Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT : ELC2007-00328
DATE ISSUED: 5/14/2007
,TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
• PARCEL: 1 S 135DD -03301
SITE ADDRESS: 11945 SW PACIFIC HWY 208 ZONING: C - G
SUBDIVISION: TIGARD PLAZA LOT : 002 JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: TI project, (3) service / feeders, move panels and (34) branch circuits for lighting.
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: 3 W /SERVICE OR FEEDER: 34 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FOR: 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: CLASS AREA/SPEC OCC:
Owner: Contractor:
TIGARD PROPERTIES INC PHOENIX ELECTRIC
2106 SE OCHOCO ST PO BOX 14037
MILWAUKIE, OR 97222 PORTLAND, OR 97293
Phone: Contact #: PRI 503 - 886 -9930
FAX 503 - 266 -8394
FEES
Description Date Amount Reg #: ELE C89
[ELPRMT] ELC Permit 5/14/2007 $467.00 LIC 162753
[TAX] 8% State Surcharge 5/14/2007 $37.36 SUP 516955
Total $504.36 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: n 11 C 011
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.
*. Me" 13 07 09: 40p Terry Koch 503-266-8394 p.1
-- . ..
-• Electrical Permit Application V FOR OFFICE LISE ONLY
City of Tigarcl '0 IRV I 6 _Ii- Permit No.: .--• . _ Afore - •• . ;
14 ' 13125 SW Hall Blvd., Tigard, 0 ' ,...!• 'ti c.A1 Plan Review
' 2 Phone: 503.639.4171 Fax: 503 7 !-.• Date/Br Othcr Permit: P2013- - COMO
TIGARD
Inspection Line: 503.639.4175 1.,,Nt ‘• .' ,,.. Data Ready/ST saris ra See Page 2 for
Internet www.tigard 4,, f aro - 0 1.1 Notified/Method: 1 105 Supplemental Information
! ''''''' ' ':::1''...: . ...: ' ' if PE : Ok* . . '..'''''''' .: :'•':'! . ''''•?- .. ..::. : :i:: .. ..:• ,, i:f:,:::::::. , :::::::: .::
0 New construction RITAddition/alteraeglia cement ... Please cheek all that apply (submit a sets of plans wfitems checked below):
CI Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other i
where the available fault current 0 Marinas and boatyards.
- .. :••. : •• :i .. : ::::::::::,:.:::::: ...::i. '' ' .;v4.....moity. i•or: l :
. • :. i ,. .3i:::::M;i : 7:::.:,:; : : oomed: 10,000nps at 15 co t Floating buildings.
Commercial-use agricultural
0 1- and 2-family dwelling fikt<nunercial/industrial 0 Accessory building mops for all other installations. buildings.
12 Multi-family 0 Master builder 0 Other: El Fire pump. El hsstallation of 75 KVA or
larger separately derived system.
:::' •1: .. i::.: ': ...: : : : , :ii::0.' : e ., :i,c.00 : : grA
AND ION ::: ' :.P':'::-:' .' :•:::g:::::::y:ixi.. 0 Adon of new motor load of
ceeepancy.
Job no.: 305 4_ I Job site address: . / 1 4)4 5 5 RteAt_ )464)V .IZCZS i-i in
Six or mare residential units. 0 Recreational vehicle parks.
City/State/ZIP: - 27 - 6/77224 ae. i 7??-3 0 Health-care facilities. 0 Simply voltage for more than
0 Hazen:tons locaticats. 600 volts nominaL
Suite/bldg./apt no.: I Project name: ace_ El Service or feeder 600 amps or more.
:::, :...t
Cross street/directions to job site: Decriiition 1 Qty. 1 Fee. 1 Total I •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: I_ Lot no.: 1,000 sq. tt or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential
75.00 2
tit$0;t40#01:: ''':'1•'• 00 ";•':I''' : .:'' i ;;:N;:: i':: :.: (with above so. ft.)
Limited energy, rauki-family
i .1._ , ,,ec2l‘e 0 714z2z2 e_. 1 AC i AdtAar id4eVe: residential (with above sq. fi.) 75.00 2
Services or feeders installation, alteration, and/or relocation
(Se, .,C , 200 amps or less 3 80.30 6 ,140„ it 2
;•::: :.:'; [ '
::F: ?:: :1.': TENANT 201 r 201 amps to 400 amps 106.85 2
Name:
601 amps to 1,000 amps 240.60 2
Address:
Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax ( ) 200 amps or less 66.85
' 1 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 133.75 2
Branch circuits- new, alteration, or extension, per panel
Owner signature: Date:
A. Fee for branch circuits with
174 : .1 :ii above service or feeder fee, .31 6.65 a z . /0 2
. . .
h branch circuit
Business name:
B. Fec for branch circuits
without service or feeder fee,
Contact name:
first branch circuit 46.85 2
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( )
Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
..
;; ...:". ''' ' ,::''' ''':. :..• :.' ::',;-..:;'::;::''. :. .!. :?. ::: • .:PONTRikt"f01CMN::;:!': : ":":'' . :: . ,:::' ., .;;•:::',':'::': Sign or outline lighting 5340 2
Signal circuit(s) or limited-
Business name: l: x & j _ 4 ,, e __
• energy panel, alteration, or
Address: ' 0 . e / 1 0 37 extension. Describe: Page 2 2
City/State/ZIP: 74; ja 0 E . 917c.23 Each additional inspection !M over allowable litany of the abov
Per inspection 62.50 '
Phone: (5)3 ) ft-4, -‘1930 I Fax: (563 ).. i3 Investigation per hour (1hr min) 62.50
CCB Lic.: /6.?75 I Electrical Lic.: e..... 6- v Suprv. Lic.: / 6;)ilan_ :al plant per hour 73.75 , . .. ...... . -
Suprv. Electrician signature, required:,,, ,,/ ..i.,„:::.,:",..:•...,,,.,:,:.,:::.::.:,,,,........., J!ERM.Ft :FEES' ''; •'::::::-::: , i•::• •'.:: f.: ••
Plan review (25% of permit fri: 4477 -----
Print name: - 7T / e 6 ,c Date: 5..... i) _ 0 7
State surcharge ( 8 of permit fee): 37, 361
Authorized signature: / - . 4944 _7 (/ „...../ TOTAL PERMIT FEE: IV1, /
.,
Print name: - T /< Date: 5 4 ?- 07 This permit applkation expires if a permit is not obtained within 180
days alter it Ism been accepted as complete.
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5114 /2007
Phone: (503) 639 -4171 +�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/10/2007 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI project, (3) service / feeders, move panels and (34) branch circuits for lighting.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: PHOENIX ELECTRIC PHONE #: 503
Inspection Request Scheduled For: Date: 7/10/2007 Pour Time:
Code # Inspection Description �Conf�`# Contact # Message
199 Electrical final 51730 -01 503 - 886.9930 N
Corrections /Comments /Instructions:
&'t
mt;i 6 Wtvck .
Le■& xy\e, 0 6 tONIts)
PSo` A t O arL `Yaw a)
0.9317 Vksw.) t"ZseiorY■7
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G" • N �J l� Date: 1 j 0101 Phone #: (503) 718- 1 •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/14 /2007
Phone: (503) 639 -4171 il +� "
Inspection Requests (24 Hrs.): (503) 639 -4175 . e 1 ' � ..
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7:02AM PAGE: 54
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI. project, (3) service I feeders, move panels and (34) branch circuits for lighting.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: PHOENIX ELECTRIC PHONE #: 503
Inspection Request Scheduled For: Date: 7/9/2007 Pour Time:
Code # Inspection Description Contact # Message
199 Electrical final 051616 -01 503 -307-2652 • N
Corrections/Comments/Instructions:
RittMw e Oa, R cNoia. v. ) • 6t ii) kr' 13-1-6 S) t
kot4 6C %viVI, NZ -3(A)
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P' ip6 bl..44, i&(s) , FtLt- 01 .
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‘PQ-$0vIAit A tc,E to M I>' t a iwy.,
1\16N : 0 w N Ct_ `it iZtINAt\ Nl- Asti U E0
vii cu , 1 ■ _.t. _ M ■ • Z O_ X1,1 • C .Y
1 I 1 m p ote, A , 3 Ls -
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
,FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `7 N o 6 Led
Date: n 1. 69 P hone #: (503) 718 - �' �"
CITY OF TIGARD
BUILDING DIVISION • ...A PERMIT #: ELC2007 -00328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/14/2()07
Phone: (503) 639 -4171 tf1
Inspection Requests (24 Hrs.): (503) 639 -4175 . .. "
INSPECTION WORKSHEET FOR DATE: 7/6!2007 TIME: 7:06AM PAGE: 6
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI project, (3) service / feeders, move panels and (34) branch circuits for lighting.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: PHOENIX ELECTRIC PHONE #: 503 -886 -9930
Inspection Request Scheduled For: Date: 7/6/2007 Pour Time:
Code # Inspection Description • _# Contact # Message
195 Misc. inspection 051562 -01 503-307 -2652 N
Corrections /Comments /Instructions:
mod+ OE V. 6 co -L1 7Q o(t. /-150(-- 'C'�aa. w' . -af
•
❑ PASS j IPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Qv 136 LAG Date: ni 01 Phone #: (503) 718 - ti %,
CITY OF TIGARD
BUILDING DIVISION . • PERMIT #: ELC2007- 00328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/14/2007
Phone: (503) 639 -4171 eep'' yg jI
Inspection Requests (24 Hrs.): (503) 639 -4175 :.'=!�i F:_..
INSPECTION WORKSHEET FOR DATE: 7/5/2007 TIME: 7:03AM PAGE: 71
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI project, (3) service / feeders, move panels and (34) branch circuits for lighting.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: PHOENIX ELECTRIC PHONE #: 503886 -9930
Inspection Request Scheduled For: Date: 7/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 051413 -01 503-886-9930 N
Corrections /Comments /Instructions:
Si (ZS , j & m ot' w `90 Li) % iciN iN ftioNli 6C
QIaliN q-
J ❑ PASS ❑ PARTIAL APPROVAL El ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: v I 1 V 4e3 i Date: . 1 • s- 01 Phone #: (503) 718 -
_%___
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/14/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639-4175 `'I —
INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 63
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI project, (3) service / feeders, move panels and (34) branch circuits for lighting.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: PHOENIX ELECTRIC PHONE #: 503 - 886-9930
Inspection Request Scheduled For: Date: 6/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 050637 -01 503-307-2652 N
Corrections/Comments/Instructions:
Yvvai f4 Raba- bctv c.E I L1 Ty
N4 •i R e v P " . A4k - F \ - 6ouND
A IDAss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N 006 Lr Date: b' 1 4' 61 Phone #: (503) 718- 7-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2007
Phone: (503) 639 -4171 y� "
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/29/2007 TIME: 7:02AM PAGE: 43
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI project, (3) service / feeders, move panels and (34) branch circuits for lighting.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: PHOENIX ELECTRIC PHONE #: 503 - 886 - 993U
Inspection Request Scheduled For: Date: 5/29/2007 Pour Time:
Code # Inspection Description 'onfirm • Contact # Message
120 Electrical rough -in 049163 -01\ 503-307-2652 Y
12;5 WAIL. cb•J
■
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IV • Date: 61 21101 Phone #: (503) 718- 2-TPk