Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00565
.•�.V DEVELOPMENT SERVICES DATE ISSUED: 101512006
'�� li 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S101 DD -00101
SITE ADDRESS: 06975 SW SANDBURG ST 290 ZONING: C -
SUBDIVISION: TIME SQUARE LOT : JURISDICTION: TIG
Project Description: TIME SQUARE. (3) branch circuits. Job #40185.
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: 2 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ ampNolt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
AMERICAN PROPERTY MGT. NEW TECH ELECTRIC
2510 NE MULTNOMAH 13970 SW 72ND AVE
PORTLAND, OR 97232 PORTLAND, OR 97224
Phone: 503 - 284 - 6133 Contact #: PRI 503 - 648 -1900
FAX 503 - 670 -9572
FEES
Description Date Amount Reg #: ELE 26 -418c
[ELPRMT] ELC Permit 10/5/2006 $60.15 LIC 41868
[TAX] 8% State Surcharge 10/5/2006 $4.81 SUP 38495
Total $64.96 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: � f'� � Permittee Signature: _gip e, (bT.,c
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.
eiuw 1,6/04/2006 15:44 5036709571 -• NEW TECH ELECTRIC PAGE 01/02
Etlectri Permit APPlicafio�l _ 0 FOR °FPlt_L USE ONLY
City of Tigard • . > �� o f
13125 SW Hall Blvd., Tigard, OR 97223 . - .� 0 4 006 Permit Ne.:� 0 _ r • Pbcac 503.639.4171 Part: 503.598.1960 /,'c, Plan Review ! � .
I n s p e c t i o n Line: 503.639.4175 CITY O F _al. r. f i I , Dat�y/s other Permit
Internet: www.ci.tigard ones .
BUILDING li I a • • NodSedAdetho9: " ' see patty 2 for El
Supplemental fat Infatuation
I,' , : J ! t r I , • f - r l \,; (1 �I .1' ' r r )� en
�P , f l p > f , l ' I
ddraonlalteraao laeemettt Please check all that apply: � � �,
❑ New construction
❑ Demolition ❑ Other' ['Service over 225 amp
• ❑ SeNICC over 320 S. comm 'l 11a79rd0US 1 o,00 I
g ❑Bunting over r 10.000 sq. ft.,
0 1 • and 2.Pami1Y amps iimgs 4 or mac new residential
❑ 1- and 2-family dwelling •mmercial /industtfal
ID Multi -famil ❑ Accessory building ❑System over 600 volts nominal units it ode structure
Y ❑Master builder 0 Other: ❑Building over three storms ❑Fecdcs, 400 amps or more
t
'.: ;,:' n .c1 tfl �i , Ih�,i4 1 I Il ` ❑Occu p ant loadover99 persons Manufa
I ❑ txlltLd structures or
` , .. , . , .... Egmss/lightiog plan RV park
l xJ r a �f�
rob no.: . , • 1 Job -site address: cq SW ❑Health -care facility ❑Outer
Y Submit se
City/State/7_1P: >. '� " A .� to of plans with any of the above
„ ii ��, The above are not applicable to temporary construction service.
Suite/bidg no,: Project name: — z
./apt. S 1 p>n j � ‘1,.. I Iii n }Ille il+l� it ���� ,II�P I r . 7r
/ , .12.. tea I � r. Ii :
Cross strect/directions to job site: ' Qq' see Teter e• ' '
New residential single. or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq, ft. or portion
Taut map/parcel mo.: 33.40 1
Limited energy, residential 75.
— 75.00 2
M
4b ir' I F It 1i1 t,. r. , �. L ,�IJ_, (I 1. ' II 91� fl. i� Ir 1 1 v Limited energy, non - residential 75.00
���� . �_, . t Each manufactured or modular "�� �� .-1� .t., ` dwe16n�,service and/or feeder 90,9(1 2
Services or feeders Installation, Alteration, and/or relocations
i r
' � 200 amps or less
r " '.''.1,:.% l.il I � I r rtl rut I , ( y, 1 . 1 .. ( I � -; 201 a 8 M6,85 2
. -n . .. -. ,r ,,a} 1 r !• t c, •' I � 4'0 .:.`'i'''..:.' ' t 1. ' 401 reps to amps 1.+11.85 •
�M 160.60 2
`_ , I . „,, t.` , L amp? to 600 0 amps a
Address: :...A :...A 601 amps to 1,000 amps 2x0.60 Z -
\ � / - A Over 1,000 amps or volts 45465 2
City/State/'ZIP: . ` . + . (� : t ' ` cat only 66.85 Z
Phone: ( +' .. A _ 1 r ' .A � Temporary serv or feeders installation, alteration, andior
.0 . Fax: 143) '. ■ I t relocation
or Owner installation: 'Ibis installation is being made on property that own which is not 200 amps to less 00. 1 amps intended for sale, lease., rent, or exchange, according to ORS 447, 449, 670, and 701. 201 —� amps 100.30 Ownergnaturc DaEC Bran 401 amps to 600 a mp s 133.75 I 2
I II' r I r I ' r �l t 5 1 y r , circuits - new, alteration, or extension, per panel
- ... . ...:: ' I Iq .:. -.: .` .. 4I I - ki ;, rrr�;i A. Fee branch circuits witlr
Business name: service or feeder fee, each
branch circuit 6.65 2
Contact name: B. Fee for branch circuits —
without service or feeder fee,
Address: _ each branch circuit 46.85 2
City/State/ZIP: Each add'/ branch circuit I a 6.65 2
Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle
53.40 2
Sign or outline lighting 53.40
8a
F2-75, . 1 : I l
'I ( yjt' !� I r r r. I I l X11” °�, (` t 7 l ,77,77,:-7-1., _ Signal circuit(s) or limited-
2
L:::: l r , : - 1. r :] ., r. t i ii r ' , i energy panel, alteration, or
Business name: � extension. Describe Page 2 2
Address: (. `- Each additional
inspection over allowable in any of the above
City /StatelT.Ip: 7 �� Per tn 62.50
t - Invcsdgat(on per hour (1 hr min) 62.50 4
Phone: a ) 6 T p'sp, �� e - 4qs-9- ` Industrial hint par hour rM
0 � g �J Suprv. Lie t:...j 1 - :.5 1 .�.3,�rFt' .'..'. ,��rer rlrr ;1,1 -
' ;! m. .: `9'4�! r :.
Suprv. Electrician signature, ------ subtotal
gtraturc rcguired: � Q . � COQ, 1
Plan review (25% of pent foe)
Print name: • N State surcharge
�l Date: 10- y ..G G atge (8% of permit fee) =
•
l 1 1Rs0 Vl Da • •
Authorized signature: TOTAL PERMIT FEE I teLl ' tQ
11th pertnil ap a><lrllea If a penult le not and�l� within hin 1
Print name: days sites It ha6 been
Date. • Pee mea►odol accepted as complete
•� ogy set by Tri- County Building ladurtry Service Board
t:t9nildLretParniulffi C- ?rmdtArrp dos I7:/p3 N unt h cr of inspections per permit abound. iif
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00565
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2006
Phone: (503) 639 -4171 fi
Inspection Requests (24 Hrs.): (503) 639 -4175 'l l� I
INSPECTION WORKSHEET FOR DATE: 11/W2006 TIME: 7 :03AM PAGE: 26
SITE ADDRESS: 06975 SW SANDBURG ST 290 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: TIME SQUARE. (3) branch circuits. Job #40185.
OWNER: AMERICAN PROPERTY MGT., PHONE #: 503284 -6133
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503 -648 -1900
Inspection Request Scheduled For: Date: 11/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039442 -01 503 -793 -5735 N
Corrections/Comments/Instructions:
CC
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
h€1 Date: ` U - o b Phone #: (503) 718 -
CITY OF TIGARD
BUILDING - DIVISION PERMIT #: ELC2006- 00.565
13125 SW Hall Blvd., Tigard, OR 97223 J' DATE ISSUED: 10/5/2006
Phone: (503) 639- 4171 Il
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 101112006 TIME: 7 :01AM PAGE: 34
SITE ADDRESS: 05975 SW SANDBURG ST 290 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: TIME SQUARE. (3) branch circuits. Job #40185.
OWNER: AMERICAN PROPERTY MGT., PHONE #: 503 -2t34 -6133
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503-648-1900
Inspection Request Scheduled For: Date: 10112/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 _ 038091 -01 503 -793 -5735 Y
I 30
'
Crt I L-..4 • •• •• - s uctions:
►_l' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G • 1148 Date: l o`, (0 Phone #: (503) 718 - 1-11447
,
CITY OF TIGARD , - - A
BUILDING. DIVISION PERMIT #: ELC2005`O0b65
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2006
Phone: (503) 639 -4171 4, arepl iii t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/9/206 TIME: 7 :01AM PAGE: 31
SITE ADDRESS: 06975 SW SANDBURG ST 290 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: TIME SQUARE. (3) branch circuits. Job #40185.
OWNER: AMERICAN PROPERTY MGT., PHONE #: 50'3-204-6133
CONTRACTOR: NEW TECH ELECTRIC a0 ( PHONE #: 503-640-1900
Inspection Request Scheduled For: Date: i0/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 037859.01 503-793-5735 Y
4
Corrections /Comments /Instructions: Z I (N%
11
•
►:L PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v v 6W Date: IV d C Phone #: (503) 718 3i