 TYPE OF USE: PROJECT NAME: SLEEP WELL PARTNERS DESCRIPTION: 10 branch circuits. OWNER: ASA PROPERTIES, INC, PHONE #: CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503 - 2349900 Inspection Request Scheduled For: Date: 9/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 05574&01 503.849 -2597 \ Y Corrections /Comments /Instructions: K20 f J.X - P(tizs1%Qa' A/pipfLovEz sCla �� PLAN �L\) ;� j.) U " A. ul 6 .1 1-1b rY.- 2. Q ox s FoL �L E Alk (if l,€ 61 ❑ PASS gi PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ►1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G I\ltQ) L Date: 1I 1 1 41 (1) Phone #: (503) 718- 11% • CITY OF TIGARD BUILDING DIVISION ,„ PERMIT #: ELC2007 -00557 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/812007 Phone: (503) 639 -4171 Awiti Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: 8/21 /2007 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 09600 SW OAK ST 350 CLASS OF WORK: SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE: PROJECT NAME: SLEEP WELL PARTNERS DESCRIPTION: 10 branch circuits. OWNER: ASA PROPERTIES, INC, PHONE #: CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503.234 - 9900 Inspection Request Scheduled For: Date: 8/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 054394-01 503-849 -2594 N Corrections /Comments/ Instructions: CE":1 N I S A e URN v „n,! • *PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v 1V Vti+ `—V Date: Dl v J Phone #: (503) 718 - v� •