Permit CITY OF T' GA R D ELECTRICAL PERMIT
PERMIT #: ELC2002 -00269
Zili DEVELOPMENT SERVICES DATE ISSUED: 6/14/02
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113BA -00400
SITE ADDRESS: 07632 SW DURHAM RD 120
SUBDIVISION: SW CENTER SDR1999 -00020 ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of 7 branch circuits for completion of office space. Job No. 22 -743.
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: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 6 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:
OPUS NORTHWEST CAPITOL ELECTRIC CO INC
111 SW COLUMBIA STE 870 12810 NE AIRPORT WAY
PORTLAND, OR 97201 UNIT 1
PORTLAND, OR 97230
Phone: Phone: 255 -9488
Reg #: LIC 048748
SUP 3132S
ELE 26 -496C
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 6/14/02 $86.75 2720020000( Elect'I Final
5PCT CTR 6/14/02 $6.94 2720020000(
Total $93.69
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Permit Signature: D� / / ' � 77 By: ‘.()
L
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: O Ai f. / L / e4' 7"' i0i7 DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
■
E lectrical Permit Application OFFICE USE ONLY
y r� a . • J Date received: VD Permit no.:El,22.00
�_ Projecdappl. no.: Expire date:
a l�j City of Tigard Date issued: By:Receipt no.:
CITY OF TIGARD Address: 13125 5 SW HALL BL (D 1 T,I jAgD, ORnft7123 Case file no.: Payment type:
(
Phone: (503) 639 -4171 Fax 5 -8-1 LUUl1LL
Land use approval: CU X Y k)ia nu A ,:,
•:1171 CITITITTVN,'
• TYPE OF PERMIT
❑ 1 & 2 family dewlling or accessory ❑ Commercial /industrial ❑ Multi - family ❑ Tenant improvement
o New construction ❑ Addition /alteration /replacement • ❑ Other: ❑ Partial
JOB SITE INFORMATION
Job address: 7632 SW DURHAM RD City: TIGARD Bldg. No.: Suite n 120 Tax map /tax lot/account no.:
Lot: (Block: N/A (Subdivision:
Project name SUITE 120 !Description and location of work on premises: BUILD OUT OF SUITE 120
Estimated date of completion/inspection: 7/1/02
CONTRACTOR APPLICATION - FEE SCHEDULE
Job no: 22 -743 Fee Max.
Business Name: Capitol Electric Co., Inc. Description Qty. (ea.) Total no. insp
Address: 12810 NE Airport Way New residential - single or multi - family per
City: Portland State: OR ZIP: 97230 - 1029 dwelling unit. Includes attached garage.
Phone: 503 - 255 -9488 (Fax: 257 - 7121 IE - mail: darrell@cepdx.com Service included:
CCB no.: 48748 'Elec. bus. lic.no: 26 - 496C 1000 sq, ft, or less $ 145.15 4
City/metro lic.no.: NIA ,, Each additional 500 sq. ft. or portion thereof $ 33.40
���/j��j,�� 6/6/02 Limited energy residential $ 75.00 2
Signature of supervising electrician (required) (((��� Date Limited energy, non - residential $ 45.00 2
Sup. elect. name (print): Darrell McNeel License no.: 3132 -S Each manufactured home or modular dwelling
PROPERTY OWNER Service and/or feeder $ 90.90 2
Name (print): Services or feeders - installation,
Mailing address: alteration or relocation:
City: I State: (ZIP: 200 amps or less $ 80.30 2
Phone: Fax: IE-mail: 201 amps to 400 amps $ 106.85 2
Owner installation: The installation is being made on property I own 401 amps to 600 amps S 160.60 2
which is not intended for sale, lease, rent, or exchange according to 601 amps to 1000 amps $ 240.60 2
ORS 447, 455, 479, 670, 701. Over 1000 amps or volts $ 454.65 2
Owner's signature: Date: Reconnect only $ 66.85 I
ENGINEER Temporary services or feeders -
Name: installation, alterations, or relocation:
Address: 200 amps or less $ 66.85 2
City: State: ZIP: 201 amps to 400 amps $ 100.30 2
Phone: Fax: E -mail: 401 amps to 600 amps $ 133.75 2
PLAN REVIEW' (Please check all that apply) Branch circuits - new, alteration,
❑ Service over 225 amps - commercial ❑ Health -care facility or extension per panel:
❑ Service over 320 amps - rating of l &2 ❑ Hazardous location A. Fee for branch circuits with purchase of
family dwellings ❑ Building over 10,000 square ft. four or service or feeder fee, each branch circuit $ 6.65 2
❑ System over 600 volts nominal more residential units in one structure B. Fee for branch circuits without purchase
❑ Building over three stories ❑ Feeders, 400 amps or more of service or feeder fee, first branch circuit: 1 5 46.85 46.85 2
❑ Occupant load over 99 persons ❑ Manufactures structures or RV Park Each additional branch circuit: 6 5 6.65 39.90
❑ Egress/lighting plan ❑ Other: Misc. (Service or feeder not included):
Submit sets of plans with any of the above. Each pump or irrigation circle S 53.40 2
The above are not applicable to temporary construction service. Each sign or outline lighting $ 53.40 2
Signal circuit(s) or a limited energy panel,
alteration, or extension* $ 75.00 _ 2
'Description:
Each additional inspectionover th allowable in any of the above:
Per inspection I 15 62.50 I I
Investigation fee
Other
❑ Visa ❑ MasterCard Permit fee $ 86.75
Credit card number: / / Notice: this permit application Plan review ( ) $
_ Ex expires if a permit is not obtained State Surcharge 8% ) $ 6.94
Name of cardholder as shown on credit card
$ withing 180 days after it has been TOTAL $ 93.69
Cardholder signature Amount accepted as complete.
CITY OF TIGAFlD 24 -Hour
Inspection Line: 639 -4175
BUILDING 503 p ( ) MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 7 /)-3 AM PM BUP
Location 2- - Suite /�- MEC
Contact Person I (3•A-4-/ Ph ( ) 3 19 ` Ye 7 PLM
Contractor Ph ( ) SWR '7
BUILDING Tenant/Owner ELC - 6 9
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm D At ta
Susp'd Ceiling
Roof I T ER .�� �l� '\ eilearigIMEIF
Other: - -
Final
PASS PART FAIL
PLUMBING ) O \ L\41 `�(\
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
• =ITT* Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
• • 5 PART •' J
- �•
5 ❑ Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date 7) ?
✓ o`2J C Z-- Inspector - = i/ Ext
Other:
Final DO NOT REMOVE this Inspection recor from th Job site.
PASS PART FAIL